Virginia Health Care Foundation
707 East Main Street, #1350
Richmond VA 23219-2811
Mission Statement The Virginia Health Care Foundation is a public-private partnership dedicated to increasing access to primary health care for uninsured and medically underserved Virginians.
CEO/Executive Director Deborah D. Oswalt
Board Chair Ralph W. Howell Jr., DDS
Board Chair Company Affiliation R.L. Howell, DDS & Assoc., PC
Contact Information
Address 707 East Main Street, #1350
Richmond, VA 232192811
Telephone 804 828-5804
Fax 804 828-4370
History and Background
Year of Incorporation 1992
Financial Summary
Projected Revenue $8,052,006.00
Projected Expenses $8,052,006.00
Mission The Virginia Health Care Foundation is a public-private partnership dedicated to increasing access to primary health care for uninsured and medically underserved Virginians.

Health Safety Net Impact: Since 1992, VHCF has been instrumental in expanding and strengthening Virginia's health care safety net, growing it from 33 sites to 204.

Children's Health Impact: Through aggressive enrollment initiatives, more than 72,500 children have been enrolled in state-sponsored health insurance programs by VHCF grantees since 2000.

Dental Care Impact: VHCF dental grants totaling more than $10 million have helped establish over half of the dental safety net programs in the Commonwealth (47 of 76).
Mental Health Impact: In addition to providing a variety of grants to provide basic mental health services in free clinics and community health centers during the years, VHCF has taken a leadership role in introducing the integration of behavioral health services with medical care within Virginia's health care safety net organizations. This is expanding and enhancing the delivery of mental health services to Virginia's uninsured.
Prescription Medication Impact: VHCF's innovative software, The Pharmacy Connection (TPC), has been used by more than 200 organizations to obtain nearly $1.5 billion in free prescription medications for more than 260,000  uninsured Virginians with chronic illnesses since 1999.
Preparing the Health Care Safety Net for Changes Related to Health Reform: The new health reform law will result in a variety of changes that will ultimately impact best practices regarding service delivery, financing, and quality of care, in addition to expanding the number insured Virginians. VHCF has undertaken a special initiative to prepare Virginia's health safety net organizations for the changes, with special emphasis on Virginia's free clinics.
  • Funding to support special projects and initiatives that help increase access to health care for uninsured and underserved Virginians (visit our website for specific program details.)
VHCF was created in 1992 by the Virginia General Assembly and its Joint Commission on Health Care to promote and fund innovative public-private partnerships that increase access to primary health care for uninsured and medically underserved Virginians.
Since its inception, VHCF has leveraged an average of $11 in cash, health services, and other in-kind contributions for every dollar expended.
Areas of Service
Areas Served
In a specific U.S. city, cities, state(s) and/or region.

Serving the uninsured and medically underserved throughout the Commonwealth of Virginia.

Board Chair
Board Chair Ralph W. Howell Jr., DDS
Company Affiliation R.L. Howell, DDS & Assoc., PC
Term July 2015 to June 2017
Board of Directors
Board Members
Robert M. "Bob" Blue Dominion Resources, Inc.
Roger Boeve Retired
Thomas R. "Tom" Byrd Take Care Group, LLC
John F. Fick J. F. Fick, Inc
May Fox Eckert Seamans
Ralph L. Howell Jr., DDSR.L. Howell, DDS & Associates
Regina Milteer MD, FAAPUnited Healthcare Community Plan
R. Gordon Smith McGuireWoods LLP
Sarah W. "Sally" Southard Carilion Clinic of Roanoke’s Children’s Hospital
Pete Sowers MDPatient First
Board Demographics - Ethnicity
African American/Black 1
Asian American/Pacific Islander 0
Caucasian 9
Hispanic/Latino 0
Native American/American Indian 0
Board Demographics - Gender
Male 7
Female 3
Written Conflict of Interest Policy? Yes
Percentage Making Monetary Contributions 100
Number of Full Board Meetings Annually 4
Standing Committees
Development / Fund Development / Fund Raising / Grant Writing / Major Gifts
Communications / Promotion / Publicity / Public Relations
Other Boards
The tables below contain information about other groups that advise this nonprofit on operations and projects.
Advisory Board Members
Jean Clary Bagley Century 21 Clary
LuAnn Bennett Bennett Group
E. Cabell Brand Cabell Brand Center for International Poverty and Resource Studies
The Honorable Jean W. Cunningham Retired
Ben J. Davenport Jr.First Piedmont Corporation and Chatham Oil Company
Norwood H. Davis Jr.Retired
May H. Fox Eckert Seamans Cherin and Mellott, LLC
Richard L. Grier Thompson McMullan, P.C
The Honorable John H. Hager Republican Party of Virginia
Ellen McCloy Hall Retired
Grace E. Harris PhDCenter for Public Policy at Virginia Commonwealth University
S. Anderson Hughes Branch Banking and Trust Company
Clarion E. Johnson MDMedicine and Occupational Health-Global for Exxon Mobil
George A. Levicki Delta Dental of Virginia
Lemuel E. Lewis Landmark Communications
Leigh B. Middleditch Jr.McGuireWoods, LLP
G. Gilmer Minor IIIOwens & Minor
Bruce Randolph Murray Greenbrier Management, LP
James G. Nuckolls MDCarilion Medical Group
Philip M. Reilly Kol Bio Medical Instruments, Inc
Minnis E. Ridenour Retired
Thomas G. Snead Jr.Retired
Karla M. Sorensen Alban Development Corporation and Sorensen Construction Corporation
James M. Turner Jr.J.M. Turner & Company, Inc
Executive Director
Executive Director Deborah D. Oswalt
Senior Staff
Dennis Hall
Rachel L. Rees Deputy Director of Programs and Operations
Full Time Staff 15
Part Time Staff 0
Volunteers 0
Organization has a Fundraising Plan? Yes
Organization has a Strategic Plan? Yes
Years Strategic Plan Considers 2
Date Strategic Plan Adopted Sept 2011
Organization Policy and Procedures Yes
Nondiscrimination Policy Yes
Whistleblower Policy Yes
Document Destruction Policy Yes
Directors and Officers Insurance Policy Yes
VHCF's mission is to increase access to primary health care for uninsured and medically underserved Virginians. VHCF awards grants to a variety of program areas:
  • Health Care Safety Net Expansion and Support (via grants to increase capacity for medical, dental, behavioral health and pharmacy services); 
  • Access to Prescription Medicines (via The Pharmacy Connection and grants for Medication Assistance Caseworkers);
  • Child Health Insurance Outreach and Enrollment ( via training for application assisters and grants for outreach workers.)
  • Behavioral Health ( via grants, scholarships, roundtables and other opportunities to encourage the integration of behavioral health services and medical care)
Population Served Adults
Budget $7,906,192.00
Fiscal Year
Projected Revenue $8,052,006.00
Projected Expenses $8,052,006.00
Form 990s
IRS Letter of Exemption
Detailed Financials
Revenue SourcesHelpThe financial analysis involves a comparison of the IRS Form 990 and the audit report (when available) and revenue sources may not sum to total based on reconciliation differences. Revenue from foundations and corporations may include individual contributions when not itemized separately.
Fiscal Year201520142013
Foundation and
Corporation Contributions
Government Contributions$4,580,571$4,080,571$4,080,571
Individual Contributions$889,460$2,594,840$1,125,393
Investment Income, Net of Losses$475,742$1,147,409$695,903
Membership Dues------
Special Events------
Revenue In-Kind$6,609--$127,977
Expense Allocation
Fiscal Year201520142013
Program Expense$5,317,823$5,942,689$5,944,878
Administration Expense$536,982$543,443$497,764
Fundraising Expense$102,461$98,165$156,713
Payments to Affiliates------
Total Revenue/Total Expenses1.251.281.01
Program Expense/Total Expenses89%90%90%
Fundraising Expense/Contributed Revenue2%1%3%
Assets and Liabilities
Fiscal Year201520142013
Total Assets$17,774,563$17,091,299$15,880,428
Current Assets$17,727,672$16,681,718$7,712,353
Long-Term Liabilities$103,718$568,455$800,000
Current Liabilities$4,029,646$4,345,409$4,738,490
Total Net Assets$13,641,199$12,177,435$10,341,938
Short Term Solvency
Fiscal Year201520142013
Current Ratio: Current Assets/Current Liabilities4.403.841.63
Long Term Solvency
Fiscal Year201520142013
Long-Term Liabilities/Total Assets1%3%5%
Capital Campaign
Currently in a Capital Campaign? No
State Charitable Solicitaions Permit
Solicitations Permit
Solicitations Permit 11/2016View