Ledwith-Lewis Free Clinic
P.O. Box 2313
Tappahannock VA 22560-2256
Mission Statement The Ledwith-LewisFree Clinic is a community-based organization providing quality healthcare in the Middle Peninsula and Norther Neck Regions of Virginia at no charge to low-income, uninsured people.   Believing that citizens who work at being productive deserve access to adequate medical care, our goal is to provide this care through the efforts of volunteer professionals and support staff, and the contributions of individuals, churches, civic groups and businesses who share this vision.
CEO/Executive Director Mr. Michael H. Faulkner
Board Chair Ms. Lisa Andrews
Board Chair Company Affiliation Andrews & Andrews Law
Contact Information
Address P.O. Box 2313
Tappahannock, VA 225602256
Telephone 202 360-3564
E-mail mfaulkner.llfc@gmail.com
History and Background
Year of Incorporation 2007
Former Names
Tappahannock Free Clinic, Inc.2015
Financial Summary
Revenue vs Expense Bar Graph - All Years
Expense Breakdown Bar Chart - All Years
Projected Revenue $275,000.00
Projected Expenses $260,000.00
Mission The Ledwith-LewisFree Clinic is a community-based organization providing quality healthcare in the Middle Peninsula and Norther Neck Regions of Virginia at no charge to low-income, uninsured people.   Believing that citizens who work at being productive deserve access to adequate medical care, our goal is to provide this care through the efforts of volunteer professionals and support staff, and the contributions of individuals, churches, civic groups and businesses who share this vision.
Impact The Ledwith-Lewis Free Clinic serves over 900 patients and is governed by an all-volunteer Board of Directors.  Staffing needs are accomplished with one full-time employee, the Executive Director, one part-time Director of Medical Services, a volunteer Medical Director and over 84 other volunteers.  Our partners include the Riverside Health System Foundation, Virginia Association of Free Clinics, Riverside Tappahannock Hospital, Access Now, Every Woman's Life, Project Care, Virginia Health Care Foundation, and numerous individuals, businesses and civic organizations.

Future goals include: expanding the Healthy Eating/Healthy Lifestyles Program, continue to grow the Women's Wellness Clinic, increase medical clinic days and our capacity to help our patients with acute dental and vision needs.
  1. The Ledwith-Lewis Free Clinic relies on volunteer professionals to provide services. Volunteer recruitment and retention has always been, and remains crucial.
  2. Over the past three years, LLFC's patient population has increased significantly.  We are in urgent need of funding in support of our TPC Patient Advocate ($6,500) and for a full-time position of Office Manager (25,000).
  3. LLFC is in need of funding or supplies to support its successful Women's Wellness Clinic.  The goal is to raise $12,500 for new equipment  and to expand clinic hours.
  4. LLFC has recently acquired and implemented EMR.  To fully integrate the system - the Free Clinic requires funding in support of wireless capabilities, new laptop computers and ongoing technical support. And, we are undergoing the expansion of a telehealth program which will assist in cultivating volunteer providers.  
Background The clinic was formed in 2005, from the vision of James Ledwith, M.D. with the help of the Tappahannock Memorial Methodist Church and community members to address the lack of health care available to those in the Tappahannock area without health insurance and the means to access quality healthcare.

Dr. Ledwith, a family medicine doctor in Tappahannock, noticed that within his own practice there were many individuals who were uninsured and had difficulty paying their medical bills on their own.  Dr. Ledwith did his best to work with these patients, but soon realized that the number of patients were more than his practice alone could handle.  He enlisted the help of his church group, and even some of his patients within the medical field, to open his office one day a month to provide free services to those who were unable to afford them.  As time continued, and the need grew, it became necessary to increase the number of clinics.  Currently we are holding three medical clinics, two screening days a week, including a monthly endocrinology clinic, women's wellness and healthy living education. 
CEO Statement

The Ledwith-Lewis Free Clinic (formerly the Tappahannock Regional Free Clinic) hired me seven years ago as its Executive Director. With no clinical experience, but a rich background in the nonprofit world, I was given the task of resurrecting a wonderful but struggling Free Clinic.

Within weeks it was apparent that LLFC was clinically sound and supported by the best community volunteers anyone could ever ask for. Lacking were communication strategies, organizational branding, volunteer appreciation, capacity building and networking. Over the past three years, I have, along with over 84 volunteer physicians, nurses, office staff and patient screeners, increased the Free Clinic’s visibility, increased the number of patients served by over 100%, more than tripled patient visits, established the Healthy Eating/Healthy Lifestyles Program and created a network of providers in support of over 8 million-dollars worth of donated services in 2017.

LLFC's growth has also forced an ever expanding cash operating budget. In 2010, the cash operating budget was only $64,000 In 2018, our cash operating budget will surpass $260,000, forcing all of us to expand our outreach, our fundraising efforts and our grant-seeking opportunities.

LLFC is one of the few, if not the only, free clinic in Virginia, that does not restrict service based on geographic residence. We serve all Virginia residents who qualify, and our successes have been achieved without the assistance of federal funding.

Through your generous support we will continue to provide medical services to those in need, and we will continue to create and implement programs that not only address chronic and acute care, but programs that transform patients to sustained wellness.

It has been, and continues to be, a privilege to work for the Ledwith-Lewis Free Clinic and more importantly, to serve the wonderful people who seek care.

Michael H. Faulkner

Board Chair Statement


The incredible service that the Ledwith-Lewis Free Clinic provides to the Essex County and Northern Neck communities was an important factor that attracted me to the Clinic in the very beginning and it is even more important today.

When I first joined the Board, it was the Tappahannock Regional Free Clinic, but due to the enormous service provided to patients residing within the extended communities beyond downtown Tappahannock, the name was changed to the Ledwith-Lewis Free Clinic to more appropriately reflect the constituency it served and the founders.
LLFC has been progressively transformed over the past few years with enormous growth in outreach, services, committed volunteers and philanthropic support. The small paid staff at the Clinic is in no way reflective of the caliber and quality of service that the Clinic provides to the community. When reviewing the overall service report for the Clinic, it is expected that the quantity and quality of service provided over a twelve-month period is accomplished by a clinic with a well-appropriated government budget and a multifaceted, disciplined staff instead of a clinic with a small, highly-competent paid staff and dedicated volunteers who are committed to the Clinic and the patients it serves, but support its work through fundraising, contributions and small program grants.

This transformation is in no way by accident, but through the leadership of a highly-qualified and devoted Executive Director who has moved the Clinic to new heights within the community; branding it; bringing in new supporters; new volunteers; more financial support; more volunteer clinicians; and greater good to the constituents of Essex and Northern Neck communities.

Now it is widely anticipated that annually there will be a themed LLFC New Year’s Eve Gala; Summer ‘s First Friday Wine on the Water in Tappahannock culminating with a boat ride in October; and the Bunny Hop for Health in the Spring. All planned and launched to raise funds to support the work of the LLFC. These events are successful not only in bringing in funds to support the Clinic annually, but they continue to raise awareness and create greater visibility of the Clinic, the critical health role it plays, the void it fills and needs it addresses within the community. This is why I, along with the other Board members, serve - to use our resources to support this transformation on the progressive path to more patients, more service and a healthier community.

Lisa Andrews, LLFC Board President

Areas of Service
Areas Served
In a specific U.S. city, cities, state(s) and/or region.
Essex County
Richmond County
King and Queen County
Lancaster County
Middlesex County
Northumberland County
Northern Neck
Westmoreland County
The Ledwith-Lewis Free Clinic is located in Tappahannock, Virginia and serves the Northern Neck and Middle Peninsula Regions of Virginia.
Board Chair
Board Chair Ms. Lisa Andrews
Company Affiliation Andrews & Andrews Law
Term Jan 2016 to Dec 2018
Email landrews@andrewscounsel.com
Board of Directors
Board Members
Mrs. Lisa Andrews Andrews Law
Ms. Sharon Blythe Retired RN
Mr. James Clarke Atlantic Law Group
Mr. William Croxton Retired
Ms. Sue Farmar B.H.Baird Insurance
Mrs. Susan Farmar BH. Baird Insurance
Dr. James Ledwith Physician
Dr. Richard Lewis Retired
Rev. Kenneth Park Jerusalem Baptist Church
Ms. Hillary Pugh Al Pugh Distributing Co. Inc.
Ms. Wanda Randolph CPA - Self
Mr. I.C. Smith Retired FBI
Ms. Anne Taylor Retired
Mrs. Emily Wilkins Retired
Mr. Clifton Wise YMCA
Mr. Fred Woodard Retired
Board Demographics - Ethnicity
African American/Black 3
Asian American/Pacific Islander 0
Caucasian 13
Hispanic/Latino 1
Native American/American Indian 0
Other 0 0
Board Demographics - Gender
Male 8
Female 9
Board Term Lengths 3
Board Meeting Attendance % 95
Written Board Selection Criteria? Under Development
Written Conflict of Interest Policy? No
Percentage Making Monetary Contributions 100
Percentage Making In-Kind Contributions 100
Number of Full Board Meetings Annually 4
Risk Management Provisions
Medical Malpractice
Directors and Officers Policy
Other Boards
The tables below contain information about other groups that advise this nonprofit on operations and projects.
Executive Director
Executive Director Mr. Michael H. Faulkner
Thirty years experience in education, business and development coupled with a MS.Ed./BFA; Successful record in program development, healthcare management, volunteer management, event planning, fundraising, counseling, college preparation and diversity awareness in support of educating professional staff and minority teens “at risk.”
  • Strong interpersonal skills
  • Ability to interact effectively with diverse student populations
  • Diversity training
  • Creative 
  • Organized 
  • Empowering
  • Collaborative Program manager 
  • Entrepreneurial
  • Communicative
  • Multi-tasking
  • Productive
  • Flexible
Specialties: Program development and management, event planning, entrepreneurship, diversity training, creativity development, transition support and fundraising.
Senior Staff
Mrs. Barb Francis RN, BSNDirector of Clinical Services
Full Time Staff 3
Part Time Staff 1
Volunteers 84
Contractors 1
Retention Rate 100
Organization has a Fundraising Plan? Yes
Organization has a Strategic Plan? Yes
Years Strategic Plan Considers 3
Date Strategic Plan Adopted Mar 2018
Management Succession Plan? Yes
Organization Policy and Procedures Yes
Whistleblower Policy No
Document Destruction Policy No
Directors and Officers Insurance Policy Yes
Riverside Tappahannock Hospital
Project Care
Pharmacy Connection
Every Women's Life
Access Now
UVA School of Medicine Tele-Health 
Virginia Health Care Foundation

The primary care clinic serves adults eighteen years of age and older who are uninsured.  All services are free and confidential.  The three most common diagnoses are:  Hypertension, Diabetes and COPD.

The Ledwith-Lewis Free Clinic has successfully reduced local hospital cost at Riverside Tappahannock Hospital associated with non-urgent ED use and inpatient care, while at the same time establishing maintenance and wellness plans for each patient.

Budget $229,000.00

Ledwith-Lewis Free Clinic Healthy Eating/Healthy Lifestyle /Healthy Heart Program, provides patients with the education and tools they need to transform their lives. Utilizing a daily food calorie and nutrient guide, an exercise log and training in accountability, education and fitness, patients are empowered to better understand their disease process and the negative impact poor diet and lack of exercise have on their overall health.

Program participants meet weekly for three months, during which time a structured program of education, emotional support, counseling and an exercise plan are provided. Patients are taught how to eat properly on a budget, including field trips to the local grocery store to compare products and coaching in shopping for good nutrition.

Partnerships are established with the regional YMCA, River Fitness, Tappahannock United Methodist Church, Bay Transit, Riverside Tappahannock Hospital, Three Rivers Health District, Calorie King, Barbour Printing, Dominion Virginia and local media outlets, as well as certified diabetes education/nutrition classes via video conferencing from UVA’s School of Medicine, Center for Diabetes Education.

Budget $85,000.00

The Ledwith-Lewis Free Clinic's Women Wellness program successfully provides preventative health-screening services to the region's homeless women, women abused through domestic violence and women at risk of becoming homeless, with the opportunity to receive full wellness checkups consisting of: overall-health examinations, breast exams, cervical exams, PAP testing, mammograms, education and advanced medical services---if required---at no cost.

Budget $218,758.00
Description The LLFC Endocrinology Clinic is held the first Thursday of each month to treat diseases of the endocrine system such as thyroid issues and diabetes.  Diabetes treatment and education is a major focus area of the Free Clinic.
Budget $157,000.00

The Pharmacy Connection, TPC, is a web-based software program created by VHCF that helps provide prescription medications to chronically ill, uninsured individuals throughout Virginia and in selected other states.

TPC is more than just computer software — it is an indispensable tool for many free clinics, community health centers, hospitals, medical practices and other social service and community based agencies which rely on it to help their patients.

More than 250 classes of medication are included, covering chronic diseases ranging from diabetes to hypertension; clinical depression to asthma. Since its 1997 launch, TPC has generated more than $1.65 billion in free medications for more than 292,000 individuals.

TPC works by making it easier and faster for Tappahannock Regional Free Clinic to enroll their patients in brand name pharmaceutical companies’ Patient Assistance Programs.

In 2015, Tappahannock Regional Free Clinic provided over $2 million in free medication to their patient population.

Budget $8,000.00
Fiscal Year
Projected Revenue $275,000.00
Projected Expenses $260,000.00
Spending Policy N/A
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 Year201620152014
Foundation and
Corporation Contributions
Government Contributions$108,609$0$0
Individual Contributions$62,753$31,646$63,823
Investment Income, Net of Losses------
Membership Dues------
Special Events--$67,720$19,458
Revenue In-Kind$8,274,213$6,308,833$4,588,140
Expense Allocation
Fiscal Year201620152014
Program Expense$8,278,765$6,319,785$4,470,337
Administration Expense$163,603$149,494$119,078
Fundraising Expense$36,090$34,267$39,421
Payments to Affiliates------
Total Revenue/Total Expenses1.001.001.01
Program Expense/Total Expenses98%97%97%
Fundraising Expense/Contributed Revenue20%15%25%
Assets and Liabilities
Fiscal Year201620152014
Total Assets$154,184$123,847$94,165
Current Assets$154,184$123,847$94,165
Long-Term Liabilities$0$0$0
Current Liabilities$9,879$7,915$9,105
Total Net Assets$144,305$115,932$85,060
Short Term Solvency
Fiscal Year201620152014
Current Ratio: Current Assets/Current Liabilities15.6115.6510.34
Long Term Solvency
Fiscal Year201620152014
Long-Term Liabilities/Total Assets0%0%0%
Capital Campaign
Currently in a Capital Campaign? No
State Charitable Solicitaions Permit
Solicitations Permit
Solicitations Permit ExemptionView
Organization Comments LLFC, through the generosity of volunteers, provided over eight million dollars worth of services in 2016.  The cash operating budget does not reflect the complex nature and the true value of the organization, which is clearly outlined in the audit report.