2010: The ripple of care spreads In 2010, Access Now saw a steady increase in the number of volunteers, medical practices, clinics and patients served. We also received a transformational grant providing unrestricted support that benefits the entire program.

Access Now was awarded a $200,000 Neighborhood Builders grant by the Bank of America. The Bank of America Neighborhood Excellence Initiative is designed to recognize and encourage nonprofits, individuals and students for their community leadership and service.d service.

gengeneration of service.of servicegen

6 s926 specialistsalis6 s providing care atat 124 practices and hospitalsmedical practices and hospitalsmedical pra lsnd hes apr ...

hout any form oflevel providers —who provide their services without any form of level provide s without anyhout any form ofces without any form of s withouttheir services without aho provide their sercompensation — 2,158 patients were treated.on — 2,158 patie t d

coordinators —scheduled rs —scheduled 604 office visits and h3,604 office visits and hospital3,60 and hoproceduresproce .

$3.6 million in mdonated servicesse .

evevery $1ever donated to Access Now, o Acces Now m dethe program delivered m delservice$17.04 in specialty care services$1 alty care sservices.

Board of TrusteesCarolyn E. Thomas, MD, Chair

Thomas L. Moffatt, MD, Vice Chair Richmond Nephrology Associates, Inc.

Hazle S. Konerding, MD, Secretary

Marsha Merrell, Treasurer Richmond Academy of Medicine Alliance

Sheryl L. Garland, Vice President, Department of Community Outreach VCU Health System Administrator

E. Claiborne Irby Jr. MD

Daniel Jannuzzi, MD

Denise Daly Konrad, MS

Beth Merchent, Administrative Director, Community Health Services, Bon Secours Richmond Health System

Toni T. Rice, Vice-President Service Line Development

W. Matthew Scott, Senior Vice-President Sun Trust Bank

Alice Horsley Siegel

J. Latane Ware, MD

Deborah Love, Executive Director Richmond Academy of Medicine

Marilyn Nicol Access Now Program Manager

Kate Schmuttenmaer Care Coordinator

Jenée Johnson Care Coordinator

Leslie Gibson Care Coordinator

Chip Jones Communications and Marketing Director

"To help people without health care is a huge thing"

— John Rayfield, Richmond carpenter

Providing Specialty Health Care for the Uninsured of Greater Richmond

Access Now2201 West Broad Street, Suite 205Richmond, VA 23220804/622-8145www.ramdocs.org

Staff

2010

2010 Highlights

"I'm really looking forward to helping the charities that have helped me. My quality of life was [poor]. I was in excruciating pain. I couldn't stand up or sit down without help ... At 25, my life would have been over."

— Carly Herring, chef and co-owner of The Empress Restaurant

Left untreated, her arthritis would have prevented her from holding a knife, standing up, and working as a chef.

"I wouldn't have been able to do what I love."Annual Report

Access Now

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Access Now was created by the Richmond Academy of Medicine in 2007 at the request of area clinics and public health departments who were able to meet the primary healthcare needs of their patients, but lacked the resources to provide more complex, comprehensive care. The Academy houses the program — which is recognized as Virginia’s first virtual specialty care free clinic, or what some have called “a free clinic without walls.”

Most of our generous and talented volunteers are Academy members.

Their work benefits the entire Greater Richmond region, with 950 physician volunteers and mid-level providers opening their doors to more than 4,500 uninsured people in need of specialty care since 2008.

The program operates with a small staff and maximum return on all donations; in 2010, for every dollar donated, Access Now delivered $17.04 in specialty care services.

Like a pebble dropped into a deep pool of need, Access Now sends a ripple of care across the region, improving the area’s economic and business climate, and raising the overall quality of health and life.

Where the money comes from Care in demandWho we serve

Where the money goes 2010 Expenses:

Cash Budget vs. Medical Impact

High-Use Specialty Referrals 2010

A mission of careOur typical patient is a 45-year-old woman who is employed, employed, but whose annual income is under 75 percent of the federal ral ent of thpoverty level. She probably lives in the suburbs of Richmond.d.Richmosub

70% Corporations/Health Systems

5% Individual

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2010 Operating Revenues (audited)

$6,000,000

$5,000,000

$4,000,000

$3,000,000

$2,000,000

$1,000,000

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Cash Expenses

Medical Impact