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“THE DOCTOR WILLSEE YOU NOW.”Six Words That Can Change a Life2015 ANNUAL REPORT

MOST UNINSURED VIRGINIANS CAN’T RECALL WHEN THE SYMPTOMS STARTED,BUT THEY ALL REMEMBER THE DAY THINGS TURNED AROUND.WHAT A DIFFERENCEA DAY MAKES.2015 ANNUAL REPORT3

“The day I met Marsha changed my life.If I hadn’t gotten help, I would probablybe in jail for harming someone.”— MARIE BURNS, LLOYD F. MOSS FREE CLINIC, FREDERICKSBURG, VIRGINIA“The doctor at the MossFree Clinic saw that I wasa mess and suggestedI meet with Marsha,their psychiatric nursepractitioner. She helped merealize what my problemswere and gave me the toolsto make needed changes.”“I didn’t realize that I had post-traumatic stressdisorder from all the abuse I suffered both as achild and an adult. It made me feel trapped andstupid. I was angry all the time and kept everythingbottled up until I exploded, because I didn’t havethe coping skills to deal with that anger.Now, every time I’m in a situation that makes meangry, I say to myself: “I know how to handle this.”Marsha’s always in my head.If I hadn’t connected with Marsha, I would probablybe in jail today for harming someone—or else I’d bedead because I killed myself. She helped mechange my life.”HEALTH SAFETY NET CAPACITY IS LIMITED: THERE IS ONLY ROOM FOR 30% OF ELIGIBLE UNINSURED VIRGINIANS2015 ANNUAL REPORT5

“The day I got the medicines changedmy life. Now I have everything I needto take care of myself and my family.”— GEORGE SMITH, TAPPAHANNOCK REGIONAL FREE CLINIC, VIRGINIA“The day I found the freeclinic four years ago, mylife changed tremendously.Since I’ve been gettingmy medicine there, I haveplenty of strength formy job, and lots left forcutting the grass andhelping at home.”“When I started at the sawmill 22 years ago, theydidn’t have medical benefits, and I didn’t think I’dneed them. I didn’t know about the diseases thatwere already hurting me — the sugar, cholesterol,blood pressure.I’ve always worked hard. Even when I started beingsick all the time, I usually went to work feeling bad,because nobody could do my job better than me.But I missed days, too. I couldn’t breathe. I couldn’tdo anything. I had to go to the emergency roomonce or twice a month.The medicines I need are way more than 500 amonth. There was no way we could afford them—not even the meter for checking my insulin.”6VIRGINIA HEALTH CARE FOUNDATIONHEALTH SAFETY NET CAPACITY IS LIMITED: THERE IS ONLY ROOM FOR 30% OF ELIGIBLE UNINSURED VIRGINIANS

“The day the dental clinic removedthe painful cyst under my toothwas a lifesaver for me.”— JOHN SULLIVAN, NEW HORIZONS HEALTHCARE, ROANOKE, VIRGINIA“When the Dental Clinicopened at New HorizonsHealthcare, I waspractically first in line.They removed the cystand are helping me get mymouth healthy again.”“I have diverticulitis. Among other things, that meansI have to avoid all processed foods and stick to a dietof limited fresh foods. All of them require the abilityto chew.My dad was a dentist, so I have always been diligentabout flossing and brushing. Unfortunately, that wasn’tenough. I developed a cyst at the base of a tooth thatcaused agonizing pain whenever I tried to eat. As aresult, I avoided food, because it hurt too much to chew.I got thinner and thinner and was literally wasting away.At last, I can eat without pain and I am fighting to regainmy health and weight.Now, I have a way to start moving forward.”HEALTH SAFETY NET CAPACITY IS LIMITED: THERE IS ONLY ROOM FOR 30% OF ELIGIBLE UNINSURED VIRGINIANS2015 ANNUAL REPORT9

“I’ll never forget the day I met Denise andlearned about the FAMIS programs. Theygave my son a chance for a normal life.”— LOUISA EBABEN, CHIP OF SOUTH HAMPTON ROADS, CHESAPEAKE, VIRGINIA“Denise Parker is a ProjectConnect outreach workerwho helps parents obtainstate sponsored healthinsurance for their children.She talked to me aboutthe FAMIS programs, andexpedited an applicationfor Leonardo so he couldstart his treatment quickly.”“My son, Leonardo, has a serious growth deficiency.At the age of 22 months, he is wearing clothes for6-9 month-old babies.With his condition, it is important to start growthhormone therapy as soon as possible for it to havethe best chance to work.I would do anything for my son, but between mypart-time job at Home Depot and my studies to be amedical assistant, I only make 600 a month.I thought I would have to scrimp and save for years topay for his treatment and that might be too late to helphim. But thanks to Denise and FAMIS, Leonardo has achance for a normal future.”10VIRGINIA HEALTH CARE FOUNDATIONHEALTH SAFETY NET CAPACITY IS LIMITED: THERE IS ONLY ROOM FOR 30% OF ELIGIBLE UNINSURED VIRGINIANS

VHCF DONORS FY15WHAT A DIFFERENCEOUR DONORS MAKE!LEADERSHIP PARTNEREXTRAORDINAIRE( 1,000,000 )Delta Dental of Virginia FoundationPREMIER PARTNER( 300,000 to 999,999)Williamsburg Health FoundationLEADERSHIP PARTNERS( 100,000 to 299,999)Carilion ClinicVCU Community Memorial HospitalPatterson Dental CompanyLogistiCareDISTINGUISHED PARTNERS( 25,000 to 99,999)BB&TDentaQuestDentaQuest FoundationDr. & Mrs. John HouseDominion ResourcesKaiser PermanenteMr. & Mrs. Gilmer Minor, IIIMoses D. Nunnally, Jr. TrustObici Healthcare FoundationOwens & MinorRichard & Caroline T. GwathmeyMemorial TrustRiverside Health SystemRoanoke Ambulatory Surgery CenterShelton H. Short, Jr. Trust12VIRGINIA HEALTH CARE FOUNDATIONWilliam H. – John G. –Emma Scott FoundationSUPPORTING PARTNERS( 7,500 to 24,999)Claude Moore Charitable FoundationMr. & Mrs. Ben J. Davenport, Jr.Anne W. Faszewski, CPAKeiterLarell DenturesMary Washington HealthcareMerckMonticello Community Surgery CenterPhRMATitmus FoundationVirginia Association of Health PlansWeissberg FoundationWells Fargo FoundationCONTRIBUTING PARTNERS( 1,000 to 7,499)Christopher S. BaileyRobert M. BlueBristol-Myers SquibbMr. & Mrs. Thomas R. ByrdDr. Mark W. Clark & Dr. Rhonda R. ClarkDavenport & CompanyJohn F. Fick, IIIMr. & Mrs. Charles K. FoxEllen McCloy HallMr. & Mrs. Charlie W. Hill, Jr.Hal GreerThe Honorable & Mrs. John H. HagerDr. & Mrs. Clarion E. JohnsonIn Honor of Eddye and Clarion JohnsonThe Virginia Health Care Foundation extends its warmestthanks to the following partners who have contributedso generously to its work over the past year.Mr. & Mrs. R. Walter Jones, IVMr. & Mrs. Stephen E. KitchenLilly, USAMedical Society of VirginiaMr. & Mrs. Carter T. Melton, Jr.Dr. & Mrs. James G. NuckollsAnne T. OverbeyMr. & Mrs. William PollokThe Showalter Family FundR. Gordon SmithThompson McMullenWhitney TiganiMr. & Mrs. D. Eugene WebbAnonymous (1)FRIENDS OF THE FOUNDATION(UNDER 1,000)Jean Clary BagleyMr. & Mrs. Donald BakerIn Memory of Clair HortonMary Ann BergeronDr. & Mrs. Daniel DavidowAnn EglestonRobert Follek & Stacy FeldmanMr. & Mrs. Kester S. Freeman, Jr.The Honorable John A. Gibney, Jr.Victor GrandRichard L. GrierMr. & Mrs. Bernard L. Henderson, Jr.Rebecca Neubert HillRalph L. Howell, Jr., DDS, MAGDMr. & Mrs. S. Anderson HughesCarol Hurst and Jon NafzingerDaniel KarnesJane Norwood KusiakRev. & Mrs. J. Fletcher Lowe, Jr.Richard E. MerrittLeigh B. Middleditch, Jr.The Honorable William C. MimsChristina MolinaryMr. & Mrs. James C. OswaltMr. Walter Oswalt, III & Beverly Moss-OswaltNational Association of Boards of PharmacyIn Honor of Elizabeth RussellSheelin A. PrinzingerMr. & Mrs. Ken RoeperLeo H. Ross, RPh, MBAMr. & Mrs. Milton RubinElizabeth Scott Russell, RPhThe Honorable & Mrs. Elliot S. SchewelMr. & Mrs. Michael ShookSarah “Sally” W. SouthardRobert B. Stroube, MD, MPHMr. & Mrs. John K. TaylorMr. & Mrs. James M. Turner, Jr.White House FlowersSteve WisemanSPECIAL THANKS TO OUR PUBLICSECTOR PARTNERSVirginia Department of HealthVirginia Department of Medical Assistance ServicesVirginia Department of Social ServicesTHANKS TO ALL WHO CONTRIBUTEDTHROUGH WORKPLACE CHARITABLECAMPAIGNSCommonwealth of Virginia Campaign(CVC 3471)Combined Federal Campaign (CFC 31808)United Way of Greater Richmond & PetersburgThe listing above reflects gifts received between July 1, 2014 and June 30, 2015. We have taken great care to ensure the accuracy of this list,and regret any errors or omissions. Please contact Megan Wilson, megan@vhcf.org, with any corrections.

CHAIRMAN’S REPORTWHAT A DIFFERENCEMEDICAL CARE MAKES!With so many lives at stake, the Virginia HealthCare Foundation (VHCF), has invested heavilyto expand the number, capacity, and scope ofservices in these special places over the years.With a combination of 43.5 million in grants; awide range of training and technical assistance;and a variety of infrastructure building initiatives,we have helped Virginia’s health care safety netevolve from 33 sites when VHCF was establishedin 1992 to 204 today. In FY15 alone, VHCFhelped underwrite the salaries of 37 healthprofessionals who provided more than 58,000patient visits.FOR TOO MANYVIRGINIANS, EVERYDAY IS A CHALLENGE–TO EAT WHEN EVERY BITE CAUSES PAIN –TO STAY ON THE JOB THOUGH TOO ILL TO WORK –TO HELP ONE’S CHILD GROW UP HEALTHY WHENHE CAN’T GROW AT ALL.For the lucky ones, a day arrives when burdens are lifted and they finally get the health care they need.Many find that help at their local free clinic, community health center, or other health safety netorganization. Many more, however, are unable to obtain the treatment they need. Virginia’s healthcare safety net only has the capacity to treat 30% of eligible uninsured Virginians.14VIRGINIA HEALTH CARE FOUNDATIONIn evaluating candidates for funding, VHCFpractices “venture philanthropy”, where everyprospective grantee is scrutinized with the eye ofan investor seeking to build a stable, sustainablehealth care safety net. The result? A noteworthysustainability rate among VHCF’s health caresafety net grantees: 89% continue at or abovetheir prior level of performance for at least threeyears after “graduating” from VHCF funding.As a public/private partnership, one of VHCF’sguiding principles is to leverage state dollars tomaximize the return on the Commonwealth’sinvestment in the Foundation.Our Appleseed Initiative is a great example ofhow VHCF has dramatically leveraged state dollarsand significantly increased the number of healthcare safety net sites simultaneously. We underwriteIn FY15, VHCF’s Appleseed Initiative brought 2.3million new dollars to Virginia to establish two newcommunity health center sites and to add mentalhealth services to five health centers.Recognizing that health professionals are asimportant to providing needed health care asthe facilities in which they practice, VHCFentered into a new leveraging partnership inFY15. We agreed to provide the 150,000required to match an equal amount of federalfunds for Virginia’s Student Loan RepaymentProgram for an interim period. This reinvigoratedthe program, which had lost a substantial amountof its federal allotment when state matchingfunds were eliminated during the recession.It also enabled health care safety net organizationsto recruit a doctor, two dentists, and a psychologistto some of Virginia’s most underserved areas.Cumulative Patient VisitsProvided by VHCF Grantees(Fiscal Years 1994–2015)2,500,000the modest costs of professional grantwriters and2,000,000reviewers who prepare compelling applications1,500,000for federal funds to expand the number and size1,000,000of Virginia’s community health centers. In the500,000past 12 years, VHCF’s investment of 389,000has brought in more than 50.6 million.3,000,00094 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 1502015 ANNUAL REPORT15

With the goal of maximizing the amount of freemedicines available to uninsured Virginians,VHCF also started awarding grants to healthsafety net organizations to hire MedicationAssistance Caseworkers (MACs) through itsRxRelief Virginia (RxRVa) initiative and theGreater Williamsburg Medication AssistanceProgram (underwritten by the WilliamsburgHealth Foundation). The MACs’ sole focus hasbeen to use TPC to obtain needed medicinesfor uninsured Virginians. In FY15, RxRVaMACs helped 14,796 uninsured from 69localities obtain a total of 89.7 million (AWP)in free medicines, using only 1.2 million instate funds. We are grateful that the GeneralAssembly appropriated an additional 500,000to expand this program effective FY16.WHAT A DIFFERENCEFREE RX MEDICINEMAKES!The other essential ingredient to providingneeded health care is the treatment itself.Impact ofThe Pharmacy Connection(Cumulative figures 1997–2015) 2.57 BillionValue of free medications290,888Patients served4,407,065Prescriptions filled16VIRGINIA HEALTH CARE FOUNDATIONPrescription medicines have never been able toachieve so much, and they have never been soexpensive. The need for prescription assistanceis pervasive, and has been growing as healthindustry dynamics change.In addition, VHCF helped establish theRxPartnership (RxP) eleven years ago to make freePAP medicines available more quickly from thefree clinics that have licensed pharmacies. RxPprovided patients with 11.9 million in freemedicines last year with the help of: GlaxoSmithKline, Merck, Novartis, AbbVie, Alcan and Pfizer.For the past 18 years, the best way to obtainneeded prescription medicines for mostchronically ill uninsured Virginians hasbeen through the brandname pharmaceuticalcompanies’ Patient Assistance Programs (PAPs),which provide them free of charge. VHCF sawthe tremendous need that could be met viaPAPs long ago and developed The PharmacyConnection (TPC), a special software designedto expedite and track applications for freechronic disease medicines.While all of these initiatives continue to helptens of thousands of uninsured Virginians, anumber of factors are requiring a shift in healthsafety net strategy and practice. The biggest isthat many of the medicines most frequentlyprescribed for the most common chronic diseaseshave gone off patent and been removed fromthe PAPs in the past few years. Although thesemedicines became available in a generic form,most generics are expensive, and there are noPAPs offered by generic companies.The overall results have been extraordinary.The organizations that have used TPC overthe years have helped more than 290,000 sickuninsured Virginians fill more than 4.4 millionninety-day prescriptions with an averagewholesale price value of 2.57 Billion. In FY15alone, 45,000 patients obtained 383 millionin free medicines.As a result, many health care safety net budgetsfor prescription medicines, which have been flatfor years, are suddenly growing, and the roleof MACs has been expanded from that ofcompleting applications and gathering requiredfinancial eligibility documents to that of“comparison shoppers” who are constantlysearching for a free alternative or for the best dealamongst the constantly changing prices of generics.For many health care safety net organizations andtheir patients, the days when all medicines arefree are over. Now, it’s a blend of free and generic.VHCF has been trying to stay ahead of the curveby including generic discount programs such asRxOutreach in TPC. In FY15, the Foundationnegotiated special discount rates with Xubex, a genericdrug supplier, and added a Xubex portal to TPC.In FY15, the number of patients obtaininggeneric medicines through TPC increased by25% to 2,200.This appears to be the issue of the future for bothhealth safety net organizations and the patientsthey serve, and for many insured Virginians whocan’t afford the high co-pays and co-insurancefees required by their health insurance policiesfor prescription medicines.2015 ANNUAL REPORT17

WHAT A DIFFERENCEDENTAL CARE MAKES!For those of us who have been accustomedto regular dental care, it is startling to learnthat many Virginians have never seen a dentist,and astounding that many people equate teethwith pain! About 50% of Virginians have nodental insurance. As a result, they must payfor dental care as they would for any serviceor commodity.It’s no surprise that routine dental care oftenloses out to immediate necessities like food,rent, or a child’s winter coat. Nor is it curiousthat access to oral health care continues tobe among the top issues in many communityneeds assessments.At VHCF, we understand that the mouth is anintegral part of the body and that poor oral healthcan exacerbate diabetes, cardiac conditions, andeven result in premature labor and delivery.Photo courtesy ofPatterson Dental Company.DENTAL INDUSTRY LEADERS RECOGNIZEDFOR SUPPORTING VHCF DENTAL SAFETY NET INITIATIVESLEFT: Governor Terry McAuliffe presents the NETworthy Award to representatives from Patterson Dental Company for itseight year Dental Safety Net Discount Program in partnership with VHCF.18As a result, we are dedicated to addressing thisproblem with a multi-pronged approach.First and foremost, the Foundation has invested 11.5 million to establish a dental safety netin Virginia. Today, there are dental safety netclinics in 68 localities. VHCF has funded 47of them, including eight in FY15. Whiletremendous progress has been made, thereare still 67 localities without one.We are grateful for the leadership and concernof the Delta Dental of Virginia Foundation,which issued VHCF a three-year 1 millionchallenge grant to create 7-12 new dental safetynet clinics in areas that have none and expandsmall clinics that are ready to grow. This isenabling dental safety net growth to occur morerapidly. VHCF successfully matched the secondportion of the challenge grant in FY15, andhas already invested some of the proceeds inestablishing new dental clinics.Second, we provide training and technicalassistance regarding best clinical andmanagement practices. For example, as newclinics are established, they can use a new“Dental Dashboard” created by VHCF to helpmanage their operations.Third, VHCF seeks and creates ways for dentalsafety net clinics to save money. With such costlyequipment and supplies, it is expensive to operatea dental practice. To help stretch limited dentalsafety net budgets, VHCF has established dentalsafety net discount programs with denture anddental supply companies.Our partnership with Patterson Dental Companyextends its deepest discount on supplies, equipment,practice software, repairs, and maintenanceregardless of the clinic’s size. This program alonehas saved Virginia’s dental safety net clinics 1.6million in costs in the past 8 years.WHAT A DIFFERENCEMENTAL HEALTH CAREMAKES!About 40-50% of all visits to private primary carephysicians are related to depression, anxiety, andother basic behavioral health conditions. Thatnumber jumps dramatically in the health care safetynet. Behavioral health conditions are among the topthree diagnoses for uninsured patients.Untreated, these debilitating illnesses oftenimmobilize their victims and are barriers toproductivity and family engagement. In addition,these diseases often hinder successful treatmentof diabetes and other serious chronic conditionswith which they frequently co-occur. It’s notreasonable to expect a person to start exercisingand making other lifestyle changes when s/he istoo depressed to get out of bed in the morning.Remarkably, many can be treated successfully andfor a relatively low cost with the right prescriptionmedicines and some counseling or coaching.Since 2010, VHCF has invested 4.1 millionto expand the delivery of mental health servicesin Virginia’s health care safety net. We alsointroduced the model of integrating the deliveryof behavioral health services with primarymedical care to the health care safety net,and have underwritten implementation ofthe model in 20 clinics and centers.While the results of that investment have been lifechanging for many, the experience has exposedthe tremendous shortage of behavioral healthprofessionals in Virginia. A significant portion ofthe state has been designated a Mental HealthProfessional Shortage Area. As a result, recruitmentof behavioral health professionals is often timeconsuming, leaving many positions unfilled forlong periods of time. The problem is particularlyRIGHT: Senator Emmett W. Hanger, Jr. thanks George Levicki, CEO of Delta Dental of Virginia for the 1 million challengegrant the Delta Dental of Virginia Foundation awarded VHCF to expand Virginia’s dental safety net.VIRGINIA HEALTH CARE FOUNDATION2015 ANNUAL REPORT19

acute with Psychiatric Nurse Practitioners (PsychNPs). There are only about 200 practicing inVirginia. That’s barely more than 1 per locality!This discovery led VHCF to establish a PsychiatricNurse Practitioner Scholarship Program lastyear. We pay all tuition and required fees forhealth safety net nurse practitioners whocomplete a Psych NP post-graduate programand agree to practice in Virginia’s health caresafety net for two years thereafter. VHCF willeven provide funds to qualified health safety netorganizations to hire the Psych NPs once theygraduate. Three NPs are already taking classesand several more are preparing to apply.The shortage of these valuable behavioral healthprofessionals is not confined to the health caresafety net. It is a problem throughout theCommonwealth. VHCF has been engaging withkey health policy and nursing school leaders toincrease the number of these knowledgeable andsought after professionals within Virginia.For many who suffer from depression and/oranxiety, the first point of contact is their primarycare physician. While some feel comfortablediagnosing and prescribing treatment for theseconditions, many doctors do not. This oftenresults from inadequate training in behavioralhealth. To help remedy this problem, VHCF hasunderwritten the development of ContinuingMedical Education webinars on mental healthdiagnosis and pharmacologics in a primarycare setting. They were approved in FY14 for atwo-year span.WHAT A DIFFERENCEHEALTH INSURANCEMAKES!This approach has resulted in the many initiativeshighlighted in this report and enabled VHCF toleverage an average of 11 in cash, health services,and other in-kind contributions for every 1expended since its inception.We have adopted a core set of values that guideour actions and decisions: Exemplary Stewardship;a Drive for Excellence; Integrity; and being aCatalyst for Change.20VIRGINIA HEALTH CARE FOUNDATION 1 11VHCF leverages anaverage of 11 incash, health services,and other in-kindcontributions forevery 1 expended.The Foundation’s good stewardship is reflectedin VHCF’s low administrative costs. They were9.9% in FY15. It is also evident in its role as ajob producer, and a job trainer. VHCF grantsunderwrote 109 jobs in FY15, and resulted in266 health professions students from 17 collegesand universities engaging in clinical experiencesto prepare them for future service.In FY15, our outreach workers helped enrollnearly 5,000 children, bringing the total numberof children covered via Project Connect to 80,000.In recognition of VHCF’s effectiveness at outreachand enrollment, the Foundation was enlisted toexpand its work as part of Governor McAuliffe’s“A Healthy Virginia” initiative. This has resulted infive additional Project Connect outreach workers,new marketing efforts, and a FAMIS Summit forlocal social services eligibility workers and an arrayof other application assisters.In addition to outreach and enrollment, VHCFtrains health and human resources professionalsin the intricacies of the FAMIS programs throughits SignUpNow initiative. These trainings and theaccompanying SignUpNow Tool Kit are availablein person or online. To date, more than 9,900people have been trained via SignUpNow.When is 88.8% too low a number? When it meansthat 58,000 eligible children are still not enrolledin Virginia’s FAMIS health insurance programs.This comprehensive insurance covers all of thehealth services that children need to get a healthystart in life – medical, dental, mental health, andneeded medicines. It has been a godsend forLeonardo (p.10-11) and many other children.VHCF VALUE(S)At VHCF, entrepreneurism is at the heart of allwe do. We constantly search for innovativeand effective ways to meet the health needsof uninsured and medically underservedVirginians, and to add value to Virginia.Why are so many not enrolled? Many parentsare unfamiliar with the programs, or think theirchildren are not eligible for them. That’s whyVHCF established Project Connect 16 yearsago, and trains and funds outreach workers toeducate parents and help them apply.All of VHCF’s FAMIS outreach, enrollment andtraining initiatives are underwritten by the VirginiaDepartment of Medical Assistance Services andthe Centers for Medicare & Medicaid Services.With the many changes occurring in health caretoday, the future is somewhat murky and difficultto forecast. Two things are crystal clear, however: Uninsured Virginians who are sick need care. Obtaining needed health care changes lives.With that as our focus, we have developed anew strategic plan for VHCF. It is designed toaccommodate multiple scenarios in thesedynamic times, and to achieve our mission ofincreasing access to health care for uninsuredand medically underserved Virginians.Whatever the future brings, we are committedfor the long term, until every Virginian is ina position to hear those six coveted words,Ralph L. Howell, Jr.(Chairman FY16)T. Carter Melton, Jr.(Chairman FY15)“The doctor will see you now.”2015 ANNUAL REPORT21

SERVICES BY REGIONPENINSULA/HAMPTON ROADSWHAT A DIFFERENCE OUR GRANTEES MAKE!(ALL VCHF GRANTEES 1992-2015)NORTHERN VIRGINIABUILDING/RENOVATIONCHILD HEALTH INSURANCEDENTALMEDICAL CARETNORTHERN NECK/EASTERN SHOREBEHAVIORAL HEALTHTECHNOLOGYOTHER TYPE OF GRANTCENTRAL VIRGINIA Health Care on the Square –Boydton Medical Center RxPENINSULA/HAMPTONROADSSOUTHSIDENORTHERN VIRGINIA Alexandria Community Services BoardArlington Community Services BoardArlington Free ClinicFairfax Community Health Care NetworkFairfax Medical Care for Children ProjectFauquier Free ClinicGreater Prince William CommunityHealth Center HealthWorks for Northern Virginia –Herndon HealthWorks for Northern Virginia –Leesburg Inova Partnership for Healthier Kids Inova Pediatric Center Marymount University Physical Therapy atArlington Free ClinicRx Neighborhood Health Northern VA Dental Clinic Northern VA Family Servicea. Loudoun Rxb. Prince William Rx Rx Potomac Hospital Prince William County Community ServicesBoard Prince William Pediatric Primary Care Stafford County Public Schoolsa. I n partnership with Stafford CountyDepartment of Social ServicesCENTRAL VIRGINIA Access Now Blue Ridge Medical CenterRx Bon Secours Richmond Health Systema. Care-A-Van Mobile Medical Clinic Buckingham County Rural Mental HealthInitiative Capital Area Health Network –Vernon J. Harris Community Health Center Center for High Blood PressureRx Central Virginia Health Care Project Central Virginia Health Services, Inc.a. Petersburg Health Care Alliance Charlottesville Area Dental Access Charlottesville Free Clinic Chesterfield Health District Jefferson Area Board for the Aging – GeriatricAssessment/Intervention Team Johnson Health ServicesRx Lloyd F. Moss Free ClinicRx Louisa County Resource Council Fan Free Clinic Rx Love of Jesus Clinic Free Clinic of Central Virginia/MedsHelp Rappahannock Area Health District –Rx RxCaroline Caries Program Freedom House – Greater Richmond Homeless Richmond City Health DistrictMedical Respite Senior Connections Rx Goochland Free Clinic and Family Services Thomas Jefferson CHIP Program Hayes E. Willis Health Center United Way – Thomas Jefferson Area Henrico Area Mental Health & DevelopmentRxServices Virginia Commonwealth University Henrico County Public SchoolsHealth System Irvin Gammon Craig Health CenterRx Virginia Treatment Center for Children Children’s Hospital CHIP of Greater Richmond CrossOver Healthcare MinistryNORTHERN NECK/EASTERN SHORE Accomack County School-Based DentalProgram Bay Aging Central Virginia Health Services, Inc. –Westmoreland Medical Center Eastern Shore Community Services Board22VIRGINIA HEALTH CARE FOUNDATION Central Virginia Health Services, Inc.a. Alberta Family Health Servicesb. Charlotte Primary Care Community Memorial HealthcenterRx Danville-Pittsylvania Community Services/ Free Clinic of Danville Halifax Regional Development Foundation, Inc.RxROANOKEVALLEYSOUTHWEST Eastern Shore Rural Health SystemRxa. Onley Community Health Centerb. Atlantic Community Health Center Eastern VA Telemedicine Network Gloucester-Mathews Care Clinic Rx Rx Lackey Free Clinic Rx RxRx EVMS Resource Mothers Program Hampton Ecumenical Lodgings and Provisions,Inc. (HELP Free Clinic) Rx Hampton Roads Community Health Center(Norfolk) Horizon Health Services – Surry Medical Center Jewish Family Services of Tidewater Maryview Foundation Healthcare Center Rx Olde Towne Medical and Dental CenterRx Oral Health Improvement Coalition of SouthHampton Roads Peninsula Agency on Aging MedTran ProjectThe Planning CouncilPortsmouth Adult Care ClinicRiverside Health System Foundation –Project CARE Sentara Medical Group Southeastern Virginia Health SystemRx Rx South Norfolk Health Center/Chronic CareAdult Clinic The STOP Organization Western Tidewater Free Clinic RxSOUTHSIDENORTHWESTRx MEDICATION ASSISTANCE American Red Cross of Southeastern VA –Partners in Dental Care Beach Health ClinicRx Catholic Charities of Eastern Virginia Rx Central Virginia Health Services, Inc.a. C harles City Regional Health Services Rxb. K ing William Dawn Community Doctors Rx Chesapeake Care Free Clinic CHIP of South Hampton Roads Colonial Behavioral Health Rx Community Free Clinic of Newport News Consortium for Infant and Child Health Middle Peninsula Northern Neck CommunityServices Board Northampton County School-Based DentalProgram Northern Neck Free Health ClinicRx Horizon Health Services – Waverly MedicalCenter Lake Country Area Agency on Aging Martinsville/Henry County Coalition forHealth & Wellness Rx Piedmont Access to Health Services (PATHS) Southern Dominion Health System Rxa. Lunenburg C

Delta Dental of Virginia Foundation PREMIER PARTNER ( 300,000 to 999,999) Williamsburg Health Foundation LEADERSHIP PARTNERS ( 100,000 to 299,999) Carilion Clinic VCU Community Memorial Hospital Patterson Dental Company LogistiCare DISTINGUISHED PARTNERS ( 25,000 to 99,999) BB&T DentaQuest DentaQuest Foundation Dr. & Mrs. John House Dominion .