Civic Intelligence

Access Now Inc

EIN 26-1695468 • 501(c)3 • Richmond, VA

Profile

Access now's mission is to provide access to specialty medical care for uninsured patients of participating safety net clinics so that no patient goes without care for lack of a willing and/or available provider.

2821 Emerywood Parkway Suite 200Richmond, VA 23294

www.accessnowrva.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

46th percentile

0.01x

Higher debt load relative to assets than 46% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2022

Liabilities / Revenue

49th percentile

0.01x

Higher debt load relative to revenue than 49% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2022

Net Margin

50th percentile

4.3%

Higher net margin than 50% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2022

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

26th percentile

-5.4%

Faster asset growth than 26% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2021 to 2022

Revenue Growth

23rd percentile

-10%

Faster revenue growth than 23% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2021 to 2022

Assets

Up

$837,794

Up $6,373 (+0.8%) from 2024

Liabilities

Up

$9,771

Up $4,750 (+95%) from 2024

Net Assets

Up

$828,023

Up $1,623 (+0.2%) from 2024

Revenue

Up

$538,786

Up $29,522 (+5.8%) from 2024

Expenses

Up

$568,592

Up $21,687 (+4.0%) from 2024

Net Income

Up

-$29,806

Up $7,835 (+21%) from 2024

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$1.0M$500K$0Assets 2012: $457,303Liabilities 2012: $12,259Net Assets 2012: $445,0442012Assets 2013: $423,234Liabilities 2013: $7,494Net Assets 2013: $415,7402013Assets 2014: $462,625Liabilities 2014: $1,888Net Assets 2014: $460,7372014Assets 2015: $509,770Liabilities 2015: $6,227Net Assets 2015: $503,5432015Assets 2016: $560,357Liabilities 2016: $49,205Net Assets 2016: $511,1522016Assets 2017: $600,992Liabilities 2017: $7,058Net Assets 2017: $593,9342017Assets 2018: $725,718Liabilities 2018: $73,546Net Assets 2018: $652,1722018Assets 2019: $726,232Liabilities 2019: $17,418Net Assets 2019: $708,8142019Assets 2020: $772,466Liabilities 2020: $14,558Net Assets 2020: $757,9082020Assets 2021: $873,472Liabilities 2021: $6,613Net Assets 2021: $866,8592021Assets 2022: $825,983Liabilities 2022: $8,272Net Assets 2022: $817,7112022Assets 2023: $841,890Liabilities 2023: $4,342Net Assets 2023: $837,5482023Assets 2024: $831,421Liabilities 2024: $5,021Net Assets 2024: $826,4002024Assets 2025: $837,794Liabilities 2025: $9,771Net Assets 2025: $828,0232025

Highlighted filing

2025

Assets$837,794
Liabilities$9,771
Net Assets$828,023

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$800K$600K$400K$200K$0-$200KExpenses 2012: $488,6262012Revenue 2013: $393,053Expenses 2013: $422,357Net Income 2013: -$29,3042013Revenue 2014: $473,286Expenses 2014: $428,289Net Income 2014: $44,9972014Revenue 2015: $456,326Expenses 2015: $413,520Net Income 2015: $42,8062015Revenue 2016: $444,813Expenses 2016: $437,204Net Income 2016: $7,6092016Revenue 2017: $539,802Expenses 2017: $457,020Net Income 2017: $82,7822017Revenue 2018: $548,252Expenses 2018: $490,014Net Income 2018: $58,2382018Revenue 2019: $559,801Expenses 2019: $503,159Net Income 2019: $56,6422019Revenue 2020: $551,373Expenses 2020: $502,279Net Income 2020: $49,0942020Revenue 2021: $620,608Expenses 2021: $511,473Net Income 2021: $109,1352021Revenue 2022: $555,530Expenses 2022: $531,531Net Income 2022: $23,9992022Revenue 2023: $515,256Expenses 2023: $537,914Net Income 2023: -$22,6582023Revenue 2024: $509,264Expenses 2024: $546,905Net Income 2024: -$37,6412024Revenue 2025: $538,786Expenses 2025: $568,592Net Income 2025: -$29,8062025

Highlighted filing

2025

Revenue$538,786
Expenses$568,592
Net Income-$29,806

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$8.38$0.10$8.28$5.39$5.69$0.30
2024Detailed filing. Detailed filing data is available for this year.$8.31$0.05$8.26$5.09$5.47$0.38
2023Detailed filing. Detailed filing data is available for this year.$8.42$0.04$8.38$5.15$5.38$0.23
2022Detailed filing. Detailed filing data is available for this year.$8.26$0.08$8.18$5.56$5.32$0.24
2021Detailed filing. Detailed filing data is available for this year.$8.73$0.07$8.67$6.21$5.11$1.09
2020Detailed filing. Detailed filing data is available for this year.$7.72$0.15$7.58$5.51$5.02$0.49
2019Detailed filing. Detailed filing data is available for this year.$7.26$0.17$7.09$5.60$5.03$0.57
2018Detailed filing. Detailed filing data is available for this year.$7.26$0.74$6.52$5.48$4.90$0.58
2017Detailed filing. Detailed filing data is available for this year.$6.01$0.07$5.94$5.40$4.57$0.83
2016Detailed filing. Detailed filing data is available for this year.$5.60$0.49$5.11$4.45$4.37$0.08
2015Detailed filing. Detailed filing data is available for this year.$5.10$0.06$5.04$4.56$4.14$0.43
2014Detailed filing. Detailed filing data is available for this year.$4.63$0.02$4.61$4.73$4.28$0.45
2013Detailed filing. Detailed filing data is available for this year.$4.23$0.07$4.16$3.93$4.22$0.29
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.57$0.12$4.45$4.89
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2025 to Dec 31, 2025
Signed
Mar 24, 2026
Return Version
2025v4.0
Gross Receipts
$611,043
Mission and Program Overview

Mission

Access now, inc. Connects patients in need from local safety net clinics and health systems to donated specialty medical care through its coordinated referral system.

Access now's mission is to provide access to specialty medical care for uninsured patients of participating safety net clinics so that no patient goes without care for lack of a willing and/or available provider.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$478,495$567,358▲ $88,863
Cash and Non-Interest-Bearing Accounts$254,699$190,472▼ $64,227
Accounts Receivable$53,579$58,634▲ $5,055
Pledges and Grants Receivable$19,000--
Land, Buildings, and Equipment, Net$21,111$15,731▼ $5,380
Prepaid Expenses and Deferred Charges$4,537$5,599▲ $1,062
Total Assets$831,421$837,794▲ $6,373
Liabilities
Accounts Payable and Accrued Expenses$5,021$9,771▲ $4,750
Total Liabilities$5,021$9,771▲ $4,750
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$756,400$771,055▲ $14,655
Net Assets With Donor Restrictions$70,000$56,968▼ $13,032
Total Net Assets Fund Balance$826,400$828,023▲ $1,623
Total Liabilities and Net Assets / Fund Balance$831,421$837,794▲ $6,373

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$15,731$55,481$71,212
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
James G BecknerEx. Director - aPT$213,185$213,185
Revenue and Support

Revenue Composition

Contributions and Grants
$257,446
Program Service Revenue
$240,166
Investment Income
$41,174
Other Revenue
$0
All Other Contributions
$257,446
Change in Net Assets
$-29,806

Audited Revenue Reconciliation

Revenue per Audited Statements
$534,098
Revenue Not Reported on Financial Statements
$4,688
Revenue Not Reported on Form 990
$4,997,604
Total Revenue per Audited Statements
$5,531,702
Total Revenue per Form 990
$538,786
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$298,734
Other Expenses$269,858
Total Fundraising Expense$9,001
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$241,375$1,559-$242,934
Fees for Services Other$115,238$19,107$3,905$138,250
Other Employee Benefits$35,195$227-$35,422
Occupancy$27,093$175-$27,268
Payroll Taxes$20,247$131-$20,378
Fees for Services Accounting-$14,000-$14,000
Office Expenses$12,325$169-$12,494
Information Technology$12,014$83-$12,097
Conferences and Meetings$4,391$4,529$100$9,020
Insurance$5,200$1,673-$6,873
Depreciation Depletion$6,658$43-$6,701
Fees for Service Investment Mgmnt Fees-$4,687-$4,687
Other Expenses$1,504$601$902$3,007
All Other Expenses$2,457$428-$2,885
Total Functional Expenses$512,102$47,489$9,001$568,592

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$5,530,079
Expenses Not Reported on Form 990$4,966,175
Total Expenses per Form 990$568,592
Expenses per Audited Statements$563,904
Expenses Not Reported on Financial Statements$4,688
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 6

The organization has one member, the richmond academy of medicine, inc.

Form 990, Page 6, Part VI, Line 7A

Access now nominates directors subject to an election at the annual meeting of the member of the organization.

Form 990, Page 6, Part VI, Line 7B

The bylaws provide for certain reserved powers for the sole member of the corporation including approval or adoption of amendments to the articles of incorporation, merger or consolidation of the organization, amendments to bylaws, annual and capital budgets, incurrence of debt, appointment and removal of board members, disposition or transfer of assets of the organization, and other matters.

Form 990, Page 6, Part VI, Line 11B

The finance committee of access now receives the draft filing in sufficient time to review and make any changes before the actual filing is done. The full board of access now receives an approved copy of the 990 before filing.

Form 990, Page 6, Part VI, Line 12C

Each board member is required to sign a conflict-of-interest statement annually.

Form 990, Page 6, Part VI, Line 15A

In 2011, an independent study of the compensation paid and classification of every position in access now was conducted. This constituted a third- party review of compensation for all job groups. Compensation comparability data for all positions was received and reviewed by a compensation-setting body composed of members of the board of directors. The comparability data used was based on industry surveys, documented compensation of persons holding similar positions in similar organizations, expert compensation studies, and other comparable data.

Form 990, Page 6, Part VI, Line 15B

SAME AS LINE 15A

Form 990, Page 6, Part VI, Line 19

The organization provides forms 1023 and 990 to anyone who requests to see the documents and form 990 is posted on the access now website. The forms are available for inspection at an agreed upon time. The organization will also provide policies that are requested for inspection.

Filing and Contact Details

Filer

Filer Name
Access Now Inc
EIN
26-1695468
Phone
8046436631
Address
2821 EMERYWOOD PARKWAY SUITE 200, RICHMOND, VA 23294

Signing Officer

Name
James G Beckner
Title
Ex. Director - An, Ram
Phone
8046436631
Signed
2026-03-24
Discuss with paid preparer
Yes

Organization Details

Principal Officer
James G Beckner
Formed
2007
Legal Domicile
Va
Voting Board Members
16
Independent Board Members
16
Employees
8
Volunteers
1,187

Preparer

Firm
Wellscoleman
Address
5004 MONUMENT AVE, RICHMOND, VA 23230
Preparer
Rebecca J Tres
Phone
8043581150
Supplemental Narrative

Additional Explanations

Form 990

Schedule r, part ii, line 1, column b: primary activity is to promote science & practice of medicine. Schedule r, part ii, line 2, column b: primary activity promotes mobilizing resources to support scientific programs and charitable services. Schedule r, part ii, line 3, column b: primary activity is to encourage and implement thoughtful advance care planning. Schedule r, part iv, line 1, column b: primary activity is to provide medical management services.

Form 990, Part IX, Line 11G

Management fee 115,238 19,107 3,905

Raw XML AppendixShowing 400 of 592 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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