All Blessings Flow Inc

What it reported doing in 2025

The most recent Community Health Needs Assessment for our local health district revealed that limited access to healthcare resources affects thousands of Central Virginia residents. The lack of desperately needed healthcare items leads to more significant health disparities for our most vulnerable neighbors. To address this problem in 2025, All Blessings Flow (ABF) acquired 48,872 items of used medical equipment and medical supplies valued at $2,847,990 which were carefully cleaned, repaired, and refurbished for redistribution. During the year, the organization distributed 45,832 items of used medical equipment and supplies valued at $2,814,074. The organization distributed items free-of-charge to 11,096 uninsured or under-insured adults and children with disabilities and health impairments from 70 different cities and counties within the Commonwealth of Virginia and beyond. The Pediatric portion of our program "ABF Kids" involves our program coordinator, a retired pediatric therapist from UVA Health Children's Hospital, who works in close collaboration with the hospital, Blue Ridge Care Connection for Children, and other pediatric healthcare professionals to assess children with disabilities, provide adaptive resources for their special needs, and counsel families. The program helps needy families access medical services targeted to their child's unique healthcare needs. Blessed with an extensive inventory, we can provide families with pediatric equipment and adaptive items individualized for children based on their sizes and disabilities. In 2025, the ABF Kids program served 229 children with disabilities and special needs. In 2023, the organization also fully established ABF Mobile, a community outreach initiative to improve rural healthcare access by delivering our services to undeserved rural populations. Our mobile trailer unit travels and sets up one day each week at neighborhood sites in five surrounding counties. We collaborate with church partners in each county, with volunteers from local churches working alongside our site leader to help facilitate the program and reach more families in need. In 2025, we served 3,448 clients and their families in the five ABF Mobile counties. In addition to the ABF Kids Pediatric Program and ABF Mobile Rural Outreach Program, All Blessings Flow has multiple programs to help those with disabilities and their caregivers and families. ADL (Activities of Daily Living) Program: Our ABF therapists work closely with PTs and OTs who refer their patients to ABF. Working together, we assess patients' needs and provide essential healthcare assistive and adaptive devices for bathing, toileting, dressing, eating & drinking, getting in & out of bed or a chair, and standing from a sitting position. Adaptive Mobility Program: Our program coordinator and ABF therapists collaborate closely with local orthopedists, rehab facilities, PTs, and OTs who refer their patients to ABF. Working together, we assess the patients and provide adaptive mobility equipment that specifically fits their unique needs. We also offer counseling and training in the proper use of the equipment, including canes, crutches, walkers, rollators, knee scooters, and various sizes and types of manual wheelchairs. Caregiver Support Program: Many of our volunteers are or have been professional and family caregivers. They work with other caregivers who come to ABF to help and provide counsel and essential resources and supplies such as incontinence pads, adult briefs, bed pads, gloves, wipes, and most anything one might need to care for someone. Complex Rehab Technology Program: Our program coordinator is an expert in assistive technology who works closely with several AT professionals who offer their expertise when refurbishing power wheelchairs, power sit-to-stand lifts, and other complex rehab tech. He assesses each patient and consults with a PT/AT specialist to find the right adaptive technology for our disadvantaged patients wi

Financial Efficiency

• Mission deployment rate: 90.2%; rating input score 90
• Program expense ratio: 95.7%; rating input score 96
• Fundraising efficiency: $39.61 raised per $1 spent on fundraising; rating input score 75; 75th percentile among comparable filings

Transparency & Controls

• Consistency checks: 92.9%; rating input score 93; 14th percentile among comparable filings
• Pay-setting controls: Limited
• Foreign activity oversight: Scored; rating input score 0
• Grant itemization coverage: 86.8%; rating input score 87; 30th percentile among comparable filings
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 66.7%; rating input score 67; 13th percentile among comparable filings
• Governance controls: 2 of 9 controls in place; rating input score 22
  • Conflict-of-interest policy: Fail
  • Whistleblower policy: Fail
  • Document-retention policy: Fail
  • CEO compensation review process: Fail
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Missing
  • Independent financial-statement audit: Fail

Sustainability

• Operating margin: 5.8%; rating input score 45; 45th percentile among comparable filings
• Total-asset coverage ratio: 0.42; rating input score 13; 13th percentile among comparable filings
• Liabilities to assets ratio: 0.01; rating input score 77; 77th percentile among comparable filings
• Officer compensation ratio: 5%; rating input score 57; 57th percentile among comparable filings

Growth

• Program expense growth: 23.7% per year; rating input score 100; 87th percentile among comparable filings
• Revenue growth: 21.7% per year; rating input score 100; 88th percentile among comparable filings
• Asset growth: 16.2% per year; rating input score 100; 77th percentile among comparable filings