MANAGED ACCESS TO CHILD HEALTH INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- MANAGED ACCESS TO CHILD HEALTH INC (EIN 59-3192240)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-01-30
- IRS object ID
- 201940309349300419
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-01-30T09:49:18-06:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 593681977 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STEVENS POWELL & COMPANY PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4209 BAYMEADOWS RD STE 1 | AddressLine1Txt |
| City | JACKSONVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32217 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593192240 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MANAGED ACCESS TO CHILD HEALTH INC | BusinessNameLine1Txt |
| Business Name Line2 | D/B/A/ PARTNERSHIP FOR CHILD HEALTH | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MANA | BusinessNameControlTxt |
| Phone | 9043607070 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 NORTH JEFFERSON STREET | AddressLine1Txt |
| City | JACKSONVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 322096810 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS CHIU MD | PersonNm |
| Person Title | CHAIRMAN | PersonTitleTxt |
| Phone | 9047984166 | PhoneNum |
| Signature | 2019-01-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN P STEVENS CPA | PreparerPersonNm |
| PTIN | P00382652 | PTIN |
| Phone | 9044489791 | PhoneNum |
| Preparation | 2019-01-27 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 50.73.254.218 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-01-30 | IPDt |
| IP Tm | 09:49:18 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | B18235B85B8332A57C72C9CBA098A5D243E18715 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 5C97385C214CD7D5FAA63EAA7BF61D8058B79367 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | THOMAS CHIU MD | PrincipalOfficerNm |
| Gross Receipts | $2,956,161 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PARTNERSHIPFORCHILDHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1993 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | OUR MISSION IS TO SUPPORT THE PROVISION OF QUALITY HEALTH CARE SERVICES AND SYSTEMS OF CARE FOR CHILDREN WITH SPECIAL NEEDS AND THEIR FAMILIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 18 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,357,050 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,246,590 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,546,067 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,709,313 | CYProgramServiceRevenueAmt |
| PY Investment Income | $185 | PYInvestmentIncomeAmt |
| CY Investment Income | $258 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,903,302 | PYTotalRevenueAmt |
| CY Total Revenue | $2,956,161 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $999,754 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $935,202 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,160,190 | PYOtherExpensesAmt |
| CY Other Expenses | $1,934,212 | CYOtherExpensesAmt |
| PY Total Expenses | $3,159,944 | PYTotalExpensesAmt |
| CY Total Expenses | $2,869,414 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$256,642 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $86,747 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,002,230 | TotalAssetsBOYAmt |
| Total Assets EOY | $880,304 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $321,595 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $112,922 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $680,635 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $767,382 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR MISSION IS TO SUPPORT THE PROVISION OF QUALITY HEALTH CARE SERVICES AND SYSTEMS OF CARE FOR CHILDREN WITH SPECIAL NEEDS AND THEIR FAMILIES. THIS INCLUDES WORKING AS AN EFFECTIVE COMMUNITY PARTNER IN PURSUIT OF A COMMON OBJECTIVE TO ASSURE THAT ALL CHILDREN IN NORTHEAST FLORIDA WITH SPECIAL PHYSICAL, MENTAL OR SOCIAL NEEDS HAVE ACCESS TO PRIMARY CARE BASED ON THE "MEDICAL HOME" MODEL-COMPREHENSIVE CARE THAT IS ACCESSIBLE, CONTINUOUS, COORDINATED, FAMILY-CENTERED, COMPASSIONATE AND CULTURALLY EFFECTIVE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $2,666,635 | ExpenseAmt |
| Revenue | $1,709,313 | RevenueAmt |
| Desc | TO OPERATE AND MAINTAIN A CASE MANAGEMENT PROGRAM IN NORTHEAST FLORIDA FOR THE PURPOSE OF ENSURING CHILDREN HAVE ACCESS TO AND RECEIVE THE HIGHEST QUALITY OF COMPREHENSIVE PEDIATRIC PRIMARY CARE AND PROVIDE A VENUE FOR CHILD HEALTH AGENCIES TO COLLABORATE TO DEVELOP AND IMPROVE SERVICES AND SYSTEMS OF CARE. | Desc |
| Total Program Service Expenses | $2,666,635 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | false | ScheduleORequiredInd |
| IRP Document | 15 | IRPDocumentCnt |
| IRP Document W2 G | 18 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 18 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LISA A MALDONADO | PersonNm |
| Phone | 9043607070 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 NORTH JEFFERSON ST | AddressLine1Txt |
| City | JACKSONVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32209 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| THOMAS CHIU MD | |||||||
| CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BETHANY ATKINS MD | |||||||
| VICE CHAIRMA | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JULIE KELLOGG MD | |||||||
| SECRETARY/TR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL AUBIN MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JERRY BRIDGHAM MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES CHEEK MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| STEVEN CUFFE MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL ERHARD MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK HUDAK MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| GARY JOSEPHSON MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| GEROLD L SCHIEBLER MD | |||||||
| EX-OFFICIO | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY SOHA MD | |||||||
| SECRETARY/TR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SHELLY THOMPSON MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT THRELKEL MD | |||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | |||
| KELLI WELLS MD | |||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | |||
| RAVYN WINEHOUSE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| VICKI L WAYTOWICH | |||||||
| EXECUTIVE DI | 40.00 | $112,974 | $0 | $19,596 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $112,974 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $19,596 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $1,246,590 | GovernmentGrantsAmt |
| Total Contributions | $1,246,590 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| CLP/CMS CONTRACT | $775,610 | $775,610 |
| FAMILY SUPPORT NNC CONTRACT | $235,000 | $235,000 |
| CRIMINAL JUSTICE REINVESTMENT | $229,751 | $229,751 |
| BOWMAN LYMAN CENTER | $153,813 | $153,813 |
| ADMINISTRATIVE FEES | $125,128 | $125,128 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $190,011 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $190,011 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,709,313 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $258 | TotalRevenueColumnAmt |
| Exclusion | $258 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,956,161 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,709,313 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $258 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $774,871 | TotalAmt |
| Program Services | $635,394 | ProgramServicesAmt |
| Management And General | $139,477 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,771 | TotalAmt |
| Program Services | $46,552 | ProgramServicesAmt |
| Management And General | $10,219 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,822 | TotalAmt |
| Program Services | $35,934 | ProgramServicesAmt |
| Management And General | $7,888 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,738 | TotalAmt |
| Program Services | $48,985 | ProgramServicesAmt |
| Management And General | $10,753 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,400 | TotalAmt |
| Management And General | $22,400 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,599 | TotalAmt |
| Program Services | $6,848 | ProgramServicesAmt |
| Management And General | $2,751 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,759 | TotalAmt |
| Program Services | $32,516 | ProgramServicesAmt |
| Management And General | $1,243 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,777 | TotalAmt |
| Program Services | $11,625 | ProgramServicesAmt |
| Management And General | $5,152 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SAMHSA GRANT | $800,245 | $800,245 | |
| MEDICAL HOME CARE COORD. | $694,606 | $694,606 | |
| OTHER GRANTS AND PROJECTS | $349,329 | $349,329 | |
| MISCELLANEOUS | $24,274 | $16,226 | $8,048 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$16,777 | TotalAmt |
| Program Services | -$11,625 | ProgramServicesAmt |
| Management And General | -$5,152 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,869,414 | TotalAmt |
| Program Services | $2,666,635 | ProgramServicesAmt |
| Management And General | $202,779 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $659,808 | BOYAmt |
| EOY | $642,612 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,341 | BOYAmt |
| EOY | $76,627 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $316,081 | BOYAmt |
| EOY | $145,267 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $15,798 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $37,718 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $37,718 | LandBldgEquipAccumDeprecAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,002,230 | BOYAmt |
| EOY | $880,304 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $321,595 | BOYAmt |
| EOY | $112,922 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $321,595 | BOYAmt |
| EOY | $112,922 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $366,835 | BOYAmt |
| EOY | $418,324 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $313,800 | BOYAmt |
| EOY | $349,058 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $680,635 | BOYAmt |
| EOY | $767,382 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,002,230 | BOYAmt |
| EOY | $880,304 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $86,747 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,169,160 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,734,118 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,644,416 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,357,050 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,246,590 | CurrentTaxYearAmt |
| Total | $11,151,334 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,169,160 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,734,118 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,644,416 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,357,050 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,246,590 | CurrentTaxYearAmt |
| Total | $11,151,334 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $11,151,334 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,403 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $390 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $950 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $185 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $258 | CurrentTaxYearAmt |
| Total | $5,186 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $11,156,520 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $1,709,313 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99950 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99950 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $37,718 | OtherCostOrOtherBasisAmt |
| Depreciation | $37,718 | DepreciationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Rev Etc Audited Fincl Stmt | $2,956,161 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $2,956,161 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $2,956,161 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,869,414 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $2,869,414 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $2,869,414 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | OUR MISSION IS TO SUPPORT THE PROVISION OF QUALITY HEALTH CARE SERVICES AND SYSTEMS OF CARE FOR CHILDREN WITH SPECIAL NEEDS AND THEIR FAMILIES. THIS INCLUDES WORKING AS AN EFFECTIVE COMMUNITY PARTNER IN PURSUIT OF A COMMON OBJECTIVE TO ASSURE THAT ALL CHILDREN IN NORTHEAST FLORIDA WITH SPECIAL PHYSICAL, MENTAL OR SOCIAL NEEDS HAVE ACCESS TO PRIMARY CARE BASED ON THE "MEDICAL HOME" MODEL-COMPREHENSIVE CARE THAT IS ACCESSIBLE, CONTINUOUS, COORDINATED, FAMILY-CENTERED, COMPASSIONATE AND CULTURALLY EFFECTIVE. |
| FORM 990, PAGE 6, PART VI, LINE 11B | NO REVIEW WAS OR WILL BE CONDUCTED BY THE GOVERNING BODY. THE REVIEW OF THE FORM 990 HAS BEEN DELEGATED TO VICKI L WAYTOWICH, EXECUTIVE DIRECTOR, AND LISA A MALDONADO, FINANCE & HR MANAGER. |
| FORM 990, PAGE 6, PART VI, LINE 12C | STAFF MEMBERS, OFFICERS, AND BOARD MEMBERS ARE REQUIRED TO MAKE FULL DISCLOSURE TO THE BOARD OF DIRECTORS ALL CONFLICTS OF INTEREST. |
| FORM 990, PAGE 6, PART VI, LINE 15A | ALL PAYROLL RELATED ACTIVITIES ARE REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | ALL PAYROLL RELATED ACTIVITIES ARE REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC |