MANAGED ACCESS TO CHILD HEALTH INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MANAGED ACCESS TO CHILD HEALTH INC (EIN 59-3192240)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-08-20
IRS object ID: 201432329349300228
Schema version: 2012v2.3
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule O
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-08-20T15:44:08-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STEVENS POWELL & COMPANY PA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	8382 BAYMEADOWS RD STE 2	AddressLine1
City	JACKSONVILLE	City
State	FL	State
ZIP Code	32256	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	593192240	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MANAGED ACCESS TO CHILD HEALTH INC	BusinessNameLine1
Business Name Line2	D/B/A/ PARTNERSHIP FOR CHILD HEALTH	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	MANA	NameControl
Phone	9043607070	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	910 NORTH JEFFERSON STREET	AddressLine1
City	JACKSONVILLE	City
State	FL	State
ZIP Code	322096810	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JAMES CHEEK MD	Name
Title	CHAIRMAN	Title
Phone	9043607070	Phone
Date Signed	2014-05-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JOHN P STEVENS CPA	Name
Phone	9044489791	Phone
Date Prepared	2014-08-20	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JAMES CHEEK MD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	910 NORTH JEFFERSON STREET	AddressLine1
City	JACKSONVILLE	City
State	FL	State
ZIP Code	32209	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	3547625	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.PARTNERSHIPFORCHILDHEALTH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1993	YearFormation
State Legal Domicile	FL	StateLegalDomicile
Activity Or Mission Description	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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	31	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	1663825	ContributionsGrantsPriorYear
Contributions Grants Current Year	2188672	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1630285	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1357540	ProgramServiceRevenueCY
Investment Income Prior Year	428	InvestmentIncomePriorYear
Investment Income Current Year	1413	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	3294538	TotalRevenuePriorYear
Total Revenue Current Year	3547625	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	1032107	SalariesEtcPriorYear
Salaries Etc Current Year	1688554	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1636094	OtherExpensePriorYear
Other Expenses Current Year	1489549	OtherExpensesCurrentYear
Total Expenses Prior Year	2668201	TotalExpensesPriorYear
Total Expenses Current Year	3178103	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	626337	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	369522	RevenuesLessExpensesCY
Total Assets BOY	1614435	TotalAssetsBOY
Total Assets EOY	2017283	TotalAssetsEOY
Total Liabilities BOY	201487	TotalLiabilitiesBOY
Total Liabilities EOY	234815	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1412948	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1782468	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	2836197	Expense
Description	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.	Description
Total Program Service Expense	2836197	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	false	ScheduleORequired
Number Forms Transmitted With1096	10	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	31	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JANE VENIARD	NamePerson
Telephone Number	9043607070	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	910 NORTH JEFFERSON ST	AddressLine1
City	JACKSONVILLE	City
State	FL	State
ZIP Code	32208	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
JERRY BRIDGHAM MD
DIRECTOR	1.00	X	0	0	0
GARY JOSEPHSON MD
DIRECTOR	1.00	X	0	0	0
JAMES CHEEK MD
CHAIRMAN	1.00	X	0	0	0	X
THOMAS CHIU MD
VICE CHAIRMA	1.00	X	0	0	0	X
MICHAEL ERHARD MD
DIRECTOR	1.00	X	0	0	0
PATRICIA SOLO-JOSEPHSON MD
SECRETARY/TR	1.00	X	0	0	0	X
MARK HUDAK MD
DIRECTOR	1.00	X	0	0	0
KELLI WELLS MD
DIRECTOR	1.00	X	0	0	0
GEROLD L SCHIEBLER MD
EX-OFFICIO	1.00	X	0	0	0
MARY SOHA MD
DIRECTOR	1.00	X	0	0	0
SHELLY THOMPSON MD
DIRECTOR	1.00	X	0	0	0
ROBERT THRELKEL MD
DIRECTOR	1.00	X	0	0	0
SASWATA ROY MD
DIRECTOR	1.00	X	0	0	0
MICHAEL AUBIN MD
DIRECTOR	1.00	X	0	0	0

Field	Value	IRS element (for citing)
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Government Grants	2188672	GovernmentGrants
Total Contributions	2188672	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CLP/CMS CONTRACT	516719	516719
CMS REIMBURSED PASS THROUGH	487084	487084
FAMILY SUPPORT NNC CONTRACT	199003	199003
ADMINISTRATION FEES	90937	90937
REFUGEE PEDIATRICS	25000	25000

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	38797	TotalRevenueColumn
Related Or Exempt Function Income	38797	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	1357540	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1413	TotalRevenueColumn
Related Or Exempt Function Income	1413	RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3547625	TotalRevenueColumn
Related Or Exempt Function Income	1358953	RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1329252	Total
Program Services	1087310	ProgramServices
Management And General	241942	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	99186	Total
Program Services	70085	ProgramServices
Management And General	29101	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	167791	Total
Program Services	152997	ProgramServices
Management And General	14794	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	92325	Total
Program Services	65237	ProgramServices
Management And General	27088	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	6439	Total
Management And General	6439	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	15452	Total
Program Services	12362	ProgramServices
Management And General	3090	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	20073	Total
Program Services	16058	ProgramServices
Management And General	4015	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	5770	Total
Program Services	4616	ProgramServices
Management And General	1154	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	12916	Total
Management And General	12916	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
SAMSHA GRANT	1206933	1206933
MEDICAL HOME CARE COORD.	167252	167252
OTHER GRANTS AND PROJECTS	38041	38041
PATIENT SERVICES	9837	9837

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	6836	Total
Program Services	5469	ProgramServices
Management And General	1367	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	3178103	Total
Program Services	2836197	ProgramServices
Management And General	341906	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1154813	BOY
EOY	1566659	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	429667	BOY
EOY	433079	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	7614	BOY
EOY	976	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	35246	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	20118	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	20075	BOY
EOY	15128	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	2266	BOY
EOY	1441	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1614435	BOY
EOY	2017283	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	201487	BOY
EOY	234815	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	201487	BOY
EOY	234815	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	347970	BOY
EOY	330644	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1064978	BOY
EOY	1451824	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1412948	BOY
EOY	1782468	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1614435	BOY
EOY	2017283	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	369522	ReconcilationRevenueExpenses
Reconcilation Other Changes	-2	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	false	AuditCommittee
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1312174	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1320814	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2186766	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3294110	CurrentTaxYearMinus1Year
Current Tax Year	3547625	CurrentTaxYear
Total	11661489	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1312174	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1320814	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2186766	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3294110	CurrentTaxYearMinus1Year
Current Tax Year	3547625	CurrentTaxYear
Total	11661489	Total

Field	Value	IRS element (for citing)
Public Support Total170	11661489	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	131	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	41	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	437	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	428	CurrentTaxYearMinus1Year
Current Tax Year	1413	CurrentTaxYear
Total	2450	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5752	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3323	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2053	CurrentTaxYearMinus2Years
Total	11128	Total

Field	Value	IRS element (for citing)
Total Support	11675067	TotalSupport
Gross Receipts From Admissions Etc	1358953	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.99880	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.99800	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	28629	OtherCostOrOtherBasis
Depreciation	13501	Depreciation
Book Value	15128	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6617	OtherCostOrOtherBasis
Depreciation	6617	Depreciation

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	15128	TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt	3547625	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	3547625	RevenueSubtotal
Total Revenue Per Form990	3547625	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	3178103	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	3178103	ExpensesSubtotal
Total Expenses Per Form990	3178103	TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	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.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	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 JANE VENIARD, PROGRAM ADMINISTRATOR.
ENFORCEMENT OF CONFLICTS POLICY	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.
COMPENSATION PROCESS FOR TOP OFFICIAL	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.
COMPENSATION PROCESS FOR OFFICERS	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.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	NO DOCUMENTS AVAILABLE TO THE PUBLIC
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 9	ROUNDING 2

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	THE PROCESS FOR COMPLETING THE TAX RETURN WAS DISRUPTED FOR FISCAL YEAR 2012-2013. THE FEDERAL AUDIT CLEARINGHOUSE (FAC) WAS DELAYED AS NOTED IN THE FOLLOWING RELEASE. WITH THE FINAL APPROVAL OF THE NEW DATA COLLECTION FORM (FORM SF-SAC) DELAYED, THE OFFICE OF MANAGEMENT AND BUDGET (OMB) HAD GRANTED AN AUTOMATIC EXTENSION FOR SUBMISSION OF THE FORM UNTIL 2/28/2014. THIS FORM IS REQUIRED TO BE SUBMITTED BY ALL ENTITIES THAT HAVE A SINGLE AUDIT OF FEDERAL EXPENDITURES PERFORMED AND WAS TYPICALLY DUE THE EARLIER OF 9 MONTHS AFTER THE FISCAL YEAR END OR 30 DAYS AFTER THE RECEIPT OF THE FINAL FINANCIAL STATEMENTS. ORGANIZATIONS HAD BEEN UNABLE TO FILE THE DATA COLLECTION FORM FOR ANY ENTITIES WITH A FISCAL YEAR ENDING IN 2013 AND THIS EXTENSION PREVENTED THEM FROM HAVING A COMPLIANCE FINDING IN THE SUBSEQUENT YEAR. THE TAX PREPARER PREPARES THE RETURN AFTER THE FEDERAL AUDIT CLEARINGHOUSE (FAC) ACCEPTS THE FILING. THE FILING WAS ACCEPTED ON 2/19/2014 BY THE FAC AND THE FILING WAS COMPLETED	Explanation