MANAGED ACCESS TO CHILD HEALTH INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MANAGED ACCESS TO CHILD HEALTH INC (EIN 59-3192240)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-15
IRS object ID: 201301359349307060
Schema version: 2011v1.5
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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-15T14:10:17-05:00	Timestamp
Tax Period End Date	2012-06-30	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	2011-07-01	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	GARY JOSEPHSON MD	Name
Title	CHAIRMAN	Title
Phone	9043607070	Phone
Date Signed	2013-05-14	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	2013-05-15	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	GARY JOSEPHSON 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	3294538	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	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	16	NbrIndependentVotingMembers
Total Nbr Employees	38	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	1208846	ContributionsGrantsPriorYear
Contributions Grants Current Year	1663825	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	977920	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1630285	ProgramServiceRevenueCY
Investment Income Prior Year	437	InvestmentIncomePriorYear
Investment Income Current Year	428	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2053	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	2189256	TotalRevenuePriorYear
Total Revenue Current Year	3294538	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	961417	SalariesEtcPriorYear
Salaries Etc Current Year	1032107	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	786818	OtherExpensePriorYear
Other Expenses Current Year	1636094	OtherExpensesCurrentYear
Total Expenses Prior Year	1748235	TotalExpensesPriorYear
Total Expenses Current Year	2668201	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	441021	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	626337	RevenuesLessExpensesCY
Total Assets BOY	1078429	TotalAssetsBOY
Total Assets EOY	1614435	TotalAssetsEOY
Total Liabilities BOY	291818	TotalLiabilitiesBOY
Total Liabilities EOY	201487	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	786611	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1412948	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	2370515	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	2370515	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
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	false	ScheduleORequired
Number Forms Transmitted With1096	16	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	38	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	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	16	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 (16 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
CHAIRMAN	1.00	X	0	0	0	X
JAMES CHEEK MD
VICE CHAIRMA	1.00	X	0	0	0	X
THOMAS CHIU MD
DIRECTOR	1.00	X	0	0	0
MICHAEL ERHARD MD
DIRECTOR	1.00	X	0	0	0
PATRICIA SOLO-JOSEPHSON MD
DIRECTOR	1.00	X	0	0	0
MARK HUDAK MD
DIRECTOR	1.00	X	0	0	0
THOMAS CONNOLLY MD
DIRECTOR	1.00	X	0	0	0
GEROLD L SCHIEBLER MD
DIRECTOR	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
DAVID WOOD MD
SECRETARY/TR	1.00	X	0	0	0	X
MICHAEL AUBIN MD
DIRECTOR	1.00	X	0	0	0
SABA JAFRI MD
DIRECTOR	1.00	X	0	0	0
ASMA SALAHUDDIN 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	1659269	GovernmentGrants
All Other Contributions	4556	AllOtherContributions
Total Contributions	1663825	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CMS REIMBURSED PASS THROUGH	601220	601220
CLP/CMS CONTRACT	587421	587421
FAMILY SUPPORT NNC CONTRACT	199003	199003
ADMINISTRATION FEES	104692	104692
HOMELESS CHILDREN PROJECT	78200	78200

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	59749	TotalRevenueColumn
Related Or Exempt Function Income	59749	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	1630285	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	428	TotalRevenueColumn
Related Or Exempt Function Income	428	RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3294538	TotalRevenueColumn
Related Or Exempt Function Income	1630713	RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	803551	Total
Program Services	601938	ProgramServices
Management And General	201613	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	84269	Total
Program Services	63126	ProgramServices
Management And General	21143	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	52052	Total
Program Services	38992	ProgramServices
Management And General	13060	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	92235	Total
Program Services	69093	ProgramServices
Management And General	23142	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	4340	Total
Management And General	4340	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	20658	Total
Program Services	16526	ProgramServices
Management And General	4132	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	8930	Total
Program Services	7144	ProgramServices
Management And General	1786	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	3669	Total
Program Services	2935	ProgramServices
Management And General	734	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	25254	Total
Management And General	25254	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
SAMSHA GRANT	1145106	1145106
MEDICAL HOME CARE COORD.	132432	132432
OTHER GRANTS AND PROJECTS	132285	132285
SAMSHA NCC	117701	117701

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	45719	Total
Program Services	43237	ProgramServices
Management And General	2482	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	2668201	Total
Program Services	2370515	ProgramServices
Management And General	297686	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	559721	BOY
EOY	1154813	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	41901	BOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	463662	BOY
EOY	429667	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1082	BOY
EOY	7614	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	35246	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	15171	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	12063	BOY
EOY	20075	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	2266	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1078429	BOY
EOY	1614435	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	291818	BOY
EOY	201487	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	291818	BOY
EOY	201487	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	254587	BOY
EOY	347970	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	532024	BOY
EOY	1064978	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	786611	BOY
EOY	1412948	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1078429	BOY
EOY	1614435	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	626337	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	1201383	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1312174	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1320814	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2186766	CurrentTaxYearMinus1Year
Current Tax Year	3294110	CurrentTaxYear
Total	9315247	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1201383	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1312174	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1320814	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2186766	CurrentTaxYearMinus1Year
Current Tax Year	3294110	CurrentTaxYear
Total	9315247	Total

Field	Value	IRS element (for citing)
Public Support Total170	9315247	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	441	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	131	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	41	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	437	CurrentTaxYearMinus1Year
Current Tax Year	428	CurrentTaxYear
Total	1478	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5841	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5752	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3323	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2053	CurrentTaxYearMinus1Year
Total	16969	Total

Field	Value	IRS element (for citing)
Total Support	9333694	TotalSupport
Gross Receipts From Admissions Etc	1630713	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.99800	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.99670	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

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	28629	OtherCostOrOtherBasis
Depreciation	8554	Depreciation
Book Value	20075	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	20075	TotalOfBookValueLandBuildings
Total Revenue	3294538	TotalRevenue
Total Expenses	2668201	TotalExpenses
Excess Or Deficit For Year	626337	ExcessOrDeficitForYear
Excess Or Deficit Per FS	626337	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	3294538	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	3294538	RevenueSubtotal
Total Revenue Per Form990	3294538	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	2668201	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	2668201	ExpensesSubtotal
Total Expenses Per Form990	2668201	TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 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