2012-03-15T07:38:47-05:00 2011-06-30 PURVIS GRAY & COMPANY 2347 SE 17TH STREET OCALA FL 34471 990 2010-07-01 593113135 PEDIATRIC PRIMARY CARE FOUNDATION INC PEDI 3523692100 3200 E SILVER SPRINGS BLVD ROOM/SUITE 202 OCALA FL 34470 JEFF BAXLA 3523692100 2012-03-14 true MARK A WHITE CPA 3527323872 2012-03-15 2010 2016-02-24 21:20:13Z JEFF BAXLA 3200 E SILVER SPRINGS BLVD STE 202 OCALA FL 34470 2362374 false X N/A X 1992 FL TO CHAMPION EXCELLENCE IN THE DELIVERY OF HEALTH CARE TO CHILDREN WITH SPECIAL NEEDS THROUGH A COMPREHENSIVE SYSTEM OF CARE. 7 7 52 0 1036524 1051824 1534097 1296955 12076 13588 51 7 2582748 2362374 0 0 1902484 1860046 0 0 467510 324296 2369994 2184342 212754 178032 1468275 1542689 260969 157351 1207306 1385338 X TO CHAMPION EXCELLENCE IN THE DELIVERY OF HEALTH CARE TO CHILDREN WITH SPECIAL NEEDS THROUGH A COMPREHENSIVE SYSTEM OF CARE. false false 1453716 1862164 THE PRIMARY CARE PROGRAM PROVIDES PATIENT AND CASE MANAGEMENT SERVICES TO CHILDREN WITH SPECIAL HEALTH CARE NEEDS. ELIGIBLE CHILDREN WITHIN OR NEAR FEDERAL POVERTY GUIDELINES ARE ENROLLED WITH CHILDREN'S MEDICAL SERVICES. PATIENT SERVICES ARE PROVIDED TO ENROLLED CHILDREN THRU A LOCAL MEDICAL HOME WITH APPROPRIATE LINKAGES TO NECESSARY SECONDARY AND TERTIARY SERVICES BY ACCESS. 24 HOUR ACCESS TO MEDICAL CARE IS AVAILABLE TO ALL ENROLLEES. CASE MANAGEMENT THROUGH AN ASSIGNED CARE COORDINATOR ASSISTS WITH THOSE AND OTHER LINKAGES. PARENT TEACHING AND GENERAL ASSISTANCE IS AVAILABLE TO PROVIDE THE CHILD WITH A CONTINUUM OF CARE AND SOMETIMES HELPING FULFILL OTHER NEEDS OF THE CHILD OR OTHERS THE FAMILY MIGHT HAVE. 386157 99707 THE MEDICAL FOSTER CARE PROGRAM IS A MEDICAL OVERLAY INTO THE COMMUNITY FOSTER PROGRAM THAT ASSISTS IN ENABLING FOSTER CHILDREN WITH SPECIAL HEALTH CARE NEEDS TO BE SAFELY CARED FOR IN A PRIVATE HOME RATHER THAN A HOSPITAL, NURSING HOME OR DEPENDENCE OR RELIANCE UPON 24 HOUR NURSING CARE. THE PROGRAM HELPS TO ENHANCE THE QUALITY OF LIFE FOR THE MEDICALLY COMPLEX AND MEDICALLY FRAGILE FOSTER CHILDREN, ALLOWING THEM TO DEVELOP TO THEIR FULLEST POTENTIAL. SELECT FOSTER PARENTS ARE SPECIFICALLY TRAINED TO CARE FOR A SPECIFIC FOSTER CHILD WITH SPECIAL HEALTH CARE NEEDS. THESE SPECIAL FOSTER PARENTS ARE SUPPORTED BY A MEDICAL DOCTOR, A SOCIAL WORKER AND A NURSE. MFC SERVICES ARE ORDERED AND PRESCRIBED THROUGH THE PROGRAM MEDICAL DOCTOR AND THERE IS A NURSE ON CALL 24 HOURS TO ASSIST WITH CARE COORDINATION OF THESE ENROLLED FOSTER CHILDREN. ONLY FOSTER CHILDREN ARE SERVED IN THE MEDICAL FOSTER CARE PROGRAM. ALL SERVICES WERE PROVIDED AT NO COST TO THE ENROLLED CHILD OR FAMILY. 1839873 true true false false false false false false false false true false false false false false true false false false false false false false false false false false false false false false false false false true false true false false false false false false false false false false true 4 0 52 true false false false false false false false false false false false false X 7 7 true false false false false false false true true false false true true true true true true true true false X JEFF BAXLA 3523692100 3200 E SILVER SPRINGS BLVD STE 202 OCALA FL 34470 TED N SAHA MD 1.00 X 0 0 0 JOSELYN LEE 2.00 X X 0 0 0 LINDA WILSON 0.25 X X 0 0 0 CRAIG TURNER 0.25 X X 0 0 0 MATHEW ZAYNE 1.00 X X 0 0 0 JASON WELBORN 1.00 X 0 0 0 JAMES CASEY MD 1.00 X 0 0 0 NANCY GUINTA 1.00 X 0 0 0 BETSY POORE 0.25 X 0 0 0 JEFF BAXLA 60.00 X 73805 0 22482 73805 22482 false false false BLUE CROSS BLUE SHIELD OF FLORIDA PO BOX 105358 ATLANTA GA 30348 MEDICAL INSURAN 143568 1 1031824 20000 1051824 OTHER STATE OF FL DOH REVENUE 1014887 1014887 MEDICAID- PHYSICIAN SERVICES 143573 143573 MEDICAID- CASE MANAGEMENT 138495 138495 1296955 13588 13588 MISCELLANEOUS 7 7 7 2362374 1296955 13595 1418889 1242742 176147 189238 164438 24800 141663 120246 21417 110256 97312 12944 31810 31810 86625 86625 4100 4100 61922 43278 18644 56482 28791 27691 26817 26332 485 60 60 14679 14679 25230 24113 1117 WHEELCHAIR RAMPS 9200 9200 OTHER/MISC. 5761 1493 4268 REPAIRS AND MAINTENANCE 1610 403 1207 2184342 1839873 344469 0 69 14321 1026120 1176771 333796 241117 28873 8992 207215 105727 79417 101488 1468275 1542689 260969 157351 260969 157351 X 1164938 1374538 42368 10800 1207306 1385338 1468275 1542689 178032 X false true true X false X 807083 946498 952324 1036524 1031824 4774253 807083 946498 952324 1036524 1031824 4774253 4774253 27742 28117 17864 12076 13588 99387 51 7 58 4873698 1296955 0.97960 0.97990 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false 207215 105727 101488 101488 2362374 2184342 178032 178032 2362374 2362374 2362374 2184342 2184342 2184342 KIDS HEALTH ALLIANCE PHYSICIAN 24247 PATIENT SERVICES false FIRST NATIONAL BANK EXEC. VP BOARD MEMBER false TED SAHA MD MEDICAL DIRECTO 12964 MEDICAL DIRECTOR FEE false FIRST ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A AVAILABLE TO PROVIDE THE CHILD WITH A CONTINUUM OF CARE AND SOMETIMES HELPING FULFILL OTHER NEEDS OF THE CHILD OR OTHERS THE FAMILY MIGHT HAVE. SECOND ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4B PARENTS ARE SUPPORTED BY A MEDICAL DOCTOR, A SOCIAL WORKER AND A NURSE. MFC SERVICES ARE ORDERED AND PRESCRIBED THROUGH THE PROGRAM MEDICAL DOCTOR AND THERE IS A NURSE ON CALL 24 HOURS TO ASSIST WITH CARE COORDINATION OF THESE ENROLLED FOSTER CHILDREN. ONLY FOSTER CHILDREN ARE SERVED IN THE MEDICAL FOSTER CARE PROGRAM. ALL SERVICES WERE PROVIDED AT NO COST TO THE ENROLLED CHILD OR FAMILY. RELATED PARTY INFORMATION AMONG OFFICERS FORM 990, PAGE 6, PART VI, LINE 2 TED N. SAHA, M.D. KIDS HEALTH ALLIANCE MEDICAL DIR. PHYSICIAN BUSINESS RELATIONSHIP JASON WELBORN FIRST NATIONAL BANK BOARD MEMBER EXEC. VP BUSINESS RELATIONSHIP JAMES CASEY, M.D. CHILDREN'S MEDICAL SERVICE MEDICAL DIR. PHYSICIAN BUSINESS RELATIONSHIP ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF IRS FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS AND REVIEWED AT A BOARD OF DIRECTORS MEETING. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C CONFLICT OF INTEREST POLICY IS PROVIDED WHEN AN EMPLOYEE IS HIRED BY THE ORGANIZATION OR WHEN A NEW BOARD MEMBER SELECTED. THE ORGANIZATION OBTAINS A SIGNED STATEMENT THAT THE EMPLOYEE OR BOARD MEMBER WAS PROVIDED AND READ THE POLICY. THE POLICY IS THEN PROVIDED TO BOARD MEMBERS AND STAFF ANNUALLY AND A NEW SIGNED STATEMENT IS OBTAINED. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A CEO COMPENSATION DETERMINATION AND ADJUSTMENT IS ONLY PERMISSIBLE THROUGH BOARD ACTION THAT IS CLEARLY DOCUMENTED IN MEETING MINUTES. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B KEY EMPLOYEES SALARIES ARE COMPARABLE TO STATE CAREER SERVICE OR OTHER PRIMARY CARE STAFF AND INCREASES ARE GRANTED IN ACCORDANCE WITH AVAILABLE FUNDING AT APPROPRIATE INTERVALS AT THE DESCRETION OF THE PEDIATRIC PRIMARY CARE FOUNDATION BOARD OF DIRECTORS. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.