VARIETY CHILDRENS HOSPITAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: VARIETY CHILDRENS HOSPITAL (EIN 59-0638499)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-07
IRS object ID: 202443129349302594
Schema version: 2023v5.1
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 F
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-07T13:41:13+00:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	401 East Las Olas Blvd Suite 1100	AddressLine1Txt
City	Fort Lauderdale	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	333014230	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	590638499	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Variety Children's Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	VARI	BusinessNameControlTxt
Phone	3056666511	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3100 SW 62nd Avenue	AddressLine1Txt
City	Miami	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	331553009	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Dawn Javersack	PersonNm
Person Title	SVP and CFO	PersonTitleTxt
Signature	2024-11-07	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brittney Kocaj	PreparerPersonNm
PTIN	P01320603	PTIN
Phone	9542028600	PhoneNum
Preparation	2024-11-07	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Nicklaus Children's Hospital	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Matthew A Love	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3100 SW 62nd Avenue	AddressLine1Txt
City	Miami	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	331553009	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$999,096,232	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.nicklauschildrens.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1950	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	To inspire hope and promote lifelong health by providing the best care to every child.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	3805	TotalEmployeeCnt
Total Volunteers	1145	TotalVolunteersCnt
Total Gross UBI	$125,401	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$27,279,814	PYContributionsGrantsAmt
CY Contributions Grants	$35,265,380	CYContributionsGrantsAmt
PY Program Service Revenue	$758,320,366	PYProgramServiceRevenueAmt
CY Program Service Revenue	$898,905,067	CYProgramServiceRevenueAmt
PY Investment Income	$18,389,541	PYInvestmentIncomeAmt
CY Investment Income	$24,940,217	CYInvestmentIncomeAmt
PY Other Revenue	$12,912,544	PYOtherRevenueAmt
CY Other Revenue	$15,447,067	CYOtherRevenueAmt
PY Total Revenue	$816,902,265	PYTotalRevenueAmt
CY Total Revenue	$974,557,731	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$264,241,772	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$287,878,757	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$455,897,492	PYOtherExpensesAmt
CY Other Expenses	$530,249,846	CYOtherExpensesAmt
PY Total Expenses	$720,139,264	PYTotalExpensesAmt
CY Total Expenses	$818,128,603	CYTotalExpensesAmt
PY Revenues Less Expenses	$96,763,001	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$156,429,128	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,488,947,366	TotalAssetsBOYAmt
Total Assets EOY	$1,637,315,414	TotalAssetsEOYAmt
Total Liabilities BOY	$675,589,699	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$677,444,446	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$813,357,667	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$959,870,968	NetAssetsOrFundBalancesEOYAmt
Mission	TO INSPIRE HOPE AND PROMOTE LIFELONG HEALTH BY PROVIDING THE BEST CARE TO EVERY CHILD.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$653,240,100	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$898,905,067	RevenueAmt
Desc	VARIETY CHILDREN'S HOSPITAL, ESTABLISHED IN 1950, OWNS AND OPERATES A PEDIATRIC SPECIALTY HOSPITAL NOW KNOWN AS NICKLAUS CHILDREN'S HOSPITAL. THE HOSPITAL IS ONE OF THE LARGEST FREESTANDING PEDIATRIC TEACHING HOSPITALS IN THE SOUTHEASTERN UNITED STATES. IT PROVIDES SPECIALIZED PEDIATRIC HEALTHCARE FOR CHILDREN REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, AGE, OR ABILITY TO PAY. THE HOSPITAL HAS 307 LICENSED BEDS. NICKLAUS CHILDREN'S HOSPITAL SERVES AS A REFERRAL CENTER FOR CHILDREN WITH COMPLEX, CRITICAL, OR LIFE-THREATENING ILLNESSES REQUIRING SPECIALIZED CARE. IT HAS A STATE-DESIGNATED PEDIATRIC TRAUMA CENTER. MANY PATIENTS ARE REFERRED BY OTHER HOSPITALS REGARDLESS OF THE EXISTENCE OF FORMAL ARRANGEMENTS. (CONTINUED ON SCHEDULE O)	Desc
Total Program Service Expenses	$653,240,100	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	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	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
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	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
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	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	3805	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	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	Yes (true)	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	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Laurie Levine	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3056666511	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5301 Blue Lagoon Drive	AddressLine1Txt
City	Miami	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33126	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
AMY CHARLEY ESQ
SECRETARY / DIRECTOR	0.1	0.1	Yes (X)	Yes (X)	$0	$0	$0
DREW KERN
Vice Chairman / Director	0.1	0	Yes (X)	Yes (X)	$0	$0	$0
JAY MASSIRMAN
CHAIRMAN / DIRECTOR	0.1	0.1	Yes (X)	Yes (X)	$0	$0	$0
MATTHEW LOVE
President & CEO	20.0	20.0	Yes (X)	Yes (X)	$0	$1,483,351	$247,368
PERRY ANN REED
SVP / COO NCHS & President NCH	40.0	0.1	Yes (X)	Yes (X)	$773,619	$0	$122,072
ALI MANDSAURWALA
DIRECTOR	0.1	0	Yes (X)		$0	$0	$0
BALAGANGADHAR TOTAPALLY MD
Director	0.1	0	Yes (X)		$0	$0	$0
FEDERICO A MORENO
DIRECTOR (THRU MARCH 2023)	0.1	0	Yes (X)		$0	$0	$0
GARY GREGORY
EMERITUS DIRECTOR	0.1	0	Yes (X)		$0	$0	$0
JARET DAVIS ESQ
DIRECTOR (THRU JUNE 2023)	0.1	0.1	Yes (X)		$0	$0	$0
JENNIFER BOUSSUGE
Director	0.1	0	Yes (X)		$0	$0	$0
JOHN M LIE-NIELSEN
DIRECTOR (THRU MARCH 2023)	0.1	0.1	Yes (X)		$0	$0	$0
JOSEPH NADER
Director	0.1	0.1	Yes (X)		$0	$0	$0
MARCO VALENTINI
Director	0.1	0	Yes (X)		$0	$0	$0
MARCOS A MESTRE MD
DIRECTOR / Acting Chief Med Ops Officer	40.0	0	Yes (X)		$615,450	$0	$73,391
MARIA E FRANCO MD
Director	0.1	0	Yes (X)		$52,000	$0	$0
PETER LOPEZ
DIRECTOR (THRU JUNE 2023)	0.1	0.1	Yes (X)		$0	$0	$0
STEVEN MELNICK PhD MD
Director	0.1	0	Yes (X)		$0	$0	$0
ARIANNA URQUIA
Interim Chief Operating Officer	40.0	0		Yes (X)	$409,032	$0	$36,358
DAWN E JAVERSACK
SVP / CFO Health System	20.0	20.0		Yes (X)	$0	$861,089	$115,190
JODI LAURENCE ESQ
SVP & General Counsel	20.0	20.0		Yes (X)	$0	$551,791	$92,549
IRIS BERGES
VP, OPERATIONS	40.0	0			$374,832	$0	$32,933	Yes (X)
RANI S GEREIGE
Exec Dir Med Ed & DEI Lead	40.0	0			$341,177	$0	$15,943	Yes (X)
ROBERT L HANNAN
Sr Med Dir Advanced Proj Lab	40.0	0			$355,457	$0	$24,953	Yes (X)
RODNEY L BAKER
Executive Med Director	40.0	0			$395,758	$0	$27,765	Yes (X)
SHANNON M ODELL
VP & NCH Chief Nursing Officer	40.0	0			$420,693	$0	$38,630	Yes (X)
JEFRY BIEHLER
Exec Med Director Clinical Ops (FORMER OFFICER)	0.0	40.0			$422,271	$0	$26,572		Yes (X)
JOSE PERDOMO
SVP Admin / Special Projects (FORMER OFFICER)	0.0	40.0			$0	$605,268	$74,670		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,160,290	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,501,500	TotReportableCompRltdOrgAmt
Total Other Compensation	$928,394	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	614	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AYA HEALTHCARE INC
PO BOX 123519	DALLAS	TX	753123519	Nurse Services	$6,654,763
PHI AIR MEDICAL LLC
2800 NORTH 44 STREET	PHOENIX	AZ	85008	FLIGHT HOURS	$3,934,996
CROSS COUNTRY STAFFING
PO BOX 404674	ATLANTA	GA	303844674	Nurse Services	$2,603,550
MAYO MEDICAL LABORATORIES
200 FIRST STREET SW	ROCHESTER	MN	55905	Laboratory Services	$1,844,100
MALLINCKRODT PHARMACEUTICALS
675 MCDONNELL BLVD	HAZELWOOD	MO	63042	ConsultantTranscription Services	$1,833,726

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	83	CntrctRcvdGreaterThan100KCnt
Related Organizations	$11,631,467	RelatedOrganizationsAmt
Government Grants	$23,586,163	GovernmentGrantsAmt
All Other Contributions	$47,750	AllOtherContributionsAmt
Total Contributions	$35,265,380	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue	622310	$894,254,060	$894,254,060
Grant Revenue	541715	$4,582,782	$4,582,782
Seminar Workshops	611699	$68,225	$68,225

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$898,905,067	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,430,313	TotalRevenueColumnAmt
Unrelated Business Revenue	$40,967	UnrelatedBusinessRevenueAmt
Exclusion	$23,389,346	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,267	TotalRevenueColumnAmt
Exclusion	$7,267	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,574,312	RealAmt
Personal	$84,434	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$4,574,312	RealAmt
Personal	$84,434	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,658,746	TotalRevenueColumnAmt
Unrelated Business Revenue	$84,434	UnrelatedBusinessRevenueAmt
Exclusion	$4,574,312	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$24,306,556	SecuritiesAmt
Other	$1,392,358	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$22,631,297	SecuritiesAmt
Other	$1,557,713	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,675,259	SecuritiesAmt
Other	-$165,355	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,509,904	TotalRevenueColumnAmt
Exclusion	$1,509,904	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$490,727	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$349,491	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$141,236	TotalRevenueColumnAmt
Exclusion	$141,236	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
PHARMACY	456110	$4,637,800	$4,637,800
OTHER REVENUE	900099	$3,396,723	$3,396,723
CAFETERIA/VENDING	722514	$2,605,295	$2,605,295

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$10,639,818	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$974,557,731	TotalRevenueColumnAmt
Related Or Exempt Func Income	$898,905,067	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$125,401	UnrelatedBusinessRevenueAmt
Exclusion	$40,261,883	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,081,924	TotalAmt
Program Services	$1,665,540	ProgramServicesAmt
Management And General	$416,384	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,018,428	TotalAmt
Program Services	$814,742	ProgramServicesAmt
Management And General	$203,686	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$233,053,270	TotalAmt
Program Services	$186,442,617	ProgramServicesAmt
Management And General	$46,610,653	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,128,953	TotalAmt
Program Services	$4,103,162	ProgramServicesAmt
Management And General	$1,025,791	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$29,764,204	TotalAmt
Program Services	$23,811,363	ProgramServicesAmt
Management And General	$5,952,841	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$16,831,978	TotalAmt
Program Services	$13,465,582	ProgramServicesAmt
Management And General	$3,366,396	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,578,479	TotalAmt
Management And General	$1,578,479	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$256,092,666	TotalAmt
Program Services	$204,874,133	ProgramServicesAmt
Management And General	$51,218,533	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$32,877	TotalAmt
Program Services	$26,302	ProgramServicesAmt
Management And General	$6,575	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,903,089	TotalAmt
Program Services	$3,922,471	ProgramServicesAmt
Management And General	$980,618	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,022,336	TotalAmt
Program Services	$817,869	ProgramServicesAmt
Management And General	$204,467	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$31,655,468	TotalAmt
Program Services	$25,324,374	ProgramServicesAmt
Management And General	$6,331,094	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$793,627	TotalAmt
Program Services	$634,902	ProgramServicesAmt
Management And General	$158,725	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$9,639,723	TotalAmt
Program Services	$7,711,778	ProgramServicesAmt
Management And General	$1,927,945	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$31,548,658	TotalAmt
Program Services	$25,238,926	ProgramServicesAmt
Management And General	$6,309,732	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$17,351,442	TotalAmt
Program Services	$13,881,154	ProgramServicesAmt
Management And General	$3,470,288	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$95,391,774	$76,313,419	$19,078,355
HOSPITAL ASSESMENT	$77,262,628	$61,810,102	$15,452,526
OTHER NON-OPERATING EXP	$1,354,113	$1,083,290	$270,823
SPECIAL EVENTS - NON FOOD	$465,901	$372,721	$93,180

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,157,065	TotalAmt
Program Services	$925,653	ProgramServicesAmt
Management And General	$231,412	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$818,128,603	TotalAmt
Program Services	$653,240,100	ProgramServicesAmt
Management And General	$164,888,503	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$17,628,783	BOYAmt
EOY	$92,774,177	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$69,880,854	BOYAmt
EOY	$25,225,088	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$148,520,942	BOYAmt
EOY	$181,428,893	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$106,445,224	BOYAmt
EOY	$123,038,581	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$12,716,847	BOYAmt
EOY	$14,004,674	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,305,668	BOYAmt
EOY	$3,974,774	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$936,872,265	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$506,549,873	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$359,183,151	BOYAmt
EOY	$430,322,392	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$451,850,385	BOYAmt
EOY	$444,322,719	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$124,084,962	BOYAmt
EOY	$129,586,647	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$14,566,022	BOYAmt
EOY	$19,196,456	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$181,764,528	BOYAmt
EOY	$173,441,013	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,488,947,366	BOYAmt
EOY	$1,637,315,414	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$41,861,754	BOYAmt
EOY	$56,803,542	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$479,080,399	BOYAmt
EOY	$468,250,181	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$154,647,546	BOYAmt
EOY	$152,390,723	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$675,589,699	BOYAmt
EOY	$677,444,446	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$656,840,959	BOYAmt
EOY	$802,712,600	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$156,516,708	BOYAmt
EOY	$157,158,368	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$813,357,667	BOYAmt
EOY	$959,870,968	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,488,947,366	BOYAmt
EOY	$1,637,315,414	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$156,429,128	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$31,697,111	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$41,612,938	OtherChangesInNetAssetsAmt
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)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

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)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$51,284,585	BeginningYearBalanceAmt
Contributions	$42,467	ContributionsAmt
Investment Earnings Or Losses	$5,688,930	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,300,868	OtherExpendituresAmt
End Year Balance	$54,715,114	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$58,072,902	BeginningYearBalanceAmt
Contributions	$190,592	ContributionsAmt
Investment Earnings Or Losses	-$3,972,479	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,006,430	OtherExpendituresAmt
End Year Balance	$51,284,585	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$51,847,151	BeginningYearBalanceAmt
Contributions	$1,424,279	ContributionsAmt
Investment Earnings Or Losses	$6,880,578	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,079,106	OtherExpendituresAmt
End Year Balance	$58,072,902	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$50,915,312	BeginningYearBalanceAmt
Contributions	$33,028	ContributionsAmt
Investment Earnings Or Losses	$3,318,446	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,419,635	OtherExpendituresAmt
End Year Balance	$51,847,151	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$49,642,017	BeginningYearBalanceAmt
Contributions	$543,923	ContributionsAmt
Investment Earnings Or Losses	$4,248,769	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,519,397	OtherExpendituresAmt
End Year Balance	$50,915,312	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.2269	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.7731	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,030,156	OtherCostOrOtherBasisAmt
Book Value	$3,030,156	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$475,049,785	OtherCostOrOtherBasisAmt
Depreciation	$230,297,654	DepreciationAmt
Book Value	$244,752,131	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$47,889,717	OtherCostOrOtherBasisAmt
Depreciation	$39,766,842	DepreciationAmt
Book Value	$8,122,875	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$286,629,158	OtherCostOrOtherBasisAmt
Depreciation	$230,139,075	DepreciationAmt
Book Value	$56,490,083	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$124,273,449	OtherCostOrOtherBasisAmt
Depreciation	$6,346,302	DepreciationAmt
Book Value	$117,927,147	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$430,322,392	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Alternative Investments	$128,395,159	F
Restricted investments	$1,191,488	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$129,586,647	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
Beneficial Interest in Miami Childrens Hospital Foundation	$139,917,759
Self Insurance Trust	$747,245
Other Long Term Assets	$1,893,515
Operating lease right of use assets, net	$30,882,494
Intercompany Receivables

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$173,441,013	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
Other Liabilities
Swap Liabilities
Third Party Settlement Payable
Lease Incentive Obligation
Intercompany Payable
Other Liabilities	$20,122,550
Swap Liabilities	$5,313,538
Lease Incentive Obligation	$36,790,329
Intercompany Payable	$90,164,306

Field	Value	IRS element (for citing)
Total Liability	$152,390,723	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4 Intended uses of endowment funds

The Foundation's endowments are established to fund medical research, education, patient medical, and social services at Nicklaus Children's Hospital.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

The System and certain of its affiliated organizations qualify as tax-exempt, nonprofit organizations under Section 501(c)(3) of the Internal Revenue Code (the Code). The Hospital, NCPS and the Foundation are exempt from federal income tax on related income pursuant to Section 501(a) of the Code as described in Section 501(c)(3). These tax-exempt entities had no tax provision for the years ended December 31, 2023 and 2022. The Captive Insurance Company is not subject to income taxes, as no income taxes are levied in the Cayman Islands. The System believes there is no uncertain tax liability which should be recorded as of December 31, 2023 and 2022.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	0	0	Program Services	Self-Insurance Funding	$4,747,434
Central America and the Caribbean	0	0	Investments		$2,767,137

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$7,514,571	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$7,514,571	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN-Accrual	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,024,277	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,094,649	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,929,628	NetCommunityBenefitExpnsAmt
Total Expense	0.0036	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$482,541,735	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$499,139,459	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,873,433	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,144,134	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,729,299	NetCommunityBenefitExpnsAmt
Total Expense	0.0094	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$500,439,445	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$506,378,242	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,658,927	NetCommunityBenefitExpnsAmt
Total Expense	0.0130	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,074,147	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,428,403	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,645,744	NetCommunityBenefitExpnsAmt
Total Expense	0.0057	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,200,111	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,001,473	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,198,638	NetCommunityBenefitExpnsAmt
Total Expense	0.0284	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,659,578	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,061,952	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,597,626	NetCommunityBenefitExpnsAmt
Total Expense	0.0288	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,071,933	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$69,375	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,002,558	NetCommunityBenefitExpnsAmt
Total Expense	0.0061	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$85,005,769	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,561,203	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,444,566	NetCommunityBenefitExpnsAmt
Total Expense	0.0690	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$585,445,214	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$534,939,445	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$67,103,493	NetCommunityBenefitExpnsAmt
Total Expense	0.0820	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$440,152	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$511,879	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$71,727	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	MIAMI CHILDREN'S HOSPITAL AMBULATORY SURGERY CENTER LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	SURGERY CENTER	PrimaryActivitiesTxt
Org Profit Or Ownership	0.5217	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.0	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.4783	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NICKLAUS Children's Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3100 SW 62nd Avenue	AddressLine1Txt
City	Miami	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33155	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.NICKLAUSCHILDRENS.ORG	WebsiteAddressTxt
State License	4067	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NICKLAUS Children's Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.nicklauschildrens.org/patient-resources/community-outreach/community-health-needs-assess	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.nicklauschildrens.org/patient-resources/community-outreach/community-health-needs-assess	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PT VI	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PT VI	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PT VI	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - Nicklaus Children's Hospital. In 2022, Nicklaus Children's Hospital conducted a Community Health Needs Assessment (CHNA) of the community it serves in South Florida. The purpose of the CHNA was to provide an empirical foundation for future health planning, as well as fulfill the CHNA requirement for non-profit institutions put forth by the Internal Revenue Service (IRS). Nicklaus Children's Hospital hired Health Resources in Action (HRiA), a non-profit public health organization specializing in CHNA development, to collect and analyze data, and to develop the CHNA report. Contributing Stakeholders * Catalyst Miami * Early Learning Coalition of Miami-Dade/Monroe * Feeding South Florida * Florida Department of Health * Florida Health Justice Project * Florida International University * Israeli American Council * Nicklaus Children's Hospital Patient and Family Services * Nicklaus Children's Primary Care * Parent to Parent Miami * Sant La, Haitian Neighborhood Center, Inc. * The Children's Movement * The Children's Trust * YES Institute * Youth Co-Op, Inc Vulnerable/Underserved Populations Addressed by this Implementation Plan * Youth * Low-income children and families * Medically underserved children * Children and families managing mental health and/or behavioral health disorders * Children and families impacted by food insecurity, the cost of health care and medications * Non-English-speaking children and their families The 2022 Nicklaus Children's CHNA was conducted to achieve the following goals: 1. Examine the current health status of children and families in South Florida 2. Identify the current health priorities among children and families, focusing specifically on pediatric health 3. Explore community strengths, resources, and gaps in services in order to guide future planning and programming efforts for Nicklaus Children's Hospital 4. Understand perceptions of - and explore ways to address - health equity in South Florida The 2022 CHNA Report includes data from the seven Florida counties that Nicklaus Children's Hospital considers to be part of its overall service area: Broward, Collier, Lee, Martin, Miami-Dade, Monroe, and Palm Beach Counties. While patients of Nicklaus Children's come from many counties in Florida and around the world, the hospital is in Miami-Dade County and draws roughly 80% of its patient population from Miami-Dade. Therefore, the primary community of focus for this CHNA is defined as Miami-Dade County. METHODS To develop a comprehensive picture of the South Florida region, the assessment team employed quantitative and qualitative data collection methods. To gather quantitative data, the assessment team conducted a review of secondary data sources and administered a community survey to residents in South Florida. Secondary data included existing data from national, state, and local sources. The community survey was administered to residents of Broward, Collier, Lee, Martin, Miami-Dade, Monroe, and Palm Beach Counties. A total of 246 respondents are included in survey analysis. In addition to quantitative data, qualitative data was gathered to develop a more nuanced understanding of the perceptions of the community served by Nicklaus Children's Hospital. Interviews were conducted with 26 service providers representing a range of sectors including public health, community development, social services, early childhood education, and healthcare. Additionally, three discussion groups with 29 residents were conducted with residents of South Florida. One group was conducted with youth, one group with parents of children with complex care needs, and one group with recent immigrants. Participants ranged in age, racial identity, socioeconomic background, length of residence in South Florida, and county of residence, though most resided in Miami-Dade County. Similar to conversations with service providers, discussion groups explored perceptions of South Florida, health concerns, and suggestions for future programming and services to address stated concerns. The assessment team engaged with interview participants either representing or identifying with various populations that are typically underrepresented in data collection (e.g., recent immigrants, young adults, and people of color). The 2022 CHNA report discusses the findings from the 2022 CHNA conducted December 2021 - May 2022.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Nicklaus Children's Hospital. AFTER ENGAGING COMMUNITY ADVISORY BOARD MEMBERS IN A GROUP DISCUSSION AND PRIORITIZATION PROCESS, THE FOLLOWING PRIORITIES WERE IDENTIFIED FOR NICKLAUS CHILDREN'S HOSPITAL TO FOCUS ON FOR THE NEXT TWO YEARS: 1. ACCESS TO SERVICES - GOAL - ENHANCE ACCESS TO TIMELY, EQUITABLE, AND COMPREHENSIVE MEDICAL, SOCIAL, BEHAVIORAL HEALTH, AND WELLNESS SERVICES FOR CHILDREN AND THEIR FAMILIES IN TRADITIONAL AND NON-TRADITIONAL SETTINGS. OBJECTIVE - A) INCREASE CARE COORDINATION AND COLLABORATION WITHIN THE INTERSECTING SYSTEMS OF HEALTH, SOCIAL, AND COMMUNITY SERVICES (COLLABORATORS) THROUGH THE DEVELOPMENT OF 6 COLLABORATIONS BY 2025. STRATEGIES/INITIATIVES - - IDENTIFY KEY COLLABORATORS THAT PLAY A ROLE IN THE ECOSYSTEM. - IDENTIFY OPPORTUNITIES OF ALIGNMENT, AND SHARE ROLES BETWEEN COLLABORATORS. - IDENTIFY EXISTING SERVICES FOR CARE COORDINATION, AND OPPORTUNITIES FOR IMPROVEMENT OF THESE SERVICES. - OFFER NEW SERVICES OR RESOURCES TO FILL GAPS. MONITORING/EVALUATION APPROACH - - QUARTERLY REVIEW OF COLLABORATORS, NETWORKING, AND SERVICES/RESOURCES B) CONTINUE TO ENHANCE HOSPITAL CARE COORDINATION THROUGH 5 NEW STRATEGIES THAT ADDRESS CULTURE, LANGUAGE, ETC. BY 2025. STRATEGIES/INITIATIVES - - INCREASE HEALTH CARE INSURANCE COVERAGE FOR COMMUNITY MEMBERS AND PATIENTS, OFFERING COUNSELING SERVICES AND INFORMATION, PROVIDING TRAINING TO ORGANIZATIONS THAT SUPPORT COMMUNITY MEMBERS, AND ADVOCATE FOR INCREASE/EXPANDED MEDICAID ELIGIBILITY. - PROMOTE EXISTING SERVICES THROUGH EDUCATION AND AWARENESS. - PROVIDE TRAINING FOR STAFF MEMBERS TO IMPROVE CULTURALLY RELEVANT SERVICES. - INTEGRATE HEALTH EQUITY GOALS AND INITIATIVES INTO THE CARE COORDINATION SYSTEM AND PATIENT NAVIGATOR SERVICES. MONITORING/EVALUATION APPROACH - - QUARTERLY CONNECTION WITH PATIENT GUEST RELATIONS, MARKETING, IT, AND THE ELIGIBILITY/ASSISTANCE DEPARTMENT C) INCREASE UTILIZATION OF PRIMARY CARE AND SOCIAL SERVICE SYSTEMS BY 2025. STRATEGIES/INITIATIVES - - INCREASE SOCIAL MEDIA STRATEGIES WITH INFORMATION AND EDUCATION. (REDUCE STIGMA) - INCREASE UTILIZATION OF EXISTING TOOLS SUCH AS FINDHELP* AND UNITEUS. - PROVIDE INFORMATION AND EDUCATION THROUGH APPROACHES THAT ARE CONNECTED TO TRUSTED MESSENGERS, IN COMMUNITY SETTINGS OR PLACES WHERE PEOPLE GATHER. (REDUCE STIGMA) - PROVIDE EDUCATION OPPORTUNITIES FOR FAMILIES TO LEARN ABOUT SERVICES. - OUTREACH TO FAMILIES (VIRTUAL OR IN-PERSON). MONITORING/EVALUATION APPROACH - - QUARTERLY REPORTING ON OUTCOME INDICATORS THROUGH HOSPITAL DATA, AND COMMUNITY-BASED ORGANIZATIONAL REPORTING IN 2023, NICKLAUS CHILDREN'S HOSPITAL LAUNCHED A COMPREHENSIVE PROGRAM TO ADDRESS SOCIAL DETERMINANTS OF HEALTH THROUGH SCREENINGS AND REFERRAL INITIATIVES FOR FAMILIES WITH HEALTH-RELATED SOCIAL NEEDS. THROUGHOUT THE YEAR, FAMILIES WERE SCREENED FOR FOOD AND NUTRITION INSECURITY. THOSE WHO SCREENED POSITIVE WERE REFERRED TO "FEEDING SOUTH FLORIDA" FOR SUPPORT, INCLUDING FOOD ACCESS AND BENEFIT ENROLLMENT. IN OCTOBER 2023, A DIGITAL SCREENING WAS PILOTED TO ALSO INCLUDE HOUSING, TRANSPORTATION, AND UTILITIES. OVER THE COURSE OF THE YEAR, MORE THAN 17,000 PATIENTS AND THEIR FAMILIES RECEIVED PERSONALIZED RESOURCES AND REFERRALS TO LOCAL SERVICES, BRIDGING THE GAP BETWEEN HEALTHCARE AND SOCIAL SUPPORT TO ENHANCE OVERALL WELL-BEING. IN ADDITION TO THESE SCREENINGS AND REFERRAL INITIATIVES, NICKLAUS CHILDREN'S HOSPITAL COLLABORATED WITH SEVERAL COMMUNITY INITIATIVES. THIS INCLUDED PARTNERING WITH MIAMI-DADE COUNTY PUBLIC SCHOOLS TO BRING PROJECT ADAM, WHICH FOCUSES ON CARDIAC EMERGENCY PREPAREDNESS, TO ALL SCHOOLS IN THE DISTRICT. THEY ALSO COLLABORATED WITH OTHER LOCAL HEALTH SYSTEMS TO PARTICIPATE IN AN ADDITIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THAT LOOKED BROADLY AT MIAMI-DADE COUNTY ACROSS ALL POPULATIONS. FURTHERMORE, NICKLAUS CHILDREN'S HOSPITAL WORKED WITH THE LOCAL WIC (SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN) OFFICE TO EDUCATE MEDICAL PROVIDERS AND EXPAND ENROLLMENT FOR ELIGIBLE FAMILIES. 2. HEALTH EDUCATION - GOAL - EMPOWER PARENTS AND CHILDREN TO LEAD HEALTHY LIFESTYLES BY PROVIDING CULTURALLY, LINGUISTICALLY, AND DEVELOPMENTALLY TAILORED EDUCATION AND RESOURCES. OBJECTIVE - A) INCREASE AWARENESS OF PREVENTATIVE PRIMARY CARE, AND KNOWLEDGE AND UTILIZATION OF APPROPRIATE LEVELS OF CARE, THROUGH 9 EDUCATIONAL CAMPAIGNS/MESSAGES BY 2025. STRATEGIES/INITIATIVES - - FAMILIARIZE COMMUNITY ORGANIZATIONS WITH TELEHEALTH AVAILABILITY AND PROVIDE THEM WITH TOOLS TO SHARE WITH CONSTITUENTS. - BUILD OUT ONE-PAGER INCLUDING TRUSTED SOURCES, LEVELS OF CARE AND COMPARATIVE COSTS, AND STATS ON IMPACT OF PREVENTATIVE CARE. - SHARE WITH COMMUNITY AGENCIES (E.G., MIAMI CONNECTED, INTERPROFESSIONAL TEAMS, AND SCHOOL HEALTH INTERPROFESSIONAL TEAMS). MONITORING/EVALUATION APPROACH - - EMERGENCY DEPARTMENT DATA - COMMUNICATIONS AND MARKETING DATA B) INCREASE POINTS OF DISTRIBUTION FOR NUTRITION EDUCATION MATERIALS AND RESOURCES BY 11 IN THE CHILDREN'S TRUST DEFINED PRIORITY ZIP CODES BY 2025. STRATEGIES/INITIATIVES - - COLLABORATE WITH ORGANIZATIONS THAT SUPPORT COMMUNITY GARDENS TO PROMOTE EDUCATIONAL MATERIALS AND RESOURCES. - REVIEW AND UPDATE NUTRITION EDUCATION MATERIALS TO ENSURE CULTURAL AND LINGUISTIC ALIGNMENT WITH THE COMMUNITY. - EXPLORE ADDITIONAL COLLABORATIVE RELATIONSHIPS. MONITORING/EVALUATION APPROACH - - TRACKING COMMUNITY ORGANIZATIONS AND EVENTS WHERE MATERIALS ARE DISTRIBUTED - HEALTH IN THE HOOD DATA C) PROMOTE COMMUNITY UNDERSTANDING OF COMPREHENSIVE HEALTH, AND SAFETY THROUGH THE IMPLEMENTATION OF 4 OF COMMUNITY INITIATIVES BY 2025. STRATEGIES/INITIATIVES - - PROMOTE A COMPLETE STATE OF MENTAL, PHYSICAL AND SOCIAL WELL-BEING NOT MERELY THE ABSENCE OF DISEASE - AND HOW COMMUNITY MEMBERS CAN ACHIEVE THAT. - IDENTIFY AND PROMOTE COMMUNITY PROGRAMS THAT PROMOTE SELF-CARE. - INCORPORATE CULTURAL COMPETENCY INTO THE EDUCATION ABOUT HEALTHY LIFESTYLES. - IDENTIFY AND OUTREACH TO COMMUNITY STAKEHOLDERS TO SHARE INFORMATION AND RESOURCES ON HEALTH AND SAFETY. MONITORING/EVALUATION APPROACH - - NCHS COMMUNITY RELATIONS AND MARKETING REPORTING IN 2023, NICKLAUS CHILDREN'S HOSPITAL COLLABORATED WITH "FOOD FOR SALUD" TO LAUNCH MONTHLY CONTENT DISTRIBUTION THROUGH THE "HEALTHY FOOD FOR HEALTHY KIDS" PROGRAM, AIMED AT INCREASING ACCESS TO NUTRITION EDUCATION. THIS PROGRAM INCLUDED A "GROW AND NOURISH" PILLAR THAT INVOLVED DISSEMINATING NUTRITION EDUCATION IN LOCAL ELEMENTARY SCHOOLS, DEVELOPING HEALTHY, BUDGET-FRIENDLY, AND KID-APPROVED RECIPES, AND PARTICIPATING IN COMMUNITY FOOD AND NUTRITION EFFORTS SUCH AS THE FOOD AND NUTRITION FOR ALL COLLABORATIVE AND EVENTS IN HEALTH IN THE HOOD COMMUNITY GARDENS. THE HOSPITAL ALSO FOCUSED ON SAFETY AND INJURY PREVENTION THROUGH SAFEKIDS EFFORTS, PROMOTING SWIM SAFETY EVENTS AND PROVIDING CAR SEAT SAFETY EDUCATION. IN COLLABORATION WITH THE YMCA OF SOUTH FLORIDA, NICKLAUS CHILDREN'S HOSPITAL DISTRIBUTED WATER WATCHER LANYARDS TO ADDRESS THE HIGH RATE OF ACCIDENTAL DROWNINGS IN SOUTH FLORIDA. ADDITIONALLY, THE HOSPITAL CREATED CONTENT FEATURING PRIMARY CARE PEDIATRICIANS, NUTRITIONISTS, PSYCHOLOGISTS, AND OTHER EXPERTS TO DISSEMINATE THROUGH SOCIAL MEDIA, ENSURING A BROAD REACH THROUGH CHANNELS FREQUENTLY ACCESSED BY PARENTS AND ADOLESCENTS. (continued in Part VI)
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - NICKLAUS CHILDREN'S HOSPITAL. Notified individuals of the financial assistance policy on admission Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals' bills Documented its determination of whether individuals were eligible for financial assistance under the hospital facility's financial assistance policy

Field	Value	IRS element (for citing)
Facility	28	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (28 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
Nicklaus Children's Doral Outpatient Center
3601 NW 107th Avenue	Doral	FL	33178	Outpatient / Urgent Care Center
Nicklaus Children's Dan Marino Outpatient Center
2900 S Commerce Parkway	Weston	FL	33331	Outpatient / Urgent Care Center
Nicklaus Children's Palm Beach Gardens Outpatient Center
11310 Legacy Avenue Legacy Place	Palm Beach Gardens	FL	33410	Outpatient / Urgent Care Center
Nicklaus Children's Miramar Outpatient Center
12246 Miramar Parkway Miramar Squar	Miramar	FL	33025	Outpatient / Urgent Care Center	e
Nicklaus Children's Miami Lakes Outpatient Center
15025 NW 77th Avenue	Miami Lakes	FL	33014	Outpatient / Urgent Care Center
Nicklaus Children's Midtown Outpatient Center
3915 Biscayne Boulevard	Miami	FL	33137	Outpatient / Urgent Care Center
Nicklaus Children's West Kendall Outpatient Center
13400 SW 120th Street Suite 100	Miami	FL	33186	Outpatient / Urgent Care Center
Nicklaus Children's Palmetto Bay Outpatient Center
17615 SW 97th Avenue	Palmetto Bay	FL	33157	Outpatient / Urgent Care Center
Nicklaus Children's West Bird Outpatient Center
11449 SW 40 St	Miami	FL	33165	Outpatient / Urgent Care Center
Nicklaus Children's Pinecrest Outpatient Center
11521 South Dixie Hwy 1st Fl	Pinecrest	FL	33156	Specialty Care Center
Nicklaus Children's Hialeah Outpatient Center
990 W 49th St	Hialeah	FL	33012	Outpatient / Urgent Care Center
Nicklaus Children's Homestead Outpatient Center
2072 NE 8th St Campbell Shoppes	Homestead	FL	33033	Outpatient / Urgent Care Center
Boynton Beach Care Center
10383 Hagen Ranch Rd Ste 200	Boynton Beach	FL	33437	Specialty Care center
Sports Health Center (Pinecrest)
11521 South Dixie Hwy 2nd fl	Pinecrest	FL	33156	Sports rehabilitation
NCPS at Coral Springs
9750 NW 33rd Street Ste 109	Coral Springs	FL	33065	Specialty Care center
NCPS at Palm City
3228 SW Martin Downs Blvd Unit 33	Palm City	FL	34990	Specialty Care Center
NCPS at Flamingo Park Plaza
4410 West 16th Avenue Bay 60	Hialeah	FL	33012	Pediatric Care Center
NCPS at Allapattah
3445 NW 7 Street	Miami	FL	33125	Pediatric Care Center
NCPS at Sunset Oaks
9260 SW 72 Street Suite 218	Miami	FL	33173	Specialty Care Center.
NCPS at Plantation
8430 West Broward Boulevard	Plantation	FL	33324	Specialty Care Center
Nicklaus Children's Pediatric Specialists at Wellington
10111 Forest Hill Boulevard Suite 1	Wellington	FL	33414	Specialty Care Center	10
Nicklaus Children's Pediatric Specialists at Alton Road
4308 Alton Road Suite 940	Miami Beach	FL	33140	Specialty Care Center
Nicklaus Children's Pediatric Specialists at Coral Reef
8950 SW 152nd Street Suite 101	Miami	FL	33176	Specialty Care Center
Nicklaus Children's at Cooper City
11011 Sheridan Street Suite 311	Cooper City	FL	33026	Specialty Care Center
Nicklaus Children's at Cutler Bay
18557 S Dixie Hwy	Miami	FL	33157	Specialty Care Center
Nicklaus Children's at Galloway
7800 SW 87th Avenue Suite C-350	Miami	FL	33173	Specialty Care Center
Nicklaus Children's at Pompano Beach
4701 N Federal Hwy Suite 370	Pompano Beach	FL	33064	Specialty Care Center
Nicklaus Children's at Pembroke Pines
208 N University Drive	Pembroke Pines	FL	33024	Specialty Care Center

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE	https://www.nicklauschildrens.org/patient-resources/patient-financial-services/financial-assistance-program
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE	https://www.nicklauschildrens.org/patient-resources/patient-financial-services/financial-assistance-program
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE	https://www.nicklauschildrens.org/patient-resources/patient-financial-services/financial-assistance-program
Schedule H, Part V, Section B, Line 11 HOW HOSPITAL FACILITY IS ADDRESSING NEEDS IDENTIFIED IN CHNA	3. CHILDREN'S MENTAL HEALTH - GOAL - PROMOTE OVERALL MENTAL WELLNESS OF CHILDREN AND ADOLESCENTS BY ENGAGING AN ECOSYSTEM OF SUPPORT AND SERVICES FOR THEM AND THEIR FAMILIES. OBJECTIVE - A) IMPLEMENT 4 MENTAL WELLNESS INITIATIVES FOR CHILDREN AND YOUTH BY 2025. STRATEGIES/INITIATIVES - TRAINING FOR CARE PROVIDERS (PEDIATRICIANS), TO INCLUDE INFORMATION, SCREENING, AND REFERRAL. - PEER TRAINING FOR ADOLESCENTS ON HOW TO SUPPORT THEIR PEERS. - TRAINING ON YOUTH MENTAL HEALTH FIRST AID IN SCHOOLS. - CREATE TEAMS TO DO COMMUNITY OUTREACH. MONITORING/EVALUATION APPROACH - - PRE AND POST TESTING AT EDUCATIONAL INITIATIVES - NCHS COMMUNITY RELATIONS AND PSYCHOLOGY REPORTING B) EXPAND INTERVENTION SERVICES ACROSS THE ECOSYSTEM FOR CHILDREN AND THEIR FAMILIES THROUGH 10 COLLABORATIVE INITIATIVES BY 2025. STRATEGIES/INITIATIVES - - COLLABORATE WITH STAKEHOLDERS TO PROMOTE BEHAVIORAL HEALTH RESOURCES TO CREATE A REFERRAL NETWORK. - ADVOCATE FOR CONTINUED COVERAGE OF TELEHEALTH SERVICES. - INCREASE IN SERVICE AVAILABILITY BEYOND 9-5 TO EVENINGS AND WEEKENDS. - ESTABLISH OUTREACH TEAMS TO PROMOTE BEHAVIORAL HEALTH SERVICES IN UNDERSERVED COMMUNITIES. - APPLY A SYSTEMIC APPROACH TO INTERVENTION SERVICES TO INCLUDE A WELLNESS MODEL FOR CHILDREN AND FAMILIES. - ESTABLISH COLLABORATIVE RELATIONSHIPS WITH HHS, GOVERNMENT OFFICIALS, STAKEHOLDERS, AND OTHERS. - ESTABLISH A GRANT WRITING TEAM (INCLUDING STAKEHOLDERS) TO APPLY FOR GRANTS TO SUPPORT SERVICES. - CONVENE STAKEHOLDERS TO NETWORK, AND SHARE. MONITORING/EVALUATION APPROACH - - DATA THROUGH OFFICE OF SPONSORED PROGRAMS - PSYCHOLOGY TEAM REPORTING C) INCREASE SKILLS AND CAPACITY THROUGHOUT THE ECOSYSTEM TO RESPOND TO THE MENTAL HEALTH CRISIS AMONG CHILDREN AND YOUTH THROUGH 12 TRAINING OPPORTUNITIES BY 2025. STRATEGIES/INITIATIVES - - COLLABORATE WITHIN THE ECOSYSTEM TO PROMOTE MENTAL WELLNESS AND REDUCE STIGMA. - IMPLEMENT MENTAL WELLNESS AWARENESS CAMPAIGN. - PROMOTE SOCIAL SKILLS AND COPING MECHANISMS AMONG CHILDREN, YOUTH, AND THEIR FAMILIES. - PARTICIPATE IN WELLNESS FAIRS OPEN TO THE COMMUNITY TO OFFER INFORMATION AND RESOURCES. - IMPLEMENT EDUCATION OPPORTUNITIES ABOUT THE BAKER ACT, AND LOCAL RESOURCES FOR PARENTS AND COMMUNITY PROVIDERS. - IMPLEMENT SKILLS WORKSHOPS/TRAININGS THROUGHOUT THE ECOSYSTEM OF ADULTS WHO CARE FOR CHILDREN AND YOUNG PEOPLE. MONITORING/EVALUATION APPROACH - - COMMUNITY RELATIONS DATA - PSYCHOLOGY DATA IN 2023, NICKLAUS CHILDREN'S HOSPITAL LICENSED AND PARTICIPATED IN THE ON OUR SLEEVES CAMPAIGN, A NATIONAL MOVEMENT AIMED AT PROMOTING CHILDREN'S MENTAL WELLNESS AND PREVENTING CRISES. THIS INITIATIVE PROVIDED FREE AND USER-FRIENDLY EDUCATIONAL TOOLS AND RESOURCES TO HELP PARENTS AND CAREGIVERS INITIATE CONVERSATIONS, ENHANCE MENTAL WELL-BEING, AND COMBAT STIGMAS ASSOCIATED WITH CHILDREN'S MENTAL HEALTH. KEY TOPICS COVERED INCLUDED IDENTIFYING SIGNS OF MENTAL HEALTH CHALLENGES, IMPLEMENTING EFFECTIVE COMMUNICATION STRATEGIES, AND FOSTERING RESILIENCE. TO FURTHER SUPPORT MENTAL WELLNESS, NICKLAUS CHILDREN'S HOSPITAL ESTABLISHED THE WISE GIRLS PROGRAM. THIS PROGRAM FOCUSED ON EMPOWERING YOUNG GIRLS THROUGH WORKSHOPS AND RESOURCES THAT AIMED TO BUILD SELF-ESTEEM, ENHANCE DECISION-MAKING SKILLS, AND ADDRESS ISSUES RELATED TO PEER PRESSURE AND BODY IMAGE. THE PROGRAM ENCOURAGED OPEN DISCUSSIONS ABOUT MENTAL HEALTH, CREATING A SUPPORTIVE ENVIRONMENT FOR GIRLS TO SHARE THEIR EXPERIENCES. THE HOSPITAL ALSO FOSTERED COLLABORATIONS WITHIN THE COMMUNITY BY BUILDING A NETWORK OF RESOURCES AND RAISING AWARENESS ABOUT VETTED PROVIDERS FOR PATIENTS AND FAMILIES. ADDITIONALLY, NICKLAUS CHILDREN'S HOSPITAL ESTABLISHED A NETWORK AMONG LOCAL SCHOOLS THAT LACKED THE FULL RESOURCES OF THE PUBLIC SCHOOL DISTRICT. THIS NETWORK ENABLED SCHOOLS TO SUPPORT ONE ANOTHER IN CRISIS SITUATIONS BY HAVING ADDITIONAL PROFESSIONAL STAFF AVAILABLE TO RESPOND. MENTAL HEALTH, AS A BROAD FOCUS AREA, SERVED AS A SHARED COLLABORATIVE EFFORT AMONG HEALTH SYSTEMS. PARTICIPATION IN THE NAMI WALK WAS ONE OF THE WAYS IN WHICH THESE SYSTEMS COORDINATED THEIR WORK, DEMONSTRATING THEIR COMMITMENT TO ADDRESSING MENTAL HEALTH CHALLENGES COLLECTIVELY.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE ORGANIZATION UTILIZED IRS WORKSHEET 2 FOR THE CALCULATION OF THE COST TO CHARGE RATIO IN PART I, LINE 7.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	FOR FINANCIAL STATEMENT PURPOSES, the organization HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. AS A RESULT, BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	Since the organization HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606), BAD DEBTS are included as an implicit price concession in Net Patient Revenue. Consequently, there are no bad debt expenses attributable to patients eligible for free or discounted services under the financial assistance policy.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	Per NOTE 2 of the Audited Financial Statements: The System determines the transaction price based on standard charges for goods and services provided to patients, reduced by contractual adjustments provided to third-party payors, discounts provided to uninsured patients in accordance with the System's policy and/or implicit price concessions. The implicit price concessions included in estimating the transaction price represent the difference between amounts billed to patients and the amounts expected to collect based on the System's collection history with similar class of patients. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay are recorded as bad debt expense. Bad debt expense for the years ended December 31, 2023 and 2022, was not significant.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	NICKLAUS CHILDREN'S HOSPITAL ("NCH") ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS, AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. NCH BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY REIMBURSE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES. IN 2023 NCH INCURRED LOSSES OF $71,727 DUE TO UNDERPAYMENT FOR THE TREATMENT OF MEDICARE PATIENTS. UNREIMBURSED MEDICARE COSTS REPRESENT A SIGNIFICANT VALUE THAT NONPROFIT HOSPITALS PROVIDE TO THE COMMUNITY, AS THE HOSPITAL RELIEVES THE FEDERAL GOVERNMENT OF A FINANCIAL BURDEN WHEN IT PROVIDES ESSENTIAL HEALTHCARE SERVICES TO MEDICARE-COVERED PATIENTS. THE MEDICARE COST REPORT AND THE ORGANIZATION'S COST ACCOUNTING SYSTEM ARE USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	Hospital patient accounts may be subject to the following collection actions to be conducted by the Hospital or an authorized party thereof: 1. Following the initial bill, monthly statements and collection letters are mailed, and phone calls are completed in an effort to collect all outstanding balances due. 2. The patient responsible portion of an outstanding balance may be transferred to a bad debt collection agency. 3. Payment plan arrangements may be made for patients who indicate they may have difficulty paying their balance in a single installment. If an individual submits a complete FAP application and NCH determines the individual is eligible for financial assistance for the care, NCH will refund any excess amount paid by the individual for the care. This includes payments made to the hospital facility or any other party to whom the hospital facility has referred or sold the individual's debt for the care. NCH will also take all necessary measures to reverse any actions taken to obtain payment for the care, such as reversing any external collection agency (ECA) activities.
Schedule H, Part V, Section B, Line 16a FAP website	- NICKLAUS Children's Hospital: Line 16a URL: SEE PT VI;
Schedule H, Part V, Section B, Line 16b FAP Application website	- NICKLAUS Children's Hospital: Line 16b URL: SEE PT VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- NICKLAUS Children's Hospital: Line 16c URL: SEE PT VI;
Schedule H, Part VI, Line 2 Needs assessment	Under the direction of the Board of Directors, management strives to provide hope through advanced care for our children and families. The vision is to be where the children are. The hospital uses a quarterly operating calendar to develop programs and communicate goals, accomplishments, and gaps in plans. Nicklaus Children's Hospital participates in many community organizations that collectively strive to improve the health status of children. NCH has representation on The Children's Trust, the Miami-Dade County Public Schools Wellness Committee, the Greater Miami Chamber of Commerce's Health and Bio-Science Committee, and the Health Council of South Florida. Through our involvement with the Health Council, we consistently analyze data to identify unmet needs and serve in an advisory capacity assisting the Council to address health disparities. Additionally, our Preventive Medicine Program deploys a medical and dental van into underserved areas of the community. NCH has a robust mechanism to analyze health data.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Nicklaus Children's Hospital has a financial assistance program to assist patients that are uninsured or underinsured and provide them the opportunity to apply for various programs. With the patient/family general consent form, financial agreement for professional services form, and a coordination of benefits form, patients / families are provided referrals to an eligibility assistance counselor who will explain various programs offered. The patients are provided pamphlets of the financial assistance policy summary and signage is posted at each location indicating that financial counseling is available and that patients may be eligible for financial assistance.
Schedule H, Part VI, Line 4 Community information	Nicklaus Children's Hospital - the flagship of Nicklaus Children's Health System - primarily serves the pediatric population of Miami-Dade County. IN 2023, 54% OF THE HEALTH SYSTEM'S GROSS PATIENT SERVICE REVENUE CAME FROM SERVICES TO MEDICAID BENEFICIARIES. MIAMI-DADE COUNTY IS COMPRISED OF A DIVERSE MIXTURE OF RESIDENTS AND VISITORS, MAKING IT ONE OF THE MOST INTERNATIONAL COMMUNITIES IN THE NATION. ACCORDING TO THE MIAMI-DADE CENSUS REPORTER, 54% OF THE POPULATION WAS FOREIGN-BORN, 20.2% WERE UNDER THE AGE OF 18, 72.2% OF THE POPULATION (2,701,767) IDENTIFIED AS INDIVIDUALS OF LATIN OR HISPANIC DESCENT, AND 76% SPOKE A LANGUAGE OTHER THAN ENGLISH AT HOME. THE COUNTY'S MEDIAN INCOME IS $72,311, 35.9% OF THE POPULATION HAS A BACHELOR'S DEGREE OR HIGHER EDUCATION, 75.1% SPEAK A LANGUAGE OTHER THAN ENGLISH, AND 10.5% ARE DISABLED POPULATION. IN ADDITION TO SERVING THE LOCAL COMMUNITY, THE HOSPITAL ALSO PROVIDES CARE TO CHILDREN FROM ALL OVER THE UNITED STATES AND THROUGHOUT FLORIDA, WITH PATIENTS FROM EVERY COUNTY IN THE STATE HAVING BEEN SERVED. IN 2023, THE HOSPITAL SERVED INTERNATIONAL PATIENTS FROM 55 DIFFERENT COUNTRIES. THE HEALTH SYSTEM, THROUGH ITS NETWORK OF 28 OUTPATIENT AND SURGERY CARE CENTERS, ALSO PROVIDES SERVICES WITHIN BROWARD, PALM BEACH, LEE, AND MARTIN COUNTIES. THE AMBULATORY CENTERS OFFER SUBSPECIALTY PHYSICIAN CONSULTATIONS, URGENT CARE, IMAGING, AND OUTPATIENT REHABILITATION SERVICES.
Schedule H, Part VI, Line 5 Promotion of community health	Nicklaus Children's Hospital Board of Directors is comprised of community members committed to ensuring the hospital fulfills its mission to inspire hope and promote lifelong health by providing the best care to every child. The majority of these individuals reside within Nicklaus Children's primary service area and are neither employees nor independent contractors of the organization, nor family members thereof. NCH extends medical staff privileges to all qualified physicians in the community and utilizes surplus funds to advance community health. To fulfill its commitment, NCH offers subsidized services like free EKG screenings, community-based dental outreach programs, and community health improvement services. These initiatives address specific healthcare needs and provide support to individuals in the community. For instance, health education is provided in community-based settings, and camps are organized for children with medical conditions such as diabetes or those requiring ventilator assistance. Furthermore, NCH is dedicated to improving health access through health professions education, offering training opportunities to resident and fellow physicians, nurses, and other allied health professionals. These initiatives are guided by regular completion of a community health needs assessment, ensuring NCH remains responsive in promoting community health. In 2023, NCH provided 7,459 free EKGs and conducted health professions education programs involving 1,107 nursing students, 44 respiratory students, 49 radiology students, and 153 students from other allied health professions.
Schedule H, Part VI, Line 6 Affiliated health care system	NICKLAUS CHILDREN'S HEALTH SYSTEM PRIMARILY SERVES THE PEDIATRIC POPULATION OF MIAMI-DADE COUNTY AND IS A LEADING PROVIDER OF HEALTHCARE SERVICES FOR MEDICALLY NEEDY CHILDREN. IN ADDITION, NICKLAUS CHILDREN'S HOSPITAL IS THE LARGEST PROVIDER OF PEDIATRIC MEDICAL EDUCATION IN THE SOUTHEASTERN UNITED STATES. THE NICKLAUS CHILDREN'S HOSPITAL PROVIDES PRIMARY CARE AND A MEDICAL HOME TO THE MEDICAID POPULATION THROUGH ITS PEDIATRIC CARE CENTER LOCATED ON THE HOSPITAL'S MAIN CAMPUS. THE HOSPITAL provides care for half a million children annually - offering nearly every pediatric specialty and the latest innovative therapies. In 2023, A PILOT STUDY AT NICKLAUS CHILDREN'S HOSPITAL assessed the impact of rapid whole genome sequencing for critically ill children, leading to Florida Medicaid funding. THIS INNOVATIVE TESTING SUPPORTS FASTER DIAGNOSES AND TARGETED CARE FOR UNDIAGNOSED CHILDREN ACROSS SOUTH FLORIDA. THE HOSPITAL ALSO OPENED AN UNDIAGNOSED DISEASE CLINIC, PROVIDING ANSWERS FOR FAMILIES ON A DIAGNOSTIC JOURNEY, AND BECAME THE FIRST IN FLORIDA TO OFFER NEW TREATMENTS FOR DUCHENNE MUSCULAR DYSTROPHY AND ANTERIOR CRUCIATE (ACL) LIGAMENT TEARS. As the South Florida affiliate of Project ADAM, Nicklaus Children's Hospital trained hundreds of schools in responding to sudden cardiac arrest events, positioning the hospital to complete training for all eligible schools in Miami-Dade County Public Schools by the first half of 2024. This initiative resulted in three lives saved in 2023 by Project ADAM-trained school staff in South Florida.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PERRY ANN REED
SVP / COO NCHS & President NCH	$602,157	$0	$143,211	$0	$28,251	$0	$104,420	$0	$17,653	$0	$895,692	$0	$0	$0
MATTHEW LOVE
President & CEO	$0	$1,020,388	$0	$435,540	$0	$27,422	$0	$220,300	$0	$27,068	$0	$1,730,720	$0	$0
MARCOS A MESTRE MD
DIRECTOR / Acting Chief Med Ops Officer	$486,731	$0	$125,800	$0	$2,919	$0	$48,380	$0	$25,011	$0	$688,842	$0	$0	$0
JEFRY BIEHLER
Exec Med Director Clinical Ops (FORMER OFFICER)	$368,349	$0	$53,500	$0	$422	$0	$9,654	$0	$16,918	$0	$448,843	$0	$0	$0
JOSE PERDOMO
SVP Admin / Special Projects (FORMER OFFICER)	$0	$365,512	$0	$73,993	$0	$165,764	$0	$55,268	$0	$19,402	$0	$679,938	$0	$156,272
DAWN E JAVERSACK
SVP / CFO Health System	$0	$714,183	$0	$137,324	$0	$9,582	$0	$100,782	$0	$14,407	$0	$976,279	$0	$0
JODI LAURENCE ESQ
SVP & General Counsel	$0	$445,565	$0	$101,732	$0	$4,494	$0	$77,055	$0	$15,494	$0	$644,340	$0	$0
ARIANNA URQUIA
Interim Chief Operating Officer	$346,779	$0	$61,533	$0	$721	$0	$35,693	$0	$665	$0	$445,390	$0	$0	$0
RODNEY L BAKER
Executive Med Director	$357,618	$0	$37,855	$0	$285	$0	$9,569	$0	$18,196	$0	$423,523	$0	$0	$0
IRIS BERGES
VP, OPERATIONS	$303,754	$0	$70,453	$0	$625	$0	$32,353	$0	$580	$0	$407,765	$0	$0	$0
RANI S GEREIGE
Exec Dir Med Ed & DEI Lead	$290,865	$0	$34,640	$0	$15,672	$0	$8,515	$0	$7,428	$0	$357,120	$0	$0	$0
ROBERT L HANNAN
Sr Med Dir Advanced Proj Lab	$299,998	$0	$55,433	$0	$26	$0	$8,824	$0	$16,129	$0	$380,410	$0	$0	$0
SHANNON M ODELL
VP & NCH Chief Nursing Officer	$355,818	$0	$63,375	$0	$1,500	$0	$37,950	$0	$680	$0	$459,323	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

The following contributions were made to a Section 457(f) plan during the year - MATTHEW LOVE $210,400.32 DAWN E JAVERSACK $90,882.48 MARCOS A MESTRE $ 38,480.00 JODI LAURENCE $ 67,154.88 PERRY ANN REED $ 94,807.44 ARIANNA URQUIA $ 26,903.55 SHANNON M ODELL $ 27,722.24 IRIS BERGES $ 23,312.64 JOSE PERDOMO $45,995.04 THE FOLLOWING DISTRIBUTIONS WERE MADE FROM A SECTION 457(F) PLAN DURING THE YEAR- JOSE PERDOMO $156,272.42

Schedule J, Part I, Line 3 METHODS USED BY RELATED ORGANIZATION TO ESTABLISH CEO'S COMPENSATION

The organization relied on the methods of establishing compensation for the organization's CEO employed by Nicklaus Children's Health System (EIN: 45-3481327). Nicklaus Children's Health System uses the following methods to establish such compensation: Compensation Committee - Independent Compensation Consultant - Compensation survey or study - Approval by the Board or Compensation Committee.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Miami-Dade County Health Facilities Authority
A	521293036	59334NDY5	2017-04-27	$162,534,870	SEE PART VI	false	false	false
Miami-Dade County Health Facilities Authority
B	521293036	59334NFC1	2021-11-10	$184,436,567	SEE PART VI	false	false	false
Miami-Dade County Health Facilities Authority
C	521293036	59334NBW1	2017-05-01	$62,225,000	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$1,940,000	$0	$162,560,891	$0	$0	$0	$1,931,562	$0	$0	$100,026,021	$60,603,308	$0	2017	false	Yes (true)	Yes (true)	Yes (true)
B	$5,515,000	$0	$184,452,560	$0	$0	$0	$1,560,795	$0	$0	$70,733,674	$9,531,955	$102,626,136		Yes (true)	false	false
C	$3,740,000		$62,225,000								$62,225,000		2017	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Remedial Action TakenRemedialActionTakenInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.005	0.0	0.005	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.003	0.0	0.003	false	false	Yes (true)	false
C	false	Yes (true)	Yes (true)	Yes (true)	false	0.024	0.001	0.025	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	Yes (true)	false	false	false	false	Yes (true)	Yes (true)
B	false	Yes (true)	false	false	false	false	false	false	Yes (true)
C	false	false	Yes (true)	false	Yes (true)	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part II, Line 3 Columns A and B	The difference between the Issue Prices listed in Part I, Column (E), Lines A and B, and the total proceeds of the issue listed in Part II, Line 3, Columns A and B is due to investment earnings.
Schedule K, Part IV, Line 6 Column A	Proceeds that were deposited in the advance refunding escrow were invested beyond their temporary period.
Schedule K, Part I, Column (f) Line A	Partially Refund bonds issued on 12/22/2010 and 08/01/2011; acquire, construct, and equip hospital facilities.
Schedule K, Part I, Column (f) Line B	Refund bonds issued on 12/22/2010; acquire, construct, and equip hospital facilities.
Schedule K, Part I, Column (f) Line C	REFUND BONDS ISSUED ON 12/15/2010

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Children's Critical Care Specialists PA
Balagandahar Totapally, director, is a greater than 35% owner	$500,544	Payment for medical services rendered by Children's Critical Care Specialists, PA	false
NANCY LYNN PERDOMO
SPOUSE JOSE PERDOMO - DIRECTOR	$69,041	COMPENSATION & BENEFITS	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a CONTINUED PROGRAM DESCRIPTION	(CONTINUED FROM PART III) In 2023: 3,389 PATIENTS WERE TRANSFERRED FROM HOSPITALS THROUGHOUT FLORIDA, CENTRAL AND SOUTH AMERICA, AND THE CARIBBEAN. WHEN CHILDREN NEED THE SERVICES OF A SPECIALIST, IT IS IMPORTANT THAT SUCH SERVICES BE PROVIDED BY A PRACTITIONER WITH SPECIFIC TRAINING AND EXPERTISE IN PEDIATRIC CARE. THE CARE OF CHILDREN WITH CERTAIN COMPLEX CHRONIC CONDITIONS, SUCH AS JUVENILE DIABETES, CANCER, OR CYSTIC FIBROSIS, IS BEST MANAGED BY A PEDIATRIC SPECIALIST IN ORDER TO ELIMINATE REFERRAL DELAYS AND EXPEDITE POSITIVE TREATMENT. CHILDREN ARE MORE VULNERABLE TO COMPLICATIONS DUE TO DELAYS THAN ADULTS. THEY DEVELOP SERIOUS COMPLICATIONS MORE RAPIDLY THAN ADULTS BECAUSE THEY HAVE LESS PHYSIOLOGICAL RESERVES AND LESS DEVELOPED ORGAN SYSTEMS. Opened the Undiagnosed Disease Clinic in the Precision Medicine Center, offering new hope to families in search of answers. The clinical team has access to the latest genetic testing options, including many that are not commonly available, such as rapid whole genome sequencing (rWGS). The Undiagnosed Disease Clinic helped 237 children in 2023. Introduced Smileyscope, a virtual reality therapeutic device to soothe kids during blood draws and injections. Launched a virtual reality program (The Drive Program) aimed at helping prepare eligible students to take their driving exams. Took part in a Phase I clinical trial studying the role of a new technology called low-frequency focused ultrasound in the care of children with a lethal type of brain tumor Nicklaus Children's Orthopedic, Sports Medicine and Spine Institute became the first in South Florida to offer a breakthrough treatment for anterior cruciate ligament (ACL) tears. Became one of the first in the nation, and only the second hospital in Florida, to offer a newly approved gene therapy for Duchenne muscular dystrophy (DMD). Founded its Adaptive Care Program To help create a better hospital experience for children with neurodevelopmental delays. Opened 20 new beds within the hospital's Psychiatry Unit, doubling the number available to support inpatient psychiatry care. Expanded the fundraising footprint in South Florida as a result of a growing collaboration with Children's Miracle Network (CMN) Hospitals. Nicklaus Children's is the official CMN member hospital for Palm Beach and the Treasure Coast, which includes Palm Beach, Martin, St. Lucie, Okeechobee, and Indian River counties. Nicklaus Children's was one of only eight children's hospitals nationwide to be named a Top Children's Hospital by the Leapfrog Group. This national watchdog organization is a recognized standard-setter for healthcare safety and quality. As part of a focus on supporting the overall health of patient families and our surrounding community, Nicklaus Children's launched Food for Salud, a program dedicated to using the power of food and nutrition to promote the well-being of children and families. THE HOSPITAL HAD APPROXIMATELY 390 PROVIDERS TO SUPPORT THE ONGOING FUNCTIONS OF NICKLAUS CHILDREN'S HEALTH SYSTEM AND NICKLAUS CHILDREN'S HOSPITAL. Nicklaus Children's Pediatric Specialists, the health system's clinical group practice, opened new care centers. Each of the locations offers a new level of pediatric care convenience for the neighboring communities. Nicklaus Children's Pediatric Specialists opened offices in cooper City Cutler Bay Galloway Pompano Beach, and Pembroke Pines. 2023 STATISTICAL DATA INCLUDES - TOTAL INPATIENT DAYS: 67,049 TOTAL INPATIENT ADMISSIONS: 10,486 INPATIENT AVERAGE DAILY CENSUS: 183.7 TOTAL OUTPATIENT VISITS (MAIN CAMPUS): 185,170 TOTAL OUTPATIENT VISITS (AMBULATORY CENTERS): 366,423 TOTAL AMBULATORY URGENT CARE VISITS: 232,541 TOTAL SURGICAL CASES: 9,926 AVERAGE LENGTH OF STAY: 6.4 DAYS Newsweek selected Nicklaus Children's among the Most Loved Workplaces that is a measure of the respect, care, and appreciation Nicklaus demonstrates for those who served the region's children. Nicklaus Children's Hospital completed the ISO 9001 Quality Management System certification by DNV GL. Nicklaus Children's is the second freestanding children's hospital in the nation to obtain this certification. Since the hospital's initial DNV GL accreditation in 2016, Nicklaus Children's and its network of outpatient centers have participated in annual accreditation site visit evaluations to ensure steady progression toward ISO 9001 certification. ISO 9001 sets forth criteria for quality management that include a strong customer focus, engagement of top management, a process approach, and continual improvement. The ultimate impact of ISO within hospitals is the reduction or elimination of variation, so that critical work processes are done consistently, and the "best ideas" are not by one person or department, but are ingrained in the organization itself. Nicklaus Children's Hospital's Quality Program is data driven and dedicated to the development and implementation of consistency in the service we provide. Our quality measures are based on national standards and are formed around the patient-centered framework put forth by the Institute for Healthcare Improvement (IHI) which aligns to the principles of safety, equity, effectiveness, timeliness, and efficiency. Using industry benchmarks, internal standards, and the resources of national survey and compliance services, we seek to constantly improve our pediatric care. The quality department serves as a vital part of improvement and resource management throughout the institution. Our team of dedicated physicians, nurses, quality and accreditation specialists, and data analysts are working to achieve customer care excellence, standardization of practice, transparency in performance, a Just Culture for improvement, and assurance to ourselves and the patients and families we serve that we are delivering the best possible pediatric care. Nicklaus monitors internal performance in real time and formally on a monthly basis using an extensive, metric driven, nationally benchmarked scorecard. Improvement opportunities and action planning are addressed using a structured, collaborative, multidisciplinary approach in which quality becomes the interest and responsibility of every employee. Quality performance and action planning are monitored at a monthly cadence through the multidisciplinary Performance Improvement Council with regular oversight by the Quality Committee of the System Board. FAST PASS VISITOR SYSTEM REQUIRES ALL VISITORS AT THE MAIN HOSPITAL TO PRESENT PHOTO IDENTIFICATION UPON ARRIVAL AND A RECORD IS KEPT OF ALL THOSE ENTERING THE HOSPITAL. THIS SYSTEM CAN IDENTIFY INDIVIDUALS WITH RECORDS OF CHILD ABUSE AND MOLESTATION, HELPING ENHANCE THE SAFETY OF CHILDREN AT THE HOSPITAL. GETWELL NETWORK IS IN ALL MEDICAL SURGICAL ROOMS. THE SYSTEM, ACCESSIBLE THROUGH THE IN-ROOM TELEVISION SCREEN, OFFERS PATIENT EDUCATION INFORMATION THAT CAN SUPPORT ENHANCED PATIENT CARE AS WELL AS A PATIENT FEEDBACK SYSTEM, THROUGH WHICH FAMILIES CAN ADDRESS SAFETY CONCERNS. EMR, A STATE-OF-THE-ART SYSTEM, WHICH CAPTURES ALL PATIENT DATA, INCLUDING COMPREHENSIVE CARE RECORDS (RADIOLOGY, PHARMACY, REHABILITATION, OUTPATIENT AND INPATIENT) AS WELL AS REGISTRATION AND BILLING INFORMATION, ALL IN A COMPREHENSIVE SYSTEM. HUMPTY DUMPTY, A TOOL TO PREVENT PEDIATRIC FALLS AND THEREBY ENHANCE SAFETY. AS OF 12/31/2023, THE TOOL WAS IN USE IN 1,635 HOSPITALS (1,371 IN THE US AND 264 OUTSIDE THE US), INCLUDING FACILITIES IN VIRTUALLY EVERY U.S. STATE AS WELL AS IN EUROPE, THE MIDDLE EAST, HONG KONG, INDONESIA, JAPAN, THE PHILIPPINES, BERMUDA, CANADA, CARIBBEAN, US VIRGIN ISLANDS, CAYMAN ISLANDS, BRAZIL, AUSTRALIA, AND NEW ZEALAND. THE PROGRAM IS ALSO IN USE BY EVERY BRANCH OF OUR U.S. MILITARY HOSPITALS THROUGHOUT THE WORLD.
Form 990, Part III, Line 4a CONTINUED PROGRAM DESCRIPTION	COMMUNITY TRAINING OUTREACH PROGRAMS: The hospital supports a number of programs that enhance the skills and work readiness of young professionals as well as promote health awareness. This includes: Pediatric Residency Training Program- Nicklaus Children's is an established teaching hospital and is one of the largest freestanding pediatric teaching hospitals in the southeastern United States. The Pediatric Residency Training Program is structured in accordance with the American Board of Pediatrics' requirement of three core years in general pediatrics, and is fully accredited by the Accreditation Council for Graduate Medical Education (ACGME). All facets of pediatric care are encompassed in the training program from the complex intensive care to the office practice of general pediatrics. Each year, medical students and scholars from all parts of the United States, and around the world apply for acceptance to the hospital's Pediatric Residency Training Program, which has been in operation for over 40 years. The program has a formal affiliation with Florida International University's College of Medicine. Other participating institutions include Jackson Memorial Hospital, Cleveland Clinic Florida Center, University of Florida Jacksonville, Mount Sinai Medical Center of Florida, and Nova Southeastern University. Fellowship Training Programs- Nicklaus Children's Hospital offers quality, nationally recognized fellowships in a wide range of pediatric subspecialties. Fellowships are accredited by the Accreditation Council for Graduate Medical Education (ACGME). Available programs include Adolescent Medicine, Allergy and Immunology, Child & Adolescent Psychiatry, Clinical Biochemical Genetics, Clinical Neurophysiology, Craniofacial Surgery (Plastic Surgery), Pediatric Critical Care Medicine, Pediatric Emergency Medicine, Pediatric Gastroenterology, Hepatology and Nutrition, Pediatric Hematology Oncology Fellowship, Pediatric Hospitalist, Pediatric Radiology, Pediatric Urology, Pediatric Cardiology, and Pediatric Surgery. The Horizon Nurse Residency Program- The Horizon Nurse Residency (Horizon) Program is an American Nurses Credentialing Center accredited, evidence-based nurse residency program. It is designed to guide new graduate nurses by bridging the divide between nursing education and nursing practice. The program offers training within hospital units including the ICU setting, hematology-oncology, Emergency Department, and the ICU Float Pool, with the duration varying by unit of hire. The Horizon Nurse Residency Program was honored with ANCC PTAP National Accreditation with distinction in 2017. Practice Transition Accreditation Program (PTAP) sets the global standard for residency programs that transition nurses into new practice settings. Achieving this accreditation elevates the standards of the Horizon Nurse Residency Program at Nicklaus Children's Health System with ANCC evidence-based criteria, demonstrating excellence in the transitioning nurses from novice to proficient. The Horizon Nurse Residency Program was further developed in 2014 and has transitioned over 240 nurses with a 92% overall retention, since the inception of the program. The Student Nurse Intern Program (SNIP)- The Student Nurse Intern Program (SNIP) provides nursing students the opportunity to be hired as care assistants to gain insight into the field of nursing. Based on availability, this program supports a smooth transition from nursing student to registered nurse by providing paid hours of mentorship in Emergency, Surgical, Medical-Surgical or Critical Care areas. Students work alongside other care assistants while under orientation with the goal of completing a list of required competencies. Upon completion of orientation, the intern works alongside an RN and/or under the direct supervision of an RN performing delegatory-type tasks as well as patient-care skilled tasks in different pediatric areas of the hospital.
Form 990, Part V, Line 1a Number in Box 3 of Form 1096	THE TOTAL NUMBER FROM BOX 3 OF FORM 1096 IS REPORTED BY NICKLAUS CHILDREN'S HEALTH SYSTEM, INC., A RELATED ORGANIZATION THAT PROCESSES FORMS 1099 FOR ITS AFFILIATES. SUCH REPORTING ALIGNS THE FORM 1096, BOX 3 REPORTING TO THE ISSUING ORGANIZATION.
Form 990, Part VI, Line 15a Process for determininig compensation for the organization's CEO	The CEO is paid by Nicklaus CHILDREN'S HEALTH SYSTEM, INC., a related organization, therefore this has been answered no in accordance with the instructions. THE ORGANIZATION AND COMPENSATION COMMITTEE OF Nicklaus CHILDREN'S HEALTH SYSTEM, INC.'S BOARD OF DIRECTORS CONTRACTS WITH AN EXTERNAL CONSULTANT TO OBTAIN MARKET SURVEYS FOR THE CEO AND OTHER EXECUTIVES. THE CONSULTANT ASSISTS THE ORGANIZATION AND COMPENSATION COMMITTEE IN ESTABLISHING A COMPENSATION PROGRAM FOR THE CEO AND OTHER EXECUTIVES. SURVEY RESULTS AND COMPENSATION BEST PRACTICES ARE SHARED WITH THE ORGANIZATION AND COMPENSATION COMMITTEE OF THE BOARD. PERSONS WITH A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED IN ESTABLISHING EXECUTIVE SALARY AND BENEFITS PROGRAMS. DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION AGREEMENT ARE CONTEMPORANEOUS DOCUMENTED. THIS PROCESS IS COMPLETED IN THE FIRST QUARTER EACH YEAR.
Form 990, Part VI, Line 15b Process for determining compensation for other officers or key employees	NCH RELIED ON THE METHODS OF ESTABLISHING COMPENSATION USED BY Nicklaus CHILDREN'S HEALTH SYSTEM, INC. THE ORGANIZATION AND COMPENSATION COMMITTEE OF Nicklaus CHILDREN'S HEALTH SYSTEM, INC.'S BOARD OF DIRECTORS CONTRACTS WITH AN EXTERNAL CONSULTANT TO OBTAIN MARKET SURVEYS FOR THE CEO AND OTHER EXECUTIVES. THE CONSULTANT ASSISTS THE ORGANIZATION AND COMPENSATION COMMITTEE IN ESTABLISHING A COMPENSATION PROGRAM FOR THE CEO AND OTHER EXECUTIVES. SURVEY RESULTS AND COMPENSATION BEST PRACTICES ARE SHARED WITH THE ORGANIZATION AND COMPENSATION COMMITTEE OF THE BOARD. PERSONS WITH A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED IN ESTABLISHING EXECUTIVE SALARY AND BENEFITS PROGRAMS. DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION AGREEMENT ARE CONTEMPORANEOUS DOCUMENTED. THIS PROCESS IS COMPLETED IN THE FIRST QUARTER EACH YEAR.
Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS	Dawn Javersack, Jodi Laurence, Matthew A. Love, and Joseph Nader have a business relationship due to serving on the board of directors or serving as an officer of Children's Health Ventures.
Form 990, Part VI, Line 1a EXECUTVE COMMITTEE	There shall be an Executive Committee of the Board of Directors composed of at least three (3) Directors elected by the Board of Directors, one of whom must be the Chair of the Board. No non-Director members shall serve on the Executive Committee. A majority of the members of the Executive Committee present and voting shall constitute a quorum for the transaction of business. The Executive Committee shall have and exercise the authority of the Board of Directors in the management of the Hospital, except that it shall not take any action with respect to (a) the election of Officers; (b) the filling of vacancies in the Board of Directors; or (c) the adoption, amendment, or repeal of these Bylaws. The Executive Committee shall report to the Board of Directors any action taken by the Executive Committee at the next meeting of the Board of Directors. Members of the Executive Committee may be removed at any regular or special meeting of the Board of Directors.
Form 990, Part VI, Line 6 Classes of members or stockholders	The organization's sole member is Nicklaus Children's Health System, Inc. The sole member has the authority to elect members to the board of directors and approve decisions of the board.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	The elected members of the Board shall be elected by Nicklaus Children's Health System (the sole member), after taking into consideration any recommendations of the Board. The number of Directors of the Hospital shall be established by resolution of the Board of Directors of the sole member; provided that there shall be no fewer than 7 and no more than 20 Directors. Any Director may be removed from office by action of the sole Member or the elected members of the Board so permitted to vote, for any cause or reason deemed sufficient by the Member or the elected members of the Board so permitted to vote.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	The Board shall not take any action with respect to the following without the approval of Nicklaus Children's Health System (the sole Member): a) Modify the mission, purpose, or scope of the hospital, or materially change the location, size, or scope of services, programs, operations, or educational or medical school affiliations of the hospital or related agreements; b) Create any entity in which the hospital is the sole member or sole shareholder, or any entity in which the hospital has a direct or indirect oversight role, which may include not-for-profit, for profit, limited liability companies, or any other legal entity; c) Sell, lease, purchase, create, dissolve, convey, mortgage, grant a security interest, or otherwise dispose of any affiliated, controlled, or joint venture entity, any real or personal property or other assets (or any interest in any of the foregoing), or incur debt for money borrowed or guarantee the debt of another, not in the ordinary course of business; d) Approve annual operating or capital budgets, strategic and long-range plans, major fund-raising programs, physician compensation or other agreements, managed care contracts or other financial commitments or material deviations from such budgets, plans, agreements, or commitments; and e) Approve financial, accounting, human resource, employee benefit, compliance policies or procedures, medical staff bylaws (including amendments) or other policies and procedures, or the appointment or engagement of auditors, legal counsel, and consultants, which are in any way contrary to the policies and procedures adopted from time to time by the Member.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FOLLOWING DESCRIBES NICKLAUS CHILDREN'S HOSPITAL'S PROCESS FOR PROVIDING ITS BOARD OF DIRECTORS WITH A COPY OF THE FORM 990 AND REVIEWING IT: 1. THE DRAFT TAX FORM 990 WILL BE EMAILED TO THE AUDIT AND COMPLIANCE COMMITTEE CHAIR FOR REVIEW AND COMMENTS PRIOR TO FILING. 2. THE PAID TAX PREPARER WILL PRESENT A SUMMARY OF THE INFORMATION TO THE FINANCE COMMITTEE OF THE BOARD. 3. QUESTIONS WILL BE ANSWERED AND IF NECESSARY, TAX FORMS WILL BE ADJUSTED. THE CHAIR WILL APPROVE THE FORM 990. 4. THE FINAL FORM 990 WILL BE POSTED ON THE BOARD WEB PORTAL PRIOR TO FILING.
Form 990, Part VI, Line 12c Conflict of interest policy	ALL NICKLAUS CHILDREN'S HOSPITAL EMPLOYEES ARE INFORMED UPON HIRE, AND ON AN ANNUAL BASIS THEREAFTER, THAT THEY HAVE AN AFFIRMATIVE DUTY TO DISCLOSE ANY ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST. THEY ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM UPON HIRE, ANNUALLY, AND WHENEVER A CHANGE IN CIRCUMSTANCES WARRANTS. CONFLICT OF INTEREST DISCLOSURE FORMS ARE FORWARDED TO THE COMPLIANCE DEPARTMENT BY THE TALENT MANAGEMENT AND EFFECTIVENESS DEPARTMENT. THESE FORMS ARE INITIALLY REVIEWED BY COMPLIANCE DEPARTMENT STAFF. WHEN DEEMED NECESSARY, THE COMPLIANCE DEPARTMENT COLLABORATES WITH THE LEGAL DEPARTMENT. CONFLICTS OF INTEREST THAT NECESSITATE BOARD AWARENESS AND ACTION ARE PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD FOR RESOLUTION AND IMPOSITION OF SANCTIONS, IF WARRANTED. ANY POTENTIALLY CONFLICTED BOARD MEMBERS ARE RECUSED FROM BOARD DELIBERATIONS AND VOTING ON ITEMS IN WHICH THEY HAVE A POTENTIAL CONFLICT. IN ADDITION, ON AN ANNUAL BASIS, BOARD MEMBERS, PRINCIPAL OFFICERS AND BOARD-DELEGATED COMMITTEE MEMBERS SIGN A STATEMENT WHICH AFFIRMS THAT EACH INDIVIDUAL: (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY (C) HAS AGREED TO COMPLY WITH THE POLICY, AND (D) UNDERSTANDS THAT THE HOSPITAL IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF IT'S TAX-EXEMPT PURPOSES. A PROCESS IS IN PLACE FOR MANAGING SITUATIONS IN WHICH IT IS DISCOVERED THAT AN INDIVIDUAL WHO IS COVERED BY THE HOSPITAL'S CONFLICT OF INTEREST POLICY FAILED TO PROPERLY DISCLOSE A POTENTIAL CONFLICT OF INTEREST.
Form 990, Part VI, Line 19 Required documents available to the public	Financial statements, governing documents, and conflict of interest policies are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104. These documents are not available to the public at this time.
Form 990, Part IX, Line 11g Other Fees	CASUAL LABOR - Total Expense: 11239420, Program Service Expense: 8991536, Management and General Expenses: 2247884, Fundraising Expenses: ; Medical fees - Total Expense: 35488859, Program Service Expense: 28391087, Management and General Expenses: 7097772, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 8870901, Program Service Expense: 7096721, Management and General Expenses: 1774180, Fundraising Expenses: ; INSPECTIONS - Total Expense: 9136, Program Service Expense: 7309, Management and General Expenses: 1827, Fundraising Expenses: ; DESIGN, PROTOTYPE - Total Expense: 90, Program Service Expense: 72, Management and General Expenses: 18, Fundraising Expenses: ; STORAGE FEES - Total Expense: 601698, Program Service Expense: 481358, Management and General Expenses: 120340, Fundraising Expenses: ; CLEANING SERVICES - Total Expense: 1370430, Program Service Expense: 1096344, Management and General Expenses: 274086, Fundraising Expenses: ; LABORATORY SERVICES - Total Expense: 7014926, Program Service Expense: 5611941, Management and General Expenses: 1402985, Fundraising Expenses: ; CONSULTANTS - Total Expense: 2213167, Program Service Expense: 1770534, Management and General Expenses: 442633, Fundraising Expenses: ; TRANSCRIPTION SERVICES - Total Expense: 570, Program Service Expense: 456, Management and General Expenses: 114, Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 148695, Program Service Expense: 118956, Management and General Expenses: 29739, Fundraising Expenses: ; MANAGEMENT FEE EXPENSE - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 37826955, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Net payments on swap agreements - 17611; Gain from subsidiaries - 11097532; Net change in fair value of swaps - 223525; Change in value of charitable remainder trusts held by others - 171889; Change in beneficial interest in NCHF - 663699; Equity transfer with affiliate - -2147419; Distribution to noncontrolling interest - -2493637; Guarantee of affiliate losses - -49146138;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MIAMI CHILDREN'S HEALTH SYSTEM INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3100 SW 62ND AVENUE	AddressLine1Txt
City	MIAMI	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33155	ZIPCd

Field	Value	IRS element (for citing)
EIN	453481327	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	FL	LegalDomicileStateCd
Exempt Code Section	501(c)(3)	ExemptCodeSectionTxt
Public Charity Status	Type II	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	false	ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
MIAMI CHILDREN'S HOSPITAL AMBULATORY SURGERY CENTER LLC
800 SW 108TH AVENUE	SUITE 200	MIAMI	FL	33174	463406805	SURGERY CENTER	FL	VCH	Related	$1,361,218	$2,584,674	false	Yes (true)	0.5217
MIAMI CHILDREN'S HEALTH PLAN LLC
3100 SW 62ND AVE		MIAMI	FL	33155	823111550	INSURANCE	FL	VCH	Related	$102,584	$1,801,961	false	Yes (true)	0.75

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1Txt	Address Line2ForeignAddress/AddressLine2Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd
MIAMI CHILDREN'S INSURANCE CO SPC LTD
720 WEST BAY ROAD	PO BOX 69GT BUCKINGHAM SQUARE	GEORGETOWN	GRAND CAYMAN	CJ	980442086	INSURANCE	CJ	VCH	C Corporation	$8,336,611	$111,878,951	1	Yes (true)
CHILDREN'S HEALTH VENTURES INC & SUBS
					454541147	MERCHANT WHOLESALE		NA	C Corporation				false	3100 SW 62ND AVENUE	MIAMI	FL	331553009	FL

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MIAMI CHILDREN'S HOSPITAL AMBULATORY SURGERY CENTER LLC
S	$2,018,315	FMV
MIAMI CHILDREN'S HEALTH PLAN LLC
S	$1,955,147	FMV