VARIETY CHILDRENS HOSPITAL: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- VARIETY CHILDRENS HOSPITAL (EIN 59-0638499)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-13
- IRS object ID
- 202343179349310499
- Schema version
- 2022v5.0
- 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 | 2023-11-13T16:36:02+00:00 | ReturnTs |
| Tax Period End | 2022-12-31 | 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 | 2022-01-01 | 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 | 2023-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Dawn | PersonFirstNm |
| Person Last | Javersack | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Brittney Kocaj | PreparerPersonNm |
| PTIN | P01320603 | PTIN |
| Phone | 9542028600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | 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 | $841,304,437 | 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 | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 3828 | TotalEmployeeCnt |
| Total Volunteers | 1145 | TotalVolunteersCnt |
| Total Gross UBI | $94,498 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $22,835,860 | PYContributionsGrantsAmt |
| CY Contributions Grants | $27,279,814 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $712,432,301 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $758,320,366 | CYProgramServiceRevenueAmt |
| PY Investment Income | $26,048,323 | PYInvestmentIncomeAmt |
| CY Investment Income | $18,389,541 | CYInvestmentIncomeAmt |
| PY Other Revenue | $15,653,530 | PYOtherRevenueAmt |
| CY Other Revenue | $12,912,544 | CYOtherRevenueAmt |
| PY Total Revenue | $776,970,014 | PYTotalRevenueAmt |
| CY Total Revenue | $816,902,265 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $249,348,481 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $264,241,772 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $422,171,220 | PYOtherExpensesAmt |
| CY Other Expenses | $455,897,492 | CYOtherExpensesAmt |
| PY Total Expenses | $671,519,701 | PYTotalExpensesAmt |
| CY Total Expenses | $720,139,264 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $105,450,313 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $96,763,001 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,508,530,392 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,488,947,366 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $704,781,815 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $675,589,699 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $803,748,577 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $813,357,667 | 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 | $574,921,261 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $758,320,366 | 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 309 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 | $574,921,261 | 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 | 3828 | 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 (25 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 Chairmain/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 | $1,616,803 | $220,858 | ||
| PERRY ANN REED | |||||||||
| SVP/COO NCHS & President NCH | 40.0 | 0.1 | Yes (X) | Yes (X) | $797,263 | $0 | $109,432 | ||
| BALAGANGADHAR TOTAPALLY MD | |||||||||
| Director | 0.1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| FEDERICO A MORENO | |||||||||
| Director | 0.1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| JARET DAVIS | |||||||||
| Director | 0.1 | 0.1 | Yes (X) | $0 | $0 | $0 | |||
| JENNIFER BOUSSUGE | |||||||||
| Director | 0.1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| JOHN LIE-NIELSEN | |||||||||
| Director | 0.1 | 0 | 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 | |||||||||
| Director/VP & Chief Medical Officer | 40.0 | 0 | Yes (X) | $539,632 | $0 | $62,448 | |||
| MARIA FRANCO MD | |||||||||
| Director | 0.1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| STEVEN MELNICK MD | |||||||||
| Director | 0.1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| ARIANNA URQUIA | |||||||||
| VP/CFO Hospital | 40.0 | 0 | Yes (X) | $396,725 | $0 | $35,405 | |||
| DAWN E JAVERSACK | |||||||||
| SVP/CFO Health System | 20.0 | 20.0 | Yes (X) | $0 | $902,620 | $22,032 | |||
| JODI LAURENCE | |||||||||
| SVP and General Counsel | 20.0 | 20.0 | Yes (X) | $0 | $540,699 | $88,177 | |||
| IRIS BERGES | |||||||||
| VP of Operations | 40.0 | 0 | $336,182 | $0 | $28,314 | Yes (X) | |||
| MARIO REYES | |||||||||
| Hospitalist | 40.0 | 0 | $337,292 | $0 | $9,428 | Yes (X) | |||
| ROBERT L HANNAN | |||||||||
| Sr Med Dir Advanced Proj Lab | 40.0 | 0 | $352,679 | $0 | $25,315 | Yes (X) | |||
| RODNEY L BAKER | |||||||||
| Executive Med Director | 40.0 | 0 | $385,464 | $0 | $15,250 | Yes (X) | |||
| SHANNON M ODELL | |||||||||
| NCH Chief Nursing Officer | 40.0 | 0 | $411,933 | $0 | $42,957 | Yes (X) | |||
| JEFRY BIEHLER | |||||||||
| Executive Med Director Quality (Former Officer) | 0.0 | 40.0 | $0 | $487,587 | $25,732 | Yes (X) | |||
| JOSE PERDOMO | |||||||||
| SVP Admin/Special Projects (Former President/COO) | 0.0 | 40.0 | $0 | $464,383 | $23,209 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,557,170 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,012,092 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $708,557 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 528 | 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 | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| AYA HEALTHCARE INC | ||||||
| PO BOX 123519 | DALLAS | TX | 753123519 | Nurse Services | $7,971,689 | |
| PERKINS AND WILL INC | ||||||
| 1315 PEACHTREE ST NE | ATLANTA | GA | 303097515 | Architectural Services | $5,384,820 | |
| PHI AIR MEDICAL LLC | ||||||
| 2800 NORTH 44 STREET | PHOENIX | AZ | 85008 | FLIGHT HOURS | $3,598,943 | |
| CROSS COUNTRY STAFFING | ||||||
| PO BOX 404674 | ATLANTA | GA | 303844674 | Nurse Services | $1,789,870 | |
| MEDICAL SOLUTIONS LLC | ||||||
| 1010 NORTH 102 ST | OMAHA | NE | 68114 | Nurse Services | $1,388,794 | SUITE 300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 70 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $6,062,907 | RelatedOrganizationsAmt |
| Government Grants | $21,168,607 | GovernmentGrantsAmt |
| All Other Contributions | $48,300 | AllOtherContributionsAmt |
| Total Contributions | $27,279,814 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Revenue | 622310 | $754,240,715 | $754,240,715 |
| Grant Revenue | 541715 | $4,057,561 | $4,057,561 |
| Seminar Workshops | 611699 | $22,090 | $22,090 |
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 | $758,320,366 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,695,978 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $15,184 | UnrelatedBusinessRevenueAmt |
| Exclusion | $16,680,794 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,167 | TotalRevenueColumnAmt |
| Exclusion | $19,167 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,934,658 | RealAmt |
| Personal | $79,314 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,934,658 | RealAmt |
| Personal | $79,314 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,013,972 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $79,314 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,934,658 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $26,095,735 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $24,402,172 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,693,563 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,693,563 | TotalRevenueColumnAmt |
| Exclusion | $1,693,563 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $474,362 | GrossSalesOfInventoryAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $474,362 | TotalRevenueColumnAmt |
| Exclusion | $474,362 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| PHARMACY | 456110 | $3,602,392 | $3,602,392 |
| CAFETERIA/VENDING | 722514 | $2,906,074 | $2,906,074 |
| OTHER REVENUE | 900099 | $896,577 | $896,577 |
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 | $7,405,043 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $816,902,265 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $758,320,366 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $94,498 | UnrelatedBusinessRevenueAmt |
| Exclusion | $31,207,587 | 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 | $1,940,905 | TotalAmt |
| Program Services | $1,552,724 | ProgramServicesAmt |
| Management And General | $388,181 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $574,427 | TotalAmt |
| Program Services | $574,427 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,430,401 | TotalAmt |
| Program Services | $169,931,414 | ProgramServicesAmt |
| Management And General | $42,498,987 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,604,091 | TotalAmt |
| Program Services | $3,683,273 | ProgramServicesAmt |
| Management And General | $920,818 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,391,317 | TotalAmt |
| Program Services | $23,513,054 | ProgramServicesAmt |
| Management And General | $5,878,263 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,300,631 | TotalAmt |
| Program Services | $12,240,505 | ProgramServicesAmt |
| Management And General | $3,060,126 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,487,687 | TotalAmt |
| Management And General | $1,487,687 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $216,284,868 | TotalAmt |
| Program Services | $172,925,916 | ProgramServicesAmt |
| Management And General | $43,358,952 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,785 | TotalAmt |
| Program Services | $31,028 | ProgramServicesAmt |
| Management And General | $7,757 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,942,465 | TotalAmt |
| Program Services | $4,753,972 | ProgramServicesAmt |
| Management And General | $1,188,493 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $799,538 | TotalAmt |
| Program Services | $639,630 | ProgramServicesAmt |
| Management And General | $159,908 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,912,514 | TotalAmt |
| Program Services | $23,930,011 | ProgramServicesAmt |
| Management And General | $5,982,503 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $419,573 | TotalAmt |
| Program Services | $335,658 | ProgramServicesAmt |
| Management And General | $83,915 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,254,730 | TotalAmt |
| Program Services | $5,803,784 | ProgramServicesAmt |
| Management And General | $1,450,946 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,509,665 | TotalAmt |
| Program Services | $23,607,732 | ProgramServicesAmt |
| Management And General | $5,901,933 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,330,632 | TotalAmt |
| Program Services | $9,864,506 | ProgramServicesAmt |
| Management And General | $2,466,126 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $82,622,294 | $66,097,835 | $16,524,459 |
| HOSPITAL ASSESSMENT | $67,021,678 | $53,617,342 | $13,404,336 |
| PERMITS, BUS. LICENSE & OTHER TAX | $343,264 | $274,611 | $68,653 |
| COURSE EXPENSES | $162,806 | $130,245 | $32,561 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,766,993 | TotalAmt |
| Program Services | $1,413,594 | ProgramServicesAmt |
| Management And General | $353,399 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $720,139,264 | TotalAmt |
| Program Services | $574,921,261 | ProgramServicesAmt |
| Management And General | $145,218,003 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,691,494 | BOYAmt |
| EOY | $17,628,783 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,105,456 | BOYAmt |
| EOY | $69,880,854 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,463,428 | BOYAmt |
| EOY | $148,520,942 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,683,508 | BOYAmt |
| EOY | $106,445,224 | 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 | $379,836 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,911,190 | BOYAmt |
| EOY | $12,716,847 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,829,198 | BOYAmt |
| EOY | $2,305,668 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $842,467,068 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $483,283,917 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $344,080,446 | BOYAmt |
| EOY | $359,183,151 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $466,739,260 | BOYAmt |
| EOY | $451,850,385 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,977,425 | BOYAmt |
| EOY | $124,084,962 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,886,008 | BOYAmt |
| EOY | $14,566,022 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $210,783,143 | BOYAmt |
| EOY | $181,764,528 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,508,530,392 | BOYAmt |
| EOY | $1,488,947,366 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,557,936 | BOYAmt |
| EOY | $41,861,754 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $492,085,009 | BOYAmt |
| EOY | $479,080,399 | 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 | $180,138,870 | BOYAmt |
| EOY | $154,647,546 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $704,781,815 | BOYAmt |
| EOY | $675,589,699 | 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 | $665,841,118 | BOYAmt |
| EOY | $656,840,959 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,907,459 | BOYAmt |
| EOY | $156,516,708 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $803,748,577 | BOYAmt |
| EOY | $813,357,667 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,508,530,392 | BOYAmt |
| EOY | $1,488,947,366 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $96,763,001 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$66,195,666 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$20,958,245 | 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 | $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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $52,766,887 | BeginningYearBalanceAmt |
| Contributions | $64,752 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,950,120 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,239,502 | OtherExpendituresAmt |
| End Year Balance | $49,642,017 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.2676 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.7324 | 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 | $460,005,817 | OtherCostOrOtherBasisAmt |
| Depreciation | $215,871,735 | DepreciationAmt |
| Book Value | $244,134,082 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $47,889,717 | OtherCostOrOtherBasisAmt |
| Depreciation | $37,437,095 | DepreciationAmt |
| Book Value | $10,452,622 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $275,783,541 | OtherCostOrOtherBasisAmt |
| Depreciation | $224,124,173 | DepreciationAmt |
| Book Value | $51,659,368 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $55,757,837 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,850,914 | DepreciationAmt |
| Book Value | $49,906,923 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $359,183,151 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Alternative Investments | $122,693,008 | F |
| Restricted investments | $1,391,954 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $124,084,962 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Beneficial Interest in Miami Childrens Hospital Foundation | $139,254,060 |
| Self Insurance Trust | $780,645 |
| Other Long Term Assets | $1,721,625 |
| Assets held for sale | |
| Operating lease right of use assets, net | $39,996,660 |
| Intercompany Receivables | $11,538 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $181,764,528 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Other Liabilities | $18,997,593 |
| Swap Liabilities | $5,537,063 |
| Third Party Settlement Payable | |
| Lease Incentive Obligation | $46,520,535 |
| Intercompany Payable | $83,592,355 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $154,647,546 | 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, 2022 and 2021. 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, 2022 and 2021. |
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 | $5,114,475 |
| Central America and the Caribbean | 0 | 0 | Investments | $3,176,355 |
| 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 | $8,290,830 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $8,290,830 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (true) | 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 | $137,002 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $137,002 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $434,337,239 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $432,392,287 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,944,952 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0027 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,865,310 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,038,728 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,826,582 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0053 | 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 | $443,339,551 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $437,431,015 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,908,536 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0082 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,773,108 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,379,046 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,394,062 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0075 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,506,109 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,605,579 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,900,530 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0304 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,927,627 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,855,686 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,071,941 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0320 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,637,869 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $152,515 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,485,354 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0048 | 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 | $78,844,713 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,992,826 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $53,851,887 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0748 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $522,184,264 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $462,423,841 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $59,760,423 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0830 | 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 | $328,584 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $402,384 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$73,800 | 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 |
| 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 Part VI | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part 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 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 This 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). This 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 three 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 and IT and 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 (virtual or in-person) to families. Monitoring/Evaluation Approach - - Quarterly reporting on outcome indicators through hospital data, community-based organizational reporting 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, school health interprofessional team). 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 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 - - Educate parents and care givers. - 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. (Other health systems, CBO's, etc.) - 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. (HHS, Government officials, stakeholders, etc.) - Establish a grant writing team (including stakeholders) to apply for grants to support services. - Convene stakeholders to network, share, etc. Monitoring/Evaluation Approach - - Data through office of sponsored programs - Psychology team reporting C) Increase skills and capacity throughout the ecosystem to respond to 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 |
| 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 | 20 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 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 | |
Supplemental Information Detail SupplementalInformationDetail (17 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 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 AND 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. As a result of this, 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 | The System estimates the transaction price for patients with deductibles and coinsurance and from those who are uninsured based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charge by any contractual adjustments, discounts and implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. For the years ended December 31, 2022 and 2021, there was no additional revenue recognized due to changes in its estimates of implicit price concessions, discounts and contractual adjustments for performance obligations satisfied in prior years. 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. |
| 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 COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES. NCH EXPERIENCED LOSSES ($73,800) FOR 2022 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 FAP-eligible for the care, NCH will refund to the individual any amount he or she has paid for the care (whether to the hospital facility or any other party to whom the hospital facility has referred or sold the individual's debt for the care) that exceeds the amount he or she is determined to be personally responsible for paying as a FAP-eligible individual, and take all reasonably available measures to reverse any ECA taken against the individual to obtain payment for the care. |
| Schedule H, Part V, Section B, Line 16a FAP website | - NICKLAUS Children's Hospital: Line 16a URL: See Part VI; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - NICKLAUS Children's Hospital: Line 16b URL: See Part 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 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 to be given 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 referral 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 they 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 2022, 66 PERCENT OF THE HEALTH SYSTEM'S GROSS PATIENT SERVICE REVENUE WAS FROM SERVICES TO MEDICAID BENEFICIARIES. MIAMI-DADE 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 PERCENT WAS FOREIGN BORN, 20.2 PERCENT WERE UNDER THE AGE OF 18, 72.2 PERCENT OF THE POPULATION COMPRISED OF INDIVIDUALS OF LATIN OR HISPANIC DESCENT AND 76 PERCENT SPOKE A LANGUAGE OTHER THAN ENGLISH AT HOME. THE HOSPITAL ALSO SERVES CHILDREN FROM ALL OVER THE UNITED STATES AND THROUGHOUT FLORIDA (PATIENTS FROM EVERY COUNTY IN THE STATE HAVE BEEN SERVED BY THE HOSPITAL). IN 2022, THE HOSPITAL SERVED INTERNATIONAL PATIENTS FROM 43 COUNTRIES. THE HEALTH SYSTEM, THROUGH ITS NETWORK OF 11 OUTPATIENT 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 | AThe organization extends medical staff privileges to all qualified physicians in the community and applies surplus funds to advancing health in the community. Some of the ways in which this commitment to the community is delivered involves subsidized services such as free EKG screenings and community based dental outreach and community health improvement services such as health education delivered in community based settings and camps for children with medical conditions such as diabetes or who require ventilator assistance. Additionally, the organization is committed to improving health access through health professions education and provides a learning experience to trainees including resident and fellow physicians, nurses, and other allied health professionals. These initiatives are informed through the regular completion of a community health needs assessment, ensuring that Nicklaus Children's is responsive in how it promotes health in the community. |
| Schedule H, Part VI, Line 6 Affiliated health care system | THE FLAGSHIP OF 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, THE HOSPITAL IS PROUD TO BE THE LARGEST PROVIDER OF PEDIATRIC MEDICAL EDUCATION IN THE SOUTHEASTERN UNITED STATES. 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 ALSO PROVIDES DENTAL SERVICES THROUGH ITS PEDIATRIC DENTAL RESIDENCY PROGRAM. NICKLAUS CHILDREN'S HOSPITAL ALSO HOUSES EARLY STEPS SOUTHERNMOST COAST, AN EARLY INTERVENTION PROGRAM FOR CHILDREN AT RISK OF DEVELOPMENTAL DELAYS. THE PROGRAM EVALUATES OVER 2,000 CHILDREN ANNUALLY. NICKLAUS CHILDREN'S OFFERS PRIMARY CARE SERVICES TO NEEDY CHILDREN THROUGH THE HEALTH CONNECT IN OUR SCHOOLS PROGRAM. THE HOSPITAL PROVIDES NURSING STAFF FOR SCHOOL-BASED CLINICS SITUATED IN HIGH-RISK COMMUNITIES TO ENSURE THAT CHILDREN HAVE ACCESS TO CARE. NICKLAUS CHILDREN'S HOSPITAL'S BRAIN INSTITUTE IS THE FIRST AND LARGEST PEDIATRIC NEUROSCIENCE COLLABORATION IN THE NATION. THE PROGRAM IS RECOGNIZED FOR EXCELLENCE IN TREATMENT OF CHILDREN WITH BRAIN TUMORS, INTRACTABLE EPILEPSY AND OTHER BRAIN ANOMALIES, AND OFFERS THE LATEST MINIMALLY INVASIVE METHODS, INCLUDING VISUALASE, AN IMAGE-GUIDED LASER TECHNIQUE FOR EPILEPSY SURGERY IN CHILDREN. THE HEART PROGRAM AT NICKLAUS CHILDREN'S HOSPITAL PROVIDES CARE FOR MORE CHILDREN WITH CONGENITAL HEART DISORDERS THAN ANY OTHER HOSPITAL IN FLORIDA. IT IS CONSISTENTLY RANKED AMONG THE BEST PROGRAMS IN THE NATION FOR CARDIOLOGY AND HEART SURGERY. NICKLAUS CHILDREN'S HOSPITAL'S CANCER CENTER IS THE LARGEST PROVIDER OF PEDIATRIC CANCER SERVICES IN THE REGION. THE CENTER PARTICIPATES IN RESEARCH PROTOCOLS, OFFERING THE LATEST INTERVENTIONS FOR CHILDREN RECEIVING TREATMENT FOR ALL FORMS OF CANCER AND BLOOD DISORDERS. NICKLAUS CHILDREN'S LIFEFLIGHT CRITICAL CARE TRANSPORT TEAM PROVIDES TRANSPORT OF CRITICALLY ILL CHILDREN FROM REFERRING HOSPITALS TO NICKLAUS CHILDREN'S HOSPITAL CRITICAL CARE UNITS. |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MATTHEW LOVE | ||||||||||||||
| President & CEO | $0 | $1,022,573 | $0 | $571,654 | $0 | $22,576 | $0 | $219,550 | $0 | $1,308 | $0 | $1,837,661 | $0 | $0 |
| PERRY ANN REED | ||||||||||||||
| SVP/COO NCHS & President NCH | $583,600 | $0 | $188,003 | $0 | $25,660 | $0 | $91,952 | $0 | $17,480 | $0 | $906,695 | $0 | $0 | $0 |
| MARCOS A MESTRE | ||||||||||||||
| Director/VP & Chief Medical Officer | $425,527 | $0 | $112,835 | $0 | $1,270 | $0 | $38,352 | $0 | $24,096 | $0 | $602,080 | $0 | $0 | $0 |
| JEFRY BIEHLER | ||||||||||||||
| Executive Med Director Quality (Former Officer) | $0 | $432,191 | $0 | $55,000 | $0 | $396 | $0 | $9,150 | $0 | $16,582 | $0 | $513,319 | $0 | $0 |
| JOSE PERDOMO | ||||||||||||||
| SVP Admin/Special Projects (Former President/COO) | $0 | $370,017 | $0 | $74,428 | $0 | $19,938 | $0 | $4,881 | $0 | $18,328 | $0 | $487,592 | $0 | $16,471 |
| DAWN E JAVERSACK | ||||||||||||||
| SVP/CFO Health System | $0 | $732,270 | $0 | $162,826 | $0 | $7,524 | $0 | $9,150 | $0 | $12,882 | $0 | $924,652 | $0 | $0 |
| JODI LAURENCE | ||||||||||||||
| SVP and General Counsel | $0 | $430,144 | $0 | $106,252 | $0 | $4,303 | $0 | $72,901 | $0 | $15,276 | $0 | $628,876 | $0 | $0 |
| ARIANNA URQUIA | ||||||||||||||
| VP/CFO Hospital | $332,059 | $0 | $64,002 | $0 | $664 | $0 | $34,751 | $0 | $654 | $0 | $432,130 | $0 | $0 | $0 |
| RODNEY L BAKER | ||||||||||||||
| Executive Med Director | $360,623 | $0 | $24,582 | $0 | $259 | $0 | $8,371 | $0 | $6,879 | $0 | $400,714 | $0 | $0 | $0 |
| IRIS BERGES | ||||||||||||||
| VP of Operations | $282,082 | $0 | $53,560 | $0 | $540 | $0 | $27,753 | $0 | $561 | $0 | $364,496 | $0 | $0 | $0 |
| ROBERT L HANNAN | ||||||||||||||
| Sr Med Dir Advanced Proj Lab | $352,679 | $0 | $0 | $0 | $0 | $0 | $9,150 | $0 | $16,165 | $0 | $377,994 | $0 | $0 | $0 |
| SHANNON M ODELL | ||||||||||||||
| NCH Chief Nursing Officer | $334,748 | $0 | $63,003 | $0 | $14,182 | $0 | $33,343 | $0 | $9,614 | $0 | $454,890 | $0 | $0 | $0 |
| MARIO REYES | ||||||||||||||
| Hospitalist | $301,564 | $0 | $35,332 | $0 | $396 | $0 | $9,150 | $0 | $278 | $0 | $346,720 | $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 MARCOS A MESTRE $29,201.54 JODI LAURENCE $63,750.96 PERRY ANN REED $82,801.68 ARIANNA URQUIA $25,600.64 SHANNON M ODELL $25,201.28 IRIS BERGES $21,424.00 THE FOLLOWING DISTRIBUTIONS WERE MADE FROM A SECTION 457(F) PLAN DURING THE YEAR- JOSE PERDOMO $16,470.86 |
| 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 Supplemental Information | false | false | false |
| Miami-Dade County Health Facilities Authority | ||||||||
| B | 521293036 | 59334NFC1 | 2021-11-10 | $184,436,567 | See Part VI Supplemental Information | false | false | false |
| Miami-Dade County Health Facilities Authority | ||||||||
| C | 521293036 | 59334NBW1 | 2017-05-01 | $62,225,000 | Refund Bonds Issued on 12/15/2010 | 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 | $945,000 | $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 | $3,590,000 | $0 | $184,445,482 | $0 | $0 | $0 | $1,560,795 | $0 | $0 | $14,526,425 | $9,531,955 | $158,826,307 | Yes (true) | false | false | ||
| C | $3,175,000 | $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 | 0.0049 | 0.0002 | 0.0051 | false | false | Yes (true) | |
| B | false | Yes (true) | Yes (true) | Yes (true) | false | 0.0028 | 0.0 | 0.0028 | false | false | Yes (true) | false |
| C | false | Yes (true) | Yes (true) | Yes (true) | false | 0.0235 | 0.0006 | 0.0241 | 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 (4 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 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 | $509,895 | Payment for medical services rendered by Children's Critical Care Specialists, PA | false |
| NANCY LYNN PERDOMO | |||
| SPOUSE JOSE PERDOMO - DIRECTOR | $64,532 | 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 2022, 4,515 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. THE HOSPITAL HAD APPROXIMATELY 307 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 settings Each of the locations offers a new level of pediatric care convenience for the neighboring communities. Opening were Nicklaus Children's Pediatric Specialists offices in Coral Reef to the south, as well as a northerly addition in Miami Beach. The two bring to 18 the total number of offices throughout South Florida that offer NCPS pediatric specialty consults. Nicklaus Children's implemented new technology to support the children they serve: BEAR (Better Experiences through Augmented Reality) Program: Children in a variety of settings, including pre- and post-operative care, are using virtual reality tools as pleasant distractions. The program is helping reduce anxiety and need for sedation in some medical imaging environments. DRIVE (Driving Improvements through Virtual Reality Experience) Program: Driving can be an anxiety-inducing event for many people. Neurodiverse individuals, particularly those with autism, tend to experience heightened levels of apprehension when driving, especially when it's time to take their driving exam. The DRIVE Program - a blend of virtual and hands-on driving experience - helps prepare atypical learners for a successful driving exam. Nicklaus Children's Research Institute received full reaccreditation by the Association for the Accreditation of Human Research Protection Programs, Inc. (AAHRPP). The hospital is one of the few pediatric programs in the nation and the first in Florida to achieve this accreditation. Nicklaus Children's added the Cancer and Blood and the Orthopedic, Sports Health and Spine Surgery Institutes. The Institutes embody the highest level of clinical achievement and leadership among medical specialty programs. Nicklaus Children's Hospital received $25 million, one of the largest single donations in the hospital's 72-year history in 2022. The gift from Citadel founder and CEO Kenneth C. Griffin, will support the new five-story, 127,000-square-foot surgical tower opening in 2024. Nicklaus Children's was designated the future recipient of Children's Miracle Network dollars to be garnered in Palm Beach and the Treasure Coast, in recognition of Nicklaus Children's growing clinical presence in the region. 2022 STATISTICAL DATA INCLUDES - TOTAL INPATIENT DAYS: 61,407 TOTAL INPATIENT ADMISSIONS: 10,029 INPATIENT AVERAGE DAILY CENSUS: 168.2 TOTAL OUTPATIENT VISITS (MAIN CAMPUS): 182,874 TOTAL OUTPATIENT VISITS (AMBULATORY CENTERS): 346,358 TOTAL AMBULATORY URGENT CARE VISITS: 222,555 TOTAL SURGICAL CASES: 9,303 AVERAGE LENGTH OF STAY: 6.4 DAYS In the 2022-23 U.S. News & World Report Best Children's Hospitals - Nicklaus Children's Hospital is ranked as the #1 children's hospital in Florida (tied with 2 other hospitals) with five Nicklaus Children's specialty programs listed among the nation's best, including Cardiology and Heart Surgery Neonatology Neurology and Neurosurgery Orthopedics Pulmonology Leapfrog Group selected Nicklaus Children's Hospital among the Nation's top Children's Hospital for quality and safety. Newsweek selected Nicklaus Children's among the Most Loved Workplaces that is a measure of the respect, care and appreciation Nicklaus demonstrate for those who served the region's children. Forty-three pediatric specialists from the Nicklaus Children's Hospital medical staff have been designated among America's Top Doctors for 2022 by Castle and Connolly, a New York City-based research and information company dedicated to identifying top healthcare resources. 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" aren't by one person or department, but are ingrained in the organization itself. Nicklaus 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 THAT 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 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 12/31/2022, THE TOOL WAS IN USE IN 1,616 HOSPITALS (1,355 IN THE US AND 261 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: Project Victory - Cooperative effort between Nicklaus Children's Community and Volunteer Resource Program and the community. Teens with disabilities are given the opportunity to gain life skills through the world of work. 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's 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: 12239741, Program Service Expense: 9791793, Management and General Expenses: 2447948, Fundraising Expenses: ; Fees - Physicians - Total Expense: 27766424, Program Service Expense: 22213139, Management and General Expenses: 5553285, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 6817867, Program Service Expense: 5352315, Management and General Expenses: 1465552, Fundraising Expenses: ; INSPECTIONS - Total Expense: 313, Program Service Expense: 250, Management and General Expenses: 63, Fundraising Expenses: ; ARTWORK, GRAPHICS - Total Expense: 19795, Program Service Expense: 15836, Management and General Expenses: 3959, Fundraising Expenses: ; DESIGN, PROTOTYPE - Total Expense: 3624, Program Service Expense: 2899, Management and General Expenses: 725, Fundraising Expenses: ; STORAGE FEES - Total Expense: 1325507, Program Service Expense: 1060406, Management and General Expenses: 265101, Fundraising Expenses: ; CLEANING SERVICES - Total Expense: 1304451, Program Service Expense: 1043561, Management and General Expenses: 260890, Fundraising Expenses: ; LABORATORY SERVICES - Total Expense: 5123282, Program Service Expense: 4098626, Management and General Expenses: 1024656, Fundraising Expenses: ; CONSULTANTS - Total Expense: 1698590, Program Service Expense: 1358872, Management and General Expenses: 339718, Fundraising Expenses: ; TRANSCRIPTION SERVICES - Total Expense: 2969, Program Service Expense: 2375, Management and General Expenses: 594, Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 188906, Program Service Expense: 151125, Management and General Expenses: 37781, Fundraising Expenses: ; Management fees - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 31958680, Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Net payments on swap agreements - -2973233; Gain from subsidiaries - -10969789; Net change in fair value of swaps - 21382438; Change in value of charitable remainder trusts held by others - -258324; Change in beneficial interest in NCHF - 19162138; Equity transfer with affiliate - -3476124; Distribution to noncontrolling interest - -3641161; Loss on asset impairment - -924035; Guarantee of affiliate losses - -39111636; Other Capital Release - -148519; |
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 | $1,610,095 | $3,478,950 | false | Yes (true) | 0.5231 |
| MIAMI CHILDREN'S HEALTH PLAN LLC | ||||||||||||||
| 3100 SW 62ND AVE | MIAMI | FL | 33155 | 823111550 | INSURANCE | FL | VCH | Related | -$662,835 | $3,871,213 | 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 | -$4,688,223 | $99,475,639 | 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 Health Plan LLC | ||
| S | $7,125,769 | FMV |
| MIAMI CHILDREN'S HOSPITAL AMBULATORY SURGERY CENTER LLC | ||
| S | $1,583,261 | FMV |