VARIETY CHILDRENS HOSPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: VARIETY CHILDRENS HOSPITAL (EIN 59-0638499)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-09
IRS object ID: 202223139349305252
Schema version: 2021v4.2
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	2022-11-09T15:33:34-06:00	ReturnTs
Tax Period End	2021-12-31	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	2021-01-01	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	2022-11-09	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	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	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	$844,011,901	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	THE HOSPITAL PROVIDES SPECIALIZED PEDIATRIC HEALTH CARE TO CHILDREN REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, AGE, OR ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	3597	TotalEmployeeCnt
Total Volunteers	1145	TotalVolunteersCnt
Total Gross UBI	$88,297	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$62,881,183	PYContributionsGrantsAmt
CY Contributions Grants	$22,835,860	CYContributionsGrantsAmt
PY Program Service Revenue	$497,460,035	PYProgramServiceRevenueAmt
CY Program Service Revenue	$712,432,301	CYProgramServiceRevenueAmt
PY Investment Income	$11,752,093	PYInvestmentIncomeAmt
CY Investment Income	$26,048,323	CYInvestmentIncomeAmt
PY Other Revenue	$26,389,636	PYOtherRevenueAmt
CY Other Revenue	$15,653,530	CYOtherRevenueAmt
PY Total Revenue	$598,482,947	PYTotalRevenueAmt
CY Total Revenue	$776,970,014	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$240,782,727	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$249,348,481	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$313,289,967	PYOtherExpensesAmt
CY Other Expenses	$422,171,220	CYOtherExpensesAmt
PY Total Expenses	$554,072,694	PYTotalExpensesAmt
CY Total Expenses	$671,519,701	CYTotalExpensesAmt
PY Revenues Less Expenses	$44,410,253	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$105,450,313	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,198,214,522	TotalAssetsBOYAmt
Total Assets EOY	$1,508,530,392	TotalAssetsEOYAmt
Total Liabilities BOY	$487,656,781	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$704,781,815	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$710,557,741	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$803,748,577	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	$535,830,073	ExpenseAmt
Revenue	$712,432,301	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	$535,830,073	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	Yes (true)	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	3597	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	false	ForeignFinancialAccountInd
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	false	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 (27 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	0.2	Yes (X)	Yes (X)	$0	$0	$0
JARET DAVIS
Chairman/Director	0.1	0.3	Yes (X)	Yes (X)	$0	$0	$0
JOSEPH NADER
Vice Chairman/Director	0.1	0.3	Yes (X)	Yes (X)	$0	$0	$0
MATTHEW LOVE
President & CEO	0.1	40.2	Yes (X)	Yes (X)	$0	$1,303,668	$215,829
PERRY ANN REED
SVP/COO NCHS & President NCH	40.0	0.3	Yes (X)	Yes (X)	$617,512	$0	$100,459
ALEX SOTO
Director	0.1	0.3	Yes (X)		$0	$0	$0
BALAGANGADHAR TOTAPALLY MD
Director	0.1	0.2	Yes (X)		$0	$0	$0
DREW KERN
Director	0.1	0.2	Yes (X)		$0	$0	$0
FEDERICO A MORENO
Director	0.1	0.2	Yes (X)		$0	$0	$0
JOHN LIE-NIELSEN
Director	0.1	0.2	Yes (X)		$0	$0	$0
MARCOS A MESTRE
Director/VP & Chief Medical Officer	40.0	0.2	Yes (X)		$355,922	$0	$56,353
MARIA FRANCO MD
Director	0.1	0.2	Yes (X)		$0	$0	$0
MARIO MURGADO
Director	0.1	0.3	Yes (X)		$0	$0	$0
RICKY PATEL
Director	0.1	0.3	Yes (X)		$0	$0	$0
STEVEN MELNICK MD
Director	0.1	0.2	Yes (X)		$0	$0	$0
ARIANNA URQUIA
VP/CFO Hospital	40.0	0.2		Yes (X)	$362,502	$0	$28,474
DAWN E JAVERSACK
SVP/CFO Health System	0.1	40.2		Yes (X)	$0	$709,372	$16,529
JODI LAURENCE
SVP and General Counsel	0.1	40.2		Yes (X)	$0	$487,292	$86,686
ANDREA MAGGIONI
Director Hospitalist	40.0	0			$357,283	$0	$26,112	Yes (X)
IRIS BERGES
VP of Operations	40.0	0			$306,436	$0	$23,730	Yes (X)
JORGE OJITO
Manager Perfusion Services	40.0	0			$283,117	$0	$19,164	Yes (X)
OSCAR A AREVALO
Director of Dental	40.0	0			$281,094	$0	$9,556	Yes (X)
SHANNON M ODELL
NCH Chief Nursing Officer	40.0	0			$340,985	$0	$38,967	Yes (X)
JACQUELINE L GONZALEZ
SVP/Chief Nursing Officer (Former)	0.0	0			$276,555	$0	$0		Yes (X)
JEFRY BIEHLER
Executive Med Director Quality (Former Officer)	0.0	40.0			$0	$467,114	$20,570		Yes (X)
JOSE PERDOMO
SVP Admin/Special Projects (Former President/COO)	0.0	40.0			$0	$613,610	$19,768		Yes (X)
NARENDRA M KINI
President - CEO (Former)	0.0	0.0			$0	$589,410	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,181,406	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,170,466	TotReportableCompRltdOrgAmt
Total Other Compensation	$662,197	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	408	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
PHI AIR MEDICAL LLC
2800 NORTH 44 STREET	PHOENIX	AZ	85008	FLIGHT HOURS	$3,176,117
AYA HEALTHCARE INC
PO BOX 123519	DALLAS	TX	753123519	Nurse Services	$1,720,760
MIAMI ASSOCIATES IN PEDIATRIC SURGERY PA
3200 SW 60 CT	MIAMI	FL	33155	Physician Services	$1,529,420
MAYO MEDICAL LABORATORIES
PO BOX 9146	MINNEAPOLIS	MN	554809146	Laboratory Services	$1,436,688
A AND S TOTAL CLEANING
3350 NW 53 ST	FT LAUDERDALE	FL	33309	Cleaning Services	$1,405,930

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	58	CntrctRcvdGreaterThan100KCnt
Related Organizations	$7,030,463	RelatedOrganizationsAmt
Government Grants	$15,757,123	GovernmentGrantsAmt
All Other Contributions	$48,274	AllOtherContributionsAmt
Total Contributions	$22,835,860	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue	621300	$709,339,174	$709,339,174
Grant Revenue	541715	$3,033,552	$3,033,552
Seminar Workshops	611000	$59,575	$59,575

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	$712,432,301	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,440,347	TotalRevenueColumnAmt
Unrelated Business Revenue	$6,239	UnrelatedBusinessRevenueAmt
Exclusion	$10,434,108	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,965	TotalRevenueColumnAmt
Exclusion	$4,965	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$5,433,629	RealAmt
Personal	$82,058	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$5,433,629	RealAmt
Personal	$82,058	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,515,687	TotalRevenueColumnAmt
Unrelated Business Revenue	$82,058	UnrelatedBusinessRevenueAmt
Exclusion	$5,433,629	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$82,649,863	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$67,041,887	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$15,607,976	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,607,976	TotalRevenueColumnAmt
Exclusion	$15,607,976	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$356,318	GrossSalesOfInventoryAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$356,318	TotalRevenueColumnAmt
Exclusion	$356,318	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
PHARMACY	446110	$5,968,508	$5,968,508
CAFETERIA/VENDING	722210	$2,675,889	$2,675,889
OTHER REVENUE	900099	$915,127	$915,127

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$217,036	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$217,036	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$9,776,560	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$776,970,014	TotalRevenueColumnAmt
Related Or Exempt Func Income	$712,432,301	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$88,297	UnrelatedBusinessRevenueAmt
Exclusion	$41,613,556	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	$1,521,222	TotalAmt
Program Services	$1,216,978	ProgramServicesAmt
Management And General	$304,244	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,056,951	TotalAmt
Program Services	$1,056,951	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$199,358,032	TotalAmt
Program Services	$159,419,776	ProgramServicesAmt
Management And General	$39,938,256	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,365,096	TotalAmt
Program Services	$1,069,382	ProgramServicesAmt
Management And General	$295,714	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$32,171,416	TotalAmt
Program Services	$25,731,459	ProgramServicesAmt
Management And General	$6,439,957	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,875,764	TotalAmt
Program Services	$11,100,611	ProgramServicesAmt
Management And General	$2,775,153	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,696,650	TotalAmt
Management And General	$1,696,650	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$168,664,725	TotalAmt
Program Services	$134,787,040	ProgramServicesAmt
Management And General	$33,877,685	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$15,715	TotalAmt
Program Services	$12,572	ProgramServicesAmt
Management And General	$3,143	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,473,475	TotalAmt
Program Services	$5,178,780	ProgramServicesAmt
Management And General	$1,294,695	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$394,152	TotalAmt
Program Services	$315,322	ProgramServicesAmt
Management And General	$78,830	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$30,117,507	TotalAmt
Program Services	$24,094,006	ProgramServicesAmt
Management And General	$6,023,501	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$116,524	TotalAmt
Program Services	$93,219	ProgramServicesAmt
Management And General	$23,305	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$9,881,305	TotalAmt
Program Services	$7,905,044	ProgramServicesAmt
Management And General	$1,976,261	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$41,517,628	TotalAmt
Program Services	$33,214,102	ProgramServicesAmt
Management And General	$8,303,526	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$17,153,168	TotalAmt
Program Services	$13,722,534	ProgramServicesAmt
Management And General	$3,430,634	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$74,286,630	$59,429,304	$14,857,326
HOSPITAL ASSESMENT	$66,926,552	$53,541,242	$13,385,310
OTHERS	$3,405,044	$2,724,035	$681,009

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,522,145	TotalAmt
Program Services	$1,217,716	ProgramServicesAmt
Management And General	$304,429	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$671,519,701	TotalAmt
Program Services	$535,830,073	ProgramServicesAmt
Management And General	$135,689,628	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$11,782,919	BOYAmt
EOY	$10,691,494	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$100,132,568	BOYAmt
EOY	$34,105,456	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$147,463,428	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$70,513,574	BOYAmt
EOY	$101,683,508	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	$946,354	BOYAmt
EOY	$379,836	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,604,003	BOYAmt
EOY	$11,911,190	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,846,598	BOYAmt
EOY	$3,829,198	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$911,771,017	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$567,690,571	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$374,612,879	BOYAmt
EOY	$344,080,446	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$280,137,363	BOYAmt
EOY	$466,739,260	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$92,123,735	BOYAmt
EOY	$138,977,425	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$27,151,805	BOYAmt
EOY	$37,886,008	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$228,362,724	BOYAmt
EOY	$210,783,143	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,198,214,522	BOYAmt
EOY	$1,508,530,392	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$29,665,523	BOYAmt
EOY	$32,557,936	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$315,283,720	BOYAmt
EOY	$492,085,009	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	$142,707,538	BOYAmt
EOY	$180,138,870	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$487,656,781	BOYAmt
EOY	$704,781,815	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	$590,159,089	BOYAmt
EOY	$665,841,118	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$120,398,652	BOYAmt
EOY	$137,907,459	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$710,557,741	BOYAmt
EOY	$803,748,577	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,198,214,522	BOYAmt
EOY	$1,508,530,392	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$105,450,313	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$6,074,219	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$18,333,696	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$51,847,151	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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,227,073	BeginningYearBalanceAmt
Contributions	$51,539,814	ContributionsAmt
End Year Balance	$52,766,887	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.3291	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.6709	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	$477,192,951	OtherCostOrOtherBasisAmt
Depreciation	$223,890,847	DepreciationAmt
Book Value	$253,302,104	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$47,854,830	OtherCostOrOtherBasisAmt
Depreciation	$33,443,204	DepreciationAmt
Book Value	$14,411,626	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$357,761,132	OtherCostOrOtherBasisAmt
Depreciation	$304,994,030	DepreciationAmt
Book Value	$52,767,102	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,931,948	OtherCostOrOtherBasisAmt
Depreciation	$5,362,490	DepreciationAmt
Book Value	$20,569,458	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$344,080,446	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (6 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Alternative Investments
Restricted investments
Alternative Investments
Restricted investments
Alternative Investments	$137,302,526	F
Restricted investments	$1,674,899	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$138,977,425	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (21 entries)

DescDesc	Book ValueBookValueAmt
Beneficial Interest in Miami Childrens Hospital Foundation
Assets held for sale
Operating lease right of use assets, net
Charitable Remainder Trust
Exec Life
Self Insurance Trust
Other Long Term Assets
Beneficial Interest in Miami Childrens Hospital Foundation
Self Insurance Trust
Charitable Remainder Trust
Other Long Term Assets
Exec Life
Assets held for sale
Operating lease right of use assets, net
Beneficial Interest in Miami Childrens Hospital Foundation	$120,091,935
Self Insurance Trust	$619,784
Charitable Remainder Trust
Other Long Term Assets	$2,126,054
Exec Life
Assets held for sale	$60,000,000
Operating lease right of use assets, net	$27,945,370

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$210,783,143	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Other Liabilities	$29,942,058
Swap Liabilities	$32,794,501
Third Party Settlement Payable	$510,138
Lease Incentive Obligation	$35,861,732
Intercompany Payable	$81,030,441

Field	Value	IRS element (for citing)
Total Liability	$180,138,870	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, 2021 and 2020. 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, 2021 and 2020. The Health Plan is a limited liability company which is taxed as a partnership and therefore is generally not a taxpaying entity for federal or state income tax purposes. In lieu of corporate income taxes, the members are taxed on the Health Plan's taxable income. Therefore, no provision or liability for income taxes has been included in these financial statements.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	0	0	Program Services	Self-Insurance Funding	$4,922,000
Central America and the Caribbean	0	0	Investments		$12,542,000

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	$17,464,000	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$17,464,000	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, 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	$36,258	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$36,258	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$409,385,947	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$445,869,244	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,402,162	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,772,406	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,629,756	NetCommunityBenefitExpnsAmt
Total Expense	0.0024	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	$412,824,367	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$447,641,650	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,666,014	NetCommunityBenefitExpnsAmt
Total Expense	0.0025	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,910,027	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,148,557	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,761,470	NetCommunityBenefitExpnsAmt
Total Expense	0.0086	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,795,351	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,795,351	NetCommunityBenefitExpnsAmt
Total Expense	0.0280	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,392,694	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,163,713	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,228,981	NetCommunityBenefitExpnsAmt
Total Expense	0.0316	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,506,745	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$156,406	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,350,339	NetCommunityBenefitExpnsAmt
Total Expense	0.0020	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	$60,604,817	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,468,676	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,136,141	NetCommunityBenefitExpnsAmt
Total Expense	0.0702	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$473,429,184	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$461,110,326	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$48,802,155	NetCommunityBenefitExpnsAmt
Total Expense	0.0727	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	$350,723	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$457,979	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$107,256	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	0.5231	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.0	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.4769	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	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	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
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	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 Part 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 (6 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. Online Key Informant Survey To solicit input from key informants, those individuals who have a broad interest in the health of the community, an Online Key Informant Survey also was implemented as part of this process. A list of recommended participants was provided by University of Miami Health System, Jackson Health System, and Nicklaus Children's Hospital; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. In all, 91 community stakeholders took part in the Online Key Informant Survey. Through this process, input was gathered from several individuals whose organizations work with low-income, minority, or other medically underserved populations. In the online survey, key informants were asked to rate the degree to which various health issues are a problem in their own community. Follow-up questions asked them to describe why they identify problem areas as such and how these might better be addressed. Community Feedback on Prioritization of Health Needs On January 14, 2021, the sponsors of the community feedback on prioritization of health needs assessment convened an online meeting attended by 49 community stakeholders (representing a cross-section of community-based agencies and organizations) to evaluate, discuss and prioritize health issues for community, based on findings of this Community Health Needs Assessment (CHNA). Professional Research Consultants, Inc. (PRC) began the virtual meeting with a presentation of key findings from the CHNA, highlighting the significant health issues identified from the research (see Areas of Opportunity above). Following the data review, PRC answered any questions. Finally, participants were provided an overview of the prioritization exercise that followed. In order to assign priority to the identified health needs (i.e., Areas of Opportunity), a wireless audience response system was used in which each participant was able to register his/her ratings using a small remote keypad. The participants were asked to evaluate each health issue along two criteria: Scope & Severity - The first rating was to gauge the magnitude of the problem in consideration of the following: How many people are affected? How does the local community data compare to state or national levels, or Healthy People 2020 targets? To what degree does each health issue lead to death or disability, impair quality of life, or impact other health issues? Ratings were entered on a scale of 1 (not very prevalent at all, with only minimal health consequences) to 10 (extremely prevalent, with very serious health consequences). Ability to Impact - A second rating was designed to measure the perceived likelihood of the hospital having a positive impact on each health issue, given available resources, competencies, spheres of influence, etc. Ratings were entered on a scale of 1 (no ability to impact) to 10 (great ability to impact). Individuals' ratings for each criteria were averaged for each tested health issue, and then these composite criteria scores were averaged to produce an overall score. This process yielded the following prioritized list of community health needs: 1. COVID-19 2. Access to Health Care Services 3. Mental Health 4. Nutrition, Physical Activity & Weight 5. Heart Disease & Stroke 6. Diabetes 7. Substance Abuse 8. Sexual Health 9. Housing 10. Cancer 11. Injury & Violence 12. Tobacco Use
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - Nicklaus Children's Hospital. Every three years not-for-profit hospitals are required to conduct a Community Health Needs Assessment (CHNA) of the local populations they serve. This assessment was completed in collaboration with University of Miami Health System (U Health) and Jackson Health System. The Hospital goal in conducting the assessment was to better understand the health status, behaviors, and needs of children and adolescents in South Florida so that we as a community - patients, families, Nicklaus Children's, and partner organizations - can optimally support their health and wellbeing.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Nicklaus Children's Hospital. Access to Healthcare Telehealth: The last two years have been transformational for healthcare access, due to the adoption of telehealth for many outpatient appointment services during the pandemic. In 2020, the number of telehealth appointments increased by 7,641 percent, compared to 2019. In 2020, demand continued for telehealth consultations with subspecialists, enhancing appointment efficiency and supporting children in gaining access to the services they need. Completed a comprehensive assessment of the hospital's access to care (incl. Access to our scheduling services, Scheduling gaps from the provider perspective, Coordinating patient access) and launched a plan to improve access. Initiatives so far have resulted in a reduction of our call center wait times down from 6 minutes to ~2.5 minutes and our hotline abandonment rates down from 6.1% to 2.8% In 2020: Cardiology and Orthopedic surgery both implemented and sustained processes to increase access with greater appointment availability and same day appointment access. Location and providers: Nicklaus Children's continues to enhance access to subspecialty care through provision of services at outpatient centers and offices in locations throughout South Florida. The hospital currently has 20 locations offering subspecialty consults (from southern Miami Dade to Martin county), including several new locations that opened within the last few years. Collectively the entire network of centers bring a broad range of pediatric subspecialty services to Miami-Dade, Broward, Palm Beach and Martin counties, including cardiology and fetal cardiology, gastroenterology, allergy and immunology, endocrinology and diabetes, nephrology, neurosurgery, plastic and reconstructive surgery, rheumatology, spinal disorders, sports health and more. Hired 58 Providers in 2021, 12 in 2020 Diabetes Access to pediatric endocrinology clinicians is key to supporting the care needs of children with diabetes in our community. Nicklaus Children's continues to expand locations where children can receive care with an endocrinologist. In addition to the hospital's main campus near Coral Gables, the following Nicklaus Children's locations in Miami-Dade, Broward and Palm Beach counties now offer endocrinology consults: Aventura, Boynton Beach, Coral Springs, Doral, Palm Beach Gardens, Pinecrest, West Kendall and Weston. Shared a video of Dr. Carillo explaining Type 2 Diabetes with the community https://www.nicklauschildrens.org/news-events/video-center/what-is-type-2-diabetes 2021: House-wide Diabetes Education on wheels hosted by 3NE CS team and Diabetes Educators this week in support of Diabetes Awareness Month in Nov Asthma & Other Respiratory Conditions Nicklaus Children's provides care for children with complex respiratory disorders, including asthma, chronic lung diseases, cystic fibrosis, pneumonia and tuberculosis. The Pulmonology Division offers care for the most complex conditions at the hospital's main campus. Services include an Asthma Center and Cystic Fibrosis Center. In addition, the Division of Allergy and Immunology offers care for children with asthma and allergies at locations throughout the region, including Boynton Beach in Palm Beach County, Miami Lakes and the main campus near Coral Gables. Potentially Disabling Conditions Nicklaus Children's offers a broad range of multidisciplinary specialty services to help children with potentially disabling conditions. It is a regional leader in treatment and management of a full spectrum of conditions, including spasticity and movement disorders, epilepsy, developmental disabilities, metabolic disabilities and degenerative disorders. Cerebral palsy is among the most common disabling conditions in children. The hospital's spasticity and movement disorders program strives to enhance quality of life and movement for these children. New offerings to support children with potentially disabling conditions included MRI-focused ultrasound, an incisionless form of surgery to ablate seizure-producing brain tissue, and single-event multilevel surgery (SEMLS). This approach to surgery aims to address many issues associated with cerebral palsy in one or two procedures, offering an enhanced standard of care. 2020- Launch of Pediatric Advanced Care Team (PACT) palliative service for the CICU/PICU. Mental & Emotional Health The need for mental healthcare services for children and teens has grown in recent years, exacerbated by the pandemic. Starting in 2020, Nicklaus Children's division of behavioral health enhanced access by offering appointments via telehealth. When demand for services exceeded available clinical staffing, the team developed a network of experts in the community to which it could refer children in need. These steps made it possible for the program to address the needs of more children. Nonetheless, demand far exceeds the hospital's ability to serve. Thus, Nicklaus Children's continues to seek opportunities to expand offerings to meet the mental health needs of children and has several collaborations in development. Code Bear - Autism Care -- a collaborative effort with Rehabilitation Services; Nursing and the Brain Institute. Development of a program to follow communication and/or behaviorally vulnerable patients (including Autism) through the continuum of care and beyond a single one-time visit. The Code Bear - Autism Care is a behavioral management program that is designed to identify, alleviate, and if necessary, manage anxiety and fear during hospitalization. Funding provided by the DeLuca Foundation to support an Autism Program navigator, Autism Clinical Coordinator, and equipment. In 2019, the hospital established an intensive outpatient program to support families of children recently hospitalized due to mental health issues. The program helps the family continue to make progress, reducing the incidence of readmission. 2020: PCC, Department of Psychology and Dr. Rivero-Conil collaborated on the PCORI (Patient- Centered Outcomes Research Institute)/Anxiety Study. PCC, Department of Psychology and Center for Children and Families at FIU partnered on a Parenting Study (Preventive Intervention for Behavior Problems in Infants from High-Risk Families) funded by the NIH. New bilingual series, "Let's Talk" was created in response to the pandemic to assist in dealing with stress, resiliency in families and children, communication skills and setting goals and structuring the home environment. Nutrition, Physical Activity, & Weight Nicklaus Children's GiveMe5 program, is a community outreach program, funded by Kohl's, to promote healthy lifestyles for children and families. (see attached PDF for details and data) Representatives of the program participated (pre-COVID-19) in dozens of community events in South Florida, sharing healthy food samples, educational games and fun giveaways to focus children on healthy lifestyles. A core focus of GiveMe5 is promoting consumption of five fruits or vegetables per day. When children follow this guideline, they are less likely to fill up on unhealthy snack foods. During the pandemic, the program transitioned to providing health information through blogs, social media posts and media interviews to encourage children and families to maintain good health habits during lock down. https://www.nicklauschildrens.org/patient-resources/community-outreach/giveme5 An additional pivot of this program during the pandemic conducted screenings for food insecurity. 5% of those families screened positive for food insecurity and were provided with gift cards to local grocery stores. Recognition as a NYSS Youth Sports Champion - As a NYSS Champion, Nicklaus Children's has demonstrated its commitment to support safe, fun, inclusive, developmentally appropriate, and accessible youth sports opportunities. Nicklaus Children's is recognized along with other NYSS Champions on health.gov as part of a growing network of organizations partnering with HHS to improve the youth sports landscape in America. 2021: Breakfast of Champions: Parent seminar to educate parents on the importance of physical literacy, physical activity and physical fitness in youth. (1 provided virtually) 2020: Breakfast of champions: Parent seminar to educate parents on the importance of physical literacy, physical activity and physical fitness in youth. (2 provided) Miami City Ballet Explore Dance: 3 in-person workshops provided to elementary/middle school students on health, wellness, fitness and dance. Move to learn workshop: a workshop for elementary school teachers to train them on how to incorporate movement in the classroom to facilitate academic and physical literacy. (1 provided in to a local elementary school)
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - Nicklaus Children's Hospital. (Continued from above) 2019 Breakfast of champions: Parent seminar to educate parents on the importance of physical literacy, physical activity and physical fitness in youth. (3 provided) Injury & Safety Nicklaus Children's continues in its longstanding role as the lead organization for Safe Kids Miami-Dade County. In leading this organization, the hospital maintains up-to-date safety information on its website, conducts outreach through community events and pitches and conducts media interviews and posts social media content on safety topics, including summer safety themes, Halloween safety and more. In 2021, Nicklaus Children's also forged a collaboration with the YMCA to advance water safety for children of the region. The two organizations are working together to support swimming education and build awareness of the importance of supervising children when they are near or in the water. Kicked off an "Amazing Sepsis Care" program that integrates technology, provider collaboration, and evidenced-based clinical practice to reduce mortalities related to sepsis. 2020- The service-wide shunt infection rate, a common pediatric neurosurgery benchmark, remains one of the lowest in the U.S. at ~1%. 2021- Six LeagueSide webinars to education coaches on sports injury prevention, concussion safety and athlete nutrition 2021- Dance screening and training: to identify dancers at high risk for injury and provide them with training to reduce the risk. (16 provided) 2020- Dance workshops: A workshop for dancers to educate them on dance safety and injury preventions. (1 provided at MCB school in person, 7 provided virtually) Dance screening and training: to identify dancers at high risk for injury and provide them with training to reduce the risk. (13 provided) Sports Injury prevention workshop: a workshop for Coaches and athletes to educate them on sports safety and injury prevention. 2019- Miami City Ballet Explore Dance: 3 in-person workshops provided to elementary/middle school students on health, wellness, fitness and dance. LeagueSide webinars: to education coaches on sports injury prevention, concussion safety and athlete nutrition. (2 provided in person) Sports health Safety workshop: a workshop for student athletes to educate them on topics of sports health safety. Dance injury prevention workshop: A workshop for dancers to educate them on dance safety and injury preventions. (2 provided) JCC heart health event : a workshop for youth summer camp staff to educate on health and safety ( heat illness, hydration, injury prevention) Dance screening and training: to identify dancers at high risk for injury and provide them with training to reduce the risk. (59 provided) Youth Athlete Summer Camp: A summer camp to educate young athletes on sports health safety, fitness and strength and conditioning. (5 Provided to athletes) Substance Abuse The hospital's Adolescent Medicine Division is a referral resource for area pediatricians for children and teens who are using illegal substances. This program helps families find answers and resources for children involved in substance abuse. The urgent care centers launched drug overdose programs in collaboration with psychiatry, emergency department, hospitalists, and Dr. Reyes. Sexual Health The hospital's Adolescent Medicine Division also supports families of children and teens who are engaging in sexual activity. This is a resource for area pediatricians who do not typically offer this type of services. In addition, the division offers treatment for sexually transmitted diseases, disorders related to reproductive systems and more. The pediatric residents led a quality improvement project to increase HPV vaccination rates in the pediatric care centers.
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, 2021 and 2020, 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	VARIETY CHILDREN'S HOSPITAL ("VCH") ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. VCH 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. VCH EXPERIENCED LOSSES ($107,256) FOR 2021) 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 Part 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. N 2021, 68 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, 69.1 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 IN 2021, THE HOSPITAL SERVED INTERNATIONAL PATIENTS FROM 80 COUNTRIES The health system, through its network of 9 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	A majority of the Board of Directors is comprised of persons who live in Miami-Dade County, who are neither employees nor independent contractors of the Hospital, nor family members thereof. The organization extends medical staff privileges to all qualified physicians in the community and applies surplus funds to improvements in patient care, medical education and research. In addition, NICKLAUS Children's Hospital has an active community education program, various camp programs including asthma, diabetes, cancer center, psychiatric programs, early intervention program, preventative medicine program, dental mobile program, after hours program, healthy connections program, medical education residency program, pediatric post graduate program, fellowship programs, pediatric care call program, multiple ambulatory care centers all designed to promote health in the community.
Schedule H, Part VI, Line 6 Affiliated health care system	Nicklaus Children's Hospital - 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	Yes (true)	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 (15 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	$890,563	$0	$365,529	$0	$47,576	$0	$190,809	$0	$25,020	$0	$1,519,497	$0	$0
PERRY ANN REED
SVP/COO NCHS & President NCH	$489,168	$0	$80,251	$0	$48,093	$0	$82,386	$0	$18,073	$0	$717,971	$0	$0	$0
MARCOS A MESTRE
Director/VP & Chief Medical Officer	$333,221	$0	$2,950	$0	$19,751	$0	$31,608	$0	$24,745	$0	$412,275	$0	$0	$0
JEFRY BIEHLER
Executive Med Director Quality (Former Officer)	$0	$440,718	$0	$0	$0	$26,396	$0	$3,385	$0	$17,185	$0	$487,684	$0	$0
NARENDRA M KINI
President - CEO (Former)	$0	$0	$0	$0	$0	$589,410	$0	$0	$0	$0	$0	$589,410	$0	$0
JOSE PERDOMO
SVP Admin/Special Projects (Former President/COO)	$0	$364,997	$0	$54,875	$0	$193,738	$0	$912	$0	$18,856	$0	$633,378	$0	$165,018
DAWN E JAVERSACK
SVP/CFO Health System	$0	$593,992	$0	$81,856	$0	$33,524	$0	$3,160	$0	$13,369	$0	$725,901	$0	$0
JODI LAURENCE
SVP and General Counsel	$0	$384,887	$0	$78,279	$0	$24,126	$0	$66,841	$0	$19,845	$0	$573,978	$0	$0
ARIANNA URQUIA
VP/CFO Hospital	$300,012	$0	$45,902	$0	$16,588	$0	$27,851	$0	$623	$0	$390,976	$0	$0	$0
JACQUELINE L GONZALEZ
SVP/Chief Nursing Officer (Former)	$0	$0	$0	$0	$276,555	$0	$0	$0	$0	$0	$276,555	$0	$0	$0
OSCAR A AREVALO
Director of Dental	$254,806	$0	$150	$0	$26,138	$0	$2,433	$0	$7,123	$0	$290,650	$0	$0	$0
IRIS BERGES
VP of Operations	$247,292	$0	$39,150	$0	$19,994	$0	$23,207	$0	$523	$0	$330,166	$0	$0	$0
ANDREA MAGGIONI
Director Hospitalist	$246,675	$0	$64,850	$0	$45,758	$0	$1,991	$0	$24,121	$0	$383,395	$0	$0	$0
SHANNON M ODELL
NCH Chief Nursing Officer	$289,292	$0	$24,452	$0	$27,241	$0	$25,969	$0	$12,998	$0	$379,952	$0	$0	$0
JORGE OJITO
Manager Perfusion Services	$230,717	$0	$35,210	$0	$17,190	$0	$1,979	$0	$17,185	$0	$302,281	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 4a Severance or change-of-control payment	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR - JACQUELINE L GONZALEZ 276,555.49 NARENDRA M KINI 589,409.60
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	he following contributions were made to a Section 457(f) plan during the year - MATTHEW LOVE 188,632.00 MARCOS A MESTRE 28,814.02 JODI LAURENCE 63,414.96 PERRY ANN REED 79,893.60 ARIANNA URQUIA 25,277.63 SHANNON M ODELL 24,878.27 IRIS BERGES 21,256.00 THE FOLLOWING DISTRIBUTIONS WERE MADE FROM A SECTION 457(F) PLAN DURING THE YEAR- JOSE PERDOMO 165,017.64
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	59334NDD1	2013-08-01	$107,788,754	Refund bond issued on 12/21/2006	Yes (true)	false	false
Miami-Dade County Health Facilities Authority
B	521293036	59334NDY5	2017-04-27	$162,534,870	See Part VI Supplemental Information	false	false	false
Miami-Dade County Health Facilities Authority
C	521293036	59334NFC1	2021-11-10	$184,436,567	See Part VI Supplemental Information	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	$21,380,000	$84,065,000	$107,788,754	$0	$0	$0	$1,488,754	$0	$0	$0	$106,300,000	$0	2013	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$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)
C	$0	$0	$184,437,066	$0	$0	$0	$1,581,760	$0	$0	$1,407,293	$9,531,955	$171,916,058		Yes (true)	false	false

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	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	0.034	0.034	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.004	0.004	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	false	0.004	0.004	false	false	Yes (true)	false

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	Term Of GICTermOfGICPct	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	Yes (true)	false	false	false	false	0.0	false	Yes (true)
B	false	Yes (true)	false	false	false	false	false		Yes (true)	Yes (true)
C	false	Yes (true)	false	false	false	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 B and C	The difference between the Issue Prices, listed in Part I, Column (e), Lines B and C, and the total proceeds, listed in Part II, Line 3, Columns B and C is due to investment earnings.
Schedule K, Part IV, Line 6 Column B	Proceeds that were deposited in the advance refunding escrow were invested beyond their temporary period.
Schedule K, Part I, Column (f) Line B	Refund bonds issued on 12/22/2010 and 08/01/2011; acquire, construct, and equip hospital facilities.
Schedule K, Part I, Column (f) Line C	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	$723,702	Payment for medical services rendered by Children's Critical Care Specialists, PA	false
NANCY LYNN PERDOMO
SPOUSE JOSE PERDOMO - DIRECTOR	$56,694	COMPENSATION & BENEFITS	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a CONTINUED PROGRAM DESCRIPTION	(CONTINUED FROM PART III) IN IN 2021, 5,127 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. IN 2021 THE HOSPITAL HAD APPROXIMATELY 286 PROVIDERS TO SUPPORT THE ONGOING FUNCTIONS OF NICKLAUS CHILDREN'S HEALTH SYSTEM AND NICKLAUS CHILDREN'S HOSPITAL IN THE FOLLOWING SUB-SPECIALTIES: ADOLESCENT MEDICINE, ALLERGY/IMMUNOLOGY, CARDIOLOGY, CARDIOVASCULAR SURGERY, CLINICAL GENETICS AND METABOLISM, CRITICAL CARE MEDICINE, DENTISTRY, EMERGENCY MEDICINE, ENDOCRINOLOGY, GASTROENTEROLOGY, GENERAL PEDIATRICS, INFECTIOUS DISEASES, MATERNAL FETAL, NEPHROLOGY, NEUROPSYCHOLOGY, NEUROSURGERY, NUTRITION, OPHTHALMOLOGY, ORTHOPEDICS, OTOLARYNGOLOGY, PALLIATIVE CARE, PLASTIC AND RECONSTRUCTIVE SURGERY, PSYCHIATRY AND PSYCHOLOGY, RADIOLOGY/SEDATION AND RHEUMATOLOGY.THIS CRITICAL MASS OF PHYSICIANS SIGNIFICANTLY CONTRIBUTES TO THE QUALITY AND RANGE OF PEDIATRIC SERVICES AVAILABLE AT THE HOSPITAL. 2021 STATISTICAL DATA INCLUDES TOTAL INPATIENT DAYS: 60,971 TOTAL INPATIENT ADMISSIONS: 9,509 INPATIENT AVERAGE DAILY CENSUS: 167.0 TOTAL OUTPATIENT VISITS (MAIN CAMPUS): 182,433 TOTAL OUTPATIENT VISITS (AMBULATORY CENTERS): 289,416 TOTAL AMBULATORY URGENT CARE VISITS: 163,695 TOTAL SURGICAL CASES: 9,668 AVERAGE LENGTH OF STAY: 6.4 DAYS THE HOSPITAL IS INTERNATIONALLY RECOGNIZED FOR CARE EXCELLENCE. Five Nicklaus Children's Hospital specialty programs are again identified among the best in the nation, according toU.S. News & World Report's 2021-22 Best Children's Hospitals rankings.Nicklaus Children's has more ranked pediatric programs than any other hospital in South Florida. NICKLAUS CHILDREN'S 2021-22 RANKINGS ARE AS FOLLOWS: CARDIOLOGY & HEART SURGERY, DIABETES & ENDOCRINOLOGY NEONATOLOGY, NEUROLOGY & NEUROSURGERY ORTHOPEDICS AND PULMONOLOGY. Nicklaus Children's Hospital is included in Newsweek's list of World's Best Specialized Hospitals 2022. This recognition is presented by Newsweek and Statista Inc., a statistics portal and industry-ranking provider. No other South Florida pediatric hospital was recognized in the ranking. 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 and is the only children's hospital that is top-ranked in South Florida. 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 12/31/2021, THE TOOL WAS IN USE IN 1,507 HOSPITALS (1,247 IN THE US AND 259 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	Matthew Love, Mario Murgado, Jodi Laurence, and Dawn Javersack 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 VIII, Line 11d Other Miscellaneous Revenue	LAB REVENUES - Total Revenue: 212646, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 212646; GAIN/LOSS DISPOSAL OF PPE - Total Revenue: 4390, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 4390;
Form 990, Part IX, Line 11g Other Fees	FEES- PHYSICIANS - Total Expense: 16893995, Program Service Expense: 13515196, Management and General Expenses: 3378799, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 7184920, Program Service Expense: 5603196, Management and General Expenses: 1581724, Fundraising Expenses: ; STORAGE FEES - Total Expense: 451015, Program Service Expense: 360812, Management and General Expenses: 90203, Fundraising Expenses: ; LABORATORY SERVICES - Total Expense: 4677264, Program Service Expense: 3741811, Management and General Expenses: 935453, Fundraising Expenses: ; CONSULTANTS - Total Expense: 1417282, Program Service Expense: 1133826, Management and General Expenses: 283456, Fundraising Expenses: ; TRANSCRIPTION SERVICES - Total Expense: 2260, Program Service Expense: 1808, Management and General Expenses: 452, Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 132108, Program Service Expense: 105686, Management and General Expenses: 26422, Fundraising Expenses: ; MANAGEMENT FEE EXPENSE - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 26658553, Fundraising Expenses: ; CASUAL LABOR - Total Expense: 4613115, Program Service Expense: 3690492, Management and General Expenses: 922623, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Net payments on swap agreements - -4550208; Gain from subsidiaries - 34947055; Net change in fair value of swaps - 9574592; Change in value of charitable remainder trusts held by others - 226752; Change in beneficial interest in NCHF - 17090119; Equity transfer with affiliate - -2784236; Distribution to noncontrolling interest - -4789451; Advanced refunding on old bonds - -7973147; Loss on asset impairment - -32550672; Guarantee of affiliate losses - -27524500;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MCH PEDIATRIC CARDIOLOGY LLC
3100 SW 62ND AVENUE	MIAMI	FL	33155	651023909	CARDIAC SERVICES	FL	$0	$0	VCH
MIAMI CHILDREN'S HOSPITAL PRPG LLC
3100 SW 62ND AVENUE	MIAMI	FL	33155	760724684	INSURANCE	FL	$0	$0	VCH

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	$530,018	$2,734,584	false	Yes (true)	0.5231
MIAMI CHILDREN'S HEALTH PLAN LLC
3100 SW 62ND AVE		MIAMI	FL	33155	823111550	INSURANCE	FL	VCH	Related	$19,924,897	$13,001,815	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	$2,575,957	$90,448,008	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