VARIETY CHILDRENS HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: VARIETY CHILDRENS HOSPITAL (EIN 59-0638499)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-12
IRS object ID: 202003179349303920
Schema version: 2019v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-12T11:31:30-06:00	ReturnTs
Tax Period End	2019-12-31	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	2019-01-01	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	2020-11-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brittney Kocaj	PreparerPersonNm
PTIN	P01320603	PTIN
Phone	9542028600	PhoneNum

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	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	$805,829,158	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	16	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	4051	TotalEmployeeCnt
Total Volunteers	1145	TotalVolunteersCnt
Total Gross UBI	$56,712	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,045,555	PYContributionsGrantsAmt
CY Contributions Grants	$5,537,702	CYContributionsGrantsAmt
PY Program Service Revenue	$606,214,652	PYProgramServiceRevenueAmt
CY Program Service Revenue	$584,866,437	CYProgramServiceRevenueAmt
PY Investment Income	$15,631,131	PYInvestmentIncomeAmt
CY Investment Income	$28,992,293	CYInvestmentIncomeAmt
PY Other Revenue	$25,091,580	PYOtherRevenueAmt
CY Other Revenue	$25,414,840	CYOtherRevenueAmt
PY Total Revenue	$657,982,918	PYTotalRevenueAmt
CY Total Revenue	$644,811,272	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$6,600,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$274,713,335	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$272,201,906	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$332,104,611	PYOtherExpensesAmt
CY Other Expenses	$366,220,331	CYOtherExpensesAmt
PY Total Expenses	$606,817,946	PYTotalExpensesAmt
CY Total Expenses	$645,022,237	CYTotalExpensesAmt
PY Revenues Less Expenses	$51,164,972	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$210,965	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,165,532,000	TotalAssetsBOYAmt
Total Assets EOY	$1,194,010,801	TotalAssetsEOYAmt
Total Liabilities BOY	$442,199,702	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$515,020,348	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$723,332,298	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$678,990,453	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	$517,029,403	ExpenseAmt
Grant	$6,600,000	GrantAmt
Revenue	$597,885,648	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 CONSISTING OF 289 GENERAL ACUTE-CARE BEDS AND 20 PSYCHIATRIC 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	$517,029,403	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	Yes (true)	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	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	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
IRP Document	416	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4051	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	16	GoverningBodyVotingMembersCnt
Independent Voting Member	13	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	Ana Randin	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3056666511	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Jaret Davis
Chairman	0.1	1.5	Yes (X)	Yes (X)	$0	$0	$0
Jefry Biehler MD
Secretary	40.0	0.3	Yes (X)	Yes (X)	$401,929	$0	$26,825
Jose Perdomo
Interim President & COO MCHRI, VCH, VCH PLT, & MCH WCT	40.0	0.6	Yes (X)	Yes (X)	$492,484	$0	$58,093
Joseph Nader
Vice Chairman	0.1	0.4	Yes (X)	Yes (X)	$0	$0	$0
Matthew Love
Treasurer/Interim CEO & President	20.0	20.5	Yes (X)	Yes (X)	$0	$740,892	$101,675
Narendra M Kini MD
CEO/DIRECTOR (Partial Year)	20.0	20.5	Yes (X)	Yes (X)	$0	$1,670,892	$81,122
Alex Soto
Director	0.1	1.5	Yes (X)		$0	$0	$0
AMY CHARLEY
Director	0.1	0.3	Yes (X)		$0	$0	$0
Drew Kern
Director	0.1	0.4	Yes (X)		$0	$0	$0
Jay Massirman
Director	0.1	1.3	Yes (X)		$0	$0	$0
John L Nielsen
Director	0.1	0.3	Yes (X)		$0	$0	$0
Jorge Gonzalez
Director	0.1	0.3	Yes (X)		$0	$0	$0
Judge Fred Moreno
Director	0.1	0.3	Yes (X)		$0	$0	$0
Marcelo Laufer MD
Director	0.1	0.3	Yes (X)		$0	$0	$0
Mario Murgado
Director	0.1	0.6	Yes (X)		$0	$0	$0
Michael S Davis
Director (partial year)	0.1	40.5	Yes (X)		$0	$498,919	$45,544
Michelle Boggs
Director	0.1	41.4	Yes (X)		$0	$320,856	$74,621
Phillip Newcomm
Director	0.1	0.3	Yes (X)		$0	$0	$0
RAMESH C SACHDEVA
Director	0.1	40.5	Yes (X)		$0	$504,846	$81,071
Ravneet Chowdhury Esq
Director	0.1	1.5	Yes (X)		$0	$0	$0
ARIANNA URQUIA
VP/CFO Hospital	40.0	0.3		Yes (X)	$82,618	$0	$10,889
Michael L Harrington
President & COO (Partial Year)	40.0	0.5		Yes (X)	$456,632	$0	$25,245
Andrea Maggioni MD
Director Hospitalist	40.0	0			$348,567	$0	$27,866	Yes (X)
Jacqueline L Gonzalez
SVP/Chief Nursing Officer	40.0	0			$379,099	$0	$59,382	Yes (X)
Nancy Humbert
EVP Outpatient Services & ED	40.0	0			$592,589	$0	$26,486	Yes (X)
OSCAR A AREVALO
Interim Ped Dental Director	40.0	0			$255,122	$0	$13,152	Yes (X)
Jodi Laurence Esq
Vice Chairman	0.1	40.3			$0	$291,548	$43,040		Yes (X)
Timothy L Birkenstock
Former Treasurer	0.0	0.0			$0	$202,553	$9,574		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,009,040	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,230,507	TotReportableCompRltdOrgAmt
Total Other Compensation	$684,584	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	314	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
CHILDRENS ANESTHESIA ASSOC INC
3100 SW 623 AVE	Miami	FL	33155	Physician Services	$1,499,647
MIAMI ASSOCIATES IN PEDIATRIC SURGERY PA
3200 SW 60 CT	Miami	FL	33155	Physician Services	$1,148,319	SUITE 201
KIDZ MEDICAL SERVICES INC
5955 PONCE DE LEON BLVD	CORAL GABLES	FL	33146	Physician Services	$808,366
PROIETTO PAINTING INC
4800 NE 10th AVE	FORT LAUDERDALE	FL	33334	Painting Services	$747,900
ROBINS & MORTON GROUP
400 SHADES CREEK PARKWAY	BIRMINGHAM	AL	35209	Construction	$664,534

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	69	CntrctRcvdGreaterThan100KCnt
Related Organizations	$5,264,187	RelatedOrganizationsAmt
Government Grants	$64,550	GovernmentGrantsAmt
All Other Contributions	$208,965	AllOtherContributionsAmt
Total Contributions	$5,537,702	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue	621300	$571,503,113	$571,503,113
Grant Revenue	900099	$13,032,631	$13,032,631
Seminar Workshops	621300	$330,693	$330,693

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	$584,866,437	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,865,665	TotalRevenueColumnAmt
Unrelated Business Revenue	-$31,758	UnrelatedBusinessRevenueAmt
Exclusion	$11,897,423	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$5,308,116	RealAmt
Personal	$88,470	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$5,308,116	RealAmt
Personal	$88,470	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,396,586	TotalRevenueColumnAmt
Unrelated Business Revenue	$88,470	UnrelatedBusinessRevenueAmt
Exclusion	$5,308,116	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$178,144,514	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$155,346,627	SecuritiesAmt
Other	$5,671,259	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$22,797,887	SecuritiesAmt
Other	-$5,671,259	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,126,628	TotalRevenueColumnAmt
Exclusion	$17,126,628	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$1,197,390	GrossSalesOfInventoryAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,197,390	TotalRevenueColumnAmt
Exclusion	$1,197,390	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria Vending	722514	$3,099,505	$3,099,505
Management Fee Affiliated Companies	900099	$13,019,211		$13,019,211
Pharmacy	446110	$732,259	$732,259

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,969,889	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,969,889	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$18,820,864	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$644,811,272	TotalRevenueColumnAmt
Related Or Exempt Func Income	$597,885,648	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$56,712	UnrelatedBusinessRevenueAmt
Exclusion	$41,331,210	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$6,600,000	TotalAmt
Program Services	$6,600,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,554,715	TotalAmt
Program Services	$1,243,772	ProgramServicesAmt
Management And General	$310,943	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$213,095,403	TotalAmt
Program Services	$170,476,322	ProgramServicesAmt
Management And General	$42,619,081	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,021,721	TotalAmt
Program Services	$4,017,377	ProgramServicesAmt
Management And General	$1,004,344	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$38,000,821	TotalAmt
Program Services	$30,400,657	ProgramServicesAmt
Management And General	$7,600,164	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$14,529,246	TotalAmt
Program Services	$11,623,397	ProgramServicesAmt
Management And General	$2,905,849	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$327,886	TotalAmt
Management And General	$327,886	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,793,793	TotalAmt
Management And General	$1,793,793	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$149,095,315	TotalAmt
Program Services	$119,276,251	ProgramServicesAmt
Management And General	$29,819,064	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$837,421	TotalAmt
Program Services	$669,937	ProgramServicesAmt
Management And General	$167,484	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,474,220	TotalAmt
Program Services	$9,979,376	ProgramServicesAmt
Management And General	$2,494,844	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,376,703	TotalAmt
Program Services	$1,901,362	ProgramServicesAmt
Management And General	$475,341	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$23,193,345	TotalAmt
Program Services	$18,554,676	ProgramServicesAmt
Management And General	$4,638,669	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$509,503	TotalAmt
Program Services	$407,602	ProgramServicesAmt
Management And General	$101,901	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,571,623	TotalAmt
Program Services	$8,457,298	ProgramServicesAmt
Management And General	$2,114,325	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$46,402,358	TotalAmt
Program Services	$37,121,886	ProgramServicesAmt
Management And General	$9,280,472	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$21,140,424	TotalAmt
Program Services	$16,912,339	ProgramServicesAmt
Management And General	$4,228,085	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$63,144,211	$50,515,369	$12,628,842
Bad Debt	$25,127,539	$20,102,031	$5,025,508
Provider Tax	$6,944,788	$6,944,788
Dues and Subscriptions	$1,140,587	$912,470	$228,117

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,140,615	TotalAmt
Program Services	$912,493	ProgramServicesAmt
Management And General	$228,122	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$645,022,237	TotalAmt
Program Services	$517,029,403	ProgramServicesAmt
Management And General	$127,992,834	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,587,870	BOYAmt
EOY	$265,236	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$10,035,838	BOYAmt
EOY	$141,032,292	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$77,470,484	BOYAmt
EOY	$85,904,423	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,058,163	BOYAmt
EOY	$1,569,102	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,715,528	BOYAmt
EOY	$8,454,427	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,774,992	BOYAmt
EOY	$1,528,103	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$891,548,942	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$484,135,508	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$566,656,624	BOYAmt
EOY	$407,413,434	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$148,989,116	BOYAmt
EOY	$197,093,050	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$242,139,637	BOYAmt
EOY	$110,911,892	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$11,519,159	BOYAmt
EOY	$11,316,988	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$92,584,589	BOYAmt
EOY	$228,521,854	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,165,532,000	BOYAmt
EOY	$1,194,010,801	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$37,877,752	BOYAmt
EOY	$34,695,617	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$325,754,077	BOYAmt
EOY	$320,603,547	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$78,567,873	BOYAmt
EOY	$159,721,184	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$442,199,702	BOYAmt
EOY	$515,020,348	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	$608,628,266	BOYAmt
EOY	$565,417,869	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$114,704,032	BOYAmt
EOY	$113,572,584	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$723,332,298	BOYAmt
EOY	$678,990,453	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,165,532,000	BOYAmt
EOY	$1,194,010,801	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$210,965	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$14,307,745	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$58,438,625	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
Contributions	$1,227,073	ContributionsAmt
End Year Balance	$1,227,073	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
End Year Balance	$0	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.1592	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.8408	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	$451,313,279	OtherCostOrOtherBasisAmt
Depreciation	$196,616,031	DepreciationAmt
Book Value	$254,697,248	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$47,148,754	OtherCostOrOtherBasisAmt
Depreciation	$25,335,430	DepreciationAmt
Book Value	$21,813,324	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$343,392,551	OtherCostOrOtherBasisAmt
Depreciation	$257,816,657	DepreciationAmt
Book Value	$85,575,894	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$46,664,202	OtherCostOrOtherBasisAmt
Depreciation	$4,367,390	DepreciationAmt
Book Value	$42,296,812	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$407,413,434	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Alternative Investments	$109,089,775	F
Restricted investments	$1,822,117	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$110,911,892	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
Beneficial Interest in Miami Childrens Hospital Foundation	$95,952,339
Assets held for sale	$87,541,629
Operating lease right of use assets, net	$42,915,960
Charitable Remainder Trust	$1,168,051
Exec Life	$337,961
Self Insurance Trust	$335,580
Other Long Term Assets	$270,334

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$228,521,854	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Lease Incentive Obligation	$63,263,063
Line of Credit	$45,085,922
Swap Liabilities	$32,858,812
Other Liabilities	$17,200,418
Intercompany Payable	$766,673
Third Party Settlement Payable	$546,296
Intercompany Receivables

Field	Value	IRS element (for citing)
Total Liability	$159,721,184	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

VARIETY CHILDREN'S HOSPITAL'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF NICKLAUS CHILDREN'S HEALTH SYSTEM (NCHS), A RELATED ORGANIZATION. MCHS' ASC 740 FOOTNOTE FOR THE YEAR ENDED DECEMBER 31, 2019, READS AS FOLLOWS: "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, PSA, NCHF AND THE RESEARCH INSTITUTE 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, 2019 AND 2018. 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, 2019 AND 2018. 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	$3,484,025
Central America and the Caribbean	0	0	Investments		$14,521,219

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	$18,005,244	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$18,005,244	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

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	false	FPGReferenceDiscountedCareInd
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	$31,967	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$31,967	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$377,140,788	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$287,584,665	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$89,556,123	NetCommunityBenefitExpnsAmt
Total Expense	0.1445	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$238,273	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$115,177	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$123,096	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	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	$377,411,028	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$287,699,842	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$89,711,186	NetCommunityBenefitExpnsAmt
Total Expense	0.1447	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,635,587	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,635,587	NetCommunityBenefitExpnsAmt
Total Expense	0.0026	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,200,012	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,803,956	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,396,056	NetCommunityBenefitExpnsAmt
Total Expense	0.0039	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

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

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$633,972	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$92,967	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$541,005	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	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	$14,469,571	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,896,923	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,572,648	NetCommunityBenefitExpnsAmt
Total Expense	0.0074	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$391,880,599	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$297,596,765	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$94,283,834	NetCommunityBenefitExpnsAmt
Total Expense	0.1521	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	$7,962,442	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$1,070,470	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$1,291,032	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$220,562	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	0.5326	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.0	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.4674	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	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.nicklauschildrens.org/NCH/media/docs/pdf/2018-PRC-Child-Adolescent-Health-Needs-Assessme	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.nicklauschildrens.org/NCH/media/docs/pdf/2018-PRC-Child-Adolescent-Health-Needs-Assessme	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
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
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - NIcklaus Children's Hospital. Focus Group: External and Internal This assessment was conducted by Professional Research Consultants, Inc. (PRC) on behalf of Nicklaus Children's Hospital (renamed in March 2015, and the flagship for Nicklaus Children's Health System). PRC is a nationally-recognized healthcare consulting firm with extensive experience conducting Community Health Needs Assessments in hundreds of communities across the United States since 1994. This 2018 PRC Child & Adolescent Health Needs assessment is a follow up to a similar study conducted in 2015 and incorporates data from both quantitative and qualitative sources. Quantitative data input includes primary research and secondary research (vital statistics and other existing health-related data); these quantitative components allow for comparison to benchmark data at the state and national levels. Qualitative data input includes primary research gathered through an Online Key Informant Survey. A precise and carefully executed methodology is critical in asserting the validity of the results gathered in the PRC Child & Adolescent Survey. Thus, to ensure the best representation of the population surveyed, a telephone interview methodology - one that incorporates both landline and cell phone interviews - was employed. The primary advantages of telephone interviewing are timeliness, efficiency and random-selection capabilities. In addition, these telephone interviews were supplemented with surveys among families in the total service area requested to participate in the study via a questionnaire completed online. The sample design used for this effort consisted of a stratified random sample of 1,372 parents of children under 18 in the Nicklaus Children's Hospital Service Area. By geography, a total of 408 surveys were conducted in Miami-Dade County, 359 in Broward County, 301 in Palm Beach County, 153 in Lee County and 50 in Monroe County. Once the interviews were completed, these were weighted in proportion to the actual child population distribution so as to appropriately represent the Nicklaus Children's Hospital Service Area as a whole. All administration of the surveys, data collection and data analysis was conducted by Professional Research Consultants, Inc. (PRC). To solicit input from key informants, those individuals who have a broad interest in the health of the community, an Online Key Informant Survey was also implemented as part of this process. A list of recommended participants was provided by the sponsors of this study; 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 among the families and children/adolescents 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, 108 community stakeholders took part in the Online Key Informant Survey. Final participation included representatives of the organizations outlined below. Allergy & Immunology Care Center of South Florida Alvis Pediatrics Barry University College of Nursing and Health Sciences Boys & Girls Clubs of Miami-Dade Branches, Inc. Carrollton Children's Urology Associates, South Florida City of Hialeah Fire Rescue Department Cuban American National Council, Inc. Early Learning Coalition-Early Head Start Miami-Dade Fire Rescue Florida Department of Health Florida Department of Health in Miami-Dade County Greater Miami Jewish Federation Gulliver School Jehovah's Witnesses Jupiter Medical Center Miami Dade Pediatrics Miami Pediatric Care, LLC Midway Pediatrics Moreh and Associates Nicklaus Children's Hospital Nicklaus Children's Hospital, Department of Anesthesia Nicklaus Children's Hospital, Division of Hematology/Oncology Nicklaus Children's Health System Pediatric Professional Associates Physicians to Children Progressive Behavioral Science Publix Pharmacy South Florida Hispanic Chamber of Commerce The Children's Trust University of Miami School of Nursing and Health Studies Wellington Regional Medical Center West Coast University Through this process, input was gathered from several individuals whose organizations work with low-income, minority populations (including adopted children, African-Americans, Albanians, American Indians, Asians, biologically and socially at-risk infants and children, Caribbean people, Central Americans, children with autism, children with chronic medical problems, children with special needs, Cubans, the disabled, Dominicans, Europeans, foster children, grandparents raising grandchildren, Haitians, Hispanics, the homeless, immigrants, inner-city youth, international, children with lack of parental involvement, LGBT community, those with low education, low income residents, Medicare/Medicaid beneficiaries, the mentally ill, people of Middle Eastern decent, non-English speaking persons, Non-Whites, school-aged children, single parents, South Americans, the undocumented, the unemployed, the uninsured/underinsured, victims of human trafficking, people from the Virgin Islands), or other medically underserved populations (including African-Americans, children with autism, children with chronic medical problems, children with special needs, children with substance abuse issues, the disabled, family and individual counseling centers, foster children, Haitians, Hispanics, the homeless, immigrants, persons that lack dental care, persons that lack transportation, LGBT community, low income residents, Medicare/Medicaid beneficiaries, the mentally ill, the undocumented, the uninsured/underinsured). In the online survey, key informants were asked to rate the degree to which various children's 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 be better addressed. Results of their ratings, as well as their verbatim comments, are included throughout this report as they relate to the various other data presented.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - NICKLAUS CHILDREN'S HOSPITAL. Mental & Emotional Health- Nicklaus, in collaboration with community partners, is committed to significantly grow our mental health program with more services and more types of services to facilitate greater prevention, treatment, and management. Access to Healthcare - Of the tested access barriers, inconvenient office hours impacted the greatest share of Total Service Area children (25.1%). Nicklaus has begun offering evening and weekend appointments for select sub-specialties in its physician group practice, Pediatric Specialists of America (PSA). This is an ongoing and high priority initiative for the PSA; and NCHS looks for the collaboration of affiliated private groups to do the same within their offices. * PSA created open access slots for patients with a STAT diagnosis and/or as recommended by the PCP/referring provider. * NCHS will be adding more formal structure to support multidisciplinary clinics and programs - centralizing dedicated resources and where possible allowing for global billing. * Nicklaus Children's continues to grow subspecialty and ancillary services throughout the ambulatory network to 'be where the children are'. * Almost a quarter of children in South Florida were reported to have a lapse in insurance coverage in the past year (vs. 13.0% nationally). NCHS intends to work with the Florida legislature to pass some form of 'auto-enrollment' so children are not left without insurance. * Nicklaus Children's School Health Program currently services 74 schools. The program is actively looking to expand to more schools, and has recently added or is working to add specific programming around weight management, mental health counseling, incorporating parents and guardians for training and guidance, and various targeted violence prevention and health promotion initiatives. Nutrition, Physical Activity & Weight - #GiveMe5 is a multidisciplinary, training, educational and marketing tool to encourage the consumption of fruits and vegetables among children of all different ethnic and cultural backgrounds in South Florida. Since the program's launch, in response to the 2015 CHNA, fruit and vegetable consumption went from significantly below to being in line with rates reported across the US. Based on the success of the program, NCHS and our community partners are committed to continued support for community nutrition and the #GiveMe5 campaign. #GiveMe5 is made possible with the generous support of Kohl's Cares. * NCHS strives to work with payors to cover outpatient nutrition therapy. Most plans list outpatient nutrition as a covered benefit, but it largely remains an out-of-pocket service. This is a carry-over from the prior Implementation Plan. * The Nicklaus Children's Pinecrest Sports Health Center offers a suite of services to enhance performance and facilitate safe play. Programmatic growth targeted around wellness, concussion, and other areas. * NCHS is exploring building out more enhanced programming specifically focused on obesity medicine. Prenatal & Infant Health - The Fetal Care Center at Nicklaus Children's is devoted to the care of high risk fetal patients with medical needs requiring intervention at birth. The special delivery unit for healthy women who are anticipating a baby with medical/surgical needs opened in 2019. Nicklaus Children's Fetal Care Center, in partnership with OBs, MFMs, and other community organizations are working together to improve prenatal health though quality collaboratives and joint outreach. * NCHS is exploring the development of a neurodevelopmental clinic and other programs for NICU graduates. Diabetes - Nicklaus is expanding diabetes care into the community. The Diabetes program now offers services in NCHS's West Kendall and Doral outpatient centers; plans are also underway for growth in Martin County. * The Diabetes program has increased the number of Certified Diabetes Educators and is working with psychology to provide more counseling services. * NCHS is developing a roadmap to create a Diabetes Center of Excellence with best-in-class evidenced-based structure, process, and outcomes. Asthma & Other Respiratory Conditions - 2018 CHNA findings suggest in South Florida the prevalence of asthma, ED/Urgent Care utilization for asthma, and asthma related inpatient admissions are all above the rest of the country and comparatively worse than the CHNA findings from 2015. The Division of Pulmonology is exploring ways to support PCPs and families in the community to reinforce critical asthma management education. Injury & Safety - Nicklaus Children's Safe Kids - Buckle Up program provides car seat inspections / installation appointments; presentations at community events; and offers courses. NCHS is committed to injury prevention in the community and looks for ways to reach more families with these services. * The School Health Program offers health education in every school where we operate, touching on a range of health, safety, and injury prevention topics. A sample of planed projects include a distracted driving/impaired driving pilot, stop the bleed training, and a drowning prevention initiative. Substance Abuse - Adolescent Medicine physicians counsel patients on high risk behaviors including sexual activity, alcohol and drug use. NCHS endeavors to reach more patients needing this service. Sexual Health - Within the Division of Adolescent Medicine several initiatives are underway to improve HIV screening rates in accordance with national guidelines, use of long-acting reversible contraceptives, and to improve rates of screening for sexual abuse. Potentially Disabling Conditions - NCHS is scheduled to open a Gait and Motion Analysis Laboratory to aid in the targeted treatment of orthopedic, neurological, and muscular conditions. * NCHS is exploring the development of a complex chronic / stabilization / NICU graduate clinic or program to centralize and coordinate care for the most medically involved pediatric patients in our community. * The Personalized Medicine Initiative (PMI) at Nicklaus Children's is one of the nation's first programs focused on the development and delivery of precision and personalized approaches for children's medical care, health and wellness. The PMI offers a comprehensive approach to tailoring medical management to each child's individual characteristics, needs, and preferences from prevention, diagnosis, treatment, and follow up. The PMI serves as the innovation hub for genomics, immunotherapies, 3D printing, imaging innovation, and biobanking. PMI is closely linked to various programs across NCHS including the Brain Institute, the Heart Program, the Center for Cancer & Blood Disorders, Orthopedics and Sports Medicine, the Victor Center for Prevention of Jewish Genetic Diseases, and the Fetal Care Program. The team is actively engaged with community partners to build capacity and support efforts in science and STEM/STEAM education with an emphasis on genetics and genomics. Areas for targeted growth include pharmacogenomics, health economics and augmented and virtual reality.
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	18	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 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 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	Outpatient/ Urgent 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
Aventura Care Center
20295 NE 29th Place Ste 300	Aventura	FL	33180	specialty care center
Boynton Beach Care Center
10383 Hagen Ranch Rd Ste 200	Boynton Beach	FL	33437	Specialty Care center
Coconut Creek Care Center
6370 North State Road 7 Ste 100	Coconut Creek	FL	33073	Specialty Care center
Coral Springs Care Center
9750 NW 33rd Street Ste 109	Coral Springs	FL	33065	Specialty Care center
Palm City Care Center
3270 SW Martin Downs Blvd	Palm City	FL	34990	Specialty Care Center
Pinecrest Care Center
11521 South Dixie Hwy Ste 201 2nd f	Pinecrest	FL	33156	Specialty Care Center	l

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE	https://www.nicklauschildrens.org/patient-resources/patient-financial-services/financial-assistance-program
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE	https://www.nicklauschildrens.org/patient-resources/patient-financial-services/financial-assistance-program
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE	https://www.nicklauschildrens.org/patient-resources/patient-financial-services/financial-assistance-program
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	25127541
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE ORGANIZATION USES THE COST TO CHARGE RATIO IN IRS WORKSHEET 2 TO DETERMINE THE COST OF COMMUNITY BENEFITS AND FINANCIAL ASSISTANCE.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	Bad debt expense is reported at cost using the cost to charge ratio
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE HOSPITAL IS UNABLE TO ESTIMATE ACCURATELY THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE SERVICES UNDER THE FINANCIAL ASSISTANCE POLICY. ALTHOUGH A PORTION OF BAD DEBT EXPENSES MAY RELATE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE, A REPORTABLE FIGURE CANNOT BE REASONABLY ESTIMATED.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	The System determines the transaction price based on standard charges for goods and services provided to patients, reduced by contractual adjustments provided to third-party payors, discounts provided to uninsured patients n accordance with the System's policy, and/or implicit price concessions. The implicit price concessions included in estimating the transaction price represent the difference between amounts billed to patients and the amounts expected to collect based on the System's collection history with similar class of patients. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay are recorded as bad debt expense. Bad debt expense for the years ended December 31, 2019 and 2018 was not significant.
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 ($220,562 FOR 2019) 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.
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. In 2019, 66 percent of the health system's patient population was funded by Medicaid. 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 2010 census, 51.1 percent was foreign born, 21.9 percent were under the age of 18, 65 percent of the population comprised of individuals of Latin or Hispanic descent and 72 percent spoke a language other than English at home. The hospital also serves children from all over the United States and throughout Florida (patients from every county in the state have been served by the hospital). In 2019, the hospital served international patients from 68 countries. The health system, through its network of 12 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 I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Jupiter Medical Center Foundation	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1210 S Old Dixie Hwy	AddressLine1Txt
City	Jupiter	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33458	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	650132406	RecipientEIN
IRC Section	501(c)3	IRCSectionDesc
Cash Grant	$6,600,000	CashGrantAmt
Purpose Of Grant	Sponsorship	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	THE GRANTEE ORGANIZATIONS CAN USE THE FUNDS IN FURTHERANCE OF THEIR TAX-EXEMPT MISSION AND THEREFORE MONITORING THE USE OF FUNDS IS NOT NECESSARY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
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 (14 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
Jodi Laurence Esq
Vice Chairman	$0	$289,794	$0	$0	$0	$1,754	$0	$26,043	$0	$16,997	$0	$334,588	$0	$0
Jefry Biehler MD
Secretary	$399,916	$0	$0	$0	$2,013	$0	$8,400	$0	$18,425	$0	$428,754	$0	$0	$0
Narendra M Kini MD
CEO/DIRECTOR (Partial Year)	$0	$832,435	$0	$0	$0	$838,457	$0	$67,341	$0	$13,781	$0	$1,752,014	$0	$0
Matthew Love
Treasurer/Interim CEO & President	$0	$647,869	$0	$0	$0	$93,023	$0	$77,091	$0	$24,585	$0	$842,568	$0	$0
Jose Perdomo
Interim President & COO MCHRI, VCH, VCH PLT, & MCH WCT	$468,466	$0	$0	$0	$24,018	$0	$50,268	$0	$7,825	$0	$550,577	$0	$0	$0
Michelle Boggs
Director	$0	$319,857	$0	$0	$0	$1,000	$0	$50,254	$0	$24,366	$0	$395,477	$0	$0
Michael S Davis
Director (partial year)	$0	$325,226	$0	$0	$0	$173,693	$0	$37,327	$0	$8,218	$0	$544,463	$0	$0
RAMESH C SACHDEVA
Director	$0	$499,313	$0	$0	$0	$5,533	$0	$67,703	$0	$13,368	$0	$585,917	$0	$0
Timothy L Birkenstock
Former Treasurer	$0	$166,008	$0	$0	$0	$36,545	$0	$4,513	$0	$5,060	$0	$212,126	$0	$0
Michael L Harrington
President & COO (Partial Year)	$243,700	$0	$0	$0	$212,932	$0	$22,374	$0	$2,872	$0	$481,877	$0	$0	$0
OSCAR A AREVALO
Interim Ped Dental Director	$254,399	$0	$0	$0	$723	$0	$6,037	$0	$7,115	$0	$268,274	$0	$0	$0
Jacqueline L Gonzalez
SVP/Chief Nursing Officer	$113,905	$0	$0	$0	$265,193	$0	$40,581	$0	$18,802	$0	$438,481	$0	$0	$0
Nancy Humbert
EVP Outpatient Services & ED	$401,577	$0	$0	$0	$191,012	$0	$8,400	$0	$18,086	$0	$619,075	$0	$0	$0
Andrea Maggioni MD
Director Hospitalist	$328,843	$0	$0	$0	$19,723	$0	$4,200	$0	$23,665	$0	$376,432	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 J, Part I, Line 1a Tax indemnification and gross-up payments	All of the compensated individuals listed on Part VII received tax gross-up payments during the year. The gross-up payment was treated as taxable compensation to them.
Schedule J, Part I, Line 4a Severance or change-of-control payment	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR - MICHAEL L HARRINGTON - $202,950.06 NARENDRA M KINI - $589,409.60 MICHAEL S DAVIS - $141,926.40
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	The following contributions were made to a Section 457(f) plan during the year - MICHELLE J BOGGS - $47,253.96 MATTHEW LOVE - $76,502.40 MICHAEL L HARRINGTON - $17,691.96 JACQUELINE L GONZALEZ - $37,411.92 JOSE PERDOMO - $43,779.84 MICHAEL S. DAVIS - $30,750.72 NARENDRA M. KINI - $58,940.96 The following distributions were made from a Section 457(f) plan during the year - NANCY HUMBERT - $181,952.11 JACQUELINE L GONZALEZ - $257,951.63 JOSE PERDOMO - $19,021.42 MICHAEL S. DAVIS - $30,964.17 NARENDRA M. KINI - $232,728.15

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	59334NCE0	2010-12-22	$107,784,753	Refund 2006 bond issue and new project	Yes (true)	false	false
Miami-Dade County Health Facilities Authority
B	521293036	59334NDD1	2013-08-01	$107,788,754	Refund 2006 and 2008 bond issues	false	false	false
Miami-Dade County Health Facilities Authority
C	521293036	59334NDY5	2017-04-27	$162,534,870	Partially refund 2010A Fully refund 2011 New Projects	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	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	Refunding EscrowRefundingEscrowAmt
A	$11,070,000	$26,120,000	$108,410,552	$8	$0	$1,227,083	$0	$0	$65,258,469	$41,925,000	$0	2015	Yes (true)	false	Yes (true)	Yes (true)
B	$14,395,000	$0	$107,788,754	$0	$0	$1,488,754	$0	$0	$0	$106,300,000	$0	2013	Yes (true)	false	Yes (true)	Yes (true)	$0
C			$162,560,891	$24		$1,931,562			$100,026,021	$5,658,075		2017	false	Yes (true)	Yes (true)	Yes (true)	$54,945,233

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
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.007	0.007	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.029	0.029	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	false	0.005	0.005	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Bayerische Landesbank
A	false	false	false	Yes (true)	Yes (true)	false	Yes (true)	2.0	Yes (true)	Yes (true)	Yes (true)
(no name)
B	false	false	Yes (true)	false	false	false	false	0.0		false	Yes (true)
(no name)
C	false	Yes (true)	false	false	false	false	false			Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part II, Line 3 Columns A and C	The difference between the issue price (listed in Part I) and the total proceeds (Part II, Line 3) is due to the investment earnings.
Schedule K, Part IV, Line 6 Column A	Such amounts were appropriately yield restricted
Schedule K, Part IV, Line 6 Available Temporary Period	Proceeds that were deposited in the advance refunding escrow were invested beyond their temporary period.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: Miami-Dade County Health Facilities Authority The calculation for computing no rebate due was performed on 01/12/2016

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a CONTINUED PROGRAM DESCRIPTION	(CONTINUED FROM PART III) IN 2019, 4,359 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 2019 THE HOSPITAL HAD APPROXIMATELY 267 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, 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. 2019 STATISTICAL DATA INCLUDES TOTAL INPATIENT DAYS: 63,197 TOTAL INPATIENT ADMISSIONS: 9,455 INPATIENT AVERAGE DAILY CENSUS: 173.14 TOTAL OUTPATIENT VISITS (MAIN CAMPUS): 189,434 TOTAL OUTPATIENT VISITS (AMBULATORY CENTERS): 177,328 TOTAL AMBULATORY URGENT CARE VISITS: 160,870 TOTAL SURGICAL CASES: 10,280 AVERAGE LENGTH OF STAY: 6.55 DAYS THE HOSPITAL IS INTERNATIONALLY RECOGNIZED FOR CARE EXCELLENCE. NICKLAUS CHILDREN'S HOSPITAL PROGRAMS WERE RANKED AMONG THE NATION'S BEST IN SEVEN PEDIATRIC SUB-SPECIALTY PROGRAMS SURVEYED BY U.S. NEWS AND WORLD REPORT IN ITS 2019-20 LISTING OF "AMERICA'S BEST CHILDREN'S HOSPITALS." THE HOSPITAL HAD MORE RANKED PEDIATRIC PROGRAMS THAN ANY OTHER HOSPITAL IN FLORIDA. Nicklaus Children's becomes the only facility in South Florida verified as a Level 1 Pediatric Trauma Center.Verification as a pediatric facility by the ACS demonstrates our continued commitment to delivering the highest quality care to the children and families we serve. Nicklaus Children's Hospital became the first children's hospital in the nation to acquire the OmniTom mobile CT scanner from NeuroLogica, a subsidiary of Samsung Electronics Co., Ltd. The OmniTom is the world's first medical device delivering high quality non-contrast CT scans at the patients' bedside with omni-directional wheels, collecting real-time data on pediatric patients. The Pediatric Care Center at Nicklaus Children's Hospital has been awarded recognition by the National Committee for Quality Assurance (NCQA) Patient-Centered Medical Home Program. In 2019 Seven Nicklaus Children's Hospital specialty programs are again identified among the best in the nation, according to U.S.News & World Report's 2019-20 "Best Children's Hospitals" rankings, posted online today. Nicklaus Children's has more ranked pediatric programs than any other hospital in Florida. Nicklaus Children's 2019-20 rankings are as follows: Cardiology & Heart Surgery, Diabetes & Endocrinology Neonatology, Neurology & Neurosurgery Orthopedics, Pulmonology and Urology. Nicklaus Children's Hospital becomes the only facility in South Florida verified as a Level 1 Pediatric Trauma Center.Verification as a pediatric facility by the ACS demonstrates our continued commitment to delivering the highest quality care to the children and families we serve. 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. A SPECIAL DELIVERY UNIT FOR PRE-SCREENED HEALTHY WOMEN WHO ARE ANTICIPATING A BABY WITH MEDICAL/SURGICAL NEEDS OPENED JUNE 2019. MOTHERS AND BABIES WILL NOT LONGER BE SEPARATED AT BIRTH AND WILL BE CARED FOR WITH IMMEDIATE ACCESS TO LIFE SAVING CARE. THE FETAL CARE UNIT ALSO HAS A STATE OF THE ART FETAL OPERATING SUITE THAT WILL BE THE SITE OF FLORIDA'S 1ST FETAL INTERVENTION PROGRAM OFFERING IN-UTERO TREATMENT OPTIONS FOR A NUMBER OF CONGENITAL CONDITIONS COMMUNITY TRAINING OUTREACH PROGRAMS: IN ADDITION, THE HOSPITAL SUPPORTS A NUMBER OF PROGRAMS THAT ENHANCE THE SKILLS AND WORK READINESS OF YOUNG PEOPLE AS WELL AS PROMOTE HEALTH AWARENESS. PROJECT VICTORY: THIS PROJECT IS A 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. TWENTY STUDENTS ARE PROVIDED THREE HOURS OF WORK SERVICE PER DAY AT THE HOSPITAL DURING THE COURSE OF THE SCHOOL YEAR. THE STUDENTS GAIN VOCATIONAL EXPERIENCE WORKING IN THE HOSPITAL'S DIETARY DEPARTMENT, MAIL ROOM, VISITOR INFORMATION SERVICE AND OTHER DEPARTMENTS. HONORS AND EXECUTIVE INTERNSHIP PROGRAM, MIAMI DADE COUNTY PUBLIC SCHOOLS 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 50 YEARS. THE PEDIATRIC RESIDENCY PROGRAM IS AFFILIATED WITH THE FLORIDA INTERNATIONAL UNIVERSITY (FIU) HEBERT WERTHEIM COLLEGE OF MEDICINE. THE PROGRAM'S ACADEMIC ACCOMPLISHMENTS INCLUDE EXCELLENT BOARD EXAM PASS RATES, FELLOWSHIP MATCHES AT TOP SUB-SPECIALTY PROGRAMS ACROSS THE NATION, AND RESEARCH PRESENTATIONS AT WELL-ESTABLISHED REGIONAL/NATIONAL PEDIATRIC AND PEDIATRIC SUB-SPECIALTY MEETINGS AND CONFERENCES.
Form 990, Part III, Line 4a CONTINUED PROGRAM DESCRIPTION	KIDS AND THE POWER OF WORK (KAPOW): THIS PROGRAM IS A NATIONAL VOLUNTEER PROGRAM. THE HEALTH SYSTEM PARTICIPATES WITH MIAMI-DADE COUNTY PUBLIC SCHOOLS. HEALTH SYSTEM STAFF MEMBERS VOLUNTEER TO VISIT STUDENTS AT ONE OF TWO AREA PUBLIC ELEMENTARY SCHOOLS. THEY PRESENT AND PREPARE LESSONS FOR SECOND GRADE STUDENTS TO HELP CREATE A FOUNDATION FOR YOUNG STUDENTS, INTRODUCING THEM TO WORK AND RELATED CONCEPTS. EMPLOYEES DONATE ABOUT 200 HOURS OF TIME TO THE PROGRAM.
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 1a Delegate broad authority to a committee	The Executive Committee of the Board of Directors is composed of 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 Corporation. 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 2 Family/business relationships amongst interested persons	NARENDRA KINI, JAY MASSIRMAN, MARIO MURGADO AND MATTHEW A. LOVE - Business relationship
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	Royalties - Total Revenue: 8402, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 8402; Vending Machine Commission - Total Revenue: 53103, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 53103; Child Care - Total Revenue: 353940, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 353940; Lab Revenues - Total Revenue: 439086, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 439086; OTHER REVENUE - Total Revenue: 1115358, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1115358;
Form 990, Part IX, Line 11g Other Fees	FEES- PHYSICIANS - Total Expense: 8443792, Program Service Expense: 6755034, Management and General Expenses: 1688758, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 9803710, Program Service Expense: 7842968, Management and General Expenses: 1960742, Fundraising Expenses: ; INSPECTIONS - Total Expense: 143, Program Service Expense: 114, Management and General Expenses: 29, Fundraising Expenses: ; ARTWORK, GRAPHICS - Total Expense: 15, Program Service Expense: 12, Management and General Expenses: 3, Fundraising Expenses: ; DESIGN, PROTOTYPE - Total Expense: 135, Program Service Expense: 108, Management and General Expenses: 27, Fundraising Expenses: ; STORAGE FEES - Total Expense: 354564, Program Service Expense: 283651, Management and General Expenses: 70913, Fundraising Expenses: ; LABORATORY SERVICES - Total Expense: 3751965, Program Service Expense: 3001572, Management and General Expenses: 750393, Fundraising Expenses: ; CONSULTANTS - Total Expense: 2018238, Program Service Expense: 1614590, Management and General Expenses: 403648, Fundraising Expenses: ; TRANSCRIPTION SERVICES - Total Expense: 320663, Program Service Expense: 256530, Management and General Expenses: 64133, Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 164411, Program Service Expense: 131529, Management and General Expenses: 32882, Fundraising Expenses: ; SCANNING - Total Expense: 1142685, Program Service Expense: 914148, Management and General Expenses: 228537, Fundraising Expenses: ; CODING SERVICES - Total Expense: 14760, Program Service Expense: 11808, Management and General Expenses: 2952, Fundraising Expenses: ; MANAGEMENT FEE EXPENSE - Total Expense: XXX-XX-XXXX, Program Service Expense: 97099651, Management and General Expenses: 24274913, Fundraising Expenses: ; CASUAL LABOR - Total Expense: 1705670, Program Service Expense: 1364536, Management and General Expenses: 341134, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Net payments on swap agreements - -2033055; Gain from subsidiaries - 9375184; Loss on net change in fair value of swap agreements - -8634946; Change in value of charitable remainder trusts held by others - 225990; Change in beneficial interest in NCHF - 5541793; Transfer to Affiliate - -33733099; Other changes in Net Assets - -8077196; Loss on TMMC support/guarantee - -27126288; Transfer from Affiliate - 6022992;

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 (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
MIAMI CHILDREN'S HEALTH SYSTEM INC
3100 SW 62ND AVENUE	MIAMI	FL	33155	453481327	HEALTHCARE	FL	501(c)(3)	Type II	NA	false
MCH RESEARCH INSTITUTE INC
3100 SW 62ND AVENUE	MIAMI	FL	33155	592602318	RESEARCH	FL	501(c)(3)	3	VCH	Yes (true)
MCH WORKER'S COMPENSATION TRUST
3100 SW 62ND AVENUE	MIAMI	FL	33155	597021572	WC CLAIMS	FL	4947 (a)(1)		VCH	Yes (true)
VARIETY CHILDREN'S HOSPITAL PROFESSIONAL LIABILITY TRUST
3100 SW 62ND AVENUE	MIAMI	FL	33155	592551434	LIAB. CLAIMS	FL	4947 (a)(1)		VCH	Yes (true)
PEDIATRIC SPECIALTY GROUP INC
3100 SW 62ND AVENUE	MIAMI	FL	33155	463756071	EMPLOYED PHYSICIANS	FL	501(c)(3)	3	MCHS	false
MIAMI CHILDREN'S HEALTH SYSTEM FOUNDATION INC
3100 SW 62ND AVENUE	MIAMI	FL	33155	461784918	FOUNDATION	FL	501(c)(3)	7	MCHS	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 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	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
MIAMI CHILDREN'S HOSPITAL AMBULATORY SURGERY CENTER LLC
800 SW 108TH AVENUE	SUITE 200	MIAMI	FL	33174	463406805	SURGERY CENTER	FL	VCH	Related	$1,225,756	$3,128,563	false	$0	Yes (true)	0.5326
MIAMI HOSPITAL HOLDINGS LLC
11221 ROE AVE SUITE 320		LEAWOOD	KS	66211	464077635	HOLDING COMPANY	FL	NA	N/A
MIAMI CHILDREN'S HEALTH PLAN LLC
3100 SW 62ND AVE		MIAMI	FL	33155	823111550	INSURANCE	FL	VCH	Related	-$99,017	$10,202,672	false	$0	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	$2,567,809	$87,423,350	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	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MCH RESEARCH INSTITUTE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	R	TransactionTypeTxt
Involved	$2,830,508	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt