2020-11-12T12:01:08-06:00 2019-12-31 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2019-01-01 463756071 Pediatric Specialty Group Inc PEDI 3056666511 3100 SW 62ND AVENUE MIAMI FL 33155 Dawn Javersack SVP and CFO 2020-11-12 true Brittney Kocaj P01320603 9542028600 2019 2021-01-29 14:40:06Z Nicklaus Childrens Pediatric Specialists Matthew A Love 3100 SW 62ND AVENUE MIAMI FL 33155 72533157 false X https://www.nicklauschildrens.org/about-us/pediatric-specialists X 2012 FL Nicklaus Children's Pediatric Specialists ("NCPS") IS A PHYSICIAN-DIRECTED, MULTI-SPECIALTY PEDIATRIC GROUP WITH A REGIONAL, NATIONAL, AND INTERNATIONAL PRESENCE IN PROVIDING PEDIATRIC-CENTRIC CARE THROUGH A COLLABORATIVE TEAM APPROACH, EXCELLENCE IN CLINICAL CARE, EDUCATION, AND RESEARCH. 12 4 338 4 0 0 52147 1050346 72360227 71457446 0 0 -20980 25365 72391394 72533157 0 0 0 0 73316626 74863270 0 0 0 30415785 31402970 103732411 106266240 -31341017 -33733083 9831649 10821169 9831649 10821169 0 0 Nicklaus Children's Pediatric Specialists ("NCPS") IS A PHYSICIAN-DIRECTED, MULTI-SPECIALTY PEDIATRIC GROUP WITH A REGIONAL, NATIONAL, AND INTERNATIONAL PRESENCE IN PROVIDING PEDIATRIC-CENTRIC CARE THROUGH A COLLABORATIVE TEAM APPROACH, EXCELLENCE IN CLINICAL CARE, EDUCATION, AND RESEARCH. (Continued on Schedule O) false false 85012990 71482811 IN 2019, Nicklaus Children's Pediatric Specialists EMPLOYED 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, SYCHIATRY,PHYSIATRY AND PSYCHOLOGY, RADIOLOGY/SEDATION AND RHEUMATOLOGY. (CONTINUED ON SCHEDULE O) 85012990 true true false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 44 0 true 338 true false false false false false false false false false false false false X 12 4 true false false false true true true true true false false true true true true true true false false false X Ana Randin 3056666511 5301 Blue Lagoon Drive MIAMI FL 33126 Alex Soto Chairman 0.1 1.5 X X 0 0 0 Matthew Love Treasurer/Interim CEO & President 0.1 40.4 X X 0 740892 101675 Michael S Davis Secretary (partial year) 0.1 40.5 X X 0 498919 45544 Narendra M Kini MD CEO/Director (Partial Year) 0.1 40.4 X X 0 1670892 81122 RAMESH C SACHDEVA PSA President 40.0 0.6 X X 0 504846 81071 Alisa Muniz Crim MD Director 40.0 0 X 439858 0 18108 Anthony Rossi MD Director 40.0 0 X 499991 0 26059 Craig Spurdle MD Director 40.0 0 X 674267 0 8663 Dave Sandeep MD Director 40.0 0 X 826597 0 18108 Jaret Davis Director 0.1 1.5 X 0 0 0 Jose Perdomo Director 0.1 40.5 X 0 492484 58093 Mario Murgado Director 0.1 0.6 X 0 0 0 Michael L Harrington Director (Partial year) 0.1 40.4 X 0 456632 25245 Michelle Boggs Director 0.1 41.4 X 0 320856 74621 MILADYS PALAU-COLLAZO MD Director 0.1 0 X 187465 0 26129 Ravneet Chowdhury Esq Director 0.1 1.5 X 0 0 0 STEPHEN GEORGE Director, Orthopedic Attending Physician 40.0 0 X 904338 0 16447 Chad Perlyn MD Chief of Reconstructive Surgery 40.0 0 X 766946 0 31706 Marcos A Mestre MD Vice Chairman 40.0 0 X 302858 0 30390 Saima Aftab MD Vice President 40.0 0 X 435405 0 58978 Harry Shufflebarger MD Orthopedic Attending Physician 40.0 0 X 1047522 0 25908 John Ragheb MD Chief Neurosurgery 40.0 0 X 1030071 0 31405 Kristine Guleserian Cardiovascular Surgeon 40.0 0 X 891534 0 3879 Redmond P Burke MD Chief Cardiovascular Surgeon 40.0 0 X 1910268 0 21121 THOMAS J ERRICO Orthopedic Attending Physician 40.0 0 X 922125 0 5416 Leonard G Feld MD Former President/DIRECTOR 0.0 0.0 X 0 282499 0 Timothy L Birkenstock Former Treasurer & CFO 0.0 0.0 X 0 202553 9574 10839246 5170574 799263 252 true true false ALLSCRIPTS HEALTHCARE LLC 24630 NETWORK PLACE CHICAGO IL 606731246 Maintenance Service /IT 489544 SULLIVAN COTTER AND ASSOCIATES 62272 COLLECTIONS CENTER DRIVE CHICAGO IL 606930622 Consulting - Compensation programs 282083 2 1049347 999 1050346 PATIENT SERVICE REVENUE 561110 71453346 71453346 M.U INCENTIVE PAYMENTS 900099 4100 4100 0 0 0 0 71457446 0 0 0 0 MISCELLANEOUS 900099 25365 25365 0 0 0 0 25365 72533157 71482811 0 0 X 0 0 5272314 4217851 1054463 0 60897794 48718235 12179559 1301703 1041362 260341 4184605 3347684 836921 3206854 2565483 641371 22158415 17726732 4431683 0 5140 4112 1028 545539 436431 109108 15561 12449 3112 3077908 2462326 615582 399236 319389 79847 3630468 2904374 726094 Medical Supplies 749520 599616 149904 Dues & Subscriptions 371446 297157 74289 Bad Debt Exp 302933 242346 60587 Course Expenses 89493 71594 17899 57311 45849 11462 0 106266240 85012990 21253250 0 1130 1130 9188162 8437763 0 0 0 0 0 3769 0 0 3769 0 0 642357 2378507 9831649 10821169 5705331 6907194 0 0 4126318 3913975 9831649 10821169 X 0 0 9831649 10821169 X -33733083 33733083 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3769 3769 3769 Physicians Startup Payments 462888 Right of use assets, net 1915619 Intercompany receivables 2378507 Intercompany payables 1509590 Current portion of liability for self-insurance Operating Lease Liabilities 2404385 3913975 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote PEDIATRIC SPECIALISTS OF AMERICA'S (PSA) FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF NICKLAUS CHILDREN'S HEALTH SYSTEM (NCHS), A RELATED ORGANIZATION. NCHS' 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." X true true true true false false false false false false false Leonard G Feld MD Former President/DIRECTOR 0 0 0 0 0 282499 0 0 0 0 0 282499 0 0 Michael S Davis Secretary (partial year) 0 325226 0 0 0 173693 0 37327 0 8218 0 544463 0 0 Narendra M Kini MD CEO/Director (Partial Year) 0 832435 0 0 0 838457 0 67341 0 13781 0 1752014 0 0 Matthew Love Treasurer/Interim CEO & President 0 647869 0 0 0 93023 0 77091 0 24585 0 842568 0 0 RAMESH C SACHDEVA PSA President 0 499313 0 0 0 5533 0 67703 0 13368 0 585917 0 0 Michelle Boggs Director 0 319857 0 0 0 1000 0 50254 0 24366 0 395477 0 0 STEPHEN GEORGE Director, Orthopedic Attending Physician 904036 0 0 0 303 0 8400 0 8047 0 920785 0 0 0 Michael L Harrington Director (Partial year) 0 243700 0 0 0 212932 0 22374 0 2872 0 481877 0 0 Alisa Muniz Crim MD Director 439375 0 0 0 483 0 8400 0 9708 0 457966 0 0 0 Jose Perdomo Director 0 468466 0 0 0 24018 0 50268 0 7825 0 550577 0 0 Anthony Rossi MD Director 497978 0 0 0 2013 0 8400 0 17659 0 526051 0 0 0 Dave Sandeep MD Director 807264 0 0 0 19333 0 8400 0 9708 0 844705 0 0 0 Craig Spurdle MD Director 654544 0 0 0 19723 0 8400 0 263 0 682930 0 0 0 MILADYS PALAU-COLLAZO MD Director 187163 0 0 0 303 0 0 0 26129 0 213594 0 0 0 Timothy L Birkenstock Former Treasurer & CFO 0 166008 0 0 0 36545 0 4513 0 5060 0 212126 0 0 Saima Aftab MD Vice President 435072 0 0 0 333 0 35900 0 23077 0 494383 0 0 0 Marcos A Mestre MD Vice Chairman 302375 0 0 0 483 0 6847 0 23543 0 333248 0 0 0 Chad Perlyn MD Chief of Reconstructive Surgery 766463 0 0 0 483 0 8400 0 23306 0 798652 0 0 0 Redmond P Burke MD Chief Cardiovascular Surgeon 1827663 0 80600 0 2005 0 3462 0 17659 0 1931389 0 0 0 THOMAS J ERRICO Orthopedic Attending Physician 919790 0 0 0 2334 0 0 0 5416 0 927541 0 0 0 Kristine Guleserian Cardiovascular Surgeon 792559 0 0 0 98976 0 0 0 3879 0 895413 0 0 0 John Ragheb MD Chief Neurosurgery 801385 0 207673 0 21013 0 8400 0 23005 0 1061476 0 0 0 Harry Shufflebarger MD Orthopedic Attending Physician 1045112 0 0 0 2410 0 8400 0 17508 0 1073430 0 0 0 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 S DAVIS - $141,926.40 NARENDRA M KINI - $589,409.60 MICHAEL L HARRINGTON - $202,950.06 LEONARD G FELD, MD - $282,499.36 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 S DAVIS - $30,750.72 NARENDRA M KINI - $ 58,940.96 JOSE PERDOMO - $ 43,779.84 AFTAB SAIMA MD - $27,500.20 MICHAEL L HARRINGTON - $17,691.96 THE FOLLOWING DISTRIBUTIONS WERE MADE FROM A SECTION 457(F) PLAN DURING THE YEAR - MICHAEL S DAVIS - $30,964.17 NARENDRA M KINI - $232,728.15 JOSE PERDOMO - $19,021.42 Form 990, Part III, Line 1 ORGANIZATION'S MISSION THE CORPORATION IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES WITH THE MISSION OF ENHANCING WELLNESS IN PEDIATRIC PATIENTS THROUGH THE OPTIMAL DELIVERY OF PEDIATRIC MULTI-SPECIALTY CARE REGARDLESS OF THE ABILITY TO PAY, COVERING THE UNDERSERVED AND UNINSURED. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION OVERALL, THE 2019 PROGRAM ACCOMPLISHMENTS OF NCPS PHYSICIANS INCLUDE BEING INTERNATIONALLY RECOGNIZED FOR CARE EXCELLENCE BY BEING RANKED AMONG THE NATION'S BEST IN 7 OF THE ABOVE LISTED SPECIALTIES SURVEYED BY U.S. NEWS AND WORLD REPORT IN ITS 2019-2020 LISTING OF "AMERICA'S BEST CHILDREN'S HOSPITALS." (RESULTS WERE RELEASED IN 2019.) NICKLAUS CHILDREN'S HOSPITAL HAD MORE RANKED PEDIATRIC PROGRAMS THAN ANY OTHER HOSPITAL IN SOUTH FLORIDA. CATEGORIES IN WHICH THE NCPS SPECIALTIES WERE RANKED IN 2019 INCLUDE CARDIOLOGY AND HEART SURGERY, DIABETES AND ENDOCRINOLOGY, NEONATOLOGY. NEUROLOGY & NEUROSURGERY, ORTHOPEDICS, PULMONOLOGY AND UROLOGY. COLLECTIVELY THE NCPS SPECIALISTS GENERATED MORE THAN 623,889 ENCOUNTERS IN 2019 SERVING PREDOMINATELY POOR AND UNDERSERVED COMMUNITIES IN ORDER TO IMPROVE POPULATION HEALTH AND WELL-BEING FOR THE CHILDREN THAT WE SERVE. EXPANSION OF SERVICE AREAS INCLUDED MIAMI DADE COUNTY, BROWARD COUNTY, PALM BEACH COUNTY AND COLLIER COUNTY. Form 990, Part VI, Line 15a DETERMINING COMPENSATION FOR CEO AND EXECUTIVE DIRECTOR 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'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 Determining compensation for other officers or key employees Nicklaus Children's Pediatric Specialists RELIED ON THE METHODS OF ESTABLISHING COMPENSATION USED BY NICKLAUS CHILDREN'S HEALTH SYSTEM. THE ORGANIZATION AND COMPENSATION COMMITTEE OF NICKALUS 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 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 There shall be an Executive Committee of the Board of Directors composed of three (3) Directors elected by the Board of Directors, one of whom must be the Chair of the Board and one of whom must be a physician employed by the Corporation. No non-Director members shall serve on the Executive Committee. A majority of the members of the Executive Committee shall constitute a quorum for the transaction of business and for taking any action. The Executive Committee shall have and exercise the authority designated to it by 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 by the Board 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 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 CORPORATION SHALL BE ESTABLISHED BY RESOLUTION OF THE BOARD OF DIRECTORS OF THE SOLE MEMBER; PROVIDED THAT THERE SHALL BE NO FEWER THAN 6 AND NO MORE THAN 15 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 CORPORATION, or materially change the location, size or scope of services, programs, operations or educational or medical school affiliations of the CORPORATION or related agreements; b) Create any entity in which the CORPORATION is the sole member or sole shareholder, or any entity in which the CORPORATION 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 THE PROCESS FOR PROVIDING THE 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 Pediatric Specialists ("NCPS") 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 NCPS 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 NCPS'S CONFLICT OF INTEREST POLICY FAILED TO PROPERLY DISCLOSE A POTENTIAL CONFLICT OF INTEREST. Form 990, Part VI, Line 19 Required documents available to the public FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL, REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. Form 990, Part IX, Line 11g Other Fees Support Fees - Total Expense: 13019211, Program Service Expense: 10415369, Management and General Expenses: 2603842, Fundraising Expenses: ; Management Fees - Total Expense: 1050000, Program Service Expense: 840000, Management and General Expenses: 210000, Fundraising Expenses: ; Miscellaneous - Total Expense: 570, Program Service Expense: 456, Management and General Expenses: 114, Fundraising Expenses: ; Coding Services - Total Expense: 3869429, Program Service Expense: 3095543, Management and General Expenses: 773886, Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 156086, Program Service Expense: 124869, Management and General Expenses: 31217, Fundraising Expenses: ; Purchased Services - Total Expense: 3280087, Program Service Expense: 2624070, Management and General Expenses: 656017, Fundraising Expenses: ; Medical fees - Total Expense: 415104, Program Service Expense: 332083, Management and General Expenses: 83021, Fundraising Expenses: ; INSPECTIONS - Total Expense: 787, Program Service Expense: 630, Management and General Expenses: 157, Fundraising Expenses: ; DESIGN, PROTOTYPE - Total Expense: 520, Program Service Expense: 416, Management and General Expenses: 104, Fundraising Expenses: ; STORAGE FEES - Total Expense: 5279, Program Service Expense: 4223, Management and General Expenses: 1056, Fundraising Expenses: ; LABORATORY SERVICES - Total Expense: 16214, Program Service Expense: 12971, Management and General Expenses: 3243, Fundraising Expenses: ; CONSULTANTS - Total Expense: 339229, Program Service Expense: 271383, Management and General Expenses: 67846, Fundraising Expenses: ; LICENSES AND OTHER TAXES - Total Expense: 5504, Program Service Expense: 4403, Management and General Expenses: 1101, Fundraising Expenses: ; FREIGHT - Total Expense: 253, Program Service Expense: 202, Management and General Expenses: 51, Fundraising Expenses: ; FREIGHT - DOMESTIC - Total Expense: 142, Program Service Expense: 114, Management and General Expenses: 28, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Equity Transfer with affiliate - 33733083; VARIETY CHILDREN'S HOSPITAL 3100 SW 62ND AVENUE MIAMI FL 33155 590638499 HOSPITAL FL 501(c)(3) 3 MCHS false MIAMI CHILDREN'S HOSPITAL WORKER'S COMPENSATION TRUST 3100 SW 62ND AVENUE MIAMI FL 33155 597021572 WC CLAIMS FL 4947 (a)(1) VCH false VARIETY CHILDREN'S HOSPITAL PROFESSIONAL LIABILITY TRUST 3100 SW 62ND AVENUE MIAMI FL 33155 592551434 LIAB. CLAIMS FL 4947 (a)(1) VCH false MIAMI CHILDREN'S HOSPITAL RESEARCH INSTITUTE INC 3100 SW 62ND AVENUE MIAMI FL 33155 592602318 RESEARCH FL 501(c)(3) 3 VCH false MIAMI CHILDREN'S HEALTH SYSTEM INC 3100 SW 62ND AVENUE MIAMI FL 33155 453481327 HEALTHCARE FL 501(c)(3) Type II NA false MIAMI CHILDREN'S HEALTH SYSTEM FOUNDATION INC 3100 SW 62ND AVENUE MIAMI FL 33155 461784918 FOUNDATION FL 501(c)(3) 7 MCHS false MIAMI CHILDREN'S HOSPITAL AMBULATORY SURGERY CENTER LLC 800 SW 108TH AVENUE SUITE 200 MIAMI FL 33174 463406805 AMBULATORY CENTER FL NA N/A 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 NA N/A MIAMI CHILDREN'S INSURANCE CO SPC LTD 720 WEST BAY ROAD PO BOX 69GT BUCKINGHAM SQUARE GEORGETOWN GRAND CAYMAN CJ 980442086 INSURANCE CJ NA C Corporation false CHILDREN'S HEALTH VENTURES INC AND SUBSIDIARIES 3100 SW 62ND AVENUE MIAMI FL 331553009 454541147 MERCHANT WHOLESALE FL NA C Corporation false false false true false false false false false false false false false true true true true false false true