2019-11-11T13:30:49-06:00 2018-12-31 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2018-01-01 453481327 Miami Children's Health System Inc MIAM 3056666511 3100 SW 62nd Avenue Miami FL 33155 Matthew A Love President and CEO 2019-11-11 true Brittney Kocaj P01320603 9542028600 2018 2020-03-31 21:24:44Z Nicklaus Childrens Health System Matthew A Love 3100 SW 62nd Avenue Miami FL 33155 121101973 false X www.nicklauschildrens.org X 2011 FL TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF NICKLAUS CHILDREN'S HOSPITAL AND ITS AFFILIATED ENTITIES. 11 10 498 10 29947 0 18899409 5451823 99730037 114992676 228131 26840 726472 629641 119584049 121100980 65000 0 46962737 50301135 0 0 53817433 65312030 100780170 115678165 18803879 5422815 787444096 780176705 60721059 77800922 726723037 702375783 TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF NICKLAUS CHILDREN'S HOSPITAL AND ITS AFFILIATED ENTITIES, AND TO INVEST IN, RECEIVE, HOLD, USE AND DISPOSE OF ALL PROPERTY, REAL OR PERSONAL, AS MAY BE NECESSARY OR DESIRABLE TO CARRY INTO EFFECT THE AFOREMENTIONED PURPOSES. false false 92307726 65000 115579095 A NOT-FOR-PROFIT CORPORATION CREATED IN 2011 WHICH IS THE PARENT COMPANY FOR VARIETY CHILDREN'S HOSPITAL (DBA NICKLAUS CHILDREN'S HOSPITAL), THE NICKLAUS CHILDREN'S HEALTH SYSTEM FOUNDATION, INC. AND OTHER FOR-PROFIT AND NOT FOR-PROFIT ENTITIES DESCRIBED AS FOLLOWS: VARIETY CHILDREN'S HOSPITAL D/B/A NICKLAUS CHILDREN'S HOSPITAL PROVIDES SPECIALIZED PEDIATRIC HEALTHCARE TO CHILDREN. NICKLAUS CHILDREN'S HEALTH SYSTEM FOUNDATION,INC. IS A NOT-FOR-PROFIT CORPORATION WITH THE PRIMARY PURPOSE TO RAISE FUNDS AND AWARENESS FOR NICKLAUS CHILDREN'S HEALTH SYSTEM, VARIETY CHILDREN'S HOSPITAL, AND ANY AFFILIATED ORGANIZATIONS THAT ARE CLASSIFIED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. (Continued on Schedule O) 92307726 true true false true false false false false true true false true false true true false true false false false false false false false false false true false true false false false false false false false false false false false false false true true true false false true X 273 0 true 498 true true true true CJ false false false false true false false false true false X 11 10 true false false false false false false true true false false true true true true true true true true true true X Ramon Coto 3056666511 5301 Blue Lagoon Drive Miami FL 33126 Mario Murgado Chairman 1.0 0.4 X X 0 0 0 Michael Fux Vice Chairman 1.0 0 X X 0 0 0 Narendra M Kini MD President CEO/Director 20.0 20.5 X X 2186311 0 263462 Ravneet Chowdhury Esq Director 1.0 0.5 X 0 0 0 Jaret Davis Director 1.0 0.4 X 0 0 0 Juan Carlos Mas ESQ Director 1.0 0 X 0 0 0 Jay Massirman Director 1.0 0.4 X 0 0 0 Barbara Nicklaus Director 1.0 0 X 0 0 0 Fernando Perez Hickman Director 1.0 0 X 0 0 0 George T Phillip MD Director 1.0 0 X 0 0 0 Alex Soto Director 1.0 0.5 X 0 0 0 April Andrews-Singh General Counsel 40.0 0 X 489116 0 79959 Timothy L Birkenstock Treasurer/Secretary/CFO 20.0 20.5 X 979128 0 82617 Matthew Love SVP & CFO (Partial year) 20.0 20.5 X 93638 0 3818 Michael S Davis SVP Strategy Business Development & Innovation 40.0 0.1 X 388437 0 66802 Nancy Humbert Executive Vice President Ambulatory Services 40.0 0 X 344817 0 69435 Michael S Kushner SVP and Chief Talent Officer 40.0 0 X 457454 0 88611 Edward Martinez SVP Chief Information Officer 40.0 0 X 456407 0 91349 Jose Perdomo SVP Ethics & Compliance 40.0 0 X 338281 0 70751 5733591 0 816805 115 false true false CERNER CORPORATION PO BOX 412732 Kansas City MO 64141 SOFTWARE LICENSE MAINTENANCE 6721441 ROBINS & MORTON GROUP 400 SHADES CREEK PARKWAY BIRMINGHAM AL 35209 Construction 5478667 SILVA & SILVA PA 236 VALENCIA AVE CORAL GABLES FL 33134 Lawyers 5000000 ANTHONY BARADAT AND ASSOCIATES 1235 CORAL WAY Miami FL 33145 MARKETING 3375405 ORACLE AMERICA INC 500 Oracle Parkway Redwood Shores CA 94065 Software License/Maintenance 1855175 37 5083525 368298 5451823 Management Fees Affiliated Companies 561000 114992676 114992676 0 0 0 0 114992676 15840 15840 0 0 14268 993 13275 0 13275 13275 11000 0 11000 11000 11000 Employee Wellness/Gym 713940 497403 497403 Other Income 900099 89016 89016 Antenna Revenue 900099 29947 29947 0 0 0 0 616366 121100980 115579095 29947 40115 65000 65000 4178050 3342440 835610 38824769 31059815 7764954 1459938 1167950 291988 2979891 2383913 595978 2858487 2286790 571697 8526977 6821582 1705395 1627665 1302132 325533 309759 309759 25 20 5 9309449 7447559 1861890 0 5359808 4287846 1071962 5622566 4498053 1124513 14249781 11399825 2849956 9372715 7498172 1874543 494459 395567 98892 5175103 4140082 1035021 146631 117305 29326 Events 2152981 1722385 430596 Recruitment Expenses 964321 771457 192864 Dues & Subscriptions 833920 667136 166784 Freight 582780 466224 116556 583090 466453 116637 0 115678165 92307706 23370459 0 718926 1073645 79277 254048 0 0 5625235 2418106 50070494 22806711 6585584 27263783 9439989 0 751032378 725147074 13962707 24020049 787444096 780176705 56221769 77780512 0 4499290 20410 60721059 77800922 X 622161851 601790578 71788770 67748037 32772416 32837168 726723037 702375783 787444096 780176705 X 5422815 22488 -29792557 X false true X true false X X 1 VARIETY CHILDREN'S HOSPITAL DBA NICKLAUS CHILDREN'S HOSPITAL 590638499 3 true 0 113785721 1 0 113785721 true false false false false false false false false false false false false false false true RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false true 309759 false true 184117 493876 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION CONDUCTS LOBBYING ACTIVITIES INCLUDING RESEARCH, MONITORING LEGISLATION AND ATTENDING MEETINGS. IN ADDITION, THE ORGANIZATION PAYS DUES TO VARIOUS MEMBERSHIP ORGANIZATIONS AND A PORTION OF THOSE DUES ARE REPORTED AS LOBBYING EXPENDITURES. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION CONDUCTS LOBBYING ACTIVITIES INCLUDING RESEARCH, MONITORING LEGISLATION AND ATTENDING MEETINGS. IN ADDITION, THE ORGANIZATION PAYS DUES TO VARIOUS MEMBERSHIP ORGANIZATIONS AND A PORTION OF THOSE DUES ARE REPORTED AS LOBBYING EXPENDITURES. 2926860 64751 2991611 0 2926860 2926860 0 0 0 0 0 0 0.0 1.0 0.0 false true 3318224 652864 2665360 4476846 1596159 2880687 20557689 20557688 1 21717735 21717735 27263783 Investments in Affiliates 725147074 F 725147074 Self Insurance Liability WORKERS COMP CLAIMS PAYABLE 20410 20410 X Schedule D, Part V, Line 4 Intended uses of endowment funds The use of the endowment funds is to provide funding for Research, Education, Telehealth services, Bereavement services and Social Services. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote "THE SYSTEM AND CERTAIN OF ITS AFFILIATED ORGANIZATIONS QUALIFY AS TAX-EXEMPT, NONPROFIT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE). THE HOSPITAL, 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, 2018 AND 2017. 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, 2018 AND 2017. 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." true LIVE LIKE BELLA FOUNDATION INC 2199 PONCE DE LEON BLVD CORAL GABLES FL 33134 462965698 501(C)(3) 15000 Sponsorship YMCA OF SOUTH FLORIDA 900 SE 2rd Ave Ft Lauderdale FL 33316 590624464 501(C)(3) 10000 Sponsorship MIAMI-DADE BEACON COUNCIL 80 SW 8th St Miami FL 33130 592603574 501(C)(6) 5000 Sponsorship UNIVERSITY OF MIAMI PO Box 025405 Miami FL 33102 590624458 501(C)(3) 25000 Sponsorship CAMILLUS HOUSE 1603 NW 7th Ave Miami FL 33136 650032862 501(C)(3) 10000 Sponsorship 4 1 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE GRANTEE ORGANIZATIONS CAN USE THE FUNDS IN FURTHERANCE OF THEIR TAX-EXEMPT MISSION AND THEREFORE MONITORING THE USE OF FUNDS IS NOT NECESSARY. X true true X X X X false true false false false false false false false Narendra M Kini MD President CEO/Director 2029253 0 126713 0 30345 0 236948 0 26514 0 2449774 0 0 0 April Andrews-Singh General Counsel 365206 0 56843 0 67067 0 66653 0 13306 0 569075 0 47701 0 Timothy L Birkenstock Treasurer/Secretary/CFO 737250 0 126658 0 115220 0 62891 0 19726 0 1061745 0 76356 0 Michael S Davis SVP Strategy Business Development & Innovation 370647 0 16779 0 1011 0 52537 0 14265 0 455240 0 0 0 Nancy Humbert Executive Vice President Ambulatory Services 289563 0 26802 0 28452 0 50766 0 18669 0 414252 0 22106 0 Michael S Kushner SVP and Chief Talent Officer 424392 0 6189 0 26873 0 63560 0 25051 0 546066 0 0 0 Edward Martinez SVP Chief Information Officer 380555 0 25607 0 50245 0 66228 0 25121 0 547756 0 47717 0 Jose Perdomo SVP Ethics & Compliance 326155 0 5196 0 6930 0 51711 0 19040 0 409032 0 0 0 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 4b Supplemental nonqualified retirement plan THE FOLLOWING CONTRIBUTIONS WERE MADE TO A SECTION 457(F) PLAN DURING THE YEAR - NARENDRA KINI- $228,698 TIMOTHY BIRKENSTOCK - $54.641 APRIL ANDREWS-SINGH - $58,403 NANCY HUMBERT - $42,516 MICHAEL S. DAVIS - $44,287 MICHAEL S. KUSHNER - $55,310 EDWARD MARTINEZ - $57,978 JOSE PERDOMO - $43,461 THE FOLLOWING DISTRIBUTIONS WERE MADE FROM A SECTION 457(F) PLAN DURING THE YEAR - TIMOTHY BIRKENSTOCK - $76,356 APRIL ANDREWS-SINGH - $47,701 NANCY HUMBERT - $22,106 EDWARD MARTINEZ - $47,717 Form 990, Part III, Line 4a CHILDREN'S HEALTH VENTURES, INC. IS A FOR-PROFIT ENTITY WHICH OWNS FOR PROFIT BUSINESS VENTURES. KIDZSTUFF INC. IS A FOR-PROFIT ENTITY THAT DEVELOPS RETAIL PRODUCTS FOR CHILDREN. MIAMI CHILDREN'S HEALTH SYSTEM MANAGEMENT SERVICES, LLC IS A FOR-PROFIT CORPORATION THAT PROVIDES MANAGEMENT SERVICES TO PHYSICIAN PRACTICES. MIAMI CHILDREN'S HOSPITAL RESEARCH INSTITUTE, INC. IS A NOT-FOR-PROFIT CORPORATION THAT PERFORMS COMPREHENSIVE RESEARCH IN THE CAUSE, CURE AND PREVENTION OF CHILDHOOD DISEASES. MIAMI CHILDREN'S HOSPITAL WORKER'S COMPENSATION TRUST WAS FORMED TO ENABLE THE HOSPITAL TO FUND AND PAY THE COST OF WORKER'S COMPENSATION CLAIMS. MIAMI CHILDREN'S INSURANCE SPC, LTD. WAS FORMED TO ACCESS PROFESSIONAL LIABILITY INSURANCE MARKETS OUTSIDE THE UNITED STATES OF AMERICA. PEDIATRIC SPECIALISTS OF AMERICA IS A NOT-FOR-PROFIT PEDIATRIC SPECIALTY GROUP CORPORATION OWNED BY NICKLAUS CHILDREN'S HEALTH SYSTEM. VARIETY CHILDREN'S HOSPITAL PROFESSIONAL LIABILITY TRUST WAS FORMED TO ENABLE NICKLAUS CHILDREN'S TO FUND AND PAY THE COST OF PROFESSIONAL LIABILITY CLAIMS. MIAMI CHILDREN'S HEALTH PLAN, LLC IS A FOR-PROFIT ENTITY THAT OFFERS SERVICES TO FL MEDICAID BENEFICIARIES IN PALM BEACH, MIAMI-DADE AND MONROE COUNTIES. VARIETY CHILDREN'S HOSPITAL, ESTABLISHED IN 1950, OWNS AND OPERATES A PEDIATRIC SPECIALTY HOSPITAL 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. IN 2018, 4,876 PATIENTS WERE TRANSFERRED TO NICKLAUS CHILDREN'S FROM HOSPITALS THROUGHOUT FLORIDA, CENTRAL AND SOUTH AMERICA AND THE CARIBBEAN. THE HEALTH SYSTEM INCLUDES A NETWORK OF AMBULATORY CENTERS THAT EXTEND CARE THROUGHOUT THE SOUTH FLORIDA REGION. DURING 2018, THESE CENTERS OFFERED OUTPATIENT SERVICES THAT INCLUDES REHABILITATION AND IMAGING SERVICES, URGENT CARE CENTER AND OUTPATIENT SUB-SPECIALTY OFFICE VISITS. THE HEALTH SYSTEM IS INTERNATIONALLY RECOGNIZED FOR CARE EXCELLENCE. NICKLAUS CHILDREN'S HOSPITAL PROGRAMS WERE RANKED AMONG THE NATION'S BEST IN SIX PEDIATRICS SUB-SPECIALTY PROGRAMS SURVEYED BY U.S. NEWS AND WORLD REPORT IN ITS 2018-2019 LISTING OF "AMERICA'S BEST CHILDREN'S HOSPITALS." THE HOSPITAL HAD MORE RANKED PEDIATRIC PROGRAMS THAN ANY OTHER HOSPITAL IN FLORIDA. IN 2018 THEY RECEIVED THREE NEW BEACON AWARDS. NICKLAUS IS THE ONLY CHILDREN'S HOSPITAL IN THE NATION RECOGNIZED WITH NINE BEACON AWARDS. AS OF JANUARY 2019, NICKLAUS CHILDREN'S HOSPITAL IS ONE OF ONLY SIX CHILDREN'S HOSPITALS IN THE NATION THAT HAVE RECEIVED A FOURTH MAGNET DESIGNATION. THE HEALTH SYSTEM IS COMMITTED TO ADVANCING QUALITY AND SAFETY INITIATIVES USING: LEAN INITIATIVES MODEL TO IMPROVE PROCESSES THAT ENHANCE SAFETY, EFFICIENCY AND PREVENT ERRORS AT THE HEALTH SYSTEM. FAST PASS VISITOR SYSTEM THAT REQUIRES ALL VISITORS AT THE MAIN HOSPITAL TO PRESENT PHOTO IDENTIFICATION UPON ARRIVAL AND A RECORD IS KEPT OF ALL THOSE ENTERING THE HOSPITAL. THIS SYSTEM CAN IDENTIFY INDIVIDUALS WITH RECORDS OF CHILD ABUSE AND MOLESTATION, HELPING ENHANCE THE SAFETY OF CHILDREN AT THE HOSPITAL. GETWELL NETWORK IN ALL MEDICAL SURGICAL ROOMS. THE SYSTEM, ACCESSIBLE THROUGH THE IN-ROOM TELEVISION SCREEN, OFFERS PATIENT EDUCATION INFORMATION THAT CAN SUPPORT ENHANCED PATIENT CARE AS WELL AS A PATIENT FEEDBACK SYSTEM, THROUGH WHICH FAMILIES CAN ADDRESS SAFETY CONCERNS. EMR, A STATE-OF-THE-ART SYSTEM, WHICH CAPTURES ALL PATIENT DATA, INCLUDING COMPREHENSIVE CARE RECORDS (RADIOLOGY, PHARMACY, REHABILITATION, OUTPATIENT AND INPATIENT) AS WELL AS REGISTRATION AND BILLING INFORMATION, ALL IN A COMPREHENSIVE SYSTEM. HUMPTY DUMPTY. A TOOL TO PREVENT PEDIATRIC FALLS AND THEREBY ENHANCE SAFETY. AS OF 12/31/2018, THE TOOL WAS IN USE IN 1,419 HOSPITALS, INCLUDING FACILITIES IN VIRTUALLY EVERY U.S. STATE AS WELL AS IN EUROPE,THE MIDDLE EAST, HONG KONG, INDONESIA, JAPAN, THE PHILIPPINES, BERMUDA, CANADA, CARIBBEAN, US VIRGIN ISLANDS, CAYMAN ISLANDS, BRAZIL, AUSTRALIA AND NEW ZEALAND. THE PROGRAM IS ALSO IN USE BY EVERY BRANCH OF OUR U.S. MILITARY HOSPITALS THROUGHOUT THE WORLD. THE HEALTH SYSTEM SUPPORTS A NUMBER OF PROGRAMS THAT ENHANCE THE SKILLS AND WORK READINESS OF YOUNG PEOPLE AS WELL AS PROMOTE HEALTH AWARENESS. PROJECT VICTORY- COOPERATIVE EFFORT BETWEEN MIAMI 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 THE HEALTH SYSTEM ACCEPTS SEVEN STUDENTS WHO ARE SELECTED BY MIAMI DADE COUNTY PUBLIC SCHOOLS TO PARTICIPATE IN HEALTHCARE INTERNSHIPS FOR ADVANCED STUDENTS. STUDENTS ARE PAIRED WITH A STAFF MEMBER AT THE HEALTH SYSTEM WHO MENTORS AND PROVIDES OVERSIGHT TO THE STUDENT. EACH STUDENT IS ASSIGNED A PROJECT TO BENEFIT A HOSPITAL DEPARTMENT AND RECEIVES A GRADE FROM THE SCHOOL SYSTEM FOR HIS OR HER WORK. KIDS AND THE POWER OF WORK (KAPOW 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. NICKLAUS CHILDREN'S IS AN ESTABLISHED TEACHING HOSPITAL AND IS ONE OF THE LARGEST FREESTANDING PEDIATRIC TEACHING HOSPITALS IN THE SOUTHEASTERN UNITED STATES. THE PEDIATRIC RESIDENCY TRAINING PROGRAM IS STRUCTURED IN ACCORDANCE WITH THE AMERICAN BOARD OF PEDIATRICS' REQUIREMENT OF THREE CORE YEARS IN GENERAL PEDIATRICS AND IS FULLY ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME). ALL FACETS OF PEDIATRIC CARE ARE ENCOMPASSED IN THE TRAINING PROGRAM FROM THE COMPLEX INTENSIVE CARE TO THE OFFICE PRACTICE OF GENERAL PEDIATRICS. EACH YEAR, MEDICAL STUDENTS AND SCHOLARS FROM ALL PARTS OF THE UNITED STATES AND AROUND THE WORLD APPLY FOR ACCEPTANCE TO THE HOSPITAL'S PEDIATRIC RESIDENCY TRAINING PROGRAM, WHICH HAS BEEN IN OPERATION FOR OVER 40 YEARS. THE PROGRAM HAS A FORMAL AFFILIATION WITH FIU'S COLLEGE OF MEDICINE. OTHER PARTICIPATING INSTITUTIONS INCLUDE JACKSON MEMORIAL HOSPITAL, CLEVELAND CLINIC FLORIDA CENTER, UNIVERSITY OF FLORIDA -JACKSONVILLE, MOUNT SINAI MEDICAL CENTER OF FLORIDA AND NOVA SOUTHEASTERN UNIVERSITY. 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 at least three (3) Directors elected by the Board of Directors. 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, except that it shall not take any action with respect to (a) the election of officers; (b) the filling or vacancies in the Board of Directors; or (c) the adoption, amendment or repeal of the Bylaws. The Executive Committee shall report to the Board of Directors any action taken by the Executive Committee at the next meeting of the Board of Directors. Members of the Executive Committee may be removed at any regular or special meeting of the Board of Directors. The Executive Committee shall review and/or develop the strategic plan(s) for the Corporation and its Affiliated Entities, taking into account the mission of the Corporation, and recommend same for approval, or approval with modifications, to the Board of Directors. In addition, the Executive Committee shall provide oversight of the development, implementation, and monitoring of consistent standards of quality and service to be provided by the Corporation and all corporate subsidiaries. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons NARENDRA KINI, JAY MASSIRMAN, APRIL ANDREWS-SINGH, MICHAEL FUX, Fernando Perez-Hickman, Mario Murgado, MATTHEW A. LOVE, AND TIMOTHY BIRKENSTOCK - Business relationship 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 COMMENT. 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. Form 990, Part VI, Line 12c Conflict of interest policy ALL NICKLAUS CHILDREN'S HEALTH SYSTEM EMPLOYEES ARE INFORMED UPON HIRE, AND ON AN ANNUAL BASIS THEREAFTER, THAT THEY HAVE AN AFFIRMATIVE DUTY TO DISCLOSE ANY ACTUAL, POTENTIAL OR PERCEIVED CONFLICTS 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. 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 15a Process to establish compensation of top management official THE ORGANIZATION AND COMPENSATION COMMITTEE OF NCHS 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 AND USED IN ESTABLISHING EXECUTIVE SALARY AND BENEFITS PROGRAMS. THIS PROCESS IS COMPLETED IN THE FIRST QUARTER EACH YEAR. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE ORGANIZATION AND COMPENSATION COMMITTEE OF NCHS 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 AND USED IN ESTABLISHING EXECUTIVE SALARY AND BENEFITS PROGRAMS. THIS PROCESS IS COMPLETED IN THE FIRST QUARTER EACH YEAR. 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 XI, Line 9 Other changes in net assets or fund balances LOSS FROM JOINT VENTURES/SUBSIDIARIES/AFFILIATES - -22744055; EXPENSES ATTRIBUTABLE TO NONCONTROLLING INTEREST - -1217771; CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS HELD BY OTHERS - -153386; CAPITAL CONTRIBUTION FROM NONCONTROLLING INTEREST HOLDER - 3000000; NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS - -7880785; DISTRIBUTION TO NON CONTROLLING INTEREST - -796560; VARIETY CHILDREN'S HOSPITAL 3100 SW 62ND AVENUE MIAMI FL 33155 590638499 HOSPITAL FL 501(c)(3) 3 MCHS true MIAMI CHILDREN'S HOSPITAL WORKER'S COMPENSATION TRUST 3100 SW 62ND AVENUE MIAMI FL 33155 597021572 WC CLAIMS FL 4947 (a)(1) VCH true VARIETY CHILDREN'S HOSPITAL PROFESSIONAL LIABILITY TRUST 3100 SW 62ND AVENUE MIAMI FL 33155 592551434 LIAB. CLAIMS FL 4947 (a)(1) VCH true MIAMI CHILDREN'S HOSPITAL RESEARCH INSTITUTE INC 3100 SW 62ND AVENUE MIAMI FL 33155 592602318 RESEARCH FL 501(c)(3) 3 VCH true PEDIATRIC SPECIALTY GROUP INC 3100 SW 62ND AVENUE MIAMI FL 33155 463756071 EMPLOYED PHYSICIANS FL 501(c)(3) 3 MCHS true MIAMI CHILDREN'S HEALTH SYSTEM FOUNDATION INC 3100 SW 62ND AVENUE MIAMI FL 33155 461784918 FOUNDATION FL 501(c)(3) 7 MCHS true 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 812311155 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 75078 6801474 1 true false false true false false false false false false true false true true true true false false false false VARIETY CHILDREN'S HOSPITAL L 113785721 FMV MIAMI CHILDREN'S HEALTH SYSTEM FOUNDATION INC C 5083525 FMV