VARIETY CHILDRENS HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: VARIETY CHILDRENS HOSPITAL (EIN 59-0638499)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-15
IRS object ID: 201733199349306378
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-15T11:01:35-06:00	ReturnTs
Tax Period End	2016-12-31	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 HORWATH 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	2016-01-01	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	Timothy Birkenstock	PersonNm
Person Title	SVP & CFO	PersonTitleTxt
Signature	2017-11-15	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	2016	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	Narendra Kini MD	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	$846,496,470	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	19	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	4056	TotalEmployeeCnt
Total Volunteers	1700	TotalVolunteersCnt
Total Gross UBI	$208,712	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$43,360,668	PYContributionsGrantsAmt
CY Contributions Grants	$16,648,286	CYContributionsGrantsAmt
PY Program Service Revenue	$563,796,917	PYProgramServiceRevenueAmt
CY Program Service Revenue	$596,349,627	CYProgramServiceRevenueAmt
PY Investment Income	$7,634,405	PYInvestmentIncomeAmt
CY Investment Income	$6,477,065	CYInvestmentIncomeAmt
PY Other Revenue	$24,329,274	PYOtherRevenueAmt
CY Other Revenue	$22,776,193	CYOtherRevenueAmt
PY Total Revenue	$639,121,264	PYTotalRevenueAmt
CY Total Revenue	$642,251,171	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$220,848,053	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$248,192,186	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$311,138,004	PYOtherExpensesAmt
CY Other Expenses	$299,235,401	CYOtherExpensesAmt
PY Total Expenses	$531,986,057	PYTotalExpensesAmt
CY Total Expenses	$547,427,587	CYTotalExpensesAmt
PY Revenues Less Expenses	$107,135,207	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$94,823,584	CYRevenuesLessExpensesAmt
Total Assets BOY	$982,370,868	TotalAssetsBOYAmt
Total Assets EOY	$1,082,803,580	TotalAssetsEOYAmt
Total Liabilities BOY	$356,356,507	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$385,792,020	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$626,014,361	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$697,011,560	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	$437,942,068	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$610,432,475	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 (FORMERLY MIAMI CHILDREN'S HOSPITAL) WAS RENAMED IN 2015 IN RECOGNITION OF A GENEROUS PLEDGE FROM THE NICKLAUS CHILDREN'S HEALTH CARE FOUNDATION. 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 289 LICENSED BEDS. NICKLAUS CHILDREN'S HOSPITAL SERVES AS A REFERRAL CENTER FOR CHILDREN WITH COMPLEX, CRITICAL OR LIFE-THREATENING ILLNESSES REQUIRING SPECIALIZED CARE. IT HAS A 28-BED PEDIATRIC INTENSIVE CARE UNIT, A 37-BED NEONATAL INTENSIVE CARE UNIT AND A 12-BED CARDIAC INTENSIVE CARE UNIT. IT IS ALSO 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	$437,942,068	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
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	550	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4056	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Foreign Country	EI	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	15	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
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Michael Durr	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3056666511	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Deise Granado-Villar MD
Director/ SVP/ Chief Academic Officer	40.0	2.0	Yes (X)	Yes (X)	$483,973	$0	$67,632
Alex Soto
Chairman	0.1	1.4	Yes (X)	Yes (X)	$0	$0	$0
Jaret Davis
Vice Chairman	0.1	0.2	Yes (X)	Yes (X)	$0	$0	$0
Jefry Biehler MD
Secretary	40.0	0.2	Yes (X)	Yes (X)	$327,309	$0	$41,554
Narendra Kini MD
CEO & Director	20.0	20.5	Yes (X)	Yes (X)	$0	$1,363,509	$230,340
Marcos Mestre MD
Director	0.1	40.2	Yes (X)		$0	$336,173	$37,494
Juan Carlos Mas Esq
Director	0.1	1.3	Yes (X)		$0	$0	$0
Marile Lopez
Director	0.1	1.3	Yes (X)		$0	$0	$0
Keith Ward
Director	0.1	0.2	Yes (X)		$0	$0	$0
Mario Murgado
Director	0.1	0.2	Yes (X)		$0	$0	$0
Maria Franco MD
Director	0.1	0.2	Yes (X)		$0	$0	$0
Lucy Morillo ESQ
Foundation President/ Director (Partial Year)	0.1	40.3	Yes (X)		$0	$445,070	$27,850
Ghislain Gourage
Director	0.1	0.2	Yes (X)		$0	$0	$0
Jay Massirman
Director	0.1	0.2	Yes (X)		$0	$0	$0
Steven Mckean
Director	0.1	0.2	Yes (X)		$0	$0	$0
Phillip Newcomm MD
Director	0.1	0.2	Yes (X)		$0	$0	$0
Gary Gregory
Director	0.1	0.2	Yes (X)		$0	$0	$0
Joseph Nader
Director	0.1	0.2	Yes (X)		$0	$0	$0
Jorge Gonzalez
Director	0.1	0.3	Yes (X)		$0	$0	$0
Jodi Laurence ESQ
Director	1.0	0.3	Yes (X)		$0	$0	$0
Timothy Birkenstock
Treasurer	20.0	20.5		Yes (X)	$0	$644,466	$91,227
Michael Harrington
President & COO	40.0	0		Yes (X)	$201,792	$0	$36,181
Jacqueline Gonzalez
SVP/Chief Nursing Officer	40.0	0			$440,258	$0	$96,108	Yes (X)
Andrea Maggioni MD
Hospitalist Director	40.0	0			$390,144	$0	$41,757	Yes (X)
Armando Llechu
VP Clinical Operations	40.0	0			$272,928	$0	$65,885	Yes (X)
Steven Fishberger MD
Physician	40.0	0			$433,916	$0	$10,679	Yes (X)
Gil Wernovsky MD
Physician	40.0	0			$356,738	$0	$27,779	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,907,058	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,789,218	TotReportableCompRltdOrgAmt
Total Other Compensation	$774,486	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	278	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (true)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MIAMI CHILDREN'S HEALTH SYSTEM INC
3100 SW 62ND AVENUE	Miami	FL	33155	Management Services	$97,855,923
Robins & Morton Group
400 SHADES CREEK PARKWAY	BIRMINGHAM	AL	35209	Construction	$32,453,487
AB&A Advertising
1235 Coral Way Suite 200	Miami	FL	33145	Marketing	$4,275,508
PHI AIR MEDICAL LLC
2800 NORTH 44 STREET	Phoenix	AZ	85008	Air medical services	$3,178,353
ONEBLOOD INC
PO BOX 628342	ORLANDO	FL	32862	Blood Bank	$1,956,739

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	76	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$13,506,343	RelatedOrganizationsAmt
All Other Contributions	$3,141,943	AllOtherContributionsAmt
Total Contributions	$16,648,286	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue	621300	$581,387,147	$581,387,147
Grant Revenue	900099	$14,617,511	$14,617,511
Seminar/Workshops	621300	$344,969	$344,969

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	$596,349,627	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,651,840	TotalRevenueColumnAmt
Unrelated Business Revenue	$41,190	UnrelatedBusinessRevenueAmt
Exclusion	$5,610,650	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,711,467	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,711,467	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,711,467	TotalRevenueColumnAmt
Exclusion	$1,711,467	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$199,653,010	SecuritiesAmt
Other	$5,122,533	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$203,852,285	SecuritiesAmt
Other	$98,033	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$4,199,275	SecuritiesAmt
Other	$5,024,500	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$825,225	TotalRevenueColumnAmt
Exclusion	$825,225	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$295,459	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$294,981	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$478	TotalRevenueColumnAmt
Exclusion	$478	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Cafeteria Vending	722210	$3,414,171	$3,414,171
Pharmacy	446110	$1,916,397		$1,797,207	$119,190
Management Fee- affiliated companies	900099	$12,285,641		$12,285,641

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,448,039	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$48,332	UnrelatedBusinessRevenueAmt
Exclusion	$3,399,707	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$21,064,248	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$642,251,171	TotalRevenueColumnAmt
Related Or Exempt Func Income	$610,432,475	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$208,712	UnrelatedBusinessRevenueAmt
Exclusion	$14,961,698	ExclusionAmt

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

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,158,441	TotalAmt
Program Services	$926,753	ProgramServicesAmt
Management And General	$231,688	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$196,683,479	TotalAmt
Program Services	$157,346,783	ProgramServicesAmt
Management And General	$39,336,696	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,829,456	TotalAmt
Program Services	$7,063,565	ProgramServicesAmt
Management And General	$1,765,891	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$27,793,986	TotalAmt
Program Services	$22,235,189	ProgramServicesAmt
Management And General	$5,558,797	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,726,824	TotalAmt
Program Services	$10,981,459	ProgramServicesAmt
Management And General	$2,745,365	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,134,146	TotalAmt
Program Services	$907,317	ProgramServicesAmt
Management And General	$226,829	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$129,509,736	TotalAmt
Program Services	$103,607,788	ProgramServicesAmt
Management And General	$25,901,948	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$579,420	TotalAmt
Program Services	$463,536	ProgramServicesAmt
Management And General	$115,884	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,122,415	TotalAmt
Program Services	$9,697,932	ProgramServicesAmt
Management And General	$2,424,483	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,802,505	TotalAmt
Program Services	$1,442,004	ProgramServicesAmt
Management And General	$360,501	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$18,408,250	TotalAmt
Program Services	$14,726,600	ProgramServicesAmt
Management And General	$3,681,650	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$752,721	TotalAmt
Program Services	$602,177	ProgramServicesAmt
Management And General	$150,544	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,575,970	TotalAmt
Program Services	$2,860,776	ProgramServicesAmt
Management And General	$715,194	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$39,014,040	TotalAmt
Program Services	$31,211,232	ProgramServicesAmt
Management And General	$7,802,808	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$11,058,388	TotalAmt
Program Services	$8,846,710	ProgramServicesAmt
Management And General	$2,211,678	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$60,675,266	$48,540,213	$12,135,053
Bad Debts	$9,984,490	$7,987,592	$1,996,898
Medical Assistance Tax	$8,065,795	$6,452,636	$1,613,159
Dues & Subscriptions	$506,573	$405,258	$101,315

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,045,686	TotalAmt
Program Services	$1,636,548	ProgramServicesAmt
Management And General	$409,138	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$547,427,587	TotalAmt
Program Services	$437,942,068	ProgramServicesAmt
Management And General	$109,485,519	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$63,130,619	BOYAmt
EOY	$49,324,800	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$45,896,945	BOYAmt
EOY	$63,409,474	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$75,777,401	BOYAmt
EOY	$77,084,726	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,388,786	BOYAmt
EOY	$7,252,460	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,529,232	BOYAmt
EOY	$1,747,075	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$823,221,066	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$347,698,164	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$392,504,195	BOYAmt
EOY	$475,522,902	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$88,276,409	BOYAmt
EOY	$120,317,077	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$223,365,280	BOYAmt
EOY	$201,463,322	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$769,103	BOYAmt
EOY	$3,650,235	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$84,732,898	BOYAmt
EOY	$83,031,509	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$982,370,868	BOYAmt
EOY	$1,082,803,580	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$36,451,934	BOYAmt
EOY	$63,241,441	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$231,093,907	BOYAmt
EOY	$224,978,152	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$888,000	BOYAmt
EOY	$74,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$87,922,666	BOYAmt
EOY	$97,498,427	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$356,356,507	BOYAmt
EOY	$385,792,020	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$532,676,686	BOYAmt
EOY	$602,808,557	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$64,392,912	BOYAmt
EOY	$65,061,172	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$28,944,763	BOYAmt
EOY	$29,141,831	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$626,014,361	BOYAmt
EOY	$697,011,560	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$982,370,868	BOYAmt
EOY	$1,082,803,580	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$94,823,584	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$19,996,459	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$43,822,844	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	$0	BeginningYearBalanceAmt
Contributions	$231,560	ContributionsAmt
End Year Balance	$231,560	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
End Year Balance	$0	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	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,932,156	OtherCostOrOtherBasisAmt
Book Value	$2,932,156	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$412,245,729	OtherCostOrOtherBasisAmt
Depreciation	$158,893,398	DepreciationAmt
Book Value	$253,352,331	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$38,716,400	OtherCostOrOtherBasisAmt
Depreciation	$17,221,467	DepreciationAmt
Book Value	$21,494,933	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$307,680,884	OtherCostOrOtherBasisAmt
Depreciation	$171,583,299	DepreciationAmt
Book Value	$136,097,585	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$61,645,897	OtherCostOrOtherBasisAmt
Book Value	$61,645,897	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$475,522,902	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
ALTERNATIVE INVESTMENTS	$77,645,060	F
FIXED INCOME BOND FUND	$71,174,501	F
CORPORATE DEBT SECURITIES	$52,643,761	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$201,463,322	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
BOND ISSUE COSTS
BENEFICIAL INTEREST IN MIAMI CHILDREN'S HOSPITAL FOUNDATION	$53,296,670
BENEFICIAL INTEREST IN MIAMI CHILDREN'S HEALTH SYSTEM FOUNDATION	$27,660,055
SELF INSURANCE TRUST	$491,836
Charitable Remainder Trust	$959,568
Other Long Term Assets	$285,419
EXEC LIFE	$337,961

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$83,031,509	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
OTHER LIABILITIES	$1,998,055
SWAP LIABILITIES	$35,148,840
THIRD PARTY SETTLEMENT PAYABLE	$4,672,873
LEASE INCENTIVE OBLIGATION	$10,127,860
INTERCOMPANY PAYABLE	$45,550,799

Field	Value	IRS element (for citing)
Total Liability	$97,498,427	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$607,281,650	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$19,996,459	NetUnrealizedGainsInvstAmt
Other Revenue	-$43,822,844	OtherRevenueAmt
Revenue Not Reported	-$23,826,385	RevenueNotReportedAmt
Revenue Subtotal	$631,108,035	RevenueSubtotalAmt
Investment Expenses Not Incld	$1,134,146	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$10,008,990	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$11,143,136	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$642,251,171	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$536,284,451	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$536,284,451	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$1,134,146	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$10,008,990	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$11,143,136	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$547,427,587	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 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 MIAMI CHILDREN'S HEALTH SYSTEM (MCHS), A RELATED ORGANIZATION. MCHS' FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED DECEMBER 31, 2016, 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, MCHSF 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, 2016 AND 2015. 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, 2016 AND 2015."
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	LOSS ON CHANGE IN FMV OF SWAP AGREEMENTS - -178507 CHANGE IN CHARITABLE REMAINDER TRUSTS - 75826 CHANGE IN BENEFICIAL INTEREST IN HOSPITAL FOUNDATON - -4332675 NET SETTLEMENT ON SWAP AGREEMENTS - -5084201 CHANGE IN BENEFICIAL INTEREST IN HEALTH SYSTEM FOUNDATON - 5015522 TRANSFER TO AFFILIATE - -42368829 INCOME FROM SUBSIDIARIES/JOINT VENTURES - 3060823 OTHER CHANGES TO UNRESTRICTED NET ASSETS - -10803
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	BAD DEBT EXPENSE - 9984490 GAIN ON SALE OF FIXED ASSETS - 24500
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	BAD DEBT EXPENSE - 9984490 GAIN ON SALE OF FIXED ASSET - 24500

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	Program Services	Self-Insurance Funding	$3,484,025
Central America and the Caribbean	Investments		$23,835,000
Europe (Including Iceland and Greenland)	Investments		$21,243,000

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$48,562,025	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$48,562,025	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	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	$147,553	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$147,553	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$313,762,285	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$226,683,899	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$87,078,386	NetCommunityBenefitExpnsAmt
Total Expense	0.1620	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,790,824	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,206,312	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$584,512	NetCommunityBenefitExpnsAmt
Total Expense	0.0011	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	$317,700,662	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$229,890,211	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$87,810,451	NetCommunityBenefitExpnsAmt
Total Expense	0.1634	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,788,026	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$227,740	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,560,286	NetCommunityBenefitExpnsAmt
Total Expense	0.0029	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,520,309	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,587,854	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$932,455	NetCommunityBenefitExpnsAmt
Total Expense	0.0017	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$693,014	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$74,693	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$618,321	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
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	$13,001,349	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,890,287	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,111,062	NetCommunityBenefitExpnsAmt
Total Expense	0.0058	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$330,702,011	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$239,780,498	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$90,921,513	NetCommunityBenefitExpnsAmt
Total Expense	0.1692	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	$3,070,898	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$810,062	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$1,516,783	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$706,721	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	0.53	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.0	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.47	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	15	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/news-and-events/publications/community-health-needs-assessment	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.nicklauschildrens.org/news-and-events/publications/community-health-needs-assessment	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
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 (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 Miami 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 assessment incorporates data from both quantitative and qualitative sources. Quantitative data input includes primary research (the 2015 PRC Child & Adolescent Health Survey) 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 1,057 parents of children under 18 in the Nicklaus Children's Hospital Service Area. By geography, a total of 412 surveys were conducted in Miami-Dade County, 349 in Broward County and 296 in Palm Beach 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, 144 community stakeholders took part in the Online Key Informant Survey. Final participation included representatives of the organizations outlined below. Alvis, PA Banyan Health Systems Baptist Children's Hospital Borinquen Medical Centers Catholic Hospice Citrus Health Network City of Hialeah Fire Department City of Miami Fire Rescue Collier County Public Schools Department of Pathology and Clinical Lab, Nicklaus Children's Hospital El Sol Jupiter Neighborhood Resource Center Florida Blue Florida International University Florida International University- School of Social Work Florida Poison Information Center - Miami Golisano Children's Hospital of Southwest Florida Group Pediatric Office Handal-Saca Pediatrics Jehovah's Witnesses Jessie Trice Community Health Center Jorge Mas Canosa Middle School Kids Quality Therapy Live Like Bella Childhood Cancer Foundation March of Dimes Miami Beach Community Health Center (MBCHC) Miami Children's Health System Miami Dade Miami Dade College Miami-Dade Fire Rescue Monroe County School District Neuro Network Partners (NNP) Nicklaus Children's Hospital Nicklaus Children's Dan Marino Outpatient Center Nicklaus Children's Doral Outpatient Center Nora Daniel Nova Southeastern University Palm Beach State College Center for Early Learning Pediatric Associates Pediatric Office Pediatric Infectious Diseases LLC Physicians to Children Prime Care Medical Center Rub Pediatrics South Florida Hispanic Chamber of Commerce South Florida Pediatric Partners (SFPP) The Children's Trust of Miami-Dade County The Dan Marino Foundation The School District of Palm Beach County 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. NUTRITION, PHYSICAL ACTIVITY AND WEIGHT - NCH EXPANDED OUTPATIENT NUTRITION THROUGHOUT OUR AMBULATORY NETWORK AND MIGRATED FROM AN OUT-OF-POCKET MODEL TO BE A COVERED SERVICE BY MOST INSURANCE PLANS. NCH SUPPORTS THE EDUCATION AND TRAINING OF SCHOOL NURSES PROVIDING NUTRITION SERVICES VIA THE VIRTUAL SCHOOL NURSE PILOT (FULL EXPLANATION IN 'ACCESS TO HEALTHCARE SERVICES'). NCH ENHANCED OUR SPORTS HEALTH PROGRAM WITH SERVICES COVERING THE FULL SPECTRUM OF SCREENING, INJURY PREVENTION, TREATMENT, RECOVERY AND WELLNESS. GiveMe5- A MULTIDISCIPLINARY, TRAINING, EDUCATIONAL AND MARKETING TOOL TO ENCOURAGE THE CONSUMPTION OF FRUITS AND VEGETABLES AMONG CHILDREN OF ALL ETHNICITIES IN SOUTH FLORIDA - DEVELOPED BY NCH AND BEING ROLLED OUT IN CONJUNCTION WITH ADDITIONAL PARTNER ORGANIZATIONS. MENTAL HEALTH - NCH IS COLLABORATING WITH LOCAL UNIVERSITIES AND COMMUNITY PARTNER TO OFFER A MORE COORDINATED AND ROBUST DELIVERY MODEL FOR PSYCHOLOGICAL SCREENING AND CONSULTATION. ACCESS TO HEALTHCARE SERVICES - MCHS FORMALIZED ITS MULTI-SPECIALTY GROUP PRACTICE, PEDIATRIC SPECIALISTS OF AMERICA (PSA), IN JANUARY 2015. THE PSA WAS ESTABLISHED TO FACILITATE OPERATIONAL EFFICIENCY AND GROWTH OF OUR PEDIATRIC SUB-SPECIALIST SERVICES. SINCE ITS FOUNDING THE PSA HAS RECRUITED PHYSICIANS IN: URGENT CARE, EMERGENCY MEDICINE, DENTAL, CARDIOLOGY, GASTROENTEROLOGY, AND HOSPITALIST MEDICINE; AS WELL AS ADDED TWO NEW SPECIALTIES TO THE MEMBERSHIP, INFECTIOUS DISEASE AND NEPHROLOGY. A PROCESS IS UNDERWAY TO EXTEND CENTRAL SCHEDULING SYSTEM-WIDE TO STREAMLINE AND COORDINATE ACCESS TO OUR PEDIATRIC SUB-SPECIALISTS. NCH'S SCHOOL HEALTH PROGRAM IN PARTNERSHIP WITH THE CHILDREN'S TRUST, MIAMI-DADE COUNTY DEPARTMENT OF HEALTH, AND MIAMI-DADE COUNTY PUBLIC SCHOOLS SERVES CHILDREN ENROLLED IN THE PUBLIC SCHOOL SYSTEM. THE PROGRAM STAFFS SCHOOL HEALTH OFFICES WITH A MULTIDISCIPLINARY TEAM OF REGISTERED NURSES, LICENSED PRACTICAL NURSES, AND SOCIAL WORKERS WHO WORK COLLABORATIVELY TO IDENTIFY, PREVENT, OR REMEDY STUDENT'S PHYSICAL AND BEHAVIORAL HEALTH NEEDS AND PROVIDE A LINKAGE TO APPROPRIATE COMMUNITY CARE. THE PROGRAM GOAL IS TO PROMOTE A HEALTHY SCHOOL ENVIRONMENT THAT IS CONDUCIVE TO STUDENT WELL BEING, FOSTERS POSITIVE BEHAVIOR, AND SUPPORTS HIGHER ACADEMIC ACHIEVEMENT. NICKLAUS CHILDREN'S HOSPITAL OPERATES 12 SITES IN SOUTHERN MIAMI DADE. CARE COORDINATORS HAVE BEEN AND CONTINUE TO BE INTEGRATED IN THE DELIVER MODEL FOR SPECIFIC SUB-SPECIALTY CLINICS AND SERVICES. DIABETES - NCH ENDOCRINOLOGY NOW OFFERS A CERTIFIED DIABETES EDUCATOR AND DIETICIAN ON PREMISES AND AVAILABLE AT ALL TIMES - IT IS THE ONLY CHILDREN'S PROGRAM IN MIAMI-DADE COUNTY TO OFFER THIS SERVICE. ADDITIONALLY, WE'VE HIRED A CERTIFIED DIABETES EDUCATOR IN PALM BEACH, AND ARE NOW THROUGH THE HEART PROGRAM OFFERING OBESITY CLINICS IN MARTIN COUNTY. INJURY AND VIOLENCE - AS PART OF NCH'S SCHOOL PROGRAM, WE ARE COLLABORATING WITH LOCAL SCHOOL DISTRICTS TO ASCERTAIN THEIR NEEDS AND IDENTIFY AREAS WHERE WE CAN SUPPORT IN ADDRESSING ISSUES OF INJURY AND VIOLENCE. ASTHMA'S & OTHER RESPIRATORY CONDITIONS - NCH LAUNCHED A PILOT WITH THE DEPARTMENT OF HEALTH (DOH) TARGETING CHILDREN WITH ASTHMA WHO ARE FREQUENT UTILIZERS OF HEALTHCARE SERVICES. THE STUDY AIMS TO DEMONSTRATE IMPROVEMENT IN REDUCED MISSED SCHOOL DAYS AND REDUCED TOTAL COSTS OF CARE. NCH IS EXPLORING OUTREACH AND EDUCATION TO PROMOTE COMPLIANCE WITH ASTHMA TREATMENT PLANS, AS WELL AS PREVENTATIVE MEASURES TO ADDRESS ENVIRONMENTAL TRIGGERS OF ASTHMA. ORAL HEALTH - NCH ACQUIRED A STATE OF THE ART DENTISTRY VAN WHICH WILL BE PROVIDING CARE TO UNDERSERVED COMMUNITIES. ONSITE DENTISTS WILL BE ABLE TO ACCESS ORAL SURGEONS AND COLLABORATE WITH OTHER SPECIALISTS VIA TELEHEALTH. POTENTIALLY DISABLING CONDITIONS - NCH'S ON CAMPUS PRIMARY CARE CENTER IS BUILDING THE INFRASTRUCTURE AND WORKING THROUGH THE PROCESS OF APPLYING FOR NCQA DESIGNATION AS A PATIENT CENTERED MEDICAL HOME - WITH UNIQUE COMPETENCIES IN MANAGING CARE FOR FAMILIES WITH A HIGHER DEGREE OF COMPLEXITY. PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH THERAPY CONTINUE TO BE STAPLES OF OUR AMBULATORY NETWORK, AND WITH THE FURTHER GROWTH OF OUR OUTPATIENT PRESENCE, THE HEALTH SYSTEM IS EXTENDING THOSE SERVICES TO NEW MARKETS AND WORKING TO SUPPORT PATIENTS WITH ACTIVITY LIMITATIONS. NCH IS PREPARING FOR THE LAUNCH OF OUR LABOR AND DELIVERY UNITY FOR HIGH RISK NEWBORNS REQUIRING IMMEDIATE INTERVENTION. THE UNIT WILL PROVIDE THE HIGHEST QUALITY CARE, AVOID THE NEED FOR SEPARATION OF MOTHER AND NEWBORN, AND GIVE FAMILIES ACCESS TO THE FULL TEAM OF SUB-SPECIALISTS TO ENSURE SAFE DELIVERY AND TREATMENT FOR THE BABY. NCH IS IN ONGOING DISCUSSION WITH GOVERNMENT, PRIVATE, AND COMMUNITY AGENCIES TO FURTHER SUPPORT PATIENTS WITH COMPLEX, CHRONIC, POTENTIALLY DISABLING CONDITIONS.
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	8	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 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 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

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/PATIENTS-AND-FAMILIES/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE-PROGRAM
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE	HTTPS://WWW.NICKLAUSCHILDRENS.ORG/PATIENTS-AND-FAMILIES/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE-PROGRAM
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE	HTTPS://WWW.NICKLAUSCHILDRENS.ORG/PATIENTS-AND-FAMILIES/PATIENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE-PROGRAM
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	9984490
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 organization's financial statements do not include a footnote on "bad debt expense" or "allowance for doubtful accounts". The following summarizes the activity in the Hospital's allowance for bad debts for the year ended December 31, 2016: Balance at beginning of the year 40,794,443 Provision during the year 8,149,827 Accounts written off, net of recoveries (6,651,770) Balance at end of year 42,292,500 The Hospital's estimation of the allowance for bad debts is based primarily upon the type and age of the patient accounts receivable and the effectiveness of the Hospital's collection efforts.
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 ($706,721 FOR 2016) 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 counselling 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 Miami Children's Health System - primarily serves the pediatric population of Miami-Dade County. Approximately 587,000 people under the age of 18 reside within the county. In 2016, 62 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, the county led the nation in foreign-born residents, at 52 percent, with 66 percent of the population comprised of individuals of Latin or Hispanic descent and 71 percent reporting a language other than English spoken in the home. Classifying the hospital's inpatient population using Experian's MOSAIC segmentation tool, 35 percent of the customer base fits into the Group I: Family Union profile: predominantly Hispanic families living in middle-class comfort within the tri-county area. 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 2016, the hospital served international patients from 119 countries. The health system, through its network of 9 outpatient centers, also provides services within Broward, Palm Beach, Lee and Martin counties. The ambulatory centers offer subspecialty physician consultations, urgent care, imaging and outpatient rehabilitation services. According to the latest drive-time trade area analysis conducted in 2013, average drive time to the main hospital was 35 minutes, with a maximum drive-time of two hours for subspecialty care.
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 Miami Children's Health System - primarily serves the pediatric population of Miami-Dade County and is a leading provider of healthcare services for medically needy children. In addition, the hospital is proud to be the largest provider of pediatric medical education in the southeastern United States. NICKLAUS Children's Hospital provides primary care and a medical home to the Medicaid population through its Pediatric Care Center located on the hospital's main campus. The hospital also provides dental services through its Pediatric Dental Residency program. NICKLAUS Children's Hospital also houses Early Steps Southernmost Coast, an early intervention program for children at risk of developmental delays. The program evaluates over 2,000 children annually. NICKLAUS Children's offers primary care services to needy children through the Health Connect in Our Schools program. The hospital provides nursing staff for school-based clinics situated in high-risk communities to ensure that children have access to care. NICKLAUS Children's Hospital's Brain Institute is the first and largest pediatric neuroscience collaboration in the nation. The program is recognized for excellence in treatment of children with brain tumors, intractable epilepsy and other brain anomalies, and offers the latest minimally invasive methods, including Visualase, an image-guided laser technique for epilepsy surgery in children. The Heart Program at NICKLAUS Children's Hospital provides care for more children with congenital heart disorders than any other hospital in Florida. It is consistently ranked among the best programs in the nation for cardiology and heart surgery. NICKLAUS Children's Hospital's Cancer Center is the largest provider of pediatric cancer services in the region. The center participates in research protocols, offering the latest interventions for children receiving treatment for all forms of cancer and blood disorders. NICKLAUS Children's LifeFlight Critical Care Transport team provides transport of critically ill children from referring hospitals to NICKLAUS Children's Hospital critical care units.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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
Deise Granado-Villar MD
Director/ SVP/ Chief Academic Officer	$247,145	$0	$141,006	$0	$95,822	$0	$51,643	$0	$15,989	$0	$551,605	$0	$67,558	$0
Jefry Biehler MD
Secretary	$308,824	$0	$0	$0	$18,485	$0	$7,950	$0	$33,604	$0	$368,863	$0	$0	$0
Narendra Kini MD
CEO & Director	$0	$871,366	$0	$428,534	$0	$63,609	$0	$192,217	$0	$38,123	$0	$1,593,849	$0	$33,398
Marcos Mestre MD
Director	$0	$222,443	$0	$95,404	$0	$18,326	$0	$7,390	$0	$30,104	$0	$373,667	$0	$0
Lucy Morillo ESQ
Foundation President/ Director (Partial Year)	$0	$263,235	$0	$116,422	$0	$65,413	$0	$7,950	$0	$19,900	$0	$472,920	$0	$0
Timothy Birkenstock
Treasurer	$0	$418,453	$0	$88,560	$0	$137,453	$0	$66,884	$0	$24,343	$0	$735,693	$0	$0
Michael Harrington
President & COO	$155,735	$0	$0	$0	$46,057	$0	$25,313	$0	$10,868	$0	$237,973	$0	$0	$0
Jacqueline Gonzalez
SVP/Chief Nursing Officer	$214,776	$0	$135,557	$0	$89,925	$0	$46,561	$0	$49,547	$0	$536,366	$0	$56,888	$0
Andrea Maggioni MD
Hospitalist Director	$233,435	$0	$131,985	$0	$24,724	$0	$7,950	$0	$33,807	$0	$431,901	$0	$0	$0
Armando Llechu
VP Clinical Operations	$220,612	$0	$44,809	$0	$7,507	$0	$33,862	$0	$32,023	$0	$338,813	$0	$0	$0
Steven Fishberger MD
Physician	$393,205	$0	$36,726	$0	$3,985	$0	$2,400	$0	$8,279	$0	$444,595	$0	$0	$0
Gil Wernovsky MD
Physician	$342,700	$0	$0	$0	$14,038	$0	$6,926	$0	$20,853	$0	$384,517	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 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/Executive Director employed by MIAMI CHILDREN'S HEALTH SYSTEM. (EIN: 45-3481327). MIAMI 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 4a Severance or change-of-control payment	Lucy Morillo- $47,167
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 - $184,267 Timothy Birkenstock - $66,884 Deise Granado-Villar - $51,643 Jacqueline Gonzalez- $46,561 Armando Llechu - $33,862 Michael Harrington- $25,513 The following distributions were made from a Section 457(f) plan during the year - Narendra Kini - $33,398 Deise Granado-Villar - $67,558 Jacqueline Gonzalez- $56,888

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	59334NCF7	2011-08-01	$25,504,962	Refund issue dated 4/17/2008	false	false	false
Miami-Dade County Health Facilities Authority
B	521293036	59334NCE0	2010-12-22	$107,784,753	Refund 2006 bond issue and new project	false	false	false
Miami-Dade County Health Facilities Authority
C	521293036	59334NDD1	2013-08-01	$107,788,754	Refund 2006 and 2008 bond issues	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$25,504,962	$25	$0	$0	$504,962	$0	$0	$0	$25,000,000	$0	2011	Yes (true)	false	Yes (true)	Yes (true)
B	$7,380,000		$108,410,552	$60	$0	$0	$1,227,083	$0	$0	$65,258,469	$41,925,000	$0	2015	Yes (true)	false	Yes (true)	Yes (true)
C	$5,000,000	$0	$107,788,754	$0	$0	$0	$1,488,754	$0	$0	$0	$106,300,000	$0	2013	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	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	0.012	0.012	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.007	0.007	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	false	0.027	0.027	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	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd
(no name)
A	false	false	Yes (true)	false	false	false	false	0.0	false	Yes (true)
Bayerische Landesbank
B	false	false	false	Yes (true)	Yes (true)	false	Yes (true)	2.0	Yes (true)	Yes (true)	Yes (true)
(no name)
C	false	Yes (true)	false	false	false	false	false	0.0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part II, Line 3 Column B	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 B	Such amounts were appropriately yield restricted
Schedule K, Part IV, Line 2c COLUMN B	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 2016, 3,002 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. THERE ARE PRESENTLY MORE THAN 200 PEDIATRIC SUB-SPECIALTY PHYSICIANS GEOGRAPHICALLY LOCATED AT NICKLAUS CHILDREN'S HOSPITAL. PEDIATRIC SUB-SPECIALTY AREAS INCLUDE: ADOLESCENT MEDICINE, ALLERGY/IMMUNOLOGY, CARDIOLOGY, CARDIOVASCULAR SURGERY, CLINICAL GENETICS AND METABOLISM, CRITICAL CARE MEDICINE, DENTISTRY, DERMATOLOGY, EMERGENCY MEDICINE, ENDOCRINOLOGY, GASTROENTEROLOGY, GENERAL PEDIATRICS, HEMATOLOGY/ONCOLOGY, INFECTIOUS DISEASES, NEONATOLOGY, NEPHROLOGY, PREVENTIVE MEDICINE, PSYCHIATRY, PULMONOLOGY, RHEUMATOLOGY, CARDIOVASCULAR SURGERY, NEUROLOGY, NEUROSURGERY, OPHTHALMOLOGY, ORTHOPEDIC SURGERY, OTOLARYNGOLOGY, PEDIATRIC SURGERY, PLASTIC AND RECONSTRUCTIVE SURGERY, PATHOLOGY, RADIOLOGY, UROLOGY AND ANESTHESIOLOGY. THIS CRITICAL MASS OF PHYSICIANS SIGNIFICANTLY CONTRIBUTES TO THE QUALITY AND RANGE OF PEDIATRIC SERVICES AVAILABLE AT THE HOSPITAL. 2016 STATISTICAL DATA INCLUDES TOTAL INPATIENT DAYS: 65,289 TOTAL INPATIENT ADMISSIONS: 10,544 INPATIENT AVERAGE DAILY CENSUS: 178.4 TOTAL ED VISITS (MAIN CAMPUS): 86,893 NCH GENERAL CLINIC VISITS: 11,890 AMBULATORY VISITS: 89,221 PRIVATE OUTPATIENT VISITS (MAIN CAMPUS): 122,018 PRIVATE OUTPATIENT VISITS (AMBULATORY CENTERS): 290,914 TOTAL SURGICAL CASES: 12,754 AVERAGE LENGTH OF STAY: 6.3 DAYS THE HOSPITAL IS INTERNATIONALLY RECOGNIZED FOR CARE EXCELLENCE. NICKLAUS CHILDREN'S HOSPITAL PROGRAMS WERE RANKED AMONG THE NATION'S BEST IN EIGHT PEDIATRIC SUB-SPECIALTY PROGRAMS SURVEYED BY U.S. NEWS AND WORLD REPORT IN ITS 2016-2017 LISTING OF "AMERICA'S BEST CHILDREN'S HOSPITALS." (RESULTS WERE RELEASED IN 2016.) THE HOSPITAL HAD MORE RANKED PEDIATRIC PROGRAMS THAN ANY OTHER HOSPITAL IN SOUTH FLORIDA. CATEGORIES IN WHICH THE HOSPITAL WAS RANKED IN 2016 INCLUDE CARDIOLOGY AND HEART SURGERY; DIABETES AND ENDOCRINOLOGY; GASTROENTEROLOGY & GI SURGERY, NEONATOLOGY, NEUROLOGY/NEUROSURGERY, PULMONOLOGY, ORTHOPEDICS, UROLOGY. IN ADDITION, THE HOSPITAL SYSTEM INCLUDES A NETWORK OF AMBULATORY CENTERS THAT EXTEND CARE THROUGHOUT THE SOUTH FLORIDA REGION. DURING 2016, THESE CENTERS OFFERED OUTPATIENT SERVICES AS FOLLOWS: NICKLAUS CHILDREN'S AVENTURA CARE CENTER: OFFERS PEDIATRIC SUBSPECIALTY CONSULTS. NICKLAUS CHILDREN'S DAN MARINO OUTPATIENT CENTER: OFFERS COMPREHENSIVE SERVICES FOR CHILDREN WITH NEURODEVELOPMENTAL DISORDERS. SERVICES INCLUDE IMAGING AND REHABILITATION. ALSO ON SITE IS A SWIMMING POOL FOR AQUATIC THERAPY. NICKLAUS CHILDREN'S DORAL OUTPATIENT CENTER: OFFERS REHABILITATION SERVICES, IMAGING SERVICES, AN AFTER-HOURS URGENT CARE CENTER AND OUTPATIENT SUB-SPECIALTY OFFICE VISITS. NICKLAUS CHILDREN'S MIAMI LAKES OUTPATIENT CENTER: OFFERS REHABILITATION SERVICES, IMAGING SERVICES, AN URGENT CARE AND OUTPATIENT SUB-SPECIALTY OFFICE VISITS. NICKLAUS CHILDREN'S MIDTOWN OUTPATIENT CENTER: OFFERS REHABILITATION SERVICES, IMAGING SERVICES, AN URGENT CARE CENTER AND OUTPATIENT SUB-SPECIALTY OFFICE VISITS. NICKLAUS CHILDREN'S MIRAMAR OUTPATIENT CENTER: OFFERS REHABILITATION SERVICES, IMAGING SERVICES, AN URGENT CARE CENTER AND OUTPATIENT SUB-SPECIALTY OFFICE VISITS. NICKLAUS CHILDREN'S PALM BEACH GARDENS OUTPATIENT CENTER: OFFERS REHABILITATION SERVICES, IMAGING SERVICES, AN AFTER-HOURS URGENT CARE CENTER AND OUTPATIENT SUB-SPECIALTY OFFICE VISITS. NICKLAUS CHILDREN'S PALMETTO BAY OUTPATIENT CENTER: OFFERS REHABILITATION SERVICES, IMAGING SERVICES, AN URGENT CARE CENTER AND OUTPATIENT SUB-SPECIALTY OFFICE VISITS. ALSO ON-SITE IS EARLY STEPS SOUTHERNMOST COAST, A RESOURCE FOR CHILDREN UNDER THE AGE OF 3 WHO ARE AT RISK OF DEVELOPMENTAL DELAYS. NICKLAUS CHILDREN'S WEST BIRD OUTPATIENT CENTER: OFFERS AN URGENT CARE CENTER. NICKLAUS CHILDREN'S WEST KENDALL OUTPATIENT CENTER: OFFERS REHABILITATION SERVICES, IMAGING SERVICES, AN URGENT CARE CENTER AND OUTPATIENT SUB-SPECIALTY OFFICE VISITS. QUALITY/SAFETY AND ERROR PREVENTION INITIATIVES FROM 2016 - THE HOSPITAL IS COMMITTED TO ADVANCING QUALITY AND SAFETY. INITIATIVES FOR 2016 ARE DETAILED BELOW: LEAN INITIATIVES: LEAN IS AN INTERNATIONALLY RECOGNIZED BUSINESS IMPROVEMENT MODEL. IN 2016, THE HOSPITAL CONTINUED TO UTILIZE LEAN METHODS TO IMPROVE PROCESSES THAT ENHANCE SAFETY, EFFICIENCY AND PREVENT ERRORS AT THE HOSPITAL. FROM 2008 TO 2016, THE HOSPITAL HAS SAVED $9 MILLION THROUGH LEAN-BASED EFFICIENCIES. FASTPASS SYSTEM: NICKLAUS CHILDREN'S HOSPITAL WAS ALSO AN EARLY ADOPTER OF FASTPASS VISITOR BADGE IDENTIFICATION TECHNOLOGY. ALL VISITORS MUST 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: SINCE 2009, THE HOSPITAL HAS OFFERED THE 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. CRITICAL CARE EXCELLENCE RECOGNITION: THE NICKLAUS CHILDREN'S HOSPITAL NEONATAL INTENSIVE CARE UNIT (NICU), PEDIATRIC INTENSIVE CARE UNIT (PICU) AND CARDIAC INTENSIVE CARE UNIT EACH RECEIVED A GOLD BEACON AWARD FOR EXCELLENCE FROM THE AMERICAN ASSOCIATION OF CRITICAL-CARE NURSES (AACN). NICKLAUS CHILDREN'S IS ONE OF ONLY THREE CHILDREN'S HOSPITALS IN THE NATION TO BE AWARDED GOLD BEACON AWARDS FOR ALL OF ITS ICUS AND THE ONLY CHILDREN'S HOSPITAL IN FLORIDA TO RECEIVE THIS DISTINCTION. THIS RECOGNITION PUTS NICKLAUS CHILDREN'S AMONG THE TOP CHILDREN'S HOSPITALS IN THE COUNTRY AND DEMONSTRATES ORGANIZATIONAL COMMITMENT TO CRITICAL CARE EXCELLENCE. EMR: THE HOSPITAL HAS ACQUIRED A STATE-OF-THE-ART SYSTEM THAT WILL CAPTURE 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. IN 2012, THE HOSPITAL WENT LIVE WITH THE NEW SYSTEM WHICH PROVIDES PHYSICIANS AND CAREGIVERS WITH ACCESS TO ALL MEDICAL DATA THROUGH A SECURE LOGIN SYSTEM FROM ANY PLACE AT ANY TIME, ENABLING THEM TO MAKE INFORMED DECISIONS WITH MAXIMUM EFFICIENCY. HUMPTY DUMPTY: NICKLAUS CHILDREN'S HOSPITAL HAS TAKEN THE LEAD IN DEVELOPING A TOOL TO PREVENT PEDIATRIC FALLS AND THEREBY ENHANCE SAFETY. AS OF 2016, THE TOOL WAS IN USE IN 1,160 HOSPITALS, INCLUDING FACILITIES IN EVERY U.S. STATE AS WELL AS IN EUROPE, THE MIDDLE EAST, HONG KONG, CHINA, 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. THIS FALL PREVENTION PROGRAM HAS BEEN IMPLEMENTED, TESTED AND PROVEN TO BE AN EFFECTIVE TOOL IN THE PREVENTION OF UNINTENTIONAL INJURY DUE TO FALLS. THE HUMPTY DUMPTY FALLS PREVENTION PROGRAM(TM) IS A COMPREHENSIVE PROGRAM AIMED AT IDENTIFYING PATIENTS WHO ARE AT RISK FOR FALLS AS WELL AS PREVENTING FALL EVENTS AND INJURIES. THIS PROGRAM WAS DEVELOPED BY AN INTERDISCIPLINARY GROUP OF FALLS EXPERTS DERIVED FROM NURSING, RESEARCH, REHABILITATION, QUALITY IMPROVEMENT, AND RISK MANAGEMENT. PROGRAM MATERIALS INCLUDE A VALIDATED FALLS RISK SCALE, AN INTERVENTION PROTOCOL, AND PATIENT EDUCATION INFORMATION. THE PROGRAM WAS A RECIPIENT OF THE 2015 MAGNET PRIZE, PRESENTED BY THE AMERICAN NURSES CREDENTIALING CENTER. THIS HONOR HAS BEEN ACHIEVED BY A FEW HOSPITALS NATIONWIDE.
Form 990, Part III, Line 4a CONTINUED PROGRAM DESCRIPTION	IN 2016, THE HOSPITAL ACQUIRED THE LATEST DA VINCI X SURGICAL SYSTEM TO SUPPORT SURGICAL SAFETY. TRAINED PEDIATRIC GENERAL SURGEONS AND UROLOGICAL SURGEONS ON THE MEDICAL STAFF USE THE EQUIPMENT TO ENHANCE SURGICAL PRACTICE. BENEFITS INCLUDE SHORTER HOSPITAL STAYS, REDUCED BLOOD LOSS, REDUCED COMPLICATIONS, REDUCED NEED FOR NARCOTIC PAIN MEDICINE, FASTER RECOVERY AND REDUCED SCARRING. XENEX GERM-ZAPPING ROBOT: IN 2016, DISINFECTION TECHNOLOGY WAS AVAILABLE TO ENHANCE THE CLEANLINESS OF THE OPERATING ROOMS. THE EQUIPMENT USES PULSED XENON ULTRAVIOLET LIGHT TO ELIMINATE HARMFUL SUPERBUGS IN THE OR. IN 2016, THE HOSPITAL ACQUIRED AN INTEROPERATIVE MRI TO ENHANCE SAFETY AND OPTIMIZE SURGICAL RESULTS FOR CHILDREN WITH BRAIN TUMORS OR THOSE UNDERGOING SURGERY FOR MEDICALLY RESISTANT EPILEPSY. ALSO IN 2016, THE HOSPITAL OPENED ITS NEW 213,000-SQUARE-FOOT ADVANCED PEDIATRIC CARE PAVILION, OFFERING THE LATEST EQUIPMENT AND SPACIOUS FAMILY-CENTERED CARE ROOMS FOR FAMILIES. 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 THE HOSPITAL 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 HOSPITAL 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): THIS PROGRAM IS A NATIONAL VOLUNTEER PROGRAM. THE HOSPITAL PARTICIPATES WITH MIAMI-DADE COUNTY PUBLIC SCHOOLS. HOSPITAL STAFF MEMBERS VOLUNTEER TO VISIT STUDENTS AT ONE OF TWO ARE 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. IN 2011, THE HOSPITAL LAUNCHED A FREE EKG SCREENING PROGRAM AIMED AT PREVENTING SUDDEN CARDIAC DEATH AMONG STUDENT ATHLETES. SINCE THE PROGRAM'S INCEPTION, THE CARDIAC TEAM HAS PROVIDED NEARLY 10,000 SCREENINGS AND IDENTIFIED SEVERAL CHILDREN WHO WERE AT RISK OF DEATH DURING SPORTS ACTIVITY DUE TO HIDDEN HEART DEFECTS. THE HOSPITAL ALSO MAKES AVAILABLE TO THE COMMUNITY FREE HEALTH INFORMATION THROUGH CONTRACTS WITH KIDSHEALTH AND ADAM, WHICH SUPPLY HEALTH CONTENT ON THE HOSPITAL'S WEBSITE.
Form 990, Part VI, Line 15a Process for determininig compensation for the organization's CEO	THE ORGANIZATION AND COMPENSATION COMMITTEE OF MIAMI 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 AND USED IN ESTABLISHING EXECUTIVE SALARY AND BENEFITS PROGRAMS. THIS PROCESS IS COMPLETED IN THE FIRST QUARTER EACH YEAR. The CEO is paid by MIAMI CHILDREN'S HEALTH SYSTEM, INC., a related organization, therefore this has been answered no in accordance with the instructions.
Form 990, Part VI, Line 15b Process for determining compensation for other officers or key employees	THE ORGANIZATION AND COMPENSATION COMMITTEE OF MIAMI 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 AND USED IN ESTABLISHING EXECUTIVE SALARY AND BENEFITS PROGRAMS. THIS PROCESS IS COMPLETED IN THE FIRST QUARTER EACH YEAR. NCH RELIED ON THE METHODS OF ESTABLISHING COMPENSATION USED BY MIAMI CHILDREN'S HEALTH SYSTEM, INC.
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, TIMOTHY BIRKENSTOCK, AND JUAN C. MAS - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholders	The organization's sole member is Miami 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 Miami 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 Miami 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 MAILED TO THE AUDIT AND COMPLIANCE COMMITTEE OF NCH BOARD OF DIRECTORS FOR REVIEW AND COMMENT PRIOR TO REGULARLY SCHEDULED MEETING. 2. THE DRAFT TAX FORM 990 WILL BE REVIEWED WITH THE AUDIT AND COMPLIANCE COMMITTEE. 3. QUESTIONS WILL BE ANSWERED AND IF NECESSARY, TAX FORMS WILL BE ADJUSTED. 4. THE FINAL FORM 990 WILL BE POSTED ON THE NCH BOARD OF DIRECTOR'S WEB PORTAL.
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. 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	Antenna Revenue - Total Revenue: 48332, Related or Exempt Function Revenue: , Unrelated Business Revenue: 48332, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Vending Machine Commission - Total Revenue: 59138, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 59138; Miscellaneous - Total Revenue: 3340569, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 3340569;
Form 990, Part IX, Line 11g Other Fees	Other Fees for Services - Total Expense: 31653813, Program Service Expense: 25323050, Management and General Expenses: 6330763, Fundraising Expenses: ; Management Fees - Total Expense: 97855923, Program Service Expense: 78284738, Management and General Expenses: 19571185, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	LOSS ON CHANGE IN FMV OF SWAP AGREEMENTS - -178507; CHANGE IN CHARITABLE REMAINDER TRUSTS - 75826; CHANGE IN BENEFICIAL INTEREST IN HOSPITAL FOUNDATON - -4332675; NET SETTLEMENT ON SWAP AGREEMENTS - -5084201; CHANGE IN BENEFICIAL INTEREST IN HEALTH SYSTEM FOUNDATON - 5015522; Transfer to Affiliate - -42368829; Income from subsidiaries/joint ventures - 3060823; Other changes to unrestricted net assets - -10803;

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	$21,617,628	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 (7 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
MIAMI CHILDREN'S HOSPITAL FOUNDATION INC
3100 SW 62ND AVENUE	MIAMI	FL	33155	591720704	FOUNDATION	FL	501(c)(3)	7	VCH	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 (2 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
MIAMI CHILDREN'S HOSPITAL AMBULATORY SURGERY CENTER LLC
800 SW 108TH AVENUE	SUITE 200	MIAMI	FL	33174	463406805	SURGERY CENTER	FL	VCH	Related	$80,980	$3,363,498	false	Yes (true)	0.53
MIAMI HOSPITAL HOLDINGS LLC
11221 ROE AVE SUITE 320		LEAWOOD	KS	66211	464077635	HOLDING COMPANY	FL	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1Txt	Address Line2ForeignAddress/AddressLine2Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd
MIAMI CHILDREN'S INSURANCE CO SPC LTD
720 WEST BAY ROAD	PO BOX 69GT BUCKINGHAM SQUARE	GEORGETOWN	GRAND CAYMAN	CJ	980442086	INSURANCE	CJ	VCH	C Corporation	$4,063,412	$86,067,208	1	Yes (true)
CHILDREN'S HEALTH VENTURES INC & SUBS
					454541147	MERCHANT WHOLESALE		MCHS	C Corporation				false	3100 SW 62ND AVENUE	MIAMI	FL	331553009	FL

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MIAMI CHILDREN'S HOSPITAL RESEARCH INSTITUTE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	S	TransactionTypeTxt
Involved	$178,844	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt