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VARIETY CHILDRENS HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
VARIETY CHILDRENS HOSPITAL (EIN 59-0638499)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-13
IRS object ID
202523179349305652
Schema version
2024v5.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-13T11:37:23+00:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1401 East Las Olas Blvd Suite 1100AddressLine1Txt
CityFort LauderdaleCityNm
State AbbreviationFLStateAbbreviationCd
ZIP333014230ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN590638499EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Variety Children's HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVARIBusinessNameControlTxt
Phone3056666511PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13100 SW 62nd AvenueAddressLine1Txt
CityMiamiCityNm
State AbbreviationFLStateAbbreviationCd
ZIP331553009ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDawn JaversackPersonNm
Person TitleSVP and CFOPersonTitleTxt
Signature2025-11-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrittney KocajPreparerPersonNm
PTINP01320603PTIN
Phone9542028600PhoneNum
Preparation2025-11-13PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Nicklaus Children's HospitalBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Matthew A LoveBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13100 SW 62nd AvenueAddressLine1Txt
CityMiamiCityNm
State AbbreviationFLStateAbbreviationCd
ZIP331553009ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,275,632,893GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.nicklauschildrens.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1950FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTo inspire hope and promote lifelong health by providing the best care to every child.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee3793TotalEmployeeCnt
Total Volunteers398TotalVolunteersCnt
Total Gross UBI$79,806TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$35,265,380PYContributionsGrantsAmt
CY Contributions Grants$45,528,283CYContributionsGrantsAmt
PY Program Service Revenue$898,905,067PYProgramServiceRevenueAmt
CY Program Service Revenue$946,079,437CYProgramServiceRevenueAmt
PY Investment Income$24,940,217PYInvestmentIncomeAmt
CY Investment Income$38,531,230CYInvestmentIncomeAmt
PY Other Revenue$15,447,067PYOtherRevenueAmt
CY Other Revenue$12,759,837CYOtherRevenueAmt
PY Total Revenue$974,557,731PYTotalRevenueAmt
CY Total Revenue$1,042,898,787CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$287,878,757PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$303,693,098CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$530,249,846PYOtherExpensesAmt
CY Other Expenses$576,495,590CYOtherExpensesAmt
PY Total Expenses$818,128,603PYTotalExpensesAmt
CY Total Expenses$880,188,688CYTotalExpensesAmt
PY Revenues Less Expenses$156,429,128PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$162,710,099CYRevenuesLessExpensesAmt
Total Assets BOY$1,637,315,414TotalAssetsBOYAmt
Total Assets EOY$1,774,367,898TotalAssetsEOYAmt
Total Liabilities BOY$677,444,446TotalLiabilitiesBOYAmt
Total Liabilities EOY$668,371,406TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$959,870,968NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,105,996,492NetAssetsOrFundBalancesEOYAmt
MissionTO INSPIRE HOPE AND PROMOTE LIFELONG HEALTH BY PROVIDING THE BEST CARE TO EVERY CHILD.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$702,902,953ExpenseAmt
Revenue$946,079,437RevenueAmt
DescVARIETY CHILDREN'S HOSPITAL, ESTABLISHED IN 1950, OWNS AND OPERATES A PEDIATRIC SPECIALTY HOSPITAL NOW KNOWN AS NICKLAUS CHILDREN'S HOSPITAL. THE HOSPITAL IS ONE OF THE LARGEST FREESTANDING PEDIATRIC TEACHING HOSPITALS IN THE SOUTHEASTERN UNITED STATES. IT PROVIDES SPECIALIZED PEDIATRIC HEALTHCARE FOR CHILDREN REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, AGE, OR ABILITY TO PAY. THE HOSPITAL HAS 307 LICENSED BEDS. NICKLAUS CHILDREN'S HOSPITAL SERVES AS A REFERRAL CENTER FOR CHILDREN WITH COMPLEX, CRITICAL, OR LIFE-THREATENING ILLNESSES REQUIRING SPECIALIZED CARE. IT HAS A STATE-DESIGNATED PEDIATRIC TRAUMA CENTER. MANY PATIENTS ARE REFERRED BY OTHER HOSPITALS REGARDLESS OF THE EXISTENCE OF FORMAL ARRANGEMENTS. (CONTINUED ON SCHEDULE O)Desc
Total Program Service Expenses$702,902,953TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsYes (true)InvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (true)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee3793EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Policies Reference ChaptersfalsePoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Laurie LevineBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3056666511PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15301 Blue Lagoon DriveAddressLine1Txt
CityMiamiCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33126ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
AMY CHARLEY ESQ
SECRETARY / DIRECTOR0.10.1Yes (X)Yes (X)$0$0$0
DREW KERN
Vice Chairman / Director0.10Yes (X)Yes (X)$0$0$0
JAY MASSIRMAN
CHAIRMAN / DIRECTOR0.10.1Yes (X)Yes (X)$0$0$0
MATTHEW LOVE
President & CEO20.020.0Yes (X)Yes (X)$0$2,255,590$315,360
PERRY ANN REED
SVP/COO NCHS & President NCH40.00.1Yes (X)Yes (X)$852,838$0$130,657
ALI MANDSAURWALA
DIRECTOR0.10Yes (X)$0$0$0
BALAGANGADHAR TOTAPALLY MD
Director0.10Yes (X)$0$0$0
GARY GREGORY
EMERITUS DIRECTOR (thru JAN 2024)0.10Yes (X)$0$0$0
JACQUES E ORCES
Director (8/25/24 - 12/16/24), VP & Chief Medical Officer (as of 8/25/24)40.00Yes (X)$166,714$0$18,899
JENNIFER BOUSSUGE
Director0.10Yes (X)$0$0$0
JOSEPH NADER
Director0.10.1Yes (X)$0$0$0
MARCO VALENTINI
Director0.10Yes (X)$0$0$0
MARCOS A MESTRE MD
Dir. (thru 8/24), VP (thru 6/24), CMO (thru 8/24) / NCHS SVP & CCO (6/24) / NCPS Pres (6/24-12/24)40.040.0Yes (X)$681,854$0$117,355
MARIA E FRANCO MD
Director/Physician0.10Yes (X)$48,000$0$0
STEVEN MELNICK PhD MD
Director0.10Yes (X)$0$0$0
ARIANNA URQUIA
VP/CFO Hospital40.00Yes (X)$489,846$0$46,487
DAWN E JAVERSACK
SVP/CFO Health System20.020.0Yes (X)$0$911,422$30,343
JODI LAURENCE ESQ
SVP and General Counsel20.020.0Yes (X)$0$646,818$103,141
IRIS BERGES
VP of Operations40.00$401,672$0$40,727Yes (X)
RANI S GEREIGE
Exec Dir Med Ed & DEI Lead40.00$360,195$0$25,909Yes (X)
ROBERT L HANNAN
Sr Med Dir Advanced Proj Lab40.00$589,878$0$19,799Yes (X)
RODNEY L BAKER
Executive Med Director40.00$403,460$0$24,471Yes (X)
SHANNON M ODELL
VP & NCH Chief Nursing Officer40.00$454,235$0$45,838Yes (X)
JEFRY BIEHLER
Former Exec Med Director Clinical Ops0.040.0$409,653$0$37,671Yes (X)
JOSE PERDOMO
SVP Admin/Special Projects0.040.0$0$447,786$31,488Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,858,345TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,261,616TotReportableCompRltdOrgAmt
Total Other Compensation$988,145TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K613IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
PHI AIR MEDICAL LLC
2800 NORTH 44 STREETPHOENIXAZ85008FLIGHT HOURS$4,402,257
MAYO MEDICAL LABORATORIES
200 FIRST STREET SWROCHESTERMN55905Laboratory Services$1,685,994
A AND S TOTAL CLEANING
3350 NW 53 STFT LAUDERDALEFL33309Cleaning Services$1,674,333STE 106
MIAMI ASSOCIATES IN PEDIATRIC
3200 SW 60 CTMIAMIFL33155Physician Services$1,496,064SUITE 201
KIDZ MEDICAL SERVICES INC
5955 PONCE DE LEON BLVDCORAL GABLESFL33146Physician Services$1,413,774
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K79CntrctRcvdGreaterThan100KCnt
Related Organizations$15,445,189RelatedOrganizationsAmt
Government Grants$30,025,959GovernmentGrantsAmt
All Other Contributions$57,135AllOtherContributionsAmt
Total Contributions$45,528,283TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue621300$940,179,207$940,179,207
Grant Revenue900099$5,830,630$5,830,630
Seminar Workshops621300$69,600$69,600

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$946,079,437TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,406,950TotalRevenueColumnAmt
Unrelated Business Revenue$3,098UnrelatedBusinessRevenueAmt
Exclusion$26,403,852ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,686TotalRevenueColumnAmt
Exclusion$32,686ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$4,987,455RealAmt
Personal$76,708PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$4,987,455RealAmt
Personal$76,708PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,064,163TotalRevenueColumnAmt
Unrelated Business Revenue$76,708UnrelatedBusinessRevenueAmt
Exclusion$4,987,455ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$244,059,299SecuritiesAmt
Other$604,963OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$231,823,055SecuritiesAmt
Other$492,999OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$12,236,244SecuritiesAmt
Other$111,964OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,124,280TotalRevenueColumnAmt
Exclusion$12,124,280ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$493,090GrossSalesOfInventoryAmt
Cost Of Goods Sold$418,052CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$75,038TotalRevenueColumnAmt
Exclusion$75,038ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
PHARMACY456110$3,500,350$3,500,350
CAFETERIA/VENDING722514$2,208,818$2,208,818
OTHER REVENUE900099$1,878,782$1,878,782

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$7,587,950OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,042,898,787TotalRevenueColumnAmt
Related Or Exempt Func Income$946,079,437RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$79,806UnrelatedBusinessRevenueAmt
Exclusion$51,211,261ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,552,650TotalAmt
Program Services$2,042,121ProgramServicesAmt
Management And General$510,529ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,156,752TotalAmt
Program Services$925,402ProgramServicesAmt
Management And General$231,350ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$242,717,820TotalAmt
Program Services$194,174,255ProgramServicesAmt
Management And General$48,543,565ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,037,783TotalAmt
Program Services$4,830,226ProgramServicesAmt
Management And General$1,207,557ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$33,369,360TotalAmt
Program Services$26,695,488ProgramServicesAmt
Management And General$6,673,872ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$17,858,733TotalAmt
Program Services$14,286,986ProgramServicesAmt
Management And General$3,571,747ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,559,991TotalAmt
Management And General$1,559,991ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$272,470,427TotalAmt
Program Services$217,976,342ProgramServicesAmt
Management And General$54,494,085ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$48,253TotalAmt
Program Services$38,602ProgramServicesAmt
Management And General$9,651ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,977,723TotalAmt
Program Services$7,182,178ProgramServicesAmt
Management And General$1,795,545ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,526,273TotalAmt
Program Services$1,221,018ProgramServicesAmt
Management And General$305,255ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$32,158,921TotalAmt
Program Services$25,727,137ProgramServicesAmt
Management And General$6,431,784ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$862,166TotalAmt
Program Services$689,733ProgramServicesAmt
Management And General$172,433ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,114,580TotalAmt
Program Services$8,091,664ProgramServicesAmt
Management And General$2,022,916ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$27,420,923TotalAmt
Program Services$21,936,738ProgramServicesAmt
Management And General$5,484,185ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$25,005,424TotalAmt
Program Services$20,004,339ProgramServicesAmt
Management And General$5,001,085ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
HOSPITAL ASSESMENT$102,243,398$81,794,718$20,448,680
MEDICAL SUPPLIES$92,169,232$73,735,386$18,433,846
OTHER NON-OPERATING EXP$531,730$425,384$106,346
COURSE EXPENSES$477,173$381,738$95,435

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$929,376TotalAmt
Program Services$743,498ProgramServicesAmt
Management And General$185,878ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$880,188,688TotalAmt
Program Services$702,902,953ProgramServicesAmt
Management And General$177,285,735ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$92,774,177BOYAmt
EOY$139,724,578EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$25,225,088BOYAmt
EOY$25,101,234EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$181,428,893BOYAmt
EOY$210,162,212EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$123,038,581BOYAmt
EOY$112,940,673EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$14,004,674BOYAmt
EOY$14,700,487EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,974,774BOYAmt
EOY$2,710,473EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,073,611,914LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$532,464,631LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$430,322,392BOYAmt
EOY$541,147,283EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$444,322,719BOYAmt
EOY$303,929,049EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$129,586,647BOYAmt
EOY$222,302,832EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$19,196,456BOYAmt
EOY$15,120,158EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$173,441,013BOYAmt
EOY$186,528,919EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,637,315,414BOYAmt
EOY$1,774,367,898EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$56,803,542BOYAmt
EOY$51,446,679EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$468,250,181BOYAmt
EOY$457,432,648EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$152,390,723BOYAmt
EOY$159,492,079EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$677,444,446BOYAmt
EOY$668,371,406EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$802,712,600BOYAmt
EOY$937,728,285EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$157,158,368BOYAmt
EOY$168,268,207EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$959,870,968BOYAmt
EOY$1,105,996,492EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,637,315,414BOYAmt
EOY$1,774,367,898EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$162,710,099ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$13,138,193NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$29,722,768OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$54,715,114BeginningYearBalanceAmt
Contributions$48,584ContributionsAmt
Investment Earnings Or Losses$7,609,069InvestmentEarningsOrLossesAmt
Other Expenditures$2,292,708OtherExpendituresAmt
End Year Balance$60,080,059EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$51,284,585BeginningYearBalanceAmt
Contributions$42,467ContributionsAmt
Investment Earnings Or Losses$5,688,930InvestmentEarningsOrLossesAmt
Other Expenditures$2,300,868OtherExpendituresAmt
End Year Balance$54,715,114EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$58,072,902BeginningYearBalanceAmt
Contributions$190,592ContributionsAmt
Investment Earnings Or Losses-$3,972,479InvestmentEarningsOrLossesAmt
Other Expenditures$3,006,430OtherExpendituresAmt
End Year Balance$51,284,585EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$51,847,151BeginningYearBalanceAmt
Contributions$1,424,279ContributionsAmt
Investment Earnings Or Losses$6,880,578InvestmentEarningsOrLossesAmt
Other Expenditures$2,079,106OtherExpendituresAmt
End Year Balance$58,072,902EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$50,915,312BeginningYearBalanceAmt
Contributions$33,028ContributionsAmt
Investment Earnings Or Losses$3,318,446InvestmentEarningsOrLossesAmt
Other Expenditures$2,419,635OtherExpendituresAmt
End Year Balance$51,847,151EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.2923BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.7077PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,030,156OtherCostOrOtherBasisAmt
Book Value$3,030,156BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$620,637,866OtherCostOrOtherBasisAmt
Depreciation$242,698,062DepreciationAmt
Book Value$377,939,804BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$47,889,717OtherCostOrOtherBasisAmt
Depreciation$41,926,756DepreciationAmt
Book Value$5,962,961BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$330,497,339OtherCostOrOtherBasisAmt
Depreciation$240,962,606DepreciationAmt
Book Value$89,534,733BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$71,556,836OtherCostOrOtherBasisAmt
Depreciation$6,877,207DepreciationAmt
Book Value$64,679,629BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$541,147,283TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Closely-held equity interests
Financial derivatives
Alternative Investments$221,210,170F
Restricted investments$1,092,662F
FieldValueIRS element (for citing)
Total Book Value Securities$222,302,832TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Beneficial Interest in Miami Childrens Hospital Foundation$150,992,805
Self Insurance Trust$770,760
Other Long Term Assets$1,920,924
Operating lease right of use assets, net$32,039,528
Finance Lease right of use assets, net$804,902
FieldValueIRS element (for citing)
Total Book Value Other Assets$186,528,919TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
Federal Income Taxes
Other Liabilities$20,574,344
Swap Liabilities$2,953,589
Lease Incentive Obligation$36,186,069
Intercompany Payable$98,973,175
Finance Lease Liabilities$804,902
FieldValueIRS element (for citing)
Total Liability$159,492,079TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$0RevenueSubtotalAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$0TotalRevenuePerForm990Amt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$0ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$0TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsThe 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) footnoteThe System and certain of its affiliated organizations qualify as tax-exempt, nonprofit organizations under Section 501(c)(3) of the Internal Revenue Code (the Code). The Hospital, NCPS and the Foundation are exempt from federal income tax on related income pursuant to Section 501(a) of the Code as described in Section 501(c)(3). These tax-exempt entities had no tax provision for the years ended December 31, 2024 and 2023. 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, 2024 and 2023.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean00Program ServicesSelf-Insurance Funding$5,033,314
Central America and the Caribbean00Investments$2,529,742
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$7,563,056SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$7,563,056TotalSpentAmt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (true)PassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule F, Part I, Line 3 Method used to account for expenditures on org's financial statementsFormAndLineReferenceDesc
ExplanationCENTRAL AMERICA AND THE CARIBBEAN-AccrualExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,144,729TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,591,371DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$507,582,904TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$491,979,172DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,603,732NetCommunityBenefitExpnsAmt
Total Expense0.01773TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,364,029TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,286,318DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,077,711NetCommunityBenefitExpnsAmt
Total Expense0.00577TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$518,091,662TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$498,856,861DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,681,443NetCommunityBenefitExpnsAmt
Total Expense0.02350TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,488,706TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,007,078DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,481,628NetCommunityBenefitExpnsAmt
Total Expense0.00509TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,308,127TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,744,763DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,563,364NetCommunityBenefitExpnsAmt
Total Expense0.02336TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$44,340,694TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,989,613DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,351,081NetCommunityBenefitExpnsAmt
Total Expense0.03448TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,325,741TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$132,320DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,193,421NetCommunityBenefitExpnsAmt
Total Expense0.00590TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$92,463,268TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,873,774DirectOffsettingRevenueAmt
Net Community Benefit Expns$60,589,494NetCommunityBenefitExpnsAmt
Total Expense0.06884TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$610,554,930TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$530,730,635DirectOffsettingRevenueAmt
Net Community Benefit Expns$81,270,937NetCommunityBenefitExpnsAmt
Total Expense0.09233TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$0BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$133,990ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$437,608CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$303,618MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1MIAMI CHILDREN'S HOSPITAL AMBULATORY SURGERY CENTER LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesSURGERY CENTERPrimaryActivitiesTxt
Org Profit Or Ownership0.5217OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.0OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.4783PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NICKLAUS Children's HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13100 SW 62nd AvenueAddressLine1Txt
CityMiamiCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33155ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.NICKLAUSCHILDRENS.ORGWebsiteAddressTxt
State License4067StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NICKLAUS Children's HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.nicklauschildrens.org/patient-resources/community-outreach/community-health-needs-assessOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.nicklauschildrens.org/patient-resources/community-outreach/community-health-needs-assessStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PT VIFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PT VIFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PT VIFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3EThe significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - Nicklaus Children's Hospital. In 2022, Nicklaus Children's Hospital conducted a Community Health Needs Assessment (CHNA) of the community it serves in South Florida. The purpose of the CHNA was to provide an empirical foundation for future health planning, as well as fulfill the CHNA requirement for non-profit institutions put forth by the Internal Revenue Service (IRS). Nicklaus Children's Hospital hired Health Resources in Action (HRiA), a non-profit public health organization specializing in CHNA development, to collect and analyze data, and to develop the CHNA report. Contributing Stakeholders * Catalyst Miami * Early Learning Coalition of Miami-Dade/Monroe * Feeding South Florida * Florida Department of Health * Florida Health Justice Project * Florida International University * Israeli American Council * Nicklaus Children's Hospital Patient and Family Services * Nicklaus Children's Primary Care * Parent to Parent Miami * Sant La, Haitian Neighborhood Center, Inc. * The Children's Movement * The Children's Trust * YES Institute * Youth Co-Op, Inc Vulnerable/Underserved Populations Addressed by this Implementation Plan * Youth * Low-income children and families * Medically underserved children * Children and families managing mental health and/or behavioral health disorders * Children and families impacted by food insecurity, the cost of health care and medications * Non-English-speaking children and their families The 2022 Nicklaus Children's CHNA was conducted to achieve the following goals: 1. Examine the current health status of children and families in South Florida 2. Identify the current health priorities among children and families, focusing specifically on pediatric health 3. Explore community strengths, resources, and gaps in services in order to guide future planning and programming efforts for Nicklaus Children's Hospital 4. Understand perceptions of - and explore ways to address - health equity in South Florida The 2022 CHNA Report includes data from the seven Florida counties that Nicklaus Children's Hospital considers to be part of its overall service area: Broward, Collier, Lee, Martin, Miami-Dade, Monroe, and Palm Beach Counties. While patients of Nicklaus Children's come from many counties in Florida and around the world, the hospital is in Miami-Dade County and draws roughly 80% of its patient population from Miami-Dade. Therefore, the primary community of focus for this CHNA is defined as Miami-Dade County. METHODS To develop a comprehensive picture of the South Florida region, the assessment team employed quantitative and qualitative data collection methods. To gather quantitative data, the assessment team conducted a review of secondary data sources and administered a community survey to residents in South Florida. Secondary data included existing data from national, state, and local sources. The community survey was administered to residents of Broward, Collier, Lee, Martin, Miami-Dade, Monroe, and Palm Beach Counties. A total of 246 respondents are included in survey analysis. In addition to quantitative data, qualitative data was gathered to develop a more nuanced understanding of the perceptions of the community served by Nicklaus Children's Hospital. Interviews were conducted with 26 service providers representing a range of sectors including public health, community development, social services, early childhood education, and healthcare. Additionally, three discussion groups with 29 residents were conducted with residents of South Florida. One group was conducted with youth, one group with parents of children with complex care needs, and one group with recent immigrants. Participants ranged in age, racial identity, socioeconomic background, length of residence in South Florida, and county of residence, though most resided in Miami-Dade County. Similar to conversations with service providers, discussion groups explored perceptions of South Florida, health concerns, and suggestions for future programming and services to address stated concerns. The assessment team engaged with interview participants either representing or identifying with various populations that are typically underrepresented in data collection (e.g., recent immigrants, young adults, and people of color). The 2022 CHNA report discusses the findings from the 2022 CHNA conducted December 2021 - May 2022.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - Nicklaus Children's Hospital. AFTER ENGAGING COMMUNITY ADVISORY BOARD MEMBERS IN A GROUP DISCUSSION AND PRIORITIZATION PROCESS, THE FOLLOWING PRIORITIES WERE IDENTIFIED AND INCLUDED IN NICKLAUS CHILDREN'S IMPLEMENTATION STRATEGY. 1. ACCESS TO SERVICES GOAL: Enhance access to timely, equitable, and comprehensive medical, social, behavioral health, and wellness services for children and their families in both traditional and non-traditional settings. Following a successful pilot, Nicklaus Children's expanded its comprehensive program to address social determinants of health through screenings and referral initiatives for families with health-related social needs. In 2024, 50,128 screenings were conducted, with 26,591 positive results and 102 positive social work interventions. Families screening positive were referred to resources such as Feeding South Florida for food access and benefit enrollment. Screening efforts also addressed housing, transportation, and utilities, ensuring that individuals facing challenges received appropriate support. Bringing the program into community and educational settings has further enhanced access. In 2024, 19,818 free EKGs were provided to children in the community, ensuring early detection of heart-related conditions. Mobile dental services also reached underserved populations, providing essential care and education. 2. HEALTH EDUCATION GOAL: Empower parents and children to lead healthy lifestyles by providing culturally, linguistically, and developmentally tailored education and resources. Specialized initiatives such as Safe Kids focus on injury prevention and child safety, while collaborations with schools expand outreach efforts. In 2024, multiple car seat check events were held, inspecting 229 car seats and educating caregivers on proper fit and installation. Parent safety presentations promoted awareness of safe sleep practices and Sudden Unexpected Infant Death Syndrome (SUIDS). These efforts are designed to improve health literacy and empower families to make informed decisions. The Food for Salud nutrition education and outreach program continued in 2024. Under the tagline "Healthy Food for Healthy Kids", Nicklaus Children's provided fresh monthly content to educate families on nutrition and offer actionable tips and recipes that are healthy, budget-friendly, culturally relevant, and kid-approved. Additionally, 25 live cooking demonstration events were held, engaging children in hands-on nutrition education. Nicklaus Children's Hospital also ensures access to high-quality health information that families can rely on for topics ranging from digital safety to early childhood development. Through social media, newsletters, podcasts, and expert interviews, this trusted content supports health for all children and improves awareness across the community. 3. CHILDREN'S MENTAL HEALTH GOAL: Promote the overall mental wellness of children and adolescents by engaging an ecosystem of support and services for them and their families. Nicklaus Children's recognizes community collaboration as an essential component of mental health. This is a priority both in the hospital's CHNA and in the collaborative, community-level CHNA. Local health systems are working together to address these needs. One example is participation in the NAMI Walk, where each system provided resources and collectively demonstrated their commitment to addressing mental health challenges. The youth-focused ecosystem continues to strengthen as the hospital builds collaborations within the community, raising awareness about vetted providers for patients and families. Nicklaus Children's has also fostered a network among local schools that lacked the full resources of the public school district. This network enables schools to support one another during crises by sharing professional staff. Mental health needs are often identified and addressed within school settings. The School Health Programs team has created Mental Health First Aid Kits, which are used in school clinics and classrooms. These kits, which have been well received and are in high demand, include tools to help students regulate emotions, improve behavior, and enhance academic performance while supporting diverse learning needs. Providing teachers with these kits not only benefits individual students but also fosters a supportive and focused learning environment, enhancing the overall classroom experience.
Schedule H, Part V, Section B, Line 20 Facility , 1Facility , 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
FieldValueIRS element (for citing)
Facility29FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (29 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
Nicklaus Children's Doral Outpatient Center
3601 NW 107th AvenueDoralFL33178Outpatient / Urgent Care Center
Nicklaus Children's Dan Marino Outpatient Center
2900 S Commerce ParkwayWestonFL33331Outpatient / Urgent Care Center
Nicklaus Children's Palm Beach Gardens Outpatient Center
11310 Legacy Avenue Legacy PlacePalm Beach GardensFL33410Outpatient / Urgent Care Center
Nicklaus Children's Miramar Outpatient Center
12246 Miramar Parkway Miramar SquarMiramarFL33025Outpatient / Urgent Care Centere
Nicklaus Children's Miami Lakes Outpatient Center
15025 NW 77th AvenueMiami LakesFL33014Outpatient / Urgent Care Center
Nicklaus Children's Midtown Outpatient Center
3915 Biscayne BoulevardMiamiFL33137Outpatient / Urgent Care Center
Nicklaus Children's West Kendall Outpatient Center
13400 SW 120th Street Suite 100MiamiFL33186Outpatient / Urgent Care Center
Nicklaus Children's Palmetto Bay Outpatient Center
17615 SW 97th AvenuePalmetto BayFL33157Outpatient / Urgent Care Center
Nicklaus Children's West Bird Outpatient Center
11449 SW 40 StMiamiFL33165Outpatient / Urgent Care Center
Nicklaus Children's Pinecrest Outpatient Center
11521 South Dixie Hwy 1st FlPinecrestFL33156Specialty Care Center
Nicklaus Children's Hialeah Outpatient Center
990 W 49th StHialeahFL33012Outpatient / Urgent Care Center
Nicklaus Children's Homestead Outpatient Center
2072 NE 8th St Campbell ShoppesHomesteadFL33033Outpatient / Urgent Care Center
Boynton Beach Care Center
10383 Hagen Ranch Rd Ste 200Boynton BeachFL33437Specialty Care center
Sports Health Center (Pinecrest)
11521 South Dixie Hwy 2nd flPinecrestFL33156Sports rehabilitation
NCPS at Coral Springs
9750 NW 33rd Street Ste 109Coral SpringsFL33065Specialty Care center
NCPS at Palm City
3228 SW Martin Downs Blvd Unit 33Palm CityFL34990Specialty Care Center
NCPS at Flamingo Park Plaza
4410 West 16th Avenue Bay 60HialeahFL33012Pediatric Care Center
NCPS at Allapattah
3445 NW 7 StreetMiamiFL33125Pediatric Care Center
NCPS at Sunset Oaks
9260 SW 72 Street Suite 218MiamiFL33173Specialty Care Center.
NCPS at Plantation
8430 West Broward BoulevardPlantationFL33324Specialty Care Center
Nicklaus Children's Pediatric Specialists at Wellington
10111 Forest Hill Boulevard Suite 1WellingtonFL33414Specialty Care Center10
Nicklaus Children's Pediatric Specialists at Alton Road
4308 Alton Road Suite 940Miami BeachFL33140Specialty Care Center
Nicklaus Children's Pediatric Specialists at Coral Reef
8950 SW 152nd Street Suite 101MiamiFL33176Specialty Care Center
Nicklaus Children's at Cooper City
11011 Sheridan Street Suite 311Cooper CityFL33026Specialty Care Center
Nicklaus Children's at Cutler Bay
18557 S Dixie HwyMiamiFL33157Specialty Care Center
Nicklaus Children's at Galloway
7800 SW 87th Avenue Suite C-350MiamiFL33173Specialty Care Center
Nicklaus Children's at Pompano Beach
4701 N Federal Hwy Suite 370Pompano BeachFL33064Specialty Care Center
Nicklaus Children's at Pembroke Pines
208 N University DrivePembroke PinesFL33024Specialty Care Center
Nicklaus Children's at West Pines
18503 Pines Boulevard Suite 212Pembroke PinesFL33029Pediatric Care Center

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITEhttps://www.nicklauschildrens.org/patient-resources/patient-financial-services/financial-assistance-program
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITEhttps://www.nicklauschildrens.org/patient-resources/patient-financial-services/financial-assistance-program
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITEhttps://www.nicklauschildrens.org/patient-resources/patient-financial-services/financial-assistance-program
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceTHE ORGANIZATION UTILIZED IRS WORKSHEET 2 FOR THE CALCULATION OF THE COST TO CHARGE RATIO IN PART I, LINE 7.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountFOR FINANCIAL STATEMENT PURPOSES, the organization HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDE BAD DEBTS. ACCORDINGLY, BAD DEBTS ARE REFLECTED AS A REDUCTION OF NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. AS A RESULT, BAD DEBT EXPENSE IS NOT PRESENTED SEPARATELY.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologySince the organization has adopted Accounting Standards Update No. 2014-09 (Topic 606), bad debts are reported as implicit price concessions within net patient revenue. Consequently, no bad debt expense is recognized for patients who qualify for free or discounted services under the financial assistance policy.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnotePer NOTE 2 of the Audited Financial Statements: The System determines the transaction price based on standard charges for goods and services provided to patients, reduced by contractual adjustments provided to third-party payors, discounts provided to uninsured patients in accordance with the System's policy and/or implicit price concessions. The implicit price concessions included in estimating the transaction price represent the difference between amounts billed to patients and the amounts expected to collect based on the System's collection history with similar class of patients. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay are recorded as bad debt expense. Bad debt expense for the years ended December 31, 2024 and 2023, was not significant.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsNICKLAUS CHILDREN'S HOSPITAL ("NCH") ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. NCH BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY REIMBURSE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES. IN 2024, NCH INCURRED LOSSES OF $303,618 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 assistanceHospital patient accounts may be subject to the following collection actions, conducted by the Hospital or an authorized party: 1. Following the initial bill, monthly statements and collection letters are mailed, and phone calls are made in an effort to collect outstanding balances. 2. The patient's 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 have difficulty paying their balance in a single installment. If an individual submits a complete FAP application and NCH determines the individual is eligible for financial assistance, NCH will refund any excess amount paid by the individual. This includes payments made to the hospital facility or any other party to whom the hospital facility has referred or sold the individual's debt. NCH will also take all necessary measures to reverse any actions taken to obtain payment, such as reversing any external collection agency (ECA) activities.
Schedule H, Part V, Section B, Line 16a FAP website- NICKLAUS Children's Hospital: Line 16a URL: SEE PT VI;
Schedule H, Part V, Section B, Line 16b FAP Application website- NICKLAUS Children's Hospital: Line 16b URL: SEE PT VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- NICKLAUS Children's Hospital: Line 16c URL: SEE PT VI;
Schedule H, Part VI, Line 2 Needs assessmentUnder the direction of the Board of Directors, Nicklaus Children's Hospital (NCH) works to provide hope through advanced care for children and families. In 2024, NCH actively participated in community organizations such as The Children's Trust, the Miami-Dade County Public Schools Wellness Committee, the Greater Miami Chamber of Commerce's Health and Bio-Science Committee, the Consortium for a Healthier Miami-Dade, and the Health Council of South Florida. Through ongoing collaboration with the Health Council, NCH consistently analyzes data to identify unmet needs and address health disparities. NCH also deploys physicians to community health fair events and provides a mobile dental unit to underserved communities as part of its preventive medicine program.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceNicklaus Children's Hospital has a financial assistance program to assist patients who are uninsured or underinsured and to provide them the opportunity to apply for different programs. Using the Patient/Family General Consent Form, the Financial Agreement for Professional Services Form, and a Coordination of Benefits Form, patients/families are referred to an eligibility assistance counselor who will explain the programs available. Patients are also provided pamphlets summarizing the financial assistance policy, and signage is posted at each location indicating that financial counseling is available and that patients may be eligible for financial assistance.
Schedule H, Part VI, Line 4 Community informationNICKLAUS CHILDREN'S HOSPITAL-THE FLAGSHIP OF NICKLAUS CHILDREN'S HEALTH SYSTEM-PRIMARILY SERVES THE PEDIATRIC POPULATION OF MIAMI-DADE COUNTY. IN 2024, 80% OF CHILDREN LIVING IN MIAMI-DADE COUNTY RECEIVED CARE AT A NICKLAUS CHILDREN'S LOCATION. MIAMI-DADE IS ONE OF THE MOST INTERNATIONALLY DIVERSE COUNTIES IN THE NATION. ACCORDING TO THE MIAMI-DADE COUNTY REPORT, 54% OF THE POPULATION WAS FOREIGN-BORN; 20.2% WERE UNDER AGE 18; 72.9% IDENTIFIED AS HISPANIC OR LATINO; AND 76.2% SPOKE A LANGUAGE OTHER THAN ENGLISH AT HOME. THE MEDIAN HOUSEHOLD INCOME WAS $52,311. ADDITIONALLY, 35.9% OF THE POPULATION HELD A BACHELOR'S DEGREE OR HIGHER, AND 10.5% OF THE POPULATION WAS DISABLED. IN 2024, NICKLAUS CHILDREN'S SERVED PATIENTS FROM EVERY COUNTY IN FLORIDA AND FROM INTERNATIONAL LOCATIONS WORLDWIDE. AT MORE THAN 30 OUTPATIENT AND URGENT CARE CENTERS ACROSS SOUTH FLORIDA, NCH OFFERED SUBSPECIALTY CONSULTATIONS, URGENT CARE, IMAGING, AND REHABILITATION SERVICES.
Schedule H, Part VI, Line 5 Promotion of community healthNICKLAUS CHILDREN'S HOSPITAL (NCH) IS A NONPROFIT HOSPITAL OPERATED TO SERVE THE PUBLIC INTEREST AND MEETS THE REQUIREMENTS OF REVENUE RULING 69-545. CONTROL OF THE HOSPITAL RESTS WITH ITS BOARD OF DIRECTORS, WHICH IS PRIMARILY COMPOSED OF MEMBERS OF THE LOCAL COMMUNITY WHO ARE NEITHER EMPLOYEES NOR FAMILY MEMBERS. NCH EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. THE HOSPITAL ACCEPTS PATIENTS COVERED BY MEDICAID AND PROVIDES SERVICES TO ALL CHILDREN REGARDLESS OF THEIR ABILITY TO PAY. EMERGENCY AND SPECIALTY CARE ARE ACCESSIBLE THROUGH HOSPITAL AND OUTPATIENT LOCATIONS THROUGHOUT SOUTH FLORIDA. SURPLUS FUNDS ARE REINVESTED TO ADVANCE COMMUNITY HEALTH, ENHANCE PATIENT CARE, EXPAND FACILITIES, AND SUPPORT MEDICAL TRAINING AND RESEARCH. In 2023, A PILOT STUDY AT NICKLAUS CHILDREN'S HOSPITAL assessed the impact of rapid whole genome sequencing for critically ill children, leading to Florida Medicaid funding. THIS INNOVATIVE TESTING SUPPORTS FASTER DIAGNOSES AND TARGETED CARE FOR UNDIAGNOSED CHILDREN ACROSS SOUTH FLORIDA. THE HOSPITAL ALSO OPENED AN UNDIAGNOSED DISEASE CLINIC, PROVIDING ANSWERS FOR FAMILIES ON A DIAGNOSTIC JOURNEY, AND BECAME THE FIRST IN FLORIDA TO OFFER NEW TREATMENTS FOR DUCHENNE MUSCULAR DYSTROPHY AND ANTERIOR CRUCIATE (ACL) LIGAMENT TEARS. As the South Florida affiliate of Project ADAM, Nicklaus Children's Hospital has collaborated with private, charter, and all Miami-Dade County Public Schools (MDCPS) to prepare school employees to respond quickly and efficiently should students, family members or school staff experience sudden cardiac arrest. To date, there have been 10 lives saved since the inception of the Project ADAM program. IN 2024, NCH CONTINUED TO ADVANCE ITS MISSION TO INSPIRE HOPE AND PROMOTE LIFELONG HEALTH BY PROVIDING THE BEST CARE TO EVERY CHILD. THE COMMITMENT TO ITS COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITIES WAS DEMONSTRATED THROUGH TARGETED OUTREACH AND SERVICES, INCLUDING PEDIATRIC CPR EDUCATION, DIABETES SCREENINGS, AND VENTILATOR ASSISTANCE TRAINING FOR CAREGIVERS. THE HOSPITAL ALSO SUPPORTED ACCESS TO CARE IN UNDERSERVED NEIGHBORHOODS THROUGH MOBILE MEDICAL AND DENTAL UNITS, AND PROVIDED 19,818 FREE EKG SCREENINGS. NCH IS DEDICATED TO IMPROVING HEALTH ACCESS THROUGH HEALTH PROFESSIONS EDUCATION, OFFERING TRAINING OPPORTUNITIES TO RESIDENT AND FELLOW PHYSICIANS, NURSING STUDENTS, AND OTHER ALLIED HEALTH PROFESSIONALS. THESE INITIATIVES ARE GUIDED BY THE REGULAR COMPLETION OF A COMMUNITY HEALTH NEEDS ASSESSMENT, ENSURING NCH REMAINS RESPONSIBLE IN PROMOTING COMMUNITY HEALTH. IN 2024, NCH HAD 126 RESIDENTS AND FELLOWS AND OFFERED 61,189 STUDENT HOURS OF CLINICAL TRAINING TO ALLIED HEALTH PROFESSIONALS AND NURSES, STRENGTHENING THE FUTURE PEDIATRIC WORKFORCE IN THE REGION.
Schedule H, Part VI, Line 6 Affiliated health care systemNICKLAUS 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, NICKLAUS CHILDREN'S HOSPITAL IS THE LARGEST PROVIDER OF PEDIATRIC MEDICAL EDUCATION IN THE SOUTHEASTERN UNITED STATES. THE 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 provides care for half a million children annually - offering nearly every pediatric specialty and the latest innovative therapies.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PERRY ANN REED
SVP/COO NCHS & President NCH$603,139$0$162,885$0$86,814$0$114,563$0$16,094$0$983,495$0$57,906$0
MATTHEW LOVE
President & CEO$0$1,306,062$0$631,453$0$318,075$0$288,011$0$27,349$0$2,570,950$0$290,140
MARCOS A MESTRE MD
Dir. (thru 8/24), VP (thru 6/24), CMO (thru 8/24) / NCHS SVP & CCO (6/24) / NCPS Pres (6/24-12/24)$571,598$0$102,646$0$7,610$0$90,397$0$26,958$0$799,209$0$5,013$0
JACQUES E ORCES
Director (8/25/24 - 12/16/24), VP & Chief Medical Officer (as of 8/25/24)$141,671$0$25,000$0$43$0$15,686$0$3,213$0$185,613$0$0$0
JEFRY BIEHLER
Former Exec Med Director Clinical Ops$363,567$0$45,380$0$706$0$19,796$0$17,875$0$447,324$0$0$0
JOSE PERDOMO
SVP Admin/Special Projects$0$315,704$0$79,020$0$53,062$0$13,453$0$18,035$0$479,274$0$47,374
DAWN E JAVERSACK
SVP/CFO Health System$0$646,881$0$159,169$0$105,372$0$19,575$0$10,768$0$941,765$0$95,425
JODI LAURENCE ESQ
SVP and General Counsel$0$457,965$0$115,876$0$72,977$0$87,727$0$15,414$0$749,959$0$68,330
ARIANNA URQUIA
VP/CFO Hospital$360,631$0$104,506$0$24,709$0$46,161$0$326$0$536,333$0$23,944$0
RODNEY L BAKER
Executive Med Director$362,378$0$40,782$0$300$0$16,614$0$7,857$0$427,931$0$0$0
IRIS BERGES
VP of Operations$314,382$0$66,049$0$21,241$0$40,444$0$283$0$442,399$0$19,930$0
RANI S GEREIGE
Exec Dir Med Ed & DEI Lead$304,258$0$39,424$0$16,513$0$18,040$0$7,869$0$386,104$0$0$0
ROBERT L HANNAN
Sr Med Dir Advanced Proj Lab$114,430$0$32,162$0$443,286$0$13,230$0$6,569$0$609,677$0$0$0
SHANNON M ODELL
VP & NCH Chief Nursing Officer$366,445$0$71,443$0$16,347$0$45,508$0$330$0$500,073$0$12,275$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 4a Severance or change-of-control paymentThe following employee received a severance payment. ROBERT L HANNAN $382,151
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planThe organization maintains a nonqualified deferred compensation plan under section 457(f) available to highly compensated employees. Under the plan, each participant accrues an annual benefit equal to a percentage of base salary, which vests after three years of service or upon reaching age 60. Benefits are paid in a lump sum upon vesting, subject to forfeiture if the executive leaves before vesting. For 2024, ten Executives contributed $743,578 under this plan, and $477,538 of distributions were made during the year. The following contributions were made to a Section 457(f) plan during the year - MATTHEW LOVE $270,001 JODI LAURENCE $69,170 PERRY ANN REED $97,653 MARCOS A MESTRE $70,488 ARIANNA URQUIA $27,980 SHANNON M ODELL $28,554 IRIS BERGES $24,479 JACQUES E ORCES $12,453 THE FOLLOWING DISTRIBUTIONS WERE MADE FROM A SECTION 457(F) PLAN DURING THE YEAR - MATTHEW LOVE $290,140 JODI LAURENCE $68,331 PERRY ANN REED $57,906 MARCOS A MESTRE $5,013 ARIANNA URQUIA $23,944 SHANNON M ODELL $12,275 IRIS BERGES $19,930 DAWN E JAVERSACK $95,425 JOSE PERDOMO $47,374
Schedule J, Part I, Line 3 METHODS USED BY RELATED ORGANIZATION TO ESTABLISH CEO'S COMPENSATIONThe organization relied on the methods of establishing compensation for the organization's CEO employed by Nicklaus Children's Health System (EIN: 45-3481327). Nicklaus Children's Health System uses the following methods to establish such compensation: (1) Compensation Committee; (2) Independent Compensation Consultant; (3) Compensation survey or study; and (4) Approval by the Board or Compensation Committee.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Miami-Dade County Health Facilities Authority
A52129303659334NDY52017-04-27$162,534,870SEE PART VIfalsefalsefalse
Miami-Dade County Health Facilities Authority
B52129303659334NFC12021-11-10$184,436,567SEE PART VIfalsefalsefalse
Miami-Dade County Health Facilities Authority
C52129303659334NBW12017-05-01$62,225,000SEE PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$2,980,000$0$162,560,891$0$0$0$1,931,562$0$0$100,026,021$60,603,308$02017falseYes (true)Yes (true)Yes (true)
B$7,540,000$0$184,436,567$0$0$0$1,560,795$0$0$160,106,289$9,531,955$13,237,528Yes (true)falsefalsefalse
C$4,345,000$62,225,000$62,225,0002017Yes (true)falseYes (true)false

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)0.01180.00040.0122falsefalse0falseYes (true)
BfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)0.0040.00.004falsefalse0falseYes (true)
CfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)0.0240.0010.025falsefalse0falseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndTerm Of GICTermOfGICPctRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalsefalseYes (true)falsefalsefalse0falsefalsefalse0falseYes (true)Yes (true)
BfalseYes (true)falsefalsefalsefalse0falsefalsefalse0falseYes (true)Yes (true)
CfalsefalseYes (true)falseYes (true)false0falsefalsefalse0falsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part II, Line 3 Columns A and BThe difference between the Issue Prices listed in Part I, Column (E), Lines A and B, and the total proceeds of the issue listed in Part II, Line 3, Columns A and B is due to investment earnings.
Schedule K, Part I, Column (f) Line APartially Refund bonds issued on 12/22/2010 and 08/01/2011; acquire, construct, and equip hospital facilities.
Schedule K, Part I, Column (f) Line BRefund bonds issued on 12/22/2010; acquire, construct, and equip hospital facilities.
Schedule K, Part I, Column (f) Line CREFUND BONDS ISSUED ON 12/15/2010

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Children's Critical Care Specialists PA
Balagandahar Totapally, director, is a greater than 35% owner$639,099Payment for medical services rendered by Children's Critical Care Specialists, PAfalse
NANCY LYNN PERDOMO
SPOUSE OF JOSE PERDOMO - DIRECTOR$70,329COMPENSATION & BENEFITSfalse
JOANNA E PERDOMO
DAUGHTER OF JOSE PERDOMO - DIRECTOR$199,545COMPENSATION & BENEFITSfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4a CONTINUED PROGRAM DESCRIPTION(CONTINUED FROM PART III) In 2024: 3,801 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. OPENED THE TENTH PEDIATRIC CARE CENTER (PCC) IN WEST PINES, OFFERING APPOINTMENTS WITH BOARD-CERTIFIED PEDIATRICIANS WHO SERVE AS PRIMARY CARE PROVIDERS (PCPS) FOR BABIES, CHILDREN, AND TEENS. REPLACED THE EXISTING MAGNETIC RESONANCE IMAGING MACHINE AT THE WEST KENDALL OUTPATIENT CENTER WITH A NEW MRI SYSTEM (Philips 1.5T Ambition), TRANSFORMING HEALTHCARE DELIVERY FOR CHILDREN. OPENED THE KENNETH C. GRIFFIN SURGICAL TOWER, EQUIPPED WITH 12 ADVANCED AND FULLY INTEGRATED OPERATING SUITES FOR PERFORMING THE MOST COMPLEX PEDIATRIC SURGERIES, INCLUDING TRAUMA CARE, SURGICAL CANCER INTERVENTIONS, AND PEDIATRIC PLASTIC AND RECONSTRUCTIVE SURGERIES, SUCH AS CLEFT LIP-AND-PALATE, ORTHOPEDIC AND SPINE, BRAIN, AND HEART SURGERIES. THE KENNETH C. GRIFFIN SURGICAL TOWER IS CONSIDERED ONE OF THE MOST INNOVATIVE PEDIATRIC SURGICAL FACILITIES IN THE UNITED STATES AND COMBINES LEADING-EDGE TECHNOLOGY WITH A FOCUS ON DELIVERING A COMPASSIONATE PATIENT EXPERIENCE. BECAME THE FIRST CHILDREN'S HOSPITAL IN SOUTH FLORIDA TO OFFER IN-HOUSE PHARMACOGENOMICS TESTING AS PART OF NICKLAUS'S COMMITMENT TO PRECISION MEDICINE. NICKLAUS ACQUIRED THE BIOSYSTEMS PHARMACOSCAN SOLUTION AND GENETITAN MC FAST SCAN INSTRUMENT, WHICH COMBINES PHARMACOGENOMICS TEST RESULTS WITH OTHER INFORMATION SUCH AS A PATIENT'S OVERALL HEALTH, LIFESTYLE FACTORS, AND FAMILY HISTORY TO HELP DETERMINE A PERSONALIZED TREATMENT PLAN FOR EACH PATIENT. LAUNCHED HOSPITAL SAFETY FOR ALL, AN INTEGRATED SAFETY AND QUALITY FRAMEWORK, DESIGNED TO PREVENT HARM TO PATIENTS, STAFF, AND VISITORS. THROUGH THIS INITIATIVE, TEAMS ACROSS THE HEALTH SYSTEM COLLABORATE TO CONTINUOUSLY IMPROVE WORKFLOWS AND IMPLEMENT PROCESSES FOCUSED ON ACHIEVING QUALITY IMPROVEMENT MILESTONES. DUE TO THESE EFFORTS, THE HOSPITAL EXPERIENCED A SIGNIFICANT REDUCTION IN PREVENTABLE SAFETY INCIDENTS AND A DECREASE IN ALREADY RARE HEALTHCARE-ACQUIRED INFECTIONS. ESTABLISHED ONLINE SCHEDULING TO IMPROVE ACCESSIBILITY AND CONVENIENCE FOR CHILDREN AND FAMILIES IN SOUTH FLORIDA, GIVING FAMILIES THE OPTION TO SELF-SCHEDULE APPOINTMENTS WITH BOARD-CERTIFIED SPECIALISTS AND PRIMARY CARE PROVIDERS. ATTAINED MAGNET RECOGNITION BY THE AMERICAN NURSES CREDENTIALING CENTER'S MAGNET RECOGNITION PROGRAM FOR THE FIFTH CONSECUTIVE TERM. NICKLAUS CHILDREN'S IS ONE OF ONLY FIVE CHILDREN'S HOSPITALS IN THE NATION TO HAVE RECEIVED A FIFTH MAGNET DESIGNATION AND JOINED THE RANKS OF ONLY ONE PERCENT OF HOSPITALS NATIONWIDE THAT HAVE ATTAINED THIS FIFTH-TERM MAGNET MILESTONE. THE MAGNET RECOGNITION PROGRAM DISTINGUISHES HEALTHCARE ORGANIZATIONS THAT MEET RIGOROUS STANDARDS FOR NURSING EXCELLENCE AND IS THE HIGHEST AND MOST REGARDED HONOR AN ORGANIZATION CAN RECEIVE FOR PROFESSIONAL NURSING PRACTICE. NICKLAUS CHILDREN'S WAS THE FIRST PEDIATRIC HOSPITAL IN FLORIDA AND THE FIFTH PEDIATRIC HOSPITAL IN THE NATION TO ACHIEVE ANCC MAGNET DESIGNATION IN 2004. WAS NAMED A TOP CHILDREN'S HOSPITAL BY THE LEAPFROG GROUP. 2,400 HOSPITALS WERE CONSIDERED FOR THE AWARD THIS YEAR. AMONG THOSE, NICKLAUS CHILDREN'S IS ONE OF ONLY EIGHT HOSPITALS TO ACHIEVE A TOP CHILDREN'S DISTINCTION. WAS RECOGNIZED BY THE NATIONAL SAFE SLEEP HOSPITAL AS A "GOLD CERTIFIED" HOSPITAL FOR ITS COMMITMENT TO BEST PRACTICES AND EDUCATION ON INFANT SAFE SLEEP. WAS INCLUDED IN NEWSWEEK'S LIST OF AMERICA'S BEST CHILDREN'S HOSPITALS 2024. NICKLAUS CHILDREN'S WAS RECOGNIZED WITH THE MOST PROGRAMS RANKED WITHIN THE STATE OF FLORIDA, WITH DISTINCTIONS IN GASTROENTEROLOGY, NEONATOLOGY, NEUROLOGY, AND ENDOCRINOLOGY. 2024 STATISTICAL DATA INCLUDES - TOTAL INPATIENT DAYS: 60,426 TOTAL INPATIENT ADMISSIONS: 10,695 INPATIENT AVERAGE DAILY CENSUS: 189.3 TOTAL OUTPATIENT VISITS (MAIN CAMPUS): 182,009 TOTAL OUTPATIENT VISITS (AMBULATORY CENTERS): 348,219 TOTAL AMBULATORY URGENT CARE VISITS: 210,276 TOTAL SURGICAL CASES: 9,893 AVERAGE LENGTH OF STAY: 5.6 DAYS Nicklaus Children's Hospital completed the ISO 9001 Quality Management System certification by DNV GL. Nicklaus Children's is the second freestanding children's hospital in the nation to obtain this certification. Since the hospital's initial DNV GL accreditation in 2016, Nicklaus Children's and its network of outpatient centers have participated in annual accreditation site visit evaluations to ensure steady progression toward ISO 9001 certification. ISO 9001 sets forth criteria for quality management that include a strong customer focus, engagement of top management, a process approach, and continual improvement. The ultimate impact of ISO within hospitals is the reduction or elimination of variation, so that critical work processes are done consistently, and the "best ideas" are not by one person or department, but are ingrained in the organization itself. Nicklaus Children's Hospital's Quality Program is data driven and dedicated to the development and implementation of consistency in the service we provide. Our quality measures are based on national standards and are formed around the patient-centered framework put forth by the Institute for Healthcare Improvement (IHI) which aligns to the principles of safety, equity, effectiveness, timeliness, and efficiency. Using industry benchmarks, internal standards, and the resources of national survey and compliance services, we seek to constantly improve our pediatric care. The quality department serves as a vital part of improvement and resource management throughout the institution. Our team of dedicated physicians, nurses, quality and accreditation specialists, and data analysts are working to achieve customer care excellence, standardization of practice, transparency in performance, a Just Culture for improvement, and assurance to ourselves and the patients and families we serve that we are delivering the best possible pediatric care. Nicklaus monitors internal performance in real time and formally on a monthly basis using an extensive, metric driven, nationally benchmarked scorecard. Improvement opportunities and action planning are addressed using a structured, collaborative, multidisciplinary approach in which quality becomes the interest and responsibility of every employee. Quality performance and action planning are monitored at a monthly cadence through the multidisciplinary Performance Improvement Council with regular oversight by the Quality Committee of the System Board. FAST PASS VISITOR SYSTEM REQUIRES ALL VISITORS AT THE MAIN HOSPITAL TO PRESENT PHOTO IDENTIFICATION UPON ARRIVAL AND A RECORD IS KEPT OF ALL THOSE ENTERING THE HOSPITAL. THIS SYSTEM CAN IDENTIFY INDIVIDUALS WITH RECORDS OF CHILD ABUSE AND MOLESTATION; HELPING ENHANCE THE SAFETY OF CHILDREN AT THE HOSPITAL. GETWELL NETWORK IS IN ALL MEDICAL SURGICAL ROOMS. THE SYSTEM, ACCESSIBLE THROUGH THE IN-ROOM TELEVISION SCREEN, OFFERS PATIENT EDUCATION INFORMATION THAT CAN SUPPORT ENHANCED PATIENT CARE AS WELL AS A PATIENT FEEDBACK SYSTEM, THROUGH WHICH FAMILIES CAN ADDRESS SAFETY CONCERNS. EMR, A STATE-OF-THE-ART SYSTEM, WHICH CAPTURES ALL PATIENT DATA, INCLUDING COMPREHENSIVE CARE RECORDS (RADIOLOGY, PHARMACY, REHABILITATION, OUTPATIENT AND INPATIENT) AS WELL AS REGISTRATION AND BILLING INFORMATION, ALL IN A COMPREHENSIVE SYSTEM. HUMPTY DUMPTY, A TOOL TO PREVENT PEDIATRIC FALLS AND THEREBY ENHANCE SAFETY. AS OF 12/31/2024, THE TOOL WAS IN USE IN 1,800 HOSPITALS (1,519 IN THE US AND 281 OUTSIDE THE US), INCLUDING FACILITIES IN VIRTUALLY EVERY U.S. STATE AS WELL AS IN EUROPE, THE MIDDLE EAST, HONG KONG, INDONESIA, JAPAN, THE PHILIPPINES, BERMUDA, CANADA, CARIBBEAN, US VIRGIN ISLANDS, CAYMAN ISLANDS, BRAZIL, AUSTRALIA, NEW ZEALAND, AND SOUTH AFRICA. THE PROGRAM IS ALSO IN USE BY EVERY BRANCH OF OUR U.S. MILITARY HOSPITALS THROUGHOUT THE WORLD.
Form 990, Part III, Line 4a CONTINUED PROGRAM DESCRIPTIONCOMMUNITY TRAINING OUTREACH PROGRAMS: The hospital supports a number of programs that enhance the skills and work readiness of young professionals as well as promote health awareness. This includes: Pediatric Residency Training Program- Nicklaus Children's is an established teaching hospital and is one of the largest freestanding pediatric teaching hospitals in the southeastern United States. The Pediatric Residency Training Program is structured in accordance with the American Board of Pediatrics' requirement of three core years in general pediatrics, and is fully accredited by the Accreditation Council for Graduate Medical Education (ACGME). All facets of pediatric care are encompassed in the training program from the complex intensive care to the office practice of general pediatrics. Each year, medical students and scholars from all parts of the United States, and around the world apply for acceptance to the hospital's Pediatric Residency Training Program, which has been in operation for over 40 years. The program has a formal affiliation with Florida International University's College of Medicine. Other participating institutions include Jackson Memorial Hospital, Cleveland Clinic Florida Center, University of Florida Jacksonville, Mount Sinai Medical Center of Florida, and Nova Southeastern University. Fellowship Training Programs- Nicklaus Children's Hospital offers quality, nationally recognized fellowships in a wide range of pediatric subspecialties. Fellowships are accredited by the Accreditation Council for Graduate Medical Education (ACGME). Available programs include Adolescent Medicine, Allergy and Immunology, Child & Adolescent Psychiatry, Clinical Biochemical Genetics, Clinical Neurophysiology, Craniofacial Surgery (Plastic Surgery), Pediatric Critical Care Medicine, Pediatric Emergency Medicine, Pediatric Gastroenterology, Hepatology and Nutrition, Pediatric Hematology Oncology Fellowship, Pediatric Hospitalist, Pediatric Radiology, Pediatric Urology, Pediatric Cardiology, and Pediatric Surgery. The Horizon Nurse Residency Program- The Horizon Nurse Residency (Horizon) Program is an American Nurses Credentialing Center accredited, evidence-based nurse residency program. It is designed to guide new graduate nurses by bridging the divide between nursing education and nursing practice. The program offers training within hospital units including the ICU setting, hematology-oncology, Emergency Department, and the ICU Float Pool, with the duration varying by unit of hire. The Horizon Nurse Residency Program was honored with ANCC PTAP National Accreditation with distinction in 2017. Practice Transition Accreditation Program (PTAP) sets the global standard for residency programs that transition nurses into new practice settings. Achieving this accreditation elevates the standards of the Horizon Nurse Residency Program at Nicklaus Children's Health System with ANCC evidence-based criteria, demonstrating excellence in the transitioning nurses from novice to proficient. The Horizon Nurse Residency Program was further developed in 2014 and has transitioned over 682 nurses with a 1% first year turnover, since the inception of the program. The Student Nurse Intern Program (SNIP)- The Student Nurse Intern Program (SNIP) provides nursing students the opportunity to be hired as care assistants to gain insight into the field of nursing. Based on availability, this program supports a smooth transition from nursing student to registered nurse by providing paid hours of mentorship in Emergency, Surgical, Medical-Surgical, or Critical Care areas. Students work alongside other care assistants while under orientation with the goal of completing a list of required competencies. Upon completion of orientation, the intern works alongside an RN and/or under the direct supervision of an RN performing delegatory-type tasks as well as patient-care skilled tasks in different pediatric areas of the hospital.
Form 990, Part V, Line 1a Number in Box 3 of Form 1096THE TOTAL NUMBER FROM BOX 3 OF FORM 1096 IS REPORTED BY NICKLAUS CHILDREN'S HEALTH SYSTEM, INC., A RELATED ORGANIZATION THAT PROCESSES FORMS 1099 FOR ITS AFFILIATES. SUCH REPORTING ALIGNS THE FORM 1096, BOX 3 REPORTING TO THE ISSUING ORGANIZATION.
Form 990, Part VI, Line 15a Process for determininig compensation for the organization's CEOThe CEO is paid by Nicklaus CHILDREN'S HEALTH SYSTEM, INC., a related organization. Therefore, this has been answered no, in accordance with the instructions. THE ORGANIZATION AND COMPENSATION COMMITTEE OF Nicklaus CHILDREN'S HEALTH SYSTEM, INC.'S BOARD OF DIRECTORS CONTRACTS WITH AN EXTERNAL CONSULTANT TO OBTAIN MARKET SURVEYS FOR THE CEO AND OTHER EXECUTIVES. THE CONSULTANT ASSISTS THE ORGANIZATION AND COMPENSATION COMMITTEE IN ESTABLISHING A COMPENSATION PROGRAM FOR THE CEO AND OTHER EXECUTIVES. SURVEY RESULTS AND COMPENSATION BEST PRACTICES ARE SHARED WITH THE ORGANIZATION AND COMPENSATION COMMITTEE OF THE BOARD. PERSONS WITH A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED IN ESTABLISHING EXECUTIVE SALARY AND BENEFITS PROGRAMS. DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION AGREEMENT ARE CONTEMPORANEOUS DOCUMENTED. THIS PROCESS IS COMPLETED IN THE FIRST QUARTER EACH YEAR.
Form 990, Part VI, Line 15b Process for determining compensation for other officers or key employeesNCH RELIED ON THE METHODS OF ESTABLISHING COMPENSATION USED BY Nicklaus CHILDREN'S HEALTH SYSTEM, INC. THE ORGANIZATION AND COMPENSATION COMMITTEE OF Nicklaus CHILDREN'S HEALTH SYSTEM, INC.'S BOARD OF DIRECTORS CONTRACTS WITH AN EXTERNAL CONSULTANT TO OBTAIN MARKET SURVEYS FOR THE CEO AND OTHER EXECUTIVES. THE CONSULTANT ASSISTS THE ORGANIZATION AND COMPENSATION COMMITTEE IN ESTABLISHING A COMPENSATION PROGRAM FOR THE CEO AND OTHER EXECUTIVES. SURVEY RESULTS AND COMPENSATION BEST PRACTICES ARE SHARED WITH THE ORGANIZATION AND COMPENSATION COMMITTEE OF THE BOARD. PERSONS WITH A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED IN ESTABLISHING EXECUTIVE SALARY AND BENEFITS PROGRAMS. DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION AGREEMENT ARE CONTEMPORANEOUS DOCUMENTED. THIS PROCESS IS COMPLETED IN THE FIRST QUARTER EACH YEAR.
Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONSDawn Javersack, Jodi Laurence, Matthew A. Love, and Joseph Nader have a business relationship due to serving on the board of directors or serving as an officer of Children's Health Ventures.
Form 990, Part VI, Line 1a EXECUTVE COMMITTEEThere shall be an Executive Committee of the Board of Directors composed of at least three (3) Directors elected by the Board of Directors, one of whom must be the Chair of the Board. No non-Director members shall serve on the Executive Committee. A majority of the members of the Executive Committee present and voting shall constitute a quorum for the transaction of business. The Executive Committee shall have and exercise the authority of the Board of Directors in the management of the Hospital, except that it shall not take any action with respect to (a) the election of Officers; (b) the filling of vacancies in the Board of Directors; or (c) the adoption, amendment, or repeal of these Bylaws. The Executive Committee shall report to the Board of Directors any action taken by the Executive Committee at the next meeting of the Board of Directors. Members of the Executive Committee may be removed at any regular or special meeting of the Board of Directors.
Form 990, Part VI, Line 4 Significant changes to organizational documentsON DECEMBER 16, 2024, THE ORGANIZATION MODIFIED THE BYLAWS TO REMOVE EX-OFFICIO NON-VOTING MEMBERS IN ALL AREAS MENTIONED THROUGHOUT THE BYLAWS AND REMOVED THE CHIEF MEDICAL OFFICER OF THE HOSPITAL AS AN EX-OFFICIO VOTING MEMBER
Form 990, Part VI, Line 6 Classes of members or stockholdersThe organization's sole member is Nicklaus Children's Health System, Inc. The sole member has the authority to elect members to the board of directors and approve decisions of the board.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyThe elected members of the Board shall be elected by Nicklaus Children's Health System (the sole member), after taking into consideration any recommendations of the Board. The number of Directors of the Hospital shall be established by resolution of the Board of Directors of the sole member; provided that there shall be no fewer than 7 and no more than 20 Directors. Any Director may be removed from office by action of the sole Member or the elected members of the Board so permitted to vote, for any cause or reason deemed sufficient by the Member or the elected members of the Board so permitted to vote.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersThe Board shall not take any action with respect to the following without the approval of Nicklaus Children's Health System (the sole Member): a) Modify the mission, purpose, or scope of the hospital, or materially change the location, size, or scope of services, programs, operations, or educational or medical school affiliations of the hospital or related agreements; b) Create any entity in which the hospital is the sole member or sole shareholder, or any entity in which the hospital has a direct or indirect oversight role, which may include not-for-profit, for profit, limited liability companies, or any other legal entity; c) Sell, lease, purchase, create, dissolve, convey, mortgage, grant a security interest, or otherwise dispose of any affiliated, controlled, or joint venture entity, any real or personal property or other assets (or any interest in any of the foregoing), or incur debt for money borrowed or guarantee the debt of another, not in the ordinary course of business; d) Approve annual operating or capital budgets, strategic and long-range plans, major fund-raising programs, physician compensation or other agreements, managed care contracts or other financial commitments or material deviations from such budgets, plans, agreements, or commitments; and e) Approve financial, accounting, human resource, employee benefit, compliance policies or procedures, medical staff bylaws (including amendments) or other policies and procedures, or the appointment or engagement of auditors, legal counsel, and consultants, which are in any way contrary to the policies and procedures adopted from time to time by the Member.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE FOLLOWING DESCRIBES NICKLAUS CHILDREN'S HOSPITAL'S PROCESS FOR PROVIDING ITS BOARD OF DIRECTORS WITH A COPY OF THE FORM 990 AND REVIEWING IT: 1. THE DRAFT TAX FORM 990 WILL BE EMAILED TO THE AUDIT AND COMPLIANCE COMMITTEE CHAIR FOR REVIEW AND COMMENTS PRIOR TO FILING. 2. THE PAID TAX PREPARER WILL PRESENT A SUMMARY OF THE INFORMATION TO THE FINANCE COMMITTEE OF THE BOARD. 3. QUESTIONS WILL BE ANSWERED, AND IF NECESSARY, TAX FORMS WILL BE ADJUSTED. THE CHAIR WILL APPROVE THE FORM 990. 4. THE FINAL FORM 990 WILL BE POSTED ON THE BOARD WEB PORTAL PRIOR TO FILING.
Form 990, Part VI, Line 12c Conflict of interest policyALL NICKLAUS CHILDREN'S HOSPITAL (NCH) EMPLOYEES ARE INFORMED UPON HIRE, AND ON AN ANNUAL BASIS THEREAFTER, THAT THEY HAVE AN AFFIRMATIVE DUTY TO DISCLOSE ANY ACTUAL, POTENTIAL, OR PERCEIVED CONFLICTS OF INTEREST. THEY ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM UPON HIRE AND WHENEVER CIRCUMSTANCES WARRANTS. CONFLICT OF INTEREST DISCLOSURES ARE MANAGED BY THE COMPLIANCE DEPARTMENT AND REVIEWED BY THE NCHS CONFLICT OF INTEREST COMMITTEE, THE COMPLIANCE DEPARTMENT COLLABORATES WITH THE LEGAL DEPARTMENT, AND DISCLOSURES THAT NECESSITATES BOARD AWARENESS AND ACTION ARE PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE NCHS BOARD FOR RESOLUTION AND IMPOSITION OF SANCTIONS, IF WARRANTED. ANY POTENTIALLY CONFLICTED BOARD MEMBERS ARE RECUSED FROM BOARD DELIBERATIONS AND VOTING ON ITEMS IN WHICH THEY HAVE A POTENTIAL CONFLICT. IN ADDITION, ON AN ANNUAL BASIS, BOARD MEMBERS, PRINCIPAL OFFICERS AND BOARD DELEGATED COMMITTEE MEMBERS SIGN A STATEMENT WHICH AFFIRMS THAT EACH INDIVIDUAL: (A) HAS RECEIVED A COPY OF THE CONFLICT-OF-INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY; AND (D) UNDERSTANDS THAT THE HOSPITAL IS A CHARITABLE ORGANIZATION, AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF IT'S TAX-EXEMPT PURPOSES. A PROCESS IS IN PLACE FOR MANAGING SITUATIONS IN WHICH IT IS DISCOVERED THAT AN INDIVIDUAL WHO IS COVERED BY THE HOSPITAL'S NCHS CONFLICT OF INTEREST POLICY FAILED TO PROPERLY DISCLOSE A POTENTIAL CONFLICT OF INTEREST.
Form 990, Part VI, Line 19 Required documents available to the publicFinancial statements, governing documents, and conflict of interest policies are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104. These documents are not available to the public at this time.
Form 990, Part IX, Line 11g Other FeesCASUAL LABOR - Total Expense: 1864821, Program Service Expense: 1491857, Management and General Expenses: 372964, Fundraising Expenses: ; Medical fees - Total Expense: 46092563, Program Service Expense: 36874050, Management and General Expenses: 9218513, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 11159020, Program Service Expense: 8927216, Management and General Expenses: 2231804, Fundraising Expenses: ; INSPECTIONS - Total Expense: 6575, Program Service Expense: 5260, Management and General Expenses: 1315, Fundraising Expenses: ; ARTWORK, GRAPHICS - Total Expense: 43143, Program Service Expense: 34514, Management and General Expenses: 8629, Fundraising Expenses: ; DESIGN, PROTOTYPE - Total Expense: 120, Program Service Expense: 96, Management and General Expenses: 24, Fundraising Expenses: ; STORAGE FEES - Total Expense: 353647, Program Service Expense: 282918, Management and General Expenses: 70729, Fundraising Expenses: ; CLEANING SERVICES - Total Expense: 1601891, Program Service Expense: 1281513, Management and General Expenses: 320378, Fundraising Expenses: ; LABORATORY SERVICES - Total Expense: 6467911, Program Service Expense: 5174329, Management and General Expenses: 1293582, Fundraising Expenses: ; CONSULTANTS - Total Expense: 2152946, Program Service Expense: 1722357, Management and General Expenses: 430589, Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 172534, Program Service Expense: 138027, Management and General Expenses: 34507, Fundraising Expenses: ; MANAGEMENT FEE EXPENSE - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 40511051, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesNet payments on swap agreements - 97443; Gain from subsidiaries - 11162702; Net change in fair value of swaps - 2359949; Change in value of charitable remainder trusts held by others - 136109; Change in beneficial interest in NCHF - 11075045; Equity transfer with affiliate - 3635003; Distribution to noncontrolling interest - -1309957; Guarantee of affiliate losses - -56779447; Release from restrictions for Capital - -99615; Total - -29722768;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MIAMI CHILDREN'S HEALTH SYSTEM INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13100 SW 62ND AVENUEAddressLine1Txt
CityMIAMICityNm
State AbbreviationFLStateAbbreviationCd
ZIP33155ZIPCd
FieldValueIRS element (for citing)
EIN453481327EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusType IIPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctShare Of Total IncomeShareOfTotalIncomeAmt
MIAMI CHILDREN'S HOSPITAL AMBULATORY SURGERY CENTER LLC
800 SW 108TH AVENUESUITE 200MIAMIFL33174463406805SURGERY CENTERFLVCHRelated$2,470,231falseYes (true)0.5217
MIAMI CHILDREN'S HEALTH PLAN LLC
3100 SW 62ND AVEMIAMIFL33155823111550INSURANCEFLVCHRelatedfalseYes (true)0.75-$953

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1TxtAddress Line2ForeignAddress/AddressLine2TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCd
MIAMI CHILDREN'S INSURANCE CO SPC LTD
720 WEST BAY ROADPO BOX 69GT BUCKINGHAM SQUAREGEORGETOWNGRAND CAYMANCJ980442086INSURANCECJVCHC Corporation$8,303,000$138,728,0361Yes (true)
CHILDREN'S HEALTH VENTURES INC & SUBS
454541147MERCHANT WHOLESALENAC Corporationfalse3100 SW 62ND AVENUEMIAMIFL331553009FL
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MIAMI CHILDREN'S HOSPITAL AMBULATORY SURGERY CENTER LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeSTransactionTypeTxt
Involved$1,429,044InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt