VARIETY CHILDRENS HOSPITAL: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- VARIETY CHILDRENS HOSPITAL (EIN 59-0638499)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-12
- IRS object ID
- 201533179349300603
- Schema version
- 2014v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-12T19:01:32-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE HORWATH LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 East Las Olas Blvd | AddressLine1Txt |
| Address Line2 | Suite 1100 | AddressLine2Txt |
| City | Fort Lauderdale | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 590638499 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Variety Children's Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VARI | BusinessNameControlTxt |
| Phone | 3056666511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3100 SW 62nd Avenue | AddressLine1Txt |
| City | Miami | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 331553009 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Timothy Birkenstock | PersonNm |
| Person Title | SVP & CFO | PersonTitleTxt |
| Signature | 2015-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Cindy Kushner | PreparerPersonNm |
| PTIN | P00739493 | PTIN |
| Phone | 9542028600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Nicklaus Children's Hospital | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Narendra Kini MD | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3100 SW 62nd Avenue | AddressLine1Txt |
| City | Miami | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 331553009 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $909,496,177 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.nicklauschildrens.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1950 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | THE HOSPITAL PROVIDES SPECIALIZED PEDIATRIC HEALTH CARE TO CHILDREN REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, AGE, OR ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 3975 | TotalEmployeeCnt |
| Total Volunteers | 1814 | TotalVolunteersCnt |
| Total Gross UBI | $45,913 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$68,054 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $13,232,648 | PYContributionsGrantsAmt |
| CY Contributions Grants | $17,936,291 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $522,636,121 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $551,976,767 | CYProgramServiceRevenueAmt |
| PY Investment Income | $17,135,133 | PYInvestmentIncomeAmt |
| CY Investment Income | $34,211,631 | CYInvestmentIncomeAmt |
| PY Other Revenue | $16,484,863 | PYOtherRevenueAmt |
| CY Other Revenue | $13,968,180 | CYOtherRevenueAmt |
| PY Total Revenue | $569,488,765 | PYTotalRevenueAmt |
| CY Total Revenue | $618,092,869 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $284,998,874 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $301,573,016 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $222,631,709 | PYOtherExpensesAmt |
| CY Other Expenses | $239,464,484 | CYOtherExpensesAmt |
| PY Total Expenses | $507,630,583 | PYTotalExpensesAmt |
| CY Total Expenses | $541,037,500 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $61,858,182 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $77,055,369 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $917,641,210 | TotalAssetsBOYAmt |
| Total Assets EOY | $961,678,086 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $381,340,508 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $386,206,414 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $536,300,702 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $575,471,672 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE HOSPITAL PROVIDES SPECIALIZED PEDIATRIC HEALTH CARE TO CHILDREN REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, AGE, OR ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $429,565,047 | ExpenseAmt |
| Revenue | $559,561,728 | RevenueAmt |
| Desc | VARIETY CHILDREN'S HOSPITAL, ESTABLISHED IN 1950, OWNS AND OPERATES A PEDIATRIC SPECIALTY HOSPITAL KNOWN AS NICKLAUS CHILDREN'S HOSPITAL. THE HOSPITAL IS ONE OF THE LARGEST FREESTANDING PEDIATRIC TEACHING HOSPITALS IN THE SOUTHEASTERN UNITED STATES. IT PROVIDES SPECIALIZED PEDIATRIC HEALTHCARE FOR CHILDREN REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, AGE OR ABILITY TO PAY. THE HOSPITAL HAS 289 LICENSED BEDS. NICKLAUS CHILDREN'S HOSPITAL SERVES AS A REFERRAL CENTER FOR CHILDREN WITH COMPLEX, CRITICAL OR LIFE-THREATENING ILLNESSES REQUIRING SPECIALIZED CARE. IT HAS A 28-BED PEDIATRIC INTENSIVE CARE UNIT, A 37-BED NEONATAL INTENSIVE CARE UNIT AND A 12-BED CARDIAC INTENSIVE CARE UNIT. IT IS ALSO A STATE-DESIGNATED PEDIATRIC TRAUMA CENTER. MANY PATIENTS ARE REFERRED BY OTHER HOSPITALS REGARDLESS OF THE EXISTENCE OF FORMAL ARRANGEMENTS. (CONTINUED IN SCHEDULE O) | Desc |
| Total Program Service Expenses | $429,565,047 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 713 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 3975 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | Yes (true) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Foreign Country | EI | ForeignCountryCd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Michael Durr | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3056666511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3100 SW 62nd Avenue | AddressLine1Txt |
| City | Miami | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 331553009 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Alex Soto | |||||||||
| Chairman / Director | 1.50 | 3.70 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Jaret Davis Esquire | |||||||||
| Vice Chairman / Director | 1.50 | 0.20 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Jefry Biehler MD | |||||||||
| Secretary / Director | 40.00 | 0.20 | Yes (X) | Yes (X) | $335,260 | $0 | $34,636 | ||
| Narendra Kini MD | |||||||||
| President and CEO | 40.00 | 3.20 | Yes (X) | Yes (X) | $1,327,025 | $0 | $190,035 | ||
| Deise Granado-Villar MD | |||||||||
| Director and CMO | 40.00 | 0.20 | Yes (X) | Yes (X) | $443,325 | $0 | $70,678 | ||
| Maria Franco MD | |||||||||
| Director | 1.50 | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| Michael Fux | |||||||||
| Director | 1.50 | 1.20 | Yes (X) | $0 | $0 | $0 | |||
| Ghislain Gouraige Jr | |||||||||
| Director | 1.50 | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| Gary Gregory | |||||||||
| Director | 1.50 | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| Juan C Mas | |||||||||
| Director | 1.50 | 1.20 | Yes (X) | $0 | $0 | $0 | |||
| Jay Massirman | |||||||||
| Director | 1.50 | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| Steven McKean | |||||||||
| Director | 1.50 | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| Marcos Mestre MD | |||||||||
| Physician / Director | 40.00 | 0.20 | Yes (X) | $281,233 | $0 | $31,928 | |||
| Lucy Morillo-Agnetti | |||||||||
| Foundation President / Director | 1.50 | 40.20 | Yes (X) | $0 | $298,703 | $27,137 | |||
| Mario Murgado | |||||||||
| Director | 1.50 | 1.70 | Yes (X) | $0 | $0 | $0 | |||
| Phillip Newcomm MD | |||||||||
| Director | 1.50 | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| Keith Ward | |||||||||
| Director | 1.50 | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| Timothy Birkenstock | |||||||||
| Senior VP and CFO | 40.00 | 1.70 | Yes (X) | $461,277 | $0 | $86,890 | |||
| Martha McGill | |||||||||
| Executive VP and COO | 40.00 | 0 | $561,236 | $0 | $106,919 | Yes (X) | |||
| Redmond P Burke MD | |||||||||
| Cardiovascular Surgery Director | 40.00 | 0 | $1,673,860 | $0 | $40,260 | Yes (X) | |||
| Sandeep P Dave MD | |||||||||
| Attending Physician | 40.00 | 0 | $870,271 | $0 | $16,624 | Yes (X) | |||
| Robert L Hannan MD | |||||||||
| Cardiovascular Surgeon | 40.00 | 0 | $990,218 | $0 | $40,558 | Yes (X) | |||
| John Ragheb MD | |||||||||
| Attending Physician | 40.00 | 1.00 | $1,122,386 | $0 | $34,815 | Yes (X) | |||
| Harry Shufflebarger MD | |||||||||
| Orthopaedic Surgeon | 40.00 | 0 | $1,138,706 | $0 | $42,557 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,204,797 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $298,703 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $723,037 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 387 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (true) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| Cerner Corporation | ||||||
| PO Box 412732 | Kansas City | MO | 64141 | IT Equipment and Services | $16,220,771 | |
| Turner-Arellano Joint Venture | ||||||
| 1000 NW 57 Court | Miami | FL | 33126 | Construction Contracts | $7,223,763 | |
| Anthony Baradat and Associates | ||||||
| 1235 Coral Way | Miami | FL | 33145 | Advertising | $3,801,785 | Suite 200 |
| PHI Air Medical LLC | ||||||
| 2800 North 44th Street | Phoenix | AZ | 85008 | Helicopter Operations | $3,792,815 | Suite 800 |
| Xtend Healthcare LLC | ||||||
| 500 W MAIN STREET | HENDERSONVILLE | TN | 37075 | Collection Service | $2,692,716 | SUITE 14 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 92 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $10,470,085 | RelatedOrganizationsAmt |
| All Other Contributions | $7,466,206 | AllOtherContributionsAmt |
| Total Contributions | $17,936,291 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621300 | $545,792,215 | $545,792,215 |
| GRANT REVENUE | 900099 | $5,827,798 | $5,827,798 |
| SEMINAR/WORKSHOPS | 621300 | $356,754 | $356,754 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $551,976,767 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,903,773 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$84,717 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,988,490 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,422 | TotalRevenueColumnAmt |
| Exclusion | $32,422 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,423,058 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,423,058 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,423,058 | TotalRevenueColumnAmt |
| Exclusion | $1,423,058 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $318,271,078 | SecuritiesAmt |
| Other | $440,088 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $290,965,914 | SecuritiesAmt |
| Other | $437,394 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $27,305,164 | SecuritiesAmt |
| Other | $2,694 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,307,858 | TotalRevenueColumnAmt |
| Exclusion | $27,307,858 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| CAFETERIA VENDING | 722210 | $2,902,109 | $2,902,109 | ||
| PHARMACY | 446110 | $3,871,595 | $3,813,009 | $58,586 | |
| ANTENNA REVENUE | 900099 | $72,044 | $72,044 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,666,952 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,771,952 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,895,000 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $12,512,700 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $618,092,869 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $559,561,728 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $45,913 | UnrelatedBusinessRevenueAmt |
| Exclusion | $40,548,937 | ExclusionAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,930,442 | TotalAmt |
| Management And General | $3,930,442 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $236,037,052 | TotalAmt |
| Program Services | $189,750,119 | ProgramServicesAmt |
| Management And General | $46,286,933 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,837,051 | TotalAmt |
| Program Services | $4,172,522 | ProgramServicesAmt |
| Management And General | $664,529 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,377,181 | TotalAmt |
| Program Services | $33,237,441 | ProgramServicesAmt |
| Management And General | $8,139,740 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,391,290 | TotalAmt |
| Program Services | $12,313,032 | ProgramServicesAmt |
| Management And General | $3,078,258 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $972,012 | TotalAmt |
| Program Services | $777,610 | ProgramServicesAmt |
| Management And General | $194,402 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $411,990 | TotalAmt |
| Management And General | $411,990 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $358,450 | TotalAmt |
| Management And General | $358,450 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,117,458 | TotalAmt |
| Management And General | $1,117,458 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,763,790 | TotalAmt |
| Program Services | $40,641,697 | ProgramServicesAmt |
| Management And General | $10,122,093 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,519,325 | TotalAmt |
| Program Services | $3,615,460 | ProgramServicesAmt |
| Management And General | $903,865 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,891,429 | TotalAmt |
| Program Services | $48,713,143 | ProgramServicesAmt |
| Management And General | $12,178,286 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,478,826 | TotalAmt |
| Program Services | $22,783,061 | ProgramServicesAmt |
| Management And General | $5,695,765 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,231,643 | TotalAmt |
| Program Services | $985,314 | ProgramServicesAmt |
| Management And General | $246,329 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,402,586 | TotalAmt |
| Program Services | $9,922,069 | ProgramServicesAmt |
| Management And General | $2,480,517 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,305,419 | TotalAmt |
| Program Services | $28,244,335 | ProgramServicesAmt |
| Management And General | $7,061,084 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,888,264 | TotalAmt |
| Program Services | $10,310,611 | ProgramServicesAmt |
| Management And General | $2,577,653 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBTS | $18,536,842 | $14,829,474 | $3,707,368 |
| MEDICAL ASSISTANCE TAX | $6,446,064 | $5,156,851 | $1,289,213 |
| DUES & SUBSCRIPTIONS | $1,844,889 | $1,475,911 | $368,978 |
| RECRUITMENT | $1,023,804 | $819,043 | $204,761 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,271,693 | TotalAmt |
| Program Services | $1,817,354 | ProgramServicesAmt |
| Management And General | $454,339 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $541,037,500 | TotalAmt |
| Program Services | $429,565,047 | ProgramServicesAmt |
| Management And General | $111,472,453 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,632,370 | BOYAmt |
| EOY | $45,555,507 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,199,555 | BOYAmt |
| EOY | $33,340,134 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,143,054 | BOYAmt |
| EOY | $77,975,815 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,167,346 | BOYAmt |
| EOY | $5,537,784 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,303,225 | BOYAmt |
| EOY | $3,615,033 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $646,678,317 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $304,443,909 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $328,592,174 | BOYAmt |
| EOY | $342,234,408 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $221,565,312 | BOYAmt |
| EOY | $148,653,774 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,157,618 | BOYAmt |
| EOY | $212,476,928 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,145,296 | BOYAmt |
| EOY | $92,288,703 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $917,641,210 | BOYAmt |
| EOY | $961,678,086 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,615,373 | BOYAmt |
| EOY | $82,821,695 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $236,975,193 | BOYAmt |
| EOY | $235,424,360 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,664,000 | BOYAmt |
| EOY | $888,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,085,942 | BOYAmt |
| EOY | $67,072,359 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $381,340,508 | BOYAmt |
| EOY | $386,206,414 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $437,135,079 | BOYAmt |
| EOY | $481,756,882 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,999,838 | BOYAmt |
| EOY | $62,923,183 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,165,785 | BOYAmt |
| EOY | $30,791,607 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $536,300,702 | BOYAmt |
| EOY | $575,471,672 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $917,641,210 | BOYAmt |
| EOY | $961,678,086 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $77,055,369 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$20,573,809 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$17,310,590 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | Yes (true) | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | Yes (true) | MediaAdvertisementsInd |
| Media Advertisements | $23,000 | MediaAdvertisementsAmt |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $221,500 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $131,654 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $376,154 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | The organization conducts lobbying activities including research, monitoring legislation and attending meetings. In addition the organization pays dues to American Hospital Association and a portion of those dues are reported as lobbying expenditures. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,932,156 | OtherCostOrOtherBasisAmt |
| Book Value | $2,932,156 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $281,626,551 | OtherCostOrOtherBasisAmt |
| Depreciation | $138,577,105 | DepreciationAmt |
| Book Value | $143,049,446 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,652,915 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,108,271 | DepreciationAmt |
| Book Value | $17,544,644 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $280,596,421 | OtherCostOrOtherBasisAmt |
| Depreciation | $156,758,533 | DepreciationAmt |
| Book Value | $123,837,888 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $54,870,274 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $54,870,274 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $342,234,408 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| ALTERNATIVE INVESTMENTS | $86,066,173 | F |
| FIXED INCOME BOND FUND | $98,773,474 | F |
| CORPORATE DEBT SECURITIES | $10,831,976 | F |
| EQUITY SECURITIES | $16,805,305 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $212,476,928 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BOND ISSUE COSTS | $2,862,863 |
| BENEFICIAL INTEREST IN MIAMI CHILDREN'S HOSPITAL FOUNDATION | $87,439,816 |
| EXEC LIFE | $391,150 |
| SELF INSURANCE TRUST | $652,083 |
| Charitable Remainder Trust | $942,791 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $92,288,703 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER LIABILITIES | $17,874,924 |
| SWAP LIABILITIES | $37,770,259 |
| THIRD PARTY SETTLEMENT PAYABLE | $6,203,964 |
| LEASE INCENTIVE OBLIGATION | $5,223,212 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $67,072,359 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $565,292,567 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$20,573,809 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $8,535,905 | OtherRevenueAmt |
| Revenue Not Reported | -$12,037,904 | RevenueNotReportedAmt |
| Revenue Subtotal | $577,330,471 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $1,117,458 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $39,644,940 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $40,762,398 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $618,092,869 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $521,380,506 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $521,380,506 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $1,117,458 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $18,539,536 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $19,656,994 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $541,037,500 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 | CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS - 1677289 CHANGE IN BENEFICIAL INTEREST OF HOSPITAL FOUNDATION - 6858616 |
| Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements | GAIN ON SALE OF FIXED ASSETS - 2694 BAD DEBT EXPENSE - 18536842 LOSS ON CHANGE IN VALUE OF SWAP AGREEMENT - 12352160 CHANGE IN BENEFICIAL INTEREST OF SYSTEM FOUNDATION - 8753244 |
| Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements | Bad Debt Expense - 18536842 Gain on Sale of Fixed Asset - 2694 |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)
| RegionRegionTxt | OfficesOfficesCnt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Specific Services ProvidedSpecificServicesProvidedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|---|---|---|
| Central America and the Caribbean | 0 | 0 | Program Services | Self-Insurance Funding | $5,467,207 |
| Central America and the Caribbean | 0 | 0 | Investments | $62,504,431 | |
| Europe (Including Iceland and Greenland) | 0 | 0 | Investments | $21,758,772 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $89,730,410 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $89,730,410 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (true) | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $419,306 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $419,306 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0008 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $297,110,133 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $216,153,430 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $80,956,703 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1496 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,502,223 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,109,163 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,393,060 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0026 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $303,031,662 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $220,262,593 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $82,769,069 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1530 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,651,552 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $105,253 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,546,299 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0029 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,027,993 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,605,471 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,422,522 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0082 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $286,263 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $207,197 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $79,066 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $14,965,808 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,917,921 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,047,887 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0112 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $317,997,470 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $229,180,514 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $88,816,956 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1642 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,511,582 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $555,750 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $929,741 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$373,991 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIAMI CHILDREN'S HOSPITAL AMBULATORY SURGERY CENTER LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | SURGERY CENTER | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.5435 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.0 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.4565 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NICKLAUS Children's Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3100 SW 62nd Avenue | AddressLine1Txt |
| City | Miami | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33155 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.NICKLAUSCHILDRENS.ORG | WebsiteAddressTxt |
| State License | 4067 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NICKLAUS Children's Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.NICKLAUSCHILDRENS.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.nicklauschildrens.org/news-and-events/publications/community-health-needs-assessment.asp | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 2.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 4.0 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - NICKLAUS Children's Hospital. Focus Groups: External and Internal To ensure unbiased feedback when conducting the assessment, NCH engaged the Health Council of South Florida (HCSF) to coordinate a series of focus groups and surveys with both internal and external stakeholders. These stakeholders were chosen by their ability to prioritize community health needs and provide invaluable feedback to the hospital about how NCH is viewed in terms of its current strengths, weaknesses, any perceived barriers to providing care, as well as any potential or emerging opportunities for NCH to improve health outcomes for Miami-Dade County children. Four focus groups were conducted and two online surveys implemented to gauge perceptions of the role of NICKLAUS Children's Hospital in the community and to collect qualitative data from diverse individuals representing internal and external NICKLAUS Children's Hospital stakeholders. During each focus group, the same set of questions was asked to allow participants to express their position regarding children's health issues. All of these elements were considered in the prioritization of local pediatric health need. The groups were presented with Pediatric Health Care Indicators and asked to rank them in order of importance. Focus group discussion topics included: * Health Promotion and Prevention * Disease Prevention * Healthcare and Disease management * Navigation of the Healthcare System * Children's Quality of Life Issues To identify focus group participants whose feedback and recommendations would be most relevant to NCH's CHNA, the group worked to identify key community stakeholders and partners. Internal Stakeholders Focus Group: Eight (8) individuals participated in NCH's Internal Stakeholders Focus Group. The group was comprised of hospital administrative leaders, department representatives and members of the NCH Board of Directors. External Stakeholders Focus Group: Thirteen (13) organizations participated in the External Stakeholders Focus Group. The stakeholders included representatives of public, private and nonprofit organizations that play critical roles in the health and human services arena in Miami-Dade County. Community Leaders In addition to focus groups, the organization consulted with the following community leaders: -American Cancer Society: Berta Rios, PhD (Attended May 10, 2012 Focus Group) -Director of Disparity Outreach with a focus on patient services, early detection and prevention activities -American Heart Association: Chad Buschell (via online survey) -Executive Director and Vice President focusing on improving cardiovascular health in Greater Miami C-atholic Health Services: J. Abilio Rodriguez, PhD (Attended May 10, 2012 Focus Group) -Program Administrator for Catholic Health Services Centro Mater West Child Care Services -The Children's Trust: Modesto Abety (via online survey) -President and CEO with extensive experience in advocacy on behalf of children and families in South Florida -Collins Center for Public Policy: Leda M. Perez, PhD (via online survey) -Vice President of Health Initiatives and Director of the Florida Transparency Project -Dade Association of School Administrators: Delio Diaz (Attended May 10, 2012 Focus Group) -Executive Director of DASA with 35 years of services to Miami-Dade County Public Schools -Dan Marino Foundation: Susan Morantes (Attended May 10, 2012 Focus Group) -Vice President of Disability Services with focus on enhancing services available to children with special needs -Epilepsy Foundation: Karen Basha Egozi (via online survey) -Chief Executive Officer and tireless advocate of increased epilepsy awareness and funding -Florida Heart Research Institute: Tori Gabriel (via online survey) -Education and Prevention Director with a passion for cardiovascular morbidity and mortality prevention -Health Foundation of South Florida: Peter Wood (Attended May 10, 2012 Focus Group) -Vice President of Programs and Community Investments focused on primary care, oral health and prevention -March of Dimes: Marla Wilson (Attended May 10, 2012 Focus Group) -Executive Director and leader for Miami-Dade and Monroe County district -Miami-Dade County Health Department: Karen Weller (Attended May 10, 2012 Focus Group) -Chronic Disease Prevention Director overseeing health, worksite wellness, tobacco prevention, Healthy Start -Miami-Dade County Public Schools: Wilma Steiner and Deborah Montilla (Attended May 10, 2012 Focus Group) District Director, Comprehensive Health Services and District Director, Student Services -Miami-Dade Fire Rescue: Tyler Garcia (Attended May 10, 2012 Focus Group) -Emergency Medical Technician and advocate for improved health, wellness and greater access for children -Our Kids: Rebecca Linda (Attended May 10, 2012 Focus Group and distributed online survey to foster parents) -Advocating safe and permanent families for at-risk children in Miami-Dade and Monroe Counties Parents The third and fourth external focus groups were made up of a broad cross-section of parents that participate in Parent Advisory Groups of community-based organizations throughout South Florida, including the World Literacy Crusade's Girl Power program of Liberty City, the United Way's Center for Excellence in Early Education and Our Kids, Inc. Group demographics included: * Parents of both middle class and low-income children * Parents of children who are uninsured * Minority groups |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - NICKLAUS Children's Hospital. Maternal and Infant Health - NCH will build a cutting-edge Advanced Pediatric Care Pavilion that will allow for more efficient and effective use of space on the NICKLAUS Children's Hospital campus, thereby enhancing the hospital's capability to serve the growing demands for pediatric subspecialty care in South Florida's only licensed specialty hospital setting and freestanding Level 1 Trauma Center for children. The Pavilion will include the Neonatal Intensive Care Unit (NICU) with 36 private rooms. The support will support parent rooming-in as well as full surgical support for pediatric specialties. The design is based on recognized practices for best outcomes in infants born with very low birth weights. Immunizations - NICKLAUS Children's Hospital provides influenza and other vaccines to twelve (12) Miami-Dade County Public Schools through the Health Connect in Our Schools (HCiOS) Program in collaboration with the Miami-Dade County Health Department. NCH provides vaccinations to special needs children referred by specialist health care providers. NCH has traditionally worked with impoverished communities to provide vaccination services to all children. NCH also provides vaccinations to children in order to comply with the Center for Disease Control's (CDC) Recommended Immunization Schedule for school entry. Hospital pediatricians participate in media programming via local television to promote the importance of getting vaccinated and the benefits of the Flu vaccine. NCH is collaborating with the Department of Health, Miami-Dade County Public Schools and the Children's Trust to find innovative ways to provide all children with necessary vaccinations and immunizations. Childhood Obesity Prevention and Nutrition Promotion - NCH believes in having a comprehensive plan to prevent chronic disease by focusing on nutrition and healthy lifestyles from birth through school age children. The EAT WELL TO STAY WELL program provides prevention and screening to teach children and parents the importance of good nutrition and health lifestyle. Entire families need to be involved in the raising of a child and this includes healthy nutrition for the whole family. Additionally, various hospital departments encourage healthy lifestyle initiatives. The Community Education Department offers community programming such as "Healthy Summer Snacks." This course provides instruction on how to create tasty summer snacks that are easy to prepare and healthy for the whole family. Samples of snacks as well as take-home materials with tips and recipes are available to participants. The Preventive Medicine Department through the Health Connect in Our Schools (HCiOS) Program provides obesity screenings for twelve (12) Miami-Dade County Public Schools. All children who are deemed to be overweight are invited to participate in an obesity and nutrition program. School nurses oversee the program, which encompasses physical activity, nutrition education and counseling. The NCH Health and Wellness Department promotes employee health and wellness by providing nutritional "lunch & learn" courses, a cardiovascular and strength training facility, personal training and massage therapy for stress relief. NCH has partnered with the YMCA to introduce an interactive gaming and sports program to enhance health and wellness through a multi-disciplinary methodology in a community base setting. The combined approach intervention includes a group of activities including interactive gaming, physical exercise, musculoskeletal assessment and psychological, behavioral and nutritional education. The program seeks to engage participants in learning and practicing behaviors that promote wellness and health. Pediatric Asthma - NCH is committed to improving discharge planning for asthma patients seen in the emergency room and urgent care centers to emphasize the importance of maintenance and follow-up, and also address potential household asthma triggers. The Urgent Care Centers within the Miami Children's Health-System are located in the communities to serve children with asthma. Evaluation of asthmatic episodes with associated treatment and plans of care are provided by Board Certified Pediatrics. Evaluation of continued need and effectiveness of rescue-reliever as well as controller medications is determined at time of visit. Anti-inflammatory medications are associated evaluated for benefit and relief of the acute strained respiratory air exchange during asthmatic exacerbations. Educational instructions to promote wellness including reduced exposure to environmental triggers such as pest control, chemical exposures and air quality emphasizing the elimination of second hand tobacco smoke exposure is provided. Additionally, the Health Connect in Our Schools (HCiOS) Program provides students with an interdisciplinary team of providers in Health-suites and classrooms to support and provide medical services to students with asthma. A Board Certified Pediatrician is on-staff who oversees the delivery of evaluation and care by Advanced Registered Nurse Practitioners for the formulation of individualized Asthma Care Plans and Asthma Action Plan tailored to meet the unique needs of the students. Upon identification of an asthmatic student, the nurse contacts the parent to determine if medications are prescribed, frequency of use and if medications will be administered during school hours. The nurses will review with the parents and students, known triggers and methods to eliminating or reducing exposure to asthma triggers; appropriate use of medications; access to medical care to ensure that the student is receiving appropriate and ongoing medical care; and referral to additional community resources as indicated. The Emergency Department at NCH is also committed to coordinated care for children affected by Asthma. The Emergency Department is trialing a new device for aerosolized nebulizers called the AeroEclipse II Breath Actuated Nebulizer (BAN). Current nebulizer devices administer a dosage of medication in approximately 15-20 minutes per 3 ml and the patient receives approximately 2% of the total dosage. The new system will approximately deliver 20% of the medication in about a 3 minute period. The use of this system will help with patient outcomes, decrease ambient loss of medication, decrease amount of time in the ED, and reduce admissions related to Asthma exacerbations. Insurance and Access to Care - NICKLAUS Children's Hospital is committed to ensuring that all children, regardless of their ability to pay, receive access to the best in pediatric care. The Eligibility Assistance Unit (EAU) is dedicated to coordinating services for uninsured and underserved children. The department has played a crucial role in helping children in the community obtain medical coverage. On a monthly basis the department helps 500+ children apply for an array of government funded programs; Medicaid, Medicaid SOC, Emergency Medicaid, Florida Healthy Kids. In partnership with the Centers for Medicare and Medicaid Services, (CMS) Connecting Kids to Coverage initiative, NCH actively works to ensure that families are given the opportunity to enroll children in government sponsored programs. NCH also provides school-based health and dental services to uninsured and underinsured children through the Health on Wheels program and Health Connect in Our Schools (HCiOS). The mobile dental and medical units visit Miami-Dade County Public Schools, Head Start Centers and various community sites. The goal of these programs is to reach the underserved children and establish a "medical home" for them, allowing for regular access to healthcare. NCH has invested $2.5 million dollars in a robust TeleHealth program. Over the next three years, we will be investing $6 million to the program that will integrate innovative TeleHealth technology, a global telemedicine command center with video-enabled mobile equipment, and mobile devices with an effective outreach strategy, in order to extend NCH's high-quality pediatric care beyond the hospital's walls. Focusing on promoting easier access and better care and with more effective management, NCH's TeleHealth project is expected to reduce the overall cost of care, ultimately resulting in healthier adults, lower long-term morbidity and mortality risks and a reduction in overall demand on the U.S. healthcare system. Project benefits are countless including: providing access to care in remote areas, improving access to specialists, keeping financial resources in local communities, improving home health care and remote monitoring, savings in time and travel related costs, improving collaboration among providers, improving accuracy of diagnoses/reduction of errors, and better access to medical education/training. |
| Schedule H, Part V, Section B, Line 22 Facility , 1 | Facility , 1 - Miami Children's Hospital. The PFS department will determine which patients are charity/uncompensated care patients by a verifiable process (as described briefly below). All insurance reimbursement is to be exhausted (i.e. apply for Medicaid) before charity care can be considered. No patient will be considered a charity/uncompensated care patient whose family income as applicable for the 12 months preceding the determination exceeds 200 percent of the current Federal Poverty Guidelines (published in the Federal Register) unless the amount of hospital charges due for the patient exceeds 25% of the annual family income. However, in no case shall the hospital charges for a patient whose family exceeds 4 (four) times the federal poverty level for a family of four to be considered charity. In order to determine if a patient qualifies under the above guidelines published by the Agency for Healthcare Administration (AHCA), an application for financial evaluation form must be completed and signed by the guarantor. For patients who qualify for financial assistance, amounts charged will not exceed the Amounts Generally Billed according to the organization's financial assistance policy. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Doral Outpatient Center | ||||
| 3601 NW 107th Avenue | Doral | FL | 33178 | Outpatient Center |
| Dan Marino Outpatient Center | ||||
| 2900 S Commerce Parkway | Weston | FL | 33331 | Outpatient Center |
| Palm Beach Gardens Outpatient Center | ||||
| 11310 Legacy Avenue | Palm Beach Gardens | FL | 33410 | Outpatient Center |
| Miramar Outpatient Center | ||||
| 12246 Miramar Parkway | Miramar | FL | 33025 | Outpatient Center |
| Miami Lakes Outpatient Center | ||||
| 15025 NW 77th Avenue3 | Miami Lakes | FL | 33014 | Outpatient Center |
| Midtown Outpatient Center | ||||
| 3915 Biscayne Boulevard | Miami | FL | 33137 | Outpatient Center |
| West Kendall Outpatient Center | ||||
| 13400 SW 120th Street | Miami | FL | 33186 | Outpatient Center |
| Palmetto Bay Outpatient Center | ||||
| 17615 SW 97th Avenue | Palmetto Bay | FL | 33157 | Outpatient Center |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | The organization uses the cost to charge ratio in IRS Worksheet 2 to determine the cost of community benefits and financial assistance. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | Bad debt expense is reported at cost using the cost to charge ratio. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | The organization's financial statements do not include a footnote on "bad debt expense" or "allowance for doubtful accounts". The following summarizes the activity in the Hospital's allowance for bad debts for the year ended December 31, 2014: Balance at beginning of the year 8,182,858 Provision during the year 18,536,841 Accounts written off, net of recoveries (12,596,283) Balance at end of year 14,123,416 The Hospital's estimation of the allowance for bad debts is based primarily upon the type and age of the patient accounts receivable and the effectiveness of the Hospital's collection efforts. In addition, the Hospital provided charity care in the amounts of $298,000 and $605,000 for the years ended December 21, 2014 and 2013, respectively. Refer to the Hospital's annual report for all community benefits provided in addition to the foregoing. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | VARIETY CHILDREN'S HOSPITAL ("VCH") ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. VCH BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES. VCH EXPERIENCED LOSSES ($373,991 FOR 2014) 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. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | The Hospital, in furtherance of its tax-exempt purpose, shall provide charity or discounted care to those patients ("Applicant") that are determined to be eligible through the Hospital's evaluation process. The evaluation process shall consider the Applicant's annual income, eligibility for insurance coverage through commercial or governmental sources and compare the expected healthcare expenditures at the Hospital to the Applicant's total annual income (This is commonly referred to as "medically indigent".). The Hospital shall use the current Department of Health and Human Services Poverty Guidelines, which are updated annually, to establish the eligibility criteria for charity or self-pay discounts. Eligibility will be determined through an evaluation process that will be completed without regard to the applicant's race, religion, ethnicity, national origin, citizenship, sex, pre-existing condition, physical and/or mental disabilities and will be accomplished in a HIPAA compliant manner. The applicant must have exhausted all efforts to obtain third party health insurance coverage from both commercial and governmental sources. |
| Schedule H, Part VI, Line 2 Needs assessment | Under direction of the Board of Directors, management strives to provide hope through advanced care for our children and families. The vision is to be where the children are. The hospital uses a quarterly operating calendar to develop programs and communicate goals, accomplishments and gaps in plans. NICKLAUS Children's Hospital participates in many community organizations that collectively strive to improve the health status of children. NCH has representation on The Children's Trust, the Miami Dade County Public Schools Wellness Committee, the Greater Miami Chamber of Commerce's Health and Bio-Science Committee and the Health Council of South Florida. Through our involvement with the Health Council, we consistently analyze data to identify unmet needs and serve in an advisory capacity assisting the Council to address health disparities. Additionally, our Preventive Medicine Program deploys a medical and dental van into underserved areas of the community. NCH has a robust mechanism to analyze health data. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | NICKLAUS Children's Hospital has a financial assistance program to assist patients that are uninsured or underinsured and to be given the opportunity to apply for various programs. With the patient/family general consent form, financial agreement for professional services form, and a coordination of benefits form, patients/families are provided referral to an eligibility assistance counselor who will explain various programs offered. Signage is posted at each location instructing patients/families to contact Patient Financial Services to facilitate their payment. Financial counselors from the Patient Financial Services Department are available to process billing to insurance carriers when applicable, and explain statements and charges to the financially responsible parties. |
| Schedule H, Part VI, Line 4 Community information | NICKLAUS Children's Hospital - the flagship of Miami Children's Health System - primarily serves the pediatric population of Miami-Dade County. Approximately 587,000 people under the age of 18 reside within the county. In 2014, 72 percent of the health system's patient population was funded by Medicaid. Miami-Dade is comprised of a diverse mixture of residents and visitors, making it one of the most international communities in the nation. According to the 2010 census, the county led the nation in foreign-born residents, at 52 percent, with 66 percent of the population comprised of individuals of Latin or Hispanic descent and 71 percent reporting a language other than English spoken in the home. Classifying the hospital's inpatient population using Experian's MOSAIC segmentation tool, 35 percent of the customer base fits into the Group I: Family Union profile: predominantly Hispanic families living in middle-class comfort within the tri-county area. The hospital also serves children from throughout Florida (patients from the 67 counties in the state have been served by the hospital) and the southeast who come seeking subspecialty expertise, as well as international patients from 75 countries. The health system, through its network of eight outpatient centers, also provides services within Broward and Palm Beach counties. The three Broward/Palm Beach centers offer subspecialty physician consultations, urgent care, imaging and outpatient rehabilitation services. According to the latest drive-time trade area analysis conducted in 2013, average drive time to the main hospital was 35 minutes, with a maximum drive-time of two hours for subspecialty care. |
| Schedule H, Part VI, Line 5 Promotion of community health | A majority of the Board of Directors is comprised of persons who live in Miami-Dade County , who are neither employees nor independent contractors of the Hospital, nor family members thereof. The organization extends medical staff privileges to all qualified physicians in the community and applies surplus funds to improvements in patient care, medical education and research. In addition, NICKLAUS Children's Hospital has an active community education program, various camp programs including asthma, diabetes, cancer center, psychiatric programs, early intervention program, preventative medicine program, dental mobile program, after hours program, healthy connections program, medical education residency program, pediatric post graduate program, fellowship programs, pediatric care call program, multiple ambulatory care centers all designed to promote health in the community. |
| Schedule H, Part VI, Line 6 Affiliated health care system | nicklaus Children's Hospital - the flagship of Miami Children's Health System - primarily serves the pediatric population of Miami-Dade County and is a leading provider of healthcare services for medically needy children. In addition, the hospital is proud to be the largest provider of pediatric medical education in the southeastern United States. NICKLAUS Children's Hospital provides primary care and a medical home to the Medicaid population through its Pediatric Care Center located on the hospital's main campus. The hospital also provides dental services through its Pediatric Dental Residency program. NICKLAUS Children's Hospital also houses Early Steps Southernmost Coast, an early intervention program for children at risk of developmental delays. The program evaluates over 2,000 children annually. NICKLAUS Children's offers primary care services to needy children through the Health Connect in Our Schools program. The hospital provides nursing staff for school-based clinics situated in high-risk communities to ensure that children have access to care. NICKLAUS Children's Hospital's Brain Institute is the first and largest pediatric neuroscience collaboration in the nation. The program is recognized for excellence in treatment of children with brain tumors, intractable epilepsy and other brain anomalies, and offers the latest minimally invasive methods, including Visualase, an image-guided laser technique for epilepsy surgery in children. The Heart Program at NICKLAUS Children's Hospital provides care for more children with congenital heart disorders than any other hospital in Florida. It is consistently ranked among the best programs in the nation for cardiology and heart surgery. NICKLAUS Children's Hospital's Cancer Center is the largest provider of pediatric cancer services in the region. The center participates in research protocols, offering the latest interventions for children receiving treatment for all forms of cancer and blood disorders. NICKLAUS Children's LifeFlight Critical Care Transport team provides transport of critically ill children from referring hospitals to NICKLAUS Children's Hospital critical care units. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Jefry Biehler MD | ||||||||||||||
| Secretary / Director | $317,987 | $0 | $14,981 | $0 | $2,292 | $0 | $7,491 | $0 | $27,145 | $0 | $369,896 | $0 | $0 | $0 |
| Narendra Kini MD | ||||||||||||||
| President and CEO | $728,809 | $0 | $469,952 | $0 | $128,264 | $0 | $158,537 | $0 | $31,498 | $0 | $1,517,060 | $0 | $0 | $0 |
| Deise Granado-Villar MD | ||||||||||||||
| Director and CMO | $322,265 | $0 | $113,640 | $0 | $7,420 | $0 | $56,863 | $0 | $13,815 | $0 | $514,003 | $0 | $0 | $0 |
| Marcos Mestre MD | ||||||||||||||
| Physician / Director | $200,566 | $0 | $64,442 | $0 | $16,225 | $0 | $6,199 | $0 | $25,729 | $0 | $313,161 | $0 | $0 | $0 |
| Lucy Morillo-Agnetti | ||||||||||||||
| Foundation President / Director | $0 | $261,878 | $0 | $19,250 | $0 | $17,575 | $0 | $7,800 | $0 | $19,337 | $0 | $325,840 | $0 | $0 |
| Timothy Birkenstock | ||||||||||||||
| Senior VP and CFO | $376,824 | $0 | $63,764 | $0 | $20,689 | $0 | $66,672 | $0 | $20,218 | $0 | $548,167 | $0 | $0 | $0 |
| Martha McGill | ||||||||||||||
| Executive VP and COO | $421,642 | $0 | $117,112 | $0 | $22,482 | $0 | $75,040 | $0 | $31,879 | $0 | $668,155 | $0 | $0 | $0 |
| Redmond P Burke MD | ||||||||||||||
| Cardiovascular Surgery Director | $1,485,247 | $0 | $186,398 | $0 | $2,215 | $0 | $7,800 | $0 | $32,460 | $0 | $1,714,120 | $0 | $0 | $0 |
| Sandeep P Dave MD | ||||||||||||||
| Attending Physician | $387,585 | $0 | $464,841 | $0 | $17,845 | $0 | $7,800 | $0 | $8,824 | $0 | $886,895 | $0 | $0 | $0 |
| Robert L Hannan MD | ||||||||||||||
| Cardiovascular Surgeon | $986,511 | $0 | $0 | $0 | $3,707 | $0 | $7,800 | $0 | $32,758 | $0 | $1,030,776 | $0 | $0 | $0 |
| John Ragheb MD | ||||||||||||||
| Attending Physician | $1,121,042 | $0 | $0 | $0 | $1,344 | $0 | $7,800 | $0 | $27,015 | $0 | $1,157,201 | $0 | $0 | $0 |
| Harry Shufflebarger MD | ||||||||||||||
| Orthopaedic Surgeon | $1,135,459 | $0 | $0 | $0 | $3,247 | $0 | $7,800 | $0 | $34,757 | $0 | $1,181,263 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a Housing allowance or residence for personal use | An allowance was provided to the President and CEO, Narendra Kini, for moving and housing expenses. The benefit was treated as taxable compensation to him. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | The following contributions were made to a Section 457(f) plan during the year - Narendra Kini - $150,737 Timothy Birkenstock - $58,872 Deise Granado-Villar - $49,063 Martha McGill - $67,240 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Miami-Dade County Health Facilities Authority | ||||||||
| A | 521293036 | 59334NCF7 | 2011-08-01 | $25,504,962 | Refund issue dated 4/17/2008 | false | false | false |
| Miami-Dade County Health Facitilites Authority | ||||||||
| B | 521293036 | 59334NCE0 | 2010-12-22 | $107,784,753 | Refund 2006 bond issue and new project | false | false | false |
| Miami-Dade County Health Facilities Authority | ||||||||
| C | 521293036 | 59334NDD1 | 2013-08-01 | $107,788,754 | Refund 2006 and 2008 bond issues | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $25,504,962 | $0 | $0 | $0 | $504,962 | $0 | $0 | $0 | $25,000,000 | $0 | 2011 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $5,090,000 | $108,381,821 | $1 | $0 | $0 | $2,155,695 | $0 | $0 | $17,397,265 | $41,925,000 | $46,903,861 | Yes (true) | false | false | Yes (true) | ||
| C | $1,000,000 | $0 | $107,788,754 | $0 | $0 | $0 | $1,488,754 | $0 | $0 | $0 | $106,300,000 | $0 | 2013 | Yes (true) | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropPct | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | Yes (true) | Yes (true) | false | 0.011 | 0.0 | 0.011 | false | false | 0.0 | Yes (true) |
| B | false | Yes (true) | Yes (true) | Yes (true) | false | 0.006 | 0.0 | 0.006 | false | false | 0.0 | Yes (true) |
| C | false | Yes (true) | Yes (true) | Yes (true) | false | 0.026 | 0.0 | 0.026 | false | false | 0.0 | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Term Of HedgeTermOfHedgePct | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Term Of GICTermOfGICPct | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | ||||||||||||
| A | false | Yes (true) | false | false | false | false | 0.0 | false | 0.0 | false | Yes (true) | |
| Bayerische Landesbank | ||||||||||||
| B | false | Yes (true) | false | false | Yes (true) | false | 0.0 | Yes (true) | 2.0 | false | Yes (true) | Yes (true) |
| (no name) | ||||||||||||
| C | false | Yes (true) | false | false | false | false | 0.0 | false | 0.0 | false | Yes (true) | |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part II, Line 3 Column B | The difference between the issue price (listed in Part I) and the total proceeds (Part II, Line 3) is due to the investment earnings. |
| Schedule K, Part IV, Line 6 Column B | Such amounts were appropriately yield restricted. |
| Schedule K, Part I, Column (f) Description Of Purpose | Issuer name: Miami-Dade County Health Facitilites Authority Refund 2006 bond issue and new project |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4a CONTINUED PROGRAM DESCRIPTION | (CONTINUED FROM PART III) IN 2014, 3,100 PATIENTS WERE TRANSFERRED FROM HOSPITALS THROUGHOUT FLORIDA, CENTRAL AND SOUTH AMERICA AND THE CARIBBEAN. WHEN CHILDREN NEED THE SERVICES OF A SPECIALIST, IT IS IMPORTANT THAT SUCH SERVICES BE PROVIDED BY A PRACTITIONER WITH SPECIFIC TRAINING AND EXPERTISE IN PEDIATRIC CARE. THE CARE OF CHILDREN WITH CERTAIN COMPLEX CHRONIC CONDITIONS, SUCH AS JUVENILE DIABETES, CANCER, OR CYSTIC FIBROSIS IS BEST MANAGED BY A PEDIATRIC SPECIALIST IN ORDER TO ELIMINATE REFERRAL DELAYS AND EXPEDITE POSITIVE TREATMENT. CHILDREN ARE MORE VULNERABLE TO COMPLICATIONS DUE TO DELAYS THAN ADULTS. THEY DEVELOP SERIOUS COMPLICATIONS MORE RAPIDLY THAN ADULTS BECAUSE THEY HAVE LESS PHYSIOLOGICAL RESERVES AND LESS DEVELOPED ORGAN SYSTEMS. THERE ARE PRESENTLY MORE THAN 200 PEDIATRIC SUBSPECIALTY PHYSICIANS GEOGRAPHICALLY LOCATED AT NICKLAUS CHILDREN'S HOSPITAL. PEDIATRIC SUBSPECIALTY AREAS INCLUDE: ADOLESCENT MEDICINE, ALLERGY/IMMUNOLOGY, CARDIOLOGY, CARDIOVASCULAR SURGERY, CLINICAL GENETICS AND METABOLISM, CRITICAL CARE MEDICINE, DENTISTRY, DERMATOLOGY, EMERGENCY MEDICINE, ENDOCRINOLOGY, GASTROENTEROLOGY, GENERAL PEDIATRICS, HEMATOLOGY/ONCOLOGY, INFECTIOUS DISEASES, NEONATOLOGY, NEPHROLOGY, NEUROLOGY, PREVENTIVE MEDICINE, PSYCHIATRY, PULMONOLOGY, RHEUMATOLOGY, CARDIOVASCULAR SURGERY, NEUROLOGY, NEUROSURGERY, OPHTHALMOLOGY, ORTHOPEDIC SURGERY, OTOLARYNGOLOGY, PEDIATRIC SURGERY, PLASTIC AND RECONSTRUCTIVE SURGERY, PATHOLOGY, RADIOLOGY, UROLOGY AND ANESTHESIOLOGY. THIS CRITICAL MASS OF PHYSICIANS SIGNIFICANTLY CONTRIBUTES TO THE QUALITY AND RANGE OF PEDIATRIC SERVICES AVAILABLE AT THE HOSPITAL. 2014 STATISTICAL DATA INCLUDES TOTAL INPATIENT DAYS: 60,359 TOTAL INPATIENT ADMISSIONS: 10,899 INPATIENT AVERAGE DAILY CENSUS: 165.4 TOTAL ED VISITS (MAIN CAMPUS): 91,465 NCH GENERAL CLINIC VISITS: 11,471 AMBULATORY VISITS: 85,526 PRIVATE OUTPATIENT VISITS (MAIN CAMPUS): 107,320 PRIVATE OUTPATIENT VISITS (AMBULATORY CENTERS): 150,951 TOTAL SURGICAL CASES: 14,817 AVERAGE LENGTH OF STAY: 5.5 DAYS THE HOSPITAL IS INTERNATIONALLY RECOGNIZED FOR CARE EXCELLENCE. NICKLAUS CHILDREN'S HOSPITAL PROGRAMS WERE RANKED AMONG THE NATION'S BEST IN NINE PEDIATRIC SUBSPECIALTY PROGRAMS SURVEYED BY U.S. NEWS AND WORLD REPORT IN ITS 2014-2015 LISTING OF "AMERICA'S BEST CHILDREN'S HOSPITALS." (RESULTS WERE RELEASED IN 2014.) THE HOSPITAL HAD MORE RANKED PEDIATRIC PROGRAMS THAN ANY OTHER HOSPITAL IN FLORIDA. CATEGORIES IN WHICH THE HOSPITAL WAS RANKED IN 2014 INCLUDE CARDIOLOGY AND HEART SURGERY; DIABETES AND ENDOCRINOLOGY; GASTROENTEROLOGY, NEONATOLOGY, NEPHROLOGY, NEUROLOGY/NEUROSURGERY, PULMONOLOGY, ORTHOPEDICS, UROLOGY. IN ADDITION, THE HOSPITAL SYSTEM INCLUDES A NETWORK OF AMBULATORY CENTERS THAT EXTEND CARE THROUGHOUT THE SOUTH FLORIDA REGION. DURING 2014, THESE CENTERS OFFERED OUTPATIENT SERVICES AS FOLLOWS: NCH DAN MARINO OUTPATIENT CENTER: OFFERS COMPREHENSIVE SERVICES FOR CHILDREN WITH NEURODEVELOPMENTAL DISORDERS. SERVICES INCLUDE IMAGING AND REHABILITATION. ALSO ON SITE IS A SWIMMING POOL FOR AQUATIC THERAPY. NCH DORAL OUTPATIENT CENTER: OFFERS REHABILITATION SERVICES, IMAGING SERVICES, AN AFTER-HOURS URGENT CARE CENTER AND OUTPATIENT SUBSPECIALTY OFFICE VISITS. NCH MIDTOWN OUTPATIENT CENTER: OFFERS REHABILITATION SERVICES, IMAGING SERVICES, AN AFTER-HOURS URGENT CARE CENTER AND OUTPATIENT SUBSPECIALTY OFFICE VISITS. NCH MIRAMAR OUTPATIENT CENTER: OFFERS REHABILITATION SERVICES, IMAGING SERVICES, AN AFTER-HOURS URGENT CARE CENTER AND OUTPATIENT SUBSPECIALTY OFFICE VISITS. NCH PALMETTO BAY OUTPATIENT CENTER: OFFERS REHABILITATION SERVICES, IMAGING SERVICES, AN AFTER-HOURS URGENT CARE CENTER AND OUTPATIENT SUBSPECIALTY OFFICE VISITS. ALSO ON-SITE IS EARLY STEPS SOUTHERNMOST COAST, A RESOURCE FOR CHILDREN UNDER THE AGE OF 3 WHO ARE AT RISK OF DEVELOPMENTAL DELAYS. NCH WEST KENDALL OUTPATIENT CENTER: OFFERS REHABILITATION SERVICES, IMAGING SERVICES, AN AFTER-HOURS URGENT CARE CENTER AND OUTPATIENT SUBSPECIALTY OFFICE VISITS. NCH NICKLAUS OUTPATIENT CENTER (PALM BEACH GARDENS): OFFERS REHABILITATION SERVICES, IMAGING SERVICES, AN AFTER-HOURS URGENT CARE CENTER AND OUTPATIENT SUBSPECIALTY OFFICE VISITS. NCH MIAMI LAKES OUTPATIENT CENTER: OFFERS REHABILITATION SERVICES, IMAGING SERVICES, AN AFTER-HOURS URGENT CARE AND OUTPATIENT SUBSPECIALTY OFFICE VISITS. |
| Form 990, Part III, Line 4a CONTINUED PROGRAM DESCRIPTION | QUALITY/SAFETY AND ERROR PREVENTION INITIATIVES FROM 2014 - THE HOSPITAL IS COMMITTED TO ADVANCING QUALITY AND SAFETY. INITIATIVES FOR 2014 ARE DETAILED BELOW: LEAN INITIATIVES: LEAN IS AN INTERNATIONALLY RECOGNIZED BUSINESS IMPROVEMENT MODEL. IN 2014, THE HOSPITAL CONTINUED TO UTILIZE LEAN METHODS TO IMPROVE PROCESSES THAT ENHANCE SAFETY, EFFICIENCY AND PREVENT ERRORS AT THE HOSPITAL. FROM 2008 TO 2014, THE HOSPITAL HAS SAVED $ 8.9 MILLION THROUGH LEAN-BASED EFFICIENCIES. FASTPASS SYSTEM: NICKLAUS CHILDREN'S HOSPITAL WAS ALSO AN EARLY ADOPTER OF FASTPASS VISITOR BADGE IDENTIFICATION TECHNOLOGY. ALL VISITORS MUST PRESENT PHOTO IDENTIFICATION UPON ARRIVAL AND A RECORD IS KEPT OF ALL THOSE ENTERING THE HOSPITAL. THIS SYSTEM CAN IDENTIFY INDIVIDUALS WITH RECORDS OF CHILD ABUSE AND MOLESTATION, HELPING ENHANCE THE SAFETY OF CHILDREN AT THE HOSPITAL. GETWELL NETWORK: SINCE 2009, THE HOSPITAL HAS OFFERED THE GETWELL NETWORK IN ALL MEDICAL SURGICAL ROOMS. THE SYSTEM, ACCESSIBLE THROUGH THE IN-ROOM TELEVISION SCREEN, OFFERS PATIENT EDUCATION INFORMATION THAT CAN SUPPORT ENHANCED PATIENT CARE AS WELL AS A PATIENT FEEDBACK SYSTEM, THROUGH WHICH FAMILIES CAN ADDRESS SAFETY CONCERNS. S.O.A.R. (FORMERLY LIFEWINGS): IN 2010, THE HOSPITAL BEGAN COLLABORATING WITH LIFEWINGS PARTNERS LLC TO TRAIN EMERGENCY DEPARTMENT STAFF, SURGEONS, ANESTHESIOLOGISTS, OR NURSES AND SUPPORT STAFF TO IMPLEMENT AVIATION-BASED SAFETY AND EFFICIENCY MEASURES AND CONTINUES TO DO SO. THE HOSPITAL WON AN OUTSTANDING INITIATIVE AWARD FROM TRAINING MAGAZINE FOR THIS SAFETY COLLABORATION AND CONTINUES TO USE THIS PROGRAM TO ENHANCE SAFETY AND QUALITY. CRITICAL CARE EXCELLENCE RECOGNITION: THE NICKLAUS CHILDREN'S HOSPITAL NEONATAL INTENSIVE CARE UNIT (NICU) AND PEDIATRIC INTENSIVE CARE UNIT (PICU) IN 2012 EACH RECEIVED A GOLD BEACON AWARD FOR EXCELLENCE FROM THE AMERICAN ASSOCIATION OF CRITICAL-CARE NURSES (AACN). IN ADDITION, THE HOSPITAL'S CARDIAC INTENSIVE CARE UNIT (CICU) RECEIVED AACN'S SILVER BEACON AWARD FOR EXCELLENCE. NCH IS ONE OF ONLY THREE CHILDREN'S HOSPITALS IN THE NATION TO BE AWARDED GOLD- AND SILVER-LEVEL BEACON AWARDS FOR ALL OF ITS ICUS AND THE ONLY CHILDREN'S HOSPITAL IN FLORIDA TO RECEIVE THIS DISTINCTION. THIS RECOGNITION PUTS NCH AMONG THE TOP CHILDREN'S HOSPITALS IN THE COUNTRY AND DEMONSTRATES ORGANIZATIONAL COMMITMENT TO CRITICAL CARE EXCELLENCE. EMR: THE HOSPITAL HAS ACQUIRED A STATE-OF-THE-ART SYSTEM THAT WILL CAPTURE ALL PATIENT DATA, INCLUDING COMPREHENSIVE CARE RECORDS (RADIOLOGY, PHARMACY, REHABILITATION, OUTPATIENT AND INPATIENT) AS WELL AS REGISTRATION AND BILLING INFORMATION, ALL IN A COMPREHENSIVE SYSTEM. IN 2012, THE HOSPITAL WENT LIVE WITH THE NEW SYSTEM WHICH PROVIDES PHYSICIANS AND CAREGIVERS WITH ACCESS TO ALL MEDICAL DATA THROUGH A SECURE LOGIN SYSTEM FROM ANY PLACE AT ANY TIME, ENABLING THEM TO MAKE INFORMED DECISIONS WITH MAXIMUM EFFICIENCY. HUMPTY DUMPTY: NICKLAUS CHILDREN'S HOSPITAL HAS TAKEN THE LEAD IN DEVELOPING A TOOL TO PREVENT PEDIATRIC FALLS AND THEREBY ENHANCE SAFETY. AS OF 2014, THE TOOL WAS IN USE IN 1,130 HOSPITALS, INCLUDING FACILITIES IN EVERY U.S. STATE AS WELL AS IN EUROPE, THE MIDDLE EAST, HONG KONG, INDONESIA, JAPAN, THE PHILIPPINES, BERMUDA, CANADA, CARIBBEAN, US VIRGIN ISLANDS, CAYMAN ISLANDS, BRAZIL, AUSTRALIA AND NEW ZEALAND. THE PROGRAM IS ALSO IN USE BY EVERY BRANCH OF OUR U.S. MILITARY HOSPITALS THROUGHOUT THE WORLD. THIS FALL PREVENTION PROGRAM HAS BEEN IMPLEMENTED, TESTED AND PROVEN TO BE AN EFFECTIVE TOOL IN THE PREVENTION OF UNINTENTIONAL INJURY DUE TO FALLS. THE HUMPTY DUMPTY FALLS PREVENTION PROGRAM(TM) IS A COMPREHENSIVE PROGRAM AIMED AT IDENTIFYING PATIENTS WHO ARE AT RISK FOR FALLS AS WELL AS PREVENTING FALL EVENTS AND INJURIES. THIS PROGRAM WAS DEVELOPED BY AN INTERDISCIPLINARY GROUP OF FALLS EXPERTS DERIVED FROM NURSING, RESEARCH, REHABILITATION, QUALITY IMPROVEMENT, AND RISK MANAGEMENT. PROGRAM MATERIALS INCLUDE A VALIDATED FALLS RISK SCALE, AN INTERVENTION PROTOCOL, AND PATIENT EDUCATION INFORMATION. HYGREEN: IMPLEMENTATION OF XHALE INNOVATIONS' HYGREEN HAND HYGIENE SYSTEM IS ANOTHER WAY NICKLAUS CHILDREN'S HOSPITAL LEADS THE WAY IN PATIENT SAFETY. HYGREEN HELPS PREVENT INFECTIONS BY MONITORING AND REMINDING HEALTHCARE WORKERS TO WASH THEIR HANDS. A SENSOR SCANS NEWLY CLEANED HANDS AND SENDS A WIRELESS "ALL CLEAN" MESSAGE TO A BADGE WORN BY THE CAREGIVER. IN 2013, HYGREEN CONTINUED TO BE INTEGRATED INTO THE INFECTION CONTROL PROGRAM AND WAS IN USE IN MOST HOSPITAL UNITS. COMMUNITY TRAINING OUTREACH PROGRAMS. IN ADDITION, THE HOSPITAL SUPPORTS A NUMBER OF PROGRAMS THAT ENHANCE THE SKILLS AND WORK READINESS OF YOUNG PEOPLE AS WELL AS PROMOTE HEALTH AWARENESS. PROJECT VICTORY: THIS PROJECT IS A COOPERATIVE EFFORT BETWEEN NICKLAUS CHILDREN'S COMMUNITY AND VOLUNTEER RESOURCE PROGRAM AND THE COMMUNITY. TEENS WITH DISABILITIES ARE GIVEN THE OPPORTUNITY TO GAIN LIFE SKILLS THROUGH THE WORLD OF WORK. TWENTY STUDENTS ARE PROVIDED THREE HOURS OF WORK SERVICE PER DAY AT THE HOSPITAL DURING THE COURSE OF THE SCHOOL YEAR. THE STUDENTS GAIN VOCATIONAL EXPERIENCE WORKING IN THE HOSPITAL'S DIETARY DEPARTMENT, MAIL ROOM, VISITOR INFORMATION SERVICE AND OTHER DEPARTMENTS. HONORS AND EXECUTIVE INTERNSHIP PROGRAM, MIAMI DADE COUNTY PUBLIC SCHOOLS: HONORS AND EXECUTIVE INTERNSHIP PROGRAM, MIAMI DADE COUNTY PUBLIC SCHOOLS: EACH YEAR THE HOSPITAL ACCEPTS SEVEN STUDENTS WHO ARE SELECTED BY MIAMI-DADE COUNTY PUBLIC SCHOOLS TO PARTICIPATE IN HEALTHCARE INTERNSHIPS FOR ADVANCED STUDENTS. STUDENTS ARE PAIRED WITH A STAFF MEMBER AT THE HOSPITAL WHO MENTORS AND PROVIDES OVERSIGHT TO THE STUDENT. EACH STUDENT IS ASSIGNED A PROJECT TO BENEFIT A HOSPITAL DEPARTMENT AND RECEIVES A GRADE FROM THE SCHOOL SYSTEM FOR HIS OR HER WORK. KIDS AND THE POWER OF WORK (KAPOW): THIS PROGRAM IS A NATIONAL VOLUNTEER PROGRAM. THE HOSPITAL PARTICIPATES WITH MIAMI-DADE COUNTY PUBLIC SCHOOLS. HOSPITAL STAFF MEMBERS VOLUNTEER TO VISIT STUDENTS AT ONE OF TWO AREA PUBLIC ELEMENTARY SCHOOLS. THEY PRESENT AND PREPARE LESSONS FOR SECOND GRADE STUDENTS TO HELP CREATE A FOUNDATION FOR YOUNG STUDENTS, INTRODUCING THEM TO WORK AND RELATED CONCEPTS. EMPLOYEES DONATE ABOUT 200 HOURS OF TIME TO THE PROGRAM. IN 2011, THE HOSPITAL LAUNCHED A FREE EKG SCREENING PROGRAM AIMED AT PREVENTING SUDDEN CARDIAC DEATH AMONG STUDENT ATHLETES. SINCE THE PROGRAM'S INCEPTION, THE CARDIAC TEAM HAS PROVIDED MORE THAN 3,750 SCREENINGS AND IDENTIFIED SEVERAL CHILDREN WHO WERE AT RISK OF DEATH DURING SPORTS ACTIVITY DUE TO HIDDEN HEART DEFECTS. THE HOSPITAL ALSO MAKES AVAILABLE TO THE COMMUNITY FREE HEALTH INFORMATION THROUGH CONTRACTS WITH KIDSHEALTH AND ADAM, WHICH SUPPLY HEALTH CONTENT ON THE HOSPITAL'S WEBSITE. |
| Form 990, Part VI, Line 1a Delegate broad authority to a committee | The Executive Committee of the Board of Directors is composed of three (3) Directors elected by the Board of Directors, one of whom must be the Chair of the Board. No non-Director members shall serve on the Executive Committee. A majority of the members of the Executive Committee present and voting shall constitute a quorum for the transaction of business. The Executive Committee shall have and exercise the authority of the Board of Directors in the management of the Corporation. The Executive Committee shall report to the Board of Directors any action taken by the Executive Committee at the next meeting of the Board of Directors. Members of the Executive Committee may be removed at any regular or special meeting of the Board of Directors. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | The organization's sole member is Miami Children's Health System, Inc. The sole member has the authority to elect members to the board of directors and approve decisions of the board. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | The elected members of the Board shall be elected by Miami Children's Health System (the sole member), after taking into consideration any recommendations of the Board. The number of Directors of the Hospital shall be established by resolution of the Board of Directors of the sole member; provided that there shall be no fewer than 7 and no more than 20 Directors. Any Director may be removed from office by action of the sole Member or the elected members of the Board so permitted to vote, for any cause or reason deemed sufficient by the Member or the elected members of the Board so permitted to vote. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | The Board shall not take any action with respect to the following without the approval of Miami Children's Health System (the sole Member): a) Modify the mission, purpose or scope of the hospital, or materially change the location, size or scope of services, programs, operations or educational or medical school affiliations of the hospital or related agreements; b) Create any entity in which the hospital is the sole member or sole shareholder, or any entity in which the hospital has a direct or indirect oversight role, which may include not-for-profit, for profit, limited liability companies, or any other legal entity; c) Sell, lease, purchase, create, dissolve, convey, mortgage, grant a security interest or otherwise dispose of any affiliated, controlled, or joint venture entity, any real or personal property or other assets (or any interest in any of the foregoing), or incur debt for money borrowed or guarantee the debt of another, not in the ordinary course of business; d) Approve annual operating or capital budgets, strategic and long-range plans, major fund-raising programs, physician compensation or other agreements, managed care contracts or other financial commitments or material deviations from such budgets, plans, agreements or commitments; and e) Approve financial, accounting, human resource, employee benefit, compliance policies or procedures, medical staff bylaws (including amendments) or other policies and procedures, or the appointment or engagement of auditors, legal counsel and consultants, which are in any way contrary to the policies and procedures adopted from time to time by the Member. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FOLLOWING DESCRIBES NICKLAUS CHILDREN'S HOSPITAL'S PROCESS FOR PROVIDING IT'S BOARD OF DIRECTORS WITH A COPY OF THE FORM 990 AND REVIEWING IT: 1. THE DRAFT TAX FORM 990 WILL BE MAILED TO FINANCE COMMITTEE OF NCH BOARD OF DIRECTORS FOR REVIEW AND COMMENT PRIOR TO REGULARLY SCHEDULED MEETING. 2. THE DRAFT TAX FORM 990 WILL BE REVIEWED WITH THE FINANCE COMMITTEE. 3. QUESTIONS WILL BE ANSWERED AND IF NECESSARY, TAX FORMS WILL BE ADJUSTED. 4. THE FINAL FORM 990 WILL BE POSTED ON THE NCH BOARD OF DIRECTOR'S WEB PORTAL. |
| Form 990, Part VI, Line 12c Conflict of interest policy | ALL NICKLAUS CHILDREN'S HOSPITAL EMPLOYEES ARE INFORMED UPON HIRE, AND ON AN ANNUAL BASIS THEREAFTER, THAT THEY HAVE AN AFFIRMATIVE DUTY TO DISCLOSE ANY ACTUAL, POTENTIAL OR PERCEIVED CONFLICT OF INTEREST. THEY ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM UPON HIRE, ANNUALLY AND WHENEVER A CHANGE IN CIRCUMSTANCES WARRANTS. CONFLICT OF INTEREST DISCLOSURE FORMS ARE FORWARDED TO THE COMPLIANCE DEPARTMENT BY THE TALENT MANAGEMENT AND EFFECTIVENESS DEPARTMENT. THESE FORMS ARE INITIALLY REVIEWED BY COMPLIANCE DEPARTMENT STAFF. WHEN DEEMED NECESSARY, THE COMPLIANCE DEPARTMENT COLLABORATES WITH THE LEGAL DEPARTMENT. CONFLICTS OF INTEREST THAT NECESSITATE BOARD AWARENESS AND ACTION ARE PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD FOR RESOLUTION AND IMPOSITION OF SANCTIONS, IF WARRANTED. IN ADDITION, ON AN ANNUAL BASIS, BOARD MEMBERS, PRINCIPAL OFFICERS AND BOARD-DELEGATED COMMITTEE MEMBERS SIGN A STATEMENT WHICH AFFIRMS THAT EACH INDIVIDUAL: (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY (C) HAS AGREED TO COMPLY WITH THE POLICY, AND (D) UNDERSTANDS THAT THE HOSPITAL IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF IT'S TAX-EXEMPT PURPOSES. A PROCESS IS IN PLACE FOR MANAGING SITUATIONS IN WHICH IT IS DISCOVERED THAT AN INDIVIDUAL WHO IS COVERED BY THE HOSPITAL'S CONFLICT OF INTEREST POLICY FAILED TO PROPERLY DISCLOSE A POTENTIAL CONFLICT OF INTEREST. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | THE ORGANIZATION AND COMPENSATION COMMITTEE OF NCH BOARD OF DIRECTORS CONTRACTS WITH AN EXTERNAL CONSULTANT TO OBTAIN MARKET SURVEYS FOR THE CEO AND OTHER EXECUTIVES. THE CONSULTANT ASSISTS THE ORGANIZATION AND COMPENSATION COMMITTEE IN ESTABLISHING A COMPENSATION PROGRAM FOR THE CEO AND OTHER EXECUTIVES. SURVEY RESULTS AND COMPENSATION BEST PRACTICES ARE SHARED WITH THE ORGANIZATION AND COMPENSATION COMMITTEE OF THE BOARD AND USED IN ESTABLISHING EXECUTIVE SALARY AND BENEFITS PROGRAMS. THIS PROCESS IS COMPLETED IN THE FIRST QUARTER EACH YEAR. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | THE ORGANIZATION AND COMPENSATION COMMITTEE OF NCH BOARD OF DIRECTORS CONTRACTS WITH AN EXTERNAL CONSULTANT TO OBTAIN MARKET SURVEYS FOR THE CEO AND OTHER EXECUTIVES. THE CONSULTANT ASSISTS THE ORGANIZATION AND COMPENSATION COMMITTEE IN ESTABLISHING A COMPENSATION PROGRAM FOR THE CEO AND OTHER EXECUTIVES. SURVEY RESULTS AND COMPENSATION BEST PRACTICES ARE SHARED WITH THE ORGANIZATION AND COMPENSATION COMMITTEE OF THE BOARD AND USED IN ESTABLISHING EXECUTIVE SALARY AND BENEFITS PROGRAMS. THIS PROCESS IS COMPLETED IN THE FIRST QUARTER EACH YEAR. |
| Form 990, Part VI, Line 19 Required documents available to the public | Financial statements, governing documents, and conflict of interest policies are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104. These documents are not available to the public at this time. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Miscellaneous - Total Revenue: 5666952, Related or Exempt Function Revenue: 3771952, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1895000; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | LOSS ON CHANGE IN FMV OF SWAP AGREEMENTS - -12352160; CHANGE IN CHARITABLE REMAINDER TRUSTS - 1677289; CHANGE IN BENEFICIAL INTEREST IN HOSPITAL FOUNDATION - 6858616; CHANGE IN BENEFICIAL INTEREST IN HEALTH SYSTEM FOUNDATION - -8753244; TRANSFER TO AFFILIATES - -4741091; |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| MCH PEDIATRIC CARDIOLOGY LLC | |||||||||
| 3100 SW 62ND AVENUE | MIAMI | FL | 33155 | 651023909 | CADIAC SVC'S | FL | $3,593,571 | -$26,005,392 | VCH |
| MIAMI CHILDREN'S HOSPITAL PRPG LLC | |||||||||
| 3100 SW 62ND AVENUE | MIAMI | FL | 33155 | 760724684 | INSURANCE | FL | $0 | $0 | VCH |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MIAMI CHILDREN'S HEALTH SYSTEM INC | |||||||||||
| 3100 SW 62ND AVENUE | MIAMI | FL | 33155 | 453481327 | HEALTHCARE | FL | 501(c)(3 | Type II | N/A | false | |
| MIAMI CHILDREN'S HOSPITAL FOUNDATION INC | |||||||||||
| 3100 SW 62ND AVENUE | MIAMI | FL | 33155 | 591720704 | FUNDRAISING | FL | 501(c)(3 | 7 | false | VCH | |
| MCH RESEARCH INSTITUTE INC | |||||||||||
| 3100 SW 62ND AVENUE | MIAMI | FL | 33155 | 592602318 | RESEARCH | FL | 501(c)(3 | 3 | Yes (true) | VCH | |
| MCH WORKER'S COMPENSATION TRUST | |||||||||||
| 3100 SW 62ND AVENUE | MIAMI | FL | 33155 | 597021572 | WC CLAIMS | FL | 4947 (a)(1 | Yes (true) | VCH | ||
| VARIETY CHILDREN'S HOSPITAL PROFESSIONAL LIABILITY TRUST | |||||||||||
| 3100 SW 62ND AVENUE | MIAMI | FL | 33155 | 592551434 | LIAB. CLAIMS | FL | 4947 (a)(1 | Yes (true) | VCH | ||
| PEDIATRIC SPECIALTY GROUP INC | |||||||||||
| 3100 SW 62ND AVENUE | MIAMI | FL | 33155 | 453756071 | EMPLOYED PHYSICIANS | FL | 501(c)(3 | 3 | false | MCHS | |
| MIAMI CHILDREN'S HEALTH SYSTEM FOUNDATION INC | |||||||||||
| 3100 SW 62ND AVENUE | MIAMI | FL | 33155 | 461784918 | FOUNDATION | FL | 501(c)(3 | 7 | false | MCHS | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | UBI Code VUBICodeVAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CANAVAN PARTNERS | ||||||||||||||
| PO BOX 812170 | BOCA RATON | FL | 334812170 | 650974245 | MED. INTEL. PRO | FL | VCH | Related | $104,000 | $0 | false | Yes (true) | 0.625 | |
| MIAMI CHILDREN'S HOSPITAL AMBULATORY SURGERY CENTER LLC | ||||||||||||||
| 3100 SW 62ND AVENUE | MIAMI | FL | 33155 | 463406805 | SURGERY CENTER | FL | VCH | Related | $0 | $2,671,341 | false | Yes (true) | 0.5435 | $0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1ForeignAddress/AddressLine1Txt | Address Line2ForeignAddress/AddressLine2Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MIAMI CHILDREN''S INSURANCE CO SPC LTD | ||||||||||||||||||
| 720 WEST BAY ROAD | PO BOX 69GT BUCKINGHAM SQUARE | GEORGETOWN | GRAND CAYMAN | CJ | 980442086 | INSURANCE | CJ | VCH | C Corporation | $4,700,847 | $55,041,702 | 1 | Yes (true) | |||||
| CHILDREN''S HEALTH VENTURES INC & SUBS | ||||||||||||||||||
| 454541147 | MERCHANT WHOLESALE | MCHS | C Corporation | false | 3100 SW 62ND AVENUE | MIAMI | FL | 331553009 | FL | |||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |