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VARIETY CHILDRENS HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
VARIETY CHILDRENS HOSPITAL (EIN 59-0638499)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-10
IRS object ID
201123149349303957
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-10T18:04:10-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1201 E KENNEDY BLVD STE 1200AddressLine1
CityTAMPACity
StateFLState
ZIP Code33602ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN590638499EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1VARIETY CHILDREN'S HOSPITAL DBABusinessNameLine1
Business Name Line2MIAMI CHILDREN'S HOSPITALBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlVARINameControl
Phone3056666511Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13100 SW 62ND AVENUEAddressLine1
CityMIAMICity
StateFLState
ZIP Code331553009ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePEDRO ALFAROName
TitleSENIOR VP AND CEOTitle
Phone3056666511Phone
Date Signed2011-11-10DateSigned
Authorize Third Party0AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone8132738355Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPEDRO ALFARONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13100 SW 62ND AVENUEAddressLine1
CityMIAMICity
StateFLState
ZIP Code331553009ZIPCode
FieldValueIRS element (for citing)
Gross Receipts445453965GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MCH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1950YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTHE HOSPITAL PROVIDES SPECIALIZED PEDIATRIC HEALTH CARE TO CHILDREN REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, AGE, OR ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees3354TotalNbrEmployees
Total Nbr Volunteers2316TotalNbrVolunteers
Total Gross UBI-624514TotalGrossUBI
Net Unrelated Business Txbl Income-624514NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3400385ContributionsGrantsPriorYear
Contributions Grants Current Year2396956ContributionsGrantsCurrentYear
Program Service Revenue Prior Year398282673ProgramServiceRevenuePriorYear
Program Service Revenue CY417422557ProgramServiceRevenueCY
Investment Income Prior Year4270134InvestmentIncomePriorYear
Investment Income Current Year10066481InvestmentIncomeCurrentYear
Other Revenue Prior Year14389328OtherRevenuePriorYear
Other Revenue Current Year15055580OtherRevenueCurrentYear
Total Revenue Prior Year420342520TotalRevenuePriorYear
Total Revenue Current Year444941574TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year214425530SalariesEtcPriorYear
Salaries Etc Current Year234314266SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year176773064OtherExpensePriorYear
Other Expenses Current Year174189789OtherExpensesCurrentYear
Total Expenses Prior Year391198594TotalExpensesPriorYear
Total Expenses Current Year408504055TotalExpensesCurrentYear
Revenues Less Expenses Prior Year29143926RevenuesLessExpensesPriorYear
Revenues Less Expenses CY36437519RevenuesLessExpensesCY
Total Assets BOY615519508TotalAssetsBOY
Total Assets EOY728858751TotalAssetsEOY
Total Liabilities BOY282411377TotalLiabilitiesBOY
Total Liabilities EOY358328167TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY333108131NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY370530584NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE HOSPITAL PROVIDES SPECIALIZED PEDIATRIC HEALTH CARE TO CHILDREN REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, AGE, OR ABILITY TO PAY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense326803244Expense
Revenue417422557Revenue
DescriptionSEE SCHEDULE O: PROGRAM SERVICE ACCOMPLISHMENTS.Description
Total Program Service Expense326803244TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached0FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096676NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees3354NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MIAMI CHILDREN'S HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3056666511TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13100 SW 62ND AVENUEAddressLine1
CityMIAMICity
StateFLState
ZIP Code331553009ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
PETER BERMONT
DIRECTOR1.30X000
THOMAS M CORNISH
DIRECTOR1.30X000
JARET DAVIS ESQUIRE
DIRECTOR1.30X000
MARIA FRANCO MD
DIRECTOR1.30X000
LUIS GONZALEZ-MENDOZA MD
DIRECTOR39.30X12208303883
DEISE GRANADO-VILLAR MD
DIRECTOR39.30X308015093238
GARY GREGORY
CHAIRMAN1.30X000
ROBERT K JORDAN
DIRECTOR1.30X000
ANDREW LABBIE MD
DIRECTOR1.30X000
JUAN C MAS
DIRECTOR1.30X000
JAY MASSIRMAN
DIRECTOR1.30X000
STEVEN MCKEAN
DIRECTOR1.30X000
MARIO MURGADO
VICE CHAIRMAN1.30X000
PHILIP NEWCOMM MD
DIRECTOR1.30X000
CARMEN PEREZ
DIRECTOR1.30X000
GENE PRESCOTT
DIRECTOR1.30X000
ALEX SOTO
DIRECTOR1.30X000
KEITH WARD
DIRECTOR1.30X000
DONNA HUCK
SECRETARY1.30X000X
NARENDRA KINI MD
PRESIDENT AND CEO39.30X10260290170246X
PEDRO ALFARO
TREASURER39.303652420130383X
WILLIAM M DECAMPLI MD
CARDIOVASCULAR PHYSICIAN40.001441631030686X
REDMOND P BURKE MD
CARDOVAS SURGERY DIRECTOR40.001395909027333X
ROBERT L HANNAN MD
CARDIOVASCULAR SURGEON40.001126576026910X
HARRY SHUFFLEBARGER MD
ORTHOPEDIC PHYSICIAN40.00851708027176X
EVAN M ZAHAN MD
DIRECTOR PEDIATRIC CARDIOLOGY40.00849178027333X
KEVIN HAMMERAN
FORMER VP0.0034510800X
THOMAS ROZEK
FORMER CEO0.0050455200X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8336031TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation537188TotalOtherCompensation
Number Individuals GT100 K292NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ARELLANO CONSTRUCTION
7051 SW 12TH STREETMIAMIFL33144CONSTRUCTION COMPANY7420593
CHILDREN'S ANESTHESIA ASSOC PA
3100 SW 62ND AVENUEMIAMIFL33155ANESTESIA SERVICES2973764
MAYO COLLABORATIVE SERVICES INC
PO BOX 9146MINNEAPOLISMN554809146OUTSIDE LAB TEST1821754
ERA HELICOPTER LLC
1 EARHART DRIVE SUITE 11COATSVILLEPA19320TRANSPORTATION SUPPORT1552556
METROPOLITAN LIFE INSURANCE COMPANY
PO BOX 440668KENNESAWGA30160LIFE INSURANCE1341911
FieldValueIRS element (for citing)
Number Of Contractors GT100 K113NumberOfContractorsGT100K
Related Organizations2361709RelatedOrganizations
All Other Contributions35247AllOtherContributions
Total Contributions2396956TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU621300243576633243576633
MEDICARE/MEDICAD PAYME621300158976873158976873
GRANT REVENUE9000991346693613466936
SEMINAR/WORKSHOPS62130011413041141304
ORDINARY INCOME PARTNE621300260811260811
FieldValueIRS element (for citing)
Total Program Service Revenue417422557TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10340168TotalRevenueColumn
Unrelated Business Revenue-383UnrelatedBusinessRevenue
Exclusion$10,340,551ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1343142Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1343142Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1343142TotalRevenueColumn
Exclusion$1,343,142ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities15660Securities
Other223044Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other512391Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities15660Securities
Other-289347Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-273687TotalRevenueColumn
Exclusion-$273,687ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
MANAGEMENT FEES6219906247175$6,247,175
PHARMACY4461102465718$3,089,849-624131
CAFETERIA VENDING7222102392831$2,392,831

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2606714TotalRevenueColumn
Exclusion$2,606,714ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue13712438TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column444941574TotalRevenueColumn
Related Or Exempt Function Income417422557RelatedOrExemptFunctionIncome
Unrelated Business Revenue-624514UnrelatedBusinessRevenue
Exclusion$25,746,575ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total8336031Total
Management And General8336031ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total185176135Total
Program Services154809733ProgramServices
Management And General30366402ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total8088498Total
Program Services6470798ProgramServices
Management And General1617700ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total32525297Total
Program Services26020238ProgramServices
Management And General6505059ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total188305Total
Program Services150644ProgramServices
Management And General37661ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2032714Total
Program Services1626171ProgramServices
Management And General406543ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1027549Total
Program Services822039ProgramServices
Management And General205510ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total35229772Total
Program Services28183818ProgramServices
Management And General7045954ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1841721Total
Program Services1473377ProgramServices
Management And General368344ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total51018255Total
Program Services40814604ProgramServices
Management And General10203651ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total20461637Total
Program Services16369310ProgramServices
Management And General4092327ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1355495Total
Program Services1084396ProgramServices
Management And General271099ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total10802113Total
Program Services8641690ProgramServices
Management And General2160423ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total20025050Total
Program Services16020040ProgramServices
Management And General4005010ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total10039729Total
Program Services8031783ProgramServices
Management And General2007946ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBTS965437577235001930875
MEDICAL ASSISTANCE TAX45387003630960907740
SUPPLIES30100552408044602011
DUES & SUBSCRIPTIONS15493371239470309867
MISCELLANEOUS EXPENSES12894441031555257889

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total313843Total
Program Services251074ProgramServices
Management And General62769ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total408504055Total
Program Services326803244ProgramServices
Management And General81700811ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY555146BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY40047110BOY
EOY34921888EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY41790309BOY
EOY49849829EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3906475BOY
EOY4169730EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5749328BOY
EOY5729140EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis417883302LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec206925867LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY201696414BOY
EOY210957435EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY229872076BOY
EOY325064045EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY91902650BOY
EOY98166684EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY615519508BOY
EOY728858751EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY61254884BOY
EOY59529853EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY184275000BOY
EOY246585824EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY297026BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY36584467BOY
EOY52212490EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY282411377BOY
EOY358328167EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY245395525BOY
EOY278387150EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY59693070BOY
EOY63562282EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY28019536BOY
EOY28581152EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY333108131BOY
EOY370530584EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY615519508BOY
EOY728858751EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses36437519ReconcilationRevenueExpenses
Reconcilation Other Changes984934ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers1Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$260,261DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$111,540OtherActivitiesAmount
Total Lobbying Expenditures IIB371801TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationOTHER ACTIVITIES RELATE TO RESEARCH, MONITORING LEGISLATION AND ATTENDING MEETINGS.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis2932156OtherCostOrOtherBasis
Book Value2932156BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis240760816OtherCostOrOtherBasis
Depreciation103744916Depreciation
Book Value137015900BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis4686600OtherCostOrOtherBasis
Depreciation949309Depreciation
Book Value3737291BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis137743014OtherCostOrOtherBasis
Depreciation85873385Depreciation
Book Value51869629BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis31760716OtherCostOrOtherBasis
Depreciation16358257Depreciation
Book Value15402459BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings210957435TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
BOND ISSUE COSTS1581531
BENEFICIAL INTEREST IN MIAMI CHILDREN'S HOSPITAL FNDTN82103400
DUE FROM AFFILIATED ORGANIZATION8510120
EXEC LIFE1094610
SELF INSURANCE TRUST4877023
FieldValueIRS element (for citing)
Total Book Value Other Assets98166684TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
OTHER LIABILITIES$16,664,487
SWAP LIABILITIES$30,576,355
THIRD PARTY SETTLEMENT PAYABLE$4,971,648
FieldValueIRS element (for citing)
Total Of Amounts52212490TotalOfAmounts
Total Revenue444941574TotalRevenue
Total Expenses408504055TotalExpenses
Excess Or Deficit For Year36437519ExcessOrDeficitForYear
Net Unrealized GL On Investments-2370328NetUnrealizedGLOnInvestments
Other-$5,185,472OtherAmount
Total Adjustments-7555800TotalAdjustments
Excess Or Deficit Per FS28881719ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt446055754TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-2370328NetUnrealizedGainsInvestments
Other Revenues-964743OtherRevenues
Revenue Not Rptd F990-3335071RevenueNotRptdF990
Revenue Subtotal449390825RevenueSubtotal
Other Revenues Not Included-4449251OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-4449251RevenueNotRptdOnFinStmt
Total Revenue Per Form990444941574TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt417174035TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal417174035ExpensesSubtotal
Other Expenses Not Included-8669980OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-8669980ExpensesNotRptdOnFinStmt
Total Expenses Per Form990408504055TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanation
PART XII, LINE 2D - OTHER ADJUSTMENTS:RESTRICTED CONTRIBUTIONS -964,743.
PART XII, LINE 4B - OTHER ADJUSTMENTS:AMOUNTS REPORTED SEPARATELY -4,159,904. LOSSES NETTED AGAINST REVENUES -289,347.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:LOSSES NETTED AGAINST REVENUES -289,347. AMOUNTS REPORTED SEPARATELY -8,660,997. EXPENSES FROM FLOW-THROUGH ENTITY NOT INCLUDED IN FINANCIAL STATEMENTS 280,364.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA/CARIBBEANRegion
Number Of Offices1NumberOfOffices
Number Of Employees1NumberOfEmployees
Type Of Activities ConductedPROGRAM SERVICESTypeOfActivitiesConducted
Specific Services ProvidedINSURANCE PREMIUMSpecificServicesProvided
Total Expenditures5349349TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Employees1SubtotalNumberOfEmployees
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Employees1TotalNumberOfEmployees
Subtotal Amount Spent5349349SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent5349349TotalAmountSpent
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp1OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage401.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2029226TotalCommunityBenefitExpense
Net Community Benefit Expense2029226NetCommunityBenefitExpense
Percent Of Total Expense0.00510PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense231242728TotalCommunityBenefitExpense
Direct Offsetting Revenue183471878DirectOffsettingRevenue
Net Community Benefit Expense47770850NetCommunityBenefitExpense
Percent Of Total Expense0.11980PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense5466610TotalCommunityBenefitExpense
Direct Offsetting Revenue3952061DirectOffsettingRevenue
Net Community Benefit Expense1514549NetCommunityBenefitExpense
Percent Of Total Expense0.00380PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense238738564TotalCommunityBenefitExpense
Direct Offsetting Revenue187423939DirectOffsettingRevenue
Net Community Benefit Expense51314625NetCommunityBenefitExpense
Percent Of Total Expense0.12870PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense961506TotalCommunityBenefitExpense
Net Community Benefit Expense961506NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense13386959TotalCommunityBenefitExpense
Net Community Benefit Expense13386959NetCommunityBenefitExpense
Percent Of Total Expense0.03360PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense414020TotalCommunityBenefitExpense
Net Community Benefit Expense414020NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense14762485TotalCommunityBenefitExpense
Net Community Benefit Expense14762485NetCommunityBenefitExpense
Percent Of Total Expense0.03700PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense253501049TotalCommunityBenefitExpense
Direct Offsetting Revenue187423939DirectOffsettingRevenue
Net Community Benefit Expense66077110NetCommunityBenefitExpense
Percent Of Total Expense0.16570PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense30000TotalCommunityBuildingExpense
Net Community Building Expense30000NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense30000TotalCommunityBuildingExpense
Net Community Building Expense30000NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$2,708,920BadDebtExpenseAmount
Amount Reimbursed By Medicare538995AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare776018CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-237023MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care0ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1MCH - MAIN CAMPUSBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line13100 SW 62ND AVENUEAddressLine1
CityMIAMICity
StateFLState
ZIP Code33155ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Childrens HospitalXChildrensHospital
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanationReturn ReferenceReturnReferenceIdentifierIdentifier
PART I, L7 COL(F): THE BAD DEBT EXPESNE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $9,654,375.
CALCULATED THE COST TO CHARGE RATIO USING THE ALLOWABLE PATIENT CARE OPERATING EXPENSES REPORTED WITH THE FLORIDA COST REPORT AND AFTER ADJUSTING FOR ADDITIONAL BUSINESS EXPENSES NOT INCLUDED IN THE DIRECT PATIENT CARE. MULTIPLY THE GROSS PATIENT CHARGES PER THE ANNUAL PATIENT CLAIM LOG (ALSO USED FOR THE COST REPORT) TIMES THE COST/CHARGE RATIO TO CALCULATE COST OF PROGRAM.PART I, LINE 7
TEXT OF FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE:THE FOLLOWING SUMMARIZES THE ACTIVITY IN THE HOSPITAL'S ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR THE YEAR ENDED DECEMBER 31, 2010:BALANCE - BEGINNING OF THE YEAR 10,867,237PROVISIONS DURING THE YEAR, NET OF RECOVERIES 9,654,375LESS ACCOUNTS WRITTEN OFF (9,611,734) -----------BALANCE - END OF THE YEAR 10,909,878COSTING METHODOLOGY OR SOURCE USED TO DETERMINE THE AMOUNT REPORTED:MANAGEMENT RELIES ON HISTORICAL EXPERIENCE AND ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES IN ESTIMATING PROVISION FOR UNCOLLECTIBLE ACCOUNTS. IF A PATIENT IS CONSIDERD CHARITABLE UNDER THE HOSPITAL'S CHARITY POLICY, THEN NO BAD DEBT EXPENSE IS INCURRED. THE GROSS PATIENT CHARGES PER ANNUAL PATIENT LOG ARE MULTIPLIED BY THE OVERALL COST TO CHARGE RATIO TO DETERMINE COST OF PROGRAM.PART III, LINE 4
BASED ON COST REPORT - ALLOWABLE COSTS.PART III, LINE 8
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. THE APPLICANT MUST HAVE EXHAUSTED ALL EFFORTS TO OBTAIN THIRD PARTY HEALTH INSURANCE COVERAGE FROM BOTH COMMERCIAL AND GOVERNMENTAL SOURCES.ACOORDING TO THE FINANCIAL ASSISTANCE PROGRAM POLICY:IF THE COLLECTION SUPERVISOR AND/OR PFS DIRECTOR REVIEW THE APPLICATION FOR FINANCIAL EVALUATION AGANIST THE AHCA CRITERIA AND APPROVE THE REQUEST, THE PATIENT FINANCIAL SERVICES SUPERVISOR WRITES OFF CHARGES TO CHARITY.PART III, LINE 9BFINANCIAL ASSISTANCE PROGRAM POLICY:
MIAMI CHILDREN'S HOSPITAL OPERATES THE FOLLOWING FACILITIES UNDER THE HOSPITAL'S LICENSE IN ADDITION TO THE MAIN CAMPUS:MCH - DAN MARINO CENTEROUTPATIENT AMBULATORY CENTERMCH - MIAMI LAKES REHABILITATION CENTERREHABILITATION CENTERMCH - PALMETTO BAY CENTEROUTPATIENT AMBULATORY CENTERMCH - DORAL CENTEROUTPATIENT AMBULATORY CENTERMCH - WEST KENDALL CENTEROUTPATIENT AMBULATORY CENTEROFFICE OF DR. JOSE VARGASPRIMARY CARE CLINICNICKLAUS CARE CENTER (MOB SPECIALIST PHYSICIAN OFFICE)SPECIALIST PHYSICIAN OFFICEPART V, SECTION AHOSPITAL FACILITIES
UNDER THE 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. MIAMI CHILDREN'S HOSPITAL PARTICIPATES IN MANY COMMUNITY ORGANIZATIONS THAT COLLECTIVELY STRIVE TO IMPROVE THE HEALTH STATUS OF CHILDREN. MCH 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, MCH PROVIDES SCHOOL HEALTH NURSES IN 8 SCHOOLS THROUGH A COMMUNITY GRANT, AND OUR PREVENTIVE MEDICINE PROGRAM DEPLOYS A MEDICAL AND A DENTAL VAN INTO UNDERSERVED AREAS OF THE COMMUNITY. MCH HAS A ROBUST MECHANISM TO ANALYZE HEALTH DATA. WE RECENTLY DEPLOYED SEVERAL PEDIATRIC SUBSPECIALISTS TO SERVE CHILDREN IN PALM BEACH COUNTY AFTER DATA CONFIRMED THAT THERE WAS A SHORTAGE.NEEDS ASSESSMENT:
MIAMI 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 FOR TREATMENT 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.PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:
MIAMI CHILDREN'S HOSPITAL PRIMARILY SERVES THE COMMUNITIES OF SOUTH FLORIDA INCLUDING WEST PERRINE, GOLDEN GLADES, OPA LOCKA, WYNWOOD SERVICE AREA, BISCAYNE PARK, SWEETWATER WEST DADE, LIBERTY CITY, AND HIALEAH, LITTLE HAVANA SERVICE AREA, HOMESTEAD SERVICE AREA, HALLENDALE, HOLLYWOOD, MARGATE, HALLANDALE/MIRAMAR, WEST PALM BEACH, BOCA RATON, MONROE COUNTY AND MANY OTHERS IN THE SOUTH FLORIDA REGION.COMMUNITY INFORMATION:
MANY COMMUNITY BUILDING ACTIVES ARE CO-SPONSORED BY OTHER INDEPENDENT NON-PROFIT ORGANIZATIONS, SUCH AS NATIONAL CENTER FOR MISSING AND EXPLOITED CHILDREN, BIG BROTHERS BIG SISTERS OF DADE COUNTY, PARENT TO PARENT AND AMERICAN CANCER SOCIETY, WHO PROVIDE EXPERT SPEAKERS AT NO CHARGE TO MIAMI CHILDREN'S HOSPITAL.COMMUNITY BUILDING ACTIVITIES:
MIAMI CHILDREN'S HOSPITAL HAS AN ACTIVE COMMUNITY EDUCATION PROGRAM, VARIOUS CAMP PROGRAMS INCLUDING ASTHMA CENTER, 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 ARE CALL PROGRAM, MULTIPLE AMBULATORY CARE CENTERS ALL DESIGNED TO PROMOTE HEALTH IN THE COMMUNITY.OTHER INFORMATION:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DEISE GRANADO-VILLAR MD
282331025684000491240441140401253000
NARENDRA KINI MD
581729044430000013362603662001196275000
PEDRO ALFARO
317776037481099850518830785000495625099850
WILLIAM M DECAMPLI MD
12541310187500000003068601472317000
REDMOND P BURKE MD
1316668079241000002733301423242000
ROBERT L HANNAN MD
1080817045759000002691001153486000
HARRY SHUFFLEBARGER MD
515461033624700027176000878884000
EVAN M ZAHAN MD
82564802353000000273330876511000
KEVIN HAMMERAN
00003451080000034510803451080
THOMAS ROZEK
00005045520000050455205045520

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINES 4A-BPART I, LINES 4A-B: PART I, LN 4(A) KEVIN HAMMERAN RECEIVED A DEFERRED COMPENSATION PAYOUT OF $345,108.
PART IIIPART I LINE 4(B) THE EXECUTIVES PARTICIPATE IN A SUPPLEMENTAL 457(F) DEFINED CONTRIBUTION RETIREMENT ACCOUNT. THE VALUES ARE REPORTED IN SCEDULE J, PART 11, COLUMN CSUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MIAMI-DADE COUNTY HEATH FACILITIES AUTHORITY
52129303659334NCE02010-12-22107784753SEE PART V000
MIAMI-DADE COUNTY HEATH FACILITIES AUTHORITY
52129303659334NBT82008-04-1755000000SEE PART V000
MIAMI-DADE COUNTY HEATH FACILITIES AUTHORITY
52129303659334NBS02006-12-21209475000SEE PART V000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresAmount UnspentAmountUnspentCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindYear Of Subst CompletionYearOfSubstCompletionAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedRefunding EscrowRefundingEscrowCredit EnhancementCreditEnhancement
10778475312270831368446634239331001
5500000010112009
216976676204203727936512566765010141925000700000001126919825553000

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
011110.008000.000000.008001
011110.036000.000000.036001
011110.030000.000000.030001

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line2NameOfGICProvider/BusinessNameLine2Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminated
BAYERISCHE
0101LANDESBAN2.000000000000101
WELLS FARGO BANK
01012.200000000000100
CITIBANK
01112.20000000000011035.70000000000000

Form990 Schedule K Part V Form990ScheduleKPartV (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART I, LINE A(F)DESCRIPTION OF PURPOSEREFUND 2006-B3 DATED 12/21/2006 AND NEW MONEY PROJECT
PART I, LINE B(F)DESCRIPTION OF PURPOSECONVERTED AUCTION RATE SECURITIES (ARS) TO PUT BONDS AFTER THE ARS MARKET COLLAPSED IN 2008; REISSUE OF 12/21/2006 BOND ISSUE
PART I, LINE C(F)DESCRIPTION OF PURPOSEPROVIDED BOND PROCEEDS FOR NEW PROJECT AND REFUNDED 6/7/2001 ISSUE
PART II, LINE 1(C)$41,925,000 OF THE 2006B-3 SERIES WAS REFUNDED BY THE 12/22/2010 ISSUE.
PART II, LINE 2(C)$70,000,000 OF BOND AND INVESTMENT PROCEEDS WERE USED TO REDEEM SERIES 2006B BONDS UPON DECISION TO POSTPONE BED TOWER PROJECT.
PART II, LINE 3(C)THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS OF THE ISSUE AND THE ISSUE PRICE IS THE TOTAL INVESTMENT EARNINGS.
PART II, LINE 6(A)$41,925,000 OF BOND PROCEEDS WERE USED TO CURRENTLY REFUND ISSUE DATED 12/21/2006; THEREFORE, NO MONEYS REMAIN IN ESCROW AS OF THE END OF FISCAL YEAR 2010.
PART II, LINE 6(B)$55,000,000 OF ORIGINAL PROCEEDS WERE USED TO REISSUE (REFUND) THE 2006A BONDS; THEREFORE, NO MONEYS REMAIN IN A REFUNDING ESCROW.
PART II, LINE 7(A)THE ISSUE PRICE ON FORM 8038 WAS AMENDED FROM $2,155,695 TO $1,227,083, THE DIFFERENCE WILL BE APPLIED TO CAPITAL EXPENDITURES.
PART II, LINE 12(A)THE ENTIRE AMOUNT OF UNSPENT PROCEEDS IS ANTICIPATED TO FULLY APPLIED TO CAPITAL EXPENDITURES.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
RODOBALDO PEREZ HASSOR
SEE PART V54113PART V0
CHILDREN'S UROLOGY ASSOCIATES
SEE PART V388188PART V0
(no name)
0

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierPART IV, COLUMN B AND PART IV, COLUMN DIdentifier
Return ReferenceBUSINESS RELATIONSHIPS WITH THE ORGANIZATIONReturnReference
ExplanationRODOBALDO PEREZ HASSOR IS A FAMILY MEMBER OF DEISE GRANADO-VILLAR, A MEMBER OF THE MCH BOARD OF DIRECTORS. DESCRIPTION OF TRANSACTION: COMPENSATIONANDREW LABBIE, MD HAS A PARTNERSHIP INTEREST IN CHILDREN'S UROLOGY ASSOCIATES AND IS ALSO A MEMBER OF THE MCH BOARD OF DIRECTORS. DESCRIPTION OF TRANSACTION: TEACHING AND ADMININSTRATIVE SERVICESExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4AVARIETY CHILDREN'S HOSPITAL, ESTABLISHED IN 1950, OWNS AND OPERATES AND PEDIATRIC SPECIALTY HOSPITAL KNOWN AS MIAMI 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. MIAMI 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 ALSO A STATE-DESIGNATED PEDIATRIC TRAUMA CENTER. MANY PATIENTS ARE REFERRED BY OTHER HOSPITALS REGARDLESS OF THE EXISTENCE OF FORMAL ARRANGEMENTS. IN 2010, 1,787 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 MIAMI 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. 2010 STATISTICAL DATA INCLUDES TOTAL INPATIENT DAYS: 64,713 TOTAL INPATIENT ADMISSIONS: 12,394 INPATIENT AVERAGE DAILY CENSUS: 177 TOTAL ED VISITS (MAIN CAMPUS): 85,439 MCH GENERAL CLINIC VISITS: 12,048 AMBULATORY VISITS: 9,925 PRIVATE OUTPATIENT VISITS (MAIN CAMPUS): 112,623 PRIVATE OUTPATIENT VISITS (AMBULATORY CENTERS): 95,636 TOTAL SURGICAL CASES: 12,668 AVERAGE LENGTH OF STAY: 5.2 DAYS THE HOSPITAL IS INTERNATIONALLY RECOGNIZED FOR CARE EXCELLENCE. MIAMI CHILDREN'S HOSPITAL PROGRAMS WERE RANKED AMONG THE NATION'S BEST IN ALL 10 PEDIATRIC SUBSPECIALTY PROGRAMS SURVEYED BY U.S. NEWS AND WORLD REPORT IN ITS 2011 LISTING OF "AMERICA'S BEST CHILDREN'S HOSPITALS." (RANKINGS ARE BASED ON 2010 DATA). THE HOSPITAL IS THE ONLY ONE IN FLORIDA TO HAVE PROGRAMS RANKED IN ALL CATEGORIES SURVEYED BY U.S. NEWS. THESE PROGRAMS INCLUDE CANCER, CARDIOLOGY AND HEART SURGERY, DIABETES AND ENDOCRINOLOGY, GASTROENTEROLOGY, NEONATOLOGY, NEPHROLOGY, NEUROLOGY ORTHOPEDICS, UROLOGY. IN ADDITION, THE HOSPITAL SYSTEM INCLUDES A NETWORK OF AMBULATORY CENTERS THAT EXTEND CARE THROUGHOUT THE SOUTH FLORIDA REGION. DURING 2010, THESE CENTERS OFFERED OUTPATIENT SERVICES AS FOLLOWS: MCH DAN MARINO OUTPATIENT CENTER: OFFERS COMPREHENSIVE SERVICES FOR CHILDREN WITH NEURODEVELOPMENTAL DISORDERS. SERVICES ON SITE INCLUDE IMAGING, REHABILITATION AND AN AFTER-HOURS URGENT CARE CENTER. ALSO ON SITE IS A SWIMMING POOL FOR AQUATIC THERAPY. MCH DORAL OUTPATIENT CENTER: OFFERS REHABILITATION SERVICES, IMAGING SERVICES AND AN AFTER-HOURS URGENT CARE CENTER. MCH PALMETTO BAY OUTPATIENT CENTER: OFFERS REHABILITATION SERVICES, IMAGING SERVICES AND AN AFTER-HOURS URGENT CARE CENTER. ALSO ON-SITE IS EARLY STEPS SOUTHERNMOST COAST, A RESOURCE FOR CHILDREN UNDER THE AGE OF 3 WHO ARE AT RISK OF DEVELOPMENTAL DELAYS. MCH WEST KENDALL OUTPATIENT CENTER: OFFERS REHABILITATION SERVICES, IMAGING SERVICES, SUBSPECIALTY OFFICE VISITS AND AN AFTER-HOURS URGENT CARE CENTER. MCH NICKLAUS CARE CENTER: OFFERS PEDIATRIC SUBSPECIALTY CONSULTATIONS IN PALM BEACH COUNTY. MCH REHABILITATION SERVICES - MIAMI LAKES: OFFERS COMPREHENSIVE REHABILITATION SERVICES. QUALITY/SAFETY AND ERROR PREVENTION INITIATIVES FROM 2010 THE HOSPITAL IS COMMITTED TO ADVANCING QUALITY AND SAFETY. INITIATIVES FOR 2010 ARE DETAILED BELOW: LEAN INITIATIVES: LEAN IS AN INTERNATIONALLY RECOGNIZED BUSINESS IMPROVEMENT MODEL. IN 2010, THE HOSPITAL CONTINUED TO UTILIZE LEAN METHODS TO IMPROVE PROCESSES THAT ENHANCE SAFETY, EFFICIENCY AND PREVENT ERRORS AT THE HOSPITAL. FASTPASS SYSTEM: MIAMI CHILDREN'S 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. 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. 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. PHYSICIANS AND OTHER CAREGIVERS WILL BE ABLE TO ACCESS 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: MIAMI CHILDREN'S HOSPITAL HAS TAKEN THE LEAD IN DEVELOPING A TOOL TO PREVENT PEDIATRIC FALLS AND THEREBY ENHANCE SAFETY. 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. MORE THAN 400 HOSPITALS AROUND THE GLOBE NOW USE THIS MCH TOOL TO PREVENT PATIENT FALLS. HYGREEN: IMPLEMENTATION OF XHALE INNOVATIONS' HYGREEN(R) HAND HYGIENE SYSTEM IS ANOTHER WAY MIAMI CHILDREN'S HOSPITAL LED THE WAY IN PATIENT SAFETY IN 2010. 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. HYGREEN HAS ALREADY BEEN INTEGRATED INTO THE MCH ONCOLOGY UNIT'S INFECTION CONTROL PROGRAM WITH THE POTENTIAL TO EXPAND INTO OTHER AREAS OF THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 2PETER BERMONT HAS A BUSINESS RELATIONSHIP WITH DONNA HUCK, AND GARY GREGORY, MEMBERS OF THE MCH BOARD OF DIRECTORS. JARET DAVIS, ESQ. HAS A BUSINESS RELATIONSHIP WITH THOMAS CORNISH, MARIO MURGADO, AND GENE PRESCOTT, MEMBERS OF THE MCH BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11THE FOLLOWING DESCRIBES MIAMI 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 AND INVESTMENT COMMITTEE OF MCH BOARD OF DIRECTORS FOR REVIEW AND COMMENT PRIOR TO REGULARLY SCHEDULED MEETING. 2. THE DRAFT TAX FORM 990 WILL BE REVIEWED WITH THE FINANCE AND INVESTMENT COMMITTEE. 3. QUESTIONS WILL BE ANSWERED AND IF NECESSARY, TAX FORMS WILL BE ADJUSTED. 4. THE FINAL FORM 990 WILL BE POSTED ON THE MCH BOARD OF DIRECTOR'S WEB PORTAL.
FORM 990, PART VI, SECTION B, LINE 12CALL MIAMI 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 IF 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, SECTION B, LINE 15THE ORGANIZATION AND COMPENSATION COMMITTEE OF MCH 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.
FORM 990, PART VI, SECTION C, LINE 19FORM 990, PART VI, SECTION C, LINE 19: DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST.
AVERAGE HOURS PER WEEKPART VII, LINE 1A, COLUMN BTHE OFFICERS LISTED ON PART VII, SECTION A, LINE 1(A), COLUMN B DEVOTED THEIR TIME TO THE ORGANIZATION AND RELATED ORGANIZATIONS AS FOLLOWS: WORKER'S PROFESSIONAL VARIETY COMPENSATION LIABILITY RESEARCH CHILDREN'S TRUST TRUST INSTITUTE HOSPITAL PETER BERMONT 0.1 0.1 0.5 1.3 THOMAS M. CORNISH 0.1 0.1 0.5 1.3 JARET DAVIS, ESQUIRE 0.1 0.1 0.5 1.3 MARIA FRANCO, MD 0.1 0.1 0.5 1.3 LUIS GONZALEZ-MENDOZA, MD 0.1 0.1 0.5 39.3 DEISE GRANADO-VILLAR, MD 0.1 0.1 0.5 39.3 GARY GREGORY 0.1 0.1 0.5 1.3 ROBERT K. JORDAN 0.1 0.1 0.5 1.3 ANDREW LABBIE, MD 0.1 0.1 0.5 1.3 JUAN C. MAS 0.1 0.1 0.5 1.3 JAY MASSIRMAN 0.1 0.1 0.5 1.3 STEVEN MCKEAN 0.1 0.1 0.5 1.3 MARIO MURGADO 0.1 0.1 0.5 1.3 PHILIP NEWCOMM, MD 0.1 0.1 0.5 1.3 CARMEN PEREZ 0.1 0.1 0.5 1.3 GENE PRESCOTT 0.1 0.1 0.5 1.3 ALEX SOTO 0.1 0.1 0.5 1.3 KEITH WARD 0.1 0.1 0.5 1.3 PEDRO ALFARO 0.1 0.1 0.5 39.3 DONNA HUCK 0.1 0.1 0.5 1.3 NARENDRA KINI, MD 0.1 0.1 0.5 39.3
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -2,309,250. CHANGE IN CHARITABLE REMAINDER TRUSTS 279,861. CHANGE IN BENEFICIAL INTEREST IN MCHF - TEMPORARY 3,755,534. CHANGE IN UNREALIZED GAIN ON INVESTMENT 561,616. PARTNERSHIP LOSS NOT RECORDED FOR BOOK PURPOSES 231,681. PARTNERSHIP EXPENSES NOT RECORDED FOR BOOK PURPOSES 280,364. AMOUNTS REPORTED SEPARATELY -1,814,872. TOTAL TO FORM 990, PART XI, LINE 5: 984,934.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MCH PEDIATRIC CARDIOLOGY LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13100 SW 62ND AVENUEAddressLine1
CityMIAMICity
StateFLState
ZIP Code33155ZIPCode
FieldValueIRS element (for citing)
EIN651023909EIN
Primary ActivitiesCARDIAC SVC'SPrimaryActivities
Legal Domicile StateFLLegalDomicileState
Total Income10609975TotalIncome
EOY Assets-15343823EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
MCH RESEARCH INSTITUTE INC
3100 SW 62ND AVENUEMIAMIFL33155592602318RESEARCHFL501(C)(3)11BN/A1
MCH WORKER'S COMPENSATION TRUST
3100 SW 62ND AVENUEMIAMIFL33155597021572WC CLAIMSFL4947(A)(1)N/AN/A1
PROFESSIONAL LIABILITY TRUST
3100 SW 62ND AVENUEMIAMIFL33155592551434LIAB. CLAIMSFL4947(A)(1)N/AN/A1
MIAMI CHILDREN'S HOSPITAL FND INC
3100 SW 62ND AVENUEMIAMIFL33155861065772FUNDRAISINGFL501(C)(3)7N/A1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CANAVAN PARTNERSBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1C/O COHEN PO BOX 812170AddressLine1
CityBOCA RATONCity
StateFLState
ZIP Code334812170ZIPCode
FieldValueIRS element (for citing)
EIN650974245EIN
Primary ActivityMED.INTEL.PROPrimaryActivity
Legal Domicile StateFLLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income226877ShareOfTotalIncome
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner1GeneralOrManagingPartner
Percentage Ownership0.62500PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssets
CHILDREN'S HEALTH SERVICES INC
3100 SW 62ND AVENUEMIAMIFL33155650438667PHYSICIAN SUPFLN/AC1.00000
MIAMI CHILDREN'S INSURANCE CO SPC LTD
980442086INSURANCEN/AC1.00000720 WEST BAY ROAD PO BOX 69GT BGEORGETOWNGRAND CAYMANCJCJ181233358721469
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MIAMI CHILDREN'S HOSPITAL FOUNDATION INC
C3858460FMV
MIAMI CHILDREN'S INSURANCE CO SPC LTD
Q3216612CHANGE IN BALANCE
MIAMI CHILDREN'S INSURANCE CO SPC LTD
R1250000FMV
MIAMI CHILDREN'S HOSPITAL FOUNDATION INC
P175820FMV