2021-11-15T14:04:14-06:00 2020-12-31 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2020-01-01 453481327 Miami Children's Health System Inc MIAM 3056666511 3100 SW 62nd Avenue Miami FL 33155 Dawn Javersack SVP and CFO 2021-11-15 true Dawn Javersack 999009999 Brittney Kocaj P01320603 9542028600 2020 2022-09-23 18:48:47Z Nicklaus Childrens Health System Matthew A Love 3100 SW 62nd Avenue Miami FL 33155 118643924 false X www.nicklauschildrens.org X 2011 FL TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF NICKLAUS CHILDREN'S HOSPITAL AND ITS AFFILIATED ENTITIES. 13 12 467 10 0 0 64243 0 122669024 118145997 -1222951 0 756870 497927 122267186 118643924 9000 0 0 52428601 46506775 0 0 61229932 72137149 113667533 118643924 8599653 0 741992037 777804932 78015020 96596946 663977017 681207986 TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF NICKLAUS CHILDREN'S HOSPITAL AND ITS AFFILIATED ENTITIES, AND TO INVEST IN, RECEIVE, HOLD, USE AND DISPOSE OF ALL PROPERTY, REAL OR PERSONAL, AS MAY BE NECESSARY OR DESIRABLE TO CARRY INTO EFFECT THE AFOREMENTIONED PURPOSES. false false 93868132 118643924 A NOT-FOR-PROFIT CORPORATION CREATED IN 2011 WHICH IS THE PARENT COMPANY FOR VARIETY CHILDREN'S HOSPITAL (DBA NICKLAUS CHILDREN'S HOSPITAL), Nicklaus Children's Hospital Foundation, LLC AND OTHER FOR-PROFIT AND NOT FOR-PROFIT ENTITIES DESCRIBED AS FOLLOWS: VARIETY CHILDREN'S HOSPITAL D/B/A NICKLAUS CHILDREN'S HOSPITAL PROVIDES SPECIALIZED PEDIATRIC HEALTHCARE TO CHILDREN. Miami Children's Health System Foundation was converted to a single member Limited Liability Company (LLC) named Nicklaus Children's Hospital Foundation, LLC (Foundation) effective 12/31/2020. The Foundation was formed to raise funds and support the Hospital and other related organizations. The Foundation is a subsidiary of the System. (Continued on Schedule O) 93868132 true false false true false false false false true true false true false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true X 181 0 true 467 true false true CJ false false false false false false false false true false X 13 12 true false false false false false false true true false false true true true true true true true true true true X Laurie Levine 7866242005 5301 Blue Lagoon Drive Miami FL 33126 George T Phillip Secretary/Director 1.0 0 X X 0 0 0 Mario Murgado Chairman/Director 1.0 0.6 X X 0 0 0 Matthew Love President, CEO & Director 40.0 0.6 X X 906180 0 204098 Michael Fux Vice Chairman/Director 1.0 0 X X 0 0 0 Alex Soto Director 1.0 0.6 X 0 0 0 Barbara Nicklaus Director 1.0 0 X 0 0 0 Fernando Perez-Hickman Director 1.0 0 X 0 0 0 Jaret Davis Director 1.0 0.6 X 0 0 0 Jay Massirman Director 1.0 0 X 0 0 0 Jorge Gonzalez Director 0.1 0.4 X 0 0 0 Joseph Nader Director 0.1 0.4 X 0 0 0 Juan Carlos Mas Director 1.0 0 X 0 0 0 Ricky Patel ESQ Director 0.1 0.6 X 0 0 0 Dawn E Javersack SVP/CFO Health System 40.0 0.5 X 423463 0 65573 Jodi Laurence SVP and General Counsel 40.0 0.5 X 382573 0 80301 Perry Ann Reed SVP/COO NCHS 0.1 40.3 X 0 446811 71411 David Seo VP/Chief Information Officer 40.0 0 X 357206 0 23529 Jose Perdomo SVP Admin/Special Projects 40.0 0.4 X 538755 0 10282 Jose R Rosa-Olivares Chief Medical Info Officer 40.0 0 X 334736 0 24515 Ramesh C Sachdeva SVP CCO/Affiliate Dean for FIU 40.0 0.1 X 585014 0 91426 Saima Aftab VP NCHS Org Initatives 40.0 0 X 475547 0 53413 April Andrews-Singh SVP and General Counsel (Former) 0.0 0 X 533340 0 0 Michael L Harrington Director (Former) 0.0 0.0 X 0 258221 0 Narendra M Kini President - CEO (Former) 0.0 0.0 X 1178819 0 0 5715633 705032 624548 121 true true false ROBINS & MORTON GROUP 400 SHADES CREEK PARKWAY BIRMINGHAM AL 35209 Construction 1173876 ORACLE AMERICA INC 500 Oracle Parkway Redwood Shores CA 94065 Software License/Maintenance 1108659 SUNBELT MEDICAL BILLINGS LLC 1475 W CYPRESS CREEK RD SUITE 204 FT LAUDERDALE FL 33309 Collections Services 961585 PRESIDIO NETWORKED SOLUTIONS I 10 SIXTH ROAD Sylver Fair WOBURN MA 01801 IT Services 882892 QUALITY TECHNOLOGY SERVICES 12851 FOSTER STREET SUITE 205 OVERLAND PARK KS 66213 IT Services 820630 25 0 Management Fees Affiliated Companies 900099 117843669 117843669 Support Fees Affiliated Companies 900999 302328 302328 0 0 0 0 118145997 0 0 0 0 0 0 0 0 EMPLOYEE WELLNESS 900099 212575 212575 CHILD CARE 900099 147656 147656 CAFETERIA SALES 900099 51163 51163 86533 86533 0 0 497927 118643924 118643924 0 0 X 2062187 1279451 782736 42991804 34699501 8292303 139809 161824 -22015 -1559010 -1247209 -311801 2871985 2311852 560133 691267 691267 443687 443687 173805 173805 27360310 21888248 5472062 0 3946158 3156926 789232 3306137 2644910 661227 15824335 12659468 3164867 7608956 6087165 1521791 47830 38264 9566 8608830 6887064 1721766 10875 8700 2175 DUES & SUBSCRIPTIONS 1089823 871858 217965 FIXED ASSET DISPOSITIONS/ABANDONMENT 905090 724072 181018 FREIGHT 756011 604809 151202 RECRUITMENT EXPENSE 742220 593776 148444 621815 497453 124362 0 118643924 93868132 24775792 0 1420125 1439065 1225775 1328693 0 0 0 0 2255761 4596014 74699808 29150676 45972059 45549132 0 675136157 701702341 15982160 23189687 741992037 777804932 77785871 96367797 0 0 229149 229149 78015020 96596946 X 564523122 574713173 99453895 106494813 663977017 681207986 741992037 777804932 X 0 2204536 15026433 X false true X true false X X 1 VARIETY CHILDREN'S HOSPITAL DBA NICKLAUS CHILDREN'S HOSPITAL 590638499 3 true 0 116669163 1 0 116669163 true false false false false false false false false false false false false false false true true true false false false false true 157865 false true 15940 173805 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION CONDUCTS LOBBYING ACTIVITIES INCLUDING RESEARCH, MONITORING LEGISLATION AND ATTENDING MEETINGS. IN ADDITION, THE ORGANIZATION PAYS DUES TO VARIOUS MEMBERSHIP ORGANIZATIONS AND A PORTION OF THOSE DUES ARE REPORTED AS LOBBYING EXPENDITURES. 50915312 33028 3318446 2419636 51847150 49642017 543923 4248769 3519397 50915312 52766887 64752 -1950120 1239502 49642017 1227073 51539814 52766887 0 1227073 1227073 0.3424 0.6576 0.0 false true true 6134927 35774 6099153 4937096 1608415 3328681 59553742 27506487 32047255 4074043 4074043 45549132 Investments in Affiliates 701702341 F 701702341 FIDUCIARY-MCH ADMIN PROF ASSOC 144 LEASE INCENTIVE OBLIGATION LT 229005 229149 X Schedule D, Part V, Line 4 Intended uses of endowment funds The use of the endowment funds is to provide funding for Research, Education, Telehealth services, Bereavement services and Social Services. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote "THE SYSTEM AND CERTAIN OF ITS AFFILIATED ORGANIZATIONS QUALIFY AS TAX-EXEMPT, NONPROFIT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE). THE HOSPITAL, NCPS, THE FOUNDATION, AND THE RESEARCH INSTITUTE ARE EXEMPT FROM FEDERAL INCOME TAX ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE AS DESCRIBED IN SECTION 501(C)(3). THESE TAX-EXEMPT ENTITIES HAD NO TAX PROVISION FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019. THE CAPTIVE INSURANCE COMPANY IS NOT SUBJECT TO INCOME TAXES, AS NO INCOME TAXES ARE LEVIED IN THE CAYMAN ISLANDS. THE SYSTEM BELIEVES THERE IS NO UNCERTAIN TAX LIABILITY WHICH SHOULD BE RECORDED AS OF DECEMBER 31, 2020 AND 2019. THE HEALTH PLAN IS A LIMITED LIABILITY COMPANY WHICH IS TAXED AS A PARTNERSHIP AND THEREFORE IS GENERALLY NOT A TAXPAYING ENTITY FOR FEDERAL OR STATE INCOME TAX PURPOSES. IN LIEU OF CORPORATE INCOME TAXES, THE MEMBERS ARE TAXED ON THE HEALTH PLAN'S TAXABLE INCOME. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THESE FINANCIAL STATEMENTS." X X X X true true false false false false false false false April Andrews-Singh SVP and General Counsel (Former) 0 0 0 0 533340 0 0 0 0 0 533340 0 0 0 Narendra M Kini President - CEO (Former) 0 0 0 0 1178819 0 0 0 0 0 1178819 0 0 0 Matthew Love President, CEO & Director 880893 0 0 0 25287 0 179228 0 24870 0 1110278 0 0 0 Michael L Harrington Director (Former) 0 0 0 0 0 258221 0 0 0 0 0 258221 0 0 Dawn E Javersack SVP/CFO Health System 418147 0 0 0 5316 0 55389 0 10185 0 489036 0 0 0 Jodi Laurence SVP and General Counsel 376723 0 0 0 5850 0 62471 0 17830 0 462873 0 0 0 Perry Ann Reed SVP/COO NCHS 0 424425 0 0 0 22386 0 56640 0 14771 0 518222 0 0 Saima Aftab VP NCHS Org Initatives 474119 0 0 0 1428 0 39663 0 13750 0 528960 0 0 0 Jose Perdomo SVP Admin/Special Projects 433269 0 0 0 105486 0 2694 0 7588 0 549037 0 0 0 Jose R Rosa-Olivares Chief Medical Info Officer 334046 0 0 0 690 0 1880 0 22635 0 359251 0 0 0 Ramesh C Sachdeva SVP CCO/Affiliate Dean for FIU 578585 0 0 0 6429 0 78248 0 13178 0 676440 0 0 0 David Seo VP/Chief Information Officer 355870 0 0 0 1336 0 22740 0 789 0 380735 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR - NARENDRA M KINI 1,178,819.20 APRIL ANDREWS-SINGH 533,339.72 MICHAEL L HARRINGTON 258,220.60 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING CONTRIBUTIONS WERE MADE TO A SECTION 457(F) PLAN DURING THE YEAR - SAIMA AFTAB 35,578.26 DAVID SEO 22,740.36 MATTHEW LOVE 174,520.32 JODI LAURENCE 59,585.76 RAMESH C SACHDEVA 73,503.04 DAWN E JAVERSACK 55,388.58 PERRY ANN REED 56,639.96 THE FOLLOWING DISTRIBUTIONS WERE MADE FROM A SECTION 457(F) PLAN DURING THE YEAR - JOSE PERDOMO - $ 100,893.72 Form 990, Part III, Line 4a Program Service Activity Children's Health Ventures, Inc. (CHV) is a for profit financial holding company created to enter into joint ventures to access new markets and provide revenue opportunities. CHV is a subsidiary of the System. MIAMI CHILDREN'S HOSPITAL RESEARCH INSTITUTE, INC. IS A NOT-FOR-PROFIT CORPORATION THAT PERFORMS COMPREHENSIVE RESEARCH IN THE CAUSE, CURE AND PREVENTION OF CHILDHOOD DISEASES. MIAMI CHILDREN'S HOSPITAL WORKER'S COMPENSATION TRUST WAS FORMED TO ENABLE THE HOSPITAL TO FUND AND PAY THE COST OF WORKER'S COMPENSATION CLAIMS. MIAMI CHILDREN'S INSURANCE SPC, LTD. WAS FORMED TO ACCESS PROFESSIONAL LIABILITY INSURANCE MARKETS OUTSIDE THE UNITED STATES OF AMERICA. Pediatric Specialty Group was converted to a single member Limited Liability Company (LLC) named Nicklaus Children's Pediatric Specialists, LLC (NCPS) effective 12/31/2020. NCPS was formed to support the physician practices deemed necessary by the Hospital. NCPS is a subsidiary of the System. VARIETY CHILDREN'S HOSPITAL PROFESSIONAL LIABILITY TRUST WAS FORMED TO ENABLE NICKLAUS CHILDREN'S TO FUND AND PAY THE COST OF PROFESSIONAL LIABILITY CLAIMS. MIAMI CHILDREN'S HEALTH PLAN, LLC IS A FOR-PROFIT ENTITY THAT OFFERS SERVICES TO FL MEDICAID BENEFICIARIES IN PALM BEACH, MIAMI-DADE AND MONROE COUNTIES. VARIETY CHILDREN'S HOSPITAL, ESTABLISHED IN 1950, OWNS AND OPERATES A PEDIATRIC SPECIALTY HOSPITAL KNOWN AS NICKLAUS CHILDREN'S HOSPITAL. THE HOSPITAL IS ONE OF THE LARGEST FREESTANDING PEDIATRIC TEACHING HOSPITALS IN THE SOUTHEASTERN UNITED STATES. IT PROVIDES SPECIALIZED PEDIATRIC HEALTHCARE FOR CHILDREN REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, AGE OR ABILITY TO PAY. THE HOSPITAL HAS 309 LICENSED BEDS CONSISTING OF 289 GENERAL ACUTE-CARE BEDS AND 20 PSYCHIATRIC BEDS. NICKLAUS CHILDREN'S HOSPITAL SERVES AS A REFERRAL CENTER FOR CHILDREN WITH COMPLEX, CRITICAL OR LIFE-THREATENING ILLNESSES REQUIRING SPECIALIZED CARE. IT HAS A STATE-DESIGNATED PEDIATRIC TRAUMA CENTER. MANY PATIENTS ARE REFERRED BY OTHER HOSPITALS REGARDLESS OF THE EXISTENCE OF FORMAL ARRANGEMENTS. IN 2020 3,833 PATIENTS WERE TRANSFERRED TO NICKLAUS CHILDREN'S FROM HOSPITALS THROUGHOUT FLORIDA, CENTRAL AND SOUTH AMERICA AND THE CARIBBEAN. Nicklaus Children's Health System and Baptist Health South Florida activated an agreement to expand collaboration related to pediatric care. THE HEALTH SYSTEM INCLUDES A NETWORK OF AMBULATORY CENTERS THAT EXTEND CARE THROUGHOUT THE SOUTH FLORIDA REGION. DURING 2020 THESE CENTERS OFFERED OUTPATIENT SERVICES THAT INCLUDES REHABILITATION AND IMAGING SERVICES, URGENT CARE CENTER AND OUTPATIENT SUB-SPECIALTY OFFICE VISITS. THE HEALTH SYSTEM IS INTERNATIONALLY RECOGNIZED FOR CARE EXCELLENCE. NICKLAUS CHILDREN'S HOSPITAL PROGRAMS WERE RANKED AMONG THE NATION'S BEST IN EIGHT PEDIATRICS SUB-SPECIALTY PROGRAMS SURVEYED BY U.S. NEWS AND WORLD REPORT IN ITS 2020-21 LISTING OF "AMERICA'S BEST CHILDREN'S HOSPITALS." Nicklaus Children's Hospital completed the ISO 9001 Quality Management System certification by DNV GL. Nicklaus Children's is the second freestanding children's hospital in the nation to obtain this certification. SInce the hospital's initial DNV GL accreditation in 2016, Nicklaus Children's and its network of outpatient centers have participated in annual accreditation site visit evaluations to ensure steady progression toward ISO 9001 certification. ISO 9001 sets forth criteria for quality management that include a strong customer focus, engagement of top management, a process approach and continual improvement. The ultimate impact of ISO within hospitals is the reduction or elimination of variation, so that critical work processes are done consistently and the "best ideas" aren't by one person or department, but are ingrained in the organization itself. THE HEALTH SYSTEM IS COMMITTED TO ADVANCING QUALITY AND SAFETY INITIATIVES USING: LEAN INITIATIVES MODEL TO IMPROVE PROCESSES THAT ENHANCE SAFETY, EFFICIENCY AND PREVENT ERRORS AT THE HEALTH SYSTEM. FAST PASS VISITOR SYSTEM THAT REQUIRES ALL VISITORS AT THE MAIN HOSPITAL TO PRESENT PHOTO IDENTIFICATION UPON ARRIVAL AND A RECORD IS KEPT OF ALL THOSE ENTERING THE HOSPITAL. THIS SYSTEM CAN IDENTIFY INDIVIDUALS WITH RECORDS OF CHILD ABUSE AND MOLESTATION, HELPING ENHANCE THE SAFETY OF CHILDREN AT THE HOSPITAL. GETWELL NETWORK IN ALL MEDICAL SURGICAL ROOMS. THE SYSTEM, ACCESSIBLE THROUGH THE IN-ROOM TELEVISION SCREEN, OFFERS PATIENT EDUCATION INFORMATION THAT CAN SUPPORT ENHANCED PATIENT CARE AS WELL AS A PATIENT FEEDBACK SYSTEM, THROUGH WHICH FAMILIES CAN ADDRESS SAFETY CONCERNS. EMR, A STATE-OF-THE-ART SYSTEM, WHICH CAPTURES ALL PATIENT DATA, INCLUDING COMPREHENSIVE CARE RECORDS (RADIOLOGY, PHARMACY, REHABILITATION, OUTPATIENT AND INPATIENT) AS WELL AS REGISTRATION AND BILLING INFORMATION, ALL IN A COMPREHENSIVE SYSTEM. HUMPTY DUMPTY. A TOOL TO PREVENT PEDIATRIC FALLS AND THEREBY ENHANCE SAFETY. AS OF 12/31/2020, THE TOOL WAS IN USE IN 1,489 HOSPITALS, INCLUDING FACILITIES IN VIRTUALLY EVERY U.S. STATE AS WELL AS IN EUROPE,THE MIDDLE EAST, HONG KONG, INDONESIA, JAPAN, THE PHILIPPINES, BERMUDA, CANADA, CARIBBEAN, US VIRGIN ISLANDS, CAYMAN ISLANDS, BRAZIL, AUSTRALIA AND NEW ZEALAND. THE PROGRAM IS ALSO IN USE BY EVERY BRANCH OF OUR U.S. MILITARY HOSPITALS THROUGHOUT THE WORLD. THE HEALTH SYSTEM SUPPORTS A NUMBER OF PROGRAMS THAT ENHANCE THE SKILLS AND WORK READINESS OF YOUNG PEOPLE AS WELL AS PROMOTE HEALTH AWARENESS. THIS INCLUDE PROJECT VICTORY - COOPERATIVE EFFORT BETWEEN MIAMI CHILDREN'S COMMUNITY AND VOLUNTEER RESOURCE PROGRAM AND THE COMMUNITY. TEENS WITH DISABILITIES ARE GIVEN THE OPPORTUNITY TO GAIN LIFE SKILLS THROUGH THE WORLD OF WORK. KIDS AND THE POWER OF WORK (KAPOW A NATIONAL VOLUNTEER PROGRAM)- THE HEALTH SYSTEM PARTICIPATES WITH MIAMI-DADE COUNTY PUBLIC SCHOOLS. HEALTH SYSTEM STAFF MEMBERS VOLUNTEER TO VISIT STUDENTS AT ONE OF TWO AREA PUBLIC ELEMENTARY SCHOOLS. THEY PRESENT AND PREPARE LESSONS FOR SECOND GRADE STUDENTS TO HELP CREATE A FOUNDATION FOR YOUNG STUDENTS, INTRODUCING THEM TO WORK AND RELATED CONCEPTS. EMPLOYEES DONATE ABOUT 200 HOURS OF TIME TO THE PROGRAM. NICKLAUS CHILDREN'S IS AN ESTABLISHED TEACHING HOSPITAL AND IS ONE OF THE LARGEST FREESTANDING PEDIATRIC TEACHING HOSPITALS IN THE SOUTHEASTERN UNITED STATES. THE PEDIATRIC RESIDENCY TRAINING PROGRAM IS STRUCTURED IN ACCORDANCE WITH THE AMERICAN BOARD OF PEDIATRICS' REQUIREMENT OF THREE CORE YEARS IN GENERAL PEDIATRICS AND IS FULLY ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME). ALL FACETS OF PEDIATRIC CARE ARE ENCOMPASSED IN THE TRAINING PROGRAM FROM THE COMPLEX INTENSIVE CARE TO THE OFFICE PRACTICE OF GENERAL PEDIATRICS. EACH YEAR, MEDICAL STUDENTS AND SCHOLARS FROM ALL PARTS OF THE UNITED STATES AND AROUND THE WORLD APPLY FOR ACCEPTANCE TO THE HOSPITAL'S PEDIATRIC RESIDENCY TRAINING PROGRAM, WHICH HAS BEEN IN OPERATION FOR OVER 40 YEARS. THE PROGRAM HAS A FORMAL AFFILIATION WITH FIU'S COLLEGE OF MEDICINE. OTHER PARTICIPATING INSTITUTIONS INCLUDE JACKSON MEMORIAL HOSPITAL, CLEVELAND CLINIC FLORIDA CENTER, UNIVERSITY OF FLORIDA -JACKSONVILLE, MOUNT SINAI MEDICAL CENTER OF FLORIDA AND NOVA SOUTHEASTERN UNIVERSITY. Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS JAY MASSIRMAN, MICHAEL FUX, Fernando Perez-Hickman, Mario Murgado, MATTHEW A. LOVE, Jodi Laurence, and Dawn Javersack have a business relationship due to serving on the board of directors of Children's Health Ventures. Form 990, Part VI, Line 1a Delegate broad authority to a committee There shall be an Executive Committee of the Board of Directors composed of at least three (3) Directors elected by the Board of Directors. No non-Director members shall serve on the Executive Committee. A majority of the members of the Executive Committee present and voting shall constitute a quorum for the transaction of business. The Executive Committee shall have and exercise the authority of the Board of Directors in the management of the Corporation, except that it shall not take any action with respect to (a) the election of officers; (b) the filling or vacancies in the Board of Directors; or (c) the adoption, amendment or repeal of the Bylaws. The Executive Committee shall report to the Board of Directors any action taken by the Executive Committee at the next meeting of the Board of Directors. Members of the Executive Committee may be removed at any regular or special meeting of the Board of Directors. The Executive Committee shall review and/or develop the strategic plan(s) for the Corporation and its Affiliated Entities, taking into account the mission of the Corporation, and recommend same for approval, or approval with modifications, to the Board of Directors. In addition, the Executive Committee shall provide oversight of the development, implementation, and monitoring of consistent standards of quality and service to be provided by the Corporation and all corporate subsidiaries. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FOLLOWING DESCRIBES THE PROCESS FOR PROVIDING THE BOARD OF DIRECTORS WITH A COPY OF THE FORM 990 AND REVIEWING IT: 1. THE DRAFT TAX FORM 990 WILL BE EMAILED TO THE AUDIT AND COMPLIANCE COMMITTEE CHAIR FOR REVIEW AND COMMENTS PRIOR TO FILING. 2. THE PAID TAX PREPARER WILL PRESENT A SUMMARY OF THE INFORMATION TO THE FINANCE COMMITTEE OF THE BOARD. 3. QUESTIONS WILL BE ANSWERED AND IF NECESSARY, TAX FORMS WILL BE ADJUSTED. THE CHAIR WILL APPROVE THE FORM 990. 4. THE FINAL FORM 990 WILL BE POSTED ON THE BOARD WEB PORTAL PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy ALL NICKLAUS CHILDREN'S HEALTH SYSTEM EMPLOYEES ARE INFORMED UPON HIRE, AND ON AN ANNUAL BASIS THEREAFTER, THAT THEY HAVE AN AFFIRMATIVE DUTY TO DISCLOSE ANY ACTUAL, POTENTIAL OR PERCEIVED CONFLICTS OF INTEREST. THEY ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM UPON HIRE, ANNUALLY AND WHENEVER A CHANGE IN CIRCUMSTANCES WARRANTS. CONFLICT OF INTEREST DISCLOSURE FORMS ARE FORWARDED TO THE COMPLIANCE DEPARTMENT BY THE TALENT MANAGEMENT AND EFFECTIVENESS DEPARTMENT. THESE FORMS ARE INITIALLY REVIEWED BY COMPLIANCE DEPARTMENT STAFF. WHEN DEEMED NECESSARY, THE COMPLIANCE DEPARTMENT COLLABORATES WITH THE LEGAL DEPARTMENT. CONFLICTS OF INTEREST THAT NECESSITATE BOARD AWARENESS AND ACTION ARE PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD FOR RESOLUTION AND IMPOSITION OF SANCTIONS, IF WARRANTED. ANY POTENTIALLY CONFLICTED BOARD MEMBERS ARE RECUSED FROM BOARD DELIBERATIONS AND VOTING ON ITEMS IN WHICH THEY HAVE A POTENTIAL CONFLICT. IN ADDITION, ON AN ANNUAL BASIS, BOARD MEMBERS, PRINCIPAL OFFICERS AND BOARD DELEGATED COMMITTEE MEMBERS SIGN A STATEMENT WHICH AFFIRMS THAT EACH INDIVIDUAL: (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY (C) HAS AGREED TO COMPLY WITH THE POLICY, AND (D) UNDERSTANDS THAT THE HOSPITAL IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF IT'S TAX-EXEMPT PURPOSES. A PROCESS IS IN PLACE FOR MANAGING SITUATIONS IN WHICH IT IS DISCOVERED THAT AN INDIVIDUAL WHO IS COVERED BY THE HOSPITAL'S CONFLICT OF INTEREST POLICY FAILED TO PROPERLY DISCLOSE A POTENTIAL CONFLICT OF INTEREST. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE ORGANIZATION AND COMPENSATION COMMITTEE OF NCHS BOARD OF DIRECTORS CONTRACTS WITH AN EXTERNAL CONSULTANT TO OBTAIN MARKET SURVEYS FOR THE CEO AND OTHER EXECUTIVES. THE CONSULTANT ASSISTS THE ORGANIZATION AND COMPENSATION COMMITTEE IN ESTABLISHING A COMPENSATION PROGRAM FOR THE CEO AND OTHER EXECUTIVES. SURVEY RESULTS AND COMPENSATION BEST PRACTICES ARE SHARED WITH THE ORGANIZATION AND COMPENSATION COMMITTEE OF THE BOARD. PERSONS WITH A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED IN ESTABLISHING EXECUTIVE SALARY AND BENEFITS PROGRAMS. DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION AGREEMENT ARE CONTEMPORANEOUS DOCUMENTED. THIS PROCESS IS COMPLETED IN THE FIRST QUARTER EACH YEAR. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE ORGANIZATION AND COMPENSATION COMMITTEE OF NCHS BOARD OF DIRECTORS CONTRACTS WITH AN EXTERNAL CONSULTANT TO OBTAIN MARKET SURVEYS FOR THE CEO AND OTHER EXECUTIVES. THE CONSULTANT ASSISTS THE ORGANIZATION AND COMPENSATION COMMITTEE IN ESTABLISHING A COMPENSATION PROGRAM FOR THE CEO AND OTHER EXECUTIVES. SURVEY RESULTS AND COMPENSATION BEST PRACTICES ARE SHARED WITH THE ORGANIZATION AND COMPENSATION COMMITTEE OF THE BOARD. PERSONS WITH A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED IN ESTABLISHING EXECUTIVE SALARY AND BENEFITS PROGRAMS. DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION AGREEMENT ARE CONTEMPORANEOUS DOCUMENTED. THIS PROCESS IS COMPLETED IN THE FIRST QUARTER EACH YEAR. Form 990, Part VI, Line 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 REVENUE CROSS CHARGE - Total Revenue: 87092, Related or Exempt Function Revenue: 87092, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; GIFT SHOP REVENUE - TAXABLE - Total Revenue: -2, Related or Exempt Function Revenue: -2, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; OTH OPER REV-PURCH DISCOUNTS - Total Revenue: -538, Related or Exempt Function Revenue: -538, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; OOR - VEHICLE CHG STATION - Total Revenue: -19, Related or Exempt Function Revenue: -19, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees CASUAL LABOR - Total Expense: 90714, Program Service Expense: 72571, Management and General Expenses: 18143, Fundraising Expenses: ; FEES-PHYSICIANS - Total Expense: 20121, Program Service Expense: 16097, Management and General Expenses: 4024, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 6058921, Program Service Expense: 4847137, Management and General Expenses: 1211784, Fundraising Expenses: ; INSPECTIONS - Total Expense: 40020, Program Service Expense: 32016, Management and General Expenses: 8004, Fundraising Expenses: ; STORAGE FEES - Total Expense: 64467, Program Service Expense: 51574, Management and General Expenses: 12893, Fundraising Expenses: ; CLEANING SERVICES - Total Expense: 15088, Program Service Expense: 12070, Management and General Expenses: 3018, Fundraising Expenses: ; LABORATORY SERVICES - Total Expense: 96250, Program Service Expense: 77000, Management and General Expenses: 19250, Fundraising Expenses: ; CONSULTANTS - Total Expense: 4554105, Program Service Expense: 3643284, Management and General Expenses: 910821, Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 16318956, Program Service Expense: 13055165, Management and General Expenses: 3263791, Fundraising Expenses: ; CODING SERVICES - Total Expense: 101668, Program Service Expense: 81334, Management and General Expenses: 20334, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances LOSS IN SUBSIDIARIES AND AFFILIATES - 9522627; EXPENSES ATTRIBUTABLE TO NONCONTROLLING INTEREST - 876484; CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS HELD BY OTHERS - 108186; DISTRIBUTION TO NON CONTROLLING INTEREST - -209060; Transfer from affiliate - 4728196; VARIETY CHILDREN'S HOSPITAL 3100 SW 62ND AVENUE MIAMI FL 33155 590638499 HOSPITAL FL 501(c)(3) 3 MCHS true MIAMI CHILDREN'S HOSPITAL WORKER'S COMPENSATION TRUST 3100 SW 62ND AVENUE MIAMI FL 33155 597021572 WC CLAIMS FL 4947 (a)(1) VCH true VARIETY CHILDREN'S HOSPITAL PROFESSIONAL LIABILITY TRUST 3100 SW 62ND AVENUE MIAMI FL 33155 592551434 LIAB. CLAIMS FL 4947 (a)(1) VCH true MIAMI CHILDREN'S HOSPITAL RESEARCH INSTITUTE INC 3100 SW 62ND AVENUE MIAMI FL 33155 592602318 RESEARCH FL 501(c)(3) 3 VCH true Pediatric Specialty Group Inc (dba NICKLAUS CHILDREN'S PEDIATRIC SPECIALIST S INC) 3100 SW 62ND AVENUE MIAMI FL 33155 463756071 EMPLOYED PHYSICIANS FL 501(c)(3) 3 MCHS true MIAMI CHILDREN'S HEALTH SYSTEM FOUNDATION INC (DBA NICKLAUS CHILDREN'S HOSP ITAL FOUNDATION INC) 3100 SW 62ND AVENUE MIAMI FL 33155 461784918 FOUNDATION FL 501(c)(3) 7 MCHS true MIAMI CHILDREN'S HOSPITAL AMBULATORY SURGERY CENTER LLC 800 SW 108TH AVENUE SUITE 200 MIAMI FL 33174 463406805 SURGERY CENTER FL NA N/A false MIAMI CHILDREN'S HEALTH PLAN LLC 3100 SW 62ND AVE MIAMI FL 33155 823111550 INSURANCE FL NA N/A false MIAMI HOSPITAL HOLDINGS LLC 11221 ROE AVE SUITE 320 LEAWOOD KS 66211 464077635 HOLDING COMPANY FL NA N/A MIAMI CHILDREN'S INSURANCE CO SPC LTD 720 WEST BAY ROAD PO BOX 69GT BUCKINGHAM SQUARE GEORGETOWN GRAND CAYMAN CJ 980442086 INSURANCE CJ NA C Corporation false CHILDREN'S HEALTH VENTURES INC AND SUBSIDIARIES 3100 SW 62ND AVENUE MIAMI FL 331553009 454541147 MERCHANT WHOLESALE FL NA C Corporation 1 true false false false false false false false false false false false false false true true false false false true VARIETY CHILDREN'S HOSPITAL O 45340790 FMV VARIETY CHILDREN'S HOSPITAL N 71328373 FMV NICKALUS CHILDREN'S PEDIATRIC SPECIALISTS LLC O 390921 FMV NICKLAUS CHILDREN'S HOSPITAL FOUNDATION LLC O 65524 FMV NICKLAUS CHILDREN'S HOSPITAL FOUNDATION LLC N 103079 FMV NICKALUS CHILDREN'S PEDIATRIC SPECIALISTS LLC N 614982 FMV NICKLAUS CHILDREN'S HOSPITAL FOUNDATION LLC S 9180644 FMV