2021-11-15T14:01:39-06:00 2020-12-31 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2020-01-01 461784918 Miami Children's Health System Foundation 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 X Nicklaus Children's Hospital Foundation Inc Michelle Boggs 3100 SW 62nd Avenue Miami FL 33155 14356385 false X https://give.nicklauschildrens.org/home X 2012 FL The mission of MIAMI CHILDREN'S HEALTH SYSTEM FOUNDATION, INC. (D/B/A NICKLAUS CHILDREN'S HEALTH SYSTEM FOUNDATION, INC.) is to create awareness and generate funds for Nicklaus Children's Health System (System), Nicklaus Children's Hospital and any other Not-for-profit affiliated entity. X 23 20 39 259 27552 0 23675796 14042610 0 482029 73741 -560524 -360225 23597301 13756126 12764187 4424946 0 3687494 2671127 0 2396477 2259594 2065744 18711275 9161817 4886026 4594309 96648090 0 695763 0 95952327 0 The mission of MIAMI CHILDREN'S HEALTH SYSTEM FOUNDATION (D/B/A NICKLAUS CHILDREN'S HOSPITAL FOUNDATION, INC. )is to create awareness and generate funds for Nicklaus Children's Health System (System), Nicklaus Children's Hospital and any not-for-profit affiliated entity under the System umbrella. The Foundation's guiding principle is to ensure that all children have access to state-of-the-art pediatric care. false false 5865848 4424946 In 2020, grants were made to Nicklaus Children Hospital to provide funding for the Personalized Medicine, Telehealth Dental and Social Services. 5865848 true true false false false false false false true false false false false false true false true false false true false false false true false false true false true false false false false false false false false true false true false false true false false false true 10 0 true 39 true true true false false false false true true false false false false false false X 23 20 true false true false true true true true true false false true true true true true true true false false CA FL GA IL MD MA NY OH PA VA X Laurie Levine 3056666511 5301 Blue Lagoon Drive Miami FL 33126 Christine Valls Director/Secretary 0.1 0 X X 0 0 0 David Martin Treausurer/Director 0.1 0 X X 0 0 0 Matthew Love President & CEO & Director 0.1 40.5 X X 0 906180 204098 Michelle J Boggs Pres Foundation/VP Ext Affairs Director 40.0 0 X X 306168 0 73929 Peter Lopez Vice Chairman/Director 0.1 0 X X 0 0 0 Ricky Patel ESQ Chairman/Director 0.1 0.6 X X 0 0 0 Adam Schimel Director 0.1 0 X 0 0 0 Alex Soto Director 0.1 1.5 X 0 0 0 Brett Trembly ESQ Director 0.1 0 X 0 0 0 Cynthia Hudson Director 0.1 0 X 0 0 0 Douglas Wolfe Director 0.1 0 X 0 0 0 Drew Kern Director 0.1 0.4 X 0 0 0 Jaret Davis Director 0.1 1.5 X 0 0 0 Jeffrey Thorton Director 0.1 0 X 0 0 0 Jose Dans Director 0.1 0 X 0 0 0 Juliana Kyrs Director 0.1 0 X 0 0 0 Louis Hernandez Jr Director 0.1 0 X 0 0 0 Luxme Hariharan Director 0.1 40.0 X 0 263268 7001 Mario Murgado Director 0.1 1.5 X 0 0 0 Michelle Mckenna Director 0.1 0 X 0 0 0 Mojdeh Khaghan Danial Director 0.1 0 X 0 0 0 Oscar Feldenkreis Director 0.1 0 X 0 0 0 Salo Grosfeld DIRECTOR 0.1 0 X 0 0 0 Jamie M Schempp Exe Director Strategic Ops 40.0 0 X 147962 0 2439 Jessica Bormey Executive Dir Finance & Ops 0.1 0 X 124060 0 6960 Sara Jolly Executive Dir Development Ops 40.0 0 X 125166 0 13472 703355 1169448 307898 4 false true false 0 10932 1754504 0 12277174 691452 14042610 0 0 0 0 0 73741 27552 46189 10973 15630 -4657 0 -4657 -4657 0 0 0 0 229061 2566661 584629 -355568 -355568 0 0 0 0 0 0 0 13756126 0 27552 -314036 4424946 4424946 380096 64616 87422 228058 1861453 316447 428134 1116872 16104 2738 3704 9662 315241 53591 72505 189145 98233 16700 22593 58940 106183 106183 214547 36473 49346 128728 564710 186354 378356 36526 2557 25568 8401 960 163 221 576 110310 18753 25371 66186 14692 2498 3379 8815 29718 5052 6835 17831 38110 6479 8765 22866 MEDICAL SUPPLIES 691443 684529 6914 SHARED OPERATIONAL COSTS 168603 28662 38779 101162 DUES & SUBSCRIPTIONS 30962 5264 7121 18577 58980 10026 13566 35388 9161817 5865848 899492 2396477 800 1528631 34496783 0 0 0 0 0 238004 0 0 0 0 51265607 0 0 9118265 0 96648090 0 112926 0 234849 0 0 347988 0 695763 0 X 14118775 81833552 95952327 0 96648090 0 X 4594309 3124385 -103670751 X false true X true false X 24189827 23718804 14725100 23675796 14042610 100352137 0 0 24189827 23718804 14725100 23675796 14042610 100352137 5946955 94405182 595574 1623579 207305 487986 84444 2998888 0 0 0 0 0 459874 824798 700892 399639 229061 2614264 105965289 0 0.8909 0.8889 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - SPECIAL EVENT SALES, COLUMN A - 433633.0, COLUMN B - 804610.0, COLUMN C - 694220.0, COLUMN D - 375977.0, COLUMN E - 229061.0, COLUMN F - 2537501.0; DESCRIPTION - OTHER INCOME, COLUMN A - 26241.0, COLUMN B - 20188.0, COLUMN C - 6672.0, COLUMN D - 23662.0, COLUMN E - , COLUMN F - 76763.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 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 false ACCRUALS-GROUP HEALTH INS. Operating Lease Liabilities 0 X Schedule D, Part V, Line 4 Intended uses of endowment funds The Foundation's endowments are established to fund medical research, education, patient medical, and social services at Nicklaus Children's Hospital. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote "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." Central America and the Caribbean 0 0 Investments 359175 0 0 0 0 0 0 359175 0 359175 true false false false true false Diamond Ball 771137 644231 126906 59183 CMNH 1212428 1110273 102155 525446 0 1983565 1754504 229061 584629 584629 -355568 true Variety Children's Hospital 3100 SW 62 Ave Miami FL 33155 590638499 501(C)(3) 4319623 (See Statement) Pediatric Specialty Group Inc 3100 SW 62 Ave Miami FL 33155 463756071 501(C)(3) 5323 (See Statement) Children's Health Ventures Inc and Subsidiaries 3100 SW 62 Ave Miami FL 33155 454541147 100000 (See Statement) 2 1 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. The Foundation generates donations based on the strategic needs of the hospital service lines. Once donations are received a formal request is made by the hospital for the funds. THE FOUNDATION STAFF RECEIVES MONTHLY INVOICES TO DOCUMENT THE EXPENDITURES OF THE HOSPITAL AGAINST THE GRANTS. THE FOUNDATION'S PROGRAM STAFF THEN MEETS THE APPROPRIATE HOSPITAL STAFF TO DISCUSS THE PROGRESS OF ALL GRANT FUNDED PROJECTS THROUGHOUT THE YEAR. X X X false true false false false false false false false Michelle J Boggs Pres Foundation/VP Ext Affairs Director 305209 0 0 0 959 0 50242 0 23687 0 380097 0 0 0 Matthew Love President & CEO & Director 0 880893 0 0 0 25287 0 179228 0 24870 0 1110278 0 0 Luxme Hariharan Director 0 262998 0 0 0 270 0 0 0 7001 0 270269 0 0 Jamie M Schempp Exe Director Strategic Ops 147701 0 0 0 261 0 527 0 1912 0 150401 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING CONTRIBUTIONS WERE MADE TO A SECTION 457(F) PLAN DURING THE YEAR - MICHELLE J BOGGS 47,195.20 MATTHEW LOVE 174,520.32 X Toys, Books 101 182373 Market value X Auction Prizes 217 509079 Market value 0 false true false Cash 2020-12-31 800 BV 453481327 Nicklaus Children's Health System 3100 SW 62ND AVENUE MIAMI FL 33155 501(c)(3) Accounts and Other Receivables 2020-12-31 50110207 BV 453481327 Nicklaus Children's Health System 3100 62ND AVENUE MIAMI FL 33155 501(c)(3) Prepaid Expenses and Defferred Charges 2020-12-31 771268 BV 453481327 Nicklaus Children's Health System 3100 SW 62ND AVENUE Miami FL 33155 501(c)(3) Investments 2020-12-31 52657880 BV 453481327 Nicklaus Children's Health System 3100 SW 62ND AVENUE Miami FL 33155 501(c)(3) Other Assets 2020-12-31 239092 BV 453481327 Nicklaus Children's Health System 3100 SW 62ND AVENUE Miami FL 33155 501(c)(3) true true false false true true true false false Schedule N, Part I, Line 1, Column (f) NAME & ADDRESS OF RECEIPENT FOR ITEMS 1 - 5 NICKLAUS CHILDREN'S HOSPITAL FOUNDATION, LLC- BECAME A DISREGARDED ENTITY OF NICKLAUS CHILDREN'S HEALTH SYSTEM, INC. SEE FORM 990, PART IV, LINE 4 AND ATTACHED FLORIDA NOTICE OF CONVERSION TO LIMITED LIABILITY COMPANY CERTIFICATE Schedule N, Part I, Line 5 Liabilities as of End of the Year The filing organization BECAME A DISREGARDED ENTITY OF NICKLAUS CHILDREN'S HEALTH SYSTEM, INC. As the filing organization was not liquidated, question 5 is not applicable. Schedule N, Part I, Line 2a Interested person is a director or trustee of successor org. ALL BOARD MEMBERS OF THE FOUNDATION REMAINED AS REPORTED AFTER CONVERSION TO A DISREGARDED LLC. Schedule N, Part I, Line 2b Interested person is an employee or ind. contractor of successor org. ALL OFFICERS OF THE FOUNDATION REMAINED AS REPORTED AFTER CONVERSION TO A DISREGARDED LLC. Form 990, Part VI, Line 15b Process for determining compensation of other officers or key employees NICKLAUS CHILDREN'S HOSPITAL FOUNDATION RELIED ON THE METHODS OF ESTABLISHING COMPENSATION USED BY NICKLAUS CHILDREN'S HEALTH SYSTEM, INC. THE ORGANIZATION AND COMPENSATION COMMITTEE OF NICKLAUS CHILDREN'S HEALTH SYSTEM, INC.'S BOARD OF DIRECTORS CONTRACTS WITH AN EXTERNAL CONSULTANT TO OBTAIN MARKET SURVEYS FOR THE CEO AND OTHER EXECUTIVES. THE CONSULTANT ASSISTS THE ORGANIZATION AND COMPENSATION COMMITTEE IN ESTABLISHING A COMPENSATION PROGRAM FOR THE CEO AND OTHER EXECUTIVES. SURVEY RESULTS AND COMPENSATION BEST PRACTICES ARE SHARED WITH THE ORGANIZATION AND COMPENSATION COMMITTEE OF THE BOARD. PERSONS WITH A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED IN ESTABLISHING EXECUTIVE SALARY AND BENEFITS PROGRAMS. DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION AGREEMENT ARE CONTEMPORANEOUS DOCUMENTED. THIS PROCESS IS COMPLETED IN THE FIRST QUARTER OF EACH YEAR. Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS MATTHEW A. LOVE and Mario Murgado 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 The Executive Committee is composed of at least three (3) Directors elected by the Board of Directors. A majority of the members present and voting constitutes a quorum for the transaction of business, The Executive Committee has and exercise the authority of the Board of Directors in the management of the Foundation, except that it shall not take any action with respect to (a) election of officers; (b) the filling of vacancies on the Board of Directors and (c) the adoption, amendment or repeal of any By-laws. 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 Form 990, Part VI, Line 4 Significant changes to organizational documents NICKLAUS CHILDREN'S HOSPITAL FOUNDATION WAS CONVERTED TO A DISREGARDED ENTITY OF MIAMI CHILDREN'S HEALTH SYSTEM AS OF 12/31/2020. SEE ATTACHED ARTICLES OF CONVERSION AND ARTICLES OF ORGANIZATION. Form 990, Part VI, Line 6 Classes of members or stockholders THE ORGANIZATION'S SOLE MEMBER IS NICKLAUS CHILDREN'S HEALTH SYSTEM, INC. THE SOLE MEMBER HAS THE AUTHORITY TO ELECT MEMBERS TO THE BOARD OF DIRECTORS AND APPROVE DECISIONS OF THE BOARD. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE ELECTED MEMBERS OF THE BOARD SHALL BE ELECTED BY NICKLAUS CHILDREN'S HEALTH SYSTEM (THE SOLE MEMBER), AFTER TAKING INTO CONSIDERATION ANY RECOMMENDATIONS OF THE BOARD. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The Board shall not take any action with respect to the following without the approval of Nicklaus Children's Health System (the sole Member): a) Modify the mission, purpose or scope of the foundation, or materially change the location, size or scope of services, programs, operations or educational or medical school affiliations of the foundation or related agreements; b) Create any entity in which the foundation is the sole member or sole shareholder, or any entity in which the foundation has a direct or indirect oversight role, which may include not-for-profit, for profit, limited liability companies, or any other legal entity; c) Sell, lease, purchase, create, dissolve, convey, mortgage, grant a security interest or otherwise dispose of any affiliated, controlled, or joint venture entity, any real or personal property or other assets (or any interest in any of the foregoing), or incur debt for money borrowed or guarantee the debt of another, not in the ordinary course of business; d) Approve annual operating or capital budgets, strategic and long-range plans, major fund-raising programs, physician compensation or other agreements, managed care contracts or other financial commitments or material deviations from such budgets, plans, agreements or commitments; and e) Approve financial, accounting, human resource, employee benefit, compliance policies or procedures, medical staff bylaws (including amendments) or other policies and procedures, or the appointment or engagement of auditors, legal counsel and consultants, which are in any way contrary to the policies and procedures adopted from time to time by the Member. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FOLLOWING DESCRIBES 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 FOUNDATION 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. ANY POTENTIALLY CONFLICTED BOARD MEMBERS ARE RECUSED FROM BOARD DELIBERATIONS AND VOTING ON ITEMS IN WHICH THEY HAVE A POTENTIAL CONFLICT. 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 Foundation 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 its tax-exempt purposes. A process is in place for managing situations in which it is discovered that an individual who is covered by the Foundation'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 MCHSF 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 OF 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 XI, Line 9 Other changes in net assets or fund balances Equity transfer - Nicklaus Children's Health System - -668935; Conversion to Disregarded Entity of Nicklaus Children's Health System - -XXX-XX-XXXX; Transfer to related entity - MCH Research Institute, Inc. - -2592351; FORM 990, PART V, LINES 1A AND 2A FORMS W-2 ND 1099 FILED MIAMI CHILDREN'S HEALTH SYSTEM, INC. (EIN 45-3481327) FILES IN ITS NAME ALL FORMS W-2 AND 1099 FOR THE FILING ORGANIZATION, MIAMI CHILDREN'S HEALTH SYSTEM FOUNDATION, INC. VARIETY CHILDREN'S HOSPITAL 3100 SW 62ND AVENUE MIAMI FL 33155 590638499 HOSPITAL FL 501(c)(3) 3 MCHS false MIAMI CHILDREN'S HOSPITAL WORKER'S COMPENSATION TRUST 3100 SW 62ND AVENUE MIAMI FL 33155 597021572 WC CLAIMS FL 4947 (a)(1) VCH false VARIETY CHILDREN'S HOSPITAL PROFESSIONAL LIABILITY TRUST 3100 SW 62ND AVENUE MIAMI FL 33155 592551434 LIAB. CLAIMS FL 4947 (a)(1) VCH false MIAMI CHILDREN'S HOSPITAL RESEARCH INSTITUTE INC 3100 SW 62ND AVENUE MIAMI FL 33155 592602318 RESEARCH FL 501(c)(3) 3 VCH false 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 false MIAMI CHILDREN'S HEALTH SYSTEM INC 3100 SW 62ND AVENUE MIAMI FL 33155 453481327 HEALTHCARE FL 501(c)(3) Type II NA false MIAMI CHILDREN'S HOSPITAL AMBULATORY SURGERY CENTER LLC 800 SW 108TH AVENUE SUITE 200 MIAMI FL 33174 463406805 AMBULATORY CENTER FL NA N/A MIAMI CHILDREN'S HEALTH PLAN LLC 3100 SW 62ND AVE MIAMI FL 33155 823111550 INSURANCE FL NA N/A 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 false false true false false false false false false false false false true false true true true false true true