2020-11-12T11:32:54-06:00 2019-12-31 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2019-01-01 461784918 Miami Children's Health System Foundation Inc MIAM 3056666511 3100 SW 62nd Avenue Miami FL 33155 Dawn Javersack SVP and CFO 2020-11-12 true Brittney Kocaj P01320603 9542028600 2019 2021-01-29 14:40:06Z Nicklaus Children's Hospital Foundation Inc Michelle Boggs 3100 SW 62nd Avenue Miami FL 33155 24557464 false X https://give.nicklauschildrens.org/home X 2012 FL The mission of 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 other Not-for-profit affiliated entity. 12 11 53 259 -5957 -7157 14725100 23675796 0 0 207305 482029 -455824 -560524 14476581 23597301 10530885 12764187 0 0 3904534 3687494 1071 0 3158722 3368747 2259594 17805237 18711275 -3328656 4886026 90973071 96648090 562525 695763 90410546 95952327 The mission of 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 14203757 12764187 In 2019, grants were made to Nicklaus Children Hospital to provide funding for the Outpatient Centers, Capital Outlays, Personalized Medicine, Wellness, Dental Health, Educational and Children's Experience. 14203757 true true false false false false false false true false false false true true 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 false false false true false false false true 32 0 true 53 true true true false false false false true true false false false false false false X 12 11 true false false 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 Ana Randin 3056666511 5301 Blue Lagoon Drive Miami FL 33126 Jose Dans Secretary 0.1 0 X X 0 0 0 Michelle Boggs Foundation President 40.0 1.5 X X 320856 0 74621 Patel Ricky Esq Vice Chairman 0.1 0 X X 0 0 0 Peter Lopez Treasurer 0.1 0 X X 0 0 0 Ravneet Chowdhury Esq Chairman 0.1 1.5 X X 0 0 0 Alex Soto Director 0.1 1.5 X 0 0 0 David Martin 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 Jose Perdomo Director 0.1 40.5 X 0 492484 58093 Juliana Krys Director 0.1 0 X 0 0 0 Mario Murgado Director 0.1 0.6 X 0 0 0 Matthew Love Director 0.1 40.4 X 0 740892 101675 Michael S Davis Director (partial year) 0.1 40.5 X 0 498919 45544 Narendra M Kini MD EX OFFICIO DIRECTOR (Partial Year) 0.1 40.4 X 0 1670892 81122 RAMESH C SACHDEVA Director 0.1 40.5 X 0 504846 81071 Richard Perez CFO & Exec Dir Foundation (Partial Year) 40.0 0 X 62624 0 8528 JAMIE M SCHEMPP Exe Director Corp Partnerships 40.0 0 X 113776 0 4412 Joseph H Deary Sir Dir of Planned Giving 40.0 0 X 113272 0 9088 Pietro Bonacossa Sr Dir Foundation/Grant Giving 40.0 0 X 137387 0 11103 Sara Jolly Executive Dir Major Gifts 40.0 0 X 120525 0 12135 Simone M Sellier Area Dir Commun Relations WPB (Partial Year) 40.0 0 X 125924 0 10347 Timothy L Birkenstock Former FOUNDATION PRESIDENT 0.0 0.0 X 0 202553 9574 994364 4110586 507314 7 true true false VICTORIA & ASSOC 6100 BLUE LAGOON DR SUITE 355 MIAMI FL 33126 Career Services 118191 1 133764 3785880 0 19756152 478503 23675796 0 0 0 0 0 482029 -5957 487986 0 0 0 0 375977 3785880 960163 -584186 -584186 GRANT RECOVERY 900099 23662 23662 0 0 0 0 23662 23597301 0 -5957 -72538 12764187 12764187 0 0 466629 124153 105190 237286 2626329 407023 605934 1613372 7736 485 1819 5432 374547 59130 86362 229055 212253 36083 48818 127352 102262 102262 384458 65359 88425 230674 505855 166932 338923 273679 19158 191575 62946 4070 692 936 2442 154114 26199 35446 92469 65096 11066 14972 39058 33065 5621 7605 19839 8443 1435 1942 5066 Program Activities 478503 473718 4785 Shared Operational Costs 173000 29410 39790 103800 Dues and Subscriptions 70951 12062 16319 42570 Equipment Rental 4765 810 1096 2859 1333 234 305 794 18711275 14203757 1348796 3158722 800 800 1521008 1528631 48560062 34496783 133093 0 0 0 367295 238004 0 0 0 37451198 51265607 0 0 2939615 9118265 90973071 96648090 105656 112926 356674 0 0 234849 0 100195 347988 562525 695763 X 14118775 14118775 76291771 81833552 90410546 95952327 90973071 96648090 X 4886026 3924852 -3269097 X false true X true false X 18414293 24189827 23718804 14725100 23675796 104723820 0 0 18414293 24189827 23718804 14725100 23675796 104723820 6110540 98613280 94717 595574 1623579 207305 487986 3009161 0 0 0 0 0 0 817135 459874 824798 700892 399639 3202338 110935319 0 0.8889 0.8646 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - SPECIAL EVENT SALES, COLUMN A - 783747.0, COLUMN B - 433633.0, COLUMN C - 804610.0, COLUMN D - 694220.0, COLUMN E - 375977.0, COLUMN F - 3092187.0; DESCRIPTION - OTHER INCOME, COLUMN A - 33388.0, COLUMN B - 26241.0, COLUMN C - 20188.0, COLUMN D - 6672.0, COLUMN E - 23662.0, COLUMN F - 110151.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 49642017 543923 4248769 3519397 50915312 52766887 64752 -1950120 1239502 49642017 1227073 51539814 52766887 0 1227073 1227073 0 0 0 0.1592 0.8408 0.0 false false InterCompany Receivable 8770394 Operating lease right of use assets, net 347871 9118265 ACCRUALS-GROUP HEALTH INS. Operating Lease Liabilities 347988 347988 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, PSA, NCHF 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, 2019 AND 2018. 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, 2019 AND 2018. 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 289185 0 0 0 0 0 0 289185 0 289185 true false false false true false Diamond Ball 1642887 1356262 286625 289969 CMNH 2506201 2418932 87269 81109 11 12769 10686 2083 589085 4161857 3785880 375977 879054 81109 960163 -584186 true Variety Children's Hospital 3100 SW 62 Ave Miami FL 33155 590638499 501(C)(3) 5264187 (See Statement) Pediatric Specialty Group Inc 3100 SW 62 Ave Miami FL 33155 463756071 501(C)(3) 1000000 (See Statement) LDG & LDR Charitable Foundation Incorporated 140 Intracostal Pointe Dr Ste 10 Jupiter FL 33147 822426938 501(C)(3) 6500000 SPONSORSHIP 3 0 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 true true X X X X true true false false false false false false false Timothy L Birkenstock Former FOUNDATION PRESIDENT 0 166008 0 0 0 36545 0 4513 0 5060 0 212126 0 0 Michelle Boggs Foundation President 319857 0 0 0 1000 0 50254 0 24366 0 395477 0 0 0 RAMESH C SACHDEVA Director 0 499313 0 0 0 5533 0 67703 0 13368 0 585917 0 0 Narendra M Kini MD EX OFFICIO DIRECTOR (Partial Year) 0 832435 0 0 0 838457 0 67341 0 13781 0 1752014 0 0 Matthew Love Director 0 647869 0 0 0 93023 0 77091 0 24585 0 842568 0 0 Jose Perdomo Director 0 468466 0 0 0 24018 0 50268 0 7825 0 550577 0 0 Michael S Davis Director (partial year) 0 325226 0 0 0 173693 0 37327 0 8218 0 544463 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments All of the compensated individuals listed on Part VII received tax gross-up payments during the year. The gross-up payment was treated as taxable compensation to them. Schedule J, Part I, Line 4a Severance or change-of-control payment THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR - SIMONE M SELLIER - $43,078.40 MICHAEL S DAVIS - $141,926.40 NARENDRA M KINI - $589,409.60 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING CONTRIBUTIONS WERE MADE TO A SECTION 457(F) PLAN DURING THE YEAR - MICHELLE J BOGGS - $47,253.96 JOSE PERDOMO - $43,779.84 MICHAEL S DAVIS - $30,750.72 NARENDRA M KINI - $58,940.96 THE FOLLOWING DISTRIBUTIONS WERE MADE FROM A SECTION 457(F) PLAN DURING THE YEAR - JOSE PERDOMO - $19,021.42 MICHAEL S DAVIS - $30,964.17 NARENDRA M KINI - $ 232,728.15 X Toys 177 137575 Market value X Auction Prizes 331 340928 Market value 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Other - Toys NUMBER OF Contributions Other - Auction Prizes NUMBER OF Contributions 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 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 2 Family/business relationships amongst interested persons NARENDRA KINI AND MATTHEW A. LOVE - Business relationship 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 - -2629053; bad debt expense pledges receivable - -640044; 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 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 HOSPITAL HOLDINGS LLC 11221 ROE AVE SUITE 320 LEAWOOD KS 66211 464077635 HOLDING COMPANY FL NA N/A MIAMI CHILDREN'S HEALTH PLAN LLC 3100 SW 62ND AVE MIAMI FL 33155 823111550 INSURANCE 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