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          <BusinessNameLine1Txt>Alexandra L Quittner</BusinessNameLine1Txt>
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        <TitleTxt>Senior Research Scientist</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 ESTABLISH COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization relied on the methods of establishing compensation for the organization's CEO employed by NICKLAUS CHILDREN'S HEALTH SYSTEM. (EIN: 45-3481327). NICKLAUS CHILDREN'S HEALTH SYSTEM uses the following methods to establish such compensation: - Compensation Committee - Independent Compensation Consultant - Compensation survey or study - Approval by the Board of Compensation Committee</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Tax indemnification and gross-up payments</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING CONTRIBUTIONS WERE MADE TO A SECTION 457(F) PLAN DURING THE YEAR - NARENDRA KINI- $228,698 TIMOTHY BIRKENSTOCK - $54,641 MICHAEL HARRINGTON - $70,252 THE FOLLOWING DISTRIBUTIONS WERE MADE FROM A SECTION 457(F) PLAN DURING THE YEAR - TIMOTHY BIRKENSTOCK - $76,356</ExplanationTxt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="18007697" softwareVersionNum="2018v3.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>The MCRI provides research support services for all types of clinical research studies including those sponsored by industry partners, private foundations, granting agencies, and internal sources. Specific services include proposal and protocol development, contract and budgeting, regulatory affairs, education, training and outreach, and clinical coordinator support. In addition, the MCRI serves as the home to interdisciplinary research initiatives and engages the community by increasing awareness about Nicklaus Children's Health System (formerly Miami Children's Health System) research initiatives and providing training for clinical research teams. The MCRI supports research activities across the Miami Children's Health System including the neurosciences, surgery, hematology and oncology, radiology, cardiology, endocrinology, gastroenterology, genetics, nephrology, orthopedics, psychiatry, pulmonology and urology. In addition the MCRI works collaboratively with Graduate Medical Education to support the research efforts of our residents and fellows. As part of its work in hematology-oncology research, Nicklaus Children's Hospital maintains full membership in the Children's Oncology Group (COG), a federally funded consortium of pediatric hospitals and departments conducting a large array of clinical research studies offering latest advancements for the treatment of childhood cancers. Providing consistent and high quality support for the COG is a high priority for the MCRI. Research efforts in the neurosciences involve federal, academic and industry partnerships and include the use of investigational products and devices in both neurology and neurosurgical settings. In close collaboration with the Nicklaus Children's Hospital Brain Institute, the MCRI supports a growing number of clinical research studies in the neurosciences focused on various types of epilepsy, neuro-oncology and pediatric stroke. A primary focus of the cardiology research portfolio includes exploring better treatment options for patients with congenital heart defects and gaining insight into the long term or late effects that adults with congenital heart defects might experience. The cardiology and cardiac surgery teams participate in a number of industry sponsored studies with valve replacement therapies and the evaluation of new stents in the pediatric setting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15 DETERMINING COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>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 AND USED IN ESTABLISHING EXECUTIVE SALARY AND BENEFITS PROGRAMS. MCH RESEARCH INSTITUTE RELIED ON THE METHODS OF ESTABLISHING COMPENSATION USED BY NICKLAUS CHILDREN'S HEALTH SYSTEM, INC. NO COMPENSATION WAS PAID BY THIS ENTITY DURING THE YEAR, THEREFORE THIS QUESTION HAS BEEN ANSWERED NO IN ACCORDANCE WITH THE INSTRUCTIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>NARENDRA KINI, JAY MASSIRMAN, MARIO MURGADO, MATTHEW A. LOVE, AND TIMOTHY BIRKENSTOCK - Business relationship</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Variety Children's Hospital d/b/a Nicklaus Children's Hospital, a Florida corporation, acting through its Board of Directors, is the sole Member of this corporation.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Whenever a vacancy exists on the Board of Directors whether by death, resignation, or otherwise, the vacancy shall be filled by Variety Children's Hospital (The Sole Member).</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>An amendment to the Articles of Incorporation may be proposed by the Board of Directors or Variety Children's Hospital (The Sole Member), but such amendment may be adopted only after receiving the approval of the Sole Member. The By-Laws of this corporation may be amended, repealed, or added to, or new By-Laws may be adopted, by the Board of Directors only with the approval by the Sole Member.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>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 COMMENT. 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL MIAMI CHILDREN'S HOSPITAL RESEARCH INSTITUTE 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. 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Physician Fees - Total Expense: 232085, Program Service Expense: 232085, Management and General Expenses: , Fundraising Expenses: ; Consultant Fees - Total Expense: 365652, Program Service Expense: 365652, Management and General Expenses: , Fundraising Expenses: ; Laboratory Fees - Total Expense: 3041, Program Service Expense: 3041, Management and General Expenses: , Fundraising Expenses: ; Casual Labor - Total Expense: 5488, Program Service Expense: 5488, Management and General Expenses: , Fundraising Expenses: ; Overhead Allocation - Total Expense: 12000, Program Service Expense: 12000, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 24987, Program Service Expense: 24987, Management and General Expenses: , Fundraising Expenses: ; STORAGE FEES - Total Expense: 2805, Program Service Expense: 2805, Management and General Expenses: , Fundraising Expenses: ;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER TO AFFILIATE - -106139; REFUND OF GRANTS - -554923;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>The MCRI mission is to: - Provide leadership, education, expertise, and guidance to clinical research professionals at Nicklaus Children's Hospital (NCH) and its affiliates - Serve as a centralized resource within NCH to support conduct of interdisciplinary and patient-oriented research focusing on clinical trials - Provide a primary point of contact for Sponsors and Investigators - Serve as an educational resource to Investigators and Research Staff - Provide an interface with the research participant community The Miami Children's Research Institute strives to promote efficiency, standardization, compliance and responsible clinical research conduct through education, quality assurance visits, positive influence and guided internal and community leadership.</ExplanationTxt>
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        <PrimaryActivitiesTxt>MERCHANT WHOLESALE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>