VARIETY CHILDRENS HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: VARIETY CHILDRENS HOSPITAL (EIN 59-0638499)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-15
IRS object ID: 201813199349315646
Schema version: 2017v2.2
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-15T16:38:41-06:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	401 East Las Olas Blvd Suite 1100	AddressLine1Txt
City	Fort Lauderdale	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	333014230	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	590638499	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Variety Children's Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	VARI	BusinessNameControlTxt
Phone	3056666511	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3100 SW 62nd Avenue	AddressLine1Txt
City	Miami	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	331553009	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Timothy Birkenstock	PersonNm
Person Title	SVP & CFO	PersonTitleTxt
Signature	2018-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brittney Kocaj	PreparerPersonNm
PTIN	P01320603	PTIN
Phone	9542028600	PhoneNum

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Nicklaus Children's Hospital	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Narendra Kini MD	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3100 SW 62nd Avenue	AddressLine1Txt
City	Miami	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	331553009	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$922,154,539	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.nicklauschildrens.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1950	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	THE HOSPITAL PROVIDES SPECIALIZED PEDIATRIC HEALTH CARE TO CHILDREN REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, AGE, OR ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	4111	TotalEmployeeCnt
Total Volunteers	1145	TotalVolunteersCnt
Total Gross UBI	$20,932	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$19,932	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$16,648,286	PYContributionsGrantsAmt
CY Contributions Grants	$8,113,325	CYContributionsGrantsAmt
PY Program Service Revenue	$596,349,627	PYProgramServiceRevenueAmt
CY Program Service Revenue	$618,929,319	CYProgramServiceRevenueAmt
PY Investment Income	$6,477,065	PYInvestmentIncomeAmt
CY Investment Income	$24,069,053	CYInvestmentIncomeAmt
PY Other Revenue	$22,776,193	PYOtherRevenueAmt
CY Other Revenue	$23,086,904	CYOtherRevenueAmt
PY Total Revenue	$642,251,171	PYTotalRevenueAmt
CY Total Revenue	$674,198,601	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$248,192,186	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$272,181,948	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$299,235,401	PYOtherExpensesAmt
CY Other Expenses	$341,378,814	CYOtherExpensesAmt
PY Total Expenses	$547,427,587	PYTotalExpensesAmt
CY Total Expenses	$613,560,762	CYTotalExpensesAmt
PY Revenues Less Expenses	$94,823,584	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$60,637,839	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,082,803,580	TotalAssetsBOYAmt
Total Assets EOY	$1,240,624,215	TotalAssetsEOYAmt
Total Liabilities BOY	$385,792,020	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$498,120,778	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$697,011,560	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$742,503,437	NetAssetsOrFundBalancesEOYAmt
Mission	TO INSPIRE HOPE AND PROMOTE LIFELONG HEALTH BY PROVIDING THE BEST CARE TO EVERY CHILD.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$490,849,733	ExpenseAmt
Revenue	$632,788,818	RevenueAmt
Desc	VARIETY CHILDREN'S HOSPITAL, ESTABLISHED IN 1950, OWNS AND OPERATES A PEDIATRIC SPECIALTY HOSPITAL NOW KNOWN AS NICKLAUS CHILDREN'S HOSPITAL. THE HOSPITAL (FORMERLY MIAMI CHILDREN'S HOSPITAL) WAS RENAMED IN 2015 IN RECOGNITION OF A GENEROUS PLEDGE FROM THE NICKLAUS CHILDREN'S HEALTH CARE FOUNDATION. 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. NICKLAUS 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 IS ALSO A STATE-DESIGNATED PEDIATRIC TRAUMA CENTER. MANY PATIENTS ARE REFERRED BY OTHER HOSPITALS REGARDLESS OF THE EXISTENCE OF FORMAL ARRANGEMENTS. (CONTINUED ON SCHEDULE O)	Desc
Total Program Service Expenses	$490,849,733	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	1538	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4111	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	EI	ForeignCountryCd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Ramon Coto	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3056666511	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5301 Blue Lagoon Drive	AddressLine1Txt
City	Miami	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33126	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Alex Soto
Chairman	0.1	1.5	Yes (X)	Yes (X)	$0	$0	$0
Jaret Davis
Vice Chairman	0.1	0.3	Yes (X)	Yes (X)	$0	$0	$0
Jefry Biehler MD
Secretary	40.0	0.3	Yes (X)	Yes (X)	$354,008	$0	$38,581
Narendra M Kini MD
CEO/Director	20.0	20.5	Yes (X)	Yes (X)	$0	$1,365,694	$251,601
Deise Granado-Villar MD
Director/ SVP/ Chief Academic Officer (Partial Year)	40.0	0.3	Yes (X)	Yes (X)	$556,583	$0	$39,699
Ravneet Chowdhury Esq
Director	0.1	0.5	Yes (X)		$0	$0	$0
Maria Franco
Director	0.1	0.3	Yes (X)		$0	$0	$0
Jorge Gonzalez
Director	0.1	0.3	Yes (X)		$0	$0	$0
Gary Gregory
Director	0.1	0.3	Yes (X)		$0	$0	$0
Jodi Laurence Esq
Director	0.1	0.3	Yes (X)		$0	$0	$0
Juan Carlos Mas ESQ
Director	0.1	1.3	Yes (X)		$0	$0	$0
Jay Massirman
DIRECTOR	0.1	0.3	Yes (X)		$0	$0	$0
Steven McKean
DIRECTOR	0.1	0.3	Yes (X)		$0	$0	$0
Marcos A Mestre MD
DIRECTOR	0.1	40.3	Yes (X)		$0	$288,512	$37,326
Mario Murgado
Director	0.1	1.3	Yes (X)		$0	$0	$0
Joseph Nader
Director	0.1	0.3	Yes (X)		$0	$0	$0
Phillip Newcomm MD
DIRECTOR	0.1	0.3	Yes (X)		$0	$0	$0
Keith Ward
Director	0.1	0.3	Yes (X)		$0	$0	$0
Timothy L Birkenstock
Treasurer/Secretary	20.0	20.6		Yes (X)	$0	$581,959	$103,352
Michael L Harrington
President	40.0	0.3		Yes (X)	$502,535	$0	$99,095
Rani S Gereige MD
Director Medical Education	40.0	0			$277,619	$0	$17,279	Yes (X)
JACQUELINE L GONZALEZ
SVP/Chief Nursing Officer	40.0	0			$433,825	$0	$106,797	Yes (X)
Andrea Maggioni MD
Director Hospitalist	40.0	0			$323,809	$0	$38,690	Yes (X)
Jorge Ojito
Manager Perfusion Services	40.0	0			$260,833	$0	$36,741	Yes (X)
Edward Schubnell
Admin Dir Perioperative Serv	40.0	0			$248,692	$0	$13,581	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,957,904	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,236,165	TotReportableCompRltdOrgAmt
Total Other Compensation	$782,742	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	312	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
Robins & Morton Group
400 SHADES CREEK PARKWAY	BIRMINGHAM	AL	35209	Construction	$32,453,487
PHI AIR MEDICAL LLC
2800 NORTH 44 STREET	Phoenix	AZ	85008	Air medical services	$3,178,353	SUITE 800
HILL-ROM COMPANY INC
1069 STATE ROUTE 46 E	Batesville	IN	47006	Provider Medical technologies	$3,030,157
ORACLE AMERICA INC
500 ORACLE PARKWAY	Redwood Shores	CA	94065	IT Services	$2,583,885
PRESIDIO NETWORKED SOLUTIONS INC
10 SIXTH ROAD	Woburn	MA	01801	Provide Computer Programming Services	$2,291,871

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	75	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$7,026,855	RelatedOrganizationsAmt
Government Grants	$44,925	GovernmentGrantsAmt
All Other Contributions	$1,041,545	AllOtherContributionsAmt
Total Contributions	$8,113,325	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue	621300	$602,996,252	$602,996,252
Grant Revenue	900099	$15,630,428	$15,630,428
Seminar Workshops	621300	$302,639	$302,639

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$618,929,319	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,976,551	TotalRevenueColumnAmt
Unrelated Business Revenue	$20,932	UnrelatedBusinessRevenueAmt
Exclusion	$8,955,619	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,657,369	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,657,369	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,657,369	TotalRevenueColumnAmt
Exclusion	$2,657,369	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$263,048,440	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$247,955,938	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$15,092,502	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,092,502	TotalRevenueColumnAmt
Exclusion	$15,092,502	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$1,782,690	GrossSalesOfInventoryAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,782,690	TotalRevenueColumnAmt
Exclusion	$1,782,690	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria Vending	722210	$3,419,278	$3,419,278
Management Fee Affiliated Companies	900099	$13,859,499		$13,859,499
Pharmacy	900099	$876,851	$876,851

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$491,217	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$491,217	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$18,646,845	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$674,198,601	TotalRevenueColumnAmt
Related Or Exempt Func Income	$632,788,818	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$20,932	UnrelatedBusinessRevenueAmt
Exclusion	$33,275,526	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,590,501	TotalAmt
Program Services	$1,272,401	ProgramServicesAmt
Management And General	$318,100	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$213,853,653	TotalAmt
Program Services	$171,082,922	ProgramServicesAmt
Management And General	$42,770,731	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,373,505	TotalAmt
Program Services	$6,698,804	ProgramServicesAmt
Management And General	$1,674,701	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$33,607,903	TotalAmt
Program Services	$26,886,322	ProgramServicesAmt
Management And General	$6,721,581	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$14,756,386	TotalAmt
Program Services	$11,805,109	ProgramServicesAmt
Management And General	$2,951,277	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$74,734	TotalAmt
Program Services	$59,787	ProgramServicesAmt
Management And General	$14,947	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$5,625	TotalAmt
Program Services	$5,625	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,107,513	TotalAmt
Program Services	$886,010	ProgramServicesAmt
Management And General	$221,503	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$131,017,947	TotalAmt
Program Services	$104,814,357	ProgramServicesAmt
Management And General	$26,203,590	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$633,780	TotalAmt
Program Services	$507,024	ProgramServicesAmt
Management And General	$126,756	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,505,267	TotalAmt
Program Services	$7,604,214	ProgramServicesAmt
Management And General	$1,901,053	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,891,154	TotalAmt
Program Services	$1,512,923	ProgramServicesAmt
Management And General	$378,231	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$20,467,382	TotalAmt
Program Services	$16,373,906	ProgramServicesAmt
Management And General	$4,093,476	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$745,174	TotalAmt
Program Services	$596,139	ProgramServicesAmt
Management And General	$149,035	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$9,331,308	TotalAmt
Program Services	$7,465,046	ProgramServicesAmt
Management And General	$1,866,262	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$49,347,568	TotalAmt
Program Services	$39,478,054	ProgramServicesAmt
Management And General	$9,869,514	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,926,515	TotalAmt
Program Services	$3,941,212	ProgramServicesAmt
Management And General	$985,303	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$63,313,124	$50,650,499	$12,662,625
Bad Debts	$39,230,318	$31,384,254	$7,846,064
Medical Assistance Tax	$7,465,382	$5,972,306	$1,493,076
Dues and Subscriptions	$630,895	$504,716	$126,179

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,685,128	TotalAmt
Program Services	$1,348,103	ProgramServicesAmt
Management And General	$337,025	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$613,560,762	TotalAmt
Program Services	$490,849,733	ProgramServicesAmt
Management And General	$122,711,029	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$49,324,800	BOYAmt
EOY	$22,078,346	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$63,409,474	BOYAmt
EOY	$16,606,525	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$77,084,726	BOYAmt
EOY	$99,828,734	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,252,460	BOYAmt
EOY	$7,607,664	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,747,075	BOYAmt
EOY	$1,828,074	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$948,494,898	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$376,466,439	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$475,522,902	BOYAmt
EOY	$572,028,459	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$120,317,077	BOYAmt
EOY	$197,350,678	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$201,463,322	BOYAmt
EOY	$214,028,195	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,650,235	BOYAmt
EOY	$10,255,135	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$83,031,509	BOYAmt
EOY	$99,012,405	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,082,803,580	BOYAmt
EOY	$1,240,624,215	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$63,241,441	BOYAmt
EOY	$60,487,057	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$224,978,152	BOYAmt
EOY	$330,770,768	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$74,000	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$97,498,427	BOYAmt
EOY	$106,862,953	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$385,792,020	BOYAmt
EOY	$498,120,778	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$602,808,557	BOYAmt
EOY	$625,351,914	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$65,061,172	BOYAmt
EOY	$85,606,180	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$29,141,831	BOYAmt
EOY	$31,545,343	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$697,011,560	BOYAmt
EOY	$742,503,437	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,082,803,580	BOYAmt
EOY	$1,240,624,215	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$60,637,839	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$15,145,962	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$231,560	BeginningYearBalanceAmt
Contributions	$2,695,300	ContributionsAmt
End Year Balance	$2,926,860	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
Contributions	$231,560	ContributionsAmt
End Year Balance	$231,560	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
End Year Balance	$0	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
End Year Balance	$0	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
End Year Balance	$0	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,030,156	OtherCostOrOtherBasisAmt
Book Value	$3,030,156	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$431,018,692	OtherCostOrOtherBasisAmt
Depreciation	$172,532,929	DepreciationAmt
Book Value	$258,485,763	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$40,996,333	OtherCostOrOtherBasisAmt
Depreciation	$20,735,076	DepreciationAmt
Book Value	$20,261,257	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$324,583,922	OtherCostOrOtherBasisAmt
Depreciation	$183,198,434	DepreciationAmt
Book Value	$141,385,488	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$148,865,795	OtherCostOrOtherBasisAmt
Book Value	$148,865,795	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$572,028,459	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Alternative Investments	$210,830,328	F
Fixed Income Bond Fund
Corporate Debt Securities	$3,197,867	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$214,028,195	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
Beneficial Interest in Miami Childrens Hospital Foundation	$94,159,079
Beneficial Interest in Miami Childrens Health System Foundation
Self Insurance Trust	$467,919
Charitable Remainder Trust	$1,095,449
Other Long Term Assets	$405,418
Exec Life	$337,961
Intercompany Receivables	$2,546,579

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$99,012,405	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
Other Liabilities	$1,819,497
Swap Liabilities	$30,683,620
Third Party Settlement Payable	$7,361,050
Lease Incentive Obligation	$19,103,196
Intercompany Payable	$27,888,673
Line of Credit	$20,006,917

Field	Value	IRS element (for citing)
Total Liability	$106,862,953	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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

VARIETY CHILDREN'S HOSPITAL'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF NICKLAUS CHILDREN'S HEALTH SYSTEM (NCHS), A RELATED ORGANIZATION. MCHS' FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED DECEMBER 31, 2017, READS AS FOLLOWS: "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, 2017 and 2016. 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, 2017 and 2016."

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	0	0	Program Services	Self-Insurance Funding	$3,484,025
Central America and the Caribbean	0	0	Investments		$6,376,005

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$9,860,030	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$9,860,030	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$264,021	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$264,021	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$362,526,039	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$300,119,909	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$62,406,130	NetCommunityBenefitExpnsAmt
Total Expense	0.1166	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,195,393	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,331,844	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$863,549	NetCommunityBenefitExpnsAmt
Total Expense	0.0016	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$366,985,453	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$303,451,753	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$63,533,700	NetCommunityBenefitExpnsAmt
Total Expense	0.1187	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,000,292	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$131,385	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,868,907	NetCommunityBenefitExpnsAmt
Total Expense	0.0035	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,366,027	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,683,013	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,683,014	NetCommunityBenefitExpnsAmt
Total Expense	0.0050	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$780,931	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$192,445	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$588,486	NetCommunityBenefitExpnsAmt
Total Expense	0.0011	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$14,147,250	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,006,843	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,140,407	NetCommunityBenefitExpnsAmt
Total Expense	0.0096	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$381,132,703	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$312,458,596	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$68,674,107	NetCommunityBenefitExpnsAmt
Total Expense	0.1283	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$13,337,683	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$612,356	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$1,276,930	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$664,574	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	MIAMI CHILDREN'S HOSPITAL AMBULATORY SURGERY CENTER LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	SURGERY CENTER	PrimaryActivitiesTxt
Org Profit Or Ownership	0.53	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.0	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.47	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NICKLAUS Children's Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3100 SW 62nd Avenue	AddressLine1Txt
City	Miami	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33155	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.NICKLAUSCHILDRENS.ORG	WebsiteAddressTxt
State License	4067	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NICKLAUS Children's Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.nicklauschildrens.org/news-and-events/publications/community-health-needs-assessment	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.nicklauschildrens.org/news-and-events/publications/community-health-needs-assessment	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part VI	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part VI	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part VI	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - NIcklaus Children's Hospital. Focus Group: External and Internal This assessment was conducted by Professional Research Consultants, Inc. (PRC) on behalf of Nicklaus Children's Hospital (renamed in March 2015, and the flagship for Nicklaus Children's Health System). PRC is a nationally-recognized healthcare consulting firm with extensive experience conducting Community Health Needs Assessments in hundreds of communities across the United States since 1994. This assessment incorporates data from both quantitative and qualitative sources. Quantitative data input includes primary research (the 2015 PRC Child & Adolescent Health Survey) and secondary research (vital statistics and other existing health-related data); these quantitative components allow for comparison to benchmark data at the state and national levels. Qualitative data input includes primary research gathered through an Online Key Informant Survey. A precise and carefully executed methodology is critical in asserting the validity of the results gathered in the PRC Child & Adolescent Survey. Thus, to ensure the best representation of the population surveyed, a telephone interview methodology - one that incorporates both landline and cell phone interviews - was employed. The primary advantages of telephone interviewing are timeliness, efficiency and random-selection capabilities. In addition, these telephone interviews were supplemented with surveys among families in the total service area requested to participate in the study via a questionnaire completed online. The sample design used for this effort consisted of a stratified random sample of 1,057 parents of children under 18 in the Nicklaus Children's Hospital Service Area. By geography, a total of 412 surveys were conducted in Miami-Dade County, 349 in Broward County and 296 in Palm Beach County. Once the interviews were completed, these were weighted in proportion to the actual child population distribution so as to appropriately represent the Nicklaus Children's Hospital Service Area as a whole. All administration of the surveys, data collection and data analysis was conducted by Professional Research Consultants, Inc. (PRC). To solicit input from key informants, those individuals who have a broad interest in the health of the community, an Online Key Informant Survey was also implemented as part of this process. A list of recommended participants was provided by the sponsors of this study; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns among the families and children/adolescents with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. In all, 144 community stakeholders took part in the Online Key Informant Survey. Final participation included representatives of the organizations outlined below. Alvis, PA Banyan Health Systems Baptist Children's Hospital Borinquen Medical Centers Catholic Hospice Citrus Health Network City of Hialeah Fire Department City of Miami Fire Rescue Collier County Public Schools Department of Pathology and Clinical Lab, Nicklaus Children's Hospital El Sol Jupiter Neighborhood Resource Center Florida Blue Florida International University Florida International University- School of Social Work Florida Poison Information Center - Miami Golisano Children's Hospital of Southwest Florida Group Pediatric Office Handal-Saca Pediatrics Jehovah's Witnesses Jessie Trice Community Health Center Jorge Mas Canosa Middle School Kids Quality Therapy Live Like Bella Childhood Cancer Foundation March of Dimes Miami Beach Community Health Center (MBCHC) Miami Children's Health System Miami Dade Miami Dade College Miami-Dade Fire Rescue Monroe County School District Neuro Network Partners (NNP) Nicklaus Children's Hospital Nicklaus Children's Dan Marino Outpatient Center Nicklaus Children's Doral Outpatient Center Nora Daniel Nova Southeastern University Palm Beach State College Center for Early Learning Pediatric Associates Pediatric Office Pediatric Infectious Diseases LLC Physicians to Children Prime Care Medical Center Rub Pediatrics South Florida Hispanic Chamber of Commerce South Florida Pediatric Partners (SFPP) The Children's Trust of Miami-Dade County The Dan Marino Foundation The School District of Palm Beach County Through this process, input was gathered from several individuals whose organizations work with low-income, minority populations (including adopted children, African-Americans, Albanians, American Indians, Asians, biologically and socially at-risk infants and children, Caribbean people, Central Americans, children with autism, children with chronic medical problems, children with special needs, Cubans, the disabled, Dominicans, Europeans, foster children, grandparents raising grandchildren, Haitians, Hispanics, the homeless, immigrants, inner-city youth, international, children with lack of parental involvement, LGBT community, those with low education, low income residents, Medicare/Medicaid beneficiaries, the mentally ill, people of Middle Eastern decent, non-English speaking persons, Non-Whites, school-aged children, single parents, South Americans, the undocumented, the unemployed, the uninsured/underinsured, victims of human trafficking, people from the Virgin Islands), or other medically underserved populations (including African-Americans, children with autism, children with chronic medical problems, children with special needs, children with substance abuse issues, the disabled, family and individual counseling centers, foster children, Haitians, Hispanics, the homeless, immigrants, persons that lack dental care, persons that lack transportation, LGBT community, low income residents, Medicare/Medicaid beneficiaries, the mentally ill, the undocumented, the uninsured/underinsured). In the online survey, key informants were asked to rate the degree to which various children's health issues are a problem in their own community. Follow-up questions asked them to describe why they identify problem areas as such, and how these might be better addressed. Results of their ratings, as well as their verbatim comments, are included throughout this report as they relate to the various other data presented.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - NICKLAUS CHILDREN'S HOSPITAL. NUTRITION, PHYSICAL ACTIVITY AND WEIGHT - NCH EXPANDED OUTPATIENT NUTRITION THROUGHOUT OUR AMBULATORY NETWORK AND MIGRATED FROM AN OUT-OF-POCKET MODEL TO BE A COVERED SERVICE BY MOST INSURANCE PLANS. NCH SUPPORTS THE EDUCATION AND TRAINING OF SCHOOL NURSES PROVIDING NUTRITION SERVICES VIA THE VIRTUAL SCHOOL NURSE PILOT (FULL EXPLANATION IN 'ACCESS TO HEALTHCARE SERVICES'). NCH ENHANCED OUR SPORTS HEALTH PROGRAM WITH SERVICES COVERING THE FULL SPECTRUM OF SCREENING, INJURY PREVENTION, TREATMENT, RECOVERY AND WELLNESS. GiveMe5- A MULTIDISCIPLINARY, TRAINING, EDUCATIONAL AND MARKETING TOOL TO ENCOURAGE THE CONSUMPTION OF FRUITS AND VEGETABLES AMONG CHILDREN OF ALL ETHNICITIES IN SOUTH FLORIDA - DEVELOPED BY NCH AND BEING ROLLED OUT IN CONJUNCTION WITH ADDITIONAL PARTNER ORGANIZATIONS. MENTAL HEALTH - NCH IS COLLABORATING WITH LOCAL UNIVERSITIES AND COMMUNITY PARTNER TO OFFER A MORE COORDINATED AND ROBUST DELIVERY MODEL FOR PSYCHOLOGICAL SCREENING AND CONSULTATION. ACCESS TO HEALTHCARE SERVICES - MCHS FORMALIZED ITS MULTI-SPECIALTY GROUP PRACTICE, PEDIATRIC SPECIALISTS OF AMERICA (PSA), IN JANUARY 2015. THE PSA WAS ESTABLISHED TO FACILITATE OPERATIONAL EFFICIENCY AND GROWTH OF OUR PEDIATRIC SUB-SPECIALIST SERVICES. SINCE ITS FOUNDING THE PSA HAS RECRUITED PHYSICIANS IN: URGENT CARE, EMERGENCY MEDICINE, DENTAL, CARDIOLOGY, GASTROENTEROLOGY, AND HOSPITALIST MEDICINE; AS WELL AS ADDED TWO NEW SPECIALTIES TO THE MEMBERSHIP, INFECTIOUS DISEASE AND NEPHROLOGY. A PROCESS IS UNDERWAY TO EXTEND CENTRAL SCHEDULING SYSTEM-WIDE TO STREAMLINE AND COORDINATE ACCESS TO OUR PEDIATRIC SUB-SPECIALISTS. NCH'S SCHOOL HEALTH PROGRAM IN PARTNERSHIP WITH THE CHILDREN'S TRUST, MIAMI-DADE COUNTY DEPARTMENT OF HEALTH, AND MIAMI-DADE COUNTY PUBLIC SCHOOLS SERVES CHILDREN ENROLLED IN THE PUBLIC SCHOOL SYSTEM. THE PROGRAM STAFFS SCHOOL HEALTH OFFICES WITH A MULTIDISCIPLINARY TEAM OF REGISTERED NURSES, LICENSED PRACTICAL NURSES, AND SOCIAL WORKERS WHO WORK COLLABORATIVELY TO IDENTIFY, PREVENT, OR REMEDY STUDENT'S PHYSICAL AND BEHAVIORAL HEALTH NEEDS AND PROVIDE A LINKAGE TO APPROPRIATE COMMUNITY CARE. THE PROGRAM GOAL IS TO PROMOTE A HEALTHY SCHOOL ENVIRONMENT THAT IS CONDUCIVE TO STUDENT WELL BEING, FOSTERS POSITIVE BEHAVIOR, AND SUPPORTS HIGHER ACADEMIC ACHIEVEMENT. NICKLAUS CHILDREN'S HOSPITAL OPERATES 12 SITES IN SOUTHERN MIAMI DADE. CARE COORDINATORS HAVE BEEN AND CONTINUE TO BE INTEGRATED IN THE DELIVER MODEL FOR SPECIFIC SUB-SPECIALTY CLINICS AND SERVICES. DIABETES - NCH ENDOCRINOLOGY NOW OFFERS A CERTIFIED DIABETES EDUCATOR AND DIETICIAN ON PREMISES AND AVAILABLE AT ALL TIMES - IT IS THE ONLY CHILDREN'S PROGRAM IN MIAMI-DADE COUNTY TO OFFER THIS SERVICE. ADDITIONALLY, WE'VE HIRED A CERTIFIED DIABETES EDUCATOR IN PALM BEACH, AND ARE NOW THROUGH THE HEART PROGRAM OFFERING OBESITY CLINICS IN MARTIN COUNTY. INJURY AND VIOLENCE - AS PART OF NCH'S SCHOOL PROGRAM, WE ARE COLLABORATING WITH LOCAL SCHOOL DISTRICTS TO ASCERTAIN THEIR NEEDS AND IDENTIFY AREAS WHERE WE CAN SUPPORT IN ADDRESSING ISSUES OF INJURY AND VIOLENCE. ASTHMA'S & OTHER RESPIRATORY CONDITIONS - NCH LAUNCHED A PILOT WITH THE DEPARTMENT OF HEALTH (DOH) TARGETING CHILDREN WITH ASTHMA WHO ARE FREQUENT UTILIZERS OF HEALTHCARE SERVICES. THE STUDY AIMS TO DEMONSTRATE IMPROVEMENT IN REDUCED MISSED SCHOOL DAYS AND REDUCED TOTAL COSTS OF CARE. NCH IS EXPLORING OUTREACH AND EDUCATION TO PROMOTE COMPLIANCE WITH ASTHMA TREATMENT PLANS, AS WELL AS PREVENTATIVE MEASURES TO ADDRESS ENVIRONMENTAL TRIGGERS OF ASTHMA. ORAL HEALTH - NCH ACQUIRED A STATE OF THE ART DENTISTRY VAN WHICH WILL BE PROVIDING CARE TO UNDERSERVED COMMUNITIES. ONSITE DENTISTS WILL BE ABLE TO ACCESS ORAL SURGEONS AND COLLABORATE WITH OTHER SPECIALISTS VIA TELEHEALTH. POTENTIALLY DISABLING CONDITIONS - NCH'S ON CAMPUS PRIMARY CARE CENTER IS BUILDING THE INFRASTRUCTURE AND WORKING THROUGH THE PROCESS OF APPLYING FOR NCQA DESIGNATION AS A PATIENT CENTERED MEDICAL HOME - WITH UNIQUE COMPETENCIES IN MANAGING CARE FOR FAMILIES WITH A HIGHER DEGREE OF COMPLEXITY. PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH THERAPY CONTINUE TO BE STAPLES OF OUR AMBULATORY NETWORK, AND WITH THE FURTHER GROWTH OF OUR OUTPATIENT PRESENCE, THE HEALTH SYSTEM IS EXTENDING THOSE SERVICES TO NEW MARKETS AND WORKING TO SUPPORT PATIENTS WITH ACTIVITY LIMITATIONS. NCH IS PREPARING FOR THE LAUNCH OF OUR LABOR AND DELIVERY UNITY FOR HIGH RISK NEWBORNS REQUIRING IMMEDIATE INTERVENTION. THE UNIT WILL PROVIDE THE HIGHEST QUALITY CARE, AVOID THE NEED FOR SEPARATION OF MOTHER AND NEWBORN, AND GIVE FAMILIES ACCESS TO THE FULL TEAM OF SUB-SPECIALISTS TO ENSURE SAFE DELIVERY AND TREATMENT FOR THE BABY. NCH IS IN ONGOING DISCUSSION WITH GOVERNMENT, PRIVATE, AND COMMUNITY AGENCIES TO FURTHER SUPPORT PATIENTS WITH COMPLEX, CHRONIC, POTENTIALLY DISABLING CONDITIONS.
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - NICKLAUS CHILDREN'S HOSPITAL. Notified individuals of the financial assistance policy on admission Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals' bills Documented its determination of whether individuals were eligible for financial assistance under the hospital facility's financial assistance policy

Field	Value	IRS element (for citing)
Facility	10	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
Nicklaus Children's Doral Outpatient Center
3601 NW 107th Avenue	Doral	FL	33178	Outpatient / Urgent Center
Nicklaus Children's Dan Marino Outpatient Center
2900 S Commerce Parkway	Weston	FL	33331	Outpatient Center
Nicklaus Children's Palm Beach Gardens Outpatient Center
11310 Legacy Avenue Legacy Place	Palm Beach Gardens	FL	33410	Outpatient / Urgent Care Center
Nicklaus Children's Miramar Outpatient Center
12246 Miramar Parkway Miramar Squar	Miramar	FL	33025	Outpatient / Urgent Care Center	e
Nicklaus Children's Miami Lakes Outpatient Center
15025 NW 77th Avenue	Miami Lakes	FL	33014	Outpatient / Urgent Care Center
Nicklaus Children's Midtown Outpatient Center
3915 Biscayne Boulevard	Miami	FL	33137	Outpatient / Urgent Care Center
Nicklaus Children's West Kendall Outpatient Center
13400 SW 120th Street Suite 100	Miami	FL	33186	Outpatient / Urgent Care Center
Nicklaus Children's Palmetto Bay Outpatient Center
17615 SW 97th Avenue	Palmetto Bay	FL	33157	Outpatient / Urgent Care Center
Nicklaus Children's West Bird Outpatient Center
11449 SW 40 St	Miami	FL	33165	Outpatient / Urgent Care Center
Nicklaus Children's Pinecrest Outpatient Center
11521 Suth Dixie Highway 1st Floor	Pinecrest	FL	33156	Outpatient/Urgent Care Center

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE	https://www.nicklauschildrens.org/patients-and-families/patient-financial-services/financial-assistance-program
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE	https://www.nicklauschildrens.org/patients-and-families/patient-financial-services/financial-assistance-program
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE	https://www.nicklauschildrens.org/patients-and-families/patient-financial-services/financial-assistance-program
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	39230318
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE ORGANIZATION USES THE COST TO CHARGE RATIO IN IRS WORKSHEET 2 TO DETERMINE THE COST OF COMMUNITY BENEFITS AND FINANCIAL ASSISTANCE.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	Bad debt expense is reported at cost using the cost to charge ratio.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE HOSPITAL IS UNABLE TO ESTIMATE ACCURATELY THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE SERVICES UNDER THE FINANCIAL ASSISTANCE POLICY. ALTHOUGH A PORTION OF BAD DEBT EXPENSES MAY RELATE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE, A REPORTABLE FIGURE CANNOT BE REASONABLY ESTIMATED.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	The System's estimation of the allowance for bad debts is based primarily upon the type and age of the patient accounts receivable and the effectiveness of the System s collection efforts. As a policy, the System reserves for all balances over 180 days old. Certain third-party payors with increased volume are slow payors or are in negotiations to resolve outstanding balances, increasing reserves recorded in 2017. In addition, the System has forgiven balances due from patients which, while they do form as a basis to assist families with their financial obligations, do not qualify as charity care and must be recognized as bad debt.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	VARIETY CHILDREN'S HOSPITAL ("VCH") ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. VCH BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES. VCH EXPERIENCED LOSSES ($664,574 FOR 2017) DUE TO UNDERPAYMENT FOR THE TREATMENT OF MEDICARE PATIENTS. UNREIMBURSED MEDICARE COSTS REPRESENT A SIGNIFICANT VALUE THAT NONPROFIT HOSPITALS PROVIDE TO THE COMMUNITY AS THE HOSPITAL RELIEVES THE FEDERAL GOVERNMENT OF A FINANCIAL BURDEN WHEN IT PROVIDES ESSENTIAL HEALTHCARE SERVICES TO MEDICARE COVERED PATIENTS. THE MEDICARE COST REPORT AND THE ORGANIZATION'S COST ACCOUNTING SYSTEM ARE USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	Hospital patient accounts may be subject to the following collection actions to be conducted by the Hospital or an authorized party thereof: 1. Following the initial bill, monthly statements and collection letters are mailed and phone calls are completed in an effort to collect all outstanding balances due. 2. The patient responsible portion of an outstanding balance may be transferred to a bad debt collection agency. 3. Payment plan arrangements may be made for patients who indicate they may have difficulty paying their balance in a single installment.
Schedule H, Part V, Section B, Line 16a FAP website	- NICKLAUS Children's Hospital: Line 16a URL: See Part VI;
Schedule H, Part V, Section B, Line 16b FAP Application website	- NICKLAUS Children's Hospital: Line 16b URL: See Part VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- NICKLAUS Children's Hospital: Line 16c URL: See Part VI;
Schedule H, Part VI, Line 2 Needs assessment	Under 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. Nicklaus Children's Hospital participates in many community organizations that collectively strive to improve the health status of children. NCH 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, our Preventive Medicine Program deploys a medical and dental van into underserved areas of the community. NCH has a robust mechanism to analyze health data.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Nicklaus 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 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. The patients are provided pamphlets of the financial assistance policy summary and signage is posted at each location indicating that financial counseling is available and that they may be eligible for financial assistance.
Schedule H, Part VI, Line 4 Community information	Nicklaus Children's Hospital - the flagship of Nicklaus Children's Health System - primarily serves the pediatric population of Miami-Dade County. Approximately 587,000 people under the age of 18 reside within the county. In 2017, 65 percent of the health system's patient population was funded by Medicaid. Miami-Dade is comprised of a diverse mixture of residents and visitors, making it one of the most international communities in the nation. According to the 2010 census, the county led the nation in foreign-born residents, at 52 percent, with 66 percent of the population comprised of individuals of Latin or Hispanic descent and 71 percent reporting a language other than English spoken in the home. Classifying the hospital's inpatient population using Experian's MOSAIC segmentation tool, 35 percent of the customer base fits into the Group I: Family Union profile: predominantly Hispanic families living in middle-class comfort within the tri-county area. The hospital also serves children from all over the United States and throughout Florida (patients from every county in the state have been served by the hospital). In 2017, the hospital served international patients from 68 countries. The health system, through its network of 10 outpatient centers, also provides services within Broward, Palm Beach, Lee and Martin counties. The ambulatory centers offer subspecialty physician consultations, urgent care, imaging and outpatient rehabilitation services. According to the latest drive-time trade area analysis conducted in 2013, average drive time to the main hospital was 35 minutes, with a maximum drive-time of two hours for subspecialty care.
Schedule H, Part VI, Line 5 Promotion of community health	A majority of the Board of Directors is comprised of persons who live in Miami-Dade County, who are neither employees nor independent contractors of the Hospital, nor family members thereof. The organization extends medical staff privileges to all qualified physicians in the community and applies surplus funds to improvements in patient care, medical education and research. In addition, NICKLAUS Children's Hospital has an active community education program, various camp programs including asthma, 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 care call program, multiple ambulatory care centers all designed to promote health in the community.
Schedule H, Part VI, Line 6 Affiliated health care system	Nicklaus Children's Hospital - the flagship of Nicklaus Children's Health System - primarily serves the pediatric population of Miami-Dade County and is a leading provider of healthcare services for medically needy children. In addition, the hospital is proud to be the largest provider of pediatric medical education in the southeastern United States. NICKLAUS Children's Hospital provides primary care and a medical home to the Medicaid population through its Pediatric Care Center located on the hospital's main campus. The hospital also provides dental services through its Pediatric Dental Residency program. NICKLAUS Children's Hospital also houses Early Steps Southernmost Coast, an early intervention program for children at risk of developmental delays. The program evaluates over 2,000 children annually. NICKLAUS Children's offers primary care services to needy children through the Health Connect in Our Schools program. The hospital provides nursing staff for school-based clinics situated in high-risk communities to ensure that children have access to care. NICKLAUS Children's Hospital's Brain Institute is the first and largest pediatric neuroscience collaboration in the nation. The program is recognized for excellence in treatment of children with brain tumors, intractable epilepsy and other brain anomalies, and offers the latest minimally invasive methods, including Visualase, an image-guided laser technique for epilepsy surgery in children. The Heart Program at NICKLAUS Children's Hospital provides care for more children with congenital heart disorders than any other hospital in Florida. It is consistently ranked among the best programs in the nation for cardiology and heart surgery. NICKLAUS Children's Hospital's Cancer Center is the largest provider of pediatric cancer services in the region. The center participates in research protocols, offering the latest interventions for children receiving treatment for all forms of cancer and blood disorders. NICKLAUS Children's LifeFlight Critical Care Transport team provides transport of critically ill children from referring hospitals to NICKLAUS Children's Hospital critical care units.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Jefry Biehler MD
Secretary	$324,631	$0	$28,077	$0	$1,300	$0	$8,100	$0	$30,481	$0	$392,589	$0	$0	$0
Narendra M Kini MD
CEO/Director	$0	$834,318	$0	$440,223	$0	$91,153	$0	$213,725	$0	$37,876	$0	$1,617,295	$0	$0
Deise Granado-Villar MD
Director/ SVP/ Chief Academic Officer (Partial Year)	$72,312	$0	$165,178	$0	$319,093	$0	$31,709	$0	$7,990	$0	$596,282	$0	$60,104	$0
Marcos A Mestre MD
DIRECTOR	$0	$242,495	$0	$44,892	$0	$1,125	$0	$7,517	$0	$29,809	$0	$325,838	$0	$0
Timothy L Birkenstock
Treasurer/Secretary	$0	$389,699	$0	$163,439	$0	$28,821	$0	$78,879	$0	$24,473	$0	$685,311	$0	$0
Michael L Harrington
President	$412,282	$0	$53,001	$0	$37,252	$0	$74,745	$0	$24,350	$0	$601,630	$0	$0	$0
Rani S Gereige MD
Director Medical Education	$209,524	$0	$38,357	$0	$29,738	$0	$8,100	$0	$9,179	$0	$294,898	$0	$0	$0
JACQUELINE L GONZALEZ
SVP/Chief Nursing Officer	$242,681	$0	$110,700	$0	$80,444	$0	$56,173	$0	$50,624	$0	$540,622	$0	$55,262	$0
Andrea Maggioni MD
Director Hospitalist	$238,557	$0	$66,553	$0	$18,699	$0	$7,950	$0	$30,740	$0	$362,499	$0	$0	$0
Jorge Ojito
Manager Perfusion Services	$152,596	$0	$93,431	$0	$14,806	$0	$6,260	$0	$30,481	$0	$297,574	$0	$0	$0
Edward Schubnell
Admin Dir Perioperative Serv	$193,613	$0	$48,645	$0	$6,434	$0	$4,810	$0	$8,771	$0	$262,273	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 METHODS USED BY RELATED ORGANIZATION TO ESTABLISH CEO'S COMPENSATION	The organization relied on the methods of establishing compensation for the organization's CEO/Executive Director 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 or Compensation Committee.
Schedule J, Part I, Line 4a Severance or change-of-control payment	Deise Granado-Villar - $171,640
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	The following contributions were made to a Section 457(f) plan during the year - Narendra Kini - $205,625 Timothy Birkenstock - $70,779 Michael Harrington- $68,402 Jacqueline Gonzalez - $48,073 Deise Granado-Villar - $26,386 The following distributions were made from a Section 457(f) plan during the year - Jacqueline Gonzalez - $55,262 Deise Granado-Villar - $60,104

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Miami-Dade County Health Facilities Authority
A	521293036	59334NCE0	2010-12-22	$107,784,753	Refund 2006 bond issue and new project	Yes (true)	false	false
Miami-Dade County Health Facilities Authority
B	521293036	59334NDD1	2013-08-01	$107,788,754	Refund 2006 and 2008 bond issues	false	false	false
Miami-Dade County Health Facilities Authority
C	521293036	59334NDY5	2017-04-27	$162,534,870	Partially refund 2010A Fully refund 2011 New Projects	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt
A	$8,540,000	$26,120,000	$108,410,552	$24	$0	$1,227,083	$0	$0	$65,258,469	$41,925,000	$0	2015	Yes (true)	false	Yes (true)	Yes (true)
B	$8,010,000	$0	$107,788,754	$0	$0	$1,488,754	$0	$0	$0	$106,300,000	$0	2013	Yes (true)	false	Yes (true)	Yes (true)	$0
C			$162,553,719	$4,640		$1,931,562			$92,226,946	$1,934,203	$7,790,579	2017	false	Yes (true)	false	Yes (true)	$58,665,789

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.007	0.007	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.03	0.03	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	false	0.005	0.005	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Bayerische Landesbank
A	false	false	false	Yes (true)	Yes (true)	false	Yes (true)	2.0	Yes (true)	Yes (true)	Yes (true)
(no name)
B	false	Yes (true)	false	false	false	false	false	0.0		false	Yes (true)
(no name)
C	false	Yes (true)	Yes (true)	false	false	false	false			Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part II, Line 3 Columns A and C	The difference between the issue price (listed in Part I) and the total proceeds (Part II, Line 3) is due to the investment earnings.
Schedule K, Part IV, Line 6 Column A	Such amounts were appropriately yield restricted
Schedule K, Part IV, Line 6 Available Temporary Period	Proceeds that were deposited in the advance refunding escrow were invested beyond their temporary period.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: Miami-Dade County Health Facilities Authority The calculation for computing no rebate due was performed on 01/12/2016

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a CONTINUED PROGRAM DESCRIPTION	(CONTINUED FROM PART III) IN 2017, 4,084 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 250 PROVIDERS TO SUPPORT THE ONGOING FUNCTIONS OF NICKLAUS CHILDREN'S HEALTH SYSTEM AND NICKLAUS CHILDREN'S HOSPITAL IN THE FOLLOWING SUB-SPECIALTIES: ADOLESCENT MEDICINE, ALLERGY/IMMUNOLOGY, CARDIOLOGY, CARDIOVASCULAR SURGERY, CLINICAL GENETICS AND METABOLISM, CRITICAL CARE MEDICINE, DENTISTRY, EMERGENCY MEDICINE, ENDOCRINOLOGY, GASTROENTEROLOGY,GENERAL PEDIATRICS, INFECTIOUS DISEASES, MATERNAL FETAL, NEPHROLOGY, NEUROPSYCHOLOGY, NEUROSURGERY,NUTRITION, OPHTHALMOLOGY, ORTHOPEDICS, OTOLARYNGOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY,PSYCHIATRY AND PSYCHOLOGY, RADIOLOGY/SEDATION AND RHEUMATOLOGY THIS CRITICAL MASS OF PHYSICIANS SIGNIFICANTLY CONTRIBUTES TO THE QUALITY AND RANGE OF PEDIATRIC SERVICES AVAILABLE AT THE HOSPITAL. 2017 STATISTICAL DATA INCLUDES TOTAL INPATIENT DAYS: 69,277 TOTAL INPATIENT ADMISSIONS: 11,110 INPATIENT AVERAGE DAILY CENSUS: 189.8 TOTAL ED VISITS (MAIN CAMPUS): 86,390 AMBULATORY VISITS: 129,630 PRIVATE OUTPATIENT VISITS (MAIN CAMPUS): 112,428 PRIVATE OUTPATIENT VISITS (AMBULATORY CENTERS): 302,770 TOTAL SURGICAL CASES: 11,489 AVERAGE LENGTH OF STAY: 6.4 DAYS THE HOSPITAL IS INTERNATIONALLY RECOGNIZED FOR CARE EXCELLENCE. NICKLAUS CHILDREN'S HOSPITAL PROGRAMS WERE RANKED AMONG THE NATION'S BEST IN EIGHT PEDIATRIC SUB-SPECIALTY PROGRAMS SURVEYED BY U.S. NEWS AND WORLD REPORT. In 2017 the Hospital received 9 Beacon Awards for Excellence from the American Association of Critical-Care Nurses (AACN), Nicklaus Children's is the only children's hospital in the nation to be recognized with nine Beacon Awards, demonstrating the hospital's commitment to excellence in inpatient care through use of evidence-based data to enhance outcomes and satisfaction. The awarded patient care areas that received a Gold Level are 5 Tower (Neurology/Neurosurgery),PICU, CICU, NICU, 3 Northeast and 3 East. The awarded patient care areas that received a Silver-level are 6Tower (Hematology/Oncology) 2 North /3 South (step-down unit for patients of the NICU and observation) and 2 East. IN ADDITION, THE HOSPITAL SYSTEM INCLUDES A NETWORK OF AMBULATORY CENTERS THAT EXTEND CARE THROUGHOUT THE SOUTH FLORIDA REGION. DURING 2017, THESE CENTERS OFFERED OUTPATIENT SERVICES AS FOLLOWS: NICKLAUS CHILDREN'S AVENTURA CARE CENTER: OFFERS PEDIATRIC SUBSPECIALTY CONSULTS. NICKLAUS CHILDREN'S DAN MARINO OUTPATIENT CENTER: OFFERS COMPREHENSIVE SERVICES FOR CHILDREN WITH NEURODEVELOPMENTAL DISORDERS. SERVICES INCLUDE IMAGING AND REHABILITATION. ALSO ON SITE IS A SWIMMING POOL FOR AQUATIC THERAPY. NICKLAUS CHILDREN'S DORAL OUTPATIENT CENTER: OFFERS REHABILITATION SERVICES, IMAGING SERVICES, AN AFTER-HOURS URGENT CARE CENTER AND OUTPATIENT SUB-SPECIALTY OFFICE VISITS. NICKLAUS CHILDREN'S MIAMI LAKES OUTPATIENT CENTER: OFFERS REHABILITATION SERVICES, IMAGING SERVICES, AN URGENT CARE AND OUTPATIENT SUB-SPECIALTY OFFICE VISITS. NICKLAUS CHILDREN'S MIDTOWN OUTPATIENT CENTER: OFFERS REHABILITATION SERVICES, IMAGING SERVICES, AN URGENT CARE CENTER AND OUTPATIENT SUB-SPECIALTY OFFICE VISITS. NICKLAUS CHILDREN'S MIRAMAR OUTPATIENT CENTER: OFFERS REHABILITATION SERVICES, IMAGING SERVICES, AN URGENT CARE CENTER AND OUTPATIENT SUB-SPECIALTY OFFICE VISITS. NICKLAUS CHILDREN'S PALM BEACH GARDENS OUTPATIENT CENTER: OFFERS REHABILITATION SERVICES, IMAGING SERVICES, AN AFTER-HOURS URGENT CARE CENTER AND OUTPATIENT SUB-SPECIALTY OFFICE VISITS. NICKLAUS CHILDREN'S PALMETTO BAY OUTPATIENT CENTER: OFFERS REHABILITATION SERVICES, IMAGING SERVICES, AN URGENT CARE CENTER AND OUTPATIENT SUB-SPECIALTY OFFICE VISITS. ALSO ON-SITE IS EARLY STEPS SOUTHERNMOST COAST, A RESOURCE FOR CHILDREN UNDER THE AGE OF 3 WHO ARE AT RISK OF DEVELOPMENTAL DELAYS. NICKLAUS CHILDREN'S WEST BIRD OUTPATIENT CENTER: OFFERS AN URGENT CARE CENTER. NICKLAUS CHILDREN'S WEST KENDALL OUTPATIENT CENTER: OFFERS REHABILITATION SERVICES, IMAGING SERVICES, AN URGENT CARE CENTER AND OUTPATIENT SUB-SPECIALTY OFFICE VISITS. NICKLAUS CHILFREN'S PINECREST OUTPATIENT CENTER OFFERS REHABILITATION SERVICES. IMAGING SERVICES, AN URGENT CARE CENTER AND OUTPATIENT SUB-SPECIALTY OFFICE VISITS. QUALITY/SAFETY AND ERROR PREVENTION INITIATIVES FROM 2017 - THE HOSPITAL IS COMMITTED TO ADVANCING QUALITY AND SAFETY. INITIATIVES FOR 2017 ARE DETAILED BELOW: * Decreased medication errors after implementation of the "good catch" program by the Patient Safety Committee (led by the CNO) * Development of the bronchiolitis scoring tool to prevent children from receiving treatment of bronchiolitis with not routinely recommended treatments, including chest x-rays, bronchodilator respiratory therapy, antibiotics and steroid administration * Nurse driven anemia management program developed in hemodialysis. The development and utilization of the nurse driven anemia management protocol has positively impacted the dialysis center's quality outcomes and exceeded the ESRD network * Utilization of new pressure reduction methodologies to reduce pressure injuries * Utilization of securacath to reduce dislodgements * NICU nurses implement safe sleep practices bundle to increase parent knowledge on safe sleep practices to reduce SIDS IN 2016, THE HOSPITAL ACQUIRED THE LATEST DA VINCI X SURGICAL SYSTEM TO SUPPORT SURGICAL SAFETY. TRAINED PEDIATRIC GENERAL SURGEONS AND UROLOGICAL SURGEONS ON THE MEDICAL STAFF USE THE EQUIPMENT TO ENHANCE SURGICAL PRACTICE. BENEFITS INCLUDE SHORTER HOSPITAL STAYS, REDUCED BLOOD LOSS, REDUCED COMPLICATIONS, REDUCED NEED FOR NARCOTIC PAIN MEDICINE, FASTER RECOVERY AND REDUCED SCARRING. XENEX GERM-ZAPPING ROBOT: IN 2016, DISINFECTION TECHNOLOGY WAS AVAILABLE TO ENHANCE THE CLEANLINESS OF THE OPERATING ROOMS. THE EQUIPMENT USES PULSED XENON ULTRAVIOLET LIGHT TO ELIMINATE HARMFUL SUPERBUGS IN THE OR. IN 2016, THE HOSPITAL ACQUIRED AN INTEROPERATIVE MRI TO ENHANCE SAFETY AND OPTIMIZE SURGICAL RESULTS FOR CHILDREN WITH BRAIN TUMORS OR THOSE UNDERGOING SURGERY FOR MEDICALLY RESISTANT EPILEPSY. ALSO IN 2016, THE HOSPITAL OPENED ITS NEW 213,000-SQUARE-FOOT ADVANCED PEDIATRIC CARE PAVILION, OFFERING THE LATEST EQUIPMENT AND SPACIOUS FAMILY-CENTERED CARE ROOMS FOR FAMILIES. In December 2017, the Hospital purchase the land and building formerly occupied by The Miami Medical Center (TMMC). This property has capacity for 65 inpatient beds and sits on 6.5 acres of vacant, developable property just 2.5 miles from the current Hospital main campus. COMMUNITY TRAINING OUTREACH PROGRAMS: IN ADDITION, THE HOSPITAL SUPPORTS A NUMBER OF PROGRAMS THAT ENHANCE THE SKILLS AND WORK READINESS OF YOUNG PEOPLE AS WELL AS PROMOTE HEALTH AWARENESS. PROJECT VICTORY: THIS PROJECT IS A COOPERATIVE EFFORT BETWEEN NICKLAUS 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. TWENTY STUDENTS ARE PROVIDED THREE HOURS OF WORK SERVICE PER DAY AT THE HOSPITAL DURING THE COURSE OF THE SCHOOL YEAR. THE STUDENTS GAIN VOCATIONAL EXPERIENCE WORKING IN THE HOSPITAL'S DIETARY DEPARTMENT, MAIL ROOM, VISITOR INFORMATION SERVICE AND OTHER DEPARTMENTS. HONORS AND EXECUTIVE INTERNSHIP PROGRAM, MIAMI DADE COUNTY PUBLIC SCHOOLS: EACH YEAR THE HOSPITAL ACCEPTS SEVEN STUDENTS WHO ARE SELECTED BY MIAMI-DADE COUNTY PUBLIC SCHOOLS TO PARTICIPATE IN HEALTHCARE INTERNSHIPS FOR ADVANCED STUDENTS. STUDENTS ARE PAIRED WITH A STAFF MEMBER AT THE HOSPITAL WHO MENTORS AND PROVIDES OVERSIGHT TO THE STUDENT. EACH STUDENT IS ASSIGNED A PROJECT TO BENEFIT A HOSPITAL DEPARTMENT AND RECEIVES A GRADE FROM THE SCHOOL SYSTEM FOR HIS OR HER WORK.
Form 990, Part III, Line 4a CONTINUED PROGRAM DESCRIPTION	KIDS AND THE POWER OF WORK (KAPOW): THIS PROGRAM IS A NATIONAL VOLUNTEER PROGRAM. THE HOSPITAL PARTICIPATES WITH MIAMI-DADE COUNTY PUBLIC SCHOOLS. HOSPITAL STAFF MEMBERS VOLUNTEER TO VISIT STUDENTS AT ONE OF TWO ARE 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. IN 2011, THE HOSPITAL LAUNCHED A FREE EKG SCREENING PROGRAM AIMED AT PREVENTING SUDDEN CARDIAC DEATH AMONG STUDENT ATHLETES. SINCE THE PROGRAM'S INCEPTION, THE CARDIAC TEAM HAS PROVIDED NEARLY 10,000 SCREENINGS AND IDENTIFIED SEVERAL CHILDREN WHO WERE AT RISK OF DEATH DURING SPORTS ACTIVITY DUE TO HIDDEN HEART DEFECTS. THE HOSPITAL ALSO MAKES AVAILABLE TO THE COMMUNITY FREE HEALTH INFORMATION THROUGH CONTRACTS WITH KIDSHEALTH AND ADAM, WHICH SUPPLY HEALTH CONTENT ON THE HOSPITAL'S WEBSITE.
Form 990, Part VI, Line 15a Process for determininig compensation for the organization's CEO	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. THIS PROCESS IS COMPLETED IN THE FIRST QUARTER EACH YEAR. The CEO is paid by Nicklaus CHILDREN'S HEALTH SYSTEM, INC., a related organization, therefore this has been answered no in accordance with the instructions.
Form 990, Part VI, Line 15b Process for determining compensation for other officers or key employees	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. THIS PROCESS IS COMPLETED IN THE FIRST QUARTER EACH YEAR. NCH RELIED ON THE METHODS OF ESTABLISHING COMPENSATION USED BY Nicklaus CHILDREN'S HEALTH SYSTEM, INC.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	The Executive Committee of the Board of Directors is composed of three (3) Directors elected by the Board of Directors, one of whom must be the Chair of the Board. 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. 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.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	NARENDRA KINI, JAY MASSIRMAN, TIMOTHY BIRKENSTOCK, Mario Murgado, and Steven McKean. - 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. The number of Directors of the Hospital shall be established by resolution of the Board of Directors of the sole member; provided that there shall be no fewer than 7 and no more than 20 Directors. Any Director may be removed from office by action of the sole Member or the elected members of the Board so permitted to vote, for any cause or reason deemed sufficient by the Member or the elected members of the Board so permitted to vote.
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 hospital, or materially change the location, size or scope of services, programs, operations or educational or medical school affiliations of the hospital or related agreements; b) Create any entity in which the hospital is the sole member or sole shareholder, or any entity in which the hospital 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 NICKLAUS CHILDREN'S HOSPITAL'S PROCESS FOR PROVIDING ITS 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. QUESTIONS WILL BE ANSWERED AND IF NECESSARY, TAX FORMS WILL BE ADJUSTED. THE CHAIR WILL APPROVE THE FORM 990. 3. THE FINAL FORM 990 WILL BE POSTED ON THE HEALTH SYSTEM BOARD WEB PORTAL.
Form 990, Part VI, Line 12c Conflict of interest policy	ALL NICKLAUS 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 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 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	Royalties - Total Revenue: 27069, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 27069; Vending Machine Commission - Total Revenue: 55483, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 55483; Child Care - Total Revenue: 360121, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 360121; Lab Revenues - Total Revenue: 43360, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 43360; Cash Over/Short - Total Revenue: 96, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 96; Purch Discounts - Total Revenue: 5088, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 5088;
Form 990, Part IX, Line 11g Other Fees	Casual Labor - Total Expense: 1760619, Program Service Expense: 1408495, Management and General Expenses: 352124, Fundraising Expenses: ; Laboratory Services - Total Expense: 32291, Program Service Expense: 25833, Management and General Expenses: 6458, Fundraising Expenses: ; Fees- Physicians - Total Expense: 8282680, Program Service Expense: 6626144, Management and General Expenses: 1656536, Fundraising Expenses: ; O/S Services - Total Expense: 10451744, Program Service Expense: 8361395, Management and General Expenses: 2090349, Fundraising Expenses: ; Laboratory Services - Total Expense: 5578308, Program Service Expense: 4462646, Management and General Expenses: 1115662, Fundraising Expenses: ; Fees- Consultants - Total Expense: 2256544, Program Service Expense: 1805235, Management and General Expenses: 451309, Fundraising Expenses: ; Transcription Services - Total Expense: 338881, Program Service Expense: 271105, Management and General Expenses: 67776, Fundraising Expenses: ; Scanning/Coding Svc - Total Expense: 3358601, Program Service Expense: 2686881, Management and General Expenses: 671720, Fundraising Expenses: ; Management Fees - Total Expense: 98958279, Program Service Expense: 79166623, Management and General Expenses: 19791656, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Settlement on Swap Agreements - -4274437; Income from joint ventures - 6314415; Gain on net change in fair value of swap agreements - 4465220; Change in value of charitable remainder trusts held by others - 135881; Change in beneficial interest in Hospital Foundation - -53296670; Change in beneficial interest in the System Foundation - 66499024; Transfer to Affiliate - -36951132; Other changes in Net Assets - 1961737;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MCH PEDIATRIC CARDIOLOGY LLC
3100 SW 62ND AVENUE	MIAMI	FL	33155	651023909	CARDIAC SERVICES	FL	$0	$0	VCH
MIAMI CHILDREN'S HOSPITAL PRPG LLC
3100 SW 62ND AVENUE	MIAMI	FL	33155	760724684	INSURANCE	FL	$0	$0	VCH
MIAMI CHILDREN'S HEALTH PLAN LLC
3100 SW 62 Avenue	Miami	FL	33155	823111550	NON PROFIT COMMUNITY BASED HEALTH PLAN	FL	$0	$0	VCH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
NICKLAUS CHILDREN'S HEALTH SYSTEM INC
3100 SW 62ND AVENUE	MIAMI	FL	33155	453481327	HEALTHCARE	FL	501(c)(3)	Type II	NA	false
MCH RESEARCH INSTITUTE INC
3100 SW 62ND AVENUE	MIAMI	FL	33155	592602318	RESEARCH	FL	501(c)(3)	3	VCH	Yes (true)
MCH WORKER'S COMPENSATION TRUST
3100 SW 62ND AVENUE	MIAMI	FL	33155	597021572	WC CLAIMS	FL	4947 (a)(1)		VCH	Yes (true)
VARIETY CHILDREN'S HOSPITAL PROFESSIONAL LIABILITY TRUST
3100 SW 62ND AVENUE	MIAMI	FL	33155	592551434	LIAB. CLAIMS	FL	4947 (a)(1)		VCH	Yes (true)
PEDIATRIC SPECIALTY GROUP INC
3100 SW 62ND AVENUE	MIAMI	FL	33155	463756071	EMPLOYED PHYSICIANS	FL	501(c)(3)	3	MCHS	false
NICKLAUS CHILDREN'S HEALTH SYSTEM FOUNDATION INC
3100 SW 62ND AVENUE	MIAMI	FL	33155	461784918	FOUNDATION	FL	501(c)(3)	7	MCHS	false
NICKLAUS CHILDREN'S HOSPITAL FOUNDATION INC
3100 SW 62ND AVENUE	MIAMI	FL	33155	591720704	FOUNDATION	FL	501(c)(3)	7	VCH	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
MIAMI CHILDREN'S HOSPITAL AMBULATORY SURGERY CENTER LLC
800 SW 108TH AVENUE	SUITE 200	MIAMI	FL	33174	463406805	SURGERY CENTER	FL	VCH	Related	$478,969	$5,296,059	false	Yes (true)	0.53
MIAMI HOSPITAL HOLDINGS LLC
11221 ROE AVE SUITE 320		LEAWOOD	KS	66211	464077635	HOLDING COMPANY	FL	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1Txt	Address Line2ForeignAddress/AddressLine2Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd
MIAMI CHILDREN'S INSURANCE CO SPC LTD
720 WEST BAY ROAD	PO BOX 69GT BUCKINGHAM SQUARE	GEORGETOWN	GRAND CAYMAN	CJ	980442086	INSURANCE	CJ	VCH	C Corporation	$6,024,909	$7,967,181	1	Yes (true)
CHILDREN'S HEALTH VENTURES INC & SUBS
					454541147	MERCHANT WHOLESALE		NA	C Corporation				false	3100 SW 62ND AVENUE	MIAMI	FL	331553009	FL

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MIAMI CHILDREN'S HOSPITAL RESEARCH INSTITUTE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	S	TransactionTypeTxt
Involved	$202,754	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt