2018-11-15T16:37:35-06:00 2017-12-31 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2017-01-01 461784918 Miami Children's Health System Foundation Inc MIAM 3056666511 3100 SW 62nd Avenue Miami FL 33155 Timothy Birkenstock SVP & CFO 2018-11-15 true Brittney Kocaj P01320603 9542028600 2017 2019-02-21 02:37:17Z NARENDRA KINI MD 3100 SW 62nd Avenue Miami FL 33155 26167181 false X https://www.nicklaushealth.org/foundation X 2012 FL The mission of Miami Children's Health System Foundation Inc. is to create awareness and generate funds for Nicklaus Children's Health System (System), Nicklaus Children's Hospital and any other Not-for-profit affiliated entity. 16 13 50 255 0 0 24189827 23718804 0 595574 1623579 -1092339 -586735 23693062 24755648 7292966 8111511 0 4196190 3344919 153876 178826 3576789 5661431 3258148 17304463 14893404 6388599 9862244 31947933 96162509 4287878 2003430 27660055 94159079 The mission of Miami Children's Health System Foundation Inc. is to create awareness and generate funds for Nicklaus Children's Health System (System), Nicklaus Children's Hospital and any not-for-profit affiliated entity under the System umbrella. The Foundation's guiding principle is to ensure that all children have access to state-of-the-art pediatric care. false false 10115048 8111511 20188 In 2017 grants were made to Nicklaus Children Hospital to provide funding for the change of Miami Children Hospital name to Nicklaus Children Hospital ( $3.1 million), Dental Program ($451k), Personalized Medicine Program ($315k) Outpatient Centers ($291 k), Capital Outlays ($1,026 million). Also MCHSF gave a grant and Jupiter Medical Center ($1 million) 10115048 true true false false false false false false false true false false false true false true false true false false false false false true true false false true false true false false false false false false false false true false false false false true false false false true 48 0 true 50 true false false false false false true true true false false false X 16 13 true false false false true true true true true false false true true true true true true true false false CA FL GA IL MD MA NJ NY OH PA VA X Ramon Coto 3056666511 5301 Blue Lagoon Drive Miami FL 33126 Timothy L Birkenstock Interim President and CEO 0.1 40.5 X X 0 581959 103352 Ravneet Chowdhury Esq Chairman 0.1 0.5 X X 0 0 0 RICKY PATEL Esq Vice Chairman 0.1 0 X X 0 0 0 DAVID MARTIN Secretary 0.1 0 X X 0 0 0 MARLENE SANTOS Treasurer 0.1 0 X X 0 0 0 PABLO CEJAS Director 0.1 0 X 0 0 0 PETER LOPEZ Director 0.1 0 X 0 0 0 ANDRIA MIYARES Director 0.1 0 X 0 0 0 EILAH CAMPBELL-BEAVERS Director 0.1 0 X 0 0 0 JOSE DANS Director 0.1 0 X 0 0 0 MAYI DE LA VEGA Director 0.1 0 X 0 0 0 DREW KERN Director 0.1 0 X 0 0 0 STEVEN KERR PHD Director 0.1 0 X 0 0 0 Narendra M Kini MD ExOfficio Director 0.1 40.4 X 0 1365694 251601 Alex Soto Director 0.1 1.5 X 0 0 0 Richard Perez CFO & Exec Dir Foundation 40.0 0 X 143562 0 36536 Joseph H Deary Sr Director Planned Gifts 40.0 0 X 108077 0 13534 Maria E Moldes Sr Dir Prgm/Community Relation 40.0 0 X 113850 0 28105 Michael A Mowatt Exec Dir Philanthropy 40.0 0 X 120954 0 15416 Lucy Morillo ESQ Former President & CEO 0.0 0.0 X 254822 0 0 741265 1947653 448544 5 true true false Bentz Whaley Flessner & Assoc 7251 OHMS Lane Minneapolis MN 55439 Fundraising Consultants 129832 1 13388 4298018 1312286 18095112 3153257 23718804 0 0 0 0 0 1623579 1623579 0 0 0 0 804610 4298018 1411533 -606923 -606923 Employee Leasing Rev 900099 20188 20188 0 0 0 0 20188 24755648 20188 0 1016656 8111511 8111511 180098 30616 41423 108059 2532549 430529 582490 1519530 95713 16271 22014 57428 354298 60230 81489 212579 182261 30984 41920 109357 29875 29875 178826 178826 627797 105145 145943 376709 926452 301840 624612 275052 17760 193670 63622 62015 10388 14415 37212 36268 6075 8430 21763 Program Activities 972356 964947 7409 Donor Cultivation 156687 156687 Shared Operational Costs 133900 22429 31124 80347 Dues and Subscriptions 23154 3878 5382 13894 14592 2445 3392 8755 14893404 10115048 1201567 3576789 500 800 20954360 19317836 9844510 18445406 243078 119030 0 0 313559 293230 0 0 382173 0 209753 2278570 0 0 0 55707637 31947933 96162509 107245 1520457 342498 482973 0 3838135 0 4287878 2003430 X 14118775 26432982 47267888 1227073 32772416 27660055 94159079 31947933 96162509 X 9862244 56636780 X false true X true false X 16437052 18414293 24189827 23718804 82759976 0 0 0 16437052 18414293 24189827 23718804 82759976 5065433 77694543 19992 94717 595574 1623579 2333862 0 0 0 0 0 0 1005943 817135 459874 824798 3107750 88201588 0 0.8809 0.901 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - SPECIAL EVENT SALES, COLUMN A - 0.0, COLUMN B - 803918.0, COLUMN C - 783747.0, COLUMN D - 433633.0, COLUMN E - 804610.0, COLUMN F - 2825908.0; DESCRIPTION - OTHER INCOME, COLUMN A - 0.0, COLUMN B - 202025.0, COLUMN C - 33388.0, COLUMN D - 26241.0, COLUMN E - 20188.0, COLUMN F - 281842.0; 231560 2695300 2926860 0 231560 231560 0 0 0 0 0 0 0 0 0 0.0 1.0 0.0 false true true Intercompany Receivable 55707637 55707637 Payable to Affiliate 0 X Schedule D, Part V, Line 4 Intended uses of endowment funds The Foundation's endowments are established to fund medical research, education, patient medical, and social services at Nicklaus Children's Hospital. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Foundation is tax exempt under Section 501 (c)(3) of the Internal Revenue Code (the Code). The Code provides for taxation of unrelated business income under certain circumstances. the Foundation had no unrelated business income for the year ended December 31, 2017 and 2016. The Foundation files a Form 990 (Return of Organizations Exempt from Income Tax) annually. When the return is filed, it is certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. Examples of tax positions common to foundations include the tax-exempt status of the entity and various positions relative to potential sources of unrelated business taxable income. Tax positions are not offset or aggregated with other positions. Tax positions that meet the "more likely than not" recognition threshold are measured as the largest amount of tax benefit that is more than 50%likely to be realized on settlement with the applicable taxing authority. As of December 31, 2017 and 2016, there were no unrecognized tax benefits identified and recorded as a liability. The Foundation filed its first Form 990 (Return of Organization Exempt from Income Tax) for the year ended December 31, 2014, and all years' returns are subject to U.S. federal tax examination by tax authorities. X X X X X X true Bentz Whaley Flessner Inc 7251 Ohms Lane Minneapolis MN 55439 Campaign Consultants false 0 128826 -128826 ORR Associates Inc 2801 Street NW Washington DC 20007 Fundraising Consultant false 0 50000 -50000 0 178826 -178826 CA FL GA IL MD MA NJ NY OH PA VA Diamond Ball 1336532 938314 398218 118687 256114 CMNH 2764333 2747003 17330 51616 424303 3 1001763 612701 389062 74324 486489 5102628 4298018 804610 244627 1166906 1411533 -606923 true Nicklaus Children's Hospital Foundation 3100 SW 62 Ave Miami FL 33155 590638409 501(C)(3) 7026855 (See Statement) Jupiter Medical Center 1210 South Dixie Highway Jupier FL 33458 650132406 501(c)(3) 1000000 Community Development VARIETY CHILDREN'S HOSPITAL 3100 SW 62ND AVENUE Miami FL 331553009 590638499 501(C)(3) 82768 Program Support 3 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. The Foundation generates donations based on the strategic needs of the hospital service lines. Once donations are received a formal request is made by the hospital for the funds. THE FOUNDATION STAFF RECEIVES MONTHLY INVOICES TO DOCUMENT THE EXPENDITURES OF THE HOSPITAL AGAINST THE GRANTS. THE FOUNDATION'S PROGRAM STAFF THEN MEETS THE APPROPRIATE HOSPITAL STAFF TO DISCUSS THE PROGRESS OF ALL GRANT FUNDED PROJECTS THROUGHOUT THE YEAR. X X X X true true false false false false false false false Timothy L Birkenstock Interim President and CEO 0 389699 0 163439 0 28821 0 78879 0 24473 0 685311 0 0 Narendra M Kini MD ExOfficio Director 0 834318 0 440223 0 91153 0 213725 0 37876 0 1617295 0 0 Lucy Morillo ESQ Former President & CEO 0 0 0 0 254822 0 0 0 0 0 254822 0 0 0 Richard Perez CFO & Exec Dir Foundation 118706 0 17746 0 7110 0 4367 0 32169 0 180098 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment Lucy Morillo - $254,822 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 X 2 2082901 Market value X Toys 43 218361 Market value X Auction Prizes 135 851995 Market value 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Other - Toys Contributions Other - Auction Prizes Contributions Securities - Publicly traded - Number of donors Form 990, Part VI, Line 15b Process for determining compensation of 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 OF EACH YEAR. MIAMI CHILDREN'S HEALTH SYSTEM FOUNDATION RELIED ON THE METHODS OF ESTABLISHING COMPENSATION USED BY MIAMI CHILDREN'S HEALTH SYSTEM, INC. Form 990, Part VI, Line 1a Delegate broad authority to a committee The Executive Committee is composed of at least three (3) Directors elected by the Board of Directors. A majority of the members present and voting constitutes a quorum for the transaction of business, The Executive Committee has and exercise the authority of the Board of Directors in the management of the Foundation, except that it shall not take any action with respect to (a) election of officers; (b) the filling of vacancies on the Board of Directors and (c) the adoption, amendment or repeal of any By-laws. The Executive Committee shall report to the Board of Directors any action taken by the Executive Committee at the next meeting of the Board of Directors Form 990, Part VI, Line 2 Family/business relationships amongst interested persons NARENDRA KINI, and TIMOTHY BIRKENSTOCK - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders THE ORGANIZATION'S SOLE MEMBER IS NICKLAUS CHILDREN'S HEALTH SYSTEM, INC. THE SOLE MEMBER HAS THE AUTHORITY TO ELECT MEMBERS TO THE BOARD OF DIRECTORS AND APPROVE DECISIONS OF THE BOARD. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE ELECTED MEMBERS OF THE BOARD SHALL BE ELECTED BY NICKLAUS CHILDREN'S HEALTH SYSTEM (THE SOLE MEMBER), AFTER TAKING INTO CONSIDERATION ANY RECOMMENDATIONS OF THE BOARD. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The Board shall not take any action with respect to the following without the approval of Nicklaus Children's Health System (the sole Member): a) Modify the mission, purpose or scope of the foundation, or materially change the location, size or scope of services, programs, operations or educational or medical school affiliations of the foundation or related agreements; b) Create any entity in which the foundation is the sole member or sole shareholder, or any entity in which the foundation has a direct or indirect oversight role, which may include not-for-profit, for profit, limited liability companies, or any other legal entity; c) Sell, lease, purchase, create, dissolve, convey, mortgage, grant a security interest or otherwise dispose of any affiliated, controlled, or joint venture entity, any real or personal property or other assets (or any interest in any of the foregoing), or incur debt for money borrowed or guarantee the debt of another, not in the ordinary course of business; d) Approve annual operating or capital budgets, strategic and long-range plans, major fund-raising programs, physician compensation or other agreements, managed care contracts or other financial commitments or material deviations from such budgets, plans, agreements or commitments; and e) Approve financial, accounting, human resource, employee benefit, compliance policies or procedures, medical staff bylaws (including amendments) or other policies and procedures, or the appointment or engagement of auditors, legal counsel and consultants, which are in any way contrary to the policies and procedures adopted from time to time by the Member. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FOLLOWING DESCRIBES 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 Miami Children's Health System Foundation employees are informed upon hire, and on an annual basis thereafter, that they have an affirmative duty to disclose any actual, potential or perceived conflicts of interest. They are required to complete a conflict of interest disclosure form upon hire, annually and whenever a change in circumstances warrants. Conflict of interest disclosure forms are forwarded to the Compliance Department by the Talent Management and Effectiveness Department. These forms are initially reviewed by Compliance Department Staff. When deemed necessary, the Compliance Department collaborates with the Legal Department. Conflicts of interest that necessitate Board awareness and action are presented to the Audit and Compliance Committee of the Board for resolution and imposition of sanctions. If warranted, in addition, on an annual basis, Board Members, Principal Officers and Board-Delegated Committee Members sign a statement which affirms that each individual: (A) Has received a copy of the Conflict of Interest Policy; (B) Has read and understands the Policy; (C) Has agreed to comply with the Policy; and (D) Understands that the Foundation is a charitable organization and that in order to maintain its federal exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. A process is in place for managing situations in which it is discovered that an individual who is covered by the Foundation's Conflict of Interest Policy failed to properly disclose a potential conflict of interest. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE ORGANIZATION AND COMPENSATION COMMITTEE OF MCHSF BOARD OF DIRECTORS CONTRACTS WITH AN EXTERNAL CONSULTANT TO OBTAIN MARKET SURVEYS FOR THE CEO AND OTHER EXECUTIVES. THE CONSULTANT ASSISTS THE ORGANIZATION AND COMPENSATION COMMITTEE IN ESTABLISHING A COMPENSATION PROGRAM FOR THE CEO AND OTHER EXECUTIVES. SURVEY RESULTS AND COMPENSATION BEST PRACTICES ARE SHARED WITH THE ORGANIZATION AND COMPENSATION COMMITTEE OF THE BOARD AND USED IN ESTABLISHING EXECUTIVE SALARY AND BENEFITS PROGRAMS. THIS PROCESS IS COMPLETED IN THE FIRST QUARTER OF EACH YEAR. Form 990, Part VI, Line 19 Required documents available to the public Financial statements, governing documents, and conflict of interest policies are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104. These documents are not available to the public at this time. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Allowance for Doubtful pledges - -281840; Equity Transfer to Nicklaus Children System - 1210983; transfer from hospital foundation - 55707637; Nicklaus CHILDREN'S HOSPITAL FOUNDATION INC 3100 SW 62nd Avenue Miami FL 33155 591720704 Foundation FL 501(c)(3) 7 VCH false Nicklaus Children's Hospital 3100 SW 62nd Avenue Miami FL 33155 590638499 Hospital FL 501(c)(3) 3 NCHS false MCH Research Institute Inc 3100 SW 62nd Avenue Miami FL 33155 592602318 Research FL 501(c)(3) 3 VCH false Miami Children's Hospital Worker's Compensation Trust 3100 SW 62nd Avenue Miami FL 33155 597021572 WC Claims FL 4947 (a)(1) VCH false Nicklaus Children's Health System Inc 3100 SW 62nd Avenue Miami FL 33155 453481327 Healthcare FL 501(c)(3) Type II NA false Pediatric Specialty Group Inc 3100 SW 62nd Avenue Miami FL 33155 463756071 Employed Physicians FL 501(c)(3) 3 NCHS false Variety Children's Hospital Professional Liability Trust 3100 SW 62nd Avenue Miami FL 33155 592551434 Liab. Claims FL 4947 (a)(1) VCH false Miami Children's Hospital Ambulatory Surgery Center LLC 800 SW 108TH AVENUE SUITE 200 Miami FL 33174 463406805 Ambulatory Center FL NA N/A MIAMI HOSPITAL HOLDINGS LLC 11221 ROE AVE SUITE 320 LEAWOOD KS 66211 464077635 HOLDING COMPANY FL NA N/A Miami Children's Insurance Co SPC LTD 720 West Bay Road PO Box 69GT Buckingham Square Georgetown CJ 980442086 Insurance CJ NA C Corporation false Children's Health Ventures Inc & Subs 3100 SW 62nd Avenue Miami FL 33155 454541147 Merchant Wholesale FL NA C Corporation false false true true false false false false false false false false true false true false false false true true