Miami Children's Hospital Research Institute INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- Miami Children's Hospital Research Institute INC (EIN 59-2602318)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-14
- IRS object ID
- 201223199349304932
- Schema version
- 2011v1.2
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-14T14:45:33-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 E KENNEDY BLVD STE 1200 | AddressLine1 |
| City | TAMPA | City |
| State | FL | State |
| ZIP Code | 33602 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592602318 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCH RESEARCH INSTITUTE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MIAM | NameControl |
| Phone | 3056666511 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3100 SW 62ND AVENUE | AddressLine1 |
| City | MIAMI | City |
| State | FL | State |
| ZIP Code | 33155 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TIMOTHY BIRKENSTOCK | Name |
| Title | SENIOR VP AND CFO | Title |
| Phone | 3056666511 | Phone |
| Date Signed | 2012-11-13 | DateSigned |
| Authorize Third Party | 0 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| PTIN | P00648526 | PTIN |
| Phone | 8132738355 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | TIMOTHY BIRKENSTOCK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3100 SW 62ND AVENUE | AddressLine1 |
| City | MIAMI | City |
| State | FL | State |
| ZIP Code | 331553009 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2826615 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MCH.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | IMPROVE CHILD HEALTH BY PROVIDING ACCESS TO NEW INNOVATIONS FOR THEDIAGNOSIS, TREATMENT AND CURE OF PEDIATRIC DISEASES PROMOTING RESEARCHTO ADVANCE SCIENCE AND GENERATE KNOWLEDGE IN CHILD HEALTH AND MEDICINE | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 37 | TotalNbrEmployees |
| Total Nbr Volunteers | 1 | TotalNbrVolunteers |
| Total Gross UBI | 704401 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -444003 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2577360 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1809635 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1954642 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 978821 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -28711 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 38145 | OtherRevenuePriorYear |
| Other Revenue Current Year | 38159 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 4541436 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2826615 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 2652897 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2458165 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1852667 | OtherExpensePriorYear |
| Other Expenses Current Year | 2026359 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4505564 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4484524 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 35872 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1657909 | RevenuesLessExpensesCY |
| Total Assets BOY | 889311 | TotalAssetsBOY |
| Total Assets EOY | 427860 | TotalAssetsEOY |
| Total Liabilities BOY | 6573690 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7292363 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -5684379 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -6864503 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | MIAMI CHILDREN'S HOSPITAL RESEARCH INSTITUTE STUDIES THE ROLE OF NUTRITION IN THE CAUSE, CURE, AND PREVENTION OF CHILDHOOD DISEASES. IN ADDITION TO NUTRITION, RESEARCH CENTERS OF EXCELLENCE ARE ORGANIZED TO FOCUS ON PEDIATRIC CRITICAL CARE, PRIMARY CARE, CELLULAR AND MOLECULAR PATHOBIOLOGY, MOLECULAR GENETICS, AND NEUROSCIENCE. THE COMMON THREAD RUNNING THROUGH ALL THESE RESEARCH AREAS OF EXCELLENCE IS CHRONIC DISEASE, WELLNESS, AND ACUTE CARE. ALL THESE RESEARCH AREAS ARE SUPPORTED BY A CORE LABORATORY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 4045537 | Expense |
| Revenue | 978821 | Revenue |
| Description | COSTS INCURRED FOR FACILITIES TO CONDUCT SCIENTIFIC RESEARCH BY MEANS OF EXPERIMENTS TO PROMOTE HUMAN KNOWLEDGE IN THE FIELD OF MEDICAL SCIENCE. SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. | Description |
| Total Program Service Expense | 4045537 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 37 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FISCAL SERVICES - CONTROLLER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3056666511 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3100 SW 62ND AVENUE | AddressLine1 |
| City | MIAMI | City |
| State | FL | State |
| ZIP Code | 331553009 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JEFRY BIEHLER MD | |||||||
| DIRECTOR | 0.50 | X | 0 | 370661 | 31448 | ||
| THOMAS M CORNISH | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| JARET DAVIS ESQUIRE | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| MARIA FRANCO MD | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| MICHAEL FUX | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| LUIS GONZALEZ-MENDOZA MD | |||||||
| DIRECTOR | 0.50 | X | 0 | 286521 | 18508 | ||
| GHISLAIN GOURAIGE JR | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| DEISE GRANADO-VILLAR MD | |||||||
| DIRECTOR | 0.50 | X | 0 | 334372 | 74571 | ||
| GARY GREGORY | |||||||
| CHAIRMAN | 0.50 | X | 0 | 0 | 0 | ||
| JUAN C MAS | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| JAY MASSIRMAN | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| STEVEN MCKEAN | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| MARIO MURGADO | |||||||
| VICE CHAIRMAN | 0.50 | X | 0 | 0 | 0 | ||
| PHILIP NEWCOMM MD | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| CARMEN PEREZ | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| GENE PRESCOTT | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| ALEX SOTO | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| KEITH WARD | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| NARENDRA KINI MD | |||||||
| PRESIDENT AND CEO | 0.50 | X | 0 | 737885 | 154351 | X | |
| PEDRO ALFARO | |||||||
| TREASURER | 0.50 | 0 | 399326 | 83599 | X | ||
| BYRON BERNAL | |||||||
| SENIOR RESEARCH SCIENTIST | 40.00 | 148747 | 0 | 26597 | X | ||
| RAUL HERRERA | |||||||
| CHIEF RESEARCH OFFICER | 40.00 | 161039 | 0 | 21616 | X | ||
| DORA A HALAC | |||||||
| ASSISTANT DIRECTOR OF RESEARCH | 40.00 | 103762 | 0 | 17666 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 413548 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2128765 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 428356 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| WESTERN INSTITUTIONAL REVIEW | |||||
| PO BOX 12029 | OLYMPIA | WA | 985082029 | RESEARCH PROTOCOL REVIEW | 394940 |
| UNIVERSITY OF MIAMI | |||||
| 1507 LEVANTE AVENUE | CORAL GABLES | FL | 33124 | MEDICAL RESEARCH/STUDIES | 160694 |
| FILE ENTERPRISES INC | |||||
| 8021 LAKE DRIVE SUITE 201 | DORAL | FL | 33166 | MARKETING SERVICES | 103560 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Related Organizations | 1754648 | RelatedOrganizations |
| All Other Contributions | 54987 | AllOtherContributions |
| Total Contributions | 1809635 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| CLINICAL TRIAL REVENUE | 900099 | 704401 | 704401 | |
| GRANT REVENUE | 900099 | 274420 | 274420 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 978821 | TotalProgramServiceRevenue |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 38159 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 38159 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 38159 | TotalRevenueColumn |
| Exclusion | $38,159 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2826615 | TotalRevenueColumn |
| Related Or Exempt Function Income | 274420 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 704401 | UnrelatedBusinessRevenue |
| Exclusion | $38,159 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 413548 | Total |
| Management And General | 413548 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1596299 | Total |
| Program Services | 1596299 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 448318 | Total |
| Program Services | 448318 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50879 | Total |
| Program Services | 25440 | ProgramServices |
| Management And General | 25439 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1247544 | Total |
| Program Services | 1247544 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2252 | Total |
| Program Services | 2252 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43260 | Total |
| Program Services | 43260 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63671 | Total |
| Program Services | 63671 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 468776 | Total |
| Program Services | 468776 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41879 | Total |
| Program Services | 41879 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| SUPPLIES | 48918 | 48918 |
| DUES & SUBSCRIPTIONS | 27747 | 27747 |
| EQUIPMENT RENTAL & MAIN | 10268 | 10268 |
| TELEPHONE EXPENSE | 244 | 244 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20921 | Total |
| Program Services | 20921 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4484524 | Total |
| Program Services | 4045537 | ProgramServices |
| Management And General | 438987 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3928101 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3500241 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 889311 | BOY |
| EOY | 427860 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 889311 | BOY |
| EOY | 427860 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6573690 | BOY |
| EOY | 7292363 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6573690 | BOY |
| EOY | 7292363 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -6672205 | BOY |
| EOY | -8064379 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 987826 | BOY |
| EOY | 1199876 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -5684379 | BOY |
| EOY | -6864503 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 889311 | BOY |
| EOY | 427860 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1657909 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 477785 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type2 | X | SupportingOrg509a3Type2 |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE PART IV | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 590638499 | EIN |
| Type Of Organization | 3 | TypeOfOrganization |
| Listed In Governing Doc | 0 | ListedInGoverningDoc |
| Organized In US | 1 | OrganizedInUS |
| Amount | $4,484,524 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 4484524 | SumOfAmounts |
| General Explanation | SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: PART I, LINE 11(H), COLUMN (I) NAME OF SUPPORTED ORGANIZATION: VARIETY CHILDREN'S HOSPITAL D/B/A MIAMI CHILDREN'S HOSPITAL | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3928101 | OtherCostOrOtherBasis |
| Depreciation | 3500241 | Depreciation |
| Book Value | 427860 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 427860 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO AFFILIATES | Description |
| Amount | $7,292,363 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 7292363 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | PART X, LINE 2: THE HOSPITAL BELIEVES THERE IS NO UNCERTAIN TAX LIABILITY WHICH SHOULD BE RECORDED AS OF DECEMBER 31, 2011. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFRY BIEHLER MD | |||||||||||||
| 0 | 354315 | 0 | 16346 | 0 | 0 | 0 | 0 | 0 | 31448 | 0 | 402109 | 0 | 0 |
| LUIS GONZALEZ-MENDOZA MD | |||||||||||||
| 0 | 286521 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 18508 | 0 | 305029 | 0 | 0 |
| DEISE GRANADO-VILLAR MD | |||||||||||||
| 0 | 281891 | 0 | 52481 | 0 | 0 | 0 | 45624 | 0 | 28947 | 0 | 408943 | 0 | 0 |
| NARENDRA KINI MD | |||||||||||||
| 0 | 576999 | 0 | 160886 | 0 | 0 | 0 | 123724 | 0 | 30627 | 0 | 892236 | 0 | 0 |
| PEDRO ALFARO | |||||||||||||
| 0 | 328411 | 0 | 70915 | 0 | 0 | 0 | 50386 | 0 | 33213 | 0 | 482925 | 0 | 0 |
| BYRON BERNAL | |||||||||||||
| 147187 | 0 | 1560 | 0 | 0 | 0 | 0 | 0 | 26597 | 0 | 175344 | 0 | 0 | 0 |
| RAUL HERRERA | |||||||||||||
| 149494 | 0 | 11545 | 0 | 0 | 0 | 0 | 0 | 21616 | 0 | 182655 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 3 | PART I, LINE 3: THE ORGANIZATION RELIED ON THE METHODS OF ESTABLISHING COMPENSATION FOR THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR EMPLOYED BY VARIETY CHILDREN'S HOSPITAL D/B/A MIAMI CHILDREN'S HOSPITAL (EIN: 59-0638499). MIAMI CHILDREN'S HOSPITAL USES THE FOLLOWING METHODS TO ESTABLISH SUCH COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE | |
| PART III | PART I, LINE 4(B) THE EXECUTIVES PARTICIPATE IN A SUPPLEMENTAL 457(F) DEFINED CONTRIBUTION RETIREMENT ACCOUNT. THE VALUES ARE REPORTED IN SCHEDULE J, PART II, COLUMN C | SUPPLEMENTAL INFORMATION |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PROGRAM SERVICE ACCOMPLISHMENTS | FORM 990, PART III, LINE 4A | MIAMI CHILDREN'S RESEARCH INSTITUTE IS ONE OF THE LARGEST PROVIDERS OF PEDIATRIC MEDICAL RESEARCH IN THE SOUTHEASTERN UNITED STATES. IT CURRENTLY PARTICIPATES IN APPROXIMATELY 214 RESEARCH PROTOCOLS INVOLVING NEW MEDICATIONS AND INTERVENTIONS FOR CHILDREN WITH COMPLEX MEDICAL NEEDS. THE MCH RESEARCH INSTITUTE WILL UNDERGO RE-ACCREDITATION IN 2012 BY THE ASSOCIATION OF HUMAN RESEARCH PROTECTION PROGRAMS (AHRPP). HAVING BECOME THE FIRST PEDIATRIC RESEARCH PROGRAM IN THE STATE OF FLORIDA AND ONE OF THE FEW CHILDREN'S HOSPITALS IN THE NATION TO EARN THIS DISTINCTION IN 2009. AHRPP ACCREDITATION AFFIRMS THE HOSPITAL'S COMMITMENT TO MAINTAINING THE MOST STRINGENT STANDARDS IN PROTECTING THE HEALTH OF RESEARCH PARTICIPANTS AND EDUCATING PARTICIPANTS AND THEIR FAMILIES REGARDING RISKS AND POTENTIAL BENEFITS OF TAKING PART IN RESEARCH ACTIVITIES. THE MISSION OF THE MIAMI CHILDREN'S HOSPITAL RESEARCH INSTITUTE IS TO PROMOTE RESEARCH FOR THE ADVANCEMENT OF SCIENCE AND TO GENERATE KNOWLEDGE IN CHILD HEALTH AND PEDIATRIC MEDICINE. THE MCH RESEARCH INSTITUTE PARTICIPATES IN BOTH CLINICAL RESEARCH, WHICH TESTS NEW DIAGNOSTIC PROCEDURES, PHARMACEUTICALS, MEDICAL DEVICES AND INTERVENTIONAL PROCEDURES; AND TRANSLATIONAL RESEARCH, WHICH FOCUSES ON TRANSLATING LABORATORY DISCOVERIES TO THE PATIENT-CARE ENVIRONMENT. HOSPITAL DEPARTMENTS THAT ARE PARTICULARLY ACTIVE IN FOSTERING RESEARCH INCLUDE ADOLESCENT MEDICINE, RADIOLOGY, CARDIOLOGY, ENDOCRINOLOGY, GASTROENTEROLOGY, GENETICS, HEMATOLOGY-ONCOLOGY, NEUROSCIENCES, NEPHROLOGY, ORTHOPAEDICS, PSYCHIATRY, PULMONOLOGY AND UROLOGY. AS PART OF ITS WORK IN THE FIELD OF HEMATOLOGY-ONCOLOGY RESEARCH, MIAMI CHILDREN'S HOSPITAL MAINTAINS FULL MEMBERSHIP IN CHILDREN'S ONCOLOGY GROUP, A FEDERALLY FUNDED CONSORTIUM OF PEDIATRIC HOSPITALS AND PEDIATRIC DEPARTMENTS CONDUCTING A LARGE ARRAY OF CLINICAL RESEARCH STUDIES OFFERING LATEST ADVANCEMENTS FOR TREATMENT OF CHILDHOOD CANCERS. FUTURE PLANS FOR THE MCH RESEARCH INSTITUTE INCLUDE ESTABLISHING A MOLECULAR RESEARCH CENTER, A UNIQUE PROGRAM THAT COMBINES CLINICAL AND MOLECULAR MEDICINE TO DELIVER CARE DESIGNED EXPRESSLY FOR THE NEEDS OF THE INDIVIDUAL CHILD. 2011 RESEARCH HIGHLIGHTS (1) THE RESEARCH INSTITUTE HAS BEEN INVOLVED IN THE LONG-TERM EFFICACY STUDY OF NEUROPACE'S RNS (REPETITIVE NEURO-SIMULATOR) SYSTEM USED TO CONTROL SEIZURES NOT OTHERWISE TREATABLE BY MEDICATION IN EPILEPSY PATIENTS. THE DEVICE WAS DESIGNED TO CONTINUOUSLY MONITOR ELECTRICAL BRAIN ACTIVITY AND ADJUST THE ELECTRICAL CURRENT BASED ON PATIENT'S UNIQUE PARAMETERS. THE DEVICE RECORDS THE SEIZURE AND DISCHARGES THE APPROPRIATE AMOUNT OF ELECTRICAL CURRENT TO STOP THAT SPECIFIC SEIZURE. PATIENTS OR CARETAKERS ALSO HAVE THE ABILITY TO OVERRIDE THE DEVICE VIA A MAGNET IF THE SEIZURE CONTINUES. (2) THE RESEARCH INSTITUTE CONTINUES ITS COMMITMENT TO PATIENTS IN ACQUIRING REGULATORY APPROVAL FOR DEVICES THAT HAVE NOT BEEN YET APPROVED BY THE FDA OR THAT ARE NEEDED IN EMERGENCY USE ON HUMAN SUBJECTS FOR LIFE-THREATENING SITUATIONS, AND THAT CAN BE PROVIDED IN SPECIAL SITUATIONS THROUGH THE REGULATORY PROCESS TO PATIENTS IN NEED. MORE THAN FOUR PATIENTS RECEIVED THE CHEATHAM PLATINUM COVERED STENT FOR THE TREATMENT OF HEART SURGICAL REPAIR. OBTAINING REGULATORY APPROVAL FOR THESE TYPE OF DEVICES ENHANCES THE QUALITY OF LIFE FOR THESE SPECIFIC PATIENTS WITH UNIQUE MEDICAL CONDITIONS. (3) IN A HOSPITAL ENVIRONMENT, EXEMPT STUDIES ARE USUALLY THE INITIAL STEP IN ACQUIRING KNOWLEDGE TO IDENTIFY POSSIBLE TREATMENTS, MEDICINES, AND PROCESSES THAT ARE BENEFITING PEDIATRIC PATIENTS BY REVIEWING THEIR MEDICAL RECORDS. THE RESEARCH INSTITUTE APPROVED 24 SUCH STUDIES IN 2011 EXPANDING PEDIATRIC MEDICAL KNOWLEDGE THROUGH PUBLICATIONS AND PRESENTATION OF ABSTRACTS AT MEDICAL EVENTS. ONE OF THESE STUDIES "THE USE OF THREE-DIMENSIONAL ROTATIONAL ANGIOGRAPHY TO ASSESS THE PULMONARY CIRCULATION FOLLOWING CAVO-PULMONARY CONNECTION IN PATIENTS WITH SINGLE VENTRICLE" HAS BECOME A ROUTINE DIAGNOSTIC TOOL FOR SPECIFIC PATIENTS AT MIAMI CHILDREN'S HOSPITAL. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FOLLOWING DESCRIBES MIAMI CHILDREN'S HOSPITAL RESEARCH INSTITUTE'S PROCESS FOR PROVIDING IT'S BOARD OF DIRECTORS WITH A COPY OF THE FORM 990 AND REVIEWING IT: 1. THE DRAFT TAX FORM 990 WILL BE MAILED TO FINANCE COMMITTEE OF MCH BOARD OF DIRECTORS FOR REVIEW AND COMMENT PRIOR TO REGULARLY SCHEDULED MEETING. 2. THE DRAFT TAX FORM 990 WILL BE REVIEWED WITH THE FINANCE COMMITTEE. 3. QUESTIONS WILL BE ANSWERED AND IF NECESSARY, TAX FORMS WILL BE ADJUSTED. 4. THE FINAL FORM 990 WILL BE POSTED ON THE MCH BOARD OF DIRECTOR'S WEB PORTAL. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL MIAMI CHILDREN'S HOSPITAL RESEARCH INSTITUTE EMPLOYEES ARE INFORMED UPON HIRE, AND ON AN ANNUAL BASIS THEREAFTER, THAT THEY HAVE AN AFFIRMATIVE DUTY TO DISCLOSE ANY ACTUAL, POTENTIAL OR PERCEIVED 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 IF 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, SECTION B, LINE 15 | THE ORGANIZATION AND COMPENSATION COMMITTEE OF MIAM CHILDREN'S HOSPITAL RESEARCH INSTITUTE 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 SALRAY AND BENEFITS PROGRAMS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | FORM 990, PART VI, SECTION C, LINE 19: DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. | |
| AVERAGE HOURS PER WEEK | PART VII, LINE 1A, COLUMN B | THE OFFICERS LISTED ON PART VII, SECTION A, LINE 1(A), COLUMN B DEVOTED THEIR TIME TO THE ORGANIZATION AND RELATED ORGANIZATIONS AS FOLLOWS: WORKER'S PROFESSIONAL MCH VARIETY COMPENSATION LIABILITY FOUNDATION CHILDREN'S TRUST TRUST INC. HOSPITAL JEFRY BIEHLER, MD 0.1 0.1 0.0 39.3 THOMAS M. CORNISH 0.1 0.1 1.5 1.3 JARET DAVIS, ESQUIRE 0.1 0.1 0.0 1.3 MARIA FRANCO, MD 0.1 0.1 0.0 1.3 MICHAEL FUX 0.1 0.1 0.0 1.3 LUIS GONZALEZ-MENDOZA, MD 0.1 0.1 0.0 39.3 GHISLAIN GOURAIGE, JR. 0.1 0.1 0.0 1.3 DEISE GRANADO-VILLAR, MD 0.1 0.1 0.0 39.3 GARY GREGORY 0.1 0.1 0.5 1.3 JUAN C. MAS 0.1 0.1 0.5 1.3 JAY MASSIRMAN 0.1 0.1 0.0 1.3 STEVEN MCKEAN 0.1 0.1 0.0 1.3 MARIO MURGADO 0.1 0.1 1.5 1.3 PHILIP NEWCOMM, MD 0.1 0.1 0.0 1.3 CARMEN PEREZ 0.1 0.1 0.0 1.3 GENE PRESCOTT 0.1 0.1 0.0 1.3 ALEX SOTO 0.1 0.1 0.0 1.3 KEITH WARD 0.1 0.1 0.0 1.3 PEDRO ALFARO 0.1 0.1 0.0 39.3 NARENDRA KINI, MD 0.1 0.1 0.0 39.3 |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | GRANT REVENUE USED FOR PURCHASE OF PP&E 259,974. NET REALIZED GAIN ON TEMPORARILY RESTRICTED ASSETS 14,446. RECLASS TO RELATED ORGANIZATION 271,566. PRIOR PERIOD ADJUSTMENT -62,371. AMOUNTS REPORTED SEPARATELY -5,830. TOTAL TO FORM 990, PART XI, LINE 5: 477,785. |
| EMPLOYEES REPORTED ON W-3 | PART V, LINE 2A | VARIETY CHILDREN'S HOSPITAL D/B/A MIAMI CHILDREN'S HOSPITAL ("MCH") IS THE APPOINTED PAY AGENT FOR ALL OF ITS AFFILIATES. AS SUCH ONLY MCH ISSUES FORM W-3. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MCH WORKER'S COMPENSATION TRUST | |||||||||||
| 3100 SW 62ND AVENUE | MIAMI | FL | 33155 | 597021572 | WC CLAIMS | FL | 4947(A)(1) | N/A | VCH | 0 | |
| PROFESSIONAL LIABILITY TRUST | |||||||||||
| 3100 SW 62ND AVENUE | MIAMI | FL | 33155 | 592551434 | LIAB. CLAIMS | FL | 4947(A)(1) | N/A | VCH | 0 | |
| MIAMI CHILDREN'S HOSPITAL FOUNDATION INC | |||||||||||
| 3100 SW 62ND AVENUE | MIAMI | FL | 33155 | 591720704 | FOUNDATION | FL | 501(C)(3) | 7 | VCH | 0 | |
| VARIETY CHILDREN'S HOSPITAL | |||||||||||
| 3100 SW 62ND AVENUE | MIAMI | FL | 33155 | 590638499 | HOSPITAL | FL | 501(C)(3) | 3 | MCHS | 0 | |
| MIAMI CHILDREN'S HEALTH SYSTEM INC | |||||||||||
| 3100 SW 62ND AVENUE | MIAMI | FL | 33155 | 453481327 | HEALTHCARE | FL | 501(C)(3) | 11 TYPE II | 0 | N/A | |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CANAVAN PARTNERS | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O COHEN PO BOX 812170 | AddressLine1 |
| City | BOCA RATON | City |
| State | FL | State |
| ZIP Code | 334812170 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 650974245 | EIN |
| Primary Activity | MED.INTERL. P | PrimaryActivity |
| Legal Domicile State | FL | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S HEALTH SERVICES INC | ||||||||||||
| 3100 SW 62ND AVENUE | MIAMI | FL | 331553009 | 650438667 | PHYSICIAN SUP | FL | N/A | C | ||||
| MIAMI CHILDREN'S INSURANCE CO SPC LTD | ||||||||||||
| 980442086 | INSURANCE | N/A | C | 720 WEST BAY ROADPO BOX 69GT BUCKI | GEORGETOWN | CJ | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIAMI CHILDREN'S HOSPITAL FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionType |
| Amount Involved | 1754648 | AmountInvolved |
| Method Of Amt Determination | FMV | MethodOfAmtDetermination |