2023-11-13T16:33:53+00:00 2022-12-31 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2022-01-01 453481327 Miami Children's Health System Inc MIAM 3056666511 3100 SW 62nd Avenue Miami FL 33155 Dawn Javersack SVP and CFO 2023-11-13 true Dawn Javersack 999009999 Brittney Kocaj P01320603 9542028600 2022 2023-04-26 12:10:37Z Nicklaus Childrens Health System Matthew A Love 3100 SW 62nd Avenue Miami FL 33155 299586716 false X nicklaushealth.org X 2011 FL TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF NICKLAUS CHILDREN'S HOSPITAL AND ITS AFFILIATED ENTITIES. 18 17 1336 269 48712 31753 29818859 39097721 211312167 258697779 231365 142528 -186298 -3533084 241176093 294404944 7030463 6062907 0 162305302 206715540 0 0 96025877 123409994 265361642 336188441 -24185549 -41783497 1030724418 999802390 159476587 145411700 871247831 854390690 Nicklaus Children's Health System, is the region's only healthcare system exclusively for children. Our mission is to inspire hope and promote lifelong health by providing the best care to every child. TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF NICKLAUS CHILDREN'S HOSPITAL AND ITS AFFILIATED ENTITIES, AND TO INVEST IN, RECEIVE, HOLD, USE AND DISPOSE OF ALL PROPERTY, REAL OR PERSONAL, AS MAY BE NECESSARY OR DESIRABLE TO CARRY INTO EFFECT THE AFOREMENTIONED PURPOSES. false false 267948505 6062907 258994630 A NOT-FOR-PROFIT CORPORATION CREATED IN 2011 formed as a holding company for Variety Children's Hospital d/b/a Nicklaus Children's Hospital and Subsidiaries (the Hospital). Additionally, the System facilitates partnerships with private physicians and explores other revenue opportunities. The System includes a regional pediatric network anchored by the Hospital, located in Miami-Dade County, Florida. The Hospital is complemented by a network of ambulatory centers and pediatric care clinics located throughout South Florida, primarily in Miami-Dade, Broward and Palm Beach counties. VARIETY CHILDREN'S HOSPITAL D/B/A NICKLAUS CHILDREN'S HOSPITAL PROVIDES SPECIALIZED PEDIATRIC HEALTHCARE TO CHILDREN. Nicklaus Children's Pediatric Specialists, LLC (NCPS) is a single member Limited Liability Company formed to support the physician practices deemed necessary by the Hospital. NCPS is a subsidiary of the System. Nicklaus Children's Hospital Foundation, LLC (Foundation) is a single member Limited Liability Company formed to raise funds and support the Hospital and other related organizations. The Foundation is a subsidiary of the System. 267948505 true true false true false false true false true true false true false true true false true false false true false false false true false false true false true false false false false false false false false true true false false true true true true false false true X 468 0 true 1336 true true true true CJ false false false true true false false false true false true false X 18 17 true false false false false false false true true false false true true true true true true true true true true CA FL GA IL MD MA NY OH PA VA X Laurie Levine 7866242005 5301 Blue Lagoon Drive Miami FL 33126 AMY CHARLEY ESQ Secretary/Director 0.1 0.1 X X 0 0 0 GEORGE T PHILLIP MD Vice Chairman/Director 0.1 0 X X 0 0 0 JOSEPH NADER Chairman/Director 0.1 0.1 X X 0 0 0 MATTHEW LOVE President & CEO 20.0 20.0 X X 1616803 0 220858 ALEX KRYS Director 0.1 0 X 0 0 0 ALEX SOTO Director 0.1 0 X 0 0 0 BARBARA NICKLAUS Emeritus Director 0.1 0 X 0 0 0 CARLOS PEREZ ABREU Director 0.1 0 X 0 0 0 FERNANDO PEREZ-HICKMAN Director (thru 10/2022) 0.1 0 X 0 0 0 JARET DAVIS Director 0.1 0.1 X 0 0 0 JAY MASSIRMAN Director 0.1 0.1 X 0 0 0 JORGE GONZALEZ Director 0.1 0 X 0 0 0 Juan Carlos Mas Emeritus Chairman 0.1 0 X 0 0 0 MARIO MURGADO Director 0.1 0 X 0 0 0 MICHAEL FUX Emeritus Director 0.1 0 X 0 0 0 MIGUEL SOSA Director 0.1 0 X 0 0 0 NAN O'LEARY Director 0.1 0 X 0 0 0 NICOLE SAYFIE PORCELLI Director 0.1 0 X 0 0 0 PETER LOPEZ Director 0.1 0 X 0 0 0 DAWN E JAVERSACK SVP/CFO Health System 20.0 20.0 X 902620 0 22032 JODI LAURENCE SVP and General Counsel 20.0 20.0 X 540699 0 88177 PERRY ANN REED SVP/COO NCHS & President NCH 0.1 40.0 X 0 797263 109432 CHAD A PERLYN President NCPS 40.0 0 X 1019031 0 145460 JOHN RAGHEB Chief Neurosurgery 40.0 0 X 1095427 0 26771 REDMOND P BURKE CHIEF CARDIOVASCULAR SURGEON 40.0 0 X 1981734 0 22147 STEPHEN GEORGE Orthopedic Attending Physician 40.0 0 X 1228311 0 9342 THOMAS J ERRICO Orthopedic Attending Physician 40.0 0 X 913845 0 13230 TOBA N NIAZI Attending Physician 40.0 0 X 948895 0 10405 10247365 797263 667854 540 false true false ENSEMBLE HEALTH PARTNERS 13620 REESE BLVD EAST SUITE 200 HUNTERSVILLE NC 28078 Administrative SERVICES 22705735 CERNER CORPORATION PO BOX 959156 ST LOUIS MO 631959156 Software License/Maintenance 9493781 ANTHONY BARADAT AND ASSOCIATES 1235 CORAL WAY SUITE 200 MIAMI FL 33145 MARKETING 3839105 CORROHEALTH INC 6509 WINDCREST DR SUITE 165 PLANO TX 75024 Physicans Prof Services 1969190 RISE INTERACTIVE ONE SOUTH WACKER DRIVE SUITE 300 CHICAGO IL 60606 MARKETING 1843338 84 22354 3558931 35516436 1752496 39097721 MANAGEMENT FEE AFFILIATED COMPANIES 551110 159793399 159793399 PATIENT SERVICE REVENUE 621110 98904380 98904380 0 0 0 0 258697779 142528 48712 93816 955602 991002 -35400 0 -35400 -35400 0 0 0 0 396235 3558931 4190770 -3794535 -3794535 EMPLOYEE WELLNESS 900099 249099 249099 Other Miscellaneous Revenue 900099 47752 47752 0 0 0 0 296851 294404944 258994630 48712 -3736119 X 6062907 6062907 4555680 3644544 911136 168600432 134880346 33720086 10212165 8169732 2042433 13656919 10925535 2731384 9690344 7752275 1938069 1665452 1665452 296049 296049 566412 566412 130470 130470 50839224 40671380 10167844 0 6548557 5238846 1309711 8635580 6908464 1727116 18523193 14818554 3704639 13286903 10629523 2657380 821061 656849 164212 9179622 7343698 1835924 5132001 4105601 1026400 RECRUITMENT EXPENSE 2260145 1808116 452029 SPECIAL EVENTS - NON FOOD 1325839 1060671 265168 FREIGHT 1216891 973513 243378 COMMUNITY BENEFITS - EVENTS 472071 377657 94414 2510524 1920294 590230 0 336188441 267948505 68239936 0 2845978 1298331 0 15279116 28654683 37840713 20733536 0 0 0 0 90973 0 5754213 5866857 84431191 38452012 46059187 45979179 40048367 32439550 22072042 42532367 784394775 776670340 76339054 45627547 1030724418 999802390 156378274 142124078 0 0 3098313 3287622 159476587 145411700 X 658733409 628032792 212514422 226357898 871247831 854390690 1030724418 999802390 X -41783497 -6791126 -2264330 33981812 X false true X true false X X 1 VARIETY CHILDREN'S HOSPITAL DBA NICKLAUS CHILDREN'S HOSPITAL 590638499 3 true 6062907 159793401 1 6062907 159793401 true false false false false false false false false false false false false false false true RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false true 566412 false true 110156 676568 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION CONDUCTS LOBBYING ACTIVITIES INCLUDING RESEARCH, MONITORING LEGISLATION AND ATTENDING MEETINGS. IN ADDITION, THE ORGANIZATION PAYS DUES TO VARIOUS MEMBERSHIP ORGANIZATIONS AND A PORTION OF THOSE DUES ARE REPORTED AS LOBBYING EXPENDITURES. 280000 17548 X false 58072902 190592 -3972479 3006430 51284585 51847151 1424279 6880578 2079106 58072902 50915312 33028 3318446 2419635 51847151 49642017 543923 4248769 3519397 50915312 52766887 64752 -1950120 1239502 49642017 0.2676 0.7324 0.0 false true true 1106482 1106482 7369253 835555 6533698 4938306 2778631 2159675 57402917 34837826 22565091 13614233 0 13614233 45979179 Investments in Affiliates Investments in Affiliates 776670340 F 776670340 FIDUCIARY-NCH ADMIN PROF ASSOC/EST DEFERRED REVENUE 1575208 LEASE INCENTIVE OBLIGATION LT 1114430 LEASE OBLIGATION R/E S/T 597984 3287622 X Schedule D, Part III, Line 4 Collections of art - description of collections Custom artwork created and produced by artist Lebo David Le Batard titled "Inspiring Hope and Healing "Say I love you, A Love Letter To Myself", 2021, Acrylic spray paint, oil pastel on canvas. The artwork is displayed in the Hospital on the walls of various Buildings to encourage self-love, hope, and healing to the patients and visitors. Schedule D, Part V, Line 4 Intended uses of endowment funds The System's endowment funds are established to fund medical research, education, and patient social services at the Hospital. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The System and certain of its affiliated organizations qualify as tax-exempt, nonprofit organizations under Section 501(c)(3) of the Internal Revenue Code (the Code). The Hospital, NCPS and the Foundation 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, 2022 and 2021. 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, 2022 and 2021. Central America and the Caribbean 0 0 Investments 243686 0 0 0 0 0 0 243686 0 243686 false false false false true false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual Diamond Ball 1431129 1264073 167056 8771 142870 318578 CMNH 2524037 2294858 229179 3720551 0 3955166 3558931 396235 8771 142870 4039129 4190770 -3794535 true Variety Children's Hospital 3100 SW 62 Ave Miami FL 33155 590638499 501(C)(3) 6062907 Support Clinical Trials, Patient, Orthopedic and Palliative Care and establish a study to acquire genomic data from research study . 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE SYSTEM 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 SYSTEM'S STAFF RECEIVES MONTHLY INVOICES TO DOCUMENT THE EXPENDITURES OF THE HOSPITAL AGAINST THE GRANTS. THE SYSTEM'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 false true false false false false false false false MATTHEW LOVE President & CEO 1022573 0 571654 0 22576 0 219550 0 1308 0 1837661 0 0 0 DAWN E JAVERSACK SVP/CFO Health System 732270 0 162826 0 7524 0 9150 0 12882 0 924652 0 0 0 JODI LAURENCE SVP and General Counsel 430144 0 106252 0 4303 0 72901 0 15276 0 628876 0 0 0 PERRY ANN REED SVP/COO NCHS & President NCH 0 583600 0 188003 0 25660 0 91952 0 17480 0 906695 0 0 CHAD A PERLYN President NCPS 892537 0 125000 0 1494 0 144152 0 1308 0 1164491 0 0 0 THOMAS J ERRICO Orthopedic Attending Physician 872327 0 41421 0 97 0 9112 0 4118 0 927075 0 0 0 STEPHEN GEORGE Orthopedic Attending Physician 892756 0 314995 0 20560 0 9150 0 192 0 1237653 0 0 0 TOBA N NIAZI Attending Physician 873099 0 75736 0 60 0 9150 0 1255 0 959300 0 0 0 JOHN RAGHEB Chief Neurosurgery 1073110 0 1421 0 20896 0 9150 0 17621 0 1122198 0 0 0 REDMOND P BURKE CHIEF CARDIOVASCULAR SURGEON 1980032 0 1306 0 396 0 5615 0 16532 0 2003881 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The following contributions were made to a Section 457(f) plan during the year - MATTHEW LOVE $210,400.32 JODI LAURENCE $63,750.96 PERRY ANN REED $82,801.68 CHAD A PERLYN $135,002.40 X 3 280000 Market value X 1 85816 Market value X Toys, Books 285 494327 Market value X Auction Prizes 255 892353 Market value 1 false true false Schedule M, Part I Explanations of reporting method for number of contributions Cars and other vehicles - The organization is reporting the number of contributions received in Part I, Column (B). Art - Works of art - The organization is reporting the number of contributions received in Part I, Column (B). Other - Toys, Books - The organization is reporting the number of contributions received in Part I, Column (B). Other - Auction Prizes - The organization is reporting the number of contributions received in Part I, Column (B). Form 990, Part III, Line 4a Program Service Activity CHILDREN'S HEALTH VENTURES, INC. (CHV) IS A FOR PROFIT FINANCIAL HOLDING COMPANY CREATED TO ENTER INTO JOINT VENTURES TO ACCESS NEW MARKETS AND PROVIDE REVENUE OPPORTUNITIES. CHV IS A SUBSIDIARY OF THE SYSTEM. Miami Children's Insurance SPC, Limited (the Captive) was formed in the Cayman Islands to access professional liability insurance markets. The Captive is a subsidiary of the Hospital. Miami Children's Health Plan, LLC (the Health Plan) is a limited liability company formed with an independent third party. The Health Plan operated as a licensed Florida Medicaid provider and is a subsidiary of the Hospital, which owned 75%. In April 2021 the Hospital sold the health plan memberships VARIETY CHILDREN'S HOSPITAL, ESTABLISHED IN 1950, OWNS AND OPERATES A PEDIATRIC SPECIALTY HOSPITAL KNOWN AS NICKLAUS CHILDREN'S HOSPITAL. 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 309 LICENSED BEDS CONSISTING OF 283 GENERAL ACUTE-CARE BEDS, 20 PSYCHIATRIC BEDS, AND 51 NICU 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 STATE-DESIGNATED PEDIATRIC TRAUMA CENTER. MANY PATIENTS ARE REFERRED BY OTHER HOSPITALS REGARDLESS OF THE EXISTENCE OF FORMAL ARRANGEMENTS. IN 2022 4,516 PATIENTS WERE TRANSFERRED TO NICKLAUS CHILDREN'S FROM HOSPITALS THROUGHOUT FLORIDA, CENTRAL AND SOUTH AMERICA, AND THE CARIBBEAN. Nicklaus Children's Health System and Baptist Health South Florida have signed an agreement to expand their collaboration on pediatric care. This enhanced partnership of two of South Florida's leading healthcare organizations will optimize care for both pediatric and adult patients. Nicklaus Children's Health System launch the Observer Programs at Nicklaus Children's Hospital. The Observer Programs provide educational opportunities for members of the communities we serve, with the goal of increasing the number of future medical and healthcare professionals. THE HEALTH SYSTEM INCLUDES A NETWORK OF AMBULATORY CENTERS THAT EXTEND CARE THROUGHOUT THE SOUTH FLORIDA REGION. DURING 2022, THESE CENTERS OFFERED OUTPATIENT SERVICES THAT INCLUDE REHABILITATION AND IMAGING SERVICES, URGENT CARE CENTER AND OUTPATIENT SUB-SPECIALTY OFFICE VISITS. Five Nicklaus Children's Hospital specialty programs are again identified among the best in the nation, according to U.S. News & World Report's 2021-22 Best Children's Hospitals rankings. Nicklaus Children's has more ranked pediatric programs than any other hospital in South Florida. In the 2022-23 U.S. News & World Report "Best Children's Hospitals" Nicklaus Children's Hospital is ranked as the #1 children's hospital in Florida* and is the only children's hospital that is top-ranked in South Florida. Nicklaus Children's Hospital is included in Newsweek's list of World's Best Specialized Hospitals 2022. This recognition is presented by Newsweek and Statista Inc., a statistics portal and industry-ranking provider. No other South Florida pediatric hospital was recognized in the ranking. NICKLAUS CHILDREN'S HOSPITAL COMPLETED THE ISO 9001 QUALITY MANAGEMENT SYSTEM CERTIFICATION BY DNV. NICKLAUS CHILDREN'S IS THE SECOND FREESTANDING CHILDREN'S HOSPITAL IN THE NATION TO OBTAIN THIS CERTIFICATION. SINCE THE HOSPITAL'S INITIAL DNV GL ACCREDITATION IN 2016, NICKLAUS CHILDREN'S AND ITS NETWORK OF OUTPATIENT CENTERS HAVE PARTICIPATED IN ANNUAL ACCREDITATION SITE VISIT EVALUATIONS TO ENSURE STEADY PROGRESSION and achieved ISO 9001 CERTIFICATION in 2019. ISO 9001 SETS FORTH CRITERIA FOR QUALITY MANAGEMENT THAT INCLUDE A STRONG CUSTOMER FOCUS, ENGAGEMENT OF TOP MANAGEMENT, A PROCESS APPROACH AND CONTINUAL IMPROVEMENT. THE ULTIMATE IMPACT OF ISO WITHIN HOSPITALS IS THE REDUCTION OR ELIMINATION OF VARIATION, SO THAT CRITICAL WORK PROCESSES ARE DONE CONSISTENTLY AND THE "BEST IDEAS" AREN'T BY ONE PERSON OR DEPARTMENT, BUT ARE INGRAINED IN THE ORGANIZATION ITSELF. Nicklaus Children's Hospital's Quality Program is data driven and dedicated to the development and implementation of consistency in the service we provide. Our quality measures are based on national standards and are formed around the patient centered framework put forth by the Institute for Healthcare Improvement (IHI) which aligns to the principles of safety, equity, effectiveness, timeliness, and efficiency. Using industry benchmarks, internal standards, and the resources of national survey and compliance services, we seek to constantly improve our pediatric care. The quality department serves as a vital part of improvement and resource management throughout the institution. Our team of dedicated physicians, nurses, quality and accreditation specialists, and data analysts are working to achieve customer care excellence, standardization of practice, transparency in performance, a Just Culture for improvement, and assurance to ourselves and the patients and families we serve that we are delivering the best possible pediatric care. Nicklaus monitors internal performance in real time and formally on a monthly basis using an extensive, metric driven, nationally benchmarked scorecard. Improvement opportunities and action planning are addressed using a structured, collaborative, multidisciplinary approach in which quality becomes the interest and responsibility of every employee. Quality performance and action planning are monitored at a monthly cadence through the multidisciplinary Performance Improvement Council with regular oversight by the Quality Committee of the System Board. FAST PASS VISITOR SYSTEM REQUIRES ALL VISITORS AT THE MAIN HOSPITAL TO PRESENT PHOTO IDENTIFICATION UPON ARRIVAL AND A RECORD IS KEPT OF ALL THOSE ENTERING THE HOSPITAL. THIS SYSTEM CAN IDENTIFY INDIVIDUALS WITH RECORDS OF CHILD ABUSE AND MOLESTATION, HELPING ENHANCE THE SAFETY OF CHILDREN AT THE HOSPITAL. GETWELL NETWORK IN ALL MEDICAL SURGICAL ROOMS. THE SYSTEM, ACCESSIBLE THROUGH THE IN-ROOM TELEVISION SCREEN, OFFERS PATIENT EDUCATION INFORMATION THAT CAN SUPPORT ENHANCED PATIENT CARE AS WELL AS A PATIENT FEEDBACK SYSTEM, THROUGH WHICH FAMILIES CAN ADDRESS SAFETY CONCERNS. EMR IS A STATE-OF-THE-ART SYSTEM WHICH CAPTURES ALL PATIENT DATA, INCLUDING COMPREHENSIVE CARE RECORDS (RADIOLOGY, PHARMACY, REHABILITATION, OUTPATIENT AND INPATIENT) AS WELL AS REGISTRATION AND BILLING INFORMATION, ALL IN A COMPREHENSIVE SYSTEM. HUMPTY DUMPTY IS A TOOL TO PREVENT PEDIATRIC FALLS AND THEREBY ENHANCE SAFETY. AS OF 12/31/2022, THE TOOL WAS IN USE IN 1,616 HOSPITALS (1,355 IN THE US AND 261 OUTSIDE THE US), INCLUDING FACILITIES IN VIRTUALLY EVERY U.S. STATE AS WELL AS IN EUROPE, THE MIDDLE EAST, HONG KONG, INDONESIA, JAPAN, THE PHILIPPINES, BERMUDA, CANADA, CARIBBEAN, US VIRGIN ISLANDS, CAYMAN ISLANDS, BRAZIL, AUSTRALIA, AND NEW ZEALAND. THE PROGRAM IS ALSO IN USE BY EVERY BRANCH OF OUR U.S. MILITARY HOSPITALS THROUGHOUT THE WORLD. The System expanded their collaboration with Ensemble Health Partners (Ensemble), a leading innovator in revenue cycle management having positive improvements in the System financial outcomes and patient experiences. Nicklaus Children's Health System (NCHS) has received an A+ bond rating from Fitch Ratings and an A rating from Standard and Poor's. The health system was also recognized by the agencies as having a positive (Fitch) and stable (Standard and Poor's) outlook for the future. The health system was recognized for its strong business position in pediatric healthcare, an expanding ambulatory footprint and increased hospital affiliations in the region. In January 2021, the health system implemented a three-year strategic plan to guide it toward the future and has already made significant strides toward achieving key goals set forth in the plan. Form 990, Part III, Line 4a PROGRAM SERVICE ACTIVITY The Health System supports a number of programs that enhance the skills and work readiness of young professionals as well as promote health awareness. This includes: Project Victory - 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. Pediatric Residency Training Program- Nicklaus Children's is an established teaching hospital and is one of the largest freestanding pediatric teaching hospitals in the southeastern United States. The Pediatric Residency Training Program is structured in accordance with the American Board of Pediatrics' requirement of three core years in general pediatrics and is fully accredited by the Accreditation Council for Graduate Medical Education (ACGME). All facets of pediatric care are encompassed in the training program from the complex intensive care to the office practice of general pediatrics. Each year, medical students and scholars from all parts of the United States and around the world apply for acceptance to the hospital's Pediatric Residency Training Program, which has been in operation for over 40 years. The program has a formal affiliation with Florida International University's College of Medicine. Other participating institutions include Jackson Memorial Hospital, Cleveland Clinic Florida Center, University of Florida -Jacksonville, Mount Sinai Medical Center of Florida and Nova Southeastern University. Fellowship Training Programs- Nicklaus Children's Hospital, offers quality, nationally recognized fellowships in a wide range of pediatric subspecialties. Fellowships are accredited by the Accreditation Council for Graduate Medical Education (ACGME). Available programs include Adolescent Medicine, Allergy and Immunology, Child & Adolescent Psychiatry, Clinical Biochemical Genetics, Clinical Neurophysiology, Craniofacial Surgery (Plastic Surgery), Pediatric Critical Care Medicine, Pediatric Emergency Medicine, Pediatric Gastroenterology, Hepatology and Nutrition, Pediatric Hematology Oncology Fellowship, Pediatric Hospitalist, Pediatric Radiology, Pediatric Urology, Pediatric Cardiology, and Pediatric Surgery. The Horizon Nurse Residency Program- The Horizon Nurse Residency (Horizon) Program is an American Nurses Credentialing Center accredited, evidence-based nurse residency program. It's designed to guide new graduate nurses by bridging the divide between nursing education and nursing practice. The program offers training within hospital units including the ICU setting, hematology-oncology, Emergency Department, and the ICU Float Pool, with the duration varying by unit of hire. The Horizon Nurse Residency Program was honored with ANCC PTAP National Accreditation with distinction in 2017. Practice Transition Accreditation Program (PTAP) sets the global standard for residency programs that transition nurses into new practice settings. Achieving this accreditation elevates the standards of the Horizon Nurse Residency Program at Nicklaus Children's Health System with ANCC evidence-based criteria, demonstrating excellence in the transitioning nurses from novice to proficient. The Horizon Nurse Residency Program was further developed in 2014 and has transitioned over 240 nurses with a 92% overall retention, since the inception of the program. The Student Nurse Intern Program (SNIP)- The Student Nurse Intern Program (SNIP) provides nursing students the opportunity to be hired as care assistants to gain insight into the field of nursing. Based on availability, this program supports a smooth transition from nursing student to registered nurse by providing paid hours of mentorship in Emergency, Surgical, Medical-Surgical or Critical Care areas. Students work alongside other care assistants while under orientation with the goal of completing a list of required competencies. Upon completion of orientation, the intern works alongside an RN and/or under the direct supervision of an RN performing delegatory-type tasks as well as patient-care skilled tasks in different pediatric areas of the hospital. Form 990, Part V, Line 1a Number in Box 3 of Form 1096 THE TOTAL NUMBER FROM BOX 3 OF FORM 1096 IS REPORTED BY NICKLAUS CHILDREN'S HEALTH SYSTEM, INC. THE AMOUNT REPORTED INCLUDES 1099s ISSUED ON BEHALF OF RELATED ENTITIES. SUCH REPORTING ALIGNS THE FORM 1096, BOX 3 REPORTING TO THE ISSUING ORGANIZATION. Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS Dawn Javersack, Jodi Laurence, JAY MASSIRMAN, MICHAEL FUX, Fernando Perez-Hickman, Joseph Nader, and MATTHEW A. LOVE have a business relationship due to serving on the board of directors or serving as an officer of Children's Health Ventures. Form 990, Part VI, Line 1a Delegate broad authority to a committee There shall be an Executive Committee of the Board of Directors composed of at least three (3) Directors elected by the Board of Directors. No non-Director members shall serve on the Executive Committee. QUORUM SHOULD CONSIST OF AT LEAST (3) MEMBERS OR A MAJORITY OF THE MEMBERS OF THE EXECUTIVE COMMITTEE PRESENT, WHICHEVER IS GREATER. The Executive Committee shall have and exercise the authority of the Board of Directors in the management of SYSTEM, except that it shall not take any action with respect to (a) the election of officers; (b) the filling or vacancies in the Board of Directors; or (c) the adoption, amendment or repeal of these Bylaws. 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 meetings of the Board of Directors by majority vote. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FOLLOWING DESCRIBES THE PROCESS FOR PROVIDING THE BOARD OF DIRECTORS WITH A COPY OF THE FORM 990 AND REVIEWING IT: 1. THE DRAFT TAX FORM 990 WILL BE EMAILED TO THE AUDIT AND COMPLIANCE COMMITTEE CHAIR FOR REVIEW AND COMMENTS PRIOR TO FILING. 2. THE PAID TAX PREPARER WILL PRESENT A SUMMARY OF THE INFORMATION TO THE FINANCE COMMITTEE OF THE BOARD. 3. QUESTIONS WILL BE ANSWERED AND IF NECESSARY, TAX FORMS WILL BE ADJUSTED. THE CHAIR WILL APPROVE THE FORM 990. 4. THE FINAL FORM 990 WILL BE POSTED ON THE BOARD WEB PORTAL PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy ALL NICKLAUS CHILDREN'S HEALTH SYSTEM (NCHS) 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 CIRCUMSTANCES WARRANTS. CONFLICT OF INTEREST DISCLOSURES ARE MANAGED BY THE COMPLIANCE DEPARTMENT AND REVIEWED BY THE NCHS CONFLICT OF INTEREST COMMITTEE WHEN DEEMED NECESSARY, THE COMPLIANCE DEPARTMENT COLLABORATES WITH THE LEGAL DEPARTMENT, AND DISCLOSURES THAT NECESSITATES BOARD AWARENESS AND ACTION ARE PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE NCHS BOARD FOR RESOLUTION AND IMPOSITION OF SANCTIONS, IF WARRANTED. ANY POTENTIALLY CONFLICTED BOARD MEMBERS ARE RECUSED FROM BOARD DELIBERATIONS AND VOTING ON ITEMS IN WHICH THEY HAVE A POTENTIAL CONFLICT. 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 NCHS 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 NCHS BOARD OF DIRECTORS CONTRACTS WITH AN EXTERNAL CONSULTANT TO OBTAIN MARKET SURVEYS FOR THE CEO AND OTHER EXECUTIVES. THE CONSULTANT ASSISTS THE ORGANIZATION AND COMPENSATION COMMITTEE IN ESTABLISHING A COMPENSATION PROGRAM FOR THE CEO AND OTHER EXECUTIVES. SURVEY RESULTS AND COMPENSATION BEST PRACTICES ARE SHARED WITH THE ORGANIZATION AND COMPENSATION COMMITTEE OF THE BOARD. PERSONS WITH A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED IN ESTABLISHING EXECUTIVE SALARY AND BENEFITS PROGRAMS. DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION AGREEMENT ARE CONTEMPORANEOUS DOCUMENTED. THIS PROCESS IS COMPLETED IN THE FIRST QUARTER EACH YEAR. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE ORGANIZATION AND COMPENSATION COMMITTEE OF NCHS BOARD OF DIRECTORS CONTRACTS WITH AN EXTERNAL CONSULTANT TO OBTAIN MARKET SURVEYS FOR THE CEO AND OTHER EXECUTIVES. THE CONSULTANT ASSISTS THE ORGANIZATION AND COMPENSATION COMMITTEE IN ESTABLISHING A COMPENSATION PROGRAM FOR THE CEO AND OTHER EXECUTIVES. SURVEY RESULTS AND COMPENSATION BEST PRACTICES ARE SHARED WITH THE ORGANIZATION AND COMPENSATION COMMITTEE OF THE BOARD. PERSONS WITH A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED IN ESTABLISHING EXECUTIVE SALARY AND BENEFITS PROGRAMS. DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION AGREEMENT ARE CONTEMPORANEOUS DOCUMENTED. THIS PROCESS IS COMPLETED IN THE FIRST QUARTER 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 IX, Line 11g Other Fees CASUAL LABOR - Total Expense: 658939, Program Service Expense: 527151, Management and General Expenses: 131788, Fundraising Expenses: ; Medical fees - Total Expense: 5463026, Program Service Expense: 4370421, Management and General Expenses: 1092605, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 9210272, Program Service Expense: 7368218, Management and General Expenses: 1842054, Fundraising Expenses: ; INSPECTIONS - Total Expense: 2872, Program Service Expense: 2298, Management and General Expenses: 574, Fundraising Expenses: ; STORAGE FEES - Total Expense: 1265, Program Service Expense: 1012, Management and General Expenses: 253, Fundraising Expenses: ; CLEANING SERVICES - Total Expense: 160718, Program Service Expense: 128574, Management and General Expenses: 32144, Fundraising Expenses: ; CONSULTANTS - Total Expense: 4460310, Program Service Expense: 3568248, Management and General Expenses: 892062, Fundraising Expenses: ; TRANSCRIPTION SERVICES - Total Expense: 252581, Program Service Expense: 202065, Management and General Expenses: 50516, Fundraising Expenses: ; LABORATORY SERVICES - Total Expense: 9049, Program Service Expense: 7239, Management and General Expenses: 1810, Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 29351177, Program Service Expense: 23480942, Management and General Expenses: 5870235, Fundraising Expenses: ; TRASH - Total Expense: 13015, Program Service Expense: 10412, Management and General Expenses: 2603, Fundraising Expenses: ; CODING SERVICES - Total Expense: 1256000, Program Service Expense: 1004800, Management and General Expenses: 251200, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Gain (loss) from subsidiaries - -2808533; Distribution to noncontrolling interest - -3652365; Expenses over (under) revenues attributable to noncontrolling interest - 1607234; Gain on discontinued operations attributable to noncontrolling interest - 51817; Change in value of charitable remainder trusts held by others - -263604; Equity transfer with affiliates - 39047263; NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS LLC 3100 SW 62ND AVENUE MIAMI FL 33155 463756071 EMPLOYED PHYSICIANS FL 98969023 22075008 MCHS NICKLAUS CHILDREN'S HOSPITAL FOUNDATION LLC 3100 SW 62ND AVENUE MIAMI FL 33155 461784918 FOUNDATION FL 37658945 143433363 MCHS VARIETY CHILDREN'S HOSPITAL 3100 SW 62ND AVENUE MIAMI FL 33155 590638499 HOSPITAL FL 501(c)(3) 3 MCHS true MIAMI CHILDREN'S HOSPITAL AMBULATORY SURGERY CENTER LLC 800 SW 108TH AVENUE SUITE 200 MIAMI FL 33174 463406805 SURGERY CENTER FL NA N/A false MIAMI CHILDREN'S HEALTH PLAN LLC 3100 SW 62ND AVE MIAMI FL 33155 823111550 INSURANCE FL NA N/A false MIAMI CHILDREN'S INSURANCE CO SPC LTD 720 WEST BAY ROAD PO BOX 69GT BUCKINGHAM SQUARE GEORGETOWN GRAND CAYMAN CJ 980442086 INSURANCE CJ NA C Corporation false CHILDREN'S HEALTH VENTURES INC AND SUBSIDIARIES 3100 SW 62ND AVENUE MIAMI FL 331553009 454541147 MERCHANT WHOLESALE FL MCHS C Corporation 0 6496763 1 true false true false false false false false false false false false true false true true false false false false VARIETY CHILDREN'S HOSPITAL O 69133440 FMV VARIETY CHILDREN'S HOSPITAL N 90659962 FMV VARIETY CHILDREN'S HOSPITAL B 6062907 FMV