2025-11-13T11:36:34+00:00 2024-12-31 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2024-01-01 453481327 Miami Children's Health System Inc MIAM 3056666511 3100 SW 62nd Avenue Miami FL 33155 Dawn Javersack SVP and CFO 2025-11-13 true Brittney Kocaj P01320603 9542028600 2025-11-13 2024 2025-03-06 01:10:19Z Nicklaus Childrens Health System Matthew A Love 3100 SW 62nd Avenue Miami FL 33155 369157492 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. 19 18 1576 269 0 0 18988921 39522624 305109640 321804178 192728 735617 -232263 -41079 324059026 362021340 11631467 15445189 0 256360292 282074862 275890 482407 482407 142471229 151331836 410738878 449334294 -86679852 -87312954 1133191352 1274544107 176230264 225540910 956961088 1049003197 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 359616475 15445189 322374405 A NONPROFIT 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. 359616475 true true false true false false false true false true true false true false true true false true false false true false false true true false false true false true false false false false false false false false false false true false false false true true true true false false true X 485 0 true 1576 true true true true CJ false false false true true false false false false true false X 19 18 true false true false false false false true true false false false true true true true true true true true true true CA FL GA AL IL KS KY MD MA MI MN NJ NY OH OR PA TN UT VA AR WA WV X Laurie Levine 3056666511 5301 Blue Lagoon Drive Miami FL 33126 AMY CHARLEY ESQ SECRETARY / DIRECTOR 0.1 0.1 X X 0 0 0 JARET DAVIS ESQ Vice Chairman / Director 0.1 0.0 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 2255590 0 315360 PHILLIP T GEORGE MD Vice Chairman / Director 0.1 0 X X 0 0 0 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 JAY MASSIRMAN Director 0.1 0.1 X 0 0 0 JOHN M LIE-NIELSEN DIRECTOR 0.1 0.0 X 0 0 0 JORGE GONZALEZ Director 0.1 0 X 0 0 0 Juan Carlos Mas EMERITUS DIRECTOR 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 0.0 X 0 0 0 DAWN E JAVERSACK SVP/CFO Health System 20.0 20.0 X 911422 0 30343 JODI LAURENCE ESQ SVP and General Counsel 20.0 20.0 X 646818 0 103141 PERRY ANN REED SVP/COO NCHS & President NCH 0.1 40.0 X 0 852838 130657 CHAD A PERLYN MD SVP & President NCPS (thru 5/19/24) / Physician 40.0 0 X 1099508 0 116288 MARCOS A MESTRE MD SVP & CCO (beg. 6/24) / NCH VP (thru 6/24), CMO (thru 8/24) / NCPS President (6/24 - 12/24) 40.0 40.0 X 0 681854 117355 JOSEPH M FORBESS Chief Cardiovascular Surgeon 40.0 0 X 1681286 0 12384 REDMOND P BURKE Interim Chief Cardiovascular Surgeon 40.0 0 X 2069460 0 29158 SHELLY WANG Med Dir Surg Neuromodulation 40.0 0 X 1322181 0 35312 STEPHEN GEORGE Medical Director Spine Surgery 40.0 0 X 1275169 0 35397 TOBA N NIAZI Chief Neurosurgery 40.0 0 X 1402195 0 20646 12663629 1534692 946041 747 false true false ENSEMBLE HEALTH PARTNERS 13620 REESE BLVD EAST SUITE 200 HUNTERSVILLE NC 28078 Administrative Services 40079745 CERNER CORPORATION PO BOX 959156 ST LOUIS MO 631959156 Software License/Maintenance 8388176 ANTHONY BARADAT AND ASSOCIATES 1235 CORAL WAY SUITE 200 MIAMI FL 33145 Marketing 5848763 ORACLE AMERICA INC PO BOX 203448 DALLAS TX 75320 Software License/Maintenance 2765554 CORROHEALTH INC 6509 WINDCREST DR SUITE 165 PLANO TX 75024 Physicians Services 2376947 89 13676 4398733 35110215 1308506 39522624 MANAGEMENT FEE AFFILIATED COMPANIES 551110 202555257 202555257 PATIENT SERVICE REVENUE 621110 119248921 119248921 0 0 0 0 321804178 189224 189224 2068967 2138367 -69400 0 -69400 -69400 4539527 3993134 546393 0 546393 546393 462745 4398733 1004651 -541906 -541906 EMPLOYEE WELLNESS 900099 291566 291566 OTHER REVENUE 900099 278661 278661 0 0 0 0 570227 362021340 322374405 0 124311 X 15445189 15445189 5478471 4382777 1095694 0 233028245 186422596 46605649 13022326 10417860 2604466 16868389 13494711 3373678 13677431 10941945 2735486 1810883 1810883 360343 360343 926097 926097 482407 482407 95268 95268 60221175 48176941 12044234 0 9936081 7948865 1987216 8453486 6762789 1690697 23528005 18822404 4705601 11718495 9374796 2343699 1396706 1117365 279341 11120429 8896343 2224086 7022405 5617924 1404481 DUES & SUBSCRIPTIONS 3173301 2538641 634660 COMMUNITY EVENTS/SPONSORSHIPS 2811382 2249106 562276 EMPLOYEE / PATIENT EVENTS 2493177 1994542 498635 RECRUITMENT EXPENSE 1934967 1547974 386993 4329636 3463709 865927 0 449334294 359616475 89235413 482407 1469791 1499094 0 0 23186198 31981072 24467209 21107820 0 0 0 0 667474 907948 130 0 7749560 16791461 110566683 58458611 50308001 52108072 40107218 35881650 47904026 52739358 916053130 1040137024 21278615 21390608 1133191352 1274544107 163657117 172038846 0 0 12573147 53502064 176230264 225540910 X 736437330 826740932 220523758 222262265 956961088 1049003197 1133191352 1274544107 X -87312954 4396983 174958080 X false true true false X X 1 VARIETY CHILDREN'S HOSPITAL DBA NICKLAUS CHILDREN'S HOSPITAL 590638499 3 true 15445189 202555257 1 15445189 202555257 true false false false false false false false false false false false false false false false Schedule A, Part IV, Section C, Line 1 Majority director detail DURING THE TAX YEAR, CONTROL OR MANAGEMENT OF THE SYSTEM WAS VESTED IN THE SAME PERSONS THAT CONTROLLED OR MANAGED THE HOSPITAL. THIS ALIGNMENT IS REFLECTED IN THE GOVERNANCE STRUCTURE ESTABLISHED BY THE SYSTEM'S BYLAWS. ACCORDING TO THE SYSTEM'S BYLAWS, THE CHAIR OF THE HOSPITAL'S BOARD SERVES AS AN EX-OFFICIO VOTING MEMBER OF THE SYSTEM'S BOARD, AND AT LEAST ONE-THIRD OF THE SYSTEM'S DIRECTORS ARE REQUIRED TO BE CURRENT OR FORMER OFFICERS OR DIRECTORS OF THE HOSPITAL OR OTHER AFFILIATED ENTITIES. THUS, ALTHOUGH A MAJORITY OF SYSTEM DIRECTORS WERE NOT ALSO A MAJORITY OF THE HOSPITAL'S BOARD, CONTROL AND MANAGEMENT OF BOTH ENTITIES WERE EFFECTIVELY VESTED IN THE SAME PERSONS THROUGH STRUCTURAL AND GOVERNANCE INTEGRATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false true 926097 false true 103493 1029590 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. 0 10596 X false 54715114 48584 7609069 2292708 60080059 51284585 42467 5688930 2300868 54715114 58072902 190592 -3972479 3006430 51284585 51847151 1424279 6880578 2079106 58072902 50915312 33028 3318446 2419635 51847151 0.2923 0.7077 0.0 false false 1106482 1106482 13990102 2261735 11728367 5308156 9423078 -4114922 73464411 46773798 26690613 16697532 0 16697532 52108072 Investments in Affiliates 1040137024 F 1040137024 Federal Income Taxes FIDUCIARY-NCH ADMIN PROF ASSOC/EST DEFERRED REVENUE 1105993 LEASE OBLIGATION R/E S/T 22697785 INTERCOMPANY 29698286 53502064 X 0 0 0 0 0 0 0 0 0 0 0 0 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, 2024 and 2023. 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, 2024 and 2023. Central America and the Caribbean 0 0 Investments 2773697 0 0 0 0 0 0 2773697 0 2773697 true false true true 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 X X X true PARIS LEAF LLC 710 NE 3RD AVE GAINESVILLE FL 32601 FUNDRAISING CAMPAIGN ACTIVATION SUPPORT false 0 406002 -406002 HEALTH GIVING PO BOX 60 POWELL OH 43065 FUNDRAISING CAMPAIGN ACTIVATION SUPPORT false 0 76405 -76405 0 482407 -482407 CA CO CT FL GA AL IL KS KY ME AK MD MA MI MN NV NJ NM NY NC OH OK OR PA RI SC TN UT VA AR WA WV WI Diamond Ball 1142385 769023 373362 221868 256399 101996 CMNH 3719093 3629710 89383 424388 0 4861478 4398733 462745 221868 256399 526384 1004651 -541906 Schedule G, Part I, Line 2b(v) payment of fees or payment of expenses PARIS LEAF, LLC-THE AGREEMENT PROVIDES FOR THE PAYMENT OF FEES FOR FUNDRAISING SERVICES AS WELL AS REIMBURSEMENT OF REASONABLE BUSINESS EXPENSES.;HEALTH GIVING-THE AGREEMENT PROVIDES FOR THE PAYMENT OF FEES FOR FUNDRAISING SERVICES AS WELL AS REIMBURSEMENT OF REASONABLE BUSINESS EXPENSES.; true Variety Children's Hospital 3100 SW 62 Ave Miami FL 33155 590638499 501(C)(3) 15445189 SUPPORT RESEARCH AND HOSPITAL PROGRAMS 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 true true false false false false false false false MATTHEW LOVE President & CEO 1306062 0 631453 0 318075 0 288011 0 27349 0 2570950 0 290140 0 PERRY ANN REED SVP/COO NCHS & President NCH 0 603139 0 162885 0 86814 0 114563 0 16094 0 983495 0 57906 DAWN E JAVERSACK SVP/CFO Health System 646881 0 159169 0 105372 0 19575 0 10768 0 941765 0 95425 0 JODI LAURENCE ESQ SVP and General Counsel 457965 0 115876 0 72977 0 87727 0 15414 0 749959 0 68330 0 CHAD A PERLYN MD SVP & President NCPS (thru 5/19/24) / Physician 937329 0 131390 0 30789 0 89000 0 27288 0 1215796 0 26183 0 MARCOS A MESTRE MD SVP & CCO (beg. 6/24) / NCH VP (thru 6/24), CMO (thru 8/24) / NCPS President (6/24 - 12/24) 0 571598 0 102646 0 7610 0 90397 0 26958 0 799209 0 5013 SHELLY WANG Med Dir Surg Neuromodulation 642896 0 266362 0 412923 0 20250 0 15062 0 1357493 0 0 0 REDMOND P BURKE Interim Chief Cardiovascular Surgeon 1987727 0 81434 0 299 0 11746 0 17412 0 2098618 0 0 0 JOSEPH M FORBESS Chief Cardiovascular Surgeon 1602265 0 55699 0 23322 0 10350 0 2034 0 1693670 0 0 0 STEPHEN GEORGE Medical Director Spine Surgery 902839 0 349230 0 23100 0 18812 0 16585 0 1310566 0 0 0 TOBA N NIAZI Chief Neurosurgery 1012186 0 389879 0 130 0 20250 0 396 0 1422841 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment In 2024, Shelly Wang received $412,838 lump sum in severance under a 11/25/2024 agreement providing 26 weeks' separation pay, a potential pro rata physician quality bonus based on year end metrics, six months of COBRA subsidy, and requiring a release of claims and resignation from the Nicklaus Children's Hospital medical staff following involuntary termination without cause. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The organization maintains a nonqualified deferred compensation plan under section 457(f) available to highly compensated employees. Under the plan, each participant accrues an annual benefit equal to a percentage of base salary, which vests after three years of service or upon reaching age 60. Benefits are paid in a lump sum upon vesting, subject to forfeiture if the executive leaves before vesting. For 2024, five Executives contributed $576,062 under this plan, and $542,998 of distributions were made during the year. The following contributions were made to a Section 457(f) plan during the year - MATTHEW LOVE $270,001 MARCOS A MESTRE $70,488 JODI LAURENCE $69,170 CHAD A PERLYN $68,750 PERRY ANN REED $97,653 The following distributions were made from a Section 457(f) plan during the year - MATTHEW LOVE $290,140 MARCOS A MESTRE $5,013 JODI LAURENCE $68,331 CHAD A PERLYN $26,183 PERRY ANN REED $57,906 DAWN E JAVERSACK $95,425 X Toys, Books 366 985500 Market value X Auction Prizes 150 323006 Market value 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions 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 IN 2024, NICKLAUS CHILDREN'S HEALTH SYSTEM, INC: ESTABLISHED A COLLABORATION WITH BROWARD HEALTH, WITH NICKLAUS CHILDREN'S BECOMING THE PEDIATRIC PROVIDER AT BROWARD HEALTH'S FORT LAUDERDALE AND CORAL SPRINGS LOCATIONS BY 2025. THIS AFFILIATION WILL IMPROVE ACCESS TO HIGH-QUALITY PEDIATRIC SERVICES FOR THE CHILDREN AND FAMILIES OF BROWARD COUNTY AND REDUCE THE PERCENTAGE OF CHILDREN THAT LEAVE BROWARD COUNTY FOR SPECIALIZED CARE. OPENED THE KENNETH C. GRIFFIN SURGICAL TOWER, EQUIPPED WITH 12 ADVANCED AND FULLY INTEGRATED OPERATING SUITES FOR PERFORMING THE MOST COMPLEX PEDIATRIC SURGERIES, INCLUDING TRAUMA CARE, SURGICAL CANCER INTERVENTIONS, AND PEDIATRIC PLASTIC AND RECONSTRUCTIVE SURGERIES SUCH AS CLEFT LIP-AND-PALATE, ORTHOPEDIC AND SPINE, BRAIN, AND HEART SURGERIES. THE KENNETH C. GRIFFIN SURGICAL TOWER IS CONSIDERED ONE OF THE MOST INNOVATIVE PEDIATRIC SURGICAL FACILITIES IN THE UNITED STATES AND COMBINES LEADING-EDGE TECHNOLOGY WITH A FOCUS ON DELIVERING A COMPASSIONATE PATIENT EXPERIENCE. COLLABORATED WITH THE DIGITAL SAFETY ALLIANCE TO LAUNCH SAFE SOUND, A NATIONAL CAMPAIGN TO PROMOTE AWARENESS OF THE RISKS ASSOCIATED WITH DIGITAL ACCESS AND PROVIDE TOOLS TO HELP PARENTS CREATE A SAFER WORLD FOR CHILDREN ONLINE. RECEIVED A $15 MILLION GIFT FROM SOUTH FLORIDA PHILANTHROPISTS HELEN AND JACOB SHAHAM. THIS DONATION WILL HELP THE HOSPITAL'S CANCER AND BLOOD DISORDERS INSTITUTE PROVIDE HOPE TO FAMILIES IN SOUTH FLORIDA AND IMPACT WORLD-CLASS PEDIATRIC CANCER CARE AND RESEARCH FOR CHILDREN. IN RECOGNITION OF THE DONATION RECEIVED, NICKLAUS NAMED THE PROGRAM THE HELEN & JACOB SHAHAM CANCER & BLOOD DISORDERS INSTITUTE. LAUNCHED THE LARGEST MULTI-YEAR FUNDRAISING CAMPAIGN IN ITS 75-YEAR HISTORY AT THE 17TH ANNUAL DIAMOND BALL - FORWARD FOR GENERATIONS. AT THE EVENT, THE SYSTEM RECEIVED A RECORD-BREAKING AMOUNT - $6.9 MILLION - TO BENEFIT CHILDREN SERVED BY NICKLAUS CHILDREN'S HOSPITAL. WAS SELECTED BY THE RYAN SEACREST FOUNDATION AS THE HOME OF SOUTH FLORIDA'S FIRST AND ONLY SEACREST STUDIO, A STATE-OF-THE-ART STUDIO FOR PEDIATRIC PATIENTS TO EXPLORE THE CREATIVE REALMS OF RADIO, TELEVISION, AND NEW MEDIA. THE SEACREST STUDIO WILL SERVE AS A HUB FOR PATIENT ACTIVITIES, EDUCATION, AND ENGAGEMENT WITH CELEBRITIES VISITING NICKLAUS CHILDREN TO HELP BRIGHTEN PATIENTS' DAYS. WAS NAMED ONE OF AMERICA'S MOST LOVED WORKPLACES. THE HEALTH SYSTEM WAS ALSO RECOGNIZED FOR BEING A MOST LOVED WORKPLACE FOR PARENTS AND CAREGIVERS, CAREER ADVANCEMENT, AND WELLNESS. THE AMERICAN HEART ASSOCIATION, A GLOBAL FORCE FOR LONGER, HEALTHIER LIVES FOR ALL, AWARDED NICKLAUS CHILDREN'S HEALTH SYSTEM GOLD LEVEL RECOGNITION IN THE 2024 WELL-BEING WORKS BETTER SCORECARD, REPRESENTING A NOTABLE COMMITMENT TO THE HEALTH OF ITS WORKFORCE AND COMMUNITY. FIVE NICKLAUS CHILDREN'S HOSPITAL SPECIALTY PROGRAMS WERE AGAIN IDENTIFIED AMONG THE NATION'S BEST BY U.S. NEWS & WORLD REPORT IN ITS 2024-25 BEST CHILDREN'S HOSPITALS SURVEY RESULTS (CARDIOLOGY AND HEART SURGERY, NEONATOLOGY, NEUROLOGY AND NEUROSURGERY, ORTHOPEDICS, AND PULMONOLOGY). NICKLAUS CHILDREN'S HAD THE MOST RANKED PROGRAMS IN THE STATE OF FLORIDA. RECEIVED AN UPGRADED AA- BOND RATING WITH A STABLE OUTLOOK FROM FITCH RATINGS AND A REAFFIRMED A RATING WITH AN IMPROVED POSITIVE OUTLOOK FROM STANDARD & POOR'S. THESE AGENCIES RECOGNIZED NICKLAUS CHILDREN'S AS THE PREMIER PEDIATRIC HOSPITAL IN SOUTH FLORIDA FOR ITS LEADING AND GROWING MARKET SHARE, EXPANDING AMBULATORY FOOTPRINT, AND GROWING HOSPITAL AFFILIATIONS IN THE REGION. OPENED THE 10TH PEDIATRIC CARE CENTER IN WEST PINES, OFFERING APPOINTMENTS WITH BOARD-CERTIFIED PEDIATRICIANS WHO SERVE AS PRIMARY CARE PROVIDERS FOR BABIES, CHILDREN, AND TEENS. THE DIGITAL HEALTH "MOST WIRED" SURVEY, SPONSORED BY THE COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES (CHIME), REFLECTS THE COMMITMENT OF HEALTHCARE PROVIDERS TO DIGITAL HEALTH TRANSFORMATION. FOR THE 8TH CONSECUTIVE YEAR, NICKLAUS CHILDREN'S ACHIEVED LEVEL 9 IN THE ACUTE SURVEY CATEGORY, AND FOR THE SECOND YEAR IN A ROW, IN THE AMBULATORY SURVEY CATEGORY. DURING 2024, AMONG MORE THAN 48,000 FACILITIES REPRESENTED, NICKLAUS CHILDREN'S RANKED ABOVE PEERS IN CATEGORIES LIKE ANALYTICS AND DATA MANAGEMENT, POPULATION HEALTH, INFRASTRUCTURE, AND PATIENT ENGAGEMENT. AFFILIATES OF NCHS INCLUDE: CHILDREN'S HEALTH VENTURES, INC. (CHV) IS A FOR-PROFIT FINANCIAL HOLDING COMPANY CREATED TO ENTER INTO JOINT VENTURES, 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. IT 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 307 LICENSED BEDS CONSISTING OF 216 ACUTE-CARE BEDS, 40 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. 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: PEDIATRIC RESIDENCY TRAINING PROGRAM- NICKLAUS CHILDREN'S IS AN ESTABLISHED TEACHING HOSPITAL AND HAS THE LARGEST PEDIATRIC RESIDENCY TRAINING PROGRAM IN THE SOUTHEASTERN UNITED STATES, WITH 89 PEDIATRIC RESIDENTS, 10 PEDIATRIC DENTISTRY RESIDENTS, 3 PEDIATRIC PHARMACY RESIDENTS, 7 CHILD PSYCHOLOGY INTERNS AND FELLOWS, AND 40 SUBSPECIALTY FELLOWS. 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 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 AND 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, PEDIATRIC HOSPITALIST, PEDIATRIC RADIOLOGY, PEDIATRIC UROLOGY, PEDIATRIC CARDIOLOGY, AND PEDIATRIC SURGERY. THE HORIZON NURSE RESIDENCY PROGRAM- THE HORIZON NURSE RESIDENCY PROGRAM WAS FURTHER DEVELOPED IN 2014 AND IS AN AMERICAN NURSES CREDENTIALING CENTER ACCREDITED, EVIDENCE-BASED NURSE RESIDENCY PROGRAM. IT IS 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, BY MEETING ANCC EVIDENCE-BASED CRITERIA, AND DEMONSTRATING EXCELLENCE IN TRANSITIONING NURSES FROM NOVICE TO PROFICIENT. 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 DELEGATED 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 FORMS 1099 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, 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 SHALL 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 OF 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 4 Significant changes to organizational documents ON DECEMBER 16, 2024, THE ORGANIZATION MODIFIED THE BYLAWS FOR NCHS, NCH, NCPS, AND NCHF TO REMOVE EX-OFFICIO NON-VOTING MEMBERS IN ALL AREAS MENTIONED THROUGHOUT THE BYLAWS. ADDITIONALLY, THE NCHS BYLAWS RELATED TO THE INVESTMENT COMMITTEE WERE AMENDED TO REQUIRE THAT THE COMMITTEE, ON BEHALF OF THE SYSTEM AND AFFILIATED ENTITIES, SHALL: 1. ESTABLISH AND DEFINE INVESTMENT POLICIES, OBJECTIVES, AND GUIDELINES, INCLUDING ASSET ALLOCATIONS. 2. APPROVE TRANSACTIONS SUCH AS THE PURCHASE OF NEW INVESTMENTS AND THE DIVESTMENT OF EXISTING INVESTMENTS IN ACCORDANCE WITH THE APPROVED ASSET ALLOCATION STRATEGY. 3. HIRE AND RETAIN FINANCIAL ADVISORS AND INVESTMENT MANAGERS AS DEEMED NECESSARY 4. ANALYZE AND MONITOR, ON AN ONGOING BASIS, BANKING, CASH MANAGEMENT, AND INVESTMENT RELATIONSHIPS TO OPTIMIZE RETURNS ON INVESTMENTS. 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 AND WHENEVER CIRCUMSTANCES WARRANTS. CONFLICT OF INTEREST DISCLOSURES ARE MANAGED BY THE COMPLIANCE DEPARTMENT AND REVIEWED BY THE NCHS CONFLICT OF INTEREST COMMITTEE. THE COMPLIANCE DEPARTMENT COLLABORATES WITH THE LEGAL DEPARTMENT, AND DISCLOSURES THAT NECESSITATE 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 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 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: 100706, Program Service Expense: 80565, Management and General Expenses: 20141, Fundraising Expenses: ; Medical fees - Total Expense: 3785752, Program Service Expense: 3028602, Management and General Expenses: 757150, Fundraising Expenses: ; CLEANING SERVICES - Total Expense: 146083, Program Service Expense: 116866, Management and General Expenses: 29217, Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 40753821, Program Service Expense: 32603057, Management and General Expenses: 8150764, Fundraising Expenses: ; CONSULTANTS - Total Expense: 5898301, Program Service Expense: 4718641, Management and General Expenses: 1179660, Fundraising Expenses: ; DESIGN, PROTOTYPE - Total Expense: 962, Program Service Expense: 770, Management and General Expenses: 192, Fundraising Expenses: ; BARCODING - Total Expense: 68, Program Service Expense: 54, Management and General Expenses: 14, Fundraising Expenses: ; INSPECTIONS - Total Expense: 750, Program Service Expense: 600, Management and General Expenses: 150, Fundraising Expenses: ; LABORATORY SERVICES - Total Expense: 3823, Program Service Expense: 3058, Management and General Expenses: 765, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 9283297, Program Service Expense: 7426638, Management and General Expenses: 1856659, Fundraising Expenses: ; TRANSCRIPTION SERVICES - Total Expense: 236000, Program Service Expense: 188800, Management and General Expenses: 47200, Fundraising Expenses: ; TRASH - Total Expense: 11612, Program Service Expense: 9290, Management and General Expenses: 2322, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Gain (loss) from subsidiaries - XXX-XX-XXXX; Distribution to noncontrolling interest - -1309958; Expenses over (under) revenues attributable to noncontrolling interest - 1573033; Loss on discontinued operations attributable to noncontrolling interest - -317; Change in value of charitable remainder trusts held by others - -38891; Equity transfer with affiliates - 53976431; Total - XXX-XX-XXXX; NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS LLC 3100 SW 62ND AVENUE MIAMI FL 33155 463756071 EMPLOYED PHYSICIANS FL 119526913 43752011 MCHS NICKLAUS CHILDREN'S HOSPITAL FOUNDATION LLC 3100 SW 62ND AVENUE MIAMI FL 33155 461784918 FOUNDATION FL 40499773 152842624 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 KY11102 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 746167 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 91497296 FMV VARIETY CHILDREN'S HOSPITAL N 111057961 FMV VARIETY CHILDREN'S HOSPITAL B 15445189 FMV