TY 2021 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) AMY CHARLEY ESQ Secretary/Director	0.1 ................. 0.2	X	X	0	0	0
(2) JARET DAVIS Chairman/Director	0.1 ................. 0.3	X	X	0	0	0
(3) JOSEPH NADER Vice Chairman/Director	0.1 ................. 0.3	X	X	0	0	0
(4) MATTHEW LOVE President & CEO	0.1 ................. 40.2	X	X	0	1,303,668	215,829
(5) PERRY ANN REED SVP/COO NCHS & President NCH	40.0 ................. 0.3	X	X	617,512	0	100,459
(6) ALEX SOTO Director	0.1 ................. 0.3	X		0	0	0
(7) BALAGANGADHAR TOTAPALLY MD Director	0.1 ................. 0.2	X		0	0	0
(8) DREW KERN Director	0.1 ................. 0.2	X		0	0	0
(9) FEDERICO A MORENO Director	0.1 ................. 0.2	X		0	0	0
(10) JOHN LIE-NIELSEN Director	0.1 ................. 0.2	X		0	0	0
(11) MARCOS A MESTRE Director/VP & Chief Medical Officer	40.0 ................. 0.2	X		355,922	0	56,353
(12) MARIA FRANCO MD Director	0.1 ................. 0.2	X		0	0	0
(13) MARIO MURGADO Director	0.1 ................. 0.3	X		0	0	0
(14) RICKY PATEL Director	0.1 ................. 0.3	X		0	0	0
(15) STEVEN MELNICK MD Director	0.1 ................. 0.2	X		0	0	0
(16) ARIANNA URQUIA VP/CFO Hospital	40.0 ................. 0.2		X	362,502	0	28,474
(17) DAWN E JAVERSACK SVP/CFO Health System	0.1 ................. 40.2		X	0	709,372	16,529

(A) Name and business address	(B) Description of services	(C) Compensation
PHI AIR MEDICAL LLC 2800 NORTH 44 STREET PHOENIX,AZ85008	FLIGHT HOURS	3,176,117
AYA HEALTHCARE INC PO BOX 123519 DALLAS,TX753123519	Nurse Services	1,720,760
MIAMI ASSOCIATES IN PEDIATRIC SURGERY PA 3200 SW 60 CT MIAMI,FL33155	Physician Services	1,529,420
MAYO MEDICAL LABORATORIES PO BOX 9146 MINNEAPOLIS,MN554809146	Laboratory Services	1,436,688
A AND S TOTAL CLEANING 3350 NW 53 ST FT LAUDERDALE,FL33309	Cleaning Services	1,405,930
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 58

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

Variety Children's Hospital

Employer identification number

59-0638499

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2021

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. If the organization did not check the box on line 13, and line 14 is 33 1/3 % or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2020. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2021

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2020. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2021

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2021

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2021

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Name of the organization

Variety Children's Hospital

Employer identification number

59-0638499

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2021)

Schedule B (Form 990) (2021) Page 2

Name of organization Variety Children's Hospital

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 3

Name of organization Variety Children's Hospital		Employer identification number 59-0638499

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 4


Name of organization Variety Children's Hospital			Employer identification number 59-0638499
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2021)

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

Variety Children's Hospital

Employer identification number

59-0638499

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	51,847,151	50,915,312	49,642,017	52,766,887	1,227,073
b	Contributions ...	1,424,279	33,028	543,923	64,752	51,539,814
c	Net investment earnings, gains, and losses	6,880,578	3,318,446	4,248,769	-1,950,120
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	2,079,106	2,419,635	3,519,397	1,239,502
f	Administrative expenses ....
g	End of year balance ......	58,072,902	51,847,151	50,915,312	49,642,017	52,766,887

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

32.91 %

Permanent endowment SchDMd Bullet

67.09 %

Term endowment SchDMd Bullet

0 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	3,030,156		3,030,156
b	Buildings ....	477,192,951	223,890,847	253,302,104
c	Leasehold improvements	47,854,830	33,443,204	14,411,626
d	Equipment ....	357,761,132	304,994,030	52,767,102
e	Other .....	25,931,948	5,362,490	20,569,458
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				344,080,446

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) Alternative Investments
(B) Restricted investments
(C) Alternative Investments
(D) Restricted investments
(E) Alternative Investments	137,302,526	F
(F) Restricted investments	1,674,899	F
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	138,977,425

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)Beneficial Interest in Miami Childrens Hospital Foundation
(2)Assets held for sale
(3)Operating lease right of use assets, net
(4)Charitable Remainder Trust
(5)Exec Life
(6)Self Insurance Trust
(7)Other Long Term Assets
(8)Beneficial Interest in Miami Childrens Hospital Foundation
(9)Self Insurance Trust
(10)Charitable Remainder Trust
(11)Other Long Term Assets
(12)Exec Life
(13)Assets held for sale
(14)Operating lease right of use assets, net
(15)Beneficial Interest in Miami Childrens Hospital Foundation				120,091,935
(16)Self Insurance Trust				619,784
(17)Charitable Remainder Trust
(18)Other Long Term Assets				2,126,054
(19)Exec Life
(20)Assets held for sale				60,000,000
(21)Operating lease right of use assets, net				27,945,370
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				210,783,143

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	180,138,870
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

Schedule D, Part V, Line 4 Intended uses of endowment funds

The Foundation's endowments are established to fund medical research, education, patient medical, and social services at Nicklaus Children's Hospital.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

The 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, 2021 and 2020. 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, 2021 and 2020. The Health Plan is a limited liability company which is taxed as a partnership and therefore is generally not a taxpaying entity for federal or state income tax purposes. In lieu of corporate income taxes, the members are taxed on the Health Plan's taxable income. Therefore, no provision or liability for income taxes has been included in these financial statements.

Schedule D (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization
Variety Children's Hospital

Employer identification number

59-0638499

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region	(f) Total expenditures for and investments in the region
	Central America and the Caribbean	0	0	Program Services	Self-Insurance Funding	4,922,000
	Central America and the Caribbean	0	0	Investments		12,542,000















3a	Sub-total ....	0	0			17,464,000
b	Total from continuation sheets to Part I ...	0	0			0
c	Totals (add lines 3a and 3b)	0	0			17,464,000

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2021

Schedule F (Form 990) 2021

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2021

Schedule F (Form 990) 2021Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2021

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2021

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation
Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	CENTRAL AMERICA AND THE CARIBBEAN-Accrual, Accrual

Schedule F (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

Variety Children's Hospital

Employer identification number

59-0638499

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			36,258		36,258	0.01 %
b	Medicaid (from Worksheet 3, column a) . . . . .			409,385,947	445,869,244	0	0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			3,402,162	1,772,406	1,629,756	0.24 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	412,824,367	447,641,650	1,666,014	0.25 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).			8,910,027	3,148,557	5,761,470	0.86 %
f	Health professions education (from Worksheet 5) . . .			18,795,351		18,795,351	2.80 %
g	Subsidized health services (from Worksheet 6) . . . .			31,392,694	10,163,713	21,228,981	3.16 %
h	Research (from Worksheet 7) .			1,506,745	156,406	1,350,339	0.20 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .					0	0 %
j	Total. Other Benefits . .	0	0	60,604,817	13,468,676	47,136,141	7.02 %
k	Total. Add lines 7d and 7j .	0	0	473,429,184	461,110,326	48,802,155	7.27 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021

Schedule H (Form 990) 2021

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	0	0	0	0

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

350,723

Enter Medicare allowable costs of care relating to payments on line 5.....

457,979

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-107,256

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1MIAMI CHILDREN'S HOSPITAL AMBULATORY SURGERY CENTER LLC	SURGERY CENTER	52.31 %	0 %	47.69 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2021

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	NICKLAUS Children's Hospital 3100 SW 62nd Avenue Miami,FL33155 WWW.NICKLAUSCHILDRENS.ORG 4067	X	X	X	X	X

Schedule H (Form 990) 2021

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	NICKLAUS Children's Hospital
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): https://www.nicklauschildrens.org/patient-resources/community-outreach/community-health-needs-assess

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): https://www.nicklauschildrens.org/patient-resources/community-outreach/community-health-needs-assess

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	NICKLAUS Children's Hospital
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.0%
and FPG family income limit for eligibility for discounted care of 400.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

See Part VI

The FAP application form was widely available on a website (list url):

See Part VI

A plain language summary of the FAP was widely available on a website (list url):
See Part VI

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

	NICKLAUS Children's Hospital
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	NICKLAUS Children's Hospital
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2021

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 3E	The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - Nicklaus Children's Hospital. Online Key Informant Survey To solicit input from key informants, those individuals who have a broad interest in the health of the community, an Online Key Informant Survey also was implemented as part of this process. A list of recommended participants was provided by University of Miami Health System, Jackson Health System, and Nicklaus Children's Hospital; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. In all, 91 community stakeholders took part in the Online Key Informant Survey. Through this process, input was gathered from several individuals whose organizations work with low-income, minority, or other medically underserved populations. In the online survey, key informants were asked to rate the degree to which various health issues are a problem in their own community. Follow-up questions asked them to describe why they identify problem areas as such and how these might better be addressed. Community Feedback on Prioritization of Health Needs On January 14, 2021, the sponsors of the community feedback on prioritization of health needs assessment convened an online meeting attended by 49 community stakeholders (representing a cross-section of community-based agencies and organizations) to evaluate, discuss and prioritize health issues for community, based on findings of this Community Health Needs Assessment (CHNA). Professional Research Consultants, Inc. (PRC) began the virtual meeting with a presentation of key findings from the CHNA, highlighting the significant health issues identified from the research (see Areas of Opportunity above). Following the data review, PRC answered any questions. Finally, participants were provided an overview of the prioritization exercise that followed. In order to assign priority to the identified health needs (i.e., Areas of Opportunity), a wireless audience response system was used in which each participant was able to register his/her ratings using a small remote keypad. The participants were asked to evaluate each health issue along two criteria: Scope & Severity - The first rating was to gauge the magnitude of the problem in consideration of the following: How many people are affected? How does the local community data compare to state or national levels, or Healthy People 2020 targets? To what degree does each health issue lead to death or disability, impair quality of life, or impact other health issues? Ratings were entered on a scale of 1 (not very prevalent at all, with only minimal health consequences) to 10 (extremely prevalent, with very serious health consequences). Ability to Impact - A second rating was designed to measure the perceived likelihood of the hospital having a positive impact on each health issue, given available resources, competencies, spheres of influence, etc. Ratings were entered on a scale of 1 (no ability to impact) to 10 (great ability to impact). Individuals' ratings for each criteria were averaged for each tested health issue, and then these composite criteria scores were averaged to produce an overall score. This process yielded the following prioritized list of community health needs: 1. COVID-19 2. Access to Health Care Services 3. Mental Health 4. Nutrition, Physical Activity & Weight 5. Heart Disease & Stroke 6. Diabetes 7. Substance Abuse 8. Sexual Health 9. Housing 10. Cancer 11. Injury & Violence 12. Tobacco Use
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - Nicklaus Children's Hospital. Every three years not-for-profit hospitals are required to conduct a Community Health Needs Assessment (CHNA) of the local populations they serve. This assessment was completed in collaboration with University of Miami Health System (U Health) and Jackson Health System. The Hospital goal in conducting the assessment was to better understand the health status, behaviors, and needs of children and adolescents in South Florida so that we as a community - patients, families, Nicklaus Children's, and partner organizations - can optimally support their health and wellbeing.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Nicklaus Children's Hospital. Access to Healthcare Telehealth: The last two years have been transformational for healthcare access, due to the adoption of telehealth for many outpatient appointment services during the pandemic. In 2020, the number of telehealth appointments increased by 7,641 percent, compared to 2019. In 2020, demand continued for telehealth consultations with subspecialists, enhancing appointment efficiency and supporting children in gaining access to the services they need. Completed a comprehensive assessment of the hospital's access to care (incl. Access to our scheduling services, Scheduling gaps from the provider perspective, Coordinating patient access) and launched a plan to improve access. Initiatives so far have resulted in a reduction of our call center wait times down from 6 minutes to ~2.5 minutes and our hotline abandonment rates down from 6.1% to 2.8% In 2020: Cardiology and Orthopedic surgery both implemented and sustained processes to increase access with greater appointment availability and same day appointment access. Location and providers: Nicklaus Children's continues to enhance access to subspecialty care through provision of services at outpatient centers and offices in locations throughout South Florida. The hospital currently has 20 locations offering subspecialty consults (from southern Miami Dade to Martin county), including several new locations that opened within the last few years. Collectively the entire network of centers bring a broad range of pediatric subspecialty services to Miami-Dade, Broward, Palm Beach and Martin counties, including cardiology and fetal cardiology, gastroenterology, allergy and immunology, endocrinology and diabetes, nephrology, neurosurgery, plastic and reconstructive surgery, rheumatology, spinal disorders, sports health and more. Hired 58 Providers in 2021, 12 in 2020 Diabetes Access to pediatric endocrinology clinicians is key to supporting the care needs of children with diabetes in our community. Nicklaus Children's continues to expand locations where children can receive care with an endocrinologist. In addition to the hospital's main campus near Coral Gables, the following Nicklaus Children's locations in Miami-Dade, Broward and Palm Beach counties now offer endocrinology consults: Aventura, Boynton Beach, Coral Springs, Doral, Palm Beach Gardens, Pinecrest, West Kendall and Weston. Shared a video of Dr. Carillo explaining Type 2 Diabetes with the community https://www.nicklauschildrens.org/news-events/video-center/what-is-type-2-diabetes 2021: House-wide Diabetes Education on wheels hosted by 3NE CS team and Diabetes Educators this week in support of Diabetes Awareness Month in Nov Asthma & Other Respiratory Conditions Nicklaus Children's provides care for children with complex respiratory disorders, including asthma, chronic lung diseases, cystic fibrosis, pneumonia and tuberculosis. The Pulmonology Division offers care for the most complex conditions at the hospital's main campus. Services include an Asthma Center and Cystic Fibrosis Center. In addition, the Division of Allergy and Immunology offers care for children with asthma and allergies at locations throughout the region, including Boynton Beach in Palm Beach County, Miami Lakes and the main campus near Coral Gables. Potentially Disabling Conditions Nicklaus Children's offers a broad range of multidisciplinary specialty services to help children with potentially disabling conditions. It is a regional leader in treatment and management of a full spectrum of conditions, including spasticity and movement disorders, epilepsy, developmental disabilities, metabolic disabilities and degenerative disorders. Cerebral palsy is among the most common disabling conditions in children. The hospital's spasticity and movement disorders program strives to enhance quality of life and movement for these children. New offerings to support children with potentially disabling conditions included MRI-focused ultrasound, an incisionless form of surgery to ablate seizure-producing brain tissue, and single-event multilevel surgery (SEMLS). This approach to surgery aims to address many issues associated with cerebral palsy in one or two procedures, offering an enhanced standard of care. 2020- Launch of Pediatric Advanced Care Team (PACT) palliative service for the CICU/PICU. Mental & Emotional Health The need for mental healthcare services for children and teens has grown in recent years, exacerbated by the pandemic. Starting in 2020, Nicklaus Children's division of behavioral health enhanced access by offering appointments via telehealth. When demand for services exceeded available clinical staffing, the team developed a network of experts in the community to which it could refer children in need. These steps made it possible for the program to address the needs of more children. Nonetheless, demand far exceeds the hospital's ability to serve. Thus, Nicklaus Children's continues to seek opportunities to expand offerings to meet the mental health needs of children and has several collaborations in development. Code Bear - Autism Care -- a collaborative effort with Rehabilitation Services; Nursing and the Brain Institute. Development of a program to follow communication and/or behaviorally vulnerable patients (including Autism) through the continuum of care and beyond a single one-time visit. The Code Bear - Autism Care is a behavioral management program that is designed to identify, alleviate, and if necessary, manage anxiety and fear during hospitalization. Funding provided by the DeLuca Foundation to support an Autism Program navigator, Autism Clinical Coordinator, and equipment. In 2019, the hospital established an intensive outpatient program to support families of children recently hospitalized due to mental health issues. The program helps the family continue to make progress, reducing the incidence of readmission. 2020: PCC, Department of Psychology and Dr. Rivero-Conil collaborated on the PCORI (Patient- Centered Outcomes Research Institute)/Anxiety Study. PCC, Department of Psychology and Center for Children and Families at FIU partnered on a Parenting Study (Preventive Intervention for Behavior Problems in Infants from High-Risk Families) funded by the NIH. New bilingual series, "Let's Talk" was created in response to the pandemic to assist in dealing with stress, resiliency in families and children, communication skills and setting goals and structuring the home environment. Nutrition, Physical Activity, & Weight Nicklaus Children's GiveMe5 program, is a community outreach program, funded by Kohl's, to promote healthy lifestyles for children and families. (see attached PDF for details and data) Representatives of the program participated (pre-COVID-19) in dozens of community events in South Florida, sharing healthy food samples, educational games and fun giveaways to focus children on healthy lifestyles. A core focus of GiveMe5 is promoting consumption of five fruits or vegetables per day. When children follow this guideline, they are less likely to fill up on unhealthy snack foods. During the pandemic, the program transitioned to providing health information through blogs, social media posts and media interviews to encourage children and families to maintain good health habits during lock down. https://www.nicklauschildrens.org/patient-resources/community-outreach/giveme5 An additional pivot of this program during the pandemic conducted screenings for food insecurity. 5% of those families screened positive for food insecurity and were provided with gift cards to local grocery stores. Recognition as a NYSS Youth Sports Champion - As a NYSS Champion, Nicklaus Children's has demonstrated its commitment to support safe, fun, inclusive, developmentally appropriate, and accessible youth sports opportunities. Nicklaus Children's is recognized along with other NYSS Champions on health.gov as part of a growing network of organizations partnering with HHS to improve the youth sports landscape in America. 2021: Breakfast of Champions: Parent seminar to educate parents on the importance of physical literacy, physical activity and physical fitness in youth. (1 provided virtually) 2020: Breakfast of champions: Parent seminar to educate parents on the importance of physical literacy, physical activity and physical fitness in youth. (2 provided) Miami City Ballet Explore Dance: 3 in-person workshops provided to elementary/middle school students on health, wellness, fitness and dance. Move to learn workshop: a workshop for elementary school teachers to train them on how to incorporate movement in the classroom to facilitate academic and physical literacy. (1 provided in to a local elementary school)
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - Nicklaus Children's Hospital. (Continued from above) 2019 Breakfast of champions: Parent seminar to educate parents on the importance of physical literacy, physical activity and physical fitness in youth. (3 provided) Injury & Safety Nicklaus Children's continues in its longstanding role as the lead organization for Safe Kids Miami-Dade County. In leading this organization, the hospital maintains up-to-date safety information on its website, conducts outreach through community events and pitches and conducts media interviews and posts social media content on safety topics, including summer safety themes, Halloween safety and more. In 2021, Nicklaus Children's also forged a collaboration with the YMCA to advance water safety for children of the region. The two organizations are working together to support swimming education and build awareness of the importance of supervising children when they are near or in the water. Kicked off an "Amazing Sepsis Care" program that integrates technology, provider collaboration, and evidenced-based clinical practice to reduce mortalities related to sepsis. 2020- The service-wide shunt infection rate, a common pediatric neurosurgery benchmark, remains one of the lowest in the U.S. at ~1%. 2021- Six LeagueSide webinars to education coaches on sports injury prevention, concussion safety and athlete nutrition 2021- Dance screening and training: to identify dancers at high risk for injury and provide them with training to reduce the risk. (16 provided) 2020- Dance workshops: A workshop for dancers to educate them on dance safety and injury preventions. (1 provided at MCB school in person, 7 provided virtually) Dance screening and training: to identify dancers at high risk for injury and provide them with training to reduce the risk. (13 provided) Sports Injury prevention workshop: a workshop for Coaches and athletes to educate them on sports safety and injury prevention. 2019- Miami City Ballet Explore Dance: 3 in-person workshops provided to elementary/middle school students on health, wellness, fitness and dance. LeagueSide webinars: to education coaches on sports injury prevention, concussion safety and athlete nutrition. (2 provided in person) Sports health Safety workshop: a workshop for student athletes to educate them on topics of sports health safety. Dance injury prevention workshop: A workshop for dancers to educate them on dance safety and injury preventions. (2 provided) JCC heart health event : a workshop for youth summer camp staff to educate on health and safety ( heat illness, hydration, injury prevention) Dance screening and training: to identify dancers at high risk for injury and provide them with training to reduce the risk. (59 provided) Youth Athlete Summer Camp: A summer camp to educate young athletes on sports health safety, fitness and strength and conditioning. (5 Provided to athletes) Substance Abuse The hospital's Adolescent Medicine Division is a referral resource for area pediatricians for children and teens who are using illegal substances. This program helps families find answers and resources for children involved in substance abuse. The urgent care centers launched drug overdose programs in collaboration with psychiatry, emergency department, hospitalists, and Dr. Reyes. Sexual Health The hospital's Adolescent Medicine Division also supports families of children and teens who are engaging in sexual activity. This is a resource for area pediatricians who do not typically offer this type of services. In addition, the division offers treatment for sexually transmitted diseases, disorders related to reproductive systems and more. The pediatric residents led a quality improvement project to increase HPV vaccination rates in the pediatric care centers.
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - NICKLAUS CHILDREN'S HOSPITAL. Notified individuals of the financial assistance policy on admission Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals' bills Documented its determination of whether individuals were eligible for financial assistance under the hospital facility's financial assistance policy

Schedule H (Form 990) 2021

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?20
Name and address		Type of Facility (describe)
1	Nicklaus Children's Doral Outpatient Center 3601 NW 107th Avenue Doral,FL33178	Outpatient / Urgent Care Center
2	Nicklaus Children's Dan Marino Outpatient Center 2900 S Commerce Parkway Weston,FL33331	Outpatient/ Urgent Care Center
3	Nicklaus Children's Palm Beach Gardens Outpatient Center 11310 Legacy Avenue Legacy Place Palm Beach Gardens,FL33410	Outpatient / Urgent Care Center
4	Nicklaus Children's Miramar Outpatient Center 12246 Miramar Parkway Miramar Squar e Miramar,FL33025	Outpatient / Urgent Care Center
5	Nicklaus Children's Miami Lakes Outpatient Center 15025 NW 77th Avenue Miami Lakes,FL33014	Outpatient / Urgent Care Center
6	Nicklaus Children's Midtown Outpatient Center 3915 Biscayne Boulevard Miami,FL33137	Outpatient / Urgent Care Center
7	Nicklaus Children's West Kendall Outpatient Center 13400 SW 120th Street Suite 100 Miami,FL33186	Outpatient / Urgent Care Center
8	Nicklaus Children's Palmetto Bay Outpatient Center 17615 SW 97th Avenue Palmetto Bay,FL33157	Outpatient / Urgent Care Center
9	Nicklaus Children's West Bird Outpatient Center 11449 SW 40 St Miami,FL33165	Outpatient / Urgent Care Center
10	Nicklaus Children's Pinecrest Outpatient Center 11521 South Dixie Hwy 1st Fl Pinecrest,FL33156	Specialty Care Center
11	Nicklaus Children's Hialeah Outpatient Center 990 W 49th St Hialeah,FL33012	Outpatient/ Urgent Care Center
12	Nicklaus Children's Homestead Outpatient Center 2072 NE 8th St Campbell Shoppes Homestead,FL33033	Outpatient/ Urgent Care Center
13	Boynton Beach Care Center 10383 Hagen Ranch Rd Ste 200 Boynton Beach,FL33437	Specialty Care center
14	Sports Health Center (Pinecrest) 11521 South Dixie Hwy 2nd fl Pinecrest,FL33156	Sports rehabilitation
15	NCPS at Coral Springs 9750 NW 33rd Street Ste 109 Coral Springs,FL33065	Specialty Care center
16	NCPS at Palm City 3228 SW Martin Downs Blvd Unit 33 Palm City,FL34990	Specialty Care Center
17	NCPS at Flamingo Park Plaza 4410 West 16th Avenue Bay 60 Hialeah,FL33012	Pediatric Care Center
18	NCPS at Allapattah 3445 NW 7 Street Miami,FL33125	Pediatric Care Center
19	NCPS at Sunset Oaks 9260 SW 72 Street Suite 218 Miami,FL33173	Specialty Care Center.
20	NCPS at Plantation 8430 West Broward Boulevard Plantation,FL33324	Specialty Care Center

Schedule H (Form 990) 2021

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE	https://www.nicklauschildrens.org/patient-resources/patient-financial-services/financial-assistance-program
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE	https://www.nicklauschildrens.org/patient-resources/patient-financial-services/financial-assistance-program
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE	https://www.nicklauschildrens.org/patient-resources/patient-financial-services/financial-assistance-program
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	The organization utilized IRS Worksheet 2 for the calculation of the cost to charge ratio in Part I, Line 7.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	FOR FINANCIAL STATEMENT PURPOSES, the organization HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	Since the organization HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606), BAD DEBTS are included as an implicit price concession in Net Patient Revenue. As a result of this, there are no bad debt expenses attributable to patients eligible for free or discounted services under the financial assistance policy.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	The System estimates the transaction price for patients with deductibles and coinsurance and from those who are uninsured based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charge by any contractual adjustments, discounts and implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. For the years ended December 31, 2021 and 2020, there was no additional revenue recognized due to changes in its estimates of implicit price concessions, discounts and contractual adjustments for performance obligations satisfied in prior years. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay are recorded as bad debt expense.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	VARIETY CHILDREN'S HOSPITAL ("VCH") ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. VCH BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES. VCH EXPERIENCED LOSSES ($107,256) FOR 2021) DUE TO UNDERPAYMENT FOR THE TREATMENT OF MEDICARE PATIENTS. UNREIMBURSED MEDICARE COSTS REPRESENT A SIGNIFICANT VALUE THAT NONPROFIT HOSPITALS PROVIDE TO THE COMMUNITY AS THE HOSPITAL RELIEVES THE FEDERAL GOVERNMENT OF A FINANCIAL BURDEN WHEN IT PROVIDES ESSENTIAL HEALTHCARE SERVICES TO MEDICARE COVERED PATIENTS. THE MEDICARE COST REPORT AND THE ORGANIZATION'S COST ACCOUNTING SYSTEM ARE USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	Hospital patient accounts may be subject to the following collection actions to be conducted by the Hospital or an authorized party thereof: 1. Following the initial bill, monthly statements and collection letters are mailed and phone calls are completed in an effort to collect all outstanding balances due. 2. The patient responsible portion of an outstanding balance may be transferred to a bad debt collection agency. 3. Payment plan arrangements may be made for patients who indicate they may have difficulty paying their balance in a single installment. If an individual submits a complete FAP application and NCH determines the individual is FAP-eligible for the care, NCH will refund to the individual any amount he or she has paid for the care (whether to the hospital facility or any other party to whom the hospital facility has referred or sold the individual's debt for the care) that exceeds the amount he or she is determined to be personally responsible for paying as a FAP-eligible individual, and take all reasonably available measures to reverse any ECA taken against the individual to obtain payment for the care.
Schedule H, Part V, Section B, Line 16a FAP website	- NICKLAUS Children's Hospital: Line 16a URL: See Part VI;
Schedule H, Part V, Section B, Line 16b FAP Application website	- NICKLAUS Children's Hospital: Line 16b URL: See Part VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- NICKLAUS Children's Hospital: Line 16c URL: See Part VI;
Schedule H, Part VI, Line 2 Needs assessment	Under direction of the Board of Directors, management strives to provide hope through advanced care for our children and families. The vision is to be where the children are. The hospital uses a quarterly operating calendar to develop programs and communicate goals, accomplishments and gaps in plans. Nicklaus Children's Hospital participates in many community organizations that collectively strive to improve the health status of children. NCH has representation on The Children's Trust, the Miami Dade County Public Schools Wellness Committee, the Greater Miami Chamber of Commerce's Health and Bio-Science Committee and the Health Council of South Florida. Through our involvement with the Health Council, we consistently analyze data to identify unmet needs and serve in an advisory capacity assisting the Council to address health disparities. Additionally, our Preventive Medicine Program deploys a medical and dental van into underserved areas of the community. NCH has a robust mechanism to analyze health data.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Nicklaus Children's Hospital has a financial assistance program to assist patients that are uninsured or underinsured and to be given the opportunity to apply for various programs. With the patient/family general consent form, financial agreement for professional services form, and a coordination of benefits form, patients/families are provided referral to an eligibility assistance counselor who will explain various programs offered. The patients are provided pamphlets of the financial assistance policy summary and signage is posted at each location indicating that financial counseling is available and that they may be eligible for financial assistance
Schedule H, Part VI, Line 4 Community information	Nicklaus Children's Hospital - the flagship of Nicklaus Children's Health System - primarily serves the pediatric population of Miami-Dade County. N 2021, 68 PERCENT OF THE HEALTH SYSTEM'S GROSS PATIENT SERVICE REVENUE WAS FROM SERVICES TO MEDICAID BENEFICIARIES. MIAMI-DADE IS COMPRISED OF A DIVERSE MIXTURE OF RESIDENTS AND VISITORS, MAKING IT ONE OF THE MOST INTERNATIONAL COMMUNITIES IN THE NATION. ACCORDING TO THE MIAMI DADE CENSUS REPORTER, 54 PERCENT WAS FOREIGN BORN, 20.2 PERCENT WERE UNDER THE AGE OF 18, 69.1 PERCENT OF THE POPULATION COMPRISED OF INDIVIDUALS OF LATIN OR HISPANIC DESCENT AND 76 PERCENT SPOKE A LANGUAGE OTHER THAN ENGLISH AT HOME. The hospital also serves children from all over the United States and throughout Florida IN 2021, THE HOSPITAL SERVED INTERNATIONAL PATIENTS FROM 80 COUNTRIES The health system, through its network of 9 outpatient centers, also provides services within Broward, Palm Beach, Lee and Martin counties. The ambulatory centers offer subspecialty physician consultations, urgent care, imaging and outpatient rehabilitation services.
Schedule H, Part VI, Line 5 Promotion of community health	A majority of the Board of Directors is comprised of persons who live in Miami-Dade County, who are neither employees nor independent contractors of the Hospital, nor family members thereof. The organization extends medical staff privileges to all qualified physicians in the community and applies surplus funds to improvements in patient care, medical education and research. In addition, NICKLAUS Children's Hospital has an active community education program, various camp programs including asthma, diabetes, cancer center, psychiatric programs, early intervention program, preventative medicine program, dental mobile program, after hours program, healthy connections program, medical education residency program, pediatric post graduate program, fellowship programs, pediatric care call program, multiple ambulatory care centers all designed to promote health in the community.
Schedule H, Part VI, Line 6 Affiliated health care system	Nicklaus Children's Hospital - the flagship of Nicklaus Children's Health System - primarily serves the pediatric population of Miami-Dade County and is a leading provider of healthcare services for medically needy children. In addition, the hospital is proud to be the largest provider of pediatric medical education in the southeastern United States. NICKLAUS Children's Hospital provides primary care and a medical home to the Medicaid population through its Pediatric Care Center located on the hospital's main campus. The hospital also provides dental services through its Pediatric Dental Residency program. NICKLAUS Children's Hospital also houses Early Steps Southernmost Coast, an early intervention program for children at risk of developmental delays. The program evaluates over 2,000 children annually. NICKLAUS Children's offers primary care services to needy children through the Health Connect in Our Schools program. The hospital provides nursing staff for school-based clinics situated in high-risk communities to ensure that children have access to care. NICKLAUS Children's Hospital's Brain Institute is the first and largest pediatric neuroscience collaboration in the nation. The program is recognized for excellence in treatment of children with brain tumors, intractable epilepsy and other brain anomalies, and offers the latest minimally invasive methods, including Visualase, an image-guided laser technique for epilepsy surgery in children. The Heart Program at NICKLAUS Children's Hospital provides care for more children with congenital heart disorders than any other hospital in Florida. It is consistently ranked among the best programs in the nation for cardiology and heart surgery. NICKLAUS Children's Hospital's Cancer Center is the largest provider of pediatric cancer services in the region. The center participates in research protocols, offering the latest interventions for children receiving treatment for all forms of cancer and blood disorders. NICKLAUS Children's LifeFlight Critical Care Transport team provides transport of critically ill children from referring hospitals to NICKLAUS Children's Hospital critical care units.

Schedule H (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

Variety Children's Hospital

Employer identification number

59-0638499

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2021

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1MATTHEW LOVE President & CEO	(i) (ii)	0 ------------- 890,563	0 ------------- 365,529	0 ------------- 47,576	0 ------------- 190,809	0 ------------- 25,020	0 ------------- 1,519,497	0 ------------- 0
2PERRY ANN REED SVP/COO NCHS & President NCH	(i) (ii)	489,168 ------------- 0	80,251 ------------- 0	48,093 ------------- 0	82,386 ------------- 0	18,073 ------------- 0	717,971 ------------- 0	0 ------------- 0
3MARCOS A MESTRE Director/VP & Chief Medical Officer	(i) (ii)	333,221 ------------- 0	2,950 ------------- 0	19,751 ------------- 0	31,608 ------------- 0	24,745 ------------- 0	412,275 ------------- 0	0 ------------- 0
4JEFRY BIEHLER Executive Med Director Quality (Former Officer)	(i) (ii)	0 ------------- 440,718	0 ------------- 0	0 ------------- 26,396	0 ------------- 3,385	0 ------------- 17,185	0 ------------- 487,684	0 ------------- 0
5NARENDRA M KINI President - CEO (Former)	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 589,410	0 ------------- 0	0 ------------- 0	0 ------------- 589,410	0 ------------- 0
6JOSE PERDOMO SVP Admin/Special Projects (Former President/COO)	(i) (ii)	0 ------------- 364,997	0 ------------- 54,875	0 ------------- 193,738	0 ------------- 912	0 ------------- 18,856	0 ------------- 633,378	0 ------------- 165,018
7DAWN E JAVERSACK SVP/CFO Health System	(i) (ii)	0 ------------- 593,992	0 ------------- 81,856	0 ------------- 33,524	0 ------------- 3,160	0 ------------- 13,369	0 ------------- 725,901	0 ------------- 0
8JODI LAURENCE SVP and General Counsel	(i) (ii)	0 ------------- 384,887	0 ------------- 78,279	0 ------------- 24,126	0 ------------- 66,841	0 ------------- 19,845	0 ------------- 573,978	0 ------------- 0
9ARIANNA URQUIA VP/CFO Hospital	(i) (ii)	300,012 ------------- 0	45,902 ------------- 0	16,588 ------------- 0	27,851 ------------- 0	623 ------------- 0	390,976 ------------- 0	0 ------------- 0
10JACQUELINE L GONZALEZ SVP/Chief Nursing Officer (Former)	(i) (ii)	0 ------------- 0	0 ------------- 0	276,555 ------------- 0	0 ------------- 0	0 ------------- 0	276,555 ------------- 0	0 ------------- 0
11OSCAR A AREVALO Director of Dental	(i) (ii)	254,806 ------------- 0	150 ------------- 0	26,138 ------------- 0	2,433 ------------- 0	7,123 ------------- 0	290,650 ------------- 0	0 ------------- 0
12IRIS BERGES VP of Operations	(i) (ii)	247,292 ------------- 0	39,150 ------------- 0	19,994 ------------- 0	23,207 ------------- 0	523 ------------- 0	330,166 ------------- 0	0 ------------- 0
13ANDREA MAGGIONI Director Hospitalist	(i) (ii)	246,675 ------------- 0	64,850 ------------- 0	45,758 ------------- 0	1,991 ------------- 0	24,121 ------------- 0	383,395 ------------- 0	0 ------------- 0
14SHANNON M ODELL NCH Chief Nursing Officer	(i) (ii)	289,292 ------------- 0	24,452 ------------- 0	27,241 ------------- 0	25,969 ------------- 0	12,998 ------------- 0	379,952 ------------- 0	0 ------------- 0
15JORGE OJITO Manager Perfusion Services	(i) (ii)	230,717 ------------- 0	35,210 ------------- 0	17,190 ------------- 0	1,979 ------------- 0	17,185 ------------- 0	302,281 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2021

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Schedule J, Part I, Line 4a Severance or change-of-control payment	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR - JACQUELINE L GONZALEZ 276,555.49 NARENDRA M KINI 589,409.60
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	he following contributions were made to a Section 457(f) plan during the year - MATTHEW LOVE 188,632.00 MARCOS A MESTRE 28,814.02 JODI LAURENCE 63,414.96 PERRY ANN REED 79,893.60 ARIANNA URQUIA 25,277.63 SHANNON M ODELL 24,878.27 IRIS BERGES 21,256.00 THE FOLLOWING DISTRIBUTIONS WERE MADE FROM A SECTION 457(F) PLAN DURING THE YEAR- JOSE PERDOMO 165,017.64
Schedule J, Part I, Line 3 METHODS USED BY RELATED ORGANIZATION TO ESTABLISH CEO'S COMPENSATION	The organization relied on the methods of establishing compensation for the organization's CEO employed by Nicklaus Children's Health System (EIN: 45-3481327). Nicklaus Children's Health System uses the following methods to establish such compensation: - Compensation Committee - Independent Compensation Consultant - Compensation survey or study - Approval by the Board or Compensation Committee.

Schedule J (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
Variety Children's Hospital

Employer identification number
59-0638499

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Miami-Dade County Health Facilities Authority	52-1293036	59334NDD1	08-01-2013	107,788,754	Refund bond issued on 12/21/2006	X			X		X
B	Miami-Dade County Health Facilities Authority	52-1293036	59334NDY5	04-27-2017	162,534,870	See Part VI Supplemental Information		X		X		X
C	Miami-Dade County Health Facilities Authority	52-1293036	59334NFC1	11-10-2021	184,436,567	See Part VI Supplemental Information		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	21,380,000		0		0
2 Amount of bonds legally defeased ..............	84,065,000		0		0
3 Total proceeds of issue ..................	107,788,754		162,560,891		184,437,066
4 Gross proceeds in reserve funds .............	0		0		0
5 Capitalized interest from proceeds .............	0		0		0
6 Proceeds in refunding escrows ...............	0		0		0
7 Issuance costs from proceeds ...............	1,488,754		1,931,562		1,581,760
8 Credit enhancement from proceeds .............	0		0		0
9 Working capital expenditures from proceeds .............	0		0		0
10 Capital expenditures from proceeds .............	0		100,026,021		1,407,293
11 Other spent proceeds .............	106,300,000		60,603,308		9,531,955
12 Other unspent proceeds .............	0		0		171,916,058
13 Year of substantial completion .............	2013		2017
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X			X	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X	X			X
16 Has the final allocation of proceeds been made? ..........	X		X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	3.4 %		0.4 %		0.4 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %
6 Total of lines 4 and 5 .............	3.4 %		0.4 %		0.4 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............						X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X		X
b Exception to rebate? ........	X			X		X
c No rebate due? .........		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X
b Name of provider ..........
c Term of GIC .........	0 %
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X	X			X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
Schedule K, Part II, Line 3 Columns B and C	The difference between the Issue Prices, listed in Part I, Column (e), Lines B and C, and the total proceeds, listed in Part II, Line 3, Columns B and C is due to investment earnings.
Schedule K, Part IV, Line 6 Column B	Proceeds that were deposited in the advance refunding escrow were invested beyond their temporary period.
Schedule K, Part I, Column (f) Line B	Refund bonds issued on 12/22/2010 and 08/01/2011; acquire, construct, and equip hospital facilities.
Schedule K, Part I, Column (f) Line C	Refund bonds issued on 12/22/2010; acquire, construct, and equip hospital facilities.

Schedule K (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

Variety Children's Hospital

Employer identification number

59-0638499

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) 2021

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Children's Critical Care Specialists PA	Balagandahar Totapally, director, is a greater than 35% owner	723,702	Payment for medical services rendered by Children's Critical Care Specialists, PA		No
(2) NANCY LYNN PERDOMO	SPOUSE JOSE PERDOMO - DIRECTOR	56,694	COMPENSATION & BENEFITS		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

Variety Children's Hospital

Employer identification number

59-0638499

Return Reference	Explanation
Form 990, Part III, Line 4a CONTINUED PROGRAM DESCRIPTION	(CONTINUED FROM PART III) IN IN 2021, 5,127 PATIENTS WERE TRANSFERRED FROM HOSPITALS THROUGHOUT FLORIDA, CENTRAL AND SOUTH AMERICA AND THE CARIBBEAN. WHEN CHILDREN NEED THE SERVICES OF A SPECIALIST, IT IS IMPORTANT THAT SUCH SERVICES BE PROVIDED BY A PRACTITIONER WITH SPECIFIC TRAINING AND EXPERTISE IN PEDIATRIC CARE. THE CARE OF CHILDREN WITH CERTAIN COMPLEX CHRONIC CONDITIONS, SUCH AS JUVENILE DIABETES, CANCER, OR CYSTIC FIBROSIS IS BEST MANAGED BY A PEDIATRIC SPECIALIST IN ORDER TO ELIMINATE REFERRAL DELAYS AND EXPEDITE POSITIVE TREATMENT. CHILDREN ARE MORE VULNERABLE TO COMPLICATIONS DUE TO DELAYS THAN ADULTS. THEY DEVELOP SERIOUS COMPLICATIONS MORE RAPIDLY THAN ADULTS BECAUSE THEY HAVE LESS PHYSIOLOGICAL RESERVES AND LESS DEVELOPED ORGAN SYSTEMS. IN 2021 THE HOSPITAL HAD APPROXIMATELY 286 PROVIDERS TO SUPPORT THE ONGOING FUNCTIONS OF NICKLAUS CHILDREN'S HEALTH SYSTEM AND NICKLAUS CHILDREN'S HOSPITAL IN THE FOLLOWING SUB-SPECIALTIES: ADOLESCENT MEDICINE, ALLERGY/IMMUNOLOGY, CARDIOLOGY, CARDIOVASCULAR SURGERY, CLINICAL GENETICS AND METABOLISM, CRITICAL CARE MEDICINE, DENTISTRY, EMERGENCY MEDICINE, ENDOCRINOLOGY, GASTROENTEROLOGY, GENERAL PEDIATRICS, INFECTIOUS DISEASES, MATERNAL FETAL, NEPHROLOGY, NEUROPSYCHOLOGY, NEUROSURGERY, NUTRITION, OPHTHALMOLOGY, ORTHOPEDICS, OTOLARYNGOLOGY, PALLIATIVE CARE, PLASTIC AND RECONSTRUCTIVE SURGERY, PSYCHIATRY AND PSYCHOLOGY, RADIOLOGY/SEDATION AND RHEUMATOLOGY.THIS CRITICAL MASS OF PHYSICIANS SIGNIFICANTLY CONTRIBUTES TO THE QUALITY AND RANGE OF PEDIATRIC SERVICES AVAILABLE AT THE HOSPITAL. 2021 STATISTICAL DATA INCLUDES TOTAL INPATIENT DAYS: 60,971 TOTAL INPATIENT ADMISSIONS: 9,509 INPATIENT AVERAGE DAILY CENSUS: 167.0 TOTAL OUTPATIENT VISITS (MAIN CAMPUS): 182,433 TOTAL OUTPATIENT VISITS (AMBULATORY CENTERS): 289,416 TOTAL AMBULATORY URGENT CARE VISITS: 163,695 TOTAL SURGICAL CASES: 9,668 AVERAGE LENGTH OF STAY: 6.4 DAYS THE HOSPITAL IS INTERNATIONALLY RECOGNIZED FOR CARE EXCELLENCE. Five Nicklaus Children's Hospital specialty programs are again identified among the best in the nation, according toU.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. NICKLAUS CHILDREN'S 2021-22 RANKINGS ARE AS FOLLOWS: CARDIOLOGY & HEART SURGERY, DIABETES & ENDOCRINOLOGY NEONATOLOGY, NEUROLOGY & NEUROSURGERY ORTHOPEDICS AND PULMONOLOGY. 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. 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. Forty-three pediatric specialists from the Nicklaus Children's Hospital medical staff have been designated among America's Top Doctors for 2022 by Castle and Connolly, a New York City-based research and information company dedicated to identifying top healthcare resources. Nicklaus Children's Hospital completed the ISO 9001 Quality Management System certification by DNV GL. 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 toward ISO 9001 certification. 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 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 THAT 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, 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, A TOOL TO PREVENT PEDIATRIC FALLS AND THEREBY ENHANCE SAFETY. AS OF 12/31/2021, THE TOOL WAS IN USE IN 1,507 HOSPITALS (1,247 IN THE US AND 259 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.
Form 990, Part III, Line 4a CONTINUED PROGRAM DESCRIPTION	COMMUNITY TRAINING OUTREACH PROGRAMS: The hospital 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., A RELATED ORGANIZATION THAT PROCESSES FORMS 1099 FOR ITS AFFILIATES. SUCH REPORTING ALIGNS THE FORM 1096, BOX 3 REPORTING TO THE ISSUING ORGANIZATION.
Form 990, Part VI, Line 15a Process for determininig compensation for the organization's CEO	The CEO is paid by Nicklaus CHILDREN'S HEALTH SYSTEM, INC., a related organization, therefore this has been answered no in accordance with the instructions. THE ORGANIZATION AND COMPENSATION COMMITTEE OF Nicklaus CHILDREN'S HEALTH SYSTEM, INC.'S BOARD OF DIRECTORS CONTRACTS WITH AN EXTERNAL CONSULTANT TO OBTAIN MARKET SURVEYS FOR THE CEO AND OTHER EXECUTIVES. THE CONSULTANT ASSISTS THE ORGANIZATION AND COMPENSATION COMMITTEE IN ESTABLISHING A COMPENSATION PROGRAM FOR THE CEO AND OTHER EXECUTIVES. SURVEY RESULTS AND COMPENSATION BEST PRACTICES ARE SHARED WITH THE ORGANIZATION AND COMPENSATION COMMITTEE OF THE BOARD. 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 for determining compensation for other officers or key employees	NCH RELIED ON THE METHODS OF ESTABLISHING COMPENSATION USED BY Nicklaus CHILDREN'S HEALTH SYSTEM, INC. THE ORGANIZATION AND COMPENSATION COMMITTEE OF Nicklaus CHILDREN'S HEALTH SYSTEM, INC.'S BOARD OF DIRECTORS CONTRACTS WITH AN EXTERNAL CONSULTANT TO OBTAIN MARKET SURVEYS FOR THE CEO AND OTHER EXECUTIVES. THE CONSULTANT ASSISTS THE ORGANIZATION AND COMPENSATION COMMITTEE IN ESTABLISHING A COMPENSATION PROGRAM FOR THE CEO AND OTHER EXECUTIVES. SURVEY RESULTS AND COMPENSATION BEST PRACTICES ARE SHARED WITH THE ORGANIZATION AND COMPENSATION COMMITTEE OF THE BOARD. 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 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS	Matthew Love, Mario Murgado, Jodi Laurence, and Dawn Javersack 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 EXECUTVE 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, one of whom must be the Chair of the Board. No non-Director members shall serve on the Executive Committee. A majority of the members of the Executive Committee present and voting shall constitute a quorum for the transaction of business. The Executive Committee shall have and exercise the authority of the Board of Directors in the management of the Hospital, except that it shall not take any action with respect to (a) the election of Officers; (b) the filling 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 meeting of the Board of Directors.
Form 990, Part VI, Line 6 Classes of members or stockholders	The organization's sole member is Nicklaus Children's Health System, Inc. The sole member has the authority to elect members to the board of directors and approve decisions of the board.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	The elected members of the Board shall be elected by Nicklaus Children's Health System (the sole member), after taking into consideration any recommendations of the Board. The number of Directors of the Hospital shall be established by resolution of the Board of Directors of the sole member; provided that there shall be no fewer than 7 and no more than 20 Directors. Any Director may be removed from office by action of the sole Member or the elected members of the Board so permitted to vote, for any cause or reason deemed sufficient by the Member or the elected members of the Board so permitted to vote.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	The Board shall not take any action with respect to the following without the approval of Nicklaus Children's Health System (the sole Member): a) Modify the mission, purpose or scope of the hospital, or materially change the location, size or scope of services, programs, operations or educational or medical school affiliations of the hospital or related agreements; b) Create any entity in which the hospital is the sole member or sole shareholder, or any entity in which the hospital has a direct or indirect oversight role, which may include not-for-profit, for profit, limited liability companies, or any other legal entity; c) Sell, lease, purchase, create, dissolve, convey, mortgage, grant a security interest or otherwise dispose of any affiliated, controlled, or joint venture entity, any real or personal property or other assets (or any interest in any of the foregoing), or incur debt for money borrowed or guarantee the debt of another, not in the ordinary course of business; d) Approve annual operating or capital budgets, strategic and long-range plans, major fund-raising programs, physician compensation or other agreements, managed care contracts or other financial commitments or material deviations from such budgets, plans, agreements or commitments; and e) Approve financial, accounting, human resource, employee benefit, compliance policies or procedures, medical staff bylaws (including amendments) or other policies and procedures, or the appointment or engagement of auditors, legal counsel and consultants, which are in any way contrary to the policies and procedures adopted from time to time by the Member.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FOLLOWING DESCRIBES NICKLAUS CHILDREN'S HOSPITAL'S PROCESS FOR PROVIDING ITS BOARD OF DIRECTORS WITH A COPY OF THE FORM 990 AND REVIEWING IT: 1. THE DRAFT TAX FORM 990 WILL BE EMAILED TO THE AUDIT AND COMPLIANCE COMMITTEE CHAIR FOR REVIEW AND 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 HOSPITAL EMPLOYEES ARE INFORMED UPON HIRE, AND ON AN ANNUAL BASIS THEREAFTER, THAT THEY HAVE AN AFFIRMATIVE DUTY TO DISCLOSE ANY ACTUAL, POTENTIAL OR PERCEIVED CONFLICT OF INTEREST. THEY ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM UPON HIRE, ANNUALLY AND WHENEVER A CHANGE IN CIRCUMSTANCES WARRANTS. CONFLICT OF INTEREST DISCLOSURE FORMS ARE FORWARDED TO THE COMPLIANCE DEPARTMENT BY THE TALENT MANAGEMENT AND EFFECTIVENESS DEPARTMENT. THESE FORMS ARE INITIALLY REVIEWED BY COMPLIANCE DEPARTMENT STAFF. WHEN DEEMED NECESSARY, THE COMPLIANCE DEPARTMENT COLLABORATES WITH THE LEGAL DEPARTMENT. CONFLICTS OF INTEREST THAT NECESSITATE BOARD AWARENESS AND ACTION ARE PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD FOR RESOLUTION AND IMPOSITION OF SANCTIONS, IF WARRANTED. 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 CONFLICT OF INTEREST POLICY FAILED TO PROPERLY DISCLOSE A POTENTIAL CONFLICT OF INTEREST.
Form 990, Part VI, Line 19 Required documents available to the public	Financial statements, governing documents, and conflict of interest policies are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104. These documents are not available to the public at this time.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	LAB REVENUES - Total Revenue: 212646, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 212646; GAIN/LOSS DISPOSAL OF PPE - Total Revenue: 4390, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 4390;
Form 990, Part IX, Line 11g Other Fees	FEES- PHYSICIANS - Total Expense: 16893995, Program Service Expense: 13515196, Management and General Expenses: 3378799, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 7184920, Program Service Expense: 5603196, Management and General Expenses: 1581724, Fundraising Expenses: ; STORAGE FEES - Total Expense: 451015, Program Service Expense: 360812, Management and General Expenses: 90203, Fundraising Expenses: ; LABORATORY SERVICES - Total Expense: 4677264, Program Service Expense: 3741811, Management and General Expenses: 935453, Fundraising Expenses: ; CONSULTANTS - Total Expense: 1417282, Program Service Expense: 1133826, Management and General Expenses: 283456, Fundraising Expenses: ; TRANSCRIPTION SERVICES - Total Expense: 2260, Program Service Expense: 1808, Management and General Expenses: 452, Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 132108, Program Service Expense: 105686, Management and General Expenses: 26422, Fundraising Expenses: ; MANAGEMENT FEE EXPENSE - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 26658553, Fundraising Expenses: ; CASUAL LABOR - Total Expense: 4613115, Program Service Expense: 3690492, Management and General Expenses: 922623, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Net payments on swap agreements - -4550208; Gain from subsidiaries - 34947055; Net change in fair value of swaps - 9574592; Change in value of charitable remainder trusts held by others - 226752; Change in beneficial interest in NCHF - 17090119; Equity transfer with affiliate - -2784236; Distribution to noncontrolling interest - -4789451; Advanced refunding on old bonds - -7973147; Loss on asset impairment - -32550672; Guarantee of affiliate losses - -27524500;

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

1	Briefly describe the organization’s mission or most significant activities: THE HOSPITAL PROVIDES SPECIALIZED PEDIATRIC HEALTH CARE TO CHILDREN REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, AGE, OR ABILITY TO PAY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	11
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	3,597
6	Total number of volunteers (estimate if necessary) .............	6	1,145
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	88,297
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	62,881,183	22,835,860
9	Program service revenue (Part VIII, line 2g) .........	497,460,035	712,432,301
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	11,752,093	26,048,323
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	26,389,636	15,653,530
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	598,482,947	776,970,014
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...		0
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	240,782,727	249,348,481
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	313,289,967	422,171,220
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	554,072,694	671,519,701
19	Revenue less expenses. Subtract line 18 from line 12.......	44,410,253	105,450,313
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,198,214,522	1,508,530,392
21	Total liabilities (Part X, line 26).............	487,656,781	704,781,815
22	Net assets or fund balances. Subtract line 21 from line 20.....	710,557,741	803,748,577

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 535,830,073 including grants of $ ) (Revenue $ 712,432,301 )
	VARIETY CHILDREN'S HOSPITAL, ESTABLISHED IN 1950, OWNS AND OPERATES A PEDIATRIC SPECIALTY HOSPITAL NOW 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. 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.. (CONTINUED ON SCHEDULE O)

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses535,830,073

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)				(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) JODI LAURENCE SVP and General Counsel	0.1 .......................40.2	X			0	487,292	86,686
(19) ANDREA MAGGIONI Director Hospitalist	40.0 .......................0		X		357,283	0	26,112
(20) IRIS BERGES VP of Operations	40.0 .......................0		X		306,436	0	23,730
(21) JORGE OJITO Manager Perfusion Services	40.0 .......................0		X		283,117	0	19,164
(22) OSCAR A AREVALO Director of Dental	40.0 .......................0		X		281,094	0	9,556
(23) SHANNON M ODELL NCH Chief Nursing Officer	40.0 .......................0		X		340,985	0	38,967
(24) JACQUELINE L GONZALEZ SVP/Chief Nursing Officer (Former)	0.0 .......................0			X	276,555	0	0
(25) JEFRY BIEHLER Executive Med Director Quality (Former Officer)	0.0 .......................40.0			X	0	467,114	20,570
(26) JOSE PERDOMO SVP Admin/Special Projects (Former President/COO)	0.0 .......................40.0			X	0	613,610	19,768
(27) NARENDRA M KINI President - CEO (Former)	0.0 .......................0.0			X	0	589,410	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	3,181,406	4,170,466	662,197

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	7,030,463
e	Government grants (contributions)		1e	15,757,123

f	All other contributions, gifts, grants, and similar amounts not included above		1f	48,274

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		22,835,860

		Business Code
2a	Patient Service Revenue	621300	709,339,174	709,339,174
b	Grant Revenue	541715	3,033,552	3,033,552
c	Seminar Workshops	611000	59,575	59,575
d
e
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f .....		712,432,301

3 Investment income (including dividends, interest, and othersimilar amounts) ......			10,440,347		6,239	10,434,108
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			4,965			4,965
		(ii) Personal	(i) Real
6a	Gross rents	82,058	5,433,629	6a
b	Less: rental expenses			6b
c	Rental income or (loss)	82,058	5,433,629	6c
d	Net rental income or (loss).......			5,515,687		82,058	5,433,629
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		82,649,863	7a
b	Less: cost or other basis and sales expenses		67,041,887	7b
c	Gain or (loss)	0	15,607,976	7c
d	Net gain or (loss).........			15,607,976			15,607,976
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	356,318
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..			356,318			356,318
Business Code			Miscellaneous Revenue
11a	PHARMACY		446110	5,968,508			5,968,508
b	CAFETERIA/VENDING		722210	2,675,889			2,675,889
c	OTHER REVENUE		900099	915,127			915,127
d	All other revenue ....			217,036	0	0	217,036
e	Total. Add lines 11a–11d ......			9,776,560
12	Total revenue. See instructions.....			776,970,014	712,432,301	88,297	41,613,556

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	1,521,222	1,216,978	304,244
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	1,056,951	1,056,951
7	Other salaries and wages........	199,358,032	159,419,776	39,938,256
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,365,096	1,069,382	295,714
9	Other employee benefits .......	32,171,416	25,731,459	6,439,957
10	Payroll taxes ...........	13,875,764	11,100,611	2,775,153
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	1,696,650		1,696,650
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	168,664,725	134,787,040	33,877,685	0
12	Advertising and promotion ....	15,715	12,572	3,143
13	Office expenses .......	6,473,475	5,178,780	1,294,695
14	Information technology ......	394,152	315,322	78,830
15	Royalties ..
16	Occupancy ...........	30,117,507	24,094,006	6,023,501
17	Travel ............	116,524	93,219	23,305
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	9,881,305	7,905,044	1,976,261
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	41,517,628	33,214,102	8,303,526
23	Insurance ...	17,153,168	13,722,534	3,430,634
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	74,286,630	59,429,304	14,857,326
b	HOSPITAL ASSESMENT	66,926,552	53,541,242	13,385,310
c	OTHERS	3,405,044	2,724,035	681,009
d
e	All other expenses	1,522,145	1,217,716	304,429	0
25	Total functional expenses. Add lines 1 through 24e	671,519,701	535,830,073	135,689,628	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			11,782,919	1	10,691,494
2	Savings and temporary cash investments .........			100,132,568	2	34,105,456
3	Pledges and grants receivable, net ......				3	147,463,428
4	Accounts receivable, net .............			70,513,574	4	101,683,508
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			946,354	7	379,836
8	Inventories for sale or use ............			10,604,003	8	11,911,190
9	Prepaid expenses and deferred charges ......			1,846,598	9	3,829,198
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	911,771,017
b	Less: accumulated depreciation	10b	567,690,571	374,612,879	10c	344,080,446
11	Investments—publicly traded securities .			280,137,363	11	466,739,260
12	Investments—other securities. See Part IV, line 11 .....			92,123,735	12	138,977,425
13	Investments—program-related. See Part IV, line 11 ..			27,151,805	13	37,886,008
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			228,362,724	15	210,783,143
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,198,214,522	16	1,508,530,392

17	Accounts payable and accrued expenses .....	29,665,523	17	32,557,936
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	315,283,720	20	492,085,009
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	142,707,538	25	180,138,870
26	Total liabilities. Add lines 17 through 25..	487,656,781	26	704,781,815

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	590,159,089	27	665,841,118
28	Net assets with donor restrictions ...........	120,398,652	28	137,907,459
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	710,557,741	32	803,748,577
33	Total liabilities and net assets/fund balances ........	1,198,214,522	33	1,508,530,392

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) MCH PEDIATRIC CARDIOLOGY LLC 3100 SW 62ND AVENUE MIAMI,FL33155 65-1023909	CARDIAC SERVICES	FL	0	0	VCH
(2) MIAMI CHILDREN'S HOSPITAL PRPG LLC 3100 SW 62ND AVENUE MIAMI,FL33155 76-0724684	INSURANCE	FL	0	0	VCH

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)MIAMI CHILDREN'S HEALTH SYSTEM INC 3100 SW 62ND AVENUE MIAMI,FL33155 45-3481327	HEALTHCARE	FL	501(c)(3)	Type II	NA		No

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) MIAMI CHILDREN'S HOSPITAL AMBULATORY SURGERY CENTER LLC 800 SW 108TH AVENUE SUITE 200 MIAMI,FL33174 46-3406805	SURGERY CENTER	FL	VCH	Related	530,018	2,734,584		No		Yes		52.31 %
(2) MIAMI CHILDREN'S HEALTH PLAN LLC 3100 SW 62ND AVE MIAMI,FL33155 82-3111550	INSURANCE	FL	VCH	Related	19,924,897	13,001,815		No		Yes		75 %

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership