Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
VARIETY CHILDREN'S HOSPITAL DBA NICKLAUS CHILDREN'S HOSPITAL |
590638499 | 3 | Yes | 11,631,467 | 189,134,774 | |
|
Total 1
|
11,631,467 | 189,134,774 | ||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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.) | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 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 | ||||
| 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 2023 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-2023 |
(iii) Distributable Amount for 2023 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2023 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2023: | ||||
| a From 2018....... | ||||
| b From 2019....... | ||||
| c From 2020....... | ||||
| d From 2021....... | ||||
| e From 2022....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2023 distributable amount | ||||
|
i
Carryover from 2018 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2023 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2023 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2024. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2019..... | ||||
| b Excess from 2020..... | ||||
| c Excess from 2021..... | ||||
| d Excess from 2022..... | ||||
| e Excess from 2023..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | 23017437 |
| Software Version: | 2023v5.1 |
| Return Reference | Explanation |
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| Form 990, Part III, Line 4a Program Service Activity | IN 2023: 3,389 PATIENTS WERE TRANSFERRED TO NICKLAUS CHILDREN'S FROM HOSPITALS THROUGHOUT FLORIDA, CENTRAL AND SOUTH AMERICA, AND THE CARIBBEAN. Nicklaus Children's became one of three sites in North America taking part in a Phase I clinical trial studying the role of a new technology called low-frequency focused ultrasound in the care of children with a lethal type of brain tumor that forms in the brainstem. Nicklaus Children's Orthopedic, Sports Medicine and Spine Institute became the first in South Florida to offer a breakthrough treatment for anterior cruciate ligament(ACL) tears in 2023. The BEAR Implant is a medical advancement to enable the body to heal its own torn ACL, offering an alternative to the current standard of care - reconstruction that replaces the ACL with a graft - and appears to promote faster recovery. Nicklaus Children's Helen & Jacob Shaham Cancer & Blood Disorders Institute renewed its accreditation from the Foundation for the Accreditation of Cellular Therapy (FACT) in 2023, marking the 20th year that the hospital has been recognized by the nonprofit organization. Nicklaus Children's expanded its fundraising footprint in South Florida as a result of a growing collaboration with Children's Miracle Network (CMN) Hospitals. Nicklaus Children's is now the official CMN member hospital for Palm Beach and the Treasure Coast, which includes Palm Beach, Martin, St. Lucie, Okeechobee and Indian River counties. Nicklaus Children's is among the first health systems in the state to offer its own donor advised fund, following Nicklaus Children's Hospital Foundation's 2023 launch of the fund in collaboration with BNY Mellon. The donor advised fund offers donors a tax-efficient way to maximize their charitable giving. Nicklaus Children's was one of only eight children's hospitals nationwide to be named a Top Children's Hospital by the Leapfrog Group. This national watchdog organization is a recognized standard-setter for healthcare safety and quality. Nicklaus Children's Health System launch the Observer Programs at Nicklaus Children's Hospital. The Observer Programs provide educational opportunities for members of the communities we serve, with the goal of increasing the number of future medical and healthcare professionals. THE HEALTH SYSTEM INCLUDES A NETWORK OF AMBULATORY CENTERS THAT EXTEND CARE THROUGHOUT THE SOUTH FLORIDA REGION. DURING 2023, THESE CENTERS OFFERED OUTPATIENT SERVICES THAT INCLUDE REHABILITATION AND IMAGING SERVICES, URGENT CARE CENTER AND OUTPATIENT SUB-SPECIALTY OFFICE VISITS. Five Nicklaus Children's Hospital specialty programs are again identified among the nation's best by U.S. News & World Report in its 2023-24 "Best Children's Hospitals" survey results, posted online on June 21, 2023. No other hospital in South Florida has more ranked programs. NICKLAUS CHILDREN'S HOSPITAL COMPLETED THE ISO 9001 QUALITY MANAGEMENT SYSTEM CERTIFICATION BY DNV. NICKLAUS CHILDREN'S IS THE SECOND FREESTANDING CHILDREN'S HOSPITAL IN THE NATION TO OBTAIN THIS CERTIFICATION. SINCE THE HOSPITAL'S INITIAL DNV GL ACCREDITATION IN 2016, NICKLAUS CHILDREN'S AND ITS NETWORK OF OUTPATIENT CENTERS HAVE PARTICIPATED IN ANNUAL ACCREDITATION SITE VISIT EVALUATIONS TO ENSURE STEADY PROGRESSION and achieved ISO 9001 CERTIFICATION in 2019. ISO 9001 SETS FORTH CRITERIA FOR QUALITY MANAGEMENT THAT INCLUDE A STRONG CUSTOMER FOCUS, ENGAGEMENT OF TOP MANAGEMENT, A PROCESS APPROACH, AND CONTINUAL IMPROVEMENT. THE ULTIMATE IMPACT OF ISO WITHIN HOSPITALS IS THE REDUCTION OR ELIMINATION OF VARIATION, SO THAT CRITICAL WORK PROCESSES ARE DONE CONSISTENTLY AND THE "BEST IDEAS" ARE NOT BY ONE PERSON OR DEPARTMENT, BUT ARE INGRAINED IN THE ORGANIZATION ITSELF. Nicklaus Children's Hospital's Quality Program is data driven and dedicated to the development and implementation of consistency in the service we provide. Our quality measures are based on national standards and are formed around the patient-centered framework put forth by the Institute for Healthcare Improvement (IHI) which aligns to the principles of safety, equity, effectiveness, timeliness, and efficiency. Using industry benchmarks, internal standards, and the resources of national survey and compliance services, we seek to constantly improve our pediatric care. The quality department serves as a vital part of improvement and resource management throughout the institution. Our team of dedicated physicians, nurses, quality and accreditation specialists, and data analysts are working to achieve customer care excellence, standardization of practice, transparency in performance, a Just Culture for improvement, and assurance to ourselves and the patients and families we serve that we are delivering the best possible pediatric care. Nicklaus monitors internal performance in real time and formally on a monthly basis using an extensive, metric driven, nationally benchmarked scorecard. Improvement opportunities and action planning are addressed using a structured, collaborative, multidisciplinary approach in which quality becomes the interest and responsibility of every employee. Quality performance and action planning are monitored at a monthly cadence through the multidisciplinary Performance Improvement Council with regular oversight by the Quality Committee of the System Board. FAST PASS VISITOR SYSTEM REQUIRES ALL VISITORS AT THE MAIN HOSPITAL TO PRESENT PHOTO IDENTIFICATION UPON ARRIVAL AND A RECORD IS KEPT OF ALL THOSE ENTERING THE HOSPITAL. THIS SYSTEM CAN IDENTIFY INDIVIDUALS WITH RECORDS OF CHILD ABUSE AND MOLESTATION, HELPING ENHANCE THE SAFETY OF CHILDREN AT THE HOSPITAL. GETWELL NETWORK IS IN ALL MEDICAL SURGICAL ROOMS. THE SYSTEM, ACCESSIBLE THROUGH THE IN-ROOM TELEVISION SCREEN, OFFERS PATIENT EDUCATION INFORMATION THAT CAN SUPPORT ENHANCED PATIENT CARE AS WELL AS A PATIENT FEEDBACK SYSTEM, THROUGH WHICH FAMILIES CAN ADDRESS SAFETY CONCERNS. EMR IS A STATE-OF-THE-ART SYSTEM WHICH CAPTURES ALL PATIENT DATA, INCLUDING COMPREHENSIVE CARE RECORDS (RADIOLOGY, PHARMACY, REHABILITATION, OUTPATIENT AND INPATIENT) AS WELL AS REGISTRATION AND BILLING INFORMATION, ALL IN A COMPREHENSIVE SYSTEM. HUMPTY DUMPTY IS A TOOL TO PREVENT PEDIATRIC FALLS AND THEREBY ENHANCE SAFETY. AS OF 12/31/2023, THE TOOL WAS IN USE IN 1,635 HOSPITALS (1,371 IN THE US AND 264 OUTSIDE THE US), INCLUDING FACILITIES IN VIRTUALLY EVERY U.S. STATE AS WELL AS IN EUROPE, THE MIDDLE EAST, HONG KONG, INDONESIA, JAPAN, THE PHILIPPINES, BERMUDA, CANADA, CARIBBEAN, US VIRGIN ISLANDS, CAYMAN ISLANDS, BRAZIL, AUSTRALIA, AND NEW ZEALAND. THE PROGRAM IS ALSO IN USE BY EVERY BRANCH OF OUR U.S. MILITARY HOSPITALS THROUGHOUT THE WORLD. The Digital Health "Most Wired" Survey sponsored by the College of Healthcare Information Management Executives (CHIME) reflects the commitment of healthcare providers to digital health transformation. Nicklaus Children's achieved Level 9 for both the Acute survey selection and Ambulatory survey selection during the 2023 data collection period. Among the more than 55,000 facilities represented, Nicklaus Children's ranked above peers in categories like analytics and data management, population health, infrastructure, and patient engagement. AFFILIATES OF NCHS INCLUDE: CHILDREN'S HEALTH VENTURES, INC. (CHV) IS A FOR-PROFIT FINANCIAL HOLDING COMPANY CREATED TO ENTER INTO JOINT VENTURES, TO ACCESS NEW MARKETS, AND PROVIDE REVENUE OPPORTUNITIES. CHV IS A SUBSIDIARY OF THE SYSTEM. Miami Children's Insurance SPC, Limited (the Captive) was formed in the Cayman Islands to access professional liability insurance markets. The Captive is a subsidiary of the Hospital. Miami Children's Health Plan, LLC (the Health Plan) is a limited liability company formed with an independent third party. The Health Plan operated as a licensed Florida Medicaid provider and is a subsidiary of the Hospital, which owned 75%. In April 2021, the Hospital sold the health plan memberships. VARIETY CHILDREN'S HOSPITAL, ESTABLISHED IN 1950, OWNS AND OPERATES A PEDIATRIC SPECIALTY HOSPITAL KNOWN AS NICKLAUS CHILDREN'S HOSPITAL. THE HOSPITAL IS ONE OF THE LARGEST FREESTANDING PEDIATRIC TEACHING HOSPITALS IN THE SOUTHEASTERN UNITED STATES. IT PROVIDES SPECIALIZED PEDIATRIC HEALTHCARE FOR CHILDREN REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, AGE, OR ABILITY TO PAY. THE HOSPITAL HAS 307 LICENSED BEDS CONSISTING OF 216 ACUTE-CARE BEDS, 40 PSYCHIATRIC BEDS, AND 51 NICU BEDS. NICKLAUS CHILDREN'S HOSPITAL SERVES AS A REFERRAL CENTER FOR CHILDREN WITH COMPLEX, CRITICAL, OR LIFE-THREATENING ILLNESSES REQUIRING SPECIALIZED CARE. IT HAS A STATE-DESIGNATED PEDIATRIC TRAUMA CENTER. MANY PATIENTS ARE REFERRED BY OTHER HOSPITALS REGARDLESS OF THE EXISTENCE OF FORMAL ARRANGEMENTS. |
| Form 990, Part III, Line 4a PROGRAM SERVICE ACTIVITY | The Health System supports a number of programs that enhance the skills and work readiness of young professionals as well as promote health awareness. This includes: Pediatric Residency Training Program- Nicklaus Children's is an established teaching hospital and 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 is designed to guide new graduate nurses by bridging the divide between nursing education and nursing practice. The program offers training within hospital units including the ICU setting, hematology-oncology, Emergency Department, and the ICU Float Pool, with the duration varying by unit of hire. The Horizon Nurse Residency Program was honored with ANCC PTAP National Accreditation with distinction in 2017. Practice Transition Accreditation Program (PTAP) sets the global standard for residency programs that transition nurses into new practice settings. Achieving this accreditation elevates the standards of the Horizon Nurse Residency Program at Nicklaus Children's Health System with ANCC evidence-based criteria, demonstrating excellence in the transitioning nurses from novice to proficient. The Horizon Nurse Residency Program was further developed in 2014 and has transitioned over 240 nurses with a 92% overall retention, since the inception of the program. The Student Nurse Intern Program (SNIP)- The Student Nurse Intern Program (SNIP) provides nursing students the opportunity to be hired as care assistants to gain insight into the field of nursing. Based on availability, this program supports a smooth transition from nursing student to registered nurse by providing paid hours of mentorship in Emergency, Surgical, Medical-Surgical or Critical Care areas. Students work alongside other care assistants while under orientation with the goal of completing a list of required competencies. Upon completion of orientation, the intern works alongside an RN and/or under the direct supervision of an RN performing delegatory-type tasks as well as patient-care skilled tasks in different pediatric areas of the hospital. |
| Form 990, Part V, Line 1a Number in Box 3 of Form 1096 | THE TOTAL NUMBER FROM BOX 3 OF FORM 1096 IS REPORTED BY NICKLAUS CHILDREN'S HEALTH SYSTEM, INC. THE AMOUNT REPORTED INCLUDES 1099s ISSUED ON BEHALF OF RELATED ENTITIES. SUCH REPORTING ALIGNS THE FORM 1096, BOX 3 REPORTING TO THE ISSUING ORGANIZATION. |
| Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS | Dawn Javersack, Jodi Laurence, JAY MASSIRMAN, MICHAEL FUX, Joseph Nader, and MATTHEW A. LOVE have a business relationship due to serving on the board of directors or serving as an officer of Children's Health Ventures. |
| Form 990, Part VI, Line 1a Delegate broad authority to a committee | There shall be an Executive Committee of the Board of Directors composed of at least three (3) Directors elected by the Board of Directors. No non-Director members shall serve on the Executive Committee. QUORUM SHOULD CONSIST OF AT LEAST (3) MEMBERS OR A MAJORITY OF THE MEMBERS OF THE EXECUTIVE COMMITTEE PRESENT, WHICHEVER IS GREATER. The Executive Committee shall have and exercise the authority of the Board of Directors in the management of SYSTEM, except that it shall not take any action with respect to (a) the election of officers; (b) the filling or vacancies in the Board of Directors; or (c) the adoption, amendment, or repeal of these Bylaws. The Executive Committee shall report to the Board of Directors any action taken by the Executive Committee at the next meeting of the Board of Directors. Members of the Executive Committee may be removed at any regular or special meetings of the Board of Directors by majority vote. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FOLLOWING DESCRIBES THE PROCESS FOR PROVIDING THE BOARD OF DIRECTORS WITH A COPY OF THE FORM 990 AND REVIEWING IT: 1. THE DRAFT TAX FORM 990 WILL BE EMAILED TO THE AUDIT AND COMPLIANCE COMMITTEE CHAIR FOR REVIEW AND COMMENTS PRIOR TO FILING. 2. THE PAID TAX PREPARER WILL PRESENT A SUMMARY OF THE INFORMATION TO THE FINANCE COMMITTEE OF THE BOARD. 3. QUESTIONS WILL BE ANSWERED AND IF NECESSARY, TAX FORMS WILL BE ADJUSTED. THE CHAIR WILL APPROVE THE FORM 990. 4. THE FINAL FORM 990 WILL BE POSTED ON THE BOARD WEB PORTAL PRIOR TO FILING. |
| Form 990, Part VI, Line 12c Conflict of interest policy | ALL NICKLAUS CHILDREN'S HEALTH SYSTEM (NCHS) EMPLOYEES ARE INFORMED UPON HIRE, AND ON AN ANNUAL BASIS THEREAFTER, THAT THEY HAVE AN AFFIRMATIVE DUTY TO DISCLOSE ANY ACTUAL, POTENTIAL, OR PERCEIVED CONFLICTS OF INTEREST. THEY ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM UPON HIRE, ANNUALLY, AND WHENEVER CIRCUMSTANCES WARRANTS. CONFLICT OF INTEREST DISCLOSURES ARE MANAGED BY THE COMPLIANCE DEPARTMENT AND REVIEWED BY THE NCHS CONFLICT OF INTEREST COMMITTEE WHEN DEEMED NECESSARY, THE COMPLIANCE DEPARTMENT COLLABORATES WITH THE LEGAL DEPARTMENT, AND DISCLOSURES THAT NECESSITATES BOARD AWARENESS AND ACTION ARE PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE NCHS BOARD FOR RESOLUTION AND IMPOSITION OF SANCTIONS, IF WARRANTED. ANY POTENTIALLY CONFLICTED BOARD MEMBERS ARE RECUSED FROM BOARD DELIBERATIONS AND VOTING ON ITEMS IN WHICH THEY HAVE A POTENTIAL CONFLICT. IN ADDITION, ON AN ANNUAL BASIS, BOARD MEMBERS, PRINCIPAL OFFICERS AND BOARD DELEGATED COMMITTEE MEMBERS SIGN A STATEMENT WHICH AFFIRMS THAT EACH INDIVIDUAL: (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY, (C) HAS AGREED TO COMPLY WITH THE POLICY, AND (D) UNDERSTANDS THAT THE HOSPITAL IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF IT'S TAX-EXEMPT PURPOSES. A PROCESS IS IN PLACE FOR MANAGING SITUATIONS IN WHICH IT IS DISCOVERED THAT AN INDIVIDUAL WHO IS COVERED BY THE HOSPITAL'S NCHS CONFLICT OF INTEREST POLICY FAILED TO PROPERLY DISCLOSE A POTENTIAL CONFLICT OF INTEREST. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | THE ORGANIZATION AND COMPENSATION COMMITTEE OF NCHS BOARD OF DIRECTORS CONTRACTS WITH AN EXTERNAL CONSULTANT TO OBTAIN MARKET SURVEYS FOR THE CEO AND OTHER EXECUTIVES. THE CONSULTANT ASSISTS THE ORGANIZATION AND COMPENSATION COMMITTEE IN ESTABLISHING A COMPENSATION PROGRAM FOR THE CEO AND OTHER EXECUTIVES. SURVEY RESULTS AND COMPENSATION BEST PRACTICES ARE SHARED WITH THE ORGANIZATION AND COMPENSATION COMMITTEE OF THE BOARD. PERSONS WITH A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED IN ESTABLISHING EXECUTIVE SALARY AND BENEFITS PROGRAMS. DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION AGREEMENT ARE CONTEMPORANEOUS DOCUMENTED. THIS PROCESS IS COMPLETED IN THE FIRST QUARTER EACH YEAR. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | THE ORGANIZATION AND COMPENSATION COMMITTEE OF NCHS BOARD OF DIRECTORS CONTRACTS WITH AN EXTERNAL CONSULTANT TO OBTAIN MARKET SURVEYS FOR THE CEO AND OTHER EXECUTIVES. THE CONSULTANT ASSISTS THE ORGANIZATION AND COMPENSATION COMMITTEE IN ESTABLISHING A COMPENSATION PROGRAM FOR THE CEO AND OTHER EXECUTIVES. SURVEY RESULTS AND COMPENSATION BEST PRACTICES ARE SHARED WITH THE ORGANIZATION AND COMPENSATION COMMITTEE OF THE BOARD. PERSONS WITH A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED IN ESTABLISHING EXECUTIVE SALARY AND BENEFITS PROGRAMS. DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION AGREEMENT ARE CONTEMPORANEOUS DOCUMENTED. THIS PROCESS IS COMPLETED IN THE FIRST QUARTER EACH YEAR. |
| Form 990, Part VI, Line 19 Required documents available to the public | FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. |
| Form 990, Part IX, Line 11g Other Fees | CASUAL LABOR - Total Expense: 44198, Program Service Expense: 35358, Management and General Expenses: 8840, Fundraising Expenses: ; Medical fees - Total Expense: 6452640, Program Service Expense: 5162112, Management and General Expenses: 1290528, Fundraising Expenses: ; CLEANING SERVICES - Total Expense: 98563, Program Service Expense: 78850, Management and General Expenses: 19713, Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 37044793, Program Service Expense: 29635834, Management and General Expenses: 7408959, Fundraising Expenses: ; CONSULTANTS - Total Expense: 4143249, Program Service Expense: 3314599, Management and General Expenses: 828650, Fundraising Expenses: ; DESIGN, PROTOTYPE - Total Expense: 8467, Program Service Expense: 6774, Management and General Expenses: 1693, Fundraising Expenses: ; INSPECTIONS - Total Expense: 2298, Program Service Expense: 1838, Management and General Expenses: 460, Fundraising Expenses: ; LABORATORY SERVICES - Total Expense: 3955, Program Service Expense: 3164, Management and General Expenses: 791, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 10267492, Program Service Expense: 8213994, Management and General Expenses: 2053498, Fundraising Expenses: ; STORAGE FEES - Total Expense: 594, Program Service Expense: 475, Management and General Expenses: 119, Fundraising Expenses: ; TRANSCRIPTION SERVICES - Total Expense: 306000, Program Service Expense: 244800, Management and General Expenses: 61200, Fundraising Expenses: ; TRASH - Total Expense: 16413, Program Service Expense: 13130, Management and General Expenses: 3283, Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Gain (loss) from subsidiaries - XXX-XX-XXXX; Distribution to noncontrolling interest - -2301477; Expenses over (under) revenues attributable to noncontrolling interest - 1542416; Loss on discontinued operations attributable to noncontrolling interest - -157965; Change in value of charitable remainder trusts held by others - 15889; Equity transfer with affiliates - 45732311; |
| Software ID: | 23017437 |
| Software Version: | 2023v5.1 |