Civic Intelligence

Miami Children'S Health System Inc

EIN 45-3481327 • 501(c)3 • Miami, FL

Profile

Nicklaus Children's Health System is the region's only healthcare system exclusively for children. Our mission is to inspire hope and promote lifelong health by providing the best care to every child. TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF NICKLAUS CHILDREN'S HOSPITAL AND ITS AFFILIATED ENTITIES, AND TO INVEST IN, RECEIVE, HOLD, USE, AND DISPOSE OF ALL PROPERTY, REAL OR PERSONAL, AS MAY BE NECESSARY OR DESIRABLE TO CARRY INTO EFFECT THE AFOREMENTIONED PURPOSES.

3100 SW 62nd AvenueMiami, FL 33155

nicklaushealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

33rd percentile

0.18x

Higher debt load relative to assets than 33% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Liabilities / Revenue

54th percentile

0.62x

Higher debt load relative to revenue than 54% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Net Margin

3rd percentile

-24%

Higher net margin than 3% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Top Officer Pay

62nd percentile

$2,570,950

Higher top officer pay than 62% of similar nonprofits.

Top officer pay equals 0.7% of source-year revenue.

501(c)3 • $1B+ nonprofits • Source year 2024

Asset Growth

74th percentile

12%

Faster asset growth than 74% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Revenue Growth

55th percentile

12%

Faster revenue growth than 55% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Assets

Up

$1,274,544,107

Up $141,352,755 (+12%) from 2023

Liabilities

Up

$225,540,910

Up $49,310,646 (+28%) from 2023

Net Assets

Up

$1,049,003,197

Up $92,042,109 (+9.6%) from 2023

Revenue

Up

$362,021,340

Up $37,962,314 (+12%) from 2023

Expenses

Up

$449,334,294

Up $38,595,416 (+9.4%) from 2023

Net Income

Down

-$87,312,954

Down $633,102 (-0.7%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$1.5B$1.0B$500M$0Assets 2011: $0Liabilities 2011: $0Net Assets 2011: $02011Assets 2012: $262,910Liabilities 2012: $0Net Assets 2012: $262,9102012Assets 2013: $0Liabilities 2013: $0Net Assets 2013: $02013Assets 2014: $50Liabilities 2014: $50Net Assets 2014: $02014Assets 2015: $684,500,864Liabilities 2015: $55,464,254Net Assets 2015: $629,036,6102015Assets 2016: $768,111,202Liabilities 2016: $66,477,036Net Assets 2016: $701,634,1662016Assets 2017: $787,444,096Liabilities 2017: $60,721,059Net Assets 2017: $726,723,0372017Assets 2018: $780,176,705Liabilities 2018: $77,800,922Net Assets 2018: $702,375,7832018Assets 2019: $741,992,037Liabilities 2019: $78,015,020Net Assets 2019: $663,977,0172019Assets 2020: $777,804,932Liabilities 2020: $96,596,946Net Assets 2020: $681,207,9862020Assets 2021: $1,030,724,418Liabilities 2021: $159,476,587Net Assets 2021: $871,247,8312021Assets 2022: $999,802,390Liabilities 2022: $145,411,700Net Assets 2022: $854,390,6902022Assets 2023: $1,133,191,352Liabilities 2023: $176,230,264Net Assets 2023: $956,961,0882023Assets 2024: $1,274,544,107Liabilities 2024: $225,540,910Net Assets 2024: $1,049,003,1972024

Highlighted filing

2024

Assets$1,274,544,107
Liabilities$225,540,910
Net Assets$1,049,003,197

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$600M$400M$200M$0-$200MRevenue 2011: $0Expenses 2011: $0Net Income 2011: $02011Expenses 2012: $34,614,7942012Revenue 2013: $0Expenses 2013: $0Net Income 2013: $02013Revenue 2014: $0Expenses 2014: $0Net Income 2014: $02014Revenue 2015: $87,515,171Expenses 2015: $88,056,137Net Income 2015: -$540,9662015Revenue 2016: $113,920,240Expenses 2016: $99,282,158Net Income 2016: $14,638,0822016Revenue 2017: $119,584,049Expenses 2017: $100,780,170Net Income 2017: $18,803,8792017Revenue 2018: $121,100,980Expenses 2018: $115,678,165Net Income 2018: $5,422,8152018Revenue 2019: $122,267,186Expenses 2019: $113,667,533Net Income 2019: $8,599,6532019Revenue 2020: $118,643,924Expenses 2020: $118,643,924Net Income 2020: $02020Revenue 2021: $241,176,093Expenses 2021: $265,361,642Net Income 2021: -$24,185,5492021Revenue 2022: $294,404,944Expenses 2022: $336,188,441Net Income 2022: -$41,783,4972022Revenue 2023: $324,059,026Expenses 2023: $410,738,878Net Income 2023: -$86,679,8522023Revenue 2024: $362,021,340Expenses 2024: $449,334,294Net Income 2024: -$87,312,9542024

Highlighted filing

2024

Revenue$362,021,340
Expenses$449,334,294
Net Income-$87,312,954

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$1,275$226$1,049$362$449$87.3
2023Detailed filing. Detailed filing data is available for this year.$1,133$176$957$324$411$86.7
2022Detailed filing. Detailed filing data is available for this year.$1,000$145$854$294$336$41.8
2021Detailed filing. Detailed filing data is available for this year.$1,031$159$871$241$265$24.2
2020Detailed filing. Detailed filing data is available for this year.$778$96.6$681$119$119$0.00
2019Detailed filing. Detailed filing data is available for this year.$742$78.0$664$122$114$8.60
2018Detailed filing. Detailed filing data is available for this year.$780$77.8$702$121$116$5.42
2017Detailed filing. Detailed filing data is available for this year.$787$60.7$727$120$101$18.8
2016Detailed filing. Detailed filing data is available for this year.$768$66.5$702$114$99.3$14.6
2015Detailed filing. Detailed filing data is available for this year.$685$55.5$629$87.5$88.1$0.54
2014Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
2013Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.26$0.00$0.26$34.6
2011Summary only. Only limited summary data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 13, 2025
Return Version
2024v5.1
Gross Receipts
$369,157,492
Mission and Program Overview

Mission

To perform the functions of, or to carry out the purposes of nicklaus children's hospital and its affiliated entities, and to invest in, receive, hold, use and dispose of all property, real or personal, as may be necessary or desirable to carry into effect the aforementioned purposes.

To perform the functions of, or to carry out the purposes of, nicklaus children's hospital and its affiliated entities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Program Related$916,053,130$1,040,137,024▲ $124,083,894
Investments Other Securities$47,904,026$52,739,358▲ $4,835,332
Land, Buildings, and Equipment, Net$50,308,001$52,108,072▲ $1,800,071
Investments in Publicly Traded Securities$40,107,218$35,881,650▼ $4,225,568
Pledges and Grants Receivable$23,186,198$31,981,072▲ $8,794,874
Accounts Receivable$24,467,209$21,107,820▼ $3,359,389
Prepaid Expenses and Deferred Charges$7,749,560$16,791,461▲ $9,041,901
Cash and Non-Interest-Bearing Accounts$1,469,791$1,499,094▲ $29,303
Other Notes and Loans Receivable, Net$667,474$907,948▲ $240,474
Inventories for Sale or Use$130$0▼ $130
Savings and Temporary Cash Investments$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$1,133,191,352$1,274,544,107▲ $141,352,755
Other Assets Total$21,278,615$21,390,608▲ $111,993
Liabilities
Accounts Payable and Accrued Expenses$163,657,117$172,038,846▲ $8,381,729
Other Liabilities$12,573,147$53,502,064▲ $40,928,917
Total Liabilities$176,230,264$225,540,910▲ $49,310,646
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$736,437,330$826,740,932▲ $90,303,602
Net Assets With Donor Restrictions$220,523,758$222,262,265▲ $1,738,507
Total Net Assets Fund Balance$956,961,088$1,049,003,197▲ $92,042,109
Total Liabilities and Net Assets / Fund Balance$1,133,191,352$1,274,544,107▲ $141,352,755

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$26,690,613$46,773,798$73,464,411
Other Land Buildings$16,697,532$0$16,697,532
Buildings$11,728,367$2,261,735$13,990,102
Leasehold Improvements$-4,114,922$9,423,078$5,308,156
Land$1,106,482-$1,106,482
Investment Program Related Org$1,040,137,024--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$54,715,114$48,584▲ $7,609,069$2,292,708$60,080,059
2023$51,284,585$42,467▲ $5,688,930$2,300,868$54,715,114
2022$58,072,902$190,592▼ $3,972,479$3,006,430$51,284,585
2021$51,847,151$1,424,279▲ $6,880,578$2,079,106$58,072,902
2020$50,915,312$33,028▲ $3,318,446$2,419,635$51,847,151
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Matthew LovePresident & CEOPT$1,306,062$1,264,888$2,570,950
Redmond P BurkeInterim Chief Cardiovascular SurgeonFT$1,987,727$110,891$2,098,618
Joseph M ForbessChief Cardiovascular SurgeonFT$1,602,265$91,405$1,693,670
Toba N NiaziChief NeurosurgeryFT$1,012,186$410,655$1,422,841
Shelly WangMed Director Surg NeuromodulationFT$642,896$714,597$1,357,493
Stephen GeorgeMedical Director Spine SurgeryFT$902,839$407,727$1,310,566
Chad a Perlyn MdSVP & President NCPS (thru 5/19/24) / PhysicianFT$937,329$278,467$1,215,796
Dawn E JaversackSVP/CFO Health SystemPT$646,881$294,884$941,765
Jodi Laurence EsqSVP and General CounselPT$457,965$291,994$749,959

Board Members and Trustees

NameTitle
Joseph NaderChairman / Director
Marcos a Mestre MdSVP & CCO (beg. 6/24) / NCH VP (thru 6/24), CMO (thru 8/24) / NCPS President (6/24 - 12/24)
Perry Ann ReedSVP/COO NCHS & President NCH
Jaret Davis EsqVice Chairman / Director
Phillip T George MdVice Chairman / Director
Alex KrysDirector
Alex SotoDirector
Carlos Perez-abreuDirector
Jay MassirmanDirector
John M Lie-nielsenDirector
Jorge GonzalezDirector
Mario MurgadoDirector
Miguel SosaDirector
NAN O'LEARYDirector
Nicole Sayfie-porcelliDirector
Peter LopezDirector
Barbara NicklausEmeritus Director
Juan Carlos MasEmeritus Director
Michael FuxEmeritus Director
Amy Charley EsqSecretary / Director

Highest Paid Contractors

ContractorServicesLocationCompensation
Ensemble Health PartnersAdministrative Services13620 REESE BLVD EAST, SUITE 200, Huntersville, NC 28078$40,079,745
Cerner CorporationSoftware License/MaintenancePO BOX 959156, SUITE 200, St Louis, MO 63195-9156$8,388,176
Anthony Baradat And AssociatesMarketing1235 CORAL WAY, SUITE 165, Miami, FL 33145$5,848,763
Oracle America INCSoftware License/MaintenancePO BOX 203448, Dallas, TX 75320$2,765,554
Corrohealth INCPhysicians Services6509 WINDCREST DR, Plano, TX 75024$2,376,947
Revenue and Support

Revenue Composition

Contributions and Grants
$39,522,624
Program Service Revenue
$321,804,178
Investment Income
$735,617
Other Revenue
$-41,079
All Other Contributions
$35,110,215
Change in Net Assets
$-87,312,954

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table366$985,500Market value
Other Non Cash Contri Table150$323,006Market value
Total Noncash Contributions516$1,308,506-

Audited Revenue Reconciliation

Revenue per Audited Statements
$0
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$0
Total Revenue per Form 990
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$282,074,862
Other Expenses$151,331,836
Grants and Similar Amounts Paid$15,445,189
Professional Fundraising Fees$482,407
Total Fundraising Expense$482,407

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$186,422,596$46,605,649-$233,028,245
Fees for Services Other$48,176,941$12,044,234$0$60,221,175
Information Technology$18,822,404$4,705,601-$23,528,005
Other Employee Benefits$13,494,711$3,373,678-$16,868,389
Grants to Domestic Orgs$15,445,189--$15,445,189
Payroll Taxes$10,941,945$2,735,486-$13,677,431
Pension Plan Contributions$10,417,860$2,604,466-$13,022,326
Occupancy$9,374,796$2,343,699-$11,718,495
Depreciation Depletion$8,896,343$2,224,086-$11,120,429
Advertising$7,948,865$1,987,216-$9,936,081
Office Expenses$6,762,789$1,690,697-$8,453,486
Insurance$5,617,924$1,404,481-$7,022,405
Current Officers, Directors, Trustees, and Key Employees$4,382,777$1,095,694$0$5,478,471
All Other Expenses$3,463,709$865,927$0$4,329,636
Other Expenses$1,547,974$386,993-$1,934,967
Fees for Services Legal-$1,810,883-$1,810,883
Travel$1,117,365$279,341-$1,396,706
Fees for Services Lobbying-$926,097-$926,097
Fees for Services Professional Fundraising--$482,407$482,407
Fees for Services Accounting-$360,343-$360,343
Fees for Service Investment Mgmnt Fees-$95,268-$95,268
Total Functional Expenses$359,616,475$89,235,413$482,407$449,334,294

Audited Expense Reconciliation

Line ItemAmount
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Expenses per Audited Statements$0
Other Expense Adjustments$0
Total Expenses per Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Variety Children's HospitalMiami, FL501(c)(3)Support Research and Hospital Programs$15,445,189

International Summary

Offices
0
Employees
0
Spending
$2,773,697

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
Yes
Interest in foreign trust
No
Passive foreign investment company interest
Yes
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanInvestments-00$2,773,697
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
Yes

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$1,004,651
Professional Fundraising Fees$482,407
Fundraising Gross Income$462,745

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Diamond Ball$1,142,385$373,362$101,996$271,366
Cmnh$3,719,093$89,383$424,388$-335,005
Total Events$4,861,478$462,745$1,004,651$-541,906
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Obligation R/e S/t$29,698,286
Fiduciary-nch Admin Prof Assoc/est Deferred Revenue$22,697,785
Federal Income Taxes$1,105,993
Intercompany-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS

Dawn Javersack, Jodi Laurence, JAY MASSIRMAN, MICHAEL FUX, Joseph Nader, and MATTHEW A. LOVE have a business relationship due to serving on the board of directors or serving as an officer of Children's Health Ventures.

Form 990, Part VI, Line 1A Delegate broad authority to A committee

There shall be an executive committee of the board of directors composed of at least three (3) directors elected by the board of directors. No non-director members shall serve on the executive committee. Quorum shall should consist of at least (3) members or a majority of the members of the executive committee present, whichever is greater. The executive committee shall have and exercise the authority of the board of directors in the management of system, except that it shall not take any action with respect to (a) the election of officers; (b) the filling or of vacancies in the board of directors; or (c) the adoption, amendment, or repeal of these bylaws. The executive committee shall report to the board of directors any action taken by the executive committee at the next meeting of the board of directors. Members of the executive committee may be removed at any regular or special meetings of the board of directors by majority vote.

Form 990, Part VI, Line 4 Significant changes to organizational documents

On december 16, 2024, the organization modified the bylaws for nchs, nch, ncps, and nchf to remove ex-officio non-voting members in all areas mentioned throughout the bylaws. Additionally, the nchs bylaws related to the investment committee were amended to require that the committee, on behalf of the system and affiliated entities, shall: 1. Establish and define investment policies, objectives, and guidelines, including asset allocations. 2. Approve transactions such as the purchase of new investments and the divestment of existing investments in accordance with the approved asset allocation strategy. 3. Hire and retain financial advisors and investment managers as deemed necessary 4. Analyze and monitor, on an ongoing basis, banking, cash management, and investment relationships to optimize returns on investments.

Form 990, Part VI, Line 11B Review of form 990 by governing body

The following describes the process for providing the board of directors with a copy of the form 990 and reviewing it: 1. The draft tax form 990 will be emailed to the audit and compliance committee chair for review and comments prior to filing. 2. The paid tax preparer will present a summary of the information to the finance committee of the board. 3. Questions will be answered and, if necessary, tax forms will be adjusted. The chair will approve the form 990. 4. The final form 990 will be posted on the board web portal prior to filing.

Form 990, Part VI, Line 12C Conflict of interest policy

All nicklaus children's health system (nchs) employees are informed upon hire, and on an annual basis thereafter, that they have an affirmative duty to disclose any actual, potential, or perceived conflicts of interest. They are required to complete a conflict of interest disclosure form upon hire and whenever circumstances warrants. Conflict of interest disclosures are managed by the compliance department and reviewed by the nchs conflict of interest committee. The compliance department collaborates with the legal department, and disclosures that necessitate board awareness and action are presented to the audit and compliance committee of the nchs board for resolution and imposition of sanctions, if warranted. Any potentially conflicted board members are recused from board deliberations and voting on items in which they have a potential conflict. In addition, on an annual basis, board members, principal officers, and board delegated committee members sign a statement which affirms that each individual: (a) has received a copy of the conflict of interest policy; (b) has read and understands the policy; (c) has agreed to comply with the policy; and (d) understands that the hospital is a charitable organization, and that, in order to maintain its federal exemption, it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. A process is in place for managing situations in which it is discovered that an individual who is covered by the hospital's nchs conflict of interest policy failed to properly disclose a potential conflict of interest.

Form 990, Part VI, Line 15A Process to establish compensation of top management official

The organization and compensation committee of nchs board of directors contracts with an external consultant to obtain market surveys for the ceo and other executives. The consultant assists the organization and compensation committee in establishing a compensation program for the ceo and other executives. Survey results and compensation best practices are shared with the organization and compensation committee of the board. Persons with a conflict of interest with respect to the compensation arrangement at issue are not involved in establishing executive salary and benefits programs. Deliberations and decisions regarding the compensation agreement are contemporaneous documented. This process is completed in the first quarter each year.

Form 990, Part VI, Line 15B Process to establish compensation of other employees

The organization and compensation committee of nchs board of directors contracts with an external consultant to obtain market surveys for the ceo and other executives. The consultant assists the organization and compensation committee in establishing a compensation program for the ceo and other executives. Survey results and compensation best practices are shared with the organization and compensation committee of the board. Persons with a conflict of interest with respect to the compensation arrangement at issue are not involved in establishing executive salary and benefits programs. Deliberations and decisions regarding the compensation agreement are contemporaneous documented. This process is completed in the first quarter each year.

Form 990, Part VI, Line 19 Required documents available to the public

Financial statements, governing documents, and conflict of interest policies are not required disclosures pursuant to internal revenue code (irc) section 6104. These documents are not available to the public at this time.

Filing and Contact Details

Filer

Filer Name
Miami Children's Health System Inc
EIN
45-3481327
Phone
3056666511
Address
3100 SW 62nd Avenue, Miami, FL 33155
Doing Business As
Nicklaus Childrens Health System

Signing Officer

Name
Dawn Javersack
Title
SVP and CFO
Signed
2025-11-13
Discuss with paid preparer
Yes

Organization Details

Formed
2011
Legal Domicile
Fl
Voting Board Members
19
Independent Board Members
18
Employees
1,576
Volunteers
269

Preparer

Firm
Crowe Llp
Address
401 East Las Olas Blvd Suite 1100, Fort Lauderdale, FL 33301-4230
Preparer
Brittney Kocaj
Phone
9542028600
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4A Program Service Activity

In 2024, nicklaus children's health system, inc: established a collaboration with broward health, with nicklaus children's becoming the pediatric provider at broward health's fort lauderdale and coral springs locations by 2025. This affiliation will improve access to high-quality pediatric services for the children and families of broward county and reduce the percentage of children that leave broward county for specialized care. Opened the kenneth c. Griffin surgical tower, equipped with 12 advanced and fully integrated operating suites for performing the most complex pediatric surgeries, including trauma care, surgical cancer interventions, and pediatric plastic and reconstructive surgeries such as cleft lip-and-palate, orthopedic and spine, brain, and heart surgeries. The kenneth c. Griffin surgical tower is considered one of the most innovative pediatric surgical facilities in the united states and combines leading-edge technology with a focus on delivering a compassionate patient experience. Collaborated with the digital safety alliance to launch safe sound, a national campaign to promote awareness of the risks associated with digital access and provide tools to help parents create a safer world for children online. Received a $15 million gift from south florida philanthropists helen and jacob shaham. This donation will help the hospital's cancer and blood disorders institute provide hope to families in south florida and impact world-class pediatric cancer care and research for children. In recognition of the donation received, nicklaus named the program the helen & jacob shaham cancer & blood disorders institute. Launched the largest multi-year fundraising campaign in its 75-year history at the 17th annual diamond ball - forward for generations. At the event, the system received a record-breaking amount - $6.9 million - to benefit children served by nicklaus children's hospital. Was selected by the ryan seacrest foundation as the home of south florida's first and only seacrest studio, a state-of-the-art studio for pediatric patients to explore the creative realms of radio, television, and new media. The seacrest studio will serve as a hub for patient activities, education, and engagement with celebrities visiting nicklaus children to help brighten patients' days. Was named one of america's most loved workplaces. The health system was also recognized for being a most loved workplace for parents and caregivers, career advancement, and wellness. The american heart association, a global force for longer, healthier lives for all, awarded nicklaus children's health system gold level recognition in the 2024 well-being works better scorecard, representing a notable commitment to the health of its workforce and community. Five nicklaus children's hospital specialty programs were again identified among the nation's best by u.s. News & world report in its 2024-25 best children's hospitals survey results (cardiology and heart surgery, neonatology, neurology and neurosurgery, orthopedics, and pulmonology). Nicklaus children's had the most ranked programs in the state of florida. Received an upgraded aa- bond rating with a stable outlook from fitch ratings and a reaffirmed a rating with an improved positive outlook from standard & poor's. These agencies recognized nicklaus children's as the premier pediatric hospital in south florida for its leading and growing market share, expanding ambulatory footprint, and growing hospital affiliations in the region. Opened the 10th pediatric care center in west pines, offering appointments with board-certified pediatricians who serve as primary care providers for babies, children, and teens. The digital health "most wired" survey, sponsored by the college of healthcare information management executives (chime), reflects the commitment of healthcare providers to digital health transformation. For the 8th consecutive year, nicklaus children's achieved level 9 in the acute survey category, and for t

Form 990, Part III, Line 4A PROGRAM SERVICE ACTIVITY

The health system supports a number of programs that enhance the skills and work readiness of young professionals as well as promote health awareness. This includes: pediatric residency training program- nicklaus children's is an established teaching hospital and has the largest pediatric residency training program in the southeastern united states, with 89 pediatric residents, 10 pediatric dentistry residents, 3 pediatric pharmacy residents, 7 child psychology interns and fellows, and 40 subspecialty fellows. The pediatric residency training program is structured in accordance with the american board of pediatrics' requirement of three core years in general pediatrics, and is fully accredited by the accreditation council for graduate medical education (acgme). All facets of pediatric care are encompassed in the training program from complex intensive care to the office practice of general pediatrics. Each year, medical students and scholars from all parts of the united states and around the world apply for acceptance to the hospital's pediatric residency training program, which has been in operation for over 40 years. The program has a formal affiliation with florida international university's college of medicine. Other participating institutions include jackson memorial hospital, cleveland clinic florida center, university of florida-jacksonville, mount sinai medical center of florida, and nova southeastern university. Fellowship training programs- nicklaus children's hospital offers quality, nationally recognized fellowships in a wide range of pediatric subspecialties. Fellowships are accredited by the accreditation council for graduate medical education (acgme). Available programs include: adolescent medicine, allergy and immunology, child and adolescent psychiatry, clinical biochemical genetics, clinical neurophysiology, craniofacial surgery (plastic surgery), pediatric critical care medicine, pediatric emergency medicine, pediatric gastroenterology, hepatology and nutrition, pediatric hematology oncology, pediatric hospitalist, pediatric radiology, pediatric urology, pediatric cardiology, and pediatric surgery. The horizon nurse residency program- the horizon nurse residency program was further developed in 2014 and is an american nurses credentialing center accredited, evidence-based nurse residency program. It is designed to guide new graduate nurses by bridging the divide between nursing education and nursing practice. The program offers training within hospital units, including the icu setting, hematology-oncology, emergency department, and the icu float pool, with the duration varying by unit of hire. The horizon nurse residency program was honored with ancc ptap national accreditation with distinction in 2017. Practice transition accreditation program (ptap) sets the global standard for residency programs that transition nurses into new practice settings. Achieving this accreditation elevates the standards of the horizon nurse residency program at nicklaus children's health system, by meeting ancc evidence-based criteria, and demonstrating excellence in transitioning nurses from novice to proficient. The student nurse intern program (snip)- the student nurse intern program (snip) provides nursing students the opportunity to be hired as care assistants to gain insight into the field of nursing. Based on availability, this program supports a smooth transition from nursing student to registered nurse by providing paid hours of mentorship in emergency, surgical, medical-surgical, or critical care areas. Students work alongside other care assistants while under orientation, with the goal of completing a list of required competencies. Upon completion of orientation, the intern works alongside an rn and/or under the direct supervision of an rn, performing delegated tasks as well as patient-care skilled tasks in different pediatric areas of the hospital.

Form 990, Part V, Line 1A Number in Box 3 of Form 1096

The total number from box 3 of form 1096 is reported by nicklaus children's health system, inc. The amount reported includes forms 1099 issued on behalf of related entities. Such reporting aligns the form 1096, box 3 reporting to the issuing organization.

Form 990, Part IX, Line 11G Other Fees

CASUAL LABOR - Total Expense: 100706, Program Service Expense: 80565, Management and General Expenses: 20141, Fundraising Expenses: ; Medical fees - Total Expense: 3785752, Program Service Expense: 3028602, Management and General Expenses: 757150, Fundraising Expenses: ; CLEANING SERVICES - Total Expense: 146083, Program Service Expense: 116866, Management and General Expenses: 29217, Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 40753821, Program Service Expense: 32603057, Management and General Expenses: 8150764, Fundraising Expenses: ; CONSULTANTS - Total Expense: 5898301, Program Service Expense: 4718641, Management and General Expenses: 1179660, Fundraising Expenses: ; DESIGN, PROTOTYPE - Total Expense: 962, Program Service Expense: 770, Management and General Expenses: 192, Fundraising Expenses: ; BARCODING - Total Expense: 68, Program Service Expense: 54, Management and General Expenses: 14, Fundraising Expenses: ; INSPECTIONS - Total Expense: 750, Program Service Expense: 600, Management and General Expenses: 150, Fundraising Expenses: ; LABORATORY SERVICES - Total Expense: 3823, Program Service Expense: 3058, Management and General Expenses: 765, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 9283297, Program Service Expense: 7426638, Management and General Expenses: 1856659, Fundraising Expenses: ; TRANSCRIPTION SERVICES - Total Expense: 236000, Program Service Expense: 188800, Management and General Expenses: 47200, Fundraising Expenses: ; TRASH - Total Expense: 11612, Program Service Expense: 9290, Management and General Expenses: 2322, Fundraising Expenses: ;

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Gain (loss) from subsidiaries - XXX-XX-XXXX; Distribution to noncontrolling interest - -1309958; Expenses over (under) revenues attributable to noncontrolling interest - 1573033; Loss on discontinued operations attributable to noncontrolling interest - -317; Change in value of charitable remainder trusts held by others - -38891; Equity transfer with affiliates - 53976431; Total - XXX-XX-XXXX;

Financial Statement Notes

Schedule D, Part III, Line 4 Collections of art - description of collections

Custom artwork created and produced by artist Lebo David Le Batard titled "Inspiring Hope and Healing "Say I love you, A Love Letter To Myself", 2021, Acrylic spray paint, oil pastel on canvas. The artwork is displayed in the Hospital on the walls of various Buildings to encourage self-love, hope, and healing to the patients and visitors.

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

The System's endowment funds are established to fund medical research, education, and patient social services at the Hospital.

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

The System and certain of its affiliated organizations qualify as tax-exempt, nonprofit organizations under Section 501(c)(3) of the Internal Revenue Code (the Code). The Hospital, NCPS and the Foundation are exempt from federal income tax on related income pursuant to Section 501(a) of the Code as described in Section 501(c)(3). These tax-exempt entities had no tax provision for the years ended December 31, 2024 and 2023. The Captive Insurance Company is not subject to income taxes, as no income taxes are levied in the Cayman Islands. The System believes there is no uncertain tax liability which should be recorded as of December 31, 2024 and 2023.

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IRS990/Form990PartVIISectionAGrp/TitleTxt26Med Dir Surg Neuromodulation
IRS990/Form990PartVIISectionAGrp/TitleTxt27Medical Director Spine Surgery
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