Variety Children'S Hospital

“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.”

“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.”

“Dawn Javersack, Jodi Laurence, Matthew A. Love, and Joseph Nader have a business relationship due to serving on the board of directors or serving as an officer of Children's Health Ventures.”

“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.”

“On december 16, 2024, the organization modified the bylaws to remove ex-officio non-voting members in all areas mentioned throughout the bylaws and removed the chief medical officer of the hospital as an ex-officio voting member”

“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.”

“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.”

“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.”

“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.”

“All nicklaus children's hospital (nch) 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 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.”

“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.”

“(CONTINUED FROM PART III) In 2024: 3,801 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. OPENED THE TENTH PEDIATRIC CARE CENTER (PCC) IN WEST PINES, OFFERING APPOINTMENTS WITH BOARD-CERTIFIED PEDIATRICIANS WHO SERVE AS PRIMARY CARE PROVIDERS (PCPS) FOR BABIES, CHILDREN, AND TEENS. REPLACED THE EXISTING MAGNETIC RESONANCE IMAGING MACHINE AT THE WEST KENDALL OUTPATIENT CENTER WITH A NEW MRI SYSTEM (Philips 1.5T Ambition), TRANSFORMING HEALTHCARE DELIVERY FOR CHILDREN. 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. BECAME THE FIRST CHILDREN'S HOSPITAL IN SOUTH FLORIDA TO OFFER IN-HOUSE PHARMACOGENOMICS TESTING AS PART OF NICKLAUS'S COMMITMENT TO PRECISION MEDICINE. NICKLAUS ACQUIRED THE BIOSYSTEMS PHARMACOSCAN SOLUTION AND GENETITAN MC FAST SCAN INSTRUMENT, WHICH COMBINES PHARMACOGENOMICS TEST RESULTS WITH OTHER INFORMATION SUCH AS A PATIENT'S OVERALL HEALTH, LIFESTYLE FACTORS, AND FAMILY HISTORY TO HELP DETERMINE A PERSONALIZED TREATMENT PLAN FOR EACH PATIENT. LAUNCHED HOSPITAL SAFETY FOR ALL, AN INTEGRATED SAFETY AND QUALITY FRAMEWORK, DESIGNED TO PREVENT HARM TO PATIENTS, STAFF, AND VISITORS. THROUGH THIS INITIATIVE, TEAMS ACROSS THE HEALTH SYSTEM COLLABORATE TO CONTINUOUSLY IMPROVE WORKFLOWS AND IMPLEMENT PROCESSES FOCUSED ON ACHIEVING QUALITY IMPROVEMENT MILESTONES. DUE TO THESE EFFORTS, THE HOSPITAL EXPERIENCED A SIGNIFICANT REDUCTION IN PREVENTABLE SAFETY INCIDENTS AND A DECREASE IN ALREADY RARE HEALTHCARE-ACQUIRED INFECTIONS. ESTABLISHED ONLINE SCHEDULING TO IMPROVE ACCESSIBILITY AND CONVENIENCE FOR CHILDREN AND FAMILIES IN SOUTH FLORIDA, GIVING FAMILIES THE OPTION TO SELF-SCHEDULE APPOINTMENTS WITH BOARD-CERTIFIED SPECIALISTS AND PRIMARY CARE PROVIDERS. ATTAINED MAGNET RECOGNITION BY THE AMERICAN NURSES CREDENTIALING CENTER'S MAGNET RECOGNITION PROGRAM FOR THE FIFTH CONSECUTIVE TERM. NICKLAUS CHILDREN'S IS ONE OF ONLY FIVE CHILDREN'S HOSPITALS IN THE NATION TO HAVE RECEIVED A FIFTH MAGNET DESIGNATION AND JOINED THE RANKS OF ONLY ONE PERCENT OF HOSPITALS NATIONWIDE THAT HAVE ATTAINED THIS FIFTH-TERM MAGNET MILESTONE. THE MAGNET RECOGNITION PROGRAM DISTINGUISHES HEALTHCARE ORGANIZATIONS THAT MEET RIGOROUS STANDARDS FOR NURSING EXCELLENCE AND IS THE HIGHEST AND MOST REGARDED HONOR AN ORGANIZATION CAN RECEIVE FOR PROFESSIONAL NURSING PRACTICE. NICKLAUS CHILDREN'S WAS THE FIRST PEDIATRIC HOSPITAL IN FLORIDA AND THE FIFTH PEDIATRIC HOSPITAL IN THE NATION TO ACHIEVE ANCC MAGNET DESIGNATION IN 2004. WAS NAMED A TOP CHILDREN'S HOSPITAL BY THE LEAPFROG GROUP. 2,400 HOSPITALS WERE CONSIDERED FOR THE AWARD THIS YEAR. AMONG THOSE, NICKLAUS CHILDREN'S IS ONE OF ONLY EIGHT HOSPITALS TO ACHIEVE A TOP CHILDREN'S DISTINCTION. WAS RECOGNIZED BY THE NATIONAL SAFE SLEEP HOSPITAL AS A "GOLD CERTIFIED" HOSPITAL FOR ITS COMMITMENT TO BEST PRACTICES AND EDUCATION O”

“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: 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 682 nurses with a 1% first year turnover, 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.”

“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.”

“CASUAL LABOR - Total Expense: 1864821, Program Service Expense: 1491857, Management and General Expenses: 372964, Fundraising Expenses: ; Medical fees - Total Expense: 46092563, Program Service Expense: 36874050, Management and General Expenses: 9218513, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 11159020, Program Service Expense: 8927216, Management and General Expenses: 2231804, Fundraising Expenses: ; INSPECTIONS - Total Expense: 6575, Program Service Expense: 5260, Management and General Expenses: 1315, Fundraising Expenses: ; ARTWORK, GRAPHICS - Total Expense: 43143, Program Service Expense: 34514, Management and General Expenses: 8629, Fundraising Expenses: ; DESIGN, PROTOTYPE - Total Expense: 120, Program Service Expense: 96, Management and General Expenses: 24, Fundraising Expenses: ; STORAGE FEES - Total Expense: 353647, Program Service Expense: 282918, Management and General Expenses: 70729, Fundraising Expenses: ; CLEANING SERVICES - Total Expense: 1601891, Program Service Expense: 1281513, Management and General Expenses: 320378, Fundraising Expenses: ; LABORATORY SERVICES - Total Expense: 6467911, Program Service Expense: 5174329, Management and General Expenses: 1293582, Fundraising Expenses: ; CONSULTANTS - Total Expense: 2152946, Program Service Expense: 1722357, Management and General Expenses: 430589, Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 172534, Program Service Expense: 138027, Management and General Expenses: 34507, Fundraising Expenses: ; MANAGEMENT FEE EXPENSE - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 40511051, Fundraising Expenses: ;”

“Net payments on swap agreements - 97443; Gain from subsidiaries - 11162702; Net change in fair value of swaps - 2359949; Change in value of charitable remainder trusts held by others - 136109; Change in beneficial interest in NCHF - 11075045; Equity transfer with affiliate - 3635003; Distribution to noncontrolling interest - -1309957; Guarantee of affiliate losses - -56779447; Release from restrictions for Capital - -99615; Total - -29722768;”