Miami Children'S Hospital Worker'S Compensation Trust

“MIAMI CHILDREN'S HOSPITAL WORKER'S COMPENSATION TRUST RELIED ON THE METHODS OF ESTABLISHING COMPENSATION USED BY NICKLAUS CHILDREN'S HEALTH SYSTEM, INC. No compensation was paid by this entity during the year, therefore this question 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.”

“MARIO MURGADO, MATTHEW A. LOVE, Jodi Laurence and Dawn Javersack have a business relationship due to serving on the board of directors of Children's Health Ventures.”

“Effective December 15, 2020, the board voted to terminate and dissolve the Miami Children's Hospital Worker's Compensation Trust. All assets were transferred to affiliated 501(c)(3) organizations. See attached board resolution of termination and dissolution.”

“Variety Children's Hospital d/b/a Nicklaus Children's Hospital, a Florida corporation, is the sole Member.”

“Variety Children's Hospital may remove the Trustee at any time and appoint a successor trustee.”

“Variety Children's Hospital (the sole member) has the right to amend the trust agreement in order to ensure that it conforms to the current laws and regulations governing this agreement as well as such amendments as the sole member deems necessary. The sole member may, in its sole discretion, at any time direct the Trustee to merge this Trust with other self-insurance trusts of other qualified hospitals or employers upon receipt of an opinion from an independent Counsel.”

“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.”

“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 conflicts 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.”

“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.”

“Effective December 15, 2020, the board voted to terminate and dissolve the Miami Children's Hospital Worker's Compensation Trust.”

“Transfer to Affiliate - -2930896;”

“The Form 990 for tax year ending 12/31/2020 has been amended to file a final return in accordance with the attached board resolution to terminate and dissolve the Miami Children's Hospital Worker's Compensation Trust. As a result of this amendment, the following part of and schedules to Form 990 have been changed: Form 990, Page 1, Header Box B, Amended and Final Return Form 990, Part III, Line 3 Form 990, Part IV, Line 31 Form 990, Part VI, Line 4 Form 990, Part X Form 990, Part XI, Line 9 Schedule N Schedule O narratives associated with the aforementioned schedules These amendments were a result of the termination and dissolution of the trust. These amendments were necessary to file a final return in accordance with the instructions to Form 990.”