Anywhere a report to the community 2013 Our mission: Table of Contents: We provide hope through 4 President and Chairmen’s Letter advanced care for our 5 Chief Medical Offi cer’s Letter children and families. 6 Miami Children’s Scores Perfect 10 in U.S.News Rankings 8 Miami Children’s Renews MagnetTM Recognition Our vision: 10 Miami Children’s Among Top Training We will be where Organizations the children are. 12 MCH Anywhere 14 Newest Star in Outpatient Network Values and guiding behaviors: 16 Jupiter Medical Center Affi liation We are passionate in serving the child and family. 18 InformationWeek Top 500 Ranking We respect and support each other. 20 Home to Russia with Love We foster a safe, caring, healthy environment. 22 New Full-Body Imaging System We are accountable. 24 Dazzling Families with Story-Time Magic We act with integrity. 25 FuXplore Room Expands Fux Center Off erings We collaborate. 26 Free EKG Program: Saving Hearts and Lives 28 4000th Heart Procedure Operating statement: 30 Drs. Rhodes and Wernovsky Join Heart Program 32 Building for the Children A network of comprehensive care 34 Victor Center for Prevention of Jewish centers with talented people Genetic Diseases dedicated to exceeding the 36 KidzStuff ™: Great Products Inspired by expectations of our children and Great Doctors families, by giving them control 38 Jump For Sports™: Preventing Sports Injuries and providing world-class service 40 Andrew Hibbitt: Triathlete Puts Epilepsy in a highly automated environment. Way Behind Him 42 Medical Education: Training Tomorrow’s Pediatricians 44 Research for a Brighter Tomorrow 46 Dr. Marisa Azaret: An International Voice for Children 48 Documentary Celebrating VACC Camp Takes Festival Prize 50 Jordanian Princess and Florida First Lady Visit Miami Children’s 52 Pillars and Lean Make a Diff erence 54 Interactive Health Helps Caregivers 56 Winning with ‘Lose to Win’ 58 2013 Community Benefi ts 68 Awards and Recognition 74 Miami Children’s Hospital Foundation 76 2013 MCHF Signature Events 80 Special Campaign Projects 82 Support 92 MCH Financial and Statistical Highlights 94 Hospital, Health System and Foundation Board of Directors 95 Senior Leaders and Medical Executive Committee 96 Miami Children’s Hospital Department Chiefs/Heads Hope Dear Friends, Dear Friends and Colleagues,

The world is a great big place – one that can seem especially daunting for Miami Children’s Health System is committed to serving children anywhere and everywhere. In families of children in far flung locations where healhcare access is a challenge. 2013, through our MCH Anywhere telehealth program, the caring hearts of our medical staff In 2013, Miami Children’s Health System took a giant step in bringing the touched the lives of children and families around the world in ways previously unimagined. world down to size for the littlest of patients. Other highlights of the year of anywhere are many: MCH Anywhere was born of the health system’s commitment to be where the children • A team of surgeons and cancer specialists offered new hope for the family of a little girl are. The program uses state-of-the-art technology to bridge the challenges of time and from Russia with an aggressive form of cancer. After a lengthy procedure to remove distance to bring children, families and referrers together with Miami Children’s specialists cancerous lesions, the child received “heated chemotherapy” to destroy any remaining who can offer the guidance they need. cancer cells. Today she is back home and remains cancer free. • The hospital’s commitment to offering free EKGs to prevent sudden cardiac death among Our state-of-the-art Telehealth Center, situated on the main campus, is making it student athletes led to a potentially life-saving intervention. A teen lacrosse player who possible for doctors in Peru, Russia and beyond to discuss complex cases and share participated in the screening was discovered to have a heart condition that could have essential medical data to better the lives of children anywhere the need arises. caused him to collapse on the playing field. Following a minimally invasive procedure, he’s back at school and in sports. Anywhere is a tall order. Miami Children’s Health System is up to the challenge. And even • Physician leaders in the hospital’s Heart Program and Brain Institute led research initiatives as we reach around the globe to offer care insight and second opinions, we are also hard at that promise new generations of treatment to help children with complex disorders. work to expand access to the system’s world-class care here in South Florida. • Miami Children’s was again ranked in all 10 pediatric subspecialties assessed by U.S.News In 2013, we opened a new ambulatory care center in Miami Lakes to extend service and World Report, with the neurology/neurosurgery programs ranked 10th in the nation. convenience to the community. This facility joins the network of eight outpatient facilities • Our medical staff grew to represent the largest collaboration of pediatricians and pediatric situated from Palm Beach Gardens to Palmetto Bay that bear the Miami Children’s name subspecialists in all of Florida. and commitment to pediatric care excellence. • Miami Children’s pediatric residency training program continues to boast the highest American Board of Pediatrics pass rate among programs in the state of Florida. 4 We are also forging important partnerships to enhance service access. Our 2013 affiliation 5 with Jupiter Medical Center is the latest in our expanding commitment to the Palm It is a great privilege to lead and work with a medical staff that continuously seeks to innovate, Beach community. diversify and adopt new techniques to make a difference in the lives of children. It is an honor to lead such a fine group of clinicians, researchers and academicians whose principal mission is to Anywhere indeed. You’ll find the inspiration of Miami Children’s physicians in surprising bring hope through superior care to children from any corner of the world. places. Our KidzStuff ™ retail brand, founded in 2013, features a range of innovative children’s products designed by pediatricians to solve everyday problems. Heartfelt appreciation is extended to our community, to our referring physicians and most importantly to the families who entrust us with the care of their children, every day and anywhere. Anywhere requires collaboration. We extend sincere thanks to our physicians, nurses, care staff, donors, volunteers and all members of the Miami Children’s Health System Sincerely, family for sharing this commitment in 2013 and beyond.

Sincerely,

Deise Granado-Villar, MD, MPH M. Narendra Kini, MD, MHA Gary Gregory, Juan Carlos Mas, Senior Vice President of Medical President and CEO Chairman, Miami Children’s Hospital Chairman, Miami Children’s Health System and Academic Affairs/Chief Medical Officer Another ‘Perfect 10’ For Miami Children’s In U.S.News Rankings

Miami Children’s Hospital pediatric specialty And in seven of the 10 categories, no other services were once again listed among the program in Florida ranked higher. “Best Children’s nation’s best, according to U.S.News & World Hospitals” pulls together clinical and operational Report ’s 2013-14 “America’s Best Children’s data from a lengthy survey completed by the Hospitals” rankings. majority of the 177 hospitals asked to participate 6 in the 2013-14 rankings. The survey asks hundreds 7 Miami Children’s was the only hospital in of questions about survival rates, nurse staffing, Florida to have programs included in all 10 subspecialist availability and many more pieces pediatric subspecialty categories ranked by of critical information difficult or impossible for the publication, including: those in charge of a child’s care to find on their own. The data from the survey is combined with • Cancer recommendations from pediatric specialists on • Cardiology and heart surgery the hospitals they consider best for children with • Diabetes and endocrinology challenging problems. • Gastroenterology • Neonatology For the full rankings and methodology, visit: • Nephrology www.usnews.com/childrenshospitals • Neurology and neurosurgery (ranked 10th nationwide) • Orthopedics • Pulmonology • Urology Third Time Still A Charm: Miami Children’s Renews MagnetTM Recognition

For the third consecutive time, Miami Children’s Hospital in 2013 achieved Magnet recognition – the gold standard for nursing excellence – as part of the American Nurses Credentialing Center’s (ANCC) Magnet Recognition Program. This credential is the highest honor an organization can receive for professional nursing practice.

8 “Magnet recognition is a tremendous honor and reflects 9 our commitment to delivering the highest quality of care to this community,” said Jackie Gonzalez, Senior Vice President and Chief Nursing Officer at Miami Children’s Hospital. “Our achievement of this credential for an additional four years underscores the foundation of excellence and values that drives our entire staff to strive harder each day to meet the healthcare needs of the special patients and families we serve.”

It has been nearly 10 years since Miami Children’s took its first steps toward Magnet recognition. In 2004 the hospital was proud to become only the fifth free- standing pediatric hospital in the nation to achieve this standing. The third designation is no less thrilling. It demonstrates the organization’s sustained dedication to excellence and innovation, evidence-based practice, collaboration, outstanding patient outcomes and safety. Miami Children’s Among Top Training Facilities

Miami Children’s Hospital was again ranked in 2013 among Training magazine’s “Top 125 Training Organizations.” Every year since 2006, the hospital has been included in the rankings, which recognize organizations that invest in employee development, innovative learning solutions, creative 10 web-based training solutions, leadership development 11 programs and more. Imagine a world in which healthcare is available at the touch of a button, where expert medical Reach assistance is just a moment away. Imagine no more.

12 Miami Children’s Health System in 2013 reinvented “ At Miami Children’s, 13 the healthcare experience, innovating to eliminate barriers of time and distance to support families we are always seeking around the globe who have children with specialized opportunities to serve care needs. MCH Anywhere is the fi rst pediatric telehealth program of its kind, off ering medical children and families guidance or a second opinion to families wherever the need arises. in need. MCH Anywhere is the true embodiment MCH Anywhere is supported by the health system’s state-of-the-art Telehealth Center, located on the of our vision to be main campus. The center was designed by doctors and consumer experts to facilitate review of diagnostic ‘ where the children are.’ information and enable sophisticated videocon- Children with healthcare ferencing, providing the framework for patients, families and referring physicians to consult with needs are everywhere the hospital’s renowned specialty and subspecialty around the globe, physicians, as well as pediatric therapists, dietitians and mental health professionals. and now, so are we.”

Dr. M. Narendra Kini, President and CEO Miami Children’s Hospital

Miami Lakes Is Newest Star In Outpatient Network

14 15 2013 was another stellar year for Miami Children’s Health System’s growing network of outpatient centers. The MCH Miami Lakes Outpatient Center became the newest star in the constellation, opening its doors with a lively community celebration in October.

The 32,600-square-foot facility, located at 15025 NW 77 Avenue in Miami Lakes, follows the same successful formula as the established centers, off ering pediatric rehabilitation services, imaging services (X-ray), after-hours urgent care and subspecialty physician appointments.

“2013 saw the completion of our eighth outpatient center,” said Nancy Humbert, Senior Vice President of Palm Beach Ambulatory Services. “No matter where you live in Miami- Gardens Dade, Broward or Palm Beach counties, there is a Miami Children’s outpatient center to serve your children.” Weston Miramar Miami Lakes The new center joins an established network of community- Doral Midtown based centers that continue to dazzle with increasing West Kendall Palmetto Bay patient volumes and satisfi ed patients and families who appreciate the ease of access. Jupiter Medical Center and Miami Children’s Partner to Enhance Pediatric Care Miami Children’s Hospital increased its commitment to serving children in Palm Beach County in 2013 with the formation of a partnership with Jupiter Medical Center aimed at expanding pediatric care off erings in the region.

The affi liation builds on the hospital’s commitment to the county that led to the 2010 and 2012 respective openings of the Miami Children’s Hospital Nicklaus Care Center in Loxahatchee and the Miami Children’s Hospital Nicklaus Outpatient Center in Palm Beach Gardens, both “Jupiter Medical Center and collaborations of the hospital and the Nicklaus Children’s Health Care Foundation. Miami Children’s Hospital are very similar institutions – we have “Miami Children’s Hospital is pleased to partner with Care Jupiter Medical Center as part of our commitment to be similar cultures, similar values and where the children are in South Florida. This new affi liation beliefs, and a similar dedication to with Jupiter Medical Center – a leader in adult healthcare quality and service excellence – builds on the vision of the provide world-class quality and Nicklaus Children’s Health Care Foundation to expand excellent patient care. Together, 16 access for children and families in need of specialized care and 17 assessment,” said Dr. M. Narendra Kini, President and CEO. through our partnership with

The fi rst phase of the partnership involves utilizing Miami Children’s Hospital, we telehealth technology in Jupiter Medical Center’s Emergency Department. Through this technology, Miami can bridge the gap between Children’s specialists will be able to confer with their world-class adult healthcare Palm Beach colleagues to review images, lab results, and capture vital assessment information in real time. Future and world-class pediatric plans include the addition of Miami Children’s emergency healthcare, so that our entire physicians onsite at Jupiter Medical Center. community benefi ts.” Other planned off erings included collaborations related to pediatric rehabilitation services, pediatric imaging and pediatric outpatient surgical services. The second phase John Couris, of the partnership will focus on implementing a Level 2 President and CEO Neonatal Intensive Care Unit and an inpatient pediatric Jupiter Medical Center wing at Jupiter Medical Center. Commitment to New Technology Boosts Hospital to Top of InformationWeek 500 Talk about taking it to the top! Miami Children’s Hospital in 2013 was ranked fifth in the entire nation in the 2013 InformationWeek 500 – a list of the top technology innovators in the U.S.

The MCH Information Technology Department has championed the use of technology in ways that optimize customer service, improve patient engagement and empower the patient and the consumer. “The IT Department at

“We are honored to be recognized as one of the nation’s Miami Children’s is leaders in information technology,” said Ed Martinez, Senior Vice President and Chief Information Officer. continuously working “This is a testament to the hospital’s dedication to using on ways to enhance advanced technology to cater to the needs of the patients and families we serve.” communication between “Miami Children’s Hospital is committed to optimizing the Cutting Edge Advancements that Benefit Patients patient and family experience. The new app is one of many patients and the hospital. and Families tools for supporting families in navigating the campus,” We are proud to deliver The MCH IT team worked its cyber magic in 2013, bringing said Mr. Martinez, “In our increasingly technically connected to life new technology and features to benefit patients world, the app adds a new dimension to the process.” these valuable tools to 18 and families. 19 To download the app, please visit the iTunes app store from help families manage their Smartphone App a National First: Miami Children’s in your mobile device and search for Fit4KidsCare. child’s health information 2013 became the first hospital in the country to launch a smartphone app for Apple iOS devices that uses Wi-Fi MyKid’s Patient Portal Provides Records Access: The more efficiently and triangulation technology to offer visitors the convenience hospital also went live in 2013 with MyKid’s patient portal, a of an on-campus indoor GPS-like way-finding system, web-based, secure portal that allows patients and their legal effectively.” along with other service enhancements. guardians online access to the child’s medical records. Ed Martinez, Senior Vice President The way-finding campus map is available through the Accessible at mykids.mch.com, patients, and their parents or and Chief Information Officer hospital’s Fit4KidsCare app. First launched in 2010 to offer guardians can view clinical summaries including prescribed Miami Children’s Hospital urgent care and emergency department wait times and medications, allergy information, immunization records, directions to the hospital and its outpatient centers, the app health issues and surgical history. MyKid’s also enables users was updated in 2013, using Meridian software development to review the visit history, discharge information, and lab kits for navigation and indoor positioning. Additionally, the results, as well as patient and surgical images. hospital also used Cisco’s 802.11n Wi-Fi network and the mobility services engine for computing location information For more information or to sign into MyKid’s, please visit in real time from hundreds of Wi-Fi access points. mykids.mch.com

Home to Russia with Love In April 2013, little Daria Rozhkova of Russia’s Ryazanskaya region and her family were fresh out of hope. Diagnosed with Lynch Syndrome, a genetic disorder that increases the risk of colorectal cancer, the child had undergone numerous surgeries and chemotherapy treatments aimed at curbing cancerous growths in her colon. Yet, after each exhaustive intervention, the cancer would return. Finally, the Russian doctors advised they could off er no hope that additional treatment would improve the child’s outlook and that Daria likely had but six months to live. “Our work with Daria

Fortunately, hope is a commodity in which Miami Children’s is a perfect example Hospital specializes. And thanks to a novel procedure and the collaboration of a 50-member multispecialty care of what Miami Children’s team at MCH, Daria and her family returned home to their native country in October with big smiles, a bright future for Hospital does best. Daria, and memories of new friendships forged at the famed children’s hospital. We reach beyond borders

20 “Daria is a brave little girl with a family who would not give and across cultures to help 21 up on her, “ said Dr. Andrea Maggioni, Medical Director of Global Health at Miami Children’s, who coordinated the MCH children in need. We wish care team, including surgeons, pediatric subspecialists, nurses and the Pediatric Intensive Care Unit staff . “The Daria and her family teamwork has been amazing and it has been our privilege to provide this family with the next generation of treatment.” every blessing as they

On September 18, a surgical team led by Dr. Cathy Burnweit, return home to resume Chief of Pediatric Surgery at MCH, performed a marathon 19-hour hyperthermic intraperitoneal chemotherapy (HIPEC) their lives.” or “heated chemotherapy” procedure that has only been used for pediatric patients at a handful of centers within Dr. Deise Granado-Villar, the U.S. Miami Children’s became the second hospital in Senior Vice President of the country to off er the pediatric procedure in 2011. Medical Aff airs/Chief Medical Offi cer

Miami Children’s Hospital After removing the cancerous tissue, Dr. Burnweit and her team introduced heated chemotherapy directly into the child’s abdomen. This treatment helps destroy tiny cancer cells that may linger following tumor removal and inhibit re-growth. “Daria has made a remarkable recovery after a challenging treatment. Our hopes are high that this intervention will off er her a healthy future,” said Dr. Burnweit. Support Miami Children’s Leads Way with New Full-Body Imaging System Miami Children’s in 2013 became one of the fi rst hospitals in Florida to acquire a new imaging system that off ers patients the advantages of three-dimensional full-body images in natural standing positions, combined with extremely low-dose radiation.

The new EOS Imaging System, situated in the hospital’s Department of Orthopedics, is available to support the care of children and teens with spinal disorders and injuries, as well as a range of musculoskeletal conditions involving the hips and knees.

This technology makes possible high-quality images with a radiation dose up to nine times less than a computed radiography X-ray and up to 20 times less than a CT scan. The device also reduces the amount of time it takes to conduct a radiological scan. “ The EOS Imaging System 22 What’s more, the imaging system enables physicians to 23 make more informed diagnosis and treatment decisions. advances MCH’s When images are taken in a natural standing or sitting commitment to provide position, it better captures the natural posture and joint orientation. the best possible care

The Radiology Department is a regional pediatric leader, through safe and prompt performing more than 120,000 radiological images diagnosis and treatment. annually. The hospital’s Department of Orthopedics is one of the few programs in the nation to include a As the region’s largest pediatric spinal surgery division. and most comprehensive For more information about imaging with the EOS system please visit MCH.com or eos-imaging.com. orthopedic practice, it is our commitment to off er the best and safest technology available.”

Dr. Harry Shuffl ebarger, Director of the Division of Pediatric Spinal Surgery Miami Children’s Hospital Diagnose Dazzling Families with Story-Time Magic In addition to helping entertain children with special Under the sea? The African savannah? Miami needs, the new FuXplore Room is also used to Children’s Hospital employees know no bounds when broadcast major sporting events, and host recreational bringing to life special experiences for children. and educational activities, including meditation, Zumba, yoga and more. Since 2012, the staff and volunteers of the hospital’s Michael Fux Family Center has created sets, costumes “We continue to seek ways and choreography to bring to life story-time musicals, based on Disney® blockbusters. Following the success to enhance the experience of the fi rst production, “The Little Mermaid,” staff for children and families knew that an encore was defi nitely in order. That set the stage for productions of “The Lion King” and in our care. The FuXplore “Tangled” in 2013. Each musical story-time production requires months of advance work, including set and Room adds a colorful costume design and rehearsals. 24 and interactive element 25 “The story-time musicals are one of the highlights of to surprise and delight my year,” said Jackie Gonzalez, Senior Vice President and Chief Nursing Offi cer, who serves as a frequent our special guests.” story-time narrator. “The creativity of the team in bringing these beloved stories to life is truly inspiring. Jackie Gonzalez, And when we share them with patients and families, Senior Vice President the response is amazing. For a little while, everyone and Chief Nursing Offi cer can forget about their medical care and just be lost in Miami Children’s Hospital the joy of the moment,” she said. Music Therapy Soothes Hearts and Spirits FuXplore Room Expands Center Off erings The Music Therapy Program at Miami Children’s Hospital An interactive play space, featuring gesture and truly hit a high note in 2013 thanks in great part to a very voice-controlled displays and special-eff ects equipment, generous donation of $1.25 million from an anonymous is adding to the magic in Miami Children’s Hospital’s donor. This gift enabled the hospital to continue Michael Fux Family Center, following a 2013 opening. expanding this unique program designed to support patients in coping with hospitalization. The donation The new FuXplore Room is especially geared for funded three full-time music therapists who provide children with special needs and adds a new both individual and group sessions. Through music dimension to the Michael Fux Family Center, which therapy, children can achieve self-expression, and off ers an array of special features to make families enhance pain management and coping skills. The at home. Off erings include libraries for both children Music Therapy Program is managed by the Child Life and adults, crafts rooms, a movie theater, kitchen, Department. It incorporates an interpersonal process laundry facilities, a gym and hair salon. in which music is used to help children with illnesses, injuries, disabilities or behavioral problems accomplish Engage individualized goals as part of their treatment and recovery. Andrew Lorenzen EKG Screening Program a Potential ” A typical school or Life-Saver for Miami Teen sports physical examination won’t Every three days, sudden cardiac death takes the life of a young seemingly healthy U.S. athlete. It’s a statistic that has galvanized a detect a potentially team at Miami Children’s Hospital to off er free screenings for middle dangerous heart and high school athletes, with the aim of identifying those at risk – problem, but an EKG and, ultimately, saving lives. will identify children Since 2012, nearly 1,500 young athletes have received free EKGs with heart anomalies through the program. Approximately 10 percent were referred to congenital 26 so that they can receive 27 cardiologists for additional testing to rule out heart disorders. the treatment they need For the Lorenzen family of Miami, the screening program may well have for a long and healthy meant the diff erence between life and death. life. No child should

Following a screening at Miami Children’s main campus in 2013, die from a preventable Andrew Lorenzen, an apparently healthy lacrosse player attending cause. I hope all Ransom Everglades School was identifi ed as having Wolff Parkinson South Florida parents White Syndrome, a high-risk condition that can result in sudden cardiac will consider having death during athletic activities. Andrew, now 13, later underwent a minimally invasive procedure that made it possible for him to return to their child tested.” sports without restrictions. Dr. Anthony Rossi The free screenings are available by appointment at eight Miami Head, Cardiac Critical Care Children’s Health System locations, including the hospital’s main Miami Children’s Hospital campus in Schenley Park near Coral Gables, as well as at MCH out-

patient centers in Doral, Miami Lakes, Midtown, Miramar, Palm Beach Gardens, Palmetto Bay and West Kendall.

For more information or to schedule an appointment please call The Heart Program at Miami Children’s Hospital toll-free at (855) MCH-EKGS or (855) 624-3547.

Receiving a free EKG is not conditioned on ordering any other item or Save service from Miami Children’s Hospital or its medical staff . The Heart Program Celebrates Milestone

The doctors and nurses who save little hearts at Miami Children’s had a big milestone to celebrate in 2013. Practitioners of the hospital’s renowned Heart Program paused to recognize the 4,000th open-heart surgery performed by the team since 1995, when the current top-performing cardiac surgeons joined the esteemed heart program.

Joining in the celebration was the family of the 4,000th patient, Daniella Fernandez, who is the granddaughter of Miguel “Mike” B. Fernandez, one of the hospital’s most generous donors and the namesake for the enhanced “ High volumes, 28 Miguel “Mike” B. Fernandez Family Pediatric Trauma 29 Center in the new Emergency Department. Also joining experience and was Miguel Soler, 18, who was the fi rst patient of the outcomes are new surgical team in 1995. what defi ne the “No other program in the region performs anywhere top centers. We near the volume of complex procedures that characterize our program,” said Dr. Robert Hannan, are proud to be a pediatric cardiovascular surgeon who spearheaded the celebration. the leading program in the Further, no other pediatric cardiology and cardiovascular surgery program in Florida ranks state of Florida.” higher, according to U.S.News and World Report’s

2013-2014 “Best Children’s Hospitals” rankings. The Dr. Robert Hannan Heart Program is also committed to posting real-time Pediatric Cardiovascular Surgeon surgical outcomes on the program’s website. It is the Lead only program in the country to do so. New Leaders Join Miami Children’s Heart Program Two nationally Dr. John F. Rhodes, Jr., was appointed known pediatric Medical Director of Pediatric Cardiology cardiology leaders Service and the Adult Congenital Heart Program. Dr. Rhodes served previously joined The Heart as Chief of the Duke Clinical Heart Program at Miami Program and Duke Children’s Heart Center in Durham, North Carolina. Children’s in 2013. He was also Co-Director of the Duke Adult Congenital Heart Program. The new physicians Dr. Rhodes received his medical degree from The Brody School are pooling their of Medicine in Greenville, North Carolina and completed his fellowship in cardiology at The Mount Sinai Medical Center skills and talents in New York. He pursued additional training in interventional catheterization for children and adults at The Cleveland Clinic with the estab- Foundation in Cleveland. Dr. Rhodes’ clinical interests involve lished program diagnostic and interventional catheterization procedures for children and adults with complex congenital heart leadership, which disease. He has helped pioneer several techniques, including was instrumental transcatheter atrial septal closure, echocardiographic imaging to guide catheter interventions, cutting balloon angioplasty in the program’s of stenotic branch pulmonary arteries, and pulmonary vein stent angioplasty for pulmonary vein stenosis following establishment as radiofrequency ablation of atrial fi brillation. 30 31 one of the top Dr. Gil Wernovsky was appointed pediatric cardiology Medical Director of Patient - and Family-Center Care within the cardiac and cardiovascular service line. Prior to joining Miami surgery programs Children’s, Dr. Wernovsky served as the Director of Program Development in the nation. at the Cardiac Center at The Children’s Hospital of Philadelphia, and the Associate Chief of the Division of Pediatric Cardiology. He was also the Medical Director of the Neurocardiac Care Program, and the former Medical Director of the Cardiac Intensive Care Unit. Dr. Wernovsky received his medical training at Pennsylvania State University, and his pediatric training at New York Hospital. He completed additional training in pediatric cardiology and cardiac intensive care at Boston Children’s Hospital, and had a faculty appointment at Harvard Medical School. In Philadelphia, he was a professor of pediatrics at the Perelman School of Medicine at the University of Pennsylvania. Dr. Wernovsky’s clinical interests include the intensive care of newborns with critical congenital heart disease, mechanical support of the failing circulation, and outpatient follow-up of complex congenital heart disease. For over 25 years, he has focused on the long-term functional outcomes following surgery for complex heart disease, particularly transposition of the great arteries, and forms of single ventricle defects such as Trust hypoplastic left heart syndrome. Funding for this project Building For The Children is made possible through Together For The Children, Bob the Builder, public television’s pint-sized The construction will include the expanded animated construction guru, would have been right Miguel “Mike” B. Fernandez Family Pediatric the Campaign for Miami at home on the Miami Children’s Hospital main Trauma Center, featuring new critical care campus in 2013. Cranes, cement trucks and hard bays – made possible through the generosity Children’s Hospital. hats dotted the campus as construction teams of Miguel B. Fernandez and his family. The To help support this worked to bring to life an expanded Emergency Emergency Department expansion, which is Department and a new Imaging Department. scheduled to be completed at the end of 2014, initiative please will also include an orthopedic fracture center. “We made huge strides in 2013 toward the creation visit mchf.org/together of the expanded Emergency Department and Advanced Pediatric Care Pavilion or call Miami Children’s Imaging Department, projects that make way for These projects are setting the stage for the our planned new Advanced Pediatric Care Pavilion,” planned 217,000-square-foot Advanced Hospital Foundation said Nikole Sanchez-Rubiera, Vice President of Pediatric Care Pavilion. The six-story structure, at 305-666-2889. Transformation. “We continue on a course that slated to open in 2016, will offer an enhanced will transform our campus and create a care care environment for children and families. Plans environment consistent with the caliber of care call for construction of three new private-room 32 offered by our world-class physicians and staff.” intensive care units, affording families optimized 33 care space for children with critical healthcare Paving the Way needs. In addition, the building will feature a To prepare for the tower construction, the new family center, amenities and outdoor respite hospital in 2013 focused on relocating and spaces adjacent to the first floor lobby. expanding the hospital’s Imaging Department, resituating each individual service within the The Cardiac Intensive Care Unit will occupy the department separately while continuing to meet second floor, with the third and fourth floors the service demands of the community. housing the Pediatric Intensive Care Unit and Neonatal Intensive Care Unit respectively. The new 40,000-square-foot Imaging The fifth floor will feature a new Neurology/ Department houses the hospital’s magnetic Neurosurgery Unit and the Miami Children’s resonance imaging (MRI), ultrasound, X-ray, Cancer Center. Plans are still being developed for nuclear medicine, positron emission tomography the sixth floor. (PET) and computed tomography (CT) services. The project is one of the seven priorities of Emergency Department Expansion Takes Shape Together For The Children, The Campaign for Miami Bigger and better. That’s what’s in store for Children’s Hospital. To help support this initiative Miami Children’s Hospital’s popular Emergency please visit mchf.org/together or call Miami Department. Work advanced in 2013 on an Children’s Hospital Foundation at 305-666-2889. expansion and update of the department, which continued to welcome record numbers of patients. Twenty new exam rooms and an enhanced waiting area, offering activities for children of all ages, were being added. “The Miami Children’s A Commitment To Preventing Brain Institute has long Genetic Diseases

been a leader in providing A simple blood test. That’s all it takes. With that, a man or care for children with women of Jewish heritage can learn whether he or she is a carrier of genetic diseases that occur with greater frequency genetic disorders and in the Jewish population. For those considering becoming parents, the laboratory results can lead to informed choices their families through our and healthier futures.

Neurogenetic-Metabolic As part of a commitment to future generations, the Miami Children’s Brain Institute in 2013 became the new home Program. Providing a home of the Victor Center for the Prevention of Jewish Genetic for the Victor Center is a Diseases in South Florida. The program off ers comprehensive genetic education, counseling services and aff ordable natural extension of our screenings for 19 Jewish genetic diseases. Funding support is provided by Miami Children’s Hospital Foundation. role, helping families The Ashkenazi Jewish population – those whose ancestors of Jewish descent better are from Central Eastern Europe, including Poland, Russia, 34 Germany and Lithuania – are at increased risk of passing 35 understand their genetic certain genetic diseases to future generations. It is estimated risks through awareness that one in four Ashkenazi Jews is a carrier for at least one of 19 genetic diseases. building, genetic testing With a blood test, a person’s genes can be examined for and counseling.” changes or mutations that determine whether he or she is a carrier. Anyone with at least one Jewish grandparent should Dr. Prasanna Jayakar, Director be screened. The Victor Center provides full service genetic Miami Children’s Brain Institute counseling and screening to all interested individuals and couples through the hospital’s main campus as well as through community screenings.

The 19 genetic diseases encompassed in the screening include: Bloom syndrome, Canavan disease, cystic fi brosis, dihydrolipoamide dehydrogenase defi ciency (DLD), familial dysautonomia, familial hyperinsulinism, Fanconi anemia type C, Gaucher disease type 1, glycogen storage disease type 1a, Joubert syndrome, maple syrup urine disease, mucolipidosis IV, nemaline myopathy, Niemann-Pick disease type A, spinal muscular atrophy, Tay-Sachs disease, Usher syndrome type 1F, Usher syndrome type III and Walker-Warburg syndrome.

For more information about the Victor Center at Miami Prevent Children’s Hospital, please call 786-897-9587. “We have the best think tank in the world here at Miami Children’s. Our doctors, nurses and staff have daily interactions

KidzStuff ™: Great Products Inspired by Great Doctors with parents and Miami Children’s Health System in 2013 launched children and out of KidzStuff ™, a new retail brand featuring a range of Innovate innovative children’s products designed by pediatricians those interactions to solve everyday problems. brilliant ideas Proceeds from KidzStuff ™ will support philanthropic are born.” works of Miami Children’s, a leading provider of healthcare services for medically needy children in South Florida. Among the fi rst KidzStuff ™ products to be off ered are two Dr. M. Narendra Kini, President and CEO baby rompers specially designed to protect babies and Miami Children’s Hospital infants from the sun and from insect bites. 36 37 Sun Blocker Romper from KidzStuff ™ This product is the fi rst UPF-rated one-piece romper with a built-in hoodie for babies. Rated UPF 40, the specially designed breathable, lightweight fabric provides a chemical and lotion-free defense against the sun.

Insect Shield® Romper from KidzStuff ™ This romper is the fi rst insect-repellent one-piece for babies currently on the market. It contains a patent-pending technology for treating apparel that protects infants from mosquitos and other insects including those that carry insect-borne diseases.

For further information, visit the KidzStuff TM website at: shopkidzstuff .com “Our rehabilitation Preventing ACL Injuries teams – in collaboration in Young Athletes

with our orthopedic Each year, more than 250,000 to 300,000 people surgeons – provide – mostly female teens or college-age athletes – experience an ACL (anterior cruciate ligament) therapy for a great injury. Teen girls and women are three times more Provide likely than their male counterparts to experience many young athletes this type of knee injury. recovering from ACL Those who sustain ACL injuries often require injuries. I applaud their surgical intervention and extensive physical leadership in seeking therapy to recover, and one in four eventually experiences a second ACL injury. to prevent these What if such injuries could be prevented in painful injuries through the fi rst place? That’s the goal of a new program education and outreach.” developed in 2013 by the Rehabilitation Department at Miami Children’s. Jump for SportsTM 38 is an eight-week program of neuromuscular 39 Nancy Humbert, and plyometric training designed to improve Senior Vice President of performance and prevent ACL injuries. Ambulatory Services Designed for athletes participating in soccer, volleyball, cheerleading, dance, skating, and basketball, Jump for SportsTM incorporates a dynamic warm up; neuromotor training; and agility and resistance training exercises. The focus is on performance enhancement through improving leg strength, improving balance and agility, and improving jump mechanics with emphasis on safe techniques.

For patients who have already suff ered an ACL injury, the team has also developed Jump for Return to SportsTM to help retrain patients.

For more information on both programs, please call 786-MCH-JUMP (786-624-5867). Triathlete Puts Epilepsy Way Behind Him “It’s great to be With each triathlon he concludes, Andrew Hibbitt puts more distance between the aspiring pro athlete he is able to compete today and his childhood self – the boy with epilepsy without fear that who could not run, swim or bike without fear. my body will let me Andrew’s seizures began when he was 6 and progressed over the years despite medications. A child who loved down. I never have sports and being active, he recalls being pulled to safety to worry anymore.” from a pool after he had a seizure while swimming and the time a seizure caused him injury when he Andrew Hibbitt tumbled from his bike. Each year seemed to bring more limitations and by the time Andrew was in high school, he was collapsing at school when seizures struck. Strive Doctors at Miami Children’s Brain Institute, led by Dr. Trevor Resnick, Chief of the Department of Neurology, suggested that surgery might off er Andrew, then 17, the chance for a normal life. Sophisticated brain mapping at the hospital’s highly ranked neurology/neurosurgery program revealed that the malfunctioning tissue could be surgically removed, but was situated very close to 40 areas of the brain associated with motor skills. The 41 Hibbitts entrusted Andrew to neurosurgeon Dr. Sanjiv Bhatia, a member of the institute’s team of nationally renowned neurosurgeons. The young Miami Springs triathlete’s life today is testament to the surgery’s success and the world-class care provided by the entire multidisciplinary team of epileptologists, nurses, imaging technicians and more.

Now 23, Andrew has been a top fi nisher in triathlons in Florida, Iowa and South Carolina. He competes in approximately 12 events per year with his eye now on achieving professional status. Given his recent top-of-age group and top-three performances in several events, the goal seems well within reach for Andrew, who is still a relative newcomer to the sport.

Wherever his competitive nature takes him, Andrew knows he has a large cheering section at Miami Children’s Hospital. A Regional Leader in Pediatric Education

When Miami Children’s began training future pediatricians in 1962, gas was 25 cents a gallon and movie tickets cost a mere 50 cents. More than 50 years have gone by and Miami Children’s Hospital’s pediatric teaching program has grown to become the largest in the Southeast, providing top-quality training for 84 pediatric residents and 33 subspecialty fellow trainees annually in 10 pediatric subspecialties.

Pediatricians and subspecialists who received training at Miami Children’s are now practicing throughout the nation and in countries around the world.

Highlights of the 2013 training program include:

• Miami Children’s residency program continues to boast the highest American Board of Pediatrics (ABP) 42 pass rate among programs in the state 43 of Florida.

• Sixty-two percent of the 2013 residency program graduates went on to accept prestigious subspecialty fellowships.

• Equally important, 38 percent of the 2013 graduates went on to pursue careers in primary-care pediatrics, with several securing positions right here in the South Florida community.

Miami Children’s also supports the pediatric community by keeping practitioners informed of the latest developments in the fi eld of pediatrics. For 49 years, the hospital has hosted “Perspectives in Pediatrics,” the longest-standing pediatric postgraduate course in the nation. More than 800 pediatricians from all over the world come to South Florida annually to participate in this renowned program, which features experts Teach from all over the world. Research for a Brighter Tomorrow

Medical treatments of tomorrow are available to the Exploring Better Treatments for region’s children today, thanks to the work of the Miami Pediatric Cardiac Patients Children’s Hospital Research Institute, a regional leader Heart valves that can be implanted via a catheter, in bringing the newest innovations for the diagnosis, rather than open-heart surgery, show great promise in treatment and cure of pediatric illnesses. supporting the care and improving the lives of patients with valve disorders, many of whom must undergo Search In 2013, the institute was engaged in 225 active research repeated interventions over a lifetime as valves wear out studies funded through academic affi liations, grants, and require replacement. The Heart Program at Miami industry, the Children’s Oncology Group and the Miami Children’s is participating in a study to assess the safety Children’s Hospital Foundation. and eff ectiveness of the Edwards SAPIEN™ Transcatheter Heart Valve in patients with dysfunctional right Medical specialties involved with clinical research studies ventricular outfl ow tract (RVOT). Miami Children’s is the during the year included adolescent medicine, radiology, only facility in Florida off ering this treatment. The study is cardiology, neurology and neurosurgery, critical care, led by Dr. John Rhodes of the Division of Cardiology. dentistry, urology, psychiatry, gastroenterology, genetics, orthopedics, pulmonology, pediatric surgery, nursing Testing of Compounds to Increase and hematology-oncology. 44 Knowledge in Cancer Treatment 45 Can natural herbal remedies used as part of traditional Chinese therapy help improve the treatment experience 2013 Research Highlights: for patients with cancer? A team at the Miami Children’s Research Institute is doing preclinical research to Humanitarian Use of Activa® assess whether defi ned extracts from 14 herbs used in Deep Brain Stimulation Therapy Chinese therapy can support the immune system and Dystonia is a debilitating progressive disorder in which reduce chemotherapy-induced side eff ects in cancer sustained muscle contractions cause abnormal body patients. Pre-clinical research supports the observations posture and twisting of limbs in aff ected children. No of clinical studies conducted in 2013 evaluating the specifi c treatment is available for the disorder though eff ect of LCS101 in reducing side eff ects and enhancing deep brain stimulation (DBS), via implantation of a immune support. The LCS101 research is led by medical device similar to a pacemaker, has helped Dr. Steven Melnick, and Cheppail Ramachandran, PhD, control and in some cases, decrease symptoms. The of the Division of Pathology. Research Institute in 2013 obtained approval from the FDA for humanitarian use of deep brain stimulation for the treatment of dystonia and is managing the required supervised research protocol. The study is led by Dr. Sanjiv Bhatia of the Division of Neurosurgery and Dr. Sayed Naqvi of the Division of Neurology.

Miami Children’s Chief Psychologist ” My work with CNN and an International Voice for Speak Darkness to Light allows Children’s Health and Safety Miami Children’s Chief Psychologist, Dr. Marisa me the best of all worlds. Azaret, continued to serve as an international champion for wellness in 2013. Dr. Azaret serves I can continue to serve as a medical reporter and commentator for CNN en Español, CNN’s independently produced children and families 24-hour Spanish network. Dr. Azaret also through traditional produces quarterly Vive La Salud health specials for the network. practice, while also 46 47 The award-winning broadcast journalist manages reaching a wider all this while continuing to serve as chief audience to share psychologist at Miami Children’s, a role that includes patient and family interaction. information on health, wellness and protecting Separately, Dr. Azaret also serves as the Spanish- language host for a sexual abuse prevention children from abuse.” training program developed by Darkness to Light, an organization dedicated to ending child sexual Dr. Marisa Azaret abuse by empowering adults to be more aware and Chief Psychologist vigilant of those at risk. She records educational Miami Children’s Hospital modules that are shared with Spanish-speaking medical professionals, business professionals, teachers and parents. Documentary Celebrating Hospital Camp Takes Toronto Film Festival Prize VACC Camp: Camp “Can Do,” a documentary fi lm featuring Miami Children’s Hospital’s Ventilation Assisted Children’s Center (VACC) Camp, received the third place prize in the “Feature Documentary” category at the 2013 ReelHeART International Film Festival in Toronto.

The 88-minute fi lm was written, produced and directed by award-winning South Florida fi lmmaker Dan Perez, and documents the 25th anniversary of VACC Camp, the nation’s fi rst week-long camp for ventilation-assisted children and their families. VACC Camp gives children the opportunity to enjoy activities that are not readily accessible to them because of their dependency on medical technology. Many of the children are wheelchair bound and have limited, if 48 any, movement from the neck down. 49

The fi lm depicts the challenges these children and their families face on a daily basis as well as the impact the campers have on the camp organizers, including volunteers, nurses, medical residents, respiratory therapists and child life specialists who volunteer their time to ensure the children receive round-the-clock care.

VACC Camp was founded in 1986 by Dr. Moises Simpser of the hospital’s Division of Pulmonology with the goal of providing children and their families a week of freedom and independence from medical limitations. “VACC Camp: ‘Can-Do’ provides a clear visual description of the impact that VACC Camp has from the simple smile on a camper’s face to the expressions of happiness in their parents’ faces,” said Dr. Simpser. The fi lm is a testament to the way VACC Camp changes the lives of everyone involved.

Throughout the years the camp has been attended by children from all over the world representing many states and countries. For more information about VACC Camp Improve please visit vacccamp.com Share Awaiting Photo

Leading Ladies from Near and Far Visit Miami Children’s 50 A Jordanian princess and the fi rst lady of 51 Florida both paid calls to Miami Children’s Hospital in 2013.

In March, Princess Zein bint Al Hussein of Jordan visited the hospital to meet administrators and greet hospitalized children. Her Royal Highness toured the hospital to learn about some of the latest developments in medicine off ered at Miami Children’s and toured the hospital’s Telehealth Center.

In April, Florida First Lady Ann Scott toured the hospital, including the sites of the future Advanced Pediatric Care Pavilion and expanded Emergency Department and read to children in the hospital’s day care center.

Thank you, leading ladies, for making Miami Children’s part of your busy year! Foundations of Success: Pillars and Building Blocks “We have established common When children are counting on you, everything you do counts. ‘Pillars and Building Blocks’ Miami Children’s Health System ensures that each and known to staff and shared with every member of the hospital family takes part in key initiatives through an operational framework that identifi es all new hires that keep us common focuses so that all are aligned. moving forward together.” “Each year leadership establishes specifi c goals to support our established Pillars. Teams are assigned to support Nikole Sanchez-Rubiera, the goals and each quarter we review progress and, make Vice President of Transformation adjustments, if needed, to ensure that targets are met,” said Miami Children’s Hospital Nikole Sanchez-Rubiera, Vice President of Transformation.

Providing the framework, are these fi ve Pillars: Continuous Improvement the Miami Children’s Way People: Strengthen recruitment, retention and talent Build Leaning in is a way of life at Miami Children’s Health development System. When seeking ways to improve the patient Growth: Increase volume to drive favorable returns on experience or increase operational effi ciency, employees investments know to tap the Lean methodology and the Lean tool kit for success. Quality: Advance a high quality, consistent patient experience as refl ected by quality and outcome measures The hospital fi rst embraced Lean in 2008 and the 52 Margin: Strengthen fi nancial performance and fl exibility results continue to dazzle, with more than $8.9 million 53 Service: Expand the health system brand via a in savings attributed to Lean-based effi ciencies, as well diff erentiated patient experience as reductions in patient wait times, discharge times and surgical start delays. In addition to Pillars, the hospital also has Building Blocks that support it in achieving goals. These include “Our entire organization speaks the language of digitization, ethics and compliance, using the Lean process Lean,” said Nikole Sanchez-Rubiera, Vice President of improvement model, fostering collaboration through Transformation. “When challenges arise, all departments the “MCH Way” that guides culture, and philanthropy and teams know to look to Lean tools, including supported by the MCH Foundation. ‘spaghetti’ diagrams, visual management, standard work and value stream mapping for sustainable solutions.”

Since implementation, the hospital has created a department devoted to advancing Lean thinking and has trained 80 internal Lean champions to map clinical and operational processes and identify opportunities for improvement. In addition, 1,000 employees – approximately 33 percent of staff – have been trained in Lean methodology and Lean tools application.

To help other organizations interested in improving business practice, the hospital is off ering Lean consulting services. For more information, contact [email protected] or call 305-663-8497. Taking Care of Those Who Take Care of Children “Through our work with The staff of Miami Children’s Health System is accustomed to putting children fi rst. Now, thanks to Interactive Health, we an enhanced health incentive program adopted by the are increasing our hospital in 2013, many employees are learning to make their own well-being a bigger priority. commitment to supporting

The program, administered by Interactive Health – our employees through a leader in outcomes-based wellness solutions – utilizes enhanced assessment and lab results from participating employees to help identify those requiring treatment and lifestyle changes, and intervention assistance. provides resources to help employees make those changes. A total of 92 percent of the 3,200 health system Those identifi ed with employees participated in the program. Following the medical conditions on-site health evaluations, Interactive Health contacted 399 health system employees whose test results showed requiring treatment are they required immediate medical attention, and 636 provided tools to help employees were enrolled in health coaching as a result of newly discovered health risks. them improve their health as well as incentives for 54 All employees participating in the program received 55 a confi dential report explaining their test results. taking ownership.” Interactive Health provides guidance and resources to help employees strive toward health and wellness by Michael Kushner, modifying behaviors and helps facilitate employees Senior Vice President and Chief Talent Offi cer obtaining medical care as needed. Miami Children’s Hospital

“At Miami Children’s, the health of our highly specialized and experienced workforce is essential to our success,” said Michael Kushner, Senior Vice President and Chief Talent Offi cer.

Going forward, employees and participating spouses are provided with attainable health goal targets. Some need to maintain their health while others have specifi c goals to achieve. Those who maintain or achieve the target results next year following the annual lab tests will be eligible for the incentive insurance premium reductions. Help 56 57

Lose to Win Program Brings Stunning Results Losing led to success at Miami Children’s Health System in 2013, based on results of a new employee weight-loss initiative developed by the organization’s health and wellness team.

A total of 13 employees completed the fi rst eight-month Lose to Win program, shedding a combined 628 pounds, for an average of 48 pounds per person!

The program’s success can be attributed to a combination of team competition, coaching by dietitians, regular group exercise and regular Win weigh-ins to measure success. Community Benefi ts

Miami Children’s: Making a Diff erence for Children Each and Every Day

Miami Children’s Health System is proud to be here for the children – and for the South Florida community we have been pleased to call home for more than 60 years. The health system leaves its imprint on the community in a great many ways, from the many millions of dollars in uncompensated medical care provided annually for disadvantaged families to training of the pediatricians and pediatric subspecialists of tomorrow. You’ll also see our hand in countless enrichment programs that improve children’s lives – from specialty summer camps for youngsters with critical illnesses to preventive 58 medicine outreach programs and classes to help 59 families safeguard children. We are proud to make a diff erence each and every day. Here’s how:

An Economic Force in Miami-Dade County Miami Children’s contributes to the local economy in many ways. The health system employs a workforce of more than 3,400 employees. During 2013, the hospital contributed more than $66 million in construction spending to the local economy for projects paving the way for its planned new Advanced Pediatric Care Pavilion.

Providing a Safety Net for Children Miami Children’s is the state’s leading provider of healthcare services for medically needy children. Each year the health system contributes from $16 million to $20 million in uncompensated care. It’s part of Miami Children’s role as a regional safety-net facility, providing care for uninsured and underinsured children who need the pediatric specialty services that have earned the hospital stature among the nation’s best pediatric hospitals. In addition to uncompensated care, 63 percent of patients are funded by Medicaid or Community a Medicaid HMO. We are indeed here for the children! Community Benefits

Training Tomorrow’s Pediatric Specialists Medical Outreach to Serve Those in Need At Miami Children’s Hospital, the next generation of Health Connect in our Schools: Through this program, Miami pediatricians and pediatric subspecialists is already hard Children’s provides staffing for 12 clinics in the Miami-Dade at work. The hospital is proud to be the largest provider of County School system, offering primary care, first aid, vision, pediatric medical education in the southeastern United height/weight, body mass index screenings, and assessment States, offering training for 84 pediatric residents and 33 and referral as needed. The nurses not only offer primary subspecialty fellows annually. Contributions to physician care services for students, but also offer health education and nursing education include a high-tech pediatric to parents and school staff on topics of interest. During the simulation program featuring child-size medical mannequins 2013 school year, the program provided services to more that duplicate the physiological responses of children. than 6,915 children.

60 Primary Care Supporting New Mothers in Caring for Babies: 61 Miami Children’s provides primary care and a medical home To help new mothers meet the needs of premature babies, to the Medicaid population through its Pediatric Care Center the Division of Preventive Medicine partnered with The located on the hospital’s main campus. The Pediatric Care Children’s Trust to provide parenting work groups for first- Center offers full-service pediatric and adolescent primary time mothers, teen mothers, and mothers with babies in and specialty care for children from infancy up to 21 years the hospital’s Neonatal Intensive Care Unit. The focus of the of age. The center, which hosted about 12,750 visits in program is to support new parents in understanding the 2013, provides comprehensive, coordinated and family- importance of bonding and attachment with babies. centered clinical care with the goal of supporting families in the promotion of children’s health and the prevention of childhood diseases. The Pediatric Care Center accepts all types of insurance, including Medicaid. For those without insurance, a sliding-scale payment structure is in place based on ability to pay.

Pediatric Dental Services Miami Children’s is a regional leader in providing dental services – including outpatient services and surgical services – to medically underserved children and adolescents. The demand for these services exceeds capacity. The Pediatric Dental Residency Program, situated at Miami Children’s Training Tomorrow’s Hospital Doral Outpatient Center, provided care for ap- proximately 22,000 patients in 2013, while a new Adoles- Pediatric Specialists cent Dental Program treated nearly 900 patients. Community Benefits

Classes and Programs to Promote Specialty Camps Brighten Lives of Children’s Well-Being Children with Chronic Illnesses Several Miami Children’s departments – including the As part of a holistic approach to the care of critically ill Division of Preventive Medicine, the Department of Staff children, Miami Children’s offers a series of annual special and Community Education, and the Child Life Department camps that have enriched the lives of thousands of children – work collaboratively to offer a variety of health- and from South Florida and beyond. Programs offer children safety-related classes and programs for parents, caregivers with special needs the chance to enjoy activities and and children. Topics include: cultivate friendships with children with similar needs in a safe and supportive setting. Offerings include: • Breastfeeding • CPR for parents and caregivers • Camp Funrise, a specialty camp for children with 62 • Child safety seat inspection station, offering inspections arthritis and related conditions conducted by the 63 of safety seats for proper installation, product recalls and hospital’s Division of Rheumatology. The week-long appropriateness for the age of the child summer camp is for children ages 8 to 12 whose • Child life community field trips special needs make it impossible for them to attend • Diabetes management for children and teens other camps. • First Aid • Diabetes Youth Camp, a week-long camp for • Infant massage children ages 6 to 12, managed by the Department • Internet safety of Endocrinology. Children participate in managing • Parenting skills their health, while having fun with other children • Pool Safety with diabetes. • Safe Sitter Program (8-hour program that instructs • Camp United Order True Sisters, a seven-day sleep- teens in caring for small children) away camp for children ages 7 to 17 who have cancer. • Safety on Wheels rallies, available on request to The camp helps the children develop self reliance inspect wheeled craft for safety and teach children while forming bonds with other children with cancer. about riding safely, including use of helmets. • Ventilation-Assisted Children’s Center (VACC) Camp, • Safety health fairs (offered on campus and on location) a week-long camp for children requiring ventilation • Sibshops offering interactive activities and support assistance and their families. for siblings of children with chronic health conditions • Camp DMC, a multi-week therapeutic day camp for • Swimming lessons children with autism and related disorders. The program provides fun-filled activities to enhance each child’s social and communications skills. Community Benefits

Supporting Families of Hospitalized Children When a child is hospitalized, the stress on the family can be enormous. To help support families of children in its care, Miami Children’s offers a network of support services ranging from lodging near the hospital to free meals and special services to reduce stress.

• Miami Children’s Devonshire Apartments feature 20 apartment units located two blocks from the hospital. Units are made available to families from beyond Miami-Dade County at minimal cost. • Free meals from the hospital’s cafeteria are made available to disadvantaged families of hospitalized children. • Taxi vouchers are made available to provide transportation for disadvantaged families. • Free parking is offered in the hospital’s parking garage and a free shuttle service helps families navigate the campus. • Miami Children’s features a full-service family resource center. The Michael Fux Family Center offers amenities, including laundry services, a movie theater, business center, library, exercise room, kitchen, children’s art and 64 video center, showers and lockers, a breastfeeding room, 65 massage and hair services, and an ongoing calendar of activities including scrapbook-making, classes on health topics and other diversions for patients and their families. All services are offered to families without charge. • Educational tools, internet access, a hospital guide and numerous entertainment options are available to hospitalized patients and their families through the GetWellNetwork®. Options available include movies on demand, a variety of television channels, games, storytelling and music as well as tools for sharing information about the family’s needs, expectations and satisfaction with services. • Miami Children’s offers several play rooms and teen rooms to enhance the care experience for children and families. The hospital’s large play room includes an outdoor screen- enclosed area. Two teen rooms are furnished with teen- friendly equipment. • Specially trained therapy dogs and their owners visit children at the hospital several times per week. • The Big Apple CircusSM Clown Care program brings laughter and joy to the bedsides of hospitalized children. • Child Life Specialists are available to help children understand what to expect while they are in the hospital, provide them with ways to normalize the environment through coping and distraction, and facilitate play and interaction with other hospitalized children. These specialists also help children and families become familiar with the hospital prior to admission, and provide instruction about the diagnosis and pending treatments. Community Benefits

Helping Children Develop Work Skills In order to promote wholesome programming for children, Miami Children’s Hospital participates annually in a number Miami Children’s Health System sponsors several programs of programs to help children develop work skills. Project on WPBT Public Television, including Curious George, Victory, a collaborative program with Miami-Dade County Dinosaur Train and Maya & Miguel. In addition, the Public Schools, provides opportunities for special-needs hospital sponsors Radio Disney, including public service teenagers to gain life skills through work. The goal is to programming to promote children’s health. support the teens in acquiring skills that can help them secure jobs upon graduation. In addition, the hospital provides funding support for programs and activities that benefit children, including the In addition, the hospital participates with Miami Senior Junior Orange Bowl, the world’s largest youth festival, which High School’s medical magnet program, providing learning includes youth competitions in athletics and other pursuits opportunities for students interested in careers in nursing such as singing, art and writing. In addition, the hospital 66 and other medical pursuits. provides first aid services for more than a dozen athletic 67 competitions held throughout the region. Teaching ABCs of Health and Wellness Miami Children’s is partnering with school districts in Broward and Palm Beach counties to teach children how to incorporate health and wellness into their lifestyles. The hospital makes available an online health curriculum developed by HealthTeacher. The program was designed for kindergarten through high school students with topics ranging from good nutrition to bicycle safety. The goal is to equip children with the knowledge and tools needed to make better choices for their health.

A Website with a Difference The Miami Children’s Hospital website, MCH.com, offers a wide range of health information content for children and families as well as consumer information, including links to consumer websites, referencing food and children’s product recalls. During 2013, visits to the site increased by 16 percent compared to 2012, and page views increased by 8 percent. 2013 MCH Awards and Recognition

National

Ten Miami Children’s Hospital Programs Ranked Miami Children’s Among Top Training Facilities Tops in the Nation Miami Children’s Hospital was again ranked among Training Ten Miami Children’s Hospital pediatric specialty services magazine’s “Top 125 Training Organizations.” Every year were among the best in the nation, according to U.S.News since 2006, the hospital has been included in the rankings, & World Report’s 2013-14 “America’s Best Children’s which recognize organizations that invest in employee Hospitals” rankings. For the third consecutive year, Miami development, innovative learning solutions, creative web- Children’s was the only hospital in Florida to have programs based training solutions, leadership development programs ranked in all 10 pediatric subspecialty categories evaluated and more. by the publication. Computerworld Names Miami Children’s Among 68 Miami Children’s Among Parents Best Places to Work in IT 69 Magazine’s ‘Best Children’s Hospitals’ Computerworld again listed Miami Children’s Hospital as Parents magazine has included Miami Children’s in its 2013 a top 100 organization in its 2013 “Best Places to Work in listing of “Best Children’s Hospitals,” following an extensive IT.” This honor recognizes companies that challenge their IT survey conducted by the publication. Miami Children’s staff s while providing great benefi ts and overall satisfaction. is the only hospital in Florida to make the extended list, which includes 25 children’s hospitals from throughout the Miami Children’s Earns Excellence Through country. Insight Award Miami Children’s Hospital received a 2013 Excellence Miami Children’s Hospital Ranked Fifth in 2013 Through Insight Award for “Overall Outpatient--Pediatric InformationWeek 500 Unit Patient Satisfaction” from HealthStream, a leading Miami Children’s Hospital in 2013 was ranked fi fth in the provider of learning, talent management, and research nation in the 2013 InformationWeek 500 – a list of the top solutions for the healthcare industry. The hospital earned technology innovators in the U.S. The MCH Information the honor for achieving high 2012 patient satisfaction Technology Department has championed the use of scores within its outpatient care units. technology in ways that optimize customer service, improve patient engagement and empower the patient and the Miami Children’s Hospital Receives Medical consumer. Education Reaccreditation with Commendation Miami Children’s Hospital was resurveyed by the Hospital Renews MagnetTM Recognition Status Accreditation Council for Continuing Medical Education For the third consecutive time, Miami Children’s Hospital in (ACCME) and awarded accreditation with commendation 2013 achieved MagnetTM Recognition – the gold standard for six years as a provider of continuing medical education for nursing excellence – as part of the American Nurses for physicians. Miami Children’s Hospital has long been Credentialing Center’s (ANCC) MagnetTM Recognition a leader in advancing continuing medical education for Program. This credential is the highest honor an physicians. Achieve organization can receive for professional nursing practice. 2013 MCH Awards and Recognition

National

Miami Children’s Heart Program Designated an Aetna Institute of Quality® Miami Children’s Hospital has been designated an Aetna Institute of Quality® Cardiac Care Facility for comprehensive heart and vascular treatment. Aetna makes information about the quality and cost of healthcare services available to its members to help them make informed healthcare decisions. In line with this goal, Aetna recognizes hospitals and facilities in its network that offer specialized clinical services for certain health conditions. Facilities are selected for their unique expertise in consistently delivering evidence-based, safe care.

Miami Children’s Hospital Heart Program Recognized as Optum Center of Excellence for 2013 Miami Children’s Hospital has been designated a member of the Optum Centers of Excellence network in the area of Congenital Heart Disease for 2013. As a member of the Centers of Excellence network, MCH is recognized for having met or exceeded rigorous performance standards and quality guidelines. 70 71 Website Wins National Award for Electronic Communications MCH.com and Miami Children’s Health System marketing team won a Silver Award for “Best Rich Media” at the 2013 eHealthcare Leadership Awards presented in November. More than 1,100 entries were submitted in multiple electronic communications categories from healthcare organizations throughout the U.S.

Hospital Garners Three National Awards for Marketing Excellence The Miami Children’s Health System Marketing and Public Relations Department received three national Aster Awards for Excellence in Medical Marketing for 2013. The health system received gold awards for newspaper print advertising and television advertising and a silver award for its annual report. 2013 MCH Awards and Recognition

Regional

Miami Children’s Hospital Receives Three South Dr. Deise Granado-Villar Receives Florida Parenting Kids Crown Awards Hispanic Star Award Miami Children’s Hospital received three 2013 South Dr. Deise Granado-Villar, Chief Medical Officer & Senior Florida Parenting Kids Crown Awards. Vice President for Medical and Academic Affairs at MCH, was awarded a “Hispanic Star Award” as the Hispanic The MCH recognition includes: Health Professional at the Miami International Mall Hispanic · Best Pediatric Hospital in Miami-Dade County Heritage Celebration. Dr. Granado was honored for her · Best Pediatric ER in Miami-Dade County leadership in advocating for children and for developing · Best Kept Secret: Miami Children’s Hospital Doral programs that extend medical care to the underserved. Outpatient Center Kids Crown winners are chosen annually by the readers of Ed Martinez Selected South Florida CIO of the Year 72 South Florida Parenting. Ed Martinez, Senior Vice President and Chief Information 73 Officer at Miami Children’s was selected by the South Coral Gables Chamber Bestows Diamond Award Florida Business Journal as a 2013 CIO of the Year. The Miami Children’s Hospital received a Diamond Award in award recognized his achievements in championing the the healthcare category from the Coral Gables Chamber use of technology in ways that optimize customer service, of Commerce. The chamber presents awards each year in improve patient engagement and empower the consumer. various categories to recognize organizations that provide exceptional leadership in the community and beyond. Miami Children’s Receives Three Mark of Excellence Awards Hospital is Winner of Miami Children’s received marketing awards in three 2013 Worksite Wellness Award categories, during the 2013 Florida Hospital Association Miami Children’s Hospital has been awarded the “2013 Mark of Excellence Awards presentation. The hospital’s Florida Worksite Wellness Forum Award” by The Florida marketing team garnered awards for web-based marketing, Heart Research Institute, in partnership with the Consortium social media and community outreach. for a Healthier Miami-Dade, an initiative of the Miami-Dade County Health Department. Miami Children’s was selected for demonstrating its commitment to employee wellness practices and programs that produce positive health outcomes. Children’s Miracle Network Hospitals® Grows for the Children

Children’s Miracle Network Hospitals Student Involvement: Miami Children’s Hospital is the exclusive • Sigma Alpha Epsilon at University of Miami Children’s Miracle Network Hospital in raised more than $21,500 through their annual Miami-Dade, Broward and Monroe counties. Paddy Murphy Week fundraisers and their annual Children’s Miracle Network Hospitals® (CMN convention which was held in Miami. Hospitals) is an international non-profit • Sigma Chi at Florida International University hosted organization dedicated to raising funds and its annual Derby Days and raised more than $8,000, awareness for 170 children’s hospitals across an increase of almost 199 percent since the previous Miami Children’s Hospital North America. Its core philosophy is to keep year’s campaign. 100 percent of donations in the local area in • Members of Phi Delta Epsilon, Phi Mu and Zeta Beta Foundation 2013 Highlights which they are raised. Tau hosted various fundraisers. Miracle Balloon Campaigns: Year-Round: • Publix Super Markets, Inc., hosted its annual three- • Local credit unions raised more than $20,000 week campaign and raised more than $587,000. through the Credit Unions for Kids Program. • Costco Wholesale locations in South Florida hosted • HMS Host at Miami International Airport and Tom a month-long campaign and raised more than Thumb Food Stores continued to support the CMN $248,500, a nearly 29 percent increase from 2012. Hospitals canister program. • Buffalo Wild Wings, a new local partner, hosted a • Participating RE/MAX offices continued to support 74 holiday campaign and raised more than $1,800. CMN Hospitals through the Miracle Home Program, 75 by making a donation for every closed transaction. Events and Promotions: • The 13th Annual Marriott/CMN Hospitals golf tournament raised nearly $62,000. • More than 200 students at the University of Miami raised $15,000 at the Canes Dance Marathon. • Twenty-five local Dairy Queen locations participated in Miracle Treat Day and the Homestead location hosted a Monster Jam event. • The 7th Annual Taste of Harbor Beach event raised more than $45,000. • Sixty-five organizations partnered with MCH Foundation for Miracle Jeans Day and raised more than $15,000. • IHOP Restaurants hosted its Annual National Pancake Day and two paper icon campaigns and raised more than $118,000. • More than 300 students registered for the Annual Florida International University Dance Marathon and raised more than $70,000. • A partnership with two USA Gymnastics locations resulted in more than $5,400 being raised by gymnasts ages 5 to 15. Miami Children’s Hospital Foundation 2013 Highlights

2013 Diamond Ball Raises Record $5 Million ‘Bella’s Promise’ Project Nearly 800 celebrities, community leaders, philanthropists, and International Chairs Ana and Tony Figueroa Cisneros. As a MCH Foundation joined the Live Like Bella Foundation physicians, friends, supporters, patients and families of Miami highlight of the soiree, Grammy Award-winning singer Juanes in December to create a very special partnership, now Children’s Hospital experienced a bold and elegant depiction was inducted into the Ambassador David M. Walters Pediatric celebrated as “Bella’s Promise.” The partnership was of “A Brazilian Carnival” at MCH Foundation’s 2013 Diamond Hall of Fame. announced on the birthday of Bella Rodriguez-Torres, the Ball held in October. The black-tie affair raised more than young cancer victim commemorated through the Live Like $5 million, including announced gifts, that will help support From left to right: The Miami Heat’s Shane Battier and Ray Allen; Grammy Bella Foundation™. The partnership focuses on increasing world-class care at Miami Children’s Hospital. The 2013 award-winning singer and Hall of Fame inductee, Juanes; Diamond Ball innovative research offerings at Miami Children’s Hospital International Chairs Tony and Ana Figueroa Cisneros with Chairs Marile Diamond Ball was led by Chairs Marile and Jorge Luis Lopez to support children with cancer. and Jorge Luis Lopez

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Actress Karen Martinez, singer and Hall of Fame inductee Juanes with MCH Foundation President & CEO Lucy Morillo, Cruciani Global Communications Director Laura Sordo, and MCH President & CEO Dr. M. Narendra Kini

Walking Together for the Children a milestone for Cruciani in the expansion of its brand in Stylish Support from Cruciani Fashion House MCH Foundation donor Miguel “Mike” B. Fernandez made on a pilgrimage to Santiago de Compostela, Spain. With A highlight of the Diamond Ball was an announcement by the American market. Since the announcement in October, a heartfelt journey in 2013, walking from France to Spain this endeavor, dubbed Walking Together for the Children, world-renowned Italian fashion house Cruciani of a special Cruciani has become an important fundraising initiative to raise funds to support Miami Children’s Hospital. After Fernandez, raised more than $1 million for Together For The donation of 600,000 of its popular macramé lace bracelets to for the foundation. The bracelets are available at his 19-month-old granddaughter, Daniella, underwent Children, The Campaign For Miami Children’s Hospital. He raise funds for Together For The Children, The Campaign For mchf.org/cruciani, and also at the main campus gift shop. open-heart surgery through the hospital’s Heart Program, invited all who felt inspired by his journey to follow him Miami Children’s Hospital. A limited edition bracelet featuring this remarkable donor was moved to do something through various social media channels, and received the the hospital’s logo was presented to the celebrities in extraordinary for the institution that saved her life. In honor support of several celebrity friends, including Ray Allen, attendance, including Miami Heat players Ray Allen and Shane of Daniella and all children, Mr. Fernandez embarked Andy Garcia and Martin Sheen. Battier, and the evening’s honoree, Grammy award-winning singer Juanes. The unprecedented donation also marked Miami Children’s Hospital Foundation 2013 Highlights

MCH5K Goes the Distance for Children teams honoring patients and former patients, as well as More than 4,000 runners, walkers and spectators came groups wishing to make a difference, the MCH5K showcased together on September 21, 2013 at the Hyundai Hope On the many lives that have been impacted by Miami Children’s Wheels 3rd Annual Miami Children’s Hospital 5K presented Hospital and celebrated the children. The 2013 MCH5K hero, by Sabadell United Bank. The MCH5K was held for the third 4-year-old cancer survivor Ava Crowley, inspired participants consecutive year in the City of Coral Gables and raised to cross the finish line. nearly $500,000 for the children and families at Miami Children’s Hospital, bringing the total amount raised since From left to right: 2013 MCH5K hero Ava during the handprint ceremony; its inception to more than $1 million. Featuring fundraising Runners take off from the start line at the 2013 MCH5K All in Fore the Kids Hundreds of business and community leaders joined together Programming for Spanish Broadcasting Systems, and John Agnetti, 78 for All in Fore the Kids - two fundraising events to support one Esq., Partner at Hoffman, Larin & Agnetti, PA, All in Fore the Kids 79 cause – the children and families at Miami Children’s Hospital. was also supported by Michael Baiamonte, Voice of the Miami The events, held at the Biltmore Hotel & Golf Course, raised Heat and grateful parent, who served as Master of Ceremonies. more than $400,000 for MCH Foundation. All in Fore the Kids MCH Foundation President & CEO Lucy Morillo with former Miami Dolphins More Wine, Women and Shoes kicked off with the Inaugural Gentlemen’s Night Out presented More than 450 ladies slipped into their stilettos and player Dick Anderson, alongside the 1973 Vince Lombardi Trophy; by Turner Construction on April 18 and culminated with the MCH Foundation Board Chair Thomas Cornish, MCH Foundation President joined together at the sold out 2nd Annual Wine, Miami Children’s 31st Annual Corporate Golf Invitational on & CEO Lucy Morillo, MCH President & CEO Dr. M. Narendra Kini, and MCH Women & Shoes Presented by Elizabeth Spill for a April 19. Chaired by Jesus Salas, Executive Vice President of Board Chair Gary Gregory day of shopping and fun with the common purpose of supporting world-class pediatric healthcare. Guests from throughout South Florida gathered at the Coral Gables Country Club on February 7 to raise their glasses and, most importantly, to raise nearly $450,000 to benefit the children and families at Miami Children’s Hospital. This amount is nearly double what was raised at the inaugural event. Event Co-Chair and CBS 4 Anchor Shannon Hori once again served as Mistress of Ceremonies and shared the role with fellow Co-Chairs Criselda Breene and Carola Pimentel.

2nd Annual Wine, Women & Shoes co-chair Criselda Breene, CBS 4 anchor Shannon Hori, Vanessa Martinez with her daughter, and featured patient at the event, Luna Martinez, event co-chair Carola Pimentel, and MCH Foundation President & CEO Lucy Morillo. MCH Foundation’s mission is to raise funds and A Special Thank You awareness for Miami Children’s Hospital to help ensure the health and happiness of children From Miami Children’s everywhere. As Miami Children’s Hospital continues reaching to new heights with ambitious goals to transform healthcare and Hospital Foundation extend it to more families than ever – whether close to home or around the world – our foundation counts on generous support to provide the resources the hospital needs to bring better health, better outcomes and a better quality of life to children wherever they are. That’s why we have embarked on Together For the Children, The Campaign For Miami Children’s Hospital, an ambitious endeavor that will fund critical priorities to advance 80 state-of-the-art healthcare for the hundreds 81 of thousands of children and families who turn to Miami Children’s each year with hope and confidence. We are grateful to the many committed and generous individuals, corporations, foundations and other organizations who came together in 2013 in making healthier, happier children a top priority. Klaudia and Lewis N. Brown FIU Foundation Inc. Gencom Asset Management Co. LP Lauren Rachel and ELMS Foundation Sally Goldman Foundation Inc. Heidi and Pierre Charalambides Support: Chanin and Adam E. Carlin Genzyme Corporation Dale and Lenny Genet Adam Jason Schwartz Equiflor Corp. David Samson Children’s Urology Associates, PA Coastal Construction Group Theresa Margaret Grote Fund Christina Getty-Maercks Shook, Hardy & Bacon, LLP Estefan Enterprises Inc. Sandals Resorts City of Hialeah Gardens 1,000,000 - $4,999,999 Coca-Cola Refreshments Gabriella and George T. Heisel Jr Jacqueline and Nelson D. Gonzalez Jacqueline Simkin Evensky & Katz Lona Smith, PsyD and Conroy, Simberg, Ganon, Krevans, Duty Free Americas Inc. Annie and Manuel Kadre Deise Granado-Villar, MD and Estate of Gloria H. Spadaro Everest Capital LLC Zachary Schiffman Abel, Lurvey, Morrow & Schefer, PA Children’s Miracle Network Hospitals® Sheila M. Ewing DJ and Steven Kerr Rodobaldo P. Hassor Stearns Weaver Miller Weissler Extra Life Hallie and Len Sculler Cool-Breeze Air Conditioning Jana and Simon Falic Kimberly-Clark Corporation David Hernandez Alhadeff & Sitterson, P.A. Kathrine and Craig Fainstein Shaulee Enterprises Inc. Lorenzo Cosio Jr $500,000 - $999,999 FedEx Services Rekha Kini, MD and Rosiel and Agustin Herran Stericycle Inc. Farrell & Patel, Attorneys at Law Sigma Chi Costa Farms Miguel B. Fernandez Family Finaccess Advisors LLC M. Narendra Kini, MD Amy and Douglas K. Hirschhorn Katrin Theodoli Karin Figueroa Cisneros Molly and Todd Snyder Nickelle and Spencer Crowley Foundation Greenberg Traurig, PA Mike Lowell Foundation Inc. Lisa Arianoutsos and William Hopkins Fabio Alexander Vasquez First Hand Foundation Sonia and Sammy P. Sosa Yioset De La Cruz Constance and Miguel B. Fernandez Grossjung Foundation Macy’s Foundation/Macy’s Inc. Michelle and Daniel Iannettone Allison Weiss Brady and Chip Brady Florida Blue Patricia and Alex Soto Michael Deleasa Nicklaus Children’s Health Care Harbor Beach Marriott Resort & Spa Marcum Foundation International Dermatology Research Wicker, Smith, O’Hara, McCoy, Florida Fresh Market Enterprises Inc. South Florida Foot & Downstairs IPH LLC Foundation Barbara Havenick Marriott Villas at Doral Inc. Graham & Ford, PA Andrew Fredman Ankle Associates, PA Dorothy L. Edwards Trust Publix Super Markets, Inc. HMS Host at Miami International Estate of Robyn Ruth M. Mawhinney Jazz Pharmaceuticals Janelle and Justin Woodward Eloy Garcia, Jr Squire Sanders Yiliam and Peter Eldridge Airport Beatrice C. Mayer The Greater Miami Jewish Federation Nancy and Paul Zarcadoolas Monique and Abraham Gilinski SunTrust Foundation Engineering Contractors Association $250,000 - $499,999 Interamerican Medical Center Group LLC Ronne and Steven J. Melnick, MD Maria G. Jimenez Monica and James Arthur Goldsmith Rhoni and Ned Tannebaum of South Florida Inc. Anonymous Marriott Vacations Worldwide Miami Retreat Foundation Johnson Controls Inc. $5,000 - $9,999 Catalina and Dr. Luis E. Sol Taplin Charitable Foundation Lori and Gregory English Chowdhury Family Foundation Aleyda and Jorge Mas Santos Andria and Andres Miyares JW Marriott Marquis Miami 3M Corporation Gonzalez-Mendoza Terner Family Foundation Inc. Ernst & Young LLP Ravneet and Anand Chowdhury The Shane McGee Foundation Morrison, Brown, Argiz & Farra LLC Marilyn Kalas 4 Beauty Aesthetics Institute Inc. Candace and Sean Grosman The Allen Morris Company Olivia and Fernando J. Espinosa Fundación Teleton Miami Children’s Hospital Auxiliary Jane and Albert Nahmad Carlos Kauffmann John B. Agnetti, Esq Teresa and Michael Haskett The Willis Foundation Executive Hardware Ruth McCormick Tankersley Neuro Network Partners LLP Northwestern Mutual,The South Kidz Medical Services Carl S. Allegretti Patricia and Garrett S. Hayim TM Real Estate Group LLC Edward Farrell Charitable Trust/Mark Miller Menchu Escolar and Fernando Florida Group Knots of Hope American Performing Arts Network Anna and Dale Hightower TNS Charitable Fund Channyle Fernandez Perez-Hickman Tiffany and Brian Oberlender Hana P. Kovanic AON Risk Services Inc. Nancy and Paul Humbert Tom Thumb Food Stores Inc. Florida National College - $100,000 - $249,999 RE/MAX International Sylvia and Ernesto A. Perez Rebeca and Rafael Kravec The Applebaum Foundation Inc. Dairy Queen Total Diagnostic Solutions LLC Hialeah Campus Anthony R. Abraham Foundation Inc. Pat Riley Family Foundation PGA Tour Inc. Vanessa and R. Lee Krelstein Jr Pepe J. Armas, MD It All Works Out Incorporated Tri-City Electric Co. Inc. Florida Panthers Foundation Inc. Arellano Construction Co. The George and Phyllis Rothman Produce for Kids Inc. Latux Diamond Blade Distributors ArtRev.com, Inc. Kane Family Foundation Tropic Garden Investments Inc. Gables Engineering Inc. Costco Wholesale US Foundation Inc. Julie and Donald Rocap Danet Linares and Matt Haggman Autism Society of Florida Maria E. Kendall United Capital Financial Advisers LLC Saskia and Phillippe Galliano The Dosal Family Foundation Sabadell United Bank Roger Vivier Paris George Lindemann Jr Autism Society of Broward Stacey and E. Andrew Kern United Capital Risk Management LLC The Garner Foundation Inc. Florida Power & Light Felix Sabates Ronald McDonald House Charities of Louis N. Cassett Foundation Facundo & Amalia Bacardi Richard Kohan University of Miami Dance Marathon The GEO Group Inc. The Anne Goss Foundation Olga and Carlos Augusto Saladrigas South Florida Marianne H. Luedeking in Memory of Foundation Inc. Rhonda and Andrew Labbie, MD United Parcel Service Gerrits Construction Inc. Alina and Jorge L. Hernandez Sam’s Club Betsy and Frederick B. Rubin Heinz Luedeking Joaquin Baralt Ashleigh and Justin C. Leto John Uustal, Esq GetWellNetwork Inc. IHOP Restaurants Ana Francheska and Anibal Alejandro Schwab Charitable Fund Ann E. Lyons Cathy and Jeff Bartel The Lewis Family Foundation Inc. Neon Vibe Global Investments Realty Inc. Kohl’s Department Stores Sanchez Sigma Alpha Epsilon Fraternity Arin Maercks Heidi and Shane Battier Marriott Global Reservations, Sales & Walmart Foundation Inc. The Ticket Clinic Marriott International Inc. 82 Southwest Florida Enterprises Inc. Jessica and Scott A. Srebnick Marriott Florida RSO Raul Baydes Customer Care - Miami Keith and Renata Ward Family Fund Michelle and Jared D. Goldberg 83 The S and Naomi Myers Trust Stop! Children’s Cancer of Palm Lourdes and Hector Tundidor Karina and Jason Medcalf BBVA Compass Bank Marriott’s BeachPlace Towers at The Miami Foundation Cindy and Jeffrey Gomez Estate of Shirley Narcisenfeld Beach County Inc. Kira Turchin and Jason S. Turchin, Esq Medina Family Foundation Melissa and E. Scott Beattie Lisa and Jay H. Massirman Wells Fargo Healthcare Financial Laura M. Gonzalez Marte and Paul Steven Singerman The Eleanor B. Sweet Fund West Coast University Melissa Medina-Schnur Ellen Beck Estate of F. Kenneth McNeil Services Rafael Gosalbez, MD Joseph John Snieg Trust Sandra and Anthony Tamer World Golf Championship Microsoft Giving Campaign Barry E. Bennett Tricia Menendez and Felix Brambilla Willis Group The Graham Foundation Walmart Stores Inc. Taylor & Mathis of Florida Inc. Worldwide Express Bibiana and Mario Murgado Dana and Dr. Kevin Berkowitz Miami Children’s Hospital Food & Siri M. Willoch Sheila and Gary Manz Gregory Tee Shirt Central Inc. Yolanda Nader BNY Mellon Financial Nutrition Services Libby and Gene Witherspoon H&R Block $50,000 - $99,999 Toral Family Foundation $10,000 - $14,999 Erica and Aaron J. Nahmad Stacy and John Paul Bolduc The Miami Foundation Maria Elena and Robert E. Wollberg Hammes Company Healthcare LLC Anonymous The Torch Relay for Children’s Miracle AB&A Advertising Norma Ryder and Bill Newcomb Criselda and Jonathan Breene Frederick V. Miller Rubin and Gladys Wollowick Family Randall L. Hodges AT&T Network Inc. Akerman Senterfitt Olloqui Family Robert S. Brinegar Henry L. & Kathryn Mills Charity Foundation Hoffman, Larin & Agnetti, P.A. Richard R. Bassett Turner Construction Co. Gigi and Karim Alibhai Padron Family Foundation Inc. Brown Paper Tickets LLC Foundation $2,500 - $4,999 Joan Hoffman, MD and “Do Unto Others Trust” Inc. The Ware Foundation American Airlines Darlene and Jorge M. Perez Waldemar A. Carlo, MD Adrianne and Paul Mittentag Lawrence N. Acord Trust† Syd Silverman The Fairholme Foundation Wells Fargo Foundation American Girl Joseph Perez Celine Dion Foundation Luz Morillo, Esq Aflac Incorporated Meschelle J. and Brian G. Huether Lauren Sturges Fernandez and Wow Factor Marketing Group/ Catherine Anderson Charitable Trust Rafael P. Perez Ramon Cernuda Lillian Katona and Alexander D. Alexander McQueen Trading, LTD. Jimmy Choo Charles Fernandez Heidi and Jose Dans Annette and Juan Carlos Antorcha Perkins + Will Inc. CIT Aerospace Moskovitz Plato J. Alexander, MD Kobi Karp Architecture & Interior Ana and Tony Figueroa Cisneros Jerome A. Yavitz Charitable Bailuna LLC John Petrucco CMGRP Inc. Jennifer and Gary Nader Shannon P. Alfonso Design Inc. FIU Dance Marathon Foundation Inc. BankUnited Phi Delta Epsilon International Michael A. Comras National Health Transport Inc. Alpha Boilers Inc. Koniver Stern Group Health Foundation of South Florida Sally and Paul R. Bradshaw Medical Fraternity Suzanne and Phillip D. Conway National Non-Profit for Americans April Andrews-Singh and Robert Lentini Estate of Elaine B. Hillman $15,000 - $24,999 Samuel C. Cantor Charitable Trust Bertha and Paul Pino Coral Gables Community Foundation Inc. with Disabilities Inc. Gagan Singh Lourdes Leon Hyundai Motor America Ace - The Lighthouse Group The CarMax Foundation Vincenzo Poerio Cosmetics of France Inc. Navarro Discount Pharmacies Miguel A. Andux Jennifer and Eric T. Levin Marile and Jorge Luis Lopez Pablo Acosta, PA CareCloud Alan H. Potamkin Tanya Cozzarelli and Juan Pablo Katie and Phillip G. Newcomm Jr, MD Armor Correctional Health Roxana and Ricardo Machado Vivian and Juan Carlos Mas Conchy and Antonio L. Argiz Gertrude and The Honorable Beth and W. Erick Pritchett Benavides The Nichols Foundation Inc. Association of Corporate Counsel Majic Children’s Fund Inc. Miccosukee Tribe of Indians of Eilah M. Campbell-Beavers and Paul L. Cejas Prudential Financial CTS Engines LLC Felicia and Yefim Nivoro Bacardi U.S.A. Inc. Ali Mandsaurwala Florida Ben A. Beavers Jacqueline and Jonathan Chariff RE/MAX Advance Realty III Cutwater Asset Management Claudia and Carlos A. Nunez-Vivas Alicia Barba, MD Theresa and Ricardo Mayo Ortega Foundation Crystal and Timothy L. Birkenstock Chico’s FAS Inc. Regalia Beach Developers LLC D & D Accounting Services LLC Panda Restaurant Group Gregory and Paige P. Barnes MC2 Realty Potamkin Family Foundation #1 Inc. Biscayne Bay Marriott Hotel & Marina The Clinton Family Fund Tony Rodriguez Data Net Clinical Resources Inc. Alexia and Matthew Pellar BCC Financial Management Services McDonald’s Corporation Susan M. Sibley Patricia and Thomas M. Cornish Maggie and Armando Codina The Romney Foundation for Children Melody Davis Dalia Perez-Palacios Bennett Auto Supply Robyn and Steven A. McKean Spirit of Children The Dan Marino Foundation Inc. Credit Unions for Kids c/o Goldman Sachs & Co. Del Monte Fresh Produce N.A. Inc. Nino Pernetti Yuli and Lance A. Benson Mercedes-Benz of Coral Gables The Max and Victoria Dreyfus Dade Medical College Brigitt Rok, PsyD Delta Dental Insurance Co. Presidio Network Solutions Marc and Leslie Berenfeld Harriet G. Mertz, PhD $25,000 - $49,999 Foundation Jodi and Robert H. Dickinson Mark Rousso, Esq Jeffrey DeMott John R. Raslowsky Diane and Marc Breslow Monisha Melwani Inc. Ace Hardware Cristina Maria and Daniel Echavarria Mirka Bottari and Mathieu Duguay Sagicor Life Insurance Co. Shelly and Marko Dimitrijevic Raymond James Financial Inc. Pamela Giganti and Alfred A. Bunge Domingo R. Moreira Cesar Alvarez, Esq Falk, Waas, Hernandez, Cortina, Gloria Estefan Foundation Mayra and Albert Santiago Discount Medical Supplies The Rayni Foundation Inc. Nancy J. Castleman-Dion and Morgan Keegan & Co. Inc. Robert A. and Gertrude A. Barnett Solomon & Bonner, PA The Falic Family Foundation Inc. Stephen Sawitz DLA Piper LLP (US) Juanita and Dr. Antonio M. Rodriguez Michael Dion Isabel and Alan Ojeda Foundation Caridad and Julio Figueroa The Fortin Foundation of Florida Lynn and Frank C. Scaduto Margaret Eidson, MD and Elizabeth and Ray Rodriguez Carol and Ed Castonguay Oliva Cigar Co. Estate of Angelo A. Belfi Firstgiving Inc. Gloria and Michael Fux Valerie and Adam Schimel Mike S. Eidson, Esq Iliana and Ray Rodriguez Maria and Angel Roger Chaguaceda Jeannie Oliva-Suarez Brown and Heller, PA Juan T. O’Naghten Julee Akselrad Jorge L. Cabrera, MD Eberjey Retail LLC Dan Hitchcock George E. Mcardle Jr Peckar & Abramson Shawls Extraordinaire LLC Vanessa and Richard Philip Maria Elena Alayeto, RPH Amy and Jose Cabrera E-Builder Inc. HKS Inc. Riley McCormack Tatiana Perevozchikova Grace and Rodger D. Shay Padilla-Millard Anthony Alfonso Miriam and Marcio C. Cabrera ECG Management Consultants Marcia and Joel Hochberg Tenelle and Riley McCormack David Perez Sheila G’s Cristina and Carlos Padron Irvin Alfonso Tom Cabrerizo Andrea and Aaron J. Edelstein Holland & Knight LLP Martha and Fred H. McGill Oscar Perez Teresita Shelton Bernace PC Depot Ray and Shannon Allen Jeanne and Carlos Carbonell Eden Roc Miami Beach Resort & Spa Howard and Sharon Soco Family John C. McIntire Richard Pfenniger Taylor Sherman Taylor Leigh and Adrian Peña Nolan R. Altman, MD Tina and J. Daniel Carlo Christi Elias Foundation Chris McKinley PHI Air Medical Lilian and Marc Stephen Shuster Nancy and Jose E. Perdomo Maribel Alvarado Nancy E. Carr Elite Matchmaking Jacqueline Humbert MDO Engineering Inc. Phi Mu Fraternity Jacqueline Silverman Adriana Pereira Betsy Alvarez Michael A. Carricarte Sr Miriam and Daniel A. Emperador Kathryn and Paul A. Hurt Media Design Systems Inc. Eleonor Pimentel, MD Allison Keller Simon Kristi and Alberto J. Perez Pamela Alvarez Hector F. Carrion Jim Ertzman Chandra Iglesias-Balsera Medical Marketing Group Marlene and Wilfredo Pino Simply Healthcare Plans Inc. Nelida and Richard Perez American Express Charitable Fund Mary and Kevin D. Carroll Christina and David Evensky Impulse Enterprises LLC Darla and William J. Meredith Planet Dodge Sirven & Arronte LLC Brooke and Chad Perlyn, MD American Legion Michelle Castellanos Everglades High School The Ironman Foundation Alfredo Mesa Jr. PNC Bank, FSB Daryl and David Sissman Nelson Pichardo Ana Mari Ortega LLC Ross & Carol Y. Castro Foundation EWM Realty Esther Jackson Margarita Taboas, MD and Potamkin Hyundai Robbin S. and Joseph J. Slama Carola Pimentel and Rafael Millares Linda Anderson Georgina R. Castro Colleen and Richard D. Fain Elizabeth and Joseph M. Jackson Marcos Mestre, MD Premier Eye Care of Florida LLC Sobel Family Supporting Foundation Emma Pines Angones, McClure & Garcia, PA Catholic Charities of the Archdiocese Alfonso Fanjul Jade Media Metropolis Fitness & Spa Lydia and Rodolfo Prio-Touzet Scott Solomon Plumbing Master Systems Inc. Ansin Foundation of Miami Inc. Gerard M. Fernandez Yamille C. and Peter L. Jimenez Miami Coconut Grove Courtyard David Pyle C. Blair and Jorge A. Sonville Jeffrey Pochowicz Apollo Bank Ian Caven Maria A. Fernandez Vianney and Robert Johnson Miami Dade College Foundation Questcor Pharmaceuticals, Inc. South Broward Accounting Polen Capital Management Carolina and Jeffrey W. Ardizon CCRD Partners M. Beau Ferrari Gary H. Juda Midtown Athletic Club Weston Stephanie Quirantes, MS, RDN Miami Dolphins Foundation Cosima Preuss-Kuhne Isabel and Oscar J. Arellano Pablo L. Cejas Jr Rochelle and Robert Finvarb Jane and Walter H. Kamp III Nina N. Miguel Jorge L. Raad South Motors Company of Primus Health Network LLC Michael Arguelles Dr. Jaime H. Cercone Jaime H. Florida Health Law Center Karma Couture Inc. Dennis P. H. Mihale Stuart Rachlin Dade County Alexandra and Robert Ramos Juan E. Aristizabal Cercone, MD Florida Health Plan Administrators LLC Martin Keisch Seth Miles Catherine and John Ragheb, MD St. Thomas the Apostle RE/MAX Keys to the Key Real Estate Arnstein & Lehr LLP Mirta and Gilbert Chediak James Forbes Kendall Hyundai Bronwyn C. Miller Udell Rare 2002 Charitable Lead Educational Fund RE/MAX PowerPro Realty Inc. Andres Asion, PA Cherry Blossom Scandanavia USA LLC Ford Midway Mall, Inc. Danyal M. Khan, MD Bob Miller Annuity Trust Jared H. Stitz RE/MAX Unique Realty Raymond P. Augustin Richard Chervony Maria E. Franco, MD Lawrence S. Kline Cristina and Henry Miller RE/MAX Advance Realty Pedro A. Suarez, SJ Kenneth J. Reilly, Esq Jerome Axelrod Connie and John Cioffi Luke Freeman Teddy D. Klinghoffer Michael A. Miller RE/MAX Consultants Realty Christine L. Sutcliffe Anny Revilla Cindy M. Ayala Sidney & Alma Coates Foundation Connie Freydell Rena Kliot/Pulse International Realty Dana and Scott S. Miller RE/MAX Premier Associates Tate Enterprises Alfonso Rey Azel Family Charitable Gift Fund Cobb Family Foundation Angelica and Arthur L. Gallagher Roberto Knoll Catherine W. Robert Miller Raymond P. Reade Tax Services of Miami, Inc. Manny Reyes Carolina R. Azqueta Coconut Grove CY Owner LLC Alex Galvez Estate of Harold T. Knutson Gina and Frank Milton Janet and Albert Rego Margo and Richard Michael Taylor Rilea Group Inc. Badia Spices Inc. Alexandra M. Codina Sara and Jay M. Gamberg John Koons Jr. Louis & Lena Minkoff Foundation Inc. Renaissance Plantation Hotel The Collection Risk Management Strategies Inc. Scott L. Baena, Esq. Cole, Scott & Kissane, PA Jose Garcia-Santos Tracy A. Kramer Miss America Organization Republic National Distributing The Easton Group Mathew Forbes Romer Foundation Inc. Avi C. Baitner, MD Nancy S. Cole Barbara Garcia-Soliman Roman Krislav Melissa and Marcos Montes De Oca Company The Rubin Group Inc. Sonya and John Rood Jay T. Baitner, JD Commcare Pharmacy N. J. Gentry Alison and John Kunkel Moore Family Foundation Inc. Jeannine and Andrew Ress, MD Eris Thomas and Robert H. Thomas, MD Yuri and Patricio Rossi, MD Balenciaga Compass Financial Federal Elise and Michael Gerrard Daniel Lambert Louise and Terry Moore Jessica and Steven M. Rhodes Sabrina Tiritante Nikole Sanchez-Rubiera and Essie and James W. Barfield Fund Credit Union Pilar and Renato V. Giorgini L’Atelier South Beach Sandales Karen and Victor A. Morales Isabel and Jorge Luis Rico Walter S. Toole II 84 Vicente Rubiera Antoinette Barish Conrad Hotel - Miami The Myers L. & Marilyn R. Girsh Tropezie Morgan Stanley Cybergrants Rivergate Management LLC Encarnacion Tortajada de Ibars 85 Monika Schuster Gittleman Ana and Robert Barlick Marco A. Contreras, DDS Foundation Inc. David Lawrence Maria and Spencer Morgan Corinne F. Roat Tropical Financial Federal Credit Frances and Eugenio Sevilla-Sacasa Melissa L. and Shawn D. Barnhardt CO-OP Financial Services Christina Giulianti Le Petite Papillon Montessori School Dan Moskovitz Joan Robins Union - Miramar Park Mahmud Shihadeh Michael R. Bartlett Kenneth A. Coto Global Procurement Specialists Bruce B. Lederman Scott R. Moss Sandra D. Robinson Tropicars Golf & Utility Vehicles Susannah M. and John K. Shubin Nancy and Jon Batchelor Susan and Joseph R. Coulter III Gold Coast Beverage Distributors Lego Children’s Fund MTR Inc. Laura and David Roda Stacy and Sam Troy Joan Hoffman, MD and Syd Silverman Hans R. Baumann Marina and Gustavo Couto Agustin Gonzalez Maria and Francisco J. Leon Laura and Juan Munilla Edwin Rodriguez Trupkin, Babyak, Wilentz & Hirsch, Alan W. Smith Memorial Foundation Jennifer and Joseph A. Baumer Coventry Health Care of Florida Antonio R. Gonzalez Maureen Lico Madelaine Munilla Raul Rodriguez DDS, P.A. Sodexo Inc. & Affliates Victor Behar Creative on Demand Manuel Gonzalez Little Hill Foundation Inc. Alisa M. Muniz-Crim, MD and Sylvia Rodriguez Tuckerton Lumber Co. Gabriela and Joey Souto Benworth LLC Anne Cruz-Alvarez Barry J. Gottlieb Lloyds TSB Bank Juan C. Muniz, MD Anita Roldan Aileen M. Ugalde Stiles Corporation Justin Bergnes Katharine Cue-Fuente Campaign Diana S. Granados Thomas H. Loffredo Steve Murano Audrey H. and Jack Ross United Faculty of Miami Dade Syd & Jan M.Silverman Foundation Jeff and Yolanda Berkowitz Family Carlos Curbelo Salvatore S. Greco Logic Technology, Inc. Enrique Murciano Anthony F. Rossi, MD Community College Inc. Charitable Foundation Inc. Claudia C. Curiel Kevin Green Marta and Javier Lopez Casado Muse Inspired Living Marilena and Lewis M. Rossi United HealthCare Services Inc. Shirley Anne and Paul Sykes Elizabeth and Benjamin E. Berman D & K Ace Hardware Inc. 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Mad in Italy - CSC Art and Accessories The Answer Line LLC Marco Buznego FAF Enterprises Kenwood K-8 Center Novecento Restaurant - Brickell South Beach Body Waxing Majestic Limousines The Bar Method Miami Nelson Cabrera Fairchild Tropical Botanic Garden KidzStuff Oasis Dream Spa South Broward Accounting There are many ways that together Scott Makula The Blonde Tulip Cake Art Daisy Faust Kilwins Joanny Ochoa South Florida Surgery Center we can make a difference in the life Mario Chalmer’s Foundation - The Marlin Hotel Calder Casino & Race Course Ruth and Fred Feigenbaum Victoria Kontzamanys Oito Florida Anais Sowley of a child – through the gift of time, Team Rio The Spa at Delray Beach Marriott Alberto Calderon Manuel Ferrero Koukla Kouture Boutique Idelmis Ojito Sports Authority services, cash, stock, real estate or by Marriott New York East Side The UPS Store #1730 Gioia Canellia Alejandra Ferris La Dorada Coral Gables Ingrid Olarte Standing Room Only Productions Inc. naming Miami Children’s Hospital Marriott Tampa Waterside The Westin Tampa Harbour Island Ydalmis Carrasos Fitsico Boutique Allison Lam J. 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Duenas Yellow Diamond Wells Fargo Foundation Patricia Engel $100,000 - $249,999 Edward Farrell AT&T Champagne Diamond Luke Freeman Cox Media Group Miami $25,000 - $49,999 Alex Galvez Jana and Simon Falic Carl S. Allegretti David Garcia Federal Express Corp. Cesar Alvarez, Esq Jonathan Gombinski 90 Florida Power & Light April Andrews-Singh and Marc Gordon 91 Future Energy Solutions Services Inc. Gagan Singh Roni Grossman Deise Granado-Villar, MD and Cathy and Jeff Bartel Jilea Hemmings Rodobaldo P. Hassor Crystal and Timothy L. Birkenstock Vanessa Hernandez JW Marriott Marquis Miami Stacy and John Paul Bolduc Florencia Iglesias, Esq. Annie and Manuel Kadre Richard F. Candia Christian Infante DJ and Steven Kerr Colonial Life and Accident Insurance Co. Susan E. Klock, Esq. Rekha Kini, MD and Vivian de las Cuevas-Diaz, Esq and Jeanne Kushner M. Narendra Kini, MD Ricardo J. Diaz Caryn M. Lida Marile and Jorge Luis Lopez, Esq Sheila M. Ewing Zachary B. Mann Vivian and Juan Carlos Mas Evensky and Katz Brian J. Martino Perry Ellis International Inc. Kathrine and Craig Fainstein Matthew A. McGrath Sabadell United Bank Finaccess Advisors LLC Brian S. Miller Selecta Magazine Grossjung Foundation Aaron J. Nahmad Starlight Children’s Foundation Patricia and Garrett S. Hayim Allyce Perret-Gentil, RN Stop! Children’s Cancer of Palm Meschelle J. and Brian G. Huether Evan Raymond, Esq. Beach County Inc. Interamerican Medical Center Inc. Erich H. Reissig The Anne Goss Foundation International Dermatology Research Inc. Ignacio Rodriguez, Esq. The Miami Herald and Tricia Menendez and Felix Brambilla Joshua Roque El Nuevo Herald Cristina and Henry Miller Bradley J. Rosen Toral Family Foundation Felicia and Yefim Nivoro Travis Ruane Kira Turchin and Pat Riley Family Foundation Valerie Schimel Jason S. Turchin, Esq Nelida and Richard Perez William R. Seitz Prudential Financial Taylor Sherman Erich H. Reissig Diego Sirulnik Roger Vivier Paris Christian Somodevilla, Esq. Felix Sabates Jared H. Stitz Ana Francheska and Anibal Elizabeth Ashley Thwing Alejandro Sanchez Martha Valdes-Fauli Sigma Chi Fraternity Danial Vercetti Sunshine Gasoline Distributors Inc. Timothy Yates, MD Sandra and Anthony Tamer Vladi Yurovsky Lourdes and Hector Tundidor Winn-Dixie Foundation Inc. Libby and Gene Witherspoon 2013 Outpatient Center Statistical Data

2013 58.7%

Financial & 11.0% 26,281 % Statistical 4.3 25,063 2013 Expenses 16,916 Highlights 6.1%

Salary and Benefits 20,838 Supplies 19,958 1.2% Malpractice and Other Insurance 17,928 Depreciation and Amortization Interest 13,436 13,571 6,378 6,148

% 5,837 89.8 5,533 3.3% 4,941 4,916 5.6% 2,171 2,198

%

1.3 0 2013 Sources 92 Palmetto Bay Miami Lakes Rehabilitation Dan Marino Doral West Kendall Miramar Midtown Nicklaus 93 of Revenue Outpatient Outpatient Services Outpatient Outpatient Outpatient Outpatient Outpatient Outpatient Net Patient Revenue Center Center** Miami Lakes* Center Center Center Center Center Center Investment Income

Grants and Other Revenue Urgent Care Visits Outpatient Visits * Closing Date: September 30, 2013 Net Assets Released from Restrictions ** Opening Date: October 1, 2013 Used for Operations

2013 Statistical Data

Total Inpatient Days: 63,140 71.85% Total Inpatient Admissions: 11,272 Inpatient Average Daily Census: 173 28.15% Inpatient Occupancy: 0.596 Total ER Visits (main campus): 89,907 2013 Payor Mix MCH General Clinic Visits: 12,749 Ambulatory Visits: 61,808 Observation Visits: 4,090 Private Outpatient Visits (Main Campus): 116,275 Medicaid, Self Pay & Other Government Private Outpatient Visits (Ambulatory Centers): 130,305 Contracted Managed Care Total Surgical Cases: 14,917 Average Length of Stay: 5.6 2013 Board of Directors 2013 Board of Directors 2013 Board of Directors Mr. Gary Gregory, Chairman Mr. Thomas M. Cornish, Chairman Mr. Juan Carlos Mas, Chairman Mr. Mario Murgado, Vice Chairman Lucy Morillo, Esq, President Mr. Gary Gregory, Vice-Chair/Treasurer Mr. Keith Ward, Secretary & Chief Executive Officer M. Narendra Kini, MD, President and CEO Jefry Biehler, MD Ms. Marile Lopez, Vice President April Andrews-Singh, Esq., Secretary/General Counsel Anselmo Cepero-Akselrad, MD & Chair-Elect Mr. Miguel B. Fernandez Mr. Thomas M. Cornish Mr. Fernando Perez-Hickman, Treasurer Mr. Michael Fux Jaret L. Davis, Esq. Ravneet Chowdhury, Esq., Secretary Ms. Barbara Nicklaus Maria Franco, MD Steven Kerr, PhD, Officer Mr. Michael Fux Mario Murgado, Officer 2013 Leadership Team Mr. Ghislain Gouraige M. Narendra Kini, MD, President, Chief Executive Officer Deise Granado-Villar, MD Directors: Martha McGill, Executive Vice President, Chief Operating Officer M. Narendra Kini, MD Mr. Pablo L. Cejas; Ms. Lauren Jefry Biehler, MD, Chair Department of Pediatrics Mr. Juan Carlos Mas Sturges-Fernandez; Mr. Gary M. Gregory; Timothy Birkenstock, Senior Vice President, Strategic Business Planning, Mr. Jay Massirman Ms. Annie Kadre; Mr. Juan Carlos Mas; Chief Financial Officer Mr. Steven McKean Ms. Andria Miyares; Mr. Alan Ojeda; Jackie Gonzalez, Senior Vice President, Chief Nursing Officer and Patient Safety Officer Phillip Newcomm, Jr., MD Mr. Kenneth Reilly, Esq.; Mr. David Roda; Deise Granado-Villar, MD, Senior Vice President of Medical and Academic Affairs, 94 Mr. Alex Soto Mr. J. David Scheiner Chief Medical Officer 95 Nancy Humbert, Senior Vice President of Ambulatory Services Ex-Officio: Michael Kushner, Senior Vice President, Chief Talent Officer M. Narendra Kini, MD Ed Martinez, Senior Vice President, Chief Information Officer Lucy Morillo, Esq., President and CEO, Miami Children’s Hospital Foundation Life Trustees: April Andrews-Singh, Senior Vice President of Public Affairs/ General Counsel Donald H. Altman, MD; Michael Davis, Vice President, Service Lines Mr. Harry Hood Bassett Jr.; Mr. Mark Blank; Jose Perdomo, Vice President and Chief Ethics and Compliance Office, Privacy Officer Mr. Abel Holtz; Mr. Albert H. Nahmad; Nikole Sanchez-Rubiera, Vice President of Transformation Mr. Ricardo Pines; Mr. J. David Scheiner Malita Scott, Interim Vice President, Professional Services Anselmo Cepero-Akselrad, MD, President, Medical Executive Committee In Memoriam: Ms. Florence Groover Frank; 2013 Medical Executive Committee Ambassador David M. Walters Anselmo Cepero-Akselrad, MD, President Marcelo Laufer, MD, Vice President

Harry Aguero, MD; Juan Bolivar, MD; Cathy A. Burnweit, MD; Mayra Capote, MD; Marco Danon, MD; Guillermo DeAngulo, MD; Deise Granado-Villar, MD; Alex B. Koetzle, MD; Sarah Legorburu-Selem, MD; Mario Martinez, DDS; L. Santiago Medina, MD; Marcos Mestre, MD; William Muiños, MD; Rigoberto Nuñez, MD; Jacques E. Orces, DO; Moises Simpser, MD; Manuel A. Soler, MD; Stephen Swirsky, DO; Roberto Tuchman, MD

Ex Officio: Jackie Gonzalez, ARNP, Senior Vice President, Chief Nursing Officer M. Narendra Kini, MD, MHA, President, Chief Executive Officer Martha McGill, Executive Vice President, Chief Operating Officer

Chief Medical Officer, Senior VP For Medical & Academic Affairs Deise Granado-Villar, MD 305/669-5811 Florida International University Chair of Pediatrics Jefry L. Biehler, MD 786/624-2890 Director of Medical Education Rani S. Gereige, MD 305/662-8327 Department Chiefs Pediatric Residency Program Beatriz Cunill-De Sautu, MD, Director 305/663-8462 President of The Medical Staff Anselmo Cepero-Akselrad, MD 305/662-8352 And Division Directors Vice President of The Medical Staff Marcelo Laufer, MD 305/662-8378 President of The Alumni Association Mayra Capote, MD 305/823-7768 LifeFlight Services and ECMO Keith Meyer, MD, Director 305/662-2639 Global Health Andrea Maggioni, MD, Director 305/662-8281 Pediatric Care Center Jose Rosa-Olivares, MD, Director 305/669-6505 Urgent Care Centers Sandra Rivera-Luciano, MD, Clinical Director 786/624-3672 Operating Room Chad Perlyn, MD, Director 305/278-5951 Dental Clinic & Ped Dentistry Residency Program Rosie Roldan, DMD, MD, Director 305/663-8538 Anesthesiology Department Wm. Christian Bauer, MD, Chief 786/624-3415 Dentistry Department Mario J. Martinez, DDS, Chief 305/666-2068 Sections Oral And Maxillofacial Surgery William Means, DM, Head 305/667-1191 Orthodontics Leonard Rothenberg, DDS, Head 305/598-8970 Pediatric Dentistry Mark Webman, DDS, Head 305/666-2068

Neurology Department Trevor J. Resnick, MD, Chief 305/662-8330 Sections Neuropsychology Gustavo J. Rey, PhD, Head 305/669-6503

Orthopedic Surgery Department Wesley F. King, MD, Chief 305/662-8366

Pathology Department Steven J. Melnick, PhD, MD, Chief 305/662-8248

Pediatric Medicine Department Marco Danon, MD, Chief 305/270-9961 Divisions 96 Adolescent Medicine Lorena M. Siqueira, MD, Director 305/668-5525 9797 Allergy & Immunology Vivian Hernandez-Trujillo, MD, Director 305/662-8272 Cardiology John F. Rhodes, Jr., MD, Medical Director 305/662-8301 Anthony Rossi, MD, Head, Cardiac Critical Care 305/662-8301 Clinical Genetics & Metabolism Mislen Bauer, MD, Director 305/663-8595 Critical Care Medicine Andre Raszynski, MD, Director 305/662-2639 Bala Totapally, MD, Medical Director, PICU 305/662-2639 Dermatology Ana Margarita Duarte, MD, Director 305/669-6555 Emergency Medicine Rodney Baker, MD, Director 786/624-3588 Endocrinology Luis Gonzalez-Mendoza, MD, Director 305/662-8368 Gastroenterology Jesse Reeves -Garcia, MD, Director 305/661-6110 Hematology/Oncology Enrique Escalon, MD, Director 305/662-8360 Hospitalist Services Mario Reyes, MD, Director 305/668-5500 Infectious Diseases Otto M. Ramos, MD, Director 305/662-8378 Neonatology Magaly Diaz-Barbosa, MD, Medical Director 305/661-1515 Nephrology Felix Ramirez-Seijas, MD, Director 305/662-8352 Preventive Medicine/Health Promotion Deise Granado-Villar, MD, Director 305/663-6844 Pulmonology Antonio Rodriguez, MD, Director 305/662-8380 Rheumatology Rafael Rivas-Chacon, MD, Director 305/663-8505

Pediatric Surgery Department Cathy Anne Burnweit, MD, Chief 305/662-8320

Psychiatry Department Americo Padilla, MD, Chief 305/663-8439

Radiology Department Nolan R. Altman, MD, Chief 305/662-8293

Surgery Department Roberto Warman, MD, Chief 305/662-8390 Divisions Cardiovascular Surgery Redmond P. Burke, MD, Director 305/663-8401 Neurosurgery John Ragheb, MD, Director 305/662-8386 Ophthalmology Roberto Warman, MD, Director 305/662-8390 Otolaryngology Gaston De Cardenas, MD, Director 305/662-8316 Plastic Surgery S. Anthony Wolfe, MD, Director 305/662-0520 Thoracic Surgery Michel H. Nahmad, MD, Director 305/662-8320 Urologic Surgery Rafael Gosalbez, MD, Director 305/669-6448 The Mary Ann Knight International Institute Of Pediatrics Founded As Variety Children’s Hospital

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