2025-11-08T04:54:39-07:00 2024-12-31 135565207 KPMG LLP 500 W 5th Street Ste 800 Winston Salem NC 27101 990 2024-01-01 590634433 THE NEMOURS FOUNDATION NEMO 9046974100 10140 Centurion Parkway North Jacksonville FL 32256 Caswell L Samms III EVP/CFO 9046974100 2025-11-10 1 1 Brian Kearns P02061479 3364337102 2025-11-05 2024 2025-03-06 01:10:19Z R Lawrence Moss MD 10140 Centurion Parkway North Jacksonville FL 32256 2522370891 0 X www.nemours.org X 1936 FL Nemours mission is to provide leadership, institutions, and services to restore and improve the health of children through care and programs not readily available, with one high standard of quality and distinction regardless of the recipient's financial status. 10 10 11112 1177 905256 0 331577707 283139836 1624837287 1904038366 46290145 55817767 83266926 114995864 2085972065 2357991833 33875831 52403254 0 0 1154431635 1261485428 1223000 1122040 14250709 639040558 796700864 1828571024 2111711586 257401041 246280247 3058493548 3425994520 767862302 941314810 2290631246 2484679710 Nemours' mission is to provide leadership, institutions, and services to restore and improve the health of children through care and programs not readily available, with one high standard of quality and distinction regardless of the recipient's financial status. 0 0 1727844133 52403254 2016917914 See Schedule H, Part VI 0 0 0 1727844133 1 1 0 1 0 0 0 1 0 1 1 1 0 0 1 1 0 1 0 0 1 0 0 1 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 0 0 1 1008 0 1 11112 1 1 1 1 CJ MP SN 0 0 1 1 1 1 0 0 0 0 1 0 X 10 10 1 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 AK AL AR CA CO CT FL GA HI IL KS KY MA MD MI MN MS NC ND NH NJ NM NV NY OH OR PA RI SC TN UT VA WA WI WV X Caswell L Samms III EVP CFO 9046974100 10140 Centurian Parkway North Jacksonville FL 32256 R Lawrence Moss MD President and CEO 40 0 X 2737399 0 343879 Christian Pizarro MD Chair, Dept of Cardiac Services, DV 40 0 X 2396524 0 57938 Peter D Wearden MD Chair, Cardiovascular Svcs FL, Dir of Early Autism 40 0 X 1887015 0 35405 Michael J Erhard MD President, North FL Region (To Oct '24) 40 5.00 X 1607723 0 119385 Mark Mumford EVP, Chief Operating Officer 40 1 X 1510754 0 186573 Rodney A McKendree EVP, CFO and Business Svcs Officer 40 3 X 1406775 0 194185 Suken A Shah MD Chair, Orthopedics, DV 40 0 X 1448259 0 61196 Katherine Deans MD Surgeon in Chief 40 0 X 1384664 0 18300 Gina Altieri EVP, Chief Communications Officer (To May '24) 40 0 X 1183932 0 75337 James Digan EVP, Chief Development Officer 40 0 X 1122776 0 131188 Martha G McGill President, Central FL Region 40 1 X 1025703 0 143468 Matthew Davis Enterprise Chief Physician & Scientific Officer 40 0 X 997092 0 151042 Laura A Kowal SVP, General Counsel 40 4 X 792211 0 109543 Kara Walker EVP, Chief Population Health Officer 40 0 X 781266 0 112078 Bernard E Rice SVP, Chief Information Officer 40 0 X 724543 0 126669 Mark Marcantano President, Delaware Valley 40 0 X 697466 0 114598 Jane M Mericle EVP, Chief Nursing Exec & Pt Ops 40 0 X 753400 0 31899 Pauline M Corso SVP, Chief Operating Officer, DV (To Jan '24) 40 0 X 738626 0 3150 William W Higginbotham II SVP, Finance 40 8 X 552507 0 97924 Kevin Carraccio SVP, Philanthropy 40 0 X 615512 0 27223 Mary Lee EVP, Chief Phys & Scientific Officer (End Apr '23) 0 0 X 640758 0 0 Thomas Landmeier SVP, Chief Marketing Officer (End Oct'24) 40 0 X 463170 0 59576 Aaron Carpenter SVP, Chief Nursing and Patient Ops, DV 40 0 X 442817 0 65783 Nicole Johnson SVP, Chief Nursing and Patient Ops, CFL 40 0 X 361760 0 70439 Robert D Bridges Former Officer (End Dec '22) 0 0 X 413612 0 0 Anna Small SVP, Chief Compliance Officer 40 0 X 337937 0 75451 Chiedu P Adebi EVP, Chief Human Resources Officer (To Jan '24) 40 0 X 369951 0 7852 Sean Baptiste EVP, Chief People Officer 40 0 X 334072 0 30552 Hans Alvarez SVP, Audit Service 40 0 X 293225 0 66149 Carrie Grant EVP, Chief Nursing Exec, FL Ops (End Apr '23) 0 0 X 288417 0 2873 Cindy Bo SVP, Strategy and Business Dev, DV (To Jan '24) 40 0 X 243768 0 4127 Hugh M Durden Member 4 10 X 0 173368 0 Terri Kelly Member 0 10 X 0 165006 0 Jennifer Bayne Manager Governance Office 40 0 X 141306 0 21682 Thomas G Kuntz Member 0 10 X 0 156572 0 Geoffrey M Rogers Member 0 10 X 0 156558 0 Robert Riney Member 0 9 X 0 154360 0 Cameron S Morrow Assistant Treasurer 40 0 X 125723 0 25536 James S Hunt Chairman of the Board and Officer 12 0 X 150000 0 0 Gwen MacKenzie Director 2 0 X 85000 0 0 Claire DeMatteis Director 1 0 X 79167 0 0 Jane Cavalier Luca Director 6 0 X 75000 0 0 Valerie Montgomery Rice Director 3 0 X 75000 0 0 Timothy P Cost Member 1 10 X 0 65707 0 Elliot Joseph Director 3 0 X 63750 0 0 William F D'Alonzo Director 5 2 X 60000 0 0 Judy Titera Director 4 0 X 53750 0 0 Edward Karlovitch Director 2 0 X 50000 0 0 Cindy Bertrando Director 3 0 X 50000 0 0 Harold Mills Director (To Jan '24) 0 0 X 40000 0 0 Richard Walsh Director (To Jan '24) 0 0 X 7500 0 0 29609830 871571 2571000 3030 1 1 0 HSC Builders and Construction Manager 340 New Mill Lane Exton PA 19341 Building & Construction 20600533 BPGS Construction LLC 1000 N West Street Suite 850 Wilmington DE 19801 Building & Construction 20420614 Turner Construction Company 1500 Spring Garden St Ste 220 Philadelphia PA 19130 Building & Construction 18215793 Crothall Health Care Inc 13028 Collection Center Drive Chicago IL 60693 Housekeeping & Laundry SV 14902615 Medicus Anesthesia Services LLC 22 Roulston Road Windham NH 03087 Contract Staffing 10375034 313 0 0 1198861 261489946 0 20451029 1746614 283139836 Gross patient revenue 900099 5143835950 5143835950 0 0 Patient deductions 900099 -3235747647 -3235747647 0 0 Provisions for bad debts 900099 -43073601 -43073601 0 0 Net research grants 900099 38119928 38119928 0 0 Electronic health record revenue 900099 903736 903736 0 0 0 0 0 0 1904038366 39580597 0 905256 38675341 0 0 0 0 2203992 0 0 2203992 537233 0 0 0 537233 0 537233 0 0 537233 179424998 0 163187828 0 16237170 0 16237170 0 0 16237170 566321 1198861 1191230 -624909 0 -624909 0 0 0 0 0 0 0 0 0 0 0 0 Specialized services 900099 100092088 100092088 0 0 Continuing medical education 900099 12494166 12494166 0 0 293294 293294 0 0 112879548 2357991833 2016917914 905256 57028827 51990140 51990140 413114 413114 0 0 0 0 21818761 0 21818761 0 1345660 0 1345660 0 999820054 822246269 170666443 6907342 54596609 44899938 9319486 377185 118975280 97844587 20308742 821951 64929064 53397289 11083207 448568 0 0 0 0 4266991 2710316 1470816 85859 964270 612487 332380 19403 627175 0 627175 0 1122040 1122040 0 0 0 0 159687826 124242334 33224925 2220567 12219382 3394905 8615289 209188 233498984 204285685 28711008 502291 35494123 22625658 12820332 48133 0 0 0 0 54812844 47370781 7066018 376045 9990753 8571358 1156703 262692 0 0 0 0 3602931 3007840 551080 44011 11781106 11781106 0 0 0 0 0 0 99881819 79683099 20101166 97554 96885368 93547047 3338321 0 Subscriptions(Databases, magazines & books) 28481889 24960306 3469559 52024 Maintenance contracts - Miscellaneous 12185439 5931998 6253339 102 Public Medical Assistance Trust Fund expense 10145946 8824886 1045761 275299 Repairs and maintenance 9837926 4789204 5048640 82 12336092 10713786 1241933 380373 2111711586 1727844133 369616744 14250709 49051014 65589706 496050436 622477208 110432937 90923579 368928306 472483920 0 0 0 0 0 0 9131762 11028868 28323657 32628310 2240436104 1146066417 1047300055 1094369687 678212118 717429955 188108887 233255994 0 0 3001216 2631320 79953160 83175973 3058493548 3425994520 196904344 367206067 0 0 11608297 9170865 231647551 221378983 0 0 0 0 89025000 87525000 0 0 238677110 256033895 767862302 941314810 X 1887356310 2045817984 403274936 438861726 2290631246 2484679710 3058493548 3425994520 X 246280247 40284179 0 0 -1942767 -90573195 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2718 799442 802160 2110909426 2111711586 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 723559 666062 783974 802160 2975755 250000 250000 250000 250000 1000000 1500000 2000 2000 6369 2718 13087 Schedule C, Part II-A, Line 1a Nemours is not affiliated with any groups and did not exceed either the lobbying or grass roots expenditure ceiling. 0 0 0 3386733 X X X 0 323345838 33519972 33909377 0 16808706 204404 373762077 276472301 31659934 30827555 0 15474597 139355 323345838 296151738 13233799 -19384974 0 13196904 331358 276472301 266295711 7261140 36100619 0 13300185 205547 296151738 249508774 6734086 22659042 0 12431024 175167 266295711 0 0.147 0.853 0 0 0 112890553 112890553 0 909797253 436702893 473094360 0 87500955 40896917 46604038 0 1059444195 668466607 390977588 0 70803148 0 70803148 1094369687 Hedge Funds 76477184 F Private Equity 65994397 F Distressed and Specialty Finance 50876596 F Real Assets 39907817 F 233255994 0 Self-insurance reserves 161932782 Operating leases 80397220 Liabilities for pension benefits 13703893 256033895 X 2404827229 24230439 0 0 61378054 85608493 2319218736 0 38773097 38773097 2357991833 2163724754 0 0 0 52013168 52013168 2111711586 0 0 0 2111711586 Schedule D, Part III, Line 1 Nemours elected as permitted under FASB ASC 958 not to report in its revenue statement and balance sheet certain assets held for public exhibition, education, or research in furtherance of public service. Schedule D, Part III, Line 4 The Nemours Estate is the 300-acre estate of the late industrialist and philanthropist Alfred I. duPont. The mansion is located on the grounds of the renowned Nemours Children's Hospital, Delaware (NCH-DE) in Wilmington, Delaware. It derives its name from the town in France represented by Mr. duPont's great-great-grandfather, Pierre Samuel duPont de Nemour. The mansion was built from 1909 to 1910 and is a fine example of a French chateau in the style of Louis XVI. The 47,000 sq. ft. mansion looms over the surrounding formal gardens and is furnished with fine antiques, famous works of art, beautiful tapestries, and other treasures. The grounds surrounding the mansion extend for one third of a mile along the main vista from the house, and are among the finest examples of French-style gardens in the United States. The mansion and gardens are open for tours between May and December. Tour groups are kept small and include expert commentary by guides familiar with the duPont family history. Schedule D, Part V, Line 4 Nemours' endowments have been established for a variety of purposes including children's health equity, research, orthopedic, and cancer. Schedule D, Part X, Line 2 Per the Nemours consolidated audited financial statements footnote 2(q), Nemours, Nemours New Jersey Physican Practice PC (NJPP), Pediatric Medical Services of Florida Inc (PMSI), Delaware Children's Health Network (DCHN) and Cruden Bay Risk Retention Group (CBRRG) are exempt from federal income taxes on related income under Section 501(a) of the Internal Revenue Code as organization described in Section 501(c)(3) and are also exempt from state income taxes. Dornoch-Sutherland Assurance, Ltd. (DSAL) is exempted through 2042 from all local income, profit or capital gains taxes under the Cayman Islands Tax Concessions Law. Management believes that the unrelated business income generated by Nemours is not material to the combined financial statements. Schedule D, Part XI, Line 2d Net assets released from restriction - Ed Ball $7,293,919 plus Net assets released from restriction - donations $4,526,032 plus NJPP total revenue $18,517,539 plus PMSI total revenue $31,040,564 equals $61,378,054. Schedule D, Part XI, Line 4b Temporarily restricted contributions and pledges $18,905,897 plus temporarily restricted investment income $4,307,951 plus temporarily restricted realized gains $13,164,995 plus PMSI management fees $4,271,172 plus CBRRG realized loss $90,091 less fundraising expenses $1,191,230 less temporarily restricted investment expenses $204,404 less PMSI temporarily restricted release from restriction - donations $9,625 less CBRRG investment income $561,750 equals $38,773,097. Schedule D, Part XII, Line 2d PMSI operating expenses $40,726,356 plus NJPP operating expenses $17,802,270 plus fundraising expenses $1,191,230 less PMSI management fee $4,271,172 less CBRRG expenses $3,435,516 equals $52,013,168. Europe (including Iceland and Greenland) 0 0 Investments 56193968 East Asia and the Pacific 0 0 Investments 43451095 South America 0 0 Investments 13008256 Middle East and North Africa 0 0 Investments 11731808 North America (including Canada and Mexico, but not the United States) 0 0 Investments 9130874 South Asia 0 0 Investments 8439802 Sub-Saharan Africa 0 0 Investments 5735091 Central America and the Caribbean 0 0 Investments 4914572 Russia and Neighboring States 0 0 Investments 2077068 Europe (including Iceland and Greenland) 0 0 Program Services Investment Management 118257 0 0 154800791 1 0 1 1 1 1 X X X X X X X 1 Community Counselling Service Co LLC 2001 Market Street Suite 2500 Philadelphia PA 19103 Provides consulting to optimize current and implement new fundraising events. 0 0 1032000 -1032000 Gobel Group 400 Old Forge Lane Suite 4081 Kennett Square PA 19348 Provides consulting to optimize current and implement new fundraising events. 0 1296071 74040 1222031 Innovairre Studios Inc 528 Route 13 Suite 200 Milford NH 03055 Provides consulting and production services to optimize fundraising. 0 0 16000 -16000 1296071 1122040 174031 AK AL AR CA CO CT DC FL GA HI IL KS KY LA MA MD ME MI MN MO MS NC ND NH NJ NM NV NY OH OK OR PA RI SC TN TX VA WA WI WV 2024 Four Seasons Golf Tournament, Orlando 549292 331104 218188 0 0 0 126024 927 5780 2024 DE Gala 424587 322590 101997 0 0 10665 96870 4300 38227 12 791303 545167 246136 0 0 31250 400654 79621 396912 1765182 1198861 566321 0 0 41915 623548 84848 440919 1191230 -624909 1 1 X 1 X 2.5 1 X 1 1 0 1 1 40179730 0 40179730 0.0186 943918877 935494553 8424324 0.0039 0 0 0 0 0 0 984098607 935494553 48604054 0.0225 49316047 15118359 34197687 0.0158 11912449 8676907 3235542 0.0015 102969608 98180496 4789112 0.0022 76663129 23787236 52875893 0.0244 55493185 0 55493185 0.0256 0 0 296354418 145762998 150591419 0.0695 0 0 1280453025 1081257551 199195473 0.0920 0 0 0 2701222 3017627 -316405 X 1 1 2 1 Nemours Children's Hospital Delaware 1600 Rockland Road Wilmington DE 19803 www.nemours.org HSPTL-003; DE X X A 2 Nemours Children's Hospital Florida 6535 Nemours Pkwy Orlando FL 32827 www.nemours.org 4509; FL X X A A 0 0 1 X X X X X X X X X 22 1 0 0 1 X www.nemours.org/about/community-health-needs.html X 1 22 1 www.nemours.org/about/community-health-needs.html 0 0 1 X 250 300 X X X 1 1 X X X 1 X See Section C, Line 16 X See Section C, Line 16 X See Section C, Line 16 X X X X X X 0 X 0 X X X 1 X 0 0 Schedule H, Part V, Section B, Line 3-Group A Nemours conducted a Child & Adolescent Community Health Needs Assessment (CHNA) in 2022 for Nemours Children's Hospital, Delaware (NCH-DE) and Nemours Children's Hospital, Florida (NCH-FL). The CHNA reports can be found at https://www.nemours.org/about/community-health-needs.html. Schedule H, Part V, Section B, Line 5-Group A As part of the Child & Adolescent Community Health Needs Assessment (CHNA), Nemours solicited information online from the community and multiple key informants/stakeholders: public health representatives, physicians, other health providers, social service providers, education representatives, and community and business leaders. A list of these key informants can be found in the Nemours CHNA. Schedule H, Part V, Section B, Line 11-Group A See the implementation plan and progress reports located at https://www.nemours.org/about/community-health-needs.html Schedule H, Part V, Section B, Line 16-Group A http://www.nemours.org/patientfamily/financialassistance.html Schedule H, Part V, Section B, Line 20a-Group A No ECAs are permitted. 1 Nemours Children's Health Wilmington Nemours Children's Hospital Delaware 1600 Rockland Road Wilmington DE 19803 PEDIATRIC PRIMARY CARE, SPECIALTY CARE CLINIC AND SENIOR CARE Nemours Childrens Health Rockland II 1801 Rockland Road Wilmington DE 19803 PEDIATRIC PRIMARY CARE SPECIALTY CARE AND SENIOR CARE CLINIC Nemours Children's Health Downtown Orlando 1717 South Orange Avenue Orlando FL 32806 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Lake Mary 3300 West Lake Mary Blvd Suite 100 Lake Mary FL 32746 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Narcoossee Road 9368 Narcoossee Road Suite 105 Orlando FL 32827 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Oak Street 841 E Oak St Kissimmee FL 34744 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Winter Garden 2020 Daniels Road Suite B Winter Garden FL 34787 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Melbourne 1270 N Wickham Road Melbourne FL 32935 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Port St Lucie 573 NW Lake Whitney Place Building B Suite 103 Port St Lucie FL 34986 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Sebring 3201 Medical Way Suite 102 Sebring FL 33870 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Osceola 750 Centerview Blvd Kissimmee FL 34741 PEDIATRIC URGENT CARE CLINIC Nemours Children's Health Waterford Lakes 651 N Alafaya Trail Orlando FL 32828 PEDIATRIC URGENT CARE CLINIC Nemours Children's Health Jacksonville 807 Childrens Way Jacksonville FL 32207 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Fleming Island Baptist Clay Medical Center Campus 1747 Baptist Clay Drive Suite 130 Fleming Island FL 32003 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Jacksonville South 14785 Old St Augustine Rd Suite 200 Jacksonville FL 32258 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Lake City 164 NW Madison St Lake City FL 32055 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Nocatee 400 Colonnade Drive Suite 230 Ponte Vedra FL 32081 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Tallahassee 2418 E Plaza Drive Tallahassee FL 32308 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Pensacola 8331 North Davis Highway Pensacola FL 32514 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Bonifay 3120 Southride Lane Bonifay FL 32425 PEDIATRIC SPECIALITY CARE CLINIC Nemours Children's Health Ft Walton Beach 922 Mar Walt Drive Suite 100 Ft Walton Beach FL 32547 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Panama City 2202 State Ave Suite 102 Panama City FL 32405 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Milford 101 Wellness Way Milford DE 19963 PEDIATRIC PRIMARY CARE, SPECIALTY CARE, AND SENIOR CARE CLINIC Nemours Children's Health Philadelphia 833 Chestnut St E Suite 300 Philadelphia PA 19107 PEDIATRIC PRIMARY CARE CLINIC AND SPECIALTY CARE CLINIC Nemours Children's Health Paoli 1676 Lancaster Ave Paoli PA 19301 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Middletown 200 Cleaver Farm Road Suite 201 Middletown DE 19709 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Newark 200 Biddle Ave Suite 100 Newark DE 19702 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Dover 201 Towne Centre Drive Suite 500 Dover DE 19904 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Radnor Villanova Center 789 E Lancaster Ave Suite 10 Philadelphia PA 19085 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Foulk Road Foulkstone Plaza 1405 Foulk Road Suite 101 Wilmington DE 19803 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Media 295 E Baltimore Ave Media PA 19063 PEDIATRIC PRIMARY CARE CLINIC Nemours Chlidren's Health Seaford 49 Fallon Ave Seaford DE 19973 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Jessup Street 1602 N Jessup St Wilmington DE 19802 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Collegeville 100 Campus Drive Building A Collegeville PA 19426 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Ardmore 233 E Lancaster Ave Suite 300 Ardmore PA 19003 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Becks Woods 141 Becks Woods Drive Bear DE 19701 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Pike Creek 100 S Riding Blvd 1st Floor Wilmington DE 19808 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Exton 101 Arrandale Blvd Suite 103 Exton PA 19341 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Malvern 30 Worthington Blvd Malvern PA 19355 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Concordville 477 Wilmington West Chester Pike Suite A01 Glen Mills PA 19342 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Millsboro 30265 Commerce Drive Suite 101 Millsboro DE 19966 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Broomall 2932 Springfield Road Broomall PA 19008 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Abingdon 1245 Highland Ave Suite 204 Abingdon PA 19001 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Glen Mills 101 Applied Bank Blvd Suite 11 Glen Mills PA 19342 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Riverfront Fieldhouse 401 Garasches Lane Wilmington DE 19801 SPORTS MEDICINE Nemours Children's Health Valley Forge 101 E Swedesford RoadWayne PA 19087 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Beebe Healthcare Selbyville 36450 Tidal Road Suite 2-3 Selbyville DE 19975 PEDIATRIC SPECIALTY CARE CLINIC Schedule H, Part I, Line 6a The Nemours 2024 digital Community Benefit and Impact entitled, "Healthier Children, Stronger Communities" can be found at https://nemoursreport.org/impact/. Schedule H, Part I, Line 7 Nemours calculated the amounts included in Part I, Lines 7a-b utilizing the methodology provided in the various worksheets included in the instructions for Schedule H of Form 990. These worksheets include Worksheet 1, Financial Assistance at Cost, Worksheet 2, Ratio of Patient Care Cost-to-Charges and Worksheet 3, Unreimbursed Medicaid and Other Means-Tested Government Programs. Schedule H, Part I, Line 7a Financial Assistance at Cost - Nemours' mission is to provide leadership, institutions and services to restore and improve the health of children through care and programs not readily available, with one high standard of quality and distinction, regardless of the recipient's financial status." COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS: During 2024, Nemours continued to focus on leadership and programs dealing with not just health care, but also areas of children's health promotion and disease prevention. Through various programs, Nemours subsidized prevention and children's health programs totaling approximately $34.1 million. Nemours provided a variety of community health services for Delaware's low-income senior citizens of approximately $4.9 million. These outpatient health care services included dental care, vision and hearing tests at the Nemours Senior Care. RESEARCH: Nemours continues to improve children's lives through the power of discovery. However, new discoveries are not enough. We are integrating research findings at the bedside and exam room where it has the greatest impact on children. In total, Nemours subsidized health research approximates $52.9 million during 2024. EDUCATION & TRAINING FOR HEALTHCARE PROFESSIONALS: Nemours supported education and training programs for health professionals of approximately $3.2 million. UNCOMPENSATED MEDICAL CARE: Nemours' services classified as charity care or where the recipient could not afford services or lacked adequate health insurance, was approximately $40.2 million in 2024. Nemours also covers the costs in excess of government payments for services provided to Medicaid and other public health beneficiaries of approximately $8.4 million. All totaled, uncompensated care for 2024 approximates $48.6 million. Schedule H, Part III, Section A, Line 2 Implicit Price Concessions are calculated according to Generally Accepted Accounting Principles (GAAP). Schedule H, Part III, Section A, Line 4 In the Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida audited financial statements, see footnote 2 located on pages 13 and 39 respectively, for a description of implicit price concession. Schedule H, Part III, Section B, Line 8 The entire shortfall related to Medicare reported on line 7 should be considered a community benefit. Nemours is bearing the burden of providing care in excess of our costs to those Medicare patients. The source of the Medicare allowable costs comes from the 2024 Medicare Cost Reports. Schedule H, Part III, Section C, Line 9b The Nemours financial assistance policy applies to all of the facilities that it operates. Debt collection is not pursued against patients who qualify for the financial assistance program. Schedule H, Part VI, Line 2 Nemours assesses the healthcare needs of these communities using various methods. For example, Nemours community relations team is active at all sites to identify specific community needs for children. At Nemours, we seek to understand the health needs of the families who live in the communities we serve. Nemours has clinical operations in communities in Delaware, Pennsylvania and New Jersey (referred to as the Delaware Valley), and Florida. Nemours is committed to improving the health of children, even those who never enter our doors. To do this effectively, Nemours conducts community health needs assessments (CHNAs) then explores potential strategies to influence them. The CHNA can be found at https://www.nemours.org/about/community-health-needs.html. The "areas of opportunity" listed below represent the significant health needs of children and adolescents in the communities our hospitals serve. Areas of opportunity in the Delaware Valley: violence prevention and food insecurity. Areas of opportunity in Central Florida: access to health services, infant health and mental health. Nemours seeks to educate families about children's health and parenting through its website (KidsHealth.org). KidsHealth helps families by enabling parents, kids and teens to better understand and take mastery of their own health. Nemours creates integrated suites of physician-reviewed, family-friendly, engaging media that provide families with knowledge, perspective, advice and comfort. Schedule H, Part VI, Line 3 All of Nemours hospital and clinic locations share the same practice of educating patients and their families in the eligibility process. Information regarding financial assistance can be found on our website at https://www.nemours.org/patientfamily/financialassistance.html. Nemours employs Financial Advocates, as well as engages independent firms (collectively referred to as Financial Advocates) to assist in determining Medicaid eligibility. The Financial Advocates, some of whom are multi-lingual, work with families to educate and/or assist them with form completion regarding any program for which they might be eligible, including federal, state, or local government programs available in our service areas. Patients that are identified as uninsured upon scheduling for an appointment at one of our practices or are admitted to or present to the emergency room at NCH-DE or NCH-FL as uninsured are referred to a Financial Advocate to screen for Medicaid eligibility and/or Nemours' Financial Assistance Program. The Financial Advocates follow up directly with the respective State agency within their service area regarding their decision/determination. In certain situations, qualified personnel may go to the family's home. In some instances, Financial Advocates will ask for and receive written consent, in an effort to assist the family with the Medicaid eligibility process. To benefit from Nemours' Financial Assistance Program, a family must participate in the Medicaid eligibility process described above first. Through that process, Nemours assesses eligibility for our Financial Assistance Program, which is based on Federal Poverty Guidelines as indicated in Schedule H, Part I, lines 3a and b. Eligibility for the Nemours Financial Assistance Program is completed by the Financial Advocates. Associates at NCH-DE and NCH-FL have also established the Family Advisory Council (FAC), a group of parents whose children have had services at NCH. The purpose of the FAC is to obtain feedback from families about additional ways Nemours can assist, to include but not limited to, financial eligibility issues, etc. In addition, this information is now offered on the Nemours App. In an effort to perform proactive outreach in the, Nemours' Financial Advocates are available to support our various locations, as well as local Community Health Center facilities. Both types of places represent a source from which families come to Nemours. Such support focuses on educating staff about the various funding sources for which patients may be eligible. Nemours is Community Partners with Delaware, Pennsylvania, and Florida State Medicaid agencies. Schedule H, Part VI, Line 4 Nemours' clinical operations include two children's hospitals and multiple outpatient clinics. In Wilmington, Delaware, Nemours operates specialty and primary care children's clinics and a health clinic for the elderly. Nemours' service area includes 28 counties throughout Delaware, Pennsylvania, New Jersey, and Maryland. Based on the April 2020 Population Census results, an estimated 201,000 children and youth under the age of 18 lived in Delaware (https://www.census.gov/quickfacts/DE) compromising approximately 20.3% of the area's total population (US Census Bureau, 2020). In 2024, Delaware's under-18 population was comprised primarily of 44% Non-Hispanic White, 26% Non-Hispanic Black and 19% Hispanic/Latino (datacenter.KidsCount.org, 2024) compared to 48% Non-Hispanic White, 14% Non-Hispanic Black and 27% Hispanic/Latino nationally (KidsCount, 2024). Household income level can have a significant impact on the health status of children living in the household. Overall, the percentage of children and youth in Delaware (15%) living below 100% of the Federal Poverty Level (FPL) (KidsCount, 2023) is relatively the same as the national rate of children in poverty (16%) (KidsCount, 2023). Approximately 42% of the area's children and youth live in households with incomes below 250 percent of the poverty level (KidsCount, 2023). The vast majority of children and youth in Delaware (95%) have health insurance coverage, but approximately 33% are covered by public health insurance programs such as Medicaid/CHIP (KidsCount, 2023). Nemours' clinical operations in Florida include a children's hospital in Orlando, and North and Central Florida specialty physician practices with campuses primarily in Jacksonville, Pensacola and Orlando service areas. The majority of children and youth in Florida are Non-Hispanic White (40%) while Hispanic/Latino children make up 34% and Non-Hispanic Black children make up 19% of the population (KidsCount, 2024). A slightly larger number of children and youth in Florida (16%) live below 100% of the FPL when compared to the national rate of children in poverty (16%) (KidsCount, 2023). Approximately 48% of the State's children and youth live in households with incomes below 250 percent of the poverty level compared to the national rate of 45% (KidsCount, 2023). The vast majority of children and youth in Florida (92%) have health insurance coverage, but approximately 36% are covered by public health insurance programs such as Medicaid/CHIP which is slightly higher than the national average of 34% (KidsCount, 2023). For more information about the communities Nemours serves, please see our CHNA at https://www.nemours.org/about/why/coummunity-health-needs.html Schedule H, Part VI, Line 5 The Nemours Children's Hospital, Delaware and the Nemours Children's Hospital, Florida have open model medical staffs. Criteria for membership and clinical privileges are outlined in the Medical Staff Bylaws. Certain areas of practice are only open to practitioners employed by or under contract with Nemours and are eligible for privileges in their respective areas. Schedule H, Part VI, Line 6 Nemours is not a part of an affiliated health care system. However, Nemours works in tandem with numerous community resources in the communities it serves. Schedule H, Part VI, Line 7 Schedule H, Party VI, Line 7- Nemours is required to file its Community Benefit report with the state of Delaware per the HB 326. However, Nemours is not required to file with the state of Florida. Access to Nemours community report can be found on the internet at https://www.nemours.org/about/financial-benefit-to-the-community.html. 1 ADVENTIST HEALTH SYSTEMS-SUNBELT INC 601 E ROLLINS STREET ORLANDO FL 32803 590724459 501(c)(3) 45000000 0 FMV Donation UCF FOUNDATION 12424 RESEARCH PARKWAY SUITE 250 ORLANDO FL 32826 596211832 501(c)(3) 4275597 0 FMV Donation RONALD MCDONALD HOUSE OF DELAWARE 1901 ROCKLAND RD WILMINGTON DE 19803 510295320 501(c)(3) 136540 0 FMV Donation 4ROOTS 1918 W PRINCETON STREET ORLANDO FL 32804 474062821 501(c)(3) 181627 0 FMV Donation DELAWARE COMMUNITY FOUNDATION PO BOX 1636 WILMINGTON DE 19899 222804785 501(c)(3) 176218 0 FMV Donation RONALD MCDONALD HOUSE CHARITITES OF CENTRAL FLORIDA 1030 N ORANGE AVENUE SUITE 105 ORLANDO FL 32801 593211250 501(c)(3) 105867 0 FMV Donation LEUKEMIA AND LYMPHOMA SOCIETY PO BOX 22324 NEW YORK NY 10087 135644916 501(c)(3) 100000 0 FMV Donation AMERICAN HEART ASSOCIATION 7751 BAYMEADOWS RD EAST SUITE 106E/F JACKSONVILLE FL 32256 135613797 501(c)(3) 77500 0 FMV Donation BOYS AND GIRLS CLUB PO BOX 2987 ORLANDO FL 32802 590951887 501(c)(3) 66000 0 FMV Donation JIM AND TABITHA FURYK FOUNDATION 5716 ST AUGUSTINE RD JACKSONVILLE FL 32207 300659382 501(c)(3) 65000 0 FMV Donation YMCA OF DELAWARE 3 MT LEBANON ROAD WILMINGTON DE 19803 510065748 501(c)(3) 62995 0 FMV Donation BLESSINGS IN A BACKPACK PO BOX 950291 LOUISVILLE KY 40295 261964620 501(c)(3) 61000 0 FMV Donation MENTAL HEALTH ASSOCOCIATION OF CENTRAL FLORIDA 605 E ROBINSON STREET SUITE 450 ORLANDO FL 32801 590816432 501(c)(3) 61000 0 FMV Donation PEACE AND JUSTICE INSTITUTE INC 1331 PALMETTO AVENUE SUITE 201 WINTER PARK FL 32789 920931158 501(c)(3) 60000 0 FMV Donation HEALTHY FOODS FOR HEALTHY KIDS 221 W 10TH STREET THIRD FLOOR SUITE 28 WILMINGTON DE 19807 300444914 501(c)(3) 45000 0 FMV Donation JACKSONVILLE SPORTS MEDICINE PROGRAM 3563 PHILIPS HIGHWAY SUITE 502 JACKSONVILLE FL 32207 592997510 501(c)(3) 43750 0 FMV Donation JACKSONVILLE ARMADA FC YOUTH 2850 HODGES BLVD JACKSONVILLE FL 32224 592881219 501(c)(3) 42500 0 FMV Donation FOOD BANK OF DELAWARE 222 LAKE DRIVE NEWARK DE 19702 510258984 501(c)(3) 40000 0 FMV Donation CHESTER COUNTY FOOD BANK 650 PENNSYLVANIA DRIVE EXTON PA 19341 270887311 501(c)(3) 40000 0 FMV Donation WILMINGTON HOPE COMMISSION 38 VANDEVER AVE WILMINGTON DE 19802 262280375 501(c)(3) 40000 0 FMV Donation LATIN AMERICAN COMMUNITY CORPORATION 403 N VAN BUREN STREET ELSMERE DE 19805 237047048 501(c)(3) 39000 0 FMV Donation LAKE NONA INSTITUTE INC 6900 TAVISTOCK LAKES BLVD SUITE 200 ORLANDO FL 32827 273346737 501(c)(3) 38000 0 FMV Donation NATIONAL SUMMER LEARNING ASSOCICATION 1701 PENNSYLVANIA AV NW SUITE 200 WASHINGTON DC 20006 263356271 501(c)(3) 37500 0 FMV Donation PHILABUNDANCE 3616 SOUTH GALLOWAY STREET PHILADELPHIA PA 19148 232290505 501(c)(3) 35000 0 FMV Donation PHILADELPHIA CITY FUND 1617 JFK BLVD SUITE 889 PHILADELPHIA PA 19107 232174863 501(c)(3) 31500 0 FMV Donation ST AGNES CHURCH 233 WEST GAY STREET WEST CHESTER PA 19380 231494775 501(c)(3) 30000 0 FMV Donation SOCIETY FOR MATERNAL FETAL MEDICINE PO BOX 420016 WASHINGTON DC 20042 742052541 501(c)(3) 29700 0 FMV Donation YMCA OF CENTRAL FLORIDA 433 N MILLS AVE ORLANDO FL 32803 590624430 501(c)(3) 25500 0 FMV Donation NATIONAL ASSOCIATION OF CHILDRENS HOSPITAL AND RELATED INSTITUTIONS PO BOX 874957 KANSAS CITY MO 64187 510120256 501(c)(3) 25000 0 FMV Donation NATIONAL ACADEMY OF SCIENCES KECK W 1005 500 5TH ST NW WASHINGTON DC 20001 530196932 501(c)(3) 25000 0 FMV Donation WILMINGTON ALLIANCE 100 WEST 10 STREET SUITE 206 WILMINGTON DE 19801 510347680 501(c)(3) 25000 0 FMV Donation MAKE A WISH PHILADELPHIA 5 VALLEY SQUARE SUITE 210 BLUE BELL PA 19422 222755963 501(c)(3) 25000 0 FMV Donation CAMP BOGGY CREEK 30500 BRANTLEY BRANCH ROAD EUSTIS FL 32736 593012889 501(c)(3) 25000 0 FMV Donation EVERY CHILD COUNTS INC 401 MOORE ROAD WALLLINGFORD PA 19086 831511124 501(c)(3) 25000 0 FMV Donation SUSSEX COUNTY HEALTH COALITION 21133 STERLING SUITE AVENUE SUITE 12 GEORGETOWN DE 19947 264768742 501(c)(3) 25000 0 FMV Donation TOM COUGHLIN JAY FOUNDATION PO BOX 50798 JACKSONVILLE BEACH FL 32240 593426937 501(c)(3) 22500 0 FMV Donation TRACK SHACK FITNESS CLUB INC 1013 MONTANA STREET ORLANDO FL 32803 263361402 501(c)(3) 22000 0 FMV Donation THOMAS JEFFERSON UNIVERSITY 125 S 9TH STREET SUITE 600 PHILADELPHIA PA 19107 231352651 501(c)(3) 20000 0 FMV Donation WOLFSON CHILDRENS HOSPITAL THE WOMENS BOARD 1325 SAN MARCO BLVD JACKSONVILLE FL 32207 590747311 501(c)(3) 20000 0 FMV Donation MAKE A WISH FOUNDATION 1020 N ORLANDO AVE STE 100 MAITLAND FL 32751 593235806 501(c)(3) 20000 0 FMV Donation UNITED WAY OF DELAWARE 625 N ORANGE ST WILMINGTON DE 19801 510073399 501(c)(3) 20000 0 FMV Donation JEFFERSON HEALTH FOUNDATION 1101 MARKET STREET 22nd FLOOR PHILADELPHIA PA 19107 800550282 501(c)(3) 20000 0 FMV Donation DELAWARE THEATRE COMPANY 200 WATER STREET WILMINGTON DE 19801 510229918 501(c)(3) 20000 0 FMV Donation CENTER FOR STRUCTURAL EQUITY 813 NORTH TATNALL STREET WILMINGTON DE 19801 845026978 501(c)(3) 20000 0 FMV Donation CLAY COUNTY SOCCER CLUB 4387 LAKESHORE DRIVE FLEMING ISLAND FL 32003 591981194 501(c)(3) 18750 0 FMV Donation SECOND HARVEST FOOD BANK OF CENTRAL FLORIDA 411 MERCY DRIVE ORLANDO FL 32805 592142315 501(c)(3) 16750 0 FMV Donation MARCH OF DIMES PO BOX 18819 ATLANTA GA 31126 131846366 501(c)(3) 15000 0 FMV Donation LEADERSHIP DELAWARE INC 112 S FRENCH STREET SUITE 206 WILMINGTON DE 19801 263527196 501(c)(3) 15000 0 FMV Donation RUNWAY TO HOPE 189 S ORANGE AVENUE SUITE 1800 ORLANDO FL 32801 223272616 501(c)(3) 13000 0 FMV Donation CROHNS AND COLITIS FOUNDATION CCFA FLORIDA CHAPTER PO BOX 701130 SAINT CLOUD FL 34770 136193105 501(c)(3) 13000 0 FMV Donation HEART OF FLORIDA UNITED WAY 1940 CANNERY WAY ORLANDO FL 32804 590808854 501(c)(3) 13000 0 FMV Donation FOOD BANK OF SOUTH JERSEY INC 1501 JOHN TIPTON BLVD PENNSAUKEN NJ 08110 222623089 501(c)(3) 12500 0 FMV Donation SHEPHERDS HOPE INC 455 9TH STREET WINTER GARDEN FL 34787 593420727 501(c)(3) 11673 0 FMV Donation A GIFT FOR TEACHING 6501 MAGIC WAY BUILDING SUITE 400 C ORLANDO FL 32809 593515162 501(c)(3) 11200 0 FMV Donation COMMUNITY HEALTH CENTERS LLC 110 SOUTH WOODLAND STREET WINTER GARDEN FL 34787 591480970 501(c)(3) 11100 0 FMV Donation RONALD MCDONALD HOUSE CHARITITES OF JACKSONVILLE 824 CHILDRENS WAY JACKSONVILLE FL 32207 592625008 501(c)(3) 10000 0 FMV Donation AMERICAN ACADAMY OF PEDIATRICS AAP DEVELOPMENT LOCKBOX PO BOX 7525 CAROL STREAM IL 60197 362275597 501(c)(3) 10000 0 FMV Donation CENTRAL FL PEDIATRIC SOCIETY 316 BAY RUN ST APT 36 ORLANDO FL 32804 237422278 501(c)(3) 10000 0 FMV Donation GIFT OF LIFE DONOR PROGRAM 401 NORTH 3RD STREET PHILADELPHIA PA 19123 311481798 501(c)(3) 10000 0 FMV Donation ACADEMY HEALTH 1666 K STREET NW SUITE 1100 WASHINGTON DC 20006 521260918 501(c)(3) 10000 0 FMV Donation JACKSONVILLE ZOO 370 ZOO PARKWAY JACKSONVILLE FL 32218 591319010 501(c)(3) 10000 0 FMV Donation CHILD CANCER FUND INC 841 PRUDENTIAL DR FLOOR 12 JACKSONVILLE FL 32207 593359840 501(c)(3) 10000 0 FMV Donation HUMAN RIGHTS CAMPAIGN INC 1640 RHODE ISLAND AVE NW WASHINGTON DC 20036 521243457 501(c)(3) 10000 0 FMV Donation FREDS FOOTSTEPS 940 HAVERFORD ROAD LL1 BRYN MAWR PA 19010 232867497 501(c)(3) 10000 0 FMV Donation I AM MY SISTERS KEEPER 1500 LANCASTER AVE UNIT 2647 WILMINGTON DE 19805 303961718 501(c)(3) 10000 0 FMV Donation LIVE LIKE BELLA 2199 PONCE DE LEON BLVD SUITE 303 CORAL GABLES FL 33134 462965698 501(c)(3) 10000 0 FMV Donation LOVE IN DEED COMMUNITY PO BOX 6502 WILMINGTON DE 19804 462576164 501(c)(3) 10000 0 FMV Donation DELAWARE COALITION AGAINST GUN VIOLENCE EDUCATIONAL FUND PO BOX 883 HOCKESSIN DE 19707 383914811 501(c)(3) 10000 0 FMV Donation ELEVATE ORLANDO PO BOX 940633 MAITLAND FL 32794 263330456 501(c)(3) 10000 0 FMV Donation EPILEPSY FOUNDATION OF DE 527 STANTON CHRISTIANA RD NEWARK DE 19713 516018401 501(c)(3) 9500 0 FMV Donation ACHE OF CENTRAL FLORIDA PO BOX 1165 ORLANDO FL 32802 300213491 501(c)(3) 8000 0 FMV Donation DE BIOSCIENCE ASSOC PO BOX 7708 WILMINGTON DE 19803 204147195 501(c)(3) 7500 0 FMV Donation GRAND OPERA HOUSE 818 NORTH MARKET STREET WILMINGTON DE 19801 510116569 501(c)(3) 7500 0 FMV Donation FETAL HEART SOCIETY 1935 COUNTY ROAD B2 WEST SUITE 165 ROSEVILLE MN 55113 472144989 501(c)(3) 7500 0 FMV Donation LAKELAND SENIOR HIGH SCHOOL BOOSTER CLUB INC PO BOX 2404 LAKELAND FL 33806 591033568 501(c)(3) 7500 0 FMV Donation MUSCULAR DYSTROPHY ASSOCIATION INC PO BOX 7410354 CHICAGO IL 60674 131665552 501(c)(3) 7500 0 FMV Donation BIOFLORIDA INC 6742 FOREST HILL BLVD SUITE 256 WEST PALM BEACH FL 33413 593436638 501(c)(3) 7300 0 FMV Donation FOUNDATION FOR ORANGE COUNTY PUBLIC SCHOOLS INC 445 W AMELIA ST SUITE 901 ORLANDO FL 32804 592788435 501(c)(3) 6250 0 FMV Donation GRACE MEDICAL HOME INC 1417 E CONCORD STREET ORLANDO FL 32803 261817966 501(c)(3) 6000 0 FMV Donation GRANTMAKERS IN HEALTH 1100 CONNECTICUT AVENUE NW SUITE 1200 WASHINGTON DC 20036 133206571 501(c)(3) 5825 0 FMV Donation 80 0 Aggregate Research Patient Participation Payment 1690 412141 0 FMV Aggregate Employee Relief Fund Donations 1 1000 0 FMV Schedule I, Part I, Line 2 The grants made by Nemours were made to public charities for use in their respective exempt missions. Accordingly, Nemours expects the organization to use the funds for proper purposes, and as such, does not subsequently monitor these grants. X X X 0 1 X X X X 1 1 0 0 0 0 0 1 0 R Lawrence Moss MD President and CEO 1475003 0 852000 0 410396 0 292011 0 51868 0 3081278 0 340939 0 Christian Pizarro MD Chair, Dept of Cardiac Services, DV 2089991 0 303038 0 3495 0 0 0 57938 0 2454462 0 0 0 Peter D Wearden MD Chair, Cardiovascular Svcs FL, Dir of Early Autism 1590655 0 232587 0 63773 0 0 0 35405 0 1922420 0 0 0 Michael J Erhard MD President, North FL Region (To Oct '24) 559819 0 277648 0 770256 0 67988 0 51397 0 1727108 0 512049 0 Mark Mumford EVP, Chief Operating Officer 962611 0 382654 0 165489 0 145328 0 41245 0 1697327 0 124477 0 Rodney A McKendree EVP, CFO and Business Svcs Officer 896298 0 341568 0 168909 0 142329 0 51856 0 1600960 0 166631 0 Gina Altieri EVP, Chief Communications Officer (To May '24) 205677 0 223668 0 754587 0 40387 0 34950 0 1259269 0 318179 0 Suken A Shah MD Chair, Orthopedics, DV 1191408 0 208422 0 48429 0 0 0 61196 0 1509455 0 0 0 Katherine Deans MD Surgeon in Chief 978500 0 367311 0 38853 0 0 0 18300 0 1402964 0 0 0 James Digan EVP, Chief Development Officer 706435 0 295407 0 120934 0 105793 0 25395 0 1253964 0 68995 0 Martha G McGill President, Central FL Region 645568 0 265904 0 114231 0 97408 0 46060 0 1169171 0 87299 0 Matthew Davis Enterprise Chief Physician & Scientific Officer 842560 0 109793 0 44739 0 117692 0 33350 0 1148134 0 0 0 Kara Walker EVP, Chief Population Health Officer 527685 0 210253 0 43328 0 78993 0 33085 0 893344 0 32255 0 Laura A Kowal SVP, General Counsel 579031 0 165768 0 47412 0 63603 0 45940 0 901754 0 21203 0 Bernard E Rice SVP, Chief Information Officer 503307 0 158564 0 62672 0 65476 0 61193 0 851212 0 52588 0 Pauline M Corso SVP, Chief Operating Officer, DV (To Jan '24) 18435 0 133567 0 586624 0 0 0 3150 0 741776 0 130972 0 Jane M Mericle EVP, Chief Nursing Exec & Pt Ops 473941 0 183852 0 95607 0 0 0 31899 0 785299 0 70875 0 Mark Marcantano President, Delaware Valley 659108 0 0 0 38358 0 77884 0 36714 0 812064 0 0 0 William W Higginbotham II SVP, Finance 374554 0 127635 0 50318 0 42840 0 55084 0 650431 0 48495 0 Kevin Carraccio SVP, Philanthropy 426429 0 171412 0 17671 0 0 0 27223 0 642735 0 0 0 Mary Lee EVP, Chief Phys & Scientific Officer (End Apr '23) 0 0 0 0 640758 0 0 0 0 0 640758 0 0 0 Thomas Landmeier SVP, Chief Marketing Officer (End Oct'24) 298061 0 123174 0 41935 0 26117 0 33459 0 522746 0 0 0 Aaron Carpenter SVP, Chief Nursing and Patient Ops, DV 328358 0 101018 0 13441 0 32308 0 33475 0 508600 0 0 0 Nicole Johnson SVP, Chief Nursing and Patient Ops, CFL 301189 0 59264 0 1307 0 26077 0 44362 0 432199 0 0 0 Anna Small SVP, Chief Compliance Officer 322319 0 0 0 15618 0 32985 0 42466 0 413388 0 14600 0 Chiedu P Adebi EVP, Chief Human Resources Officer (To Jan '24) 42279 0 220911 0 106761 0 0 0 7852 0 377803 0 40134 0 Robert D Bridges Former Officer (End Dec '22) 0 0 0 0 413612 0 0 0 0 0 413612 0 0 0 Hans Alvarez SVP, Audit Service 279493 0 0 0 13732 0 28386 0 37763 0 359374 0 13096 0 Sean Baptiste EVP, Chief People Officer 198390 0 100000 0 35682 0 12115 0 18437 0 364624 0 0 0 Carrie Grant EVP, Chief Nursing Exec, FL Ops (End Apr '23) 0 0 0 0 288417 0 0 0 2873 0 291290 0 0 0 Cindy Bo SVP, Strategy and Business Dev, DV (To Jan '24) 30106 0 133838 0 79824 0 0 0 4127 0 247895 0 17939 0 Hugh M Durden Member 0 0 0 0 0 173368 0 0 0 0 0 173368 0 0 Terri Kelly Member 0 0 0 0 0 165006 0 0 0 0 0 165006 0 0 Jennifer Bayne Manager Governance Office 132816 0 5570 0 2920 0 0 0 21682 0 162988 0 0 0 Geoffrey M Rogers Member 0 0 0 0 0 156572 0 0 0 0 0 156572 0 0 Thomas G Kuntz Member 0 0 0 0 0 156558 0 0 0 0 0 156558 0 0 Robert Riney Member 0 0 0 0 0 154360 0 0 0 0 0 154360 0 0 James S Hunt Chairman of the Board and Officer 150000 0 0 0 0 0 0 0 0 0 150000 0 0 0 Cameron S Morrow Assistant Treasurer 125556 0 0 0 167 0 0 0 25536 0 151259 0 0 0 Schedule J, Part I, Line 1a Nemours has established a policy for the reimbursement of travel and related expenses incurred by its employees. All transportation and travel arrangements shall be the most economical under the circumstances. Excursion or coach fares shall be ordered whenever available. Approval of a vice president shall be required for any other class of travel. Each department has the right to limit travel expenditures based on budgetary restrictions and may limit coverage to certain categories of travel expense. First class travel may occur in situations for Nemours employees wherein other fares are not available or travel is for a long period of time or overseas. Board members also have the option of traveling first class. Effective, January 1, 2009, Nemours instituted a written policy regarding such travel. A Spouse's travel is covered for Nemours functions that are designated as donor cultivation, Nemours sanctioned events, or other events where the spouse is spending greater than 50% of their time conducting Nemours business. This includes air travel and meals. The same general travel guidelines will apply to the spouse as to the CEO. Schedule J, Part I, Line 1b Nemours paid social club dues for R. Lawrence Moss MD and Jim Digan during the calendar year 2024. Expenditures for business purposes are approved pursuant to Nemours' accountable plan reimbursement policies. These individuals received reimbursements for business related expenditures associated with the social club memberships. Schedule J, Part I, Line 4 The following associates received severance payments in 2024: Mary Lee (640,758), Robert D. Bridges (413,612), Pauline M. Corso (404,567), Gina Altieri (351,166), Carrie Grant (288,417) and Michael J. Erhard (146,570). The Nemours Foundation maintained a Supplemental Executive Retirement Plan ("SERP") for a select group of management or highly compensated employees as determined by the Board of Directors. The SERP was adopted in order to provide certain key employees with non-qualified deferred compensation benefits subject to IRC section 457(f) in recognition of the services they provide. The Nemours Foundation makes discretionary contributions to the plan and may amend or terminate the plan at any time. Participants receiving distributions in 2024 include: Michael J. Erhard (512,049), R. Lawrence Moss (340,939), Gina Altieri (318,179), Rodney A. McKendree (166,631), Pauline M. Corso (130,972), Mark Mumford (124,477), Martha G. McGill (87,299), Jane M. Mericle (70,875), James Digan (68,995), Bernard E. Rice (52,588), William W. Higginbotham (48,495), Chiedu P. Adebi (40,134), Kara Walker (32,255), Laura Kowal (21,203), Cindy, Bo (17,939), Anna Small (14,600) and Hans Alvarez (13,096). Schedule J, Part I, Line 7 Certain employees of Nemours are eligible for incentive compensation. This compensation is based on qualitative and quantitative organizational goals and the achievement of such goals by the organization, its division and individuals. A Orange County Health Facilities Authority 521035390 6845036W0 2009-10-15 326242302 See Part VI 1 0 0 B Orange County Health Facilities Authority 521035390 999999999 2018-10-05 152105000 See Part VI 0 0 0 A 236772302 0 326242302 0 0 0 1863902 28400 0 300000000 24350000 0 2012 1 0 1 1 B 21055000 0 152105000 0 0 0 0 0 0 0 152105000 0 2012 1 0 1 1 A 0 1 1 1 1 1 0.00781 0 0.00781 1 0 1 B 0 1 1 1 1 1 0.00221 0 0.00221 1 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 0 1 1 0 0 0 1 A 1 B 1 Schedule K, Part I, Column a-10/15/2009 326,242,302 Orange County Health Facilities Authority A portion of the proceeds of these bonds were used to refund on a current basis all of the outstanding Jacksonville Health Facility Authority Revenue Bonds (The Nemours Foundation Project), Series 2007, originally issued on October 3, 2007. The proceeds were used to finance the cost of the acquisition, construction, installation and equipping of a new administrative facility located in Jacksonville, Florida, and owned and operated by Nemours, and related fixtures, furnishings and equipment. The remaining portion of the proceeds of these bonds were used for the purpose of providing funds which, together with other available funds, were used to finance a portion of the cost of the acquisition, construction, installation and equipping of a pediatric healthcare facility owned and operated by Nemours, including a 95-bed freestanding children's hospital known as Nemours Children's Hospital, Florida and Outpatient Clinic, and related facilities, equipment, fixtures and furnishings, located in Orlando, Florida. On October 5, 2018 a portion of the bonds (Series 2009A) were defeased in the amount of $151,080,000 and were replaced by the Orange County Health Facility Authority bond issue dated October 5, 2018 (Series 2018). Schedule K, Part I, Column b-10/05/2018 152,105,000 Orange County Health Facilities Authority On October 5, 2018, Nemours entered into a legal defeasance of the Florida Authority Series 2009A bonds in the amount of $151,080,000. At the same time, the Florida Authority issued $152,105,000 in tax-exempt, fixed rate revenue bonds (Series 2018 bonds). Schedule K, Part III, Line 4-10/15/2009 326,242,302 Orange County Health Facilities Authority For the year ended December 31, 2024, private use disclosed in Schedule K, Part III Line 4 Column A is 0.781%. Included in the private use calculation is space leased for Home Office Cafeteria, a casting and a pharmacy vendor located in Nemours Children's Hospital, Florida. Schedule K, Part III, Line 4-10/05/2018 152,105,000 Orange County Health Facilities Authority For the year ended December 31, 2024, private use disclosed in Schedule K, Part III Line 4 Column B is 0.221%. Included in the private use calculation is space leased for Home Office Cafeteria, a casting and a pharmacy vendor located in Nemours Children's Hospital, Florida. Schedule K, Part IV, Line 2c-10/15/2009 326,242,302 Orange County Health Facilities Authority (A) Orange County Healthy Facilities Authority - calculation performed 12/6/2012. Schedule K, Part IV, Line 2c-10/05/2018 152,105,000 Orange County Health Facilities Authority (B) Orange County Healthy Facilities Authority - calculation performed 11/18/2019. Walter Kowal Family of L. Kowal 350951 Employment Compensation 0 Jennifer A Rice Family of B. Rice 182165 Employment Compensation 0 Peter C Minneci Family of K. Deans 97211 Employment Compensation 0 Megan McGill Family of M. McGill 22930 Employment Compensation 0 Substantial Contributor Service Provider 20600533 Independent Contractor 0 Substantial Contributor Service Provider 18215793 Independent Contractor 0 Substantial Contributor Service Provider 7366375 Independent Contractor 0 Substantial Contributor Service Provider 1520751 Independent Contractor 0 Substantial Contributor Service Provider 1400000 Independent Contractor 0 Substantial Contributor Service Provider 1223936 Independent Contractor 0 Substantial Contributor Service Provider 643561 Independent Contractor 0 Substantial Contributor Service Provider 614002 Independent Contractor 0 Substantial Contributor Service Provider 500000 Independent Contractor 0 Substantial Contributor Service Provider 150343 Independent Contractor 0 Substantial Contributor Service Provider 122819 Independent Contractor 0 X 1 9000 Cost or Sales Price X 48231 Cost or Sales Price X 1 5000 Cost or Sales Price X 28 1746614 FMV X 2 1285 Cost or Sales Price X 1 6182 Cost or Sales Price X Miscellaneous - Toys 77 1842653 Cost or Sales Price 0 0 1 0 Schedule M, Part I Nemours reports the number of contributions received and not by the number of items. Form 990, Part VI, Section A, Line 2 Form 990, Part VI, Section A, Line 2 - Mr. Durden, Mr. Rogers, Mr. Cost, Mr. Kuntz, Ms. Kelly and Mr. Riney have a shared business relationship. These individuals serve as trustees of the Alfred I. duPont Charitable Trust, of which Nemours is the only charitable beneficiary and who are the members of Nemours. At the beginning of 2018, the Alfred I duPont Charitable Trust was granted charitable status as an IRC section 501(c)(3). Form 990, Part VI, Section A, Line 6 The Nemours Foundation (Nemours) organizational documents include members who constitute a portion of the governing body. Specifically, the members are those individuals who also serve as trustees of the Alfred I. duPont Charitable Trust (the Trust). The Trust's primary purpose is to provide funding for Nemours' charitable activities in the communities it serves. As trustees of the Trust, these individuals are appointed as members of Nemours. The members have certain general oversight rights and some limited retained powers. The Board of Directors is made up of directors who are selected by the members of Nemours. The Board of Directors has full governance over the activities of Nemours. Form 990, Part VI, Section A, Line 7a See answer on Form 990, Part VI, Section A, Line 6. Form 990, Part VI, Section A, Line 7b See answer on Form 990, Part VI, Section A, Line 6. Form 990, Part VI, Section B, Line 11b Management distributed a draft of the 2024 Form 990 to the members of the Finance and Audit committee in mid-October, which gave the committee members the opportunity to provide comments and ask questions with respect to the draft. Based on any feedback from the committee members, management updated the draft Form 990 and distributed it to the full board membership. Upon finalization of the return, management made a final copy of the return available to the Board of Directors. Form 990, Part VI, Section B, Line 12c The Nemours Foundation (Nemours) has established a conflict of interest policy which has been reviewed and approved by the Board of Directors. Nemours is committed to the belief that sound business practices start with an absolute commitment from each employee to act ethically in carrying out Nemours' business, and to comply with the laws and regulations that impact its business, thus Nemours' employees must avoid participating in activities that create or appear to create a conflict of interest. Nemours has specifically identified the following areas in its policy to be potential conflicts of interest: financial interest, outside employment, paid faculty arrangements, consultant or research contracts, acceptance of gifts, gratuities, business courtesies, travel, lodging and entertainment, misuse of resources or assets, personal gain using undue influence, direct dealings with vendors, use of confidential information, and an individual's support of political causes. Nemours' policy requires certain individuals to disclose participation in activities or circumstances that may present a conflict of interest on an annual basis or if at any time such individual becomes aware of circumstances that may present a conflict of interest. These disclosures are reviewed by the Finance, Audit and Compliance Committee as necessary. Form 990, Part VI, Section B, Line 15 The Nemours Foundation's (Nemours) Board of Directors designated the People, Engagement and Compensation Committee (the Committee) to serve as the board committee responsible for establishing compensation practices to assure that executive compensation is reasonable and does not violate the private inurement prohibition. The practices and processes are designed to provide market-competitive compensation, to enable the board to exercise good governance oversight, and to use a review and approval process that will qualify for the rebuttable presumption of reasonableness under the federal tax law rules. The Committee annually reviews, in consultation with an independent executive compensation consulting firm specializing in healthcare and the not-for-profit industry, independently sourced benchmark market data to establish the compensation of officers, senior leadership and key employees and to align compensation with the compensation practices of organizations similar to Nemours. The Committee has established, and references, a compensation philosophy statement for senior leaders that articulates the goals of the executive compensation program, the peer group used for compensation decisions, and the targeted market position. The Board of Directors determined and approves the compensation for the CEO using the same IRS-approved rebuttable presumption process as the Committee . To indicate alignment with the compensation practices of organizations similar to Nemours, the compensation philosophy targets the market median for executives, including officers, senior leadership and key employees. Total cash compensation is also generally targeted to be at the median of Nemours' peers. Form 990, Part VI, Section C, Line 19 Generally, The Nemours Foundation (Nemours) does not make its governing documents or its conflict of interest policy available to the public. However, Nemours' articles of incorporation are publicly available through Florida's secretary of state website www.sunbiz.org . Additionally, Nemours' audited financial statements can be accessed through Digital Assurance Certification LLC, website www.dacbond.com. Form 990, Part XI, Line 9 Other changes in net assets includes a pension liability adjustment of $18,261,312 offset by a receivable from PMSI of $71,651,491 and from NJPP of $37,183,016. Delaware Children's Health Network LLC 1600 Rockland Road Wilmington DE 19803 833874741 Health Care DE 0 0 The Nemours Foundation Cruden Bay Risk Retention Group Inc 135 Allen Brook Lane Suite 101 Williston VT 05495 270057453 Risk Retention VT 501(c)(3) 509(a)(3) - Type 1 The Nemours Foundation 1 Pediatric Medical Services of Florida Inc 10140 Centurion Parkway Jacksonville FL 32256 453584225 Health Care FL 501(c)(3) 509(a)(2) The Nemours Foundation 1 Nemours New Jersey Physician Practice 1801 Rockland Road Wilmington DE 19803 463160718 Health Care NJ 501(c)(3) 509(a)(2) The Nemours Foundation 1 Alfred I duPont Charitable Trust 510 Alfred dupont Place Jacksonville FL 32202 590226560 Charitable Trust FL 501(c)(3) 509(a)(3) - Type 2 N/A 0 Alfred I duPont Trust UA 510 Alfred duPont Place Jacksonville FL 32202 596122734 Foundation FL 501(c)(3) PF Alfred I duPont Charitable Trust 0 JMK MK SIDE CAR LP 20 Fernwood Rd Summit NJ 07901 832986453 Investments NY Alfred I duPont Charitable Trust Excluded -1799 160861 0 0 0 0.0421 Sprints Capital Flint LP East Wing Trafalgar Court Les Banques St Peter Port Guernsey GK GYI 3PP Investments GK Alfred I duPont Charitable Trust Excluded -782 266915 0 0 0 0.0316 Blue Owl AIF Coinvestment Fund LP 399 Park Ave 37th Floor New York NY 10022 932752137 Investments NY Alfred I duPont Charitable Trust Excluded 2944165 31211994 0 0 0 0.4722 Dendur Opportunity Fund II LP 250 W 55th St 26th Floor New York NY 10019 874598922 Investments NY Alfred I duPont Charitable Trust Excluded 235737 1235737 0 0 0 0.0365 Parsifal Co-Invest I LP 1 Fawcett Pl Suite 120 Greenwich CT 06830 861249891 Investments CT Alfred I duPont Charitable Trust Excluded 785130 3375890 0 0 0 0.0346 Sabal Fund LP 75 State St 31st Floor Boston MA 02109 820646769 Investments MA Alfred I duPont Charitable Trust Excluded 71605 3271605 0 0 0 0.0409 Neuberger Berman Short Duration EM Debt Fund LLC 190 South LaSalle Street Ste 2400 Chicago IL 60603 472100194 Investments IL The Nemours Foundation Excluded 3124146 49955608 0 0 0 0.6471 Dornoch Sutherland Assurance LTD PO Box 1085 CJ 980404800 Captive Insurance CJ The Nemours Foundation C -11959741 51242753 1 1 0 0 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 Dornoch Sutherland Assurance LTD m 6250000 FMV Dornoch Sutherland Assurance LTD l 23430209 FMV Cruden Bay Risk Retention Group Inc l 4634500 FMV Cruden Bay Risk Retention Group Inc m 1600000 FMV Cruden Bay Risk Retention Group Inc q 2313465 FMV Pediatric Medical Services of Florida Inc r -62773738 FMV Nemours New Jersey Physician Practice r -37183016 FMV The return is being filed on a timely basis. The organization filed extensions on a timely basis. Accordingly, the return was properly extended and is now being filed by its extended due date of November 15, 2025.