2025-11-06T04:19:46-07:00 2024-12-31 135565207 KPMG LLP 500 W 5th Street Ste 800 Winston Salem NC 27101 990 2024-01-01 453584225 PEDIATRIC MEDICAL SERVICES OF FLORIDA INC PEDI 9046974100 10140 Centurion Parkway North Jacksonville FL 32256 William W Higginbotham II Assistant Treasurer 9046974100 2025-11-10 1 1 Brian Kearns P02061479 3364337102 2025-11-05 2024 2025-03-06 01:10:19Z Martha McGill 10140 Centurion Parkway North Jacksonville FL 32256 31040564 0 X WWW.NEMOURS.ORG X 2011 FL Pediatric Medical Services of Florida Inc (PMSI) mission is to provide services to restore and improve the health of children, with one high standard of quality, regardless of the recipient's financial status. 5 0 260 7 0 0 200000 225000 31248115 29902311 0 0 1273672 913253 32721787 31040564 0 0 0 0 24081520 25649046 0 0 0 15397988 15077310 39479508 40726356 -6757721 -9685792 7176644 9403571 68510417 8771645 -61333773 631926 To engage in activities relating to the purposes described in Part I; and to invest in, receive, hold, use and dispose of all property, real or personal, as may be necessary or desirable to carry into effect the aforementioned purposes. Specifically, PMSI is organized and shall at all times be operated exclusively to support and further the mission of its sole member, (The Nemours Foundation, EIN 59-0634433, ("Nemours"), an IRC section 501(c)(3) charitable IRC section 170(b)(1)(A)(iii) health care organization), through the provision of health care to the community. 0 0 39038463 0 30815564 PMSI was organized as a charitable organization to operate, support, and further the mission of its sole member, Nemours. PMSI's mission, similar to that of Nemours, is to provide services to restore and improve the health of children, with one high standard of quality, regardless of the recipient's financial status. PMSI has received recognition as an IRC section 501(c)(3) charitable organization as an IRC section 509(a)(2) public charity. Nemours, PMSI's sole member, has constructed a pediatric hospital in Orlando, the Nemours Children's Hospital, Florida ("NCH-FL"), which is operated as a division of Nemours. Nemours established PMSI in concert with NCH-FL to provide a flexible and responsive organization that facilitates the clinical practices Nemours wishes to foster, in order to promote the welfare of the community through the advancement of pediatric health care. In support of Nemours and NCH-FL, PMSI may engage in activities including, but not limited to patient care, strategic planning, budgeting, reporting, coding, charge entry, billing, collection, practice development, human resources, information technology, and clinical practice redesign activities. 0 0 0 39038463 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 X 12 0 1 260 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 0 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X William W Higginbotham II 9046974100 10140 Centurion Parkway North Jacksonville FL 32256 Michael J Erhard MD PMSI Director (To Oct '24) 1 44 X 0 1607723 119385 Mark Mumford PMSI Director 1 40 X 0 1510754 186573 Rodney A McKendree PMSI Director and Treasurer 1 42 X X 0 1406775 194185 Martha G McGill PMSI President and Board Chair 1 40 X X 0 1025703 143468 Dan Podberesky MD PMSI Director 1 40 X 0 959811 107231 William W Higginbotham II PMSI Assistant Treasurer 1 47 X 0 552507 97924 Ray J Hejmanowski CHA Council Member 20 20 X 0 453257 57416 John Clore MD Physician 40 0 X 437474 0 52727 Thomas A Lacy MD CHA Council Member 40 0 X 388622 0 57557 Robert D Bridges PMSI Director & Treasurer (End Dec'22) 0 0 X 0 413612 0 Chad E McRae MD Physician 40 0 X 340957 0 55633 Janette Magarino-Liriano MD Physician 40 0 X 342703 0 43170 Madhushree Desiraju MD Physician 40 0 X 341420 0 28781 Nora Bolanos MD Physician 40 0 X 342342 0 26816 Kelli E Mahan CHA Council Member (End Dec'23) 0 40 X 0 319415 48684 Caroline Bissett PMSI Secretary 1 40 X 0 274653 35655 Carrie Grant PMSI Director (End Dec'22) 0 0 X 0 288417 2873 Jared Dyson CHA Council Member 40.00 0 X 0 118813 18060 2193518 8931440 1276138 57 1 1 0 Stevens Constructions Inc 14541 Hope Center Loop Suite 200 Fort Myers FL 33912 Construction 314026 Cheap Solutions Cleaning Service 14708 Water Locust Dr Orlando FL 32828 Cleaning Services 146380 2 0 0 0 0 0 225000 0 225000 Gross patient revenue 621110 67796074 67796074 0 0 Patient deductions 621110 -37393070 -37393070 0 0 Provisions for bad debts 621110 -775973 -775973 0 0 Net research grants 900099 208592 208592 0 0 Rental Income from related org 900099 66688 66688 0 0 0 0 0 0 29902311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Specialized Services 900099 846972 846972 0 0 66281 66281 0 0 913253 31040564 30815564 0 0 0 0 0 0 0 0 0 0 388622 0 388622 0 0 0 0 0 20256926 19216716 1040210 0 1086850 1031039 55811 0 2648428 2512429 135999 0 1268220 1203096 65124 0 3787173 3787173 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102744 102744 0 0 745 745 0 0 6935302 6935302 0 0 39724 39724 0 0 0 0 0 0 2765608 2765608 0 0 109084 109084 0 0 0 0 0 0 44684 42557 2127 0 0 0 0 0 0 0 0 0 557525 557525 0 0 563787 563787 0 0 170934 170934 0 0 40726356 39038463 1687893 0 1573439 1555383 0 0 78264 78356 1442049 758369 0 0 0 0 0 0 0 0 0 0 6372245 5156857 1232388 1215388 0 0 0 0 0 0 106598 90324 2743906 5705751 7176644 9403571 2857665 2376641 0 0 121816 592285 0 0 0 0 0 0 0 0 0 0 65530936 5802719 68510417 8771645 X -61776139 -25815 442366 657741 -61333773 631926 7176644 9403571 X -9685792 0 0 0 0 71651491 X X 0 1 X 1 0 X 705240 28071 1322132 200000 225000 2480443 21023236 26688855 28883151 32523561 30815564 139934367 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21728476 26716926 30205283 32723561 31040564 142414810 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 142414810 -1386 0 0 0 0 -1386 0 0 0 0 0 0 -1386 0 0 0 0 -1386 0 0 0 0 0 0 0 0 117240 0 0 117240 21727090 26716926 30322523 32723561 31040564 142530664 0.99919 0.9991 0 0 X Schedule A, Part III, Line 12 2022 - PMSI received additional incentive revenue. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 5387258 4743616 643642 0 554155 413241 140914 0 430832 0 430832 1215388 Operating Leases 5669053 Other Assets - Deposits 36698 5705751 0 Operating Leases 5802719 5802719 X Schedule D, Part X, Line 1 PMSI has a liability of approximately $5.8 million for operating leases. Schedule D, Part X, Line 2 Per the Nemours consolidated audited financial statements footnote 2(q), Nemours, Nemours New Jersey Physician Practice PC (NJPP), Pediatric Medical Services of Florida Inc (PMSI), Delaware Children's Health Network (DCHN), and Cruden Bay Retention Group (CBRRG) are exempt from federal income taxes on related income under Section 501(a) of the Internal Revenue Code as organizations 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. X 1 1 X X X X 1 1 0 0 0 0 0 1 0 Michael J Erhard MD PMSI Director (To Oct '24) 0 559819 0 277648 0 770256 0 67988 0 51397 0 1727108 0 512049 Mark Mumford PMSI Director 0 962611 0 382654 0 165489 0 145328 0 41245 0 1697327 0 124477 Rodney A McKendree PMSI Director and Treasurer 0 896298 0 341568 0 168909 0 142329 0 51856 0 1600960 0 166631 Martha G McGill PMSI President and Board Chair 0 645568 0 265904 0 114231 0 97408 0 46060 0 1169171 0 87299 Dan Podberesky MD PMSI Director 0 738816 0 196757 0 24238 0 60166 0 47065 0 1067042 0 0 William W Higginbotham II PMSI Assistant Treasurer 0 374554 0 127635 0 50318 0 42840 0 55084 0 650431 0 48495 Ray J Hejmanowski CHA Council Member 0 343847 0 94344 0 15066 0 0 0 57416 0 510673 0 0 John Clore MD Physician 401203 0 36200 0 71 0 0 0 52727 0 490201 0 0 0 Thomas A Lacy MD CHA Council Member 353214 0 34314 0 1094 0 0 0 57557 0 446179 0 0 0 Robert D Bridges PMSI Director & Treasurer (End Dec'22) 0 0 0 0 0 413612 0 0 0 0 0 413612 0 0 Chad E McRae MD Physician 340753 0 0 0 204 0 0 0 55633 0 396590 0 0 0 Janette Magarino-Liriano MD Physician 342574 0 0 0 129 0 0 0 43170 0 385873 0 0 0 Madhushree Desiraju MD Physician 340860 0 0 0 560 0 0 0 28781 0 370201 0 0 0 Nora Bolanos MD Physician 341990 0 0 0 352 0 0 0 26816 0 369158 0 0 0 Kelli E Mahan CHA Council Member (End Dec'23) 0 261240 0 49911 0 8264 0 0 0 48684 0 368099 0 0 Caroline Bissett PMSI Secretary 0 234039 0 32783 0 7831 0 0 0 35655 0 310308 0 0 Carrie Grant PMSI Director (End Dec'22) 0 0 0 0 0 288417 0 0 0 2873 0 291290 0 0 Schedule J, Part I, Line 1a Nemours has established and PMSI has adopted 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 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 under certain conditions in accordance with Nemours policy. Schedule J, Part I, Line 4 The following associates received severance payments paid by Nemours in 2024: Robert D Bridges (413,612), Carrie Grant (288,417) and Michael J. Erhard (146,570). Nemours 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. Nemours 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 MD (512,049) Rodney A. McKendree (166,631) Mark Mumford (124,477) Martha G. McGill (87,299) William W. Higginbotham (48,495). Schedule J, Part I, Line 7 Certain employees of Nemours and PMSI are eligible for incentive compensation. This compensation is based on qualitative and quantitative organizational goals and the achievement of such goals by its divisions and individuals. Form 990, Part V, Line 2a PMSI payroll and withholding is prepared by Nemours (EIN: 59-0634433). Nemours also files information and withholding forms on behalf of PMSI. Form 990, Part VI, Section A, Line 2 Ms. Bissett, Ms. McGill, Mr. Higginbotham, Dr. Erhard, Mr. McKendree, Mr. Hejmanowski, Mr. Mumford, Dr. Podberesky and Mr. Dyson have a shared business relationship. All are employees of Nemours. Form 990, Part VI, Section A, Line 6 The sole member of PMSI is Nemours, which is recognized as an IRC section 501(c)(3) charity as a hospital under IRC section170(b)(1)(A)(iii). The PMSI Board of Directors has full governance over the activities of PMSI. However, Nemours has the power to elect the PMSI Board of Directors based on a slate of candidates proposed by the Nominating and Governance Committee of PMSI. Additionally, Nemours reserves the specific rights as sole member such as establishment of the organization's purpose; approval of any amendment to or repeal of the Articles of Incorporation or Bylaws; approval of annual operating and capital budgets; approval of capital expenditures over a specified threshold; approval or execution of any debt instrument, note, pledge, mortgage, encumbrance, execution of any contract involving the preceding; and other selected powers. Form 990, Part VI, Section A, Line 7a See explanation under Form 990, Part VI, Section A, Line 6 Form 990, Part VI, Section A, Line 7b See explanation under Form 990, Part VI, Section A, Line 6. Form 990, Part VI, Section B, Line 11b Management reviewed a draft of the Form 990 prior to filing. Upon finalization of the return, management provided a final copy of the return, via e-mail, to the Board of Directors prior to filing with the IRS. Form 990, Part VI, Section B, Line 12c PMSI has established a conflict of interest policy which has been reviewed and approved by the Board of Directors. PMSI's policy is consistent with that of its sole member, Nemours. 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 Nemours' Finance, Audit, and Compliance Committee, as necessary. Form 990, Part VI, Section B, Line 15 PMSI's Board of Directors is committed to establishing compensation practices which are reasonable and do not violate the private inurement prohibition. The practices and processes are designed to avoid any claim for intermediate sanctions and to satisfy the requirements to obtain the rebuttable presumption. PMSI will annually review outside, independent data to establish the compensation of officers and key employees. Form 990, Part VI, Section C, Line 19 PMSI's governing documents and conflict of interest policy are included in PMSI's Form 1023, which is available for public disclosure. Form 990, Part XI, Line 9 Other changes in net assets includes payable to Nemours of $71,651,491. Form 990, Part XII, Line 2c Pediatric Medical Services of Florida, Inc. is consolidated in The Nemours audited financial statements. The Nemours Finance, Audit and Compliance Committee is responsible for the selection of the independent auditors and has oversight of the audit. Children's Health Alliance 9145 Narcoossee Road Orlando FL 32827 453584282 Health Care FL -9685792 9403571 Pediatric Medical Services of Florida Inc The Nemours Foundation 10140 Centurion Parkway North Jacksonville FL 32256 590634433 Health Care FL 501(c)(3) 170(b)(1)(A)(iii) N/A 0 Cruden Bay Risk Retention Group Inc 135 Allen Brook Road Suite 101 Williston VT 05495 270057453 Risk Retention VT 501(c)(3) 509(a)(3) - Type 1 The Nemours Foundation 0 Nemours New Jersey Physician Practice 1801 Rockland Road Wilmington DE 19803 463160718 Health Care NJ 501(c)(3) 509(a)(2) The Nemours Foundation 0 Alfred I duPont Charitable Trust 510 Alfred dupont Place Jacksonville FL 32202 590226560 Charitable Trust FL 501(c)(3) 509(a)(3) 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 0 0 0 0 0 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 0 0 0 0 0 Blue Owl AIF Co-Investment Fund LP 399 Park Ave 37th Fl New York NY 10022 932752137 Investments NY Alfred I duPont Charitable Trust Excluded 0 0 0 0 0 Dendur Opportunity Fund II LP 250 W 55th St 26th Fl New York NY 10019 874598922 Investments NY Alfred I duPont Charitable Trust Excluded 0 0 0 0 0 Parsifal Co-Invest I LP 1 Fawcett Pl Ste 120 Greenwich CT 06830 861249891 Investments CT Alfred I duPont Charitable Trust Excluded 0 0 0 0 0 Sabal Fund LP 75 State St 31st Fl Boston MA 02109 820646769 Investments MA Alfred I duPont Charitable Trust Excluded 0 0 0 0 0 Neuberger Berman Short Duration Emerging Market Debt Fund LLC 190 South LaSalle St Suite 2400 Chicago IL 60603 472100194 Investments IL The Nemours Foundation Excluded 0 0 0 0 0 Dornoch Sutherland Assurance LTD PO Box 1085 Grand Cayman CJ KY1-1102 980404800 Captive Insurance CJ The Nemours Foundation C 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 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 17, 2025.