THE NEMOURS FOUNDATION: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: THE NEMOURS FOUNDATION (EIN 59-0634433)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-12
IRS object ID: 202433199349302208
Schema version: 2023v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-12T09:00:21-07:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 W 5th Street Ste 800	AddressLine1Txt
City	Winston Salem	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27101	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	590634433	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE NEMOURS FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NEMO	BusinessNameControlTxt
Phone	9046974100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10140 Centurion Parkway North	AddressLine1Txt
City	Jacksonville	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32256	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Rodney A McKendree	PersonNm
Person Title	EVP, CFO and Business Svcs Officer	PersonTitleTxt
Phone	9046974100	PhoneNum
Signature	2024-11-04	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian Kearns	PreparerPersonNm
PTIN	P02061479	PTIN
Phone	3364337102	PhoneNum
Preparation	2024-11-02	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	R Lawrence Moss MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10140 Centurion Parkway North	AddressLine1Txt
City	Jacksonville	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32256	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,236,332,566	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.nemours.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1936	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	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.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	10441	TotalEmployeeCnt
Total Volunteers	1233	TotalVolunteersCnt
Total Gross UBI	-$64,212	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$186,016	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$329,617,588	PYContributionsGrantsAmt
CY Contributions Grants	$331,577,707	CYContributionsGrantsAmt
PY Program Service Revenue	$1,466,937,573	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,624,837,287	CYProgramServiceRevenueAmt
PY Investment Income	$62,816,464	PYInvestmentIncomeAmt
CY Investment Income	$46,290,145	CYInvestmentIncomeAmt
PY Other Revenue	$78,889,158	PYOtherRevenueAmt
CY Other Revenue	$83,266,926	CYOtherRevenueAmt
PY Total Revenue	$1,938,260,783	PYTotalRevenueAmt
CY Total Revenue	$2,085,972,065	CYTotalRevenueAmt
PY Grants And Similar Paid	$16,015,329	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$33,875,831	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,048,914,191	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,154,431,635	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$1,340,000	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$1,223,000	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$13,443,195	CYTotalFundraisingExpenseAmt
PY Other Expenses	$587,075,300	PYOtherExpensesAmt
CY Other Expenses	$639,040,558	CYOtherExpensesAmt
PY Total Expenses	$1,653,344,820	PYTotalExpensesAmt
CY Total Expenses	$1,828,571,024	CYTotalExpensesAmt
PY Revenues Less Expenses	$284,915,963	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$257,401,041	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,774,227,208	TotalAssetsBOYAmt
Total Assets EOY	$3,058,493,548	TotalAssetsEOYAmt
Total Liabilities BOY	$786,419,538	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$767,862,302	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,987,807,670	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,290,631,246	NetAssetsOrFundBalancesEOYAmt
Mission	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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,482,584,981	ExpenseAmt
Grant	$33,875,831	GrantAmt
Revenue	$1,705,278,478	RevenueAmt
Desc	See Schedule H, Part VI	Desc
Total Other Prog Srvc Expense	$0	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,482,584,981	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	Yes (1)	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	937	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	10441	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Foreign Country	MP	ForeignCountryCd
Foreign Country	SN	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	Yes (1)	NondeductibleContributionsInd
Nondeductible Contri Discl	Yes (1)	NondeductibleContriDisclInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	0	Form8899Filedind
Form1098 C Filed	0	Form1098CFiledInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	AK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CO	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	HI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	ND	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NM	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NV	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	RI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	UT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WV	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Rodney McKendree CFO	PersonNm
Phone	9046974100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10140 Centurion Parkway North	AddressLine1Txt
City	Jacksonville	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32256	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (49 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Key EmployeeKeyEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
R Lawrence Moss MD
President and CEO	40	0	Yes (X)	$2,338,500	$0	$313,109
Christian Pizarro MD
Chair, Dept of Cardiac Services, DV	40	0		$2,280,123	$0	$49,044	Yes (X)
Peter D Wearden MD
Chair, Cardiovascular Svcs FL, Dir of Early Autism	40	0		$1,818,761	$0	$33,729	Yes (X)
Robert D Bridges
Former Officer (End Dec '22)	0	0		$1,617,233	$0	$65,893		Yes (X)
Mark Mumford
EVP, Chief Operating Officer	40	1	Yes (X)	$1,498,626	$0	$178,584
Suken A Shah MD
Chair, Orthopedics, DV	40	0		$1,394,331	$0	$53,189	Yes (X)
Rodney A McKendree
EVP, CFO and Business Svcs Officer	40	3	Yes (X)	$1,248,488	$0	$180,251
Mary Lee MD
EVP, Chief Phys & Scientific Officer (To Apr '23)	40	1	Yes (X)	$1,210,581	$0	$23,878
Gary Josephson MD
VP, Chief Medical Officer, NFL	40	0		$1,066,713	$0	$107,887	Yes (X)
Michael J Erhard MD
President, North FL Region (To Apr '23)	40	5	Yes (X)	$1,005,928	$0	$159,561
Katherine Deans MD
Surgeon in Chief	40	0		$1,088,216	$0	$48,899	Yes (X)
James Digan
EVP, Chief Development Officer (To Apr '23)	40	0	Yes (X)	$975,757	$0	$128,221
Martha G McGill
President, Central FL Region (To Apr '23)	40	1	Yes (X)	$857,933	$0	$139,354
Gina Altieri
EVP, Chief Communications Officer (To Apr '23)	40	0	Yes (X)	$804,656	$0	$113,074
Chiedu P Adebi
EVP, Chief Human Resources Officer (To Apr '23)	40	0	Yes (X)	$741,416	$0	$128,100
Jane M Mericle
EVP, Chief Nursing Exec & Pt Ops (To Apr '23)	40	0	Yes (X)	$777,206	$0	$30,953
Kara Walker
EVP, Chief Population Health Officer (To Apr '23)	40	0	Yes (X)	$678,170	$0	$102,330
Bernard E Rice
SVP, Chief Information Officer	40	0		$658,821	$0	$113,932			Yes (X)
Laura A Kowal
SVP, General Counsel	40	4	Yes (X)	$603,012	$0	$88,826
Carrie Grant
EVP, Chief Nursing Exec, FL Ops (To Apr '23)	40	0	Yes (X)	$620,714	$0	$43,170
Pauline M Corso
SVP, Chief Operating Officer, DV	40	0		$540,685	$0	$93,161			Yes (X)
William W Higginbotham II
SVP, Finance	40	8	Yes (X)	$520,224	$0	$96,529
Cindy Bo
SVP, Strategy and Business Dev, DV	40	0		$513,135	$0	$81,716			Yes (X)
Kevin Carraccio
SVP, Philanthropy	40	0		$547,013	$0	$25,543			Yes (X)
Margaret Hostetter
Interim Exec Dir, Clinical and Research (To Jul '23)	40	0		$503,040	$0	$11,976			Yes (X)
Thomas Landmeier
SVP, Chief Marketing Officer	40	0		$398,528	$0	$68,937			Yes (X)
Aaron Carpenter
SVP, Chief Nursing and Patient Ops, DV	40	0		$334,887	$0	$54,119			Yes (X)
Anna Small
SVP, Chief Compliance Officer	40	0		$316,205	$0	$69,321			Yes (X)
Hans Alvarez
SVP, Audit Service	40	0		$269,234	$0	$60,023			Yes (X)
Nicole Johnson
SVP, Chief Nursing and Patient Ops, CFL	40	0		$279,002	$0	$40,718			Yes (X)
Matthew Davis
Enterprise Chief Physician & Scientific Officer	40	0		$188,238	$0	$1,771			Yes (X)
Hugh M Durden
Member	4	12		$0	$168,285	$0				Yes (X)
Terri Kelly
Member	0	10		$0	$161,152	$0				Yes (X)
Thomas G Kuntz
Member Director	8	10		$0	$154,340	$0				Yes (X)
John S Lord
Member (To Oct '23)	2	15.00		$0	$153,931	$0				Yes (X)
Geoffrey M Rogers
Member Director	8	10		$0	$153,641	$0				Yes (X)
Robert Riney
Member	0	9		$0	$153,546	$0				Yes (X)
Jennifer Bayne
Manager Governance Office	40	0	Yes (X)	$132,489	$0	$19,547
Cameron S Morrow
Assistant Treasurer	40	0	Yes (X)	$126,549	$0	$23,428
Harold Mills
Chairman of the Board and Officer	3	1	Yes (X)	$90,000	$0	$0				Yes (X)
James S Hunt
Director	10	0		$90,000	$0	$0				Yes (X)
Gwen MacKenzie
Director	2	0		$85,000	$0	$0				Yes (X)
Richard Walsh
Vice Chairman of the Board and Officer	5	2	Yes (X)	$75,000	$0	$0				Yes (X)
Valerie Montgomery Rice
Director	2	0		$75,000	$0	$0				Yes (X)
Jane Cavalier Luca
Director	6	0		$75,000	$0	$0				Yes (X)
Claire DeMatteis
Director	1	0		$70,000	$0	$0				Yes (X)
Elliot Joseph
Director	2	0		$60,000	$0	$0				Yes (X)
William F D'Alonzo
Director	3	0		$60,000	$0	$0				Yes (X)
Linda D Norman
Director (To Jan '23)	0	0		$7,750	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$28,642,164	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$944,895	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,748,773	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2772	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	Business Name Line2ContractorName/BusinessName/BusinessNameLine2Txt
HSC Builders and Construction Manager
340 New Mill Lane	Exton	PA	19341	Building & Construction	$22,353,558
AMN Healthcare Inc
Lockbox 2735	Chicago	IL	60693	Temp Staffing	$21,086,940	Collection Center Drive
Turner Construction Company
1500 Spring Garden St	Philadelphia	PA	19130	Building & Construction	$20,074,604	Ste 220
Crothall Health Care Inc
13028 Collection Center Drive	Chicago	IL	60693	Housekeeping & Laundry SV	$11,486,076
Marsh and Mclennan Agency
PO Box 744833	Atlanta	GA	30374	Insurance Agency	$9,244,346		J Smith Lanier

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	261	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$838,164	FundraisingAmt
Related Organizations	$245,948,026	RelatedOrganizationsAmt
Government Grants	$0	GovernmentGrantsAmt
All Other Contributions	$84,791,517	AllOtherContributionsAmt
Noncash Contributions	$88,381	NoncashContributionsAmt
Total Contributions	$331,577,707	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Gross patient revenue	900099	$4,562,957,027	$4,562,957,027	$0	$0
Patient deductions	900099	-$2,924,264,202	-$2,924,264,202	$0	$0
Provisions for bad debts	900099	-$47,670,939	-$47,670,939	$0	$0
Net research grants	900099	$33,084,618	$33,084,618	$0	$0
Electronic health record revenue	900099	$730,783	$730,783	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,624,837,287	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,746,487	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$64,212	UnrelatedBusinessRevenueAmt
Exclusion	$37,810,699	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,588,946	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,588,946	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$604,214	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$604,214	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$604,214	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$604,214	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$158,481,790	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$149,938,132	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$8,543,658	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,543,658	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$8,543,658	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$54,944	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$838,164	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$422,369	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$367,425	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$367,425	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Specialized services	900099	$64,458,270	$64,458,270	$0	$0
Continuing medical education	900099	$9,578,688	$9,578,688	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,404,233	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,404,233	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$80,441,191	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,085,972,065	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,705,278,478	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$64,212	UnrelatedBusinessRevenueAmt
Exclusion	$49,180,092	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$33,366,720	TotalAmt
Program Services	$33,366,720	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$509,111	TotalAmt
Program Services	$509,111	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$21,766,919	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$21,766,919	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$3,771,591	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$3,771,591	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$908,315,103	TotalAmt
Program Services	$758,167,809	ProgramServicesAmt
Management And General	$144,361,132	ManagementAndGeneralAmt
Fundraising	$5,786,162	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$50,179,778	TotalAmt
Program Services	$41,884,906	ProgramServicesAmt
Management And General	$7,975,216	ManagementAndGeneralAmt
Fundraising	$319,656	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$111,277,965	TotalAmt
Program Services	$92,883,373	ProgramServicesAmt
Management And General	$17,685,727	ManagementAndGeneralAmt
Fundraising	$708,865	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$59,120,279	TotalAmt
Program Services	$49,347,514	ProgramServicesAmt
Management And General	$9,396,156	ManagementAndGeneralAmt
Fundraising	$376,609	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$5,104,420	TotalAmt
Program Services	$3,157,657	ProgramServicesAmt
Management And General	$1,827,311	ManagementAndGeneralAmt
Fundraising	$119,452	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$911,559	TotalAmt
Program Services	$563,902	ProgramServicesAmt
Management And General	$326,325	ManagementAndGeneralAmt
Fundraising	$21,332	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$532,201	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$532,201	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$1,223,000	TotalAmt
Fundraising	$1,223,000	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$124,703,521	TotalAmt
Program Services	$91,408,557	ProgramServicesAmt
Management And General	$31,635,887	ManagementAndGeneralAmt
Fundraising	$1,659,077	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$12,312,311	TotalAmt
Program Services	$9,519,736	ProgramServicesAmt
Management And General	$1,303,955	ManagementAndGeneralAmt
Fundraising	$1,488,620	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$189,067,547	TotalAmt
Program Services	$166,855,252	ProgramServicesAmt
Management And General	$21,747,033	ManagementAndGeneralAmt
Fundraising	$465,262	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$33,782,376	TotalAmt
Program Services	$20,759,094	ProgramServicesAmt
Management And General	$12,981,124	ManagementAndGeneralAmt
Fundraising	$42,158	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$49,515,838	TotalAmt
Program Services	$40,517,731	ProgramServicesAmt
Management And General	$8,836,410	ManagementAndGeneralAmt
Fundraising	$161,697	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$8,392,485	TotalAmt
Program Services	$7,723,686	ProgramServicesAmt
Management And General	$460,989	ManagementAndGeneralAmt
Fundraising	$207,810	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$4,126,783	TotalAmt
Program Services	$3,616,628	ProgramServicesAmt
Management And General	$450,171	ManagementAndGeneralAmt
Fundraising	$59,984	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,108,394	TotalAmt
Program Services	$12,108,394	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$94,163,824	TotalAmt
Program Services	$69,233,362	ProgramServicesAmt
Management And General	$24,798,768	ManagementAndGeneralAmt
Fundraising	$131,694	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$38,259,272	TotalAmt
Program Services	$29,819,094	ProgramServicesAmt
Management And General	$8,440,178	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Subscriptions (Databases, magazines & books)	$21,717,463	$19,247,937	$2,419,574	$49,952
Maintenance contracts - Miscellaneous	$10,876,174	$5,294,458	$5,581,536	$180
Repairs and maintenance	$10,474,188	$5,098,774	$5,375,241	$173
Employee recruitment and advertising	$4,335,470	$4,040,603	$184,625	$110,242

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,656,732	TotalAmt
Program Services	$17,460,683	ProgramServicesAmt
Management And General	$684,779	ManagementAndGeneralAmt
Fundraising	$511,270	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,828,571,024	TotalAmt
Program Services	$1,482,584,981	ProgramServicesAmt
Management And General	$332,542,848	ManagementAndGeneralAmt
Fundraising	$13,443,195	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$67,950,267	BOYAmt
EOY	$49,051,014	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$608,511,430	BOYAmt
EOY	$496,050,436	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$39,381,062	BOYAmt
EOY	$110,432,937	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$318,791,935	BOYAmt
EOY	$368,928,306	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,902,619	BOYAmt
EOY	$9,131,762	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$22,549,888	BOYAmt
EOY	$28,323,657	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,119,811,800	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,072,511,745	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,023,293,191	BOYAmt
EOY	$1,047,300,055	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$455,957,749	BOYAmt
EOY	$678,212,118	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$151,879,280	BOYAmt
EOY	$188,108,887	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,973,436	BOYAmt
EOY	$3,001,216	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$75,036,351	BOYAmt
EOY	$79,953,160	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,774,227,208	BOYAmt
EOY	$3,058,493,548	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$177,294,295	BOYAmt
EOY	$196,904,344	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$4,859,599	BOYAmt
EOY	$11,608,297	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$241,656,116	BOYAmt
EOY	$231,647,551	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$90,475,000	BOYAmt
EOY	$89,025,000	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$272,134,528	BOYAmt
EOY	$238,677,110	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$786,419,538	BOYAmt
EOY	$767,862,302	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,683,107,487	BOYAmt
EOY	$1,887,356,310	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$304,700,183	BOYAmt
EOY	$403,274,936	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,987,807,670	BOYAmt
EOY	$2,290,631,246	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,774,227,208	BOYAmt
EOY	$3,058,493,548	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$257,401,041	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$41,314,277	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$4,108,258	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$6,369	FilingOrganizationsTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$777,605	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$783,974	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,827,787,050	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,828,571,024	FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$871,633	CurrentYearMinus3Amt
Current Year Minus2	$723,559	CurrentYearMinus2Amt
Current Year Minus1	$666,062	CurrentYearMinus1Amt
Current Year	$783,974	CurrentYearAmt
Total	$3,045,228	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$2,000	CurrentYearMinus3Amt
Current Year Minus2	$2,000	CurrentYearMinus2Amt
Current Year Minus1	$2,000	CurrentYearMinus1Amt
Current Year	$6,369	CurrentYearAmt
Total	$12,369	TotalAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-A, Line 1a	FormAndLineReferenceDesc
Explanation	Nemours is not affiliated with any groups and did not exceed either the lobbying or grass roots expenditure ceiling.	ExplanationTxt

Schedule D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

Field	Value	IRS element (for citing)
Revenues Included	$0	RevenuesIncludedAmt
Assets Included	$3,386,733	AssetsIncludedAmt

Held Works Art HeldWorksArtGrp

Field	Value	IRS element (for citing)
Revenues Included	$0	RevenuesIncludedAmt
Assets Included	$0	AssetsIncludedAmt

Field	Value	IRS element (for citing)
Collection Used Pub Exhibition	Yes (X)	CollectionUsedPubExhibitionInd
Collection Used Preservation	Yes (X)	CollectionUsedPreservationInd
Coll Used Loan Or Exch Prog	Yes (X)	CollUsedLoanOrExchProgInd
Solicited Assets Sale	0	SolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$276,472,301	BeginningYearBalanceAmt
Contributions	$31,659,934	ContributionsAmt
Investment Earnings Or Losses	$30,827,555	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$15,474,597	OtherExpendituresAmt
Administrative Expenses	$139,355	AdministrativeExpensesAmt
End Year Balance	$323,345,838	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$296,151,738	BeginningYearBalanceAmt
Contributions	$13,233,799	ContributionsAmt
Investment Earnings Or Losses	-$19,384,974	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$13,196,904	OtherExpendituresAmt
Administrative Expenses	$331,358	AdministrativeExpensesAmt
End Year Balance	$276,472,301	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$266,295,711	BeginningYearBalanceAmt
Contributions	$7,261,140	ContributionsAmt
Investment Earnings Or Losses	$36,100,619	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$13,300,185	OtherExpendituresAmt
Administrative Expenses	$205,547	AdministrativeExpensesAmt
End Year Balance	$296,151,738	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$249,508,774	BeginningYearBalanceAmt
Contributions	$6,734,086	ContributionsAmt
Investment Earnings Or Losses	$22,659,042	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$12,431,024	OtherExpendituresAmt
Administrative Expenses	$175,167	AdministrativeExpensesAmt
End Year Balance	$266,295,711	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$218,594,430	BeginningYearBalanceAmt
Contributions	$9,610,720	ContributionsAmt
Investment Earnings Or Losses	$31,666,343	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$10,157,031	OtherExpendituresAmt
Administrative Expenses	$205,688	AdministrativeExpensesAmt
End Year Balance	$249,508,774	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.107	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.893	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$88,595	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$111,921,207	OtherCostOrOtherBasisAmt
Book Value	$112,009,802	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$884,668,947	OtherCostOrOtherBasisAmt
Depreciation	$412,090,144	DepreciationAmt
Book Value	$472,578,803	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$64,453,892	OtherCostOrOtherBasisAmt
Depreciation	$34,483,275	DepreciationAmt
Book Value	$29,970,617	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$1,010,820,791	OtherCostOrOtherBasisAmt
Depreciation	$625,938,326	DepreciationAmt
Book Value	$384,882,465	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$47,858,368	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$47,858,368	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,047,300,055	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Distressed Debt	$28,346,554	F
Hedge Funds	$63,265,604	F
Private Equity	$62,379,787	F
Real Assets	$34,116,942	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$188,108,887	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Self-insurance reserves	$108,872,119
Operating leases	$77,839,786
Liabilities for pension benefits	$51,965,205

Field	Value	IRS element (for citing)
Total Liability	$238,677,110	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$2,067,927,034	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$21,481,064	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants	$0	RecoveriesPriorYearGrantsAmt
Other Revenue	$58,071,546	OtherRevenueAmt
Revenue Not Reported	$79,552,610	RevenueNotReportedAmt
Revenue Subtotal	$1,988,374,424	RevenueSubtotalAmt
Investment Expenses Not Incld	$0	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$97,597,641	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$97,597,641	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$2,085,972,065	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,881,001,163	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$0	DonatedServicesUseFcltsAmt
Prior Year Adjustments	$0	PriorYearAdjustmentsAmt
Losses Reported	$0	LossesReportedAmt
Other Expenses Included	$52,430,139	OtherExpensesIncludedAmt
Expenses Not Reported	$52,430,139	ExpensesNotReportedAmt
Expenses Subtotal	$1,828,571,024	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$0	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,828,571,024	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 ophthalmology, orthopedic, dental, sickle cell, cancer health equity and research.
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 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 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 $6,930,848 plus Net assets released from restriction - donations $3,938,358 plus Nemours New Jersey Physicians Practice PC (subsidiary) total revenue $14,480,553 plus Pediatric Medical Services of Florida Inc (subsidiary) total revenue $32,721,787 equals $58,071,546.
Schedule D, Part XI, Line 4b	Temporarily restricted contributions and pledges $83,176,445 plus temporarily restricted investment income $4,696,015 plus temporarily restricted realized gains $6,298,326 plus Pediatric Medical Services of Florida Inc (subsidiary) management fees $4,373,283 less fundraising expenses $422,369 less temporarily restricted investment expenses $139,355 less Pediatric Medical Services of Florida Inc (PMSI) temporarily restricted release from restriction - donations $384,704 equals $97,597,641.
Schedule D, Part XII, Line 2d	Pediatric Medical Services of Florida Inc (subsidiary) operating expenses $39,479,508 plus Nemours New Jersey Physician Practice PC (subsidiary) operating expenses $16,901,545 plus fundraising expenses $422,369 less Pediatric Medical Services of Florida Inc management fee $4,373,283 equals $52,430,139.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (11 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
Europe (including Iceland and Greenland)	Investments	$74,291,599
East Asia and the Pacific	Investments	$20,319,476
North America (including Canada and Mexico, but not the United States)	Investments	$12,335,334
South America	Investments	$11,636,698
Central America and the Caribbean	Investments	$9,076,377
Middle East and North Africa	Investments	$5,741,488
Sub-Saharan Africa	Investments	$4,999,459
Russia and Neighboring States	Investments	$2,941,439
South Asia	Investments	$2,512,223
Europe (including Iceland and Greenland)	Program Services	$94,599	Investment Management
Sub-Saharan Africa	Program Services	$1,372	Investment Management

Field	Value	IRS element (for citing)
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Total Spent	$143,950,064	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	Yes (1)	BoycottCountriesInd

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (1)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt	Address Line2USAddress/AddressLine2Txt
Innovairre Studios Inc
528 Route 13 Suite 200	Milford	NH	03055	Provides consulting and production services to optimize fundraising	0	$1,086,963	$56,000	$1,030,963
Community Counselling Service Co Inc
2001 Market Street	Philadelphia	PA	19103	Provides consulting to optimize current and implement new fundraising events.	0	$0	$996,000	-$996,000	Suite 2500
Gobel Group
400 Old Forge lane	Kennett Square	PA	19348	Provides consulting to optimize current and implement new fundraising events.	0	$125,800	$171,000	-$45,200	Suite 4081

Field	Value	IRS element (for citing)
Total Gross Receipts	$1,212,763	TotalGrossReceiptsAmt
Total Retained By Contractors	$1,223,000	TotalRetainedByContractorsAmt
Total Net To Organization	-$10,237	TotalNetToOrganizationAmt
Licensed States	AK	LicensedStatesCd
Licensed States	AL	LicensedStatesCd
Licensed States	AR	LicensedStatesCd
Licensed States	CA	LicensedStatesCd
Licensed States	CO	LicensedStatesCd
Licensed States	CT	LicensedStatesCd
Licensed States	DC	LicensedStatesCd
Licensed States	FL	LicensedStatesCd
Licensed States	GA	LicensedStatesCd
Licensed States	HI	LicensedStatesCd
Licensed States	IL	LicensedStatesCd
Licensed States	KS	LicensedStatesCd
Licensed States	KY	LicensedStatesCd
Licensed States	LA	LicensedStatesCd
Licensed States	MA	LicensedStatesCd
Licensed States	MD	LicensedStatesCd
Licensed States	ME	LicensedStatesCd
Licensed States	MI	LicensedStatesCd
Licensed States	MN	LicensedStatesCd
Licensed States	MO	LicensedStatesCd
Licensed States	MS	LicensedStatesCd
Licensed States	NC	LicensedStatesCd
Licensed States	ND	LicensedStatesCd
Licensed States	NH	LicensedStatesCd
Licensed States	NJ	LicensedStatesCd
Licensed States	NM	LicensedStatesCd
Licensed States	NV	LicensedStatesCd
Licensed States	NY	LicensedStatesCd
Licensed States	OH	LicensedStatesCd
Licensed States	OK	LicensedStatesCd
Licensed States	OR	LicensedStatesCd
Licensed States	PA	LicensedStatesCd
Licensed States	RI	LicensedStatesCd
Licensed States	SC	LicensedStatesCd
Licensed States	TN	LicensedStatesCd
Licensed States	TX	LicensedStatesCd
Licensed States	UT	LicensedStatesCd
Licensed States	VA	LicensedStatesCd
Licensed States	WA	LicensedStatesCd
Licensed States	WI	LicensedStatesCd
Licensed States	WV	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	2023 DE Golf	Event1Nm
Gross Receipts Event1	$285,504	GrossReceiptsEvent1Amt
Charitable Contri Event1	$231,300	CharitableContriEvent1Amt
Gross Revenue Event1	$54,204	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$0	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$0	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$42,219	FoodAndBeverageEvent1Amt
Entertainment Event1	$0	EntertainmentEvent1Amt
Other Direct Expenses Event1	$15,193	OtherDirectExpensesEvent1Amt
Event2	2023 Four Seasons Golf	Event2Nm
Gross Receipts Event2	$365,907	GrossReceiptsEvent2Amt
Charitable Contri Event2	$254,282	CharitableContriEvent2Amt
Gross Revenue Event2	$111,625	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$0	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$31,848	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$65,108	FoodAndBeverageEvent2Amt
Entertainment Event2	$20,548	EntertainmentEvent2Amt
Other Direct Expenses Event2	$4,915	OtherDirectExpensesEvent2Amt
Other Events Total	11	OtherEventsTotalCnt
Gross Receipts Other Events	$241,697	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$352,582	CharitableContriOtherEventsAmt
Gross Revenue Other Events	-$110,885	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$0	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$61,047	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$80,037	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$29,307	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$72,147	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$893,108	GrossReceiptsTotalAmt
Charitable Contributions Tot	$838,164	CharitableContributionsTotAmt
Gross Revenue Total Events	$54,944	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$0	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$0	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$92,895	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$187,364	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$49,855	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$92,255	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$422,369	DirectExpenseSummaryEventsAmt
Net Income Summary	-$367,425	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	2.5	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,565,923	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	-$11,221,191	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,787,114	NetCommunityBenefitExpnsAmt
Total Expense	0.0106	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$903,449,677	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$795,397,151	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$108,052,526	NetCommunityBenefitExpnsAmt
Total Expense	0.0574	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$912,015,600	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$784,175,960	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$127,839,640	NetCommunityBenefitExpnsAmt
Total Expense	0.0680	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,036,274	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,634,545	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,401,729	NetCommunityBenefitExpnsAmt
Total Expense	0.0087	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,064,147	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,739,493	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,324,654	NetCommunityBenefitExpnsAmt
Total Expense	0.0023	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$64,893,657	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,162,547	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,731,110	NetCommunityBenefitExpnsAmt
Total Expense	0.0227	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,328,888	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,328,888	NetCommunityBenefitExpnsAmt
Total Expense	0.0188	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$133,322,966	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,536,585	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$98,786,381	NetCommunityBenefitExpnsAmt
Total Expense	0.0525	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,045,338,566	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$818,712,545	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$226,626,021	NetCommunityBenefitExpnsAmt
Total Expense	0.1205	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$1,722,057	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$2,044,578	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$322,521	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	Childrens HospitalChildrensHospitalInd	Facility Reporting GroupFacilityReportingGroupCd
Nemours Children's Hospital Delaware
1	1600 Rockland Road	Wilmington	DE	19803	www.nemours.org	HSPTL-003; DE	Yes (X)	Yes (X)	A
Nemours Children's Hospital Florida
2	6535 Nemours Pkwy	Orlando	FL	32827	www.nemours.org	4509; FL	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.nemours.org/about/community-health-needs.html	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	www.nemours.org/about/community-health-needs.html	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Section C, Line 16	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Section C, Line 16	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Section C, Line 16	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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	Nemours does not use any ECAs.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (44 entries)

Business Name Line2BusinessName/BusinessNameLine2Txt	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
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 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	Lake Mary	FL	32746	PEDIATRIC SPECIALTY CARE CLINIC	Suite 100
Nemours Children's Health Narcoossee Road
	9368 Narcoossee Road	Orlando	FL	32827	PEDIATRIC SPECIALTY CARE CLINIC	Suite 105
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	Winter Garden	FL	34787	PEDIATRIC SPECIALTY CARE CLINIC	Suite B
Nemours Children's Health Melbourne
	1270 N Wickham Road	Melbourne	FL	32935	PEDIATRIC SPECIALTY CARE CLINIC
Nemours Children's Health Jacksonville
	807 Childrens Way	Jacksonville	FL	32207	PEDIATRIC SPECIALTY CARE CLINIC
Nemours Children's Health Daytona Beach
Easter Seals Building	1219 Dunn Ave	Daytona Beach	FL	32114	PEDIATRIC SPECIALTY CARE CLINIC
Nemours Children's Health Fleming Island
Baptist Clay Medical Center Campus	1747 Baptist Clay Drive	Fleming Island	FL	32003	PEDIATRIC SPECIALTY CARE CLINIC	Suite 130
Nemours Children's Health Jacksonville South
	14785 Old St Augustine Rd	Jacksonville	FL	32258	PEDIATRIC SPECIALTY CARE CLINIC	Suite 200
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	Ponte Vedra	FL	32081	PEDIATRIC SPECIALTY CARE CLINIC	Suite 230
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	Ft Walton Beach	FL	32547	PEDIATRIC SPECIALTY CARE CLINIC	Suite 100
Nemours Children's Health Tallahassee
	2418 E Plaza Drive	Tallahassee	FL	32308	PEDIATRIC SPECIALTY CARE CLINIC
Nemours Children's Health Panama City
	2202 State Ave	Panama City	FL	32405	PEDIATRIC SPECIALTY CARE CLINIC	Suite 102
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	Philadelphia	PA	19107	PEDIATRIC PRIMARY CARE CLINIC AND SPECIALTY CARE CLINIC	Suite 300
Nemours Children's Health Paoli
	1676 Lancaster Ave	Paoli	PA	19301	PEDIATRIC PRIMARY CARE CLINIC
Nemours Children's Health Middletown
	200 Cleaver Farm Road	Middletown	DE	19709	PEDIATRIC PRIMARY CARE CLINIC	Suite 201
Nemours Children's Health Radnor
Villanova Center	789 E Lancaster Ave	Philadelphia	PA	19085	PEDIATRIC PRIMARY CARE CLINIC	Suite 10
Nemours Children's Health Dover
	201 Towne Centre Drive	Dover	DE	19904	PEDIATRIC PRIMARY CARE CLINIC	Suite 500
Nemours Children's Health Newark
	200 Biddle Ave	Newark	DE	19702	PEDIATRIC PRIMARY CARE CLINIC	Suite 100
Nemours Chlidren's Health Seaford
	49 Fallon Ave	Seaford	DE	19973	PEDIATRIC PRIMARY CARE CLINIC
Nemours Children's Health Saint Francis
Saint Francis Medical Services Building	701 N Clayton St	Wilmington	DE	19805	PEDIATRIC PRIMARY CARE CLINIC	Suite 400
Nemours Children's Health Foulk Road
Foulkstone Plaza	1405 Foulk Road	Wilmington	DE	19803	PEDIATRIC PRIMARY CARE CLINIC	Suite 101
Nemours Children's Health Media
	295 E Baltimore Ave	Media	PA	19063	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 Jessup Street
	1602 N Jessup St	Wilmington	DE	19802	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 Ardmore
	233 E Lancaster Ave Suite 300	Ardmore	PA	19003	PEDIATRIC PRIMARY CARE CLINIC
Nemours Children's Health Concordville
	477 Wilmington West Chester Pike	Glen Mills	PA	19342	PEDIATRIC PRIMARY CARE CLINIC	Suite A01
Nemours Children's Health Becks Woods
	141 Becks Woods Drive	Bear	DE	19701	PEDIATRIC PRIMARY CARE CLINIC
Nemours Children's Health Exton
	101 Arrandale Blvd	Exton	PA	19341	PEDIATRIC PRIMARY CARE CLINIC	Suite 103
Nemours Children's Health Abingdon
	1245 Highland Ave	Abingdon	PA	19001	PEDIATRIC SPECIALTY CARE CLINIC	Suite 204
Nemours Children's Health Broomall
	2932 Springfield Road	Broomall	PA	19008	PEDIATRIC SPECIALTY CARE CLINIC
Nemours Children's Health Millsboro
	30265 Commerce Drive	Millsboro	DE	19966	PEDIATRIC PRIMARY CARE CLINIC	Suite 101
Nemours Children's Health Glen Mills
	101 Applied Bank Blvd	Glen Mills	PA	19342	PEDIATRIC SPECIALTY CARE CLINIC	Suite 11
Nemours Children's Health Osceola
	750 Centerview Blvd	Kissimmee	FL	34741	PEDIATRIC URGENT CARE CLINIC
Nemours Children's Health Riverfront Fieldhouse
	401 Garasches Lane	Wilmington	DE	19801	SPORTS MEDICINE
Nemours Children's Health Newton Square
Main Line Health Center	3855 West Chester Pike	Newtown Square	PA	19073	PEDIATRIC SPECIALTY CARE CLINIC	Suite 280
Nemours Children's Health Oregon Pike
	1834 Oregon Pike	Lancaster	PA	17603	PEDIATRIC SPECIALTY CARE CLINIC	Suite 20

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 6a	The Nemours 2023 digital Community Benefit and Impact entitled, "The Future Starts Now" 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 Health 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 2023, 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 nearly $10.2 million. Nemours provided a variety of community health services for Delaware's low-income senior citizens of approximately $6.2 million. These outpatient health care services included dental care, eye examinations and eyeglasses, as well as hearing tests and hearing aids 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 $42.7 million during 2023. EDUCATION & TRAINING FOR HEALTHCARE PROFESSIONALS: Nemours supported education and training programs for health professionals of nearly $4.3 million. UNCOMPENSATED MEDICAL CARE: Nemours' services classified as charity care or where the recipient could not afford services or lacked adequate health insurance, was nearly $19.7 million in 2023. Nemours also covers the costs in excess of government payments for services provided to Medicaid and other public health beneficiaries of approximately $108.1 million. All totaled, uncompensated care for 2023 approximates $127.8 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 2023 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, southeastern Pennsylvania and southern 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: access to 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. Personnel at NCH-DE have also established the Family Advisory Council (FAC), a group of parents whose children have had services at NCH-DE. 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 Delaware Valley, 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 31 counties throughout Delaware, southeastern Pennsylvania, southern New Jersey, and eastern Maryland . Based on the April 2020 Population Census results, an estimated 202,900 children and youth under the age of 18 lived in Delaware (https://www.census.gov/quickfacts/DE) compromising approximately 20.5% of the area's total population (US Census Bureau, 2020). In 2023, Delaware's under-18 population was comprised primarily of 45% Non-Hispanic White, 26% Non-Hispanic Black and 19% Hispanic/Latino (datacenter.KidsCount.org, 2023) compared to 48% Non-Hispanic White, 14% Non-Hispanic Black and 26% Hispanic/Latino nationally (KidsCount, 2023). 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 (13%) living below 100% of the Federal Poverty Level (FPL) (KidsCount, 2022) is relatively the same as the national rate of children in poverty (16%) (KidsCount, 2022). Approximately 38% of the area's children and youth live in households with incomes below 250 percent of the poverty level (KidsCount, 2022). The vast majority of children and youth in Delaware (97%) have health insurance coverage, but approximately 32% are covered by public health insurance programs such as Medicaid/CHIP (KidsCount, 2022). Nemours' clinical operations in Florida include a children's hospital in Orlando, and North and Central Florida physician practices with campuses primarily in Jacksonville, Pensacola and Orlando service areas. The majority of children and youth in Florida are Non-Hispanic White (41%) while Hispanic/Latino children make up 32% and Non-Hispanic Black children make up 19% of the population (KidsCount, 2023). A slightly larger number of children and youth in Florida (17%) live below 100% of the FPL when compared to the national rate of children in poverty (16%) (KidsCount, 2022). Approximately 50% 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 46% (KidsCount, 2022). The vast majority of children and youth in Florida (93%) have health insurance coverage, but approximately 37% are covered by public health insurance programs such as Medicaid/CHIP which is slightly higher than the national average of 34% (KidsCount, 2022). 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	Nemours is not required to file its Community Benefit report with the state of Delaware or Florida. However, Nemours is happy to provide access to its community report on the internet at https://www.nemours.org/about/financial-benefit-to-the-community.html.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (60 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
ADVENTIST HEALTH SYSTEMS-SUNBELT INC
601 E ROLLINS STREET	ORLANDO	FL	32803	590724459	501(c)(3)	$31,500,000	$0	FMV	Donation
DELAWARE COMMUNITY FOUNDATION
PO BOX 1636	WILMINGTON	DE	19899	222804785	501(c)(3)	$274,550	$0	FMV	Donation
RONALD MCDONALD HOUSE OF DELAWARE
1901 ROCKLAND RD	WILMINGTON	DE	19803	510295320	501(c)(3)	$151,660	$0	FMV	Donation
ORANGE COUNTY PUBLIC SCHOOLS
445 W AMELIA ST	ORLANDO	FL	32801	596000771	501(c)(3)	$105,000	$0	FMV	Donation
BLESSINGS IN A BACKPACK
4300 LAKESIDE DR	JACKSONVILLE	FL	32210	261964620	501(c)(3)	$83,284	$0	FMV	Donation	UNIT 8
AMERICAN HEART ASSOCIATION
GREATER SOUTHEAST AFFILIATE	DES MOINES	IA	50340	135613797	501(c)(3)	$62,393	$0	FMV	Donation	PO BOX 4002900
RONALD MCDONALD HOUSE CHARITIES OF CENTRAL FLORIDA INC
1030 N ORANGE AVENUE	ORLANDO	FL	32801	593211250	501(c)(3)	$60,104	$0	FMV	Donation
BRAVO CAMP MANAGEMENT
750 E HAVERFORD RD	BRYN MAWR	PA	19010	232417848	501(c)(3)	$50,000	$0	FMV	Donation
REACH OUT AND READ INC
89 SOUTH STREET	BOSTON	MA	02111	043481253	501(c)(3)	$50,000	$0	FMV	Donation	SUITE 201
FLORIDA CHILDRENS MUSEUM
600 BONNET SPRINGS BLVD	LAKELAND	FL	33815	592994883	501(c)(3)	$50,000	$0	FMV	Donation
CHESTER COUNTY FOOD BANK
650 PENNSYLVANIA DRIVE	EXTON	PA	19341	270887311	501(c)(3)	$40,000	$0	FMV	Donation
YMCA
PO BOX 1281	HOCKESSIN	DE	19707	510065748	501(c)(3)	$37,120	$0	FMV	Donation
SEAN LOCKE 24 FOUNDATION
100 DEAN DRIVE	NEWARK	DE	19711	833231148	501(c)(3)	$37,096	$0	FMV	Donation
HEALTHY FOODS FOR HEALTHY KIDS
PO BOX 847	HOCKESSIN	DE	19707	300444914	501(c)(3)	$35,000	$0	FMV	Donation
PHILABUNDANCE
3616 SOUTH GALLOWAY STREET	PHILADELPHIA	PA	19148	232290505	501(c)(3)	$35,000	$0	FMV	Donation
RONALD MCDONALD HOUSE CHARITIES OF JACKSONVILLE INC
824 CHILDRENS WAY	JACKSONVILLE	FL	32207	592625008	501(c)(3)	$34,750	$0	FMV	Donation
LAKE NONA INSTITUTE INC
6900 TAVISTOCK LAKES BLVD	ORLANDO	FL	32827	273346737	501(c)(3)	$32,500	$0	FMV	Donation	SUITE 200
CLAY COUNTY SOCCER CLUB
4387 LAKESHORE DRIVE	FLEMING ISLAND	FL	32003	591981194	501(c)(3)	$31,250	$0	FMV	Donation
LATIN AMERICAN COMMUNITY CENTER
403 N VAN BUREN STREET	ELSMERE	DE	19805	237047048	501(c)(3)	$31,000	$0	FMV	Donation
I AM MY SISTERS KEEPER
1500 LANCASTER AVE	WILMINGTON	DE	19805	303961718	501(c)(3)	$30,000	$0	FMV	Donation	UNIT 2647
PHILADELPHIA CITY FUND
1400 JFK BLVD CITY HALL	PHILADELPHIA	PA	19107	232174863	501(c)(3)	$30,000	$0	FMV	Donation	ROOM 267
ST AGNES CHURCH
233 WEST GAY STREET	WEST CHESTER	PA	19380	231494775	501(c)(3)	$30,000	$0	FMV	Donation
MAKE A WISH PHILADELPHIA
N DELAWARE AND SUSQUEHANNA	BLUE BELL	PA	19422	222755963	501(c)(3)	$25,000	$0	FMV	Donation	5 VALLEY SQ SUITE 210
JIM AND TABITHA FURYK FOUNDATION
5716 ST AUGUSTINE RD	JACKSONVILLE	FL	32207	300659382	501(c)(3)	$25,000	$0	FMV	Donation
TOM COUGHLIN JAY FOUNDATION
PO BOX 50798	JACKSONVILLE BEACH	FL	32240	593426937	501(c)(3)	$21,000	$0	FMV	Donation
SECOND HARVEST FOOD BANK
411 MERCY DRIVE	ORLANDO	FL	32805	592142315	501(c)(3)	$17,800	$0	FMV	Donation
MAKE A WISH FOUNDATION
1020 N ORLANDO AVE	MAITLAND	FL	32751	593235806	501(c)(3)	$16,000	$0	FMV	Donation	SUITE 100
LITTLE PEOPLE OF AMERICA
20 HORIZON DRIVE	ROCHESTER	NY	14625	942965067	501(c)(3)	$15,650	$0	FMV	Donation
MARCH OF DIMES
PO BOX 18819	ATLANTA	GA	31126	131846366	501(c)(3)	$15,000	$0	FMV	Donation
JACKSONVILLE SPORTS MEDICINE PROGRAM
3563 PHILIPS HIGHWAY	JACKSONVILLE	FL	32207	592997510	501(c)(3)	$13,750	$0	FMV	Donation	SUITE 502
ACADEMY HEALTH
1666 K STREET NW	WASHINGTON	DC	20006	521260918	501(c)(3)	$12,500	$0	FMV	Donation	SUITE 1100
TODAY IS A GOOD DAY
1108 BETHLEHEM PIKE	FLOURTOWN	PA	19031	463231241	501(c)(3)	$12,500	$0	FMV	Donation
CAMP BOGGY CREEK
30500 BRANTLEY BRANCH ROAD	EUSTIS	FL	32736	593012889	501(c)(3)	$12,500	$0	FMV	Donation
PEDIATRIC ORTHOPAEDIC SOC OF NORTH AMERICA
1 TOWER LANE	OAKBROOK TERRACE	IL	60181	541323281	501(c)(3)	$12,200	$0	FMV	Donation	SUITE 2410
EPILEPSY FOUNDATION OF DELAWARE
527 STANTON CHRISTIANA RD	NEWARK	DE	19713	516018401	501(c)(3)	$11,500	$0	FMV	Donation
TRACK SHACK FITNESS CLUB INC
1013 MONTANA STREET	ORLANDO	FL	32803	263361402	501(c)(3)	$11,000	$0	FMV	Donation
INSPIRA HEALTH FOUNDATION
159 BRIDGETON PIKE	MULLICA HILL	NJ	08062	222333409	501(c)(3)	$11,000	$0	FMV	Donation
RUNWAY TO HOPE
189 S ORANGE AVENUE	ORLANDO	FL	32801	223272616	501(c)(3)	$10,500	$0	FMV	Donation	SUITE 1800
AMERICAN ACADEMY OF PEDIATRICS
DEVELOPMENT LOCKBOX	CHICAGO	IL	60677	362275597	501(c)(3)	$10,000	$0	FMV	Donation	PO BOX 776437
WOLFSON CHILDRENS HOSPITAL
1325 SAN MARCO BLVD	JACKSONVILLE	FL	32207	590747311	501(c)(3)	$10,000	$0	FMV	Donation	SUITE 802
CHILDRENS HOSPITAL OF PHILADELPHIA
3401 CIVIC CENTER BLVD	PHILADELPHIA	PA	19104	231352166	501(c)(3)	$10,000	$0	FMV	Donation
CENTRAL FLORIDA PEDIATRIC SOCIETY
514 E AMELIA STREET	ORLANDO	FL	32803	237422278	501(c)(3)	$10,000	$0	FMV	Donation
CHILD CANCER FUND INC
841 PRIDENTIAL DR FL 12	JACKSONVILLE	FL	32207	593359840	501(c)(3)	$10,000	$0	FMV	Donation
EMBRACE FAMILIES FOUNDATION
901 N LAKE DESTINY ROAD	MAITLAND	FL	32751	463758900	501(c)(3)	$10,000	$0	FMV	Donation	SUITE 400
LIVE LIKE BELLA
2199 PONCE DE LEON BLVD	CORAL GABLES	FL	33134	462965698	501(c)(3)	$10,000	$0	FMV	Donation	SUITE 303
A CURE FOR ROBERT INC
508 TIFFANY LANE	LOUISVILLE	KY	40207	851792143	501(c)(3)	$10,000	$0	FMV	Donation
CROHNS AND COLITIS FOUNDATION
CCFA FLORIDA CHAPTER	SAINT CLOUD	FL	34770	136193105	501(c)(3)	$9,500	$0	FMV	Donation	PO BOX 701130
EASTER SEALS DELAWARE AND MARYLAND
22242 BAY SHORE ROAD	CHESTERTOWN	DE	19720	510066728	501(c)(3)	$9,500	$0	FMV	Donation
SHEPHERDS HOPE INC
455 9TH STREET	WINTER GARDEN	FL	34787	593420727	501(c)(3)	$8,500	$0	FMV	Donation
ACHE OF CENTRAL FLORIDA
PO BOX 1165	ORLANDO	FL	32802	300213491	501(c)(3)	$8,000	$0	FMV	Donation
CLINIC FOR SPECIAL CHILDREN
PO BOX 128	STRASBURG	PA	17579	232555373	501(c)(3)	$7,500	$0	FMV	Donation
DELAWARE BIOSCIENCE ASSOC
PO BOX 7708	WILMINGTON	DE	19803	204147195	501(c)(3)	$7,500	$0	FMV	Donation
COOPER FOUNDATION
200 FEDERAL STREET	CAMDEN	NJ	08103	222213715	501(c)(3)	$7,500	$0	FMV	Donation	SUITE 146
FETAL HEART SOCIETY
14750 SWEITZER LN	LAUREL	MD	20707	472144989	501(c)(3)	$7,500	$0	FMV	Donation	SUITE 100
JEFFERSON HEALTH FOUNDATION
125 S 9TH STREET SUITE 600	PHILADELPHIA	PA	19107	800550282	501(c)(3)	$7,500	$0	FMV	Donation
AMERICAN ACADEMY FOR CEREBRAL PALSY AND DEV MED
555 EAST WELLS ST	MILWAUKEE	WI	53202	620692749	501(c)(3)	$6,500	$0	FMV	Donation	SUITE 1100
HUMAN RIGHTS CAMPAIGN INC
1640 RHODE ISLAND AVE NW	WASHINGTON	DC	20036	521243457	501(c)(3)	$6,500	$0	FMV	Donation
BIOFLORIDA INC
6742 FOREST HILL BLVD	WEST PALM BEACH	FL	33413	593436638	501(c)(3)	$6,300	$0	FMV	Donation	SUITE 256
AMERICAN LUNG ASSOCIATION
6852 BELFORT OAKS PLACE	JACKSONVILLE	FL	32216	131632524	501(c)(3)	$6,000	$0	FMV	Donation
STATE OF DELAWARE
APPOQUINIMINK SCHOOL DISTRICT	TOWNSEND	DE	19734	516000279	501(c)(3)	$6,000	$0	FMV	Donation	126 MAIN STREET

Field	Value	IRS element (for citing)
Total501c3 Org	60	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc
Aggregate Research Patient Participation Payment	1467	$506,111	$0	FMV
Aggregate Employee Relief Fund Donations	3	$3,000	$0	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Travel For Companions	Yes (X)	TravelForCompanionsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	0	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (38 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
R Lawrence Moss MD
President and CEO	$1,384,589	$0	$735,582	$0	$218,329	$0	$275,877	$0	$37,232	$0	$2,651,609	$0	$214,902	$0
Christian Pizarro MD
Chair, Dept of Cardiac Services, DV	$1,978,583	$0	$298,113	$0	$3,427	$0	$0	$0	$49,044	$0	$2,329,167	$0	$0	$0
Peter D Wearden MD
Chair, Cardiovascular Svcs, FL, Dir of Nemours Early Autism	$1,546,041	$0	$210,758	$0	$61,962	$0	$0	$0	$33,729	$0	$1,852,490	$0	$0	$0
Robert D Bridges
Former Officer (End Dec '22)	$34,961	$0	$285,493	$0	$1,296,779	$0	$34,743	$0	$31,150	$0	$1,683,126	$0	$406,009	$0
Mark Mumford
EVP, Chief Operating Officer	$935,972	$0	$522,804	$0	$39,850	$0	$139,807	$0	$38,777	$0	$1,677,210	$0	$0	$0
Suken A Shah MD
Chair, Orthopedics, DV	$1,047,861	$0	$308,400	$0	$38,070	$0	$0	$0	$53,189	$0	$1,447,520	$0	$0	$0
Rodney A McKendree
EVP, CFO and Business Svcs Officer	$822,072	$0	$289,940	$0	$136,476	$0	$130,220	$0	$50,031	$0	$1,428,739	$0	$134,169	$0
Mary Lee MD
EVP, Chief Phys & Scientific Officer (To Apr '23)	$243,509	$0	$281,451	$0	$685,621	$0	$0	$0	$23,878	$0	$1,234,459	$0	$55,338	$0
Gary Josephson MD
VP, Chief Medical Officer, NFL	$490,215	$0	$88,417	$0	$488,081	$0	$60,663	$0	$47,224	$0	$1,174,600	$0	$389,324	$0
Michael J Erhard MD
President, North FL Region (To Apr '23)	$676,645	$0	$236,833	$0	$92,450	$0	$104,426	$0	$55,135	$0	$1,165,489	$0	$62,595	$0
Katherine Deans MD
Surgeon in Chief	$933,489	$0	$153,533	$0	$1,194	$0	$0	$0	$48,899	$0	$1,137,115	$0	$0	$0
James Digan
EVP, Chief Development Officer (To Apr '23)	$695,666	$0	$256,298	$0	$23,793	$0	$104,628	$0	$23,593	$0	$1,103,978	$0	$0	$0
Martha G McGill
President, Central FL Region (To Apr '23)	$619,089	$0	$180,839	$0	$58,005	$0	$99,327	$0	$40,027	$0	$997,287	$0	$54,578	$0
Gina Altieri
EVP, Chief Communications Officer (To Apr '23)	$529,780	$0	$177,919	$0	$96,957	$0	$78,784	$0	$34,290	$0	$917,730	$0	$93,530	$0
Chiedu P Adebi
EVP, Chief Human Resources Officer (To Apr '23)	$514,416	$0	$178,476	$0	$48,524	$0	$77,015	$0	$51,085	$0	$869,516	$0	$27,180	$0
Jane M Mericle
EVP, Chief Nursing Exec & Pt Ops (To Apr '23)	$451,444	$0	$134,893	$0	$190,869	$0	$0	$0	$30,953	$0	$808,159	$0	$167,434	$0
Kara Walker
EVP, Chief Population Health Officer (To Apr '23)	$503,216	$0	$174,154	$0	$800	$0	$75,379	$0	$26,951	$0	$780,500	$0	$0	$0
Bernard E Rice
SVP, Chief Information Officer	$464,272	$0	$132,188	$0	$62,361	$0	$60,147	$0	$53,785	$0	$772,753	$0	$49,419	$0
Laura A Kowal
SVP, General Counsel	$462,316	$0	$121,463	$0	$19,233	$0	$46,142	$0	$42,684	$0	$691,838	$0	$0	$0
Carrie Grant
EVP, Chief Nursing Exec, FL Ops (To Apr '23)	$117,612	$0	$105,702	$0	$397,400	$0	$24,660	$0	$18,510	$0	$663,884	$0	$141,754	$0
Pauline M Corso
SVP, Chief Operating Officer, DV	$402,502	$0	$120,822	$0	$17,361	$0	$40,210	$0	$52,951	$0	$633,846	$0	$0	$0
William W Higginbotham II
SVP, Finance	$362,922	$0	$108,939	$0	$48,363	$0	$42,700	$0	$53,829	$0	$616,753	$0	$39,425	$0
Cindy Bo
SVP, Strategy and Business Dev, DV	$392,825	$0	$119,704	$0	$606	$0	$39,838	$0	$41,878	$0	$594,851	$0	$0	$0
Kevin Carraccio
SVP, Philanthropy	$396,234	$0	$134,750	$0	$16,029	$0	$0	$0	$25,543	$0	$572,556	$0	$0	$0
Margaret Hostetter
Interim Exec Dir, Clinical and Research (To Jul '23)	$503,040	$0	$0	$0	$0	$0	$0	$0	$11,976	$0	$515,016	$0	$0	$0
Thomas Landmeier
SVP, Chief Marketing Officer	$343,742	$0	$53,991	$0	$795	$0	$34,785	$0	$34,152	$0	$467,465	$0	$0	$0
Aaron Carpenter
SVP, Chief Nursing and Patient Ops, DV	$298,471	$0	$24,212	$0	$12,204	$0	$27,115	$0	$27,004	$0	$389,006	$0	$0	$0
Anna Small
SVP, Chief Compliance Officer	$304,077	$0	$0	$0	$12,128	$0	$31,184	$0	$38,137	$0	$385,526	$0	$11,358	$0
Hans Alvarez
SVP, Audit Service	$268,633	$0	$0	$0	$601	$0	$27,441	$0	$32,582	$0	$329,257	$0	$0	$0
Nicole Johnson
SVP, Chief Nursing and Patient Ops, CFL	$202,819	$0	$23,271	$0	$52,912	$0	$0	$0	$40,718	$0	$319,720	$0	$0	$0
Matthew Davis
Enterprise Chief Physician & Scientific Officer	$106,881	$0	$50,000	$0	$31,357	$0	$0	$0	$1,771	$0	$190,009	$0	$0	$0
Hugh M Durden
Member	$0	$0	$0	$0	$0	$168,285	$0	$0	$0	$0	$0	$168,285	$0	$0
Terri Kelly
Member	$0	$0	$0	$0	$0	$161,152	$0	$0	$0	$0	$0	$161,152	$0	$0
Thomas G Kuntz
Member Director	$0	$0	$0	$0	$0	$154,340	$0	$0	$0	$0	$0	$154,340	$0	$0
John S Lord
Member (To Oct '23)	$0	$0	$0	$0	$0	$153,931	$0	$0	$0	$0	$0	$153,931	$0	$0
Geoffrey M Rogers
Member Director	$0	$0	$0	$0	$0	$153,641	$0	$0	$0	$0	$0	$153,641	$0	$0
Robert Riney
Member	$0	$0	$0	$0	$0	$153,546	$0	$0	$0	$0	$0	$153,546	$0	$0
Jennifer Bayne
Manager Governance Office	$132,235	$0	$0	$0	$254	$0	$0	$0	$19,547	$0	$152,036	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 % of their time conducting Nemours business. This includes air travel and meals. The same general travel guidelines will apply to the spouse of 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 2023. 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 2023: Robert D. Bridges (772,332), Mary Lee (526,759) and Carrie Grant (249,710). 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 2023 include: Robert D. Bridges (406,009), Gary Josephson (389,324), R. Lawrence Moss (214,902), Jane M. Mericle (167,434), Carrie Grant (141,754), Rodney A. McKendree (134,169), Gina Altieri (93,530), Michael J. Erhard MD (62,595), Mary Lee (55,338), Martha G. McGill (54,578), Bernard E. Rice (49,419), William W. Higginbotham (39,425), Chiedu P. Abedi (27,180) and Anna Small (11,358).
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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Orange County Health Facilities Authority
A	521035390	6845036W0	2009-10-15	$326,242,302	See Part VI	Yes (1)	0	0
Orange County Health Facilities Authority
B	521035390	999999999	2018-10-05	$152,105,000	See Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$232,477,302	$0	$326,242,302	$0	$0	$0	$1,863,902	$28,400	$0	$300,000,000	$24,350,000	$0	2012	Yes (1)	0	Yes (1)	Yes (1)
B	$14,990,000	$0	$152,105,000	$0	$0	$0	$0	$0	$0	$0	$152,105,000	$0	2018	Yes (1)	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00782	0	0.00782	Yes (1)	0	Yes (1)
B	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.0022	0	0.0022	Yes (1)	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	0	Yes (1)	Yes (1)	0	0	0	Yes (1)
B	0	0	0	Yes (1)	Yes (1)	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, 2023, private use disclosed in Schedule K, Part III Line 4 Column A is 0.782%. 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, 2023, private use disclosed in Schedule K, Part III Line 4 Column B is 0.220%. 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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (15 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Jennifer A Rice
Family of B. Rice	$244,161	Employment Compensation	0
Walter Kowal
Family of L. Kowal	$229,773	Employment Compensation	0
Michelle Koehler
Family of J. D. Tyner	$43,265	Employment Compensation	0
Nichole Ring
Family of K. Most	$39,509	Employment Compensation	0
Megan McGill
Family of M. McGill	$21,461	Employment Compensation	0
Substantial Contributor
Service Provider	$22,353,558	Independent Contractor	0
Substantial Contributor
Service Provider	$6,896,679	Independent Contractor	0
Substantial Contributor
Service Provider	$5,439,068	Independent Contractor	0
Substantial Contributor
Service Provider	$1,207,848	Independent Contractor	0
Substantial Contributor
Service Provider	$719,237	Independent Contractor	0
Substantial Contributor
Service Provider	$597,026	Independent Contractor	0
Substantial Contributor
Service Provider	$480,934	Independent Contractor	0
Substantial Contributor
Service Provider	$254,195	Independent Contractor	0
Substantial Contributor
Service Provider	$244,974	Independent Contractor	0
Substantial Contributor
Service Provider	$204,035	Independent Contractor	0

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$145,978	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Cost or Sales Price	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	5	ContributionCnt
Noncash Contributions Rpt F990	$88,381	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	3	ContributionCnt
Noncash Contributions Rpt F990	$1,579	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Cost or Sales Price	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Miscellaneous - Toys	63	$123,359	Cost or Sales Price
Yes (X)	Airfare	1	$25,000	Cost or Sales Price

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I	FormAndLineReferenceDesc
Explanation	Nemours reports the number of contributions received and not by the number of items.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, Line 2	Form 990, Part VI, Section A, Line 2 - Mr. Durden, Mr. Lord, Mr. Rogers, 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 some of 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). Valerie Montgomery Rice, MD and Linda Norman, DSN have a shared business relationship. Linda Norman, DSN is a consultant for a nursing program at Morehouse School of Medicine where Valerie Montgomery Rice, MD is the President.
Form 990, Part VI, Section A, Line 6	The Nemours Foundation's (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 2023 Form 990 to the members of the Finance, Audit and Compliance 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	Pension liability adjustment $4,108,258.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Delaware Children's Health Network LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1600 Rockland Road	AddressLine1Txt
City	Wilmington	CityNm
State Abbreviation	DE	StateAbbreviationCd
ZIP	19803	ZIPCd

Field	Value	IRS element (for citing)
EIN	833874741	EIN
Primary Activities	Health Care	PrimaryActivitiesTxt
Legal Domicile State	DE	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	The Nemours Foundation	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
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	Yes (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	Yes (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	Yes (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		0	N/A
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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Address Line1ForeignAddress/AddressLine1Txt	Address Line2ForeignAddress/AddressLine2Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
SDP Special Situations LLC - Series M
1350 Bayshore Hwy	Ste 905	Burlingame	CA	94010	874437426	Investments	CA	Alfred I duPont Charitable Trust	Excluded	-$112,583	$4,570	0	$0	0	0.0625
JMK MK SIDE CAR LP
261 Madison Ave	9th Floor	New York	NY	10016	832986453	Investments	NY	Alfred I duPont Charitable Trust	Excluded	-$1,730	$160,670	0	$0	0	0.0421
Sprints Capital Flint LP
						Investments		Alfred I duPont Charitable Trust	Excluded	-$726	$267,597	0	$0	0	0.0316	East Wing	Trafalgar Court Les Banques	St Peter Port	Guernsey	GK	GYI 3PP	GK
Seacrest NCS Fund LP
					981372477	Investments		Alfred I duPont Charitable Trust	Excluded	$0	$0	0	$0	0	0	Victoria Place	31 Victoria Street	Hamilton	Bermuda	BD	HM 10	BD
Atalaya AIF Coinvestment Fund LP
One Rockefeller Plaza	32nd Floor	New York	NY	10020	932752137	Investments	NY	Alfred I duPont Charitable Trust	Excluded	$225,938	$11,275,938	0	$0	0	0.4722
Merewether Cyclicals Opportunities Fund LP
1900 N Pearl Street	Ste 2175	Dallas	TX	75201	884077024	Investments	TX	Alfred I duPont Charitable Trust	Excluded	$625,480	$8,075,587	0	$0	0	0.0538
Neuberger Berman Short Duration EM Debt Fund LLC
190 South LaSalle Street	Ste 2400	Chicago	IL	60603	472100194	Investments	IL	The Nemours Foundation	Excluded	$736,474	$46,393,965	0	$0	0	0.6503

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Dornoch Sutherland Assurance LTD	BusinessNameLine1Txt

Foreign Address ForeignAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 1085	AddressLine1Txt
Country	CJ	CountryCd

Field	Value	IRS element (for citing)
EIN	980404800	EIN
Primary Activities	Captive Insurance	PrimaryActivitiesTxt
Legal Domicile Foreign Country	CJ	LegalDomicileForeignCountryCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	The Nemours Foundation	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	$1,359,060	ShareOfTotalIncomeAmt
Share Of EOY Assets	$19,434,049	ShareOfEOYAssetsAmt
Ownership	1	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Dornoch Sutherland Assurance LTD
m	$39,200,000	FMV
Dornoch Sutherland Assurance LTD
l	$1,000,000	FMV
Cruden Bay Risk Retention Group Inc
l	$3,690,000	FMV
Cruden Bay Risk Retention Group Inc
m	$1,751,000	FMV
Cruden Bay Risk Retention Group Inc
q	$1,369,226	FMV
Pediatric Medical Services of Florida Inc
r	$6,166,019	FMV
Nemours New Jersey Physician Practice
r	$1,367,332	FMV
Alfred I duPont Charitable Trust
c	$234,487,573	FMV
Alfred I duPont Charitable Trust
q	$386,584	FMV

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	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 timely by its extended due date of November 15, 2024.	ExplanationTxt