2022-11-04T10:06:46-07:00 2021-12-31 135565207 KPMG LLP 500 W 5th Street Suite 800 Winston Salem NC 27101 990 2021-01-01 590634433 THE NEMOURS FOUNDATION NEMO 9046974100 10140 Centurion Parkway North Jacksonville FL 32256 Rodney McKendree EVP, CFO and Business Svcs Officer 9046974100 2022-11-04 1 Laura A Collins P00008888 3362753394 2022-11-03 1 11 1 AAL2 2021 2022-09-23 18:48:47Z R Lawrence Moss MD 10140 Centurion Parkway North Jacksonville FL 32256 1939578375 0 X www.nemours.org X 1936 FL Nemours mission is to provide leadership, institutions, and services to restore and improve the health of children through care and programs not readily available, with one high standard of quality and distinction regardless of the recipient's financial status. 13 13 9710 914 315174 0 277858793 259888169 1093775527 1363450992 20082293 28000058 76262484 75797101 1467979097 1727136320 1379732 1453768 0 0 941660403 957487593 2185595 1699975 9417724 461713606 520045500 1406939336 1480686836 61039761 246449484 2357235777 2613649761 1019357611 977748181 1337878166 1635901580 Nemours mission is to provide leadership, institutions, and services to restore and improve the health of children through care and programs not readily available, with one high standard of quality and distinction regardless of the recipient's financial status. 0 0 1219757230 1453768 1436419070 See Schedule H, Part VI 0 0 0 1219757230 1 1 0 1 0 0 0 1 0 1 1 1 0 0 1 1 0 1 0 0 1 0 0 1 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 1 0 0 1 742 0 1 9710 1 1 1 1 CJ MP SN 0 0 1 1 1 1 0 0 0 0 1 0 X 13 13 1 0 1 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 AK AL AR CA CO CT FL GA HI IL KS MA MD MI MN MS NC ND NH NJ NM NV NY OH OR PA RI SC TN UT VA WA WI WV X Rodney McKendree CFO 9046974100 10140 Centurion Parkway North Jacksonville FL 32256 Christian Pizarro Chair, Dept of Cardiac Services, DV 40 0 X 2964424 0 56054 Peter D Wearden MD Chair, Cardiovascular Svcs FL, Dir of Early Autism 40 0 X 2359741 0 35279 R Lawrence Moss President and CEO 40 0 X 1628318 0 290296 Robert D Bridges EVP, Chief Exec FL Operations 40 7 X 1154472 0 190723 Mark Mumford EVP, Chief Exec DE Valley Operations 40 0 X 1091960 0 167307 Tuan H Pham Surgeon 40 0 X 1126514 0 38286 Rodney A McKendree EVP, CFO and Business Svcs Officer 40 9 X 1006391 0 156918 Suken A Shah Orthopaedic Surgeon 40 0 X 1014692 0 51983 Mary Lee EVP, Ent Chief Scientific Officer, Phys-in-Chief DE 40 1 X 870179 0 150840 Jay S Greenspan SVP, Special Adv for DV Net Ops Interim(former) 40 0 X 959633 0 47443 William G Mackenzie Chair, Dept of Orthopaedics, DV 40 0 X 943435 0 51822 Michael J Erhard MD EVP and Physician in Chief, FL Operations 40 1 X 803906 0 157919 James Digan EVP, Enterprise Chief Development Officer 40 0 X 740662 0 122048 Bernard E Rice SVP, CIO 40 0 X 675601 0 110242 Martha G McGill SVP, COO Florida and Chief Administrative 40 1 X 674026 0 111282 Gina Altieri EVP, Enterprise Chief Communications Officer 40 0 X 648642 0 115819 Chiedu P Adebi EVP, Chief Human Resources Officer 40 0 X 527269 0 115644 Kara Walker EVP, Chief Population Health Officer 40 0 X 457545 0 90242 Pauline M Corso SVP, COO DE Valley 40 0 X 431906 0 86501 William W Higginbotham II SVP, Finance 40 7 X 422918 0 91899 Jane M Mericle EVP, Chief Nursing Exec, Pt Ops Officer, DE 40 0 X 428327 0 80381 Laura A Kowal SVP, General Counsel 40 0 X 416553 0 79129 Carrie Grant EVP, Chief Nursing Exec, FL Ops 40 0 X 350642 0 76210 Ray J Hejmanowski VP, FL Practice Administrator 20 20 X 351316 0 57022 Sarah Sanders SVP Chief Marketing Officer (former) 40 0 X 341206 0 56196 Randall W Hartley SVP, COO NCH (former) 40 0 X 352183 0 20392 Ryan J Forman VP, DE Valley Finance 40 0 X 319105 0 40850 Kirsten L Most Administrator Cardiac 40 0 X 209967 0 38709 Lori Pascal Sr Dir, Crit Care Svcs, Trauma, Transp and ED,DV 40 0 X 207990 0 35334 Jonathan Pomazon Administrative Director 40 0 X 188154 0 24936 James D Tyner Administrative Director - Surgery 40 0 X 172306 0 17530 Beverly M Wingate FL Site Practice Administrator 40 0 X 155428 0 27285 Roopnarine Hazarie Director, Quality/Safety & Performance-DV 40 0 X 164647 0 11986 Hugh M Durden Member 5 25 X 0 158502 0 Terri Kelly Member 0 8 X 0 155151 0 Geoffrey M Rogers Member Director 3 8 X 0 145926 0 John S Lord Member 2 15 X 0 144719 0 Thomas G Kuntz Member Director 3 8 X 0 144719 0 Cameron S Morrow Assistant Treasurer 40 0 X 112860 0 31605 W L Thornton Member 5 7 X 0 134097 0 John F Porter Member 0 0 X 0 125591 0 Robert Riney Chairman of the Board and Officer 10 0 X X 103000 0 0 Marylynn Girouard Manager Governance Office (former) 40 0 X 77244 0 21125 Jennifer Bayne Manager Governance Office 40 0 X 74641 0 9417 Richard Walsh Director and Officer 5 0 X X 76500 0 0 James S Hunt Director 3 0 X 70900 0 0 Claire M DeMattis Director 2 0 X 67100 0 0 Valerie Montgomery Rice Director 6 0 X 64280 0 0 Elliot Joseph Director 2 0 X 64100 0 0 Linda D Norman Director 1 0 X 63100 0 0 Jane Cavalier Luca Director 4 0 X 58900 0 0 Harold Mills Director 10 1 X 57500 0 0 Marc Probst Director 1 0 X 56900 0 0 William F D'Alonzo Director 4 0 X 53900 0 0 25160983 1008705 2866654 2155 1 1 0 HSC Builders and Construction Manager 340 New Mill Lane Exton PA 19341 Building & Construction 14704739 Crothall Health Care Inc 13028 Collection Center Drive Chicago IL 60693 Housekeeping & Laundry SV 11507061 Thomas Jefferson University 1025 Walnut Street Philadelphia PA 19107 Residency Program Expense 8426159 ID Griffith Inc 735 S Market Steet Wilmington DE 19801 Building & Construction 6323787 Hatzel and Buehler Inc 1 Righter Parkway Suite 110 Wilmington DE 19803 Building & Construction 5921687 201 0 0 834655 245110252 0 13943262 318682 259888169 Net patient service revenue 900099 1332878822 1332878822 0 0 Net research grants 900099 29775919 29775919 0 0 Electronic health record revenue 900099 796251 796251 0 0 0 0 0 0 1363450992 5758407 0 315174 5443233 0 0 0 0 2254253 0 0 2254253 656514 0 0 0 656514 0 656514 0 0 656514 234484618 0 212242967 0 22241651 0 22241651 0 0 22241651 117344 834655 199088 -81744 0 -81744 Specialized services 900099 57327218 57327218 0 0 Graduate medical education training 900099 6322690 6322690 0 0 Continuing medical education 900099 1223356 1223356 0 0 8094814 8094814 0 0 72968078 1727136320 1436419070 315174 30513907 1083200 1083200 370568 370568 0 0 0 0 18965450 0 18965450 0 531774 0 531774 0 753146872 637293945 112066547 3786380 45058558 38187858 6646147 224553 91089271 77296938 13339975 452358 48695668 41361960 7094023 239685 0 0 0 0 7054595 3771636 2955495 327464 520566 278313 218089 24164 538468 538468 1699975 1699975 0 0 0 0 83873663 58294760 23940243 1638660 10870812 10308495 452171 110146 156058963 142318684 13444120 296159 26807148 15703966 11086062 17120 0 0 0 0 45994267 37685489 8237728 71050 2788916 2511297 244419 33200 0 0 0 0 2556281 2290575 243468 22238 7305610 7305610 0 0 0 0 0 0 96346300 76851022 19451303 43975 22027438 21301661 725371 406 Directed Payment Program 14374331 13702318 480416 191597 Subscriptions(mags & db),books 10043565 9221646 803774 18145 Maintenance contracts - Miscellaneous 9662369 4444015 5218209 145 Repairs and maintenance 8153187 3749897 4403168 122 15069021 14423377 425462 220182 1480686836 1219757230 251511882 9417724 397832760 488316192 49279478 49353052 17372926 22134620 169256359 270396161 0 0 0 0 0 0 6189118 7897706 17179574 23262122 1996502911 955440418 1076698010 1041062493 388208488 482587667 137531346 148178722 0 0 3651358 3312397 94036360 77148629 2357235777 2613649761 168948809 199361684 0 0 9149209 7688443 260483249 251139683 0 0 0 0 93235000 91880000 0 0 487541344 427678371 1019357611 977748181 X 1060153371 1326388130 277724795 309513450 1337878166 1635901580 2357235777 2613649761 X 246449484 16017892 0 0 0 35556038 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2000 721559 723559 1479963277 1480686836 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 669485 951520 871633 723559 3216197 250000 250000 250000 250000 1000000 1500000 2000 2000 2000 2000 8000 Schedule C, Part II-A, Line 1a Nemours is not affiliated with any groups and did not exceed either the lobbying or grass roots expenditure ceiling. 0 3386733 0 0 X X X 0 266295711 7261140 36100619 0 13300185 205547 296151738 249508774 6734086 22659042 0 12431024 175167 266295711 218594430 9610720 31666343 0 10157031 205688 249508774 236912691 7706794 -13556218 0 12310285 158552 218594430 219937024 7176387 22791582 0 12789966 202336 236912691 0 0.033 0.967 0 0 88595 110635514 110724109 0 860007108 358384293 501622815 0 59564684 30927473 28637211 0 953910725 566128652 387782073 0 12296285 0 12296285 1041062493 Partnerships 18879390 F Hedge Funds 55460894 F Private Equity 51345832 F Real Assets 22492606 F 148178722 Self-insurance reserves 96293806 Liabilities for pension benefits 259796339 Finance and Operating leases 71588226 427678371 X 1739314173 1069716 0 0 44812658 45882374 1693431799 0 33704521 33704521 1727136320 1523919741 0 0 0 43232905 43232905 1480686836 0 0 0 1480686836 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), formally known as, Alfred I duPont Hospital for Children (AIDHC) 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, orthopaedic, dental and research. Schedule D, Part X, Line 2 Nemours, Nemours New Jersey Physician 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 2022 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 $6,321,840 plus Net assets released from restriction - donations $4,104,005 plus Nemours New Jersey Physician Practice PC (subsidiary) total revenue $7,669,887 plus Pediatric Medical Services of Florida Inc (subsidiary) total revenue $26,716,926 equals $44,812,658. Schedule D, Part XI, Line 4b Temporarily restricted contributions and pledges $9,194,830 plus temporarily restricted investment income $1,673,285 plus temporarily restricted realized gains $19,479,158 plus Pediatric Medical Services of Florida Inc (subsidiary) management fee $3,770,031 less fundraising expenses $199,092 less temporarily restricted investment expenses $205,547 less Pediatric Medical Services of Florida Inc (PMSI) temporarily restricted release from restriction - donations $8,144 equals $33,704,521. Schedule D, Part XII, Line 2d Pediatric Medical Services of Florida Inc (subsidiary) operating expenses $32,715,756 plus Nemours New Jersey Physician Practice PC (subsidiary) operating expenses $14,088,088 plus Fundraising expenses $199,092 less Pediatric Medical Services of Florida Inc management fee $3,770,031 equals $43,232,905. East Asia and the Pacific 0 0 Investments 50406989 Europe (including Iceland and Greenland) 0 0 Investments 46173036 Middle East and North Africa 0 0 Investments 10774771 South America 0 0 Investments 8621683 North America (including Canada and Mexico, but not the United States) 0 0 Investments 7408951 South Asia 0 0 Investments 6048235 Russia and the newly independent States 0 0 Investments 4659491 Sub-Saharan Africa 0 0 Investments 3369640 Central America and the Caribbean 0 0 Investments 1419190 Europe (including Iceland and Greenland) 0 0 Program Services Investment Management 73654 0 0 138955640 1 0 1 1 1 1 X X X X X X X 1 Community Counselling Service Co LLC 2001 Market Street Suite 2500 Philadelphia PA 19103 Provides consulting to optimize current and implement new fundraising events. 0 0 1448975 -1448975 Innovairre Studios INC 528 Route 13 Suite 200 Milford NH 03055 Provides consulting and production services to optimize fundraising 0 444839 80000 364839 Gobel Group 400 Old Forge Lane Suite 4081 Kennett Square PA 19348 Provides consulting to optimize current and implement new fundraising events. 0 155350 171000 -15650 600189 1699975 -1099786 AK AL AR CA CO CT DC FL GA HI IL KS KY LA MA MD ME MI MN MO MS NC ND NH NJ NM NV NY OH OK OR PA RI SC TN TX UT VA WA WI WV Help Our Kids Radio 245466 245466 0 0 0 0 0 5000 15096 Golf for the Kids 194725 157720 37005 0 0 0 14702 16475 1525 15 511808 431469 80339 0 0 52531 24889 3566 65304 951999 834655 117344 0 0 52531 39591 25041 81925 199088 -81744 1 1 X 1 X 2.5 1 X 1 1 0 1 1 9808035 -8165474 17973509 0.0118 754289029 656664842 97624187 0.0641 0 0 0 0 0 0 764097064 648499368 115597696 0.0759 26723809 7675049 19048760 0.0125 10077071 7256193 2820878 0.0019 0 0 0 0 42396980 13118731 29278249 0.0192 2099435 0 2099435 0.0014 0 0 81297295 28049973 53247322 0.0350 0 0 845394359 676549341 168845018 0.1109 0 0 0 1045039 1486920 -441881 X 1 1 2 1 Nemours Children's Hospital Delaware 1600 Rockland Road Wilmington DE 19803 www.nemours.org HSPTL-003; DE X X A 2 Nemours Children's Hospital Florida 6535 Nemours Pkwy Orlando FL 32827 www.nemours.org 4509; FL X X A A 0 0 1 X X X X X X X X X 19 1 0 0 1 X www.nemours.org/community X 1 19 1 www.nemours.org/community 0 0 1 X 250 300 X X X 1 1 X X X 1 X See Section C, Line 16 X See Section C, Line 16 X See Section C, Line 16 X X X X X X 1 X 0 X X X 1 X 0 0 Schedule H, Part V, Section B, Line 3-Group A Nemours conducted a Child & Adolescent Community Health Needs Assessment (CHNA) in 2019 for Nemours Children's Hospital, Delaware (NCH-DE), formally known as, Alfred I duPont Hospital for Children (AIDHC) 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 from multiple key informants: physicians, other health professionals, social service providers, business leaders, public health representatives and other community leaders. A list of these key informants can be found in the Nemours CHNA. Schedule H, Part V, Section B, Line 11-Group A See the implementation plan and progress reports located at https://www.nemours.org/about/community-health-needs.html Schedule H, Part V, Section B, Line 16-Group A http://www.nemours.org/patientfamily/financialassistance.html Schedule H, Part V, Section B, Line 20a-Group A No ECAs are permitted. 1 Nemours Children's Health Wilmington Nemours Children's Hospital Delaware 1600 Rockland Road Wilmington DE 19803 PEDIATRIC PRIMARY CARE AND SPECIALTY CARE CLINIC Nemours Children's Health Downtown Orlando 1717 South Orange Avenue Suite 100 Orlando FL 32806 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Lake Mary 3300 West Lake Mary Blvd Suite 100 Lake Mary FL 32746 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Narcoossee Road 9368 Narcoossee Road Suite 105 Orlando FL 32827 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Oak Street 841 E Oak St Kissimmee FL 34744 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Winter Garden 2020 Daniels Road Suite B Winter Garden FL 34787 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Melbourne 1270 N Wickham Road Melbourne FL 32935 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health 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 Suite 130 Fleming Island FL 32003 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Jacksonville South 14785 Old St Augustine Rd Suite 200 Jacksonville FL 32258 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Lake City 3650 NW Devane St Lake City FL 32055 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Nocatee Baptist HealthPlace at Nocatee 400 Colonnade Drive Suite 230 Ponte Vedra FL 32081 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Pensacola 8331 North Davis Highway Pensacola FL 32514 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Bonifay 3120 Southride Lane Bonifay FL 32425 PEDIATRIC SPECIALITY CARE CLINIC Nemours Children's Health Ft Walton Beach 922 Mar Walt Drive Suite 100 Ft Walton Beach FL 32547 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Tallahassee 2418 E Plaza Drive Tallahassee FL 32308 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Panama City 2202 State Ave Suite 102 Panama City FL 32405 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Bryn Mawr Bryn Mawr Medical Arts Pavilion 825 Old Lancaster Road Suite 250 Bryn Mawr PA 19010 PEDIATRIC SPECIALTY CARE CLINIC AND SURGICAL CENTER Nemours Children's Health Philadelphia 833 Chestnut St E Suite 300 Philadelphia PA 19107 PEDIATRIC PRIMARY CARE AND SPECIALTY CARE CLINIC Nemours Children's Health Middletown 200 Cleaver Farm Road Suite 201 Middletown DE 19709 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Paoli 1676 Lancaster Ave Paoli PA 19301 PEDIATRIC PRIMARY CARE CLINIC Nemours Chlidren's Health Seaford 49 Fallon Ave Seaford DE 19973 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Milford 1010 Wellness Way Milford DE 19963 PEDIATRIC PRIMARY AND SPECIALTY CARE CLINIC Nemours Children's Health Dover 201 Towne Centre Drive Suite 500 Dover DE 19904 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Media 295 E Baltimore Ave Media PA 19063 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Villanova Villanova Center 789 E Lancaster Ave Suite 10 Villanova PA 19085 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Foulk Road Foulkstone Plaza 1405 Foulk Road Suite 101 Wilmington DE 19803 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Saint Francis Saint Francis Medical Services Building 701 N Clayton St Suite 400 Wilmington DE 19805 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Kissimmee-Osceola 750 Centerview Blvd Kissimmee FL 34741 PEDIATRIC URGENT 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 Newark 200 Biddle Ave Suite 100 Newark DE 19702 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 Becks Woods 141 Becks Woods Drive Bear DE 19701 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Exton 101 Arrandale Blvd Suite 103 Exton PA 19341 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Concordville 1020 Baltimore Pike Suite 300 Glen Mills PA 19342 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Millsboro 30265 Commerce Drive Suite 101 Millsboro DE 19966 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Newton Square Main Line Health Center 3855 West Chester Pike Suite 280 Newtown Square PA 19073 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Waterford Lakes 651 N Alafaya Trail Orlando FL 32828 PEDIATRIC URGENT CARE CLINIC Nemours Children's Health Glen Mills 101 Applied Bank Blvd Suite 11 Glen Mills PA 19342 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Wayne 110 W Lancaster Ave Wayne PA 19087 PEDIATRIC PRIMARY CARE CLINIC Nemours Children's Health Willow Grove 2500 Maryland Road Suite 510 Willow Grove PA 19090 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Riverfront Fieldhouse 401 Garasches Lane Wilmington DE 19801 SPORTS MEDICINE Nemours Children's Health Narcooseee 9368 Narcoossee Road Suite 105 - Urgent Care Orlando FL 32827 PEDIATRIC URGENT CARE CLINIC Nemousr Seniorcare Wilmington 1600 Rockland Road Wilmington DE 19803 HEALTH CLINIC Nemousr Seniorcare Milford 915 North Dupont Boulevard 104 Milford DE 19963 HEALTH CLINIC Nemours Children's Health Lancaster 2128 Embassy Drive Lancaster PA 17603 PEDIATRIC SPECIALTY CARE CLINIC Nemours Children's Health Sanford 1149 Rinehart Road Sanford FL 32771 PEDIATRIC URGENT CARE CLINIC Nemours Children's Health Titusville The Childrens Center of Parrish Medical Center 5650 S Washington Ave Titusville FL 32780 PEDIATRIC SPECIALTY CARE CLINIC Schedule H, Part I, Line 6a The Nemours 2021 Report to Our Communities entitled, "Well Beyond Medicine" can be found at https://www.nemours.org/about/financial-benefit-to-the-community.html. 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, Charity Care at Cost, Worksheet 2, Ratio of Patient Care Cost-to-Charges and Worksheet 3, Unreimbursed Medicaid and Other Means-Tested Government Programs. Schedule H, Part I, Line 7a Financial Assistance at Cost - Nemours' mission is to "provide leadership, institutions, and services to restore and improve the health of children through care and programs not readily available, with one high standard of quality and distinction regardless of the recipient's financial status." COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS: During 2021, 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 program, Nemours subsidized prevention and children's health programs totaling nearly $14.7 million. Nemours provided a variety of community health services for almost 18,000 of Delaware's low-income senior citizens of approximately $4.3 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 $29.3 million during 2021 with 529 research projects under the direction of 133 funded researchers and principal investigators. EDUCATION & TRAINING OF HEALTH PROFESSIONALS : Nemours continues to train the next generation of pediatric specialists through affiliations with Thomas Jefferson University, the Mayo Clinic Medical College and others. In 2021, Nemours hosted 1,060 residents and 1,106 medical students and provided fellowship rotations for 112 physicians. Nemours supported education and training programs for health professionals of nearly $2.8 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 $18.0 million in 2021. Nemours also covers the costs in excess of government payments for services provided to Medicaid and other public health beneficiaries of nearly $97.6 million. All totaled, uncompensated care for 2021 approximates $115.6 million. Schedule H, Part III, Section A, Line 2 Implicit Price Concessions are calculated according to Generally Accepted Accounting Principles (GAAP). Schedule H, Part III, Section A, Line 4 In the Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida audited financial statements, see footnote 2 located on pages 13 and 37 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 2021 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), Maryland 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/why/coummunity-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: substance use and abuse, access to mental health care, mental health and trauma, social determinants of health, housing and transportation, nutrition, physical activity and weight, youth activities and community safety. Areas of opportunity in Central Florida: access to health services, allergies, asthma, bone, joint and muscle conditions, cognitive and behavioral conditions, diabetes and infant 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 assist them with form completion regarding any program for which they might be eligible, including programs in the state of residence. Patients that arrive 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 "self-pay" are screened for Medicaid eligibility. The Financial Advocates follow up directly with the respective State 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 or verbal 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 charity care 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 with financial eligibility issues. In an effort to perform proactive outreach in the Delaware Valley, Nemours' Financial Advocates go to 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 visits focus on educating staff about the various funding sources for which patients may be eligible. Nemours is Community Partners with Delaware and Pennsylvania State Medicaids. 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 23 counties throughout Delaware, southeastern Pennsylvania, and southern New Jersey . Based on the April 2020 Population Census results, an estimated 206,900 children and youth under the age of 18 lived in Delaware (https://www.census.gov/quickfacts/DE) compromising approximately 20.9% of the area's total population (US Census Bureau, 2020). In 2020, Delaware's under-18 population was comprised primarily of 47% Non-Hispanic White, 25% Non-Hispanic Black and 17% Hispanic/Latino (datacenter.KidsCount.org, 2020) compared to 50% Non-Hispanic White, 14% Non-Hispanic Black and 26% Hispanic/Latino nationally (KidsCount, 2020). 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 (16%) living below 100% of the Federal Poverty Level (FPL) (KidsCount, 2019) is relatively the same as the national rate of children in poverty (17%) (KidsCount, 2019). Approximately 43% of the area's children and youth live in households with incomes below 250 percent of the poverty level (KidsCount, 2019). The vast majority of children and youth in Delaware (95%) have health insurance coverage, but approximately 34% are covered by public health insurance programs such as Medicaid/CHIP (KidsCount, 2019). 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 (42%) while Hispanic/Latino children make up 31% and Non-Hispanic Black children make up 20% of the population (KidsCount, 2020). A slightly larger number of children and youth in Florida (18%) live below 100% of the FPL when compared to the national rate of children in poverty (17%) (KidsCount, 2019). Approximately 53% 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 47% (KidsCount, 2019). The vast majority of children and youth in Florida (92%) 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, 2019). 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. 1 NATIONAL ACADEMY OF SCIENCES 500 FIFTH STREET NW WASHINGTON DC 20001 530196932 501(c)(3) 150000 0 FMV Donation REACH RIVERSIDE DEVELOPMENT CO 2300 BOWERS STREET WILMNGTON DE 19802 821401986 501(c)(3) 100000 0 FMV Donation JACKSONVILLE JAGUARS FOUNDATION 1 TIAA BANK FIELD DR JACKSONVILLE FL 32202 593249687 501(c)(3) 88000 0 FMV Donation RONALD MCDONALD HOUSE CHARITIES OF JACKSONVILLE INC 824 CHILDRENS WAY JACKSONVILLE FL 32207 592625008 501(c)(3) 74910 0 FMV Donation RONALD MCDONALD HOUSE CHARITIES OF CENTRAL FLORIDA INC 1030 N ORANE AVENUE SUITE 105 ORLANDO FL 32801 593211250 50(c)(3) 46883 0 FMV Donation AM HEART ASSOCIATION 7272 Greenville Ave DALLAS TX 75284 135613797 501(c)(3) 41250 0 FMV Donation LAKE NONA INSTITUTE INC 9801 LAKE NONA ROAD ORLANDO FL 32827 273346737 501(c)(3) 35000 0 FMV Donation RONALD MCDONALD HOUSE OF DELAWARE 1901 ROCKLAND RD WILMINGTON DE 19803 510295320 501(c)(3) 27190 0 FMV Donation LEADERSHIP FLORIDA 215 S MONROE STREET SUITE 710 TALLAHASSEE FL 32301 593201445 501(c)(3) 25000 0 FMV Donation CENTER FOR FAMILY SERVICES 584 BENSON STREET CAMDEN NJ 08103 223669704 501(c)(3) 25000 0 FMV Donation UNIVERSITY OF NORTH FL COLLEGE OF BUSINESS ADMIN 4567 ST JOHNS BLUFF RD JACKSONVILLE FL 32224 592976169 501(c)(3) 22500 0 FMV Donation LATIN AM COMMUNITY CENTER 403 N VAN BUREN STREET WILMINGTON DE 19805 237047048 501(c)(3) 23250 0 FMV Donation HOLOCAUST MEMORIAL RESOURCES AND EDUCATION CENTER OF FL INC 851 N MAITLAND AVENUE MAITLAND FL 32751 592219851 501(c)(3) 22000 0 FMV Donation NILE SWIM CLUB 513 S UNION AVE YEADON PA 19050 231548879 501(c)(3) 20150 0 FMV Donation FOOD BANK OF SOUTH JERSEY INC 1501 JOHN TIPTON BLVD PENNSAUKEN NJ 08110 222623089 501(c)(3) 20000 0 FMV Donation NACHRI PO BOX 79334 BALTIMORE MD 21279 510120256 501(c)(3) 19000 0 FMV Donation ORANGE COUNTY PUBLIC SCHOOLS 445 W AMELIA ST ORLANDO FL 32801 596000771 501(c)(3) 18200 0 FMV Donation DE VALLEY ASSOC FOR EDUCATION OF YOUNG CHILDREN DVAECY 1600 WALNUT STREET PHILADELPHIA PA 19103 236438144 501(c)(3) 15000 0 FMV Donation RONALD MCDONALD HOUSE CHARITIES OF THE PHILADELPHIA REGION 3925 CHESTNUT STREET PHILADELPHIA PA 19104 237377505 501(c)(3) 15000 0 FMV Donation GIFT CABOOSE PO BOX 994 GROVELAND FL 34736 263921943 501(c)(3) 13630 0 FMV Donation BLACK MOTHERS IN POWER 209 WEST 21ST STREET WILMINGTON DE 19802 853952269 501(c)(3) 12800 0 FMV Donation WOLFSON CHILDRENS HOSPITAL 800 PRUDENTIAL DRIVE JACKSONVILLE FL 32207 590747311 501(c)(3) 10000 0 FMV Donation CHILD CANCER FUND INC 12276 SAN JOSE BLVD STE 126 JACKSONVILLE FL 32223 593359840 501(c)(3) 10000 0 FMV Donation TOM COUGHLIN JAY FOUNDATION PO BOX 50798 JACKSONVILLE BEACH FL 32240 593426937 501(c)(3) 10000 0 FMV Donation FOOD BANK OF DE 14 GARFIELD WAY NEWARK DE 19713 510258984 501(c)(3) 10000 0 FMV Donation TRACK SHACK FITNESS CLUB INC EVENT MARKETING AND MANAGEMENT 1013 MONTANA STREET ORLANDO FL 32803 263361402 501(c)(3) 10000 0 FMV Donation HEALTHY FOODS FOR HEALTHY KIDS PO BOX 847 HOCKESSIN DE 19707 300444914 501(c)(3) 10000 0 FMV Donation SECOND HARVEST FOOD BANK OF CENTRAL FLORIDA 411 MERCY DRIVE ORLANDO FL 32805 592142315 501(c)(3) 10000 0 FMV Donation YMCA OF GREATER BRANDYWINE 605 AIRPORT ROAD WEST CHESTER PA 19380 231365994 501(c)(3) 10000 0 FMV Donation PHILABUNDANCE 3616 SOUTH GALLOWAY STREET PHILADELPHIA PA 19148 232290505 501(c)(3) 10000 0 FMV Donation FLORIDA CHAMBER FOUNDATION 136 S BRONOUGH ST PO BOX 11309 TALLAHASSEE FL 32302 596209605 501(c)(3) 10000 0 FMV Donation AM ACADEMY OF PEDIATRICS MEMBERSHIP PO BOX 776413 CHICAGO IL 60677 362275597 501(c)(3) 9450 0 FMV Donation BLESSINGS IN A BACKPACK 4300 LAKESIDE DR UNIT 8 JACKSONVILLE FL 32210 261964620 501(c)(3) 9000 0 FMV Donation LEUKEMIA AND LYMPHOMA SOCIETY 7077 BONNEVAL RD SUITE 103 JACKSONVILLE FL 32216 135644916 501(c)(3) 7500 0 FMV Donation GIVE KIDS THE WORLD INC 210 SOUTH BASS ROAD KISSIMMEE FL 34746 592654440 501(c)(3) 7500 0 FMV Donation MANNA FOOD BANK INC 3030 NORTH E STREET PENSACOLA FL 32501 592181031 501(c)(3) 7500 0 FMV Donation SHEPHERDS HOPE INC 4851 S APOPKA VINELAND RD ORLANDO FL 32819 593420727 501(c)(3) 5350 0 FMV Donation 34 0 Aggregate Research Patient Participation Payment 1576 363618 0 FMV Aggregate Joni Lawlor Scholarship Payment 4 5000 0 FMV Aggregate Employee Relief Fund Donations 2 1950 0 FMV Schedule I, Part I, Line 2 The grants made by Nemours were made to public charities for use in their respective exempt missions. Accordingly, Nemours expects the organization to use the funds for proper purposes, and as such, does not subsequently monitor these grants. X 1 1 X X X X 1 1 0 0 0 0 0 1 0 Christian Pizarro Chair, Dept of Cardiac Services, DV 1794117 0 1166743 0 3564 0 0 0 56054 0 3020478 0 0 0 Peter D Wearden MD Chair, Cardiovascular Svcs FL, Dir of Early Autism 1403710 0 953709 0 2322 0 0 0 35279 0 2395020 0 0 0 R Lawrence Moss President and CEO 1236149 0 330750 0 61419 0 252010 0 38286 0 1918614 0 57855 0 Robert D Bridges EVP, Chief Exec FL Operations 704640 0 196839 0 252993 0 140553 0 50170 0 1345195 0 249429 0 Mark Mumford EVP, Chief Exec DE Valley Operations 823868 0 255770 0 12322 0 121680 0 45627 0 1259267 0 0 0 Tuan H Pham Surgeon 1074272 0 51000 0 1242 0 0 0 38286 0 1164800 0 0 0 Rodney A McKendree EVP, CFO and Business Svcs Officer 676138 0 154919 0 175334 0 108711 0 48207 0 1163309 0 173012 0 Suken A Shah Orthopaedic Surgeon 935416 0 78034 0 1242 0 0 0 51983 0 1066675 0 0 0 Mary Lee EVP, Ent Chief Scientific Officer, Phys-in-Chief DE 696291 0 144542 0 29346 0 113763 0 37077 0 1021019 0 22488 0 Jay S Greenspan SVP, Special Adv for DV Net Ops Interim(former) 270145 0 141652 0 547836 0 0 0 47443 0 1007076 0 0 0 William G Mackenzie Chair, Dept of Orthopaedics, DV 833627 0 102950 0 6858 0 0 0 51822 0 995257 0 0 0 Michael J Erhard MD EVP and Physician in Chief, FL Operations 631569 0 131156 0 41181 0 100542 0 57377 0 961825 0 38859 0 James Digan EVP, Enterprise Chief Development Officer 665398 0 72942 0 2322 0 97635 0 24413 0 862710 0 0 0 Bernard E Rice SVP, CIO 426607 0 220664 0 28330 0 52011 0 58231 0 785843 0 27340 0 Martha G McGill SVP, COO Florida and Chief Administrative 514463 0 86314 0 73249 0 72632 0 38650 0 785308 0 39970 0 Gina Altieri EVP, Enterprise Chief Communications Officer 471125 0 112422 0 65095 0 77323 0 38496 0 764461 0 61804 0 Chiedu P Adebi EVP, Chief Human Resources Officer 424243 0 102375 0 651 0 68654 0 46990 0 642913 0 0 0 Kara Walker EVP, Chief Population Health Officer 426762 0 24360 0 6423 0 57433 0 32809 0 547787 0 0 0 Pauline M Corso SVP, COO DE Valley 374157 0 56143 0 1606 0 36390 0 50111 0 518407 0 0 0 William W Higginbotham II SVP, Finance 328361 0 64196 0 30361 0 39455 0 52444 0 514817 0 29574 0 Jane M Mericle EVP, Chief Nursing Exec, Pt Ops Officer, DE 350853 0 75099 0 2375 0 56437 0 23944 0 508708 0 0 0 Laura A Kowal SVP, General Counsel 365821 0 50111 0 621 0 40002 0 39127 0 495682 0 0 0 Carrie Grant EVP, Chief Nursing Exec, FL Ops 291832 0 58363 0 447 0 41939 0 34271 0 426852 0 0 0 Ray J Hejmanowski VP, FL Practice Administrator 300071 0 50557 0 688 0 0 0 57022 0 408338 0 0 0 Sarah Sanders SVP Chief Marketing Officer (former) 216436 0 70423 0 54347 0 22616 0 33580 0 397402 0 9402 0 Randall W Hartley SVP, COO NCH (former) 244839 0 58794 0 48550 0 0 0 20392 0 372575 0 37990 0 Ryan J Forman VP, DE Valley Finance 294340 0 24476 0 289 0 0 0 40850 0 359955 0 0 0 Kirsten L Most Administrator Cardiac 186255 0 23312 0 400 0 0 0 38709 0 248676 0 0 0 Lori Pascal Sr Dir, Crit Care Svcs, Trauma, Transp and ED,DV 186996 0 20257 0 737 0 0 0 35334 0 243324 0 0 0 Jonathan Pomazon Administrative Director 171920 0 14256 0 1978 0 0 0 24936 0 213090 0 0 0 James D Tyner Administrative Director - Surgery 163402 0 8309 0 595 0 0 0 17530 0 189836 0 0 0 Beverly M Wingate FL Site Practice Administrator 143170 0 12078 0 180 0 0 0 27285 0 182713 0 0 0 Roopnarine Hazarie Director, Quality/Safety & Performance-DV 46984 0 24032 0 93631 0 0 0 11986 0 176633 0 0 0 Hugh M Durden Member 0 0 0 0 0 158502 0 0 0 0 0 158502 0 0 Terri Kelly Member 0 0 0 0 0 155151 0 0 0 0 0 155151 0 0 John F Porter Member 0 0 0 0 0 125591 0 0 0 0 0 125591 0 0 Schedule J, Part I, Line 1a Nemours has established a policy for the reimbursement of travel and related expenses incurred by its employees. All transportation and travel arrangements shall be the most economical under the circumstances. Excursion or coach fares shall be ordered whenever available. Approval of a vice president shall be required for any other class of travel. Each department has the right to limit travel expenditures based on budgetary restrictions and may limit coverage to certain categories of travel expense. First class travel may occur in situations for Nemours employees wherein other fares are not available or travel is for a long period of time or overseas. Board members also have the option of traveling first class. Effective, January 1, 2009, Nemours instituted a written policy regarding such travel. Schedule J, Part I, Line 4 The following associates received severance payments in 2021:Jay S. Greenspan (453,112), and Roopnarine Hazarie (60,080). 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 2021 include: Robert D. Bridges (249,429), Rodney A. McKendree (173,012), Gina Altieri (61,804), R. Lawrence Moss (57,855), Martha G. McGill (39,970), Michael J. Erhard MD (38,859),Randall W. Hartley (37,990), William W. Higginbotham II (29,574), Bernard E. Rice (27,340),Mary Lee (22,488), and Sarah Sanders (9,402). Schedule J, Part I, Line 7 Certain employees of Nemours are eligible for incentive compensation. This compensation is based on qualitative and quantitative organizational goals and the achievement of such goals by the organization, its division and individuals. A Orange County Health Facilities Authority 521035390 6845036W0 2009-10-15 326242302 See Part VI 1 0 0 B Orange County Health Facilities Authority 521035390 999999999 2018-10-05 152105000 See Part VI 0 0 0 A 220562302 0 326242302 0 0 0 1863902 28400 0 300000000 24350000 0 2012 1 0 1 1 B 7235000 0 152105000 0 0 0 0 0 0 0 152105000 0 2018 1 0 1 1 A 0 1 1 1 1 1 0.00788 0 0.00788 1 0 1 B 0 1 1 1 1 1 0.00214 0 0.00214 1 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 0 1 1 0 0 0 1 A 1 B 1 Schedule K, Part I, Column a-10/15/2009 326,242,302 Orange County Health Facilities Authority A portion of the proceeds of these bonds were used to refund on a current basis all of the outstanding Jacksonville Health Facility Authority Revenue Bonds (The Nemours Foundation Project), Series 2007, originally issued on October 3, 2007. The proceeds were used to finance the cost of the acquisition, construction, installation and equipping of a new administrative facility located in Jacksonville, Florida, and owned and operated by Nemours, and related fixtures, furnishings and equipment. The remaining portion of the proceeds of these bonds were used for the purpose of providing funds which, together with other available funds, were used to finance a portion of the cost of the acquisition, construction, installation and equipping of a pediatric healthcare facility owned and operated by Nemours, including a 95-bed freestanding children's hospital known as Nemours Children's Hospital, Florida and Outpatient Clinic, and related facilities, equipment, fixtures and furnishings, located in Orlando, Florida. On October 5, 2018 a portion of the bonds (Series 2009A) were defeased in the amount of $151,080,000 and were replaced by the Orange County Health Facility Authority bond issue dated October 5, 2018 (Series 2018). Schedule K, Part I, Column b-10/05/2018 152,105,000 Orange County Health Facilities Authority On October 5, 2018, Nemours entered into a legal defeasance of the Florida Authority Series 2009A bonds in the amount of $151,080,000. At the same time, the Florida Authority issued $152,105,000 in tax-exempt, fixed rate revenue bonds (Series 2018 bonds). Schedule K, Part III, Line 4-10/15/2009 326,242,302 Orange County Health Facilities Authority For the year ended December 31, 2021, private use disclosed in Schedule K, Part III Line 4 Column A is 0.788%. 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, 2021, private use disclosed in Schedule K, Part III Line 4 Column B is 0.214%. 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. Stuart MacKenzie MD Family of W. MacKenzie 392316 Employment Compensation 0 Jennifer A Rice Family of B. Rice 221269 Employment Compensation 0 Daniel Greenspan Family of J. Greenspan 59212 Employment Compensation 0 Frank Giambrone Family of John S. Lord 46959 Employment Compensation 0 John Coco Family of P. Corso 39527 Employment Compensation 0 Nichole Ring Family of K. Most 35586 Employment Compensation 0 Michelle Koehler Family of J. Tyner 31335 Employment Compensation 0 Walter Kowal Family of L. Kowal 26312 Employment Compensation 0 Stephanie Quintavalla Family of M. Girouard 25453 Employment Compensation 0 Substantial Contributor Service Provider 14704738 Independent Contractor 0 Substantial Contributor Service Provider 8426159 Independent Contractor 0 Substantial Contributor Service Provider 6323787 Independent Contractor 0 Substantial Contributor Service Provider 5921687 Independent Contractor 0 Substantial Contributor Service Provider 1328975 Independent Contractor 0 Substantial Contributor Service Provider 991955 Independent Contractor 0 Substantial Contributor Service Provider 704693 Independent Contractor 0 Substantial Contributor Service Provider 359983 Independent Contractor 0 Substantial Contributor Service Provider 308903 Independent Contractor 0 Substantial Contributor Service Provider 214879 Independent Contractor 0 Substantial Contributor Service Provider 155400 Independent Contractor 0 Substantial Contributor Service Provider 110000 Independent Contractor 0 Substantial Contributor Service Provider 100784 Independent Contractor 0 X 84463 cost or sales price X 18 318682 FMV X 20 2100 cost or sales price X Entertaiment 10 18905 cost or sales price 0 0 1 0 Schedule M, Part I Nemours reports the number of contributions received and not by the number of items. Form 990, Part VI, Section A, Line 2 Mr. Durden, Mr. Porter III, Mr. Lord, Mr. Thornton, Mr. Rogers, Mr. Kuntz and Ms. Kelly 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 4 In 2021, the Nemours' Bylaws were amended. None of the amendments substantially alter Nemours' governance in relation to its charitable purpose to provide health care. The amendments clarify the process for nomination of individuals to fill the Chair of the Board of Director vacancies, the election process of the Chair of the Board of Directors, Vice Chair and the President and CEO, the number of individuals on the Board of Managers-Florida, and the approval process of any amendments to the Board of Managers bylaws. Form 990, Part VI, Section A, Line 6 The Nemours Foundation (Nemours) organizational documents include members who constitute a portion of the governing body. Specifically, the members are those individuals who also serve as trustees of the Alfred I. duPont Charitable Trust (the Trust). The Trust's primary purpose is to provide funding for Nemours' charitable activities in the communities it serves. As trustees of the Trust, these individuals are appointed as members of Nemours. The members have certain general oversight rights and some limited retained powers. The Board of Directors is made up of directors who are selected by the members of Nemours. The Board of Directors has full governance over the activities of Nemours. Form 990, Part VI, Section A, Line 7a See answer on Form 990, Part VI, Section A, Line 6. Form 990, Part VI, Section A, Line 7b See answer on Form 990, Part VI, Section A, Line 6. Form 990, Part VI, Section B, Line 11b Management distributed a draft of the 2021 Form 990 to the Finance, Audit and Compliance Committee prior to the scheduled board of directors meeting in October of 2022. During the course of the board of directors meeting, management presented an overview of Form 990 to the Finance, Audit and Compliance Committee and gave the committee members an opportunity to provide comments and ask questions with respect to the draft. Based on feedback provided from the committee members, management updated the draft Form 990. Upon finalization of the return, management provided a final copy of the return via e-mail 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 Compensation 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 Compensation 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 our officers, senior leadership and key employees and to align our compensation with the compensation practices of organizations similar to Nemours. The Board of Directors determined and approves the compensation for the CEO using the same IRS-approved rebuttable presumption process as the Compensation Committee. To indicate our alignment with the compensation practices of organizations similar to Nemours, our compensation philosophy across the board targets the market median for base salaries for all Nemours' Associates, 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 $35,556,038. Delaware Children's Health Network LLC 1600 Rockland Road Wilmington DE 19803 833874741 Health Care DE 0 0 The Nemours Foundation Cruden Bay Risk Retention Group Inc 135 Allen Brook Lane Suite 101 Williston VT 05495 270057453 Risk Retention VT 501(c)(3) 509(a)(3) - Type 1 The Nemours Foundation 1 Pediatric Medical Services of Florida Inc 10140 Centurion Parkway Jacksonville FL 32256 453584225 Health Care FL 501(c)(3) 509(a)(2) The Nemours Foundation 1 Nemours New Jersey Physician Practice 1801 Rockland Road Wilmington DE 19803 463160718 Health Care NJ 501(c)(3) 509(a)(2) The Nemours Foundation 1 Alfred I duPont Charitable Trust 510 Alfred dupont Place Jacksonville FL 32202 590226560 Charitable Trust FL 501(c)(3) 509(a)(3) - Type 2 N/A 0 Dornoch Sutherland Assurance LTD PO Box 1085 CJ 980404800 Captive Insurance CJ The Nemours Foundation C -2397962 41936682 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 Dornoch Sutherland Assurance LTD m 6700000 FMV Dornoch Sutherland Assurance LTD l 6390000 FMV Cruden Bay Risk Retention Group Inc l 3220000 FMV Cruden Bay Risk Retention Group Inc m 902000 FMV Cruden Bay Risk Retention Group Inc q 1164832 FMV Pediatric Medical Services of Florida Inc r 6111786 FMV Nemours New Jersey Physician Practice r 6288434 FMV Alfred I duPont Charitable Trust c 234965686 FMV Alfred I duPont Charitable Trust q 151009 FMV The return is being filed on a timely basis. The organization filed extensions on a timely basis. Accordingly, the return was properly extended and is now being filed timely by its extended due date of November 15, 2022.