2013-11-13T11:44:53-07:00 2012-12-31 KPMG LLP 300 North Greene Street Suite 400 Greensboro NC 27401 990 2012-01-01 590634433 The Nemours Foundation NEMO 9046974100 10140 Centurion Parkway North Jacksonville FL 32256 ROBERT BRIDGES 9046975847 2013-11-06 1 KPMG LLP P00008888 3362753394 2013-11-05 2012 2016-02-24 21:20:13Z David Bailey MD 10140 Centurion Parkway North Jacksonville FL 32256 1214216955 0 8516 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 6102 993 6403903 0 132592912 129714950 625094701 672723873 30495753 30700278 23732927 23725956 811916293 856865057 1016880 1077687 0 0 452603124 539842400 0 0 2820630 263056446 306988350 716676450 847908437 95239843 8956620 1670510557 1695279372 662414980 739320112 1008095577 955959260 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 631830306 1077687 695635854 See Schedule H, Part VI 0 0 0 631830306 1 1 0 1 0 0 0 1 0 1 1 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 600 0 1 6102 1 1 1 1 CJ 0 0 1 1 1 1 0 0 0 1 1 0 X 13 13 1 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 AL DC DE FL GA MD NJ NY PA VA X Robert Bridges EVP Chief Exec FL Op 9046974100 10140 Centurion Parkway North Jacksonville FL 32256 BRIAN P ANDERSON 2.5 X 41475 0 0 HUGH M DURDEN 16 15 X 0 146887 0 J MICHAEL MCGINNIS 2.5 X 33075 0 0 JOHN F PORTER 18 7.5 X 0 119819 0 JOHN S LORD 30 7 X 0 146887 0 LEONARD BERRY PHD 2.5 X 55125 0 0 RICHARD CHRISTOPHER 15 1.5 X 52125 0 0 ROBERT RINEY 2.5 X 44625 0 0 ROSA HAKALA 2.5 X 46200 0 0 TERRI L KELLY 2.5 X 33075 0 0 TONI JENNINGS 2.5 0.5 X 40575 0 0 W L THORNTON 4 11 X 0 129088 0 W T THOMPSON 4 11 X 0 144704 0 MARYLYNN GIROUARD 40 X 62049 0 10872 DAVID J BAILEY MD 40 X 1070449 0 220889 DEBORAH CHANG 40 X 277188 0 41681 DIANE C GOIN 40 X 66663 0 12109 GINA ALTIERI 40 X 364571 0 49454 CAMERON MORROW 40 X 83392 0 20852 R J CUMMINGS MD 40 X 579535 0 97807 ROBERT D BRIDGES 40 2.1 X 593772 0 140854 RODNEY A MCKENDREE 40 X 290354 0 51381 ROGER A OXENDALE 40 0.5 X 577278 0 25596 ROY PROUJANSKY MD 40 0.5 X 705384 0 129844 STEPHEN LAWLESS MD 40 X 463912 0 70902 STEVEN R SPARKS 40 X 331514 0 59209 THERESA M YOUNG 40 X 297402 0 44725 WILLIAM W HIGGINBOTHAM II 40 1.6 X 227299 0 22173 LANE F DONNELLY MD 40 0.5 X 868395 0 149288 KEVIN CHURCHWELL MD 40 X 727665 0 37801 MARIANE STEFANO 40 X 264199 0 8046 ANDREW T COSTARINO JR MD 40 X 498561 0 6005 BARBARA D MEEKS 40 X 308644 0 22745 CHRISTIAN PIZARRO MD 40 X 1669895 0 27037 DEBBIE J MERINBAUM MD 40 X 552031 0 20243 ERIC A LOVELESS MD 40 X 554056 0 15637 GARY D JOSEPHSON MD 40 X 520274 0 21725 JAY S GREENSPAN MD 40 X 403498 0 24984 KEVIN P SHEAHAN MD 40 X 258106 0 26492 LESLIE GRISSOM MD 40 X 514232 0 17099 MICHAEL J ERHARD MD 40 X 541489 0 28951 PAUL A PITEL MD 40 X 315384 0 16672 PAUL KEMPINSKI 40 X 414821 0 25016 RANDALL W HARTLEY 40 0.5 X 279147 0 12654 SALVATORE R GOODWIN MD 40 X 467108 0 19526 WILLIAM B BLANCHARD MD 40 X 312395 0 15168 WILLIAM G MACKENZIE MD 40 X 726901 0 21945 STEPHEN DUNN MD 40 X 440753 0 15513 TERRI FINKEL MD 40 X 527942 0 29327 STEVEN FRICK MD 40 X 347963 0 15592 KENNETH LIECHTY MD 40 X 577533 0 30162 GEORGE MYCHASKIW MD 40 X 463252 0 23420 SUKEN A SHAH MD 40 X 701591 0 22661 JEFFREY CAMPBELL MD 40 X 619864 0 3788 JOSEPH H PIATT JR MD 40 X 615771 0 35391 TODD A MAUGANS MD 40 X 580761 0 23993 FLORENCE LEWIS MD 40 X 547045 0 12631 BERNARD J CLARK III MD 40 X 274054 0 52312 THOMAS P FERRY 40 X 156468 0 6310 JUDITH E WALL MD 40 0.5 X 354801 0 15825 JAMES S REILLY MD 40 X 445997 0 16274 23187633 687385 1818581 957 1 1 0 SKANSKA USA BUILDING INC 4030 BOY SCOUT BOULEVARD SUITE 200 TAMPA FL 33607 BUILDING AND CONSTRUCTION 95955264 SODEXHO INC AND AFFILIATES PO BOX 905374 CHARLOTTE NC 282905374 FACILITIES MANAGEMENT 13906818 FKP ARCHITECTS INC 8 GREENWAY PLAZA 300 HOUSTON TX 77046 ARCHITECTURAL 6354754 JOAN WELLMAN AND ASSOCIATES INC 7426 SE 27TH STREET MERCER ISLAND WA 98040 PROCESS IMPROVEMENT 3981839 HSC BUILDERS AND CONSTRUCTION MANAGERS 304 NEW MILL LANE EXTON PA 19341 BUILDING AND CONSTRUCTION 3776549 116 0 0 1145292 123510437 0 5059221 10842 129714950 Net Patient Service Revenue 900099 654031047 654031047 0 0 Net Research Grants 900099 12402812 12402812 0 0 Electronic Health Record Revenue 900099 6290014 6290014 0 0 0 0 0 0 672723873 12063522 0 6403903 5659619 0 0 0 0 506695 0 0 506695 448485 0 153349 0 295136 0 295136 0 0 295136 375462693 0 356825937 0 18636756 0 18636756 0 0 18636756 384756 1145292 372612 12144 0 12144 0 0 0 0 0 0 0 0 0 0 0 0 Specialized Services 900099 14588256 14588256 0 0 Graduate Medical Education Funding 900099 2649959 2649959 0 0 Kidshealth.org Licensing Fee 900099 1918535 1918535 0 0 3755231 3755231 0 0 22911981 856865057 695635854 6403903 25110350 920078 920078 157609 157609 0 0 0 0 20520677 0 20520677 0 0 0 0 0 402803826 313270752 87893366 1639708 39659870 31184902 8330926 144042 51048990 40161800 10683021 204169 25809037 20316161 5383765 109111 0 0 0 0 3491561 2003333 1484961 3267 455724 261905 193819 0 287056 0 287056 0 0 0 1130868 649910 480958 0 51706274 35989018 15643787 73469 6598607 4489737 2106275 2595 89533807 78611725 10668263 253819 15481124 8829114 6622691 29319 0 0 0 0 33953879 22897599 11022118 34162 7644012 4983265 2553441 107306 0 0 0 0 2725683 1798089 875493 52101 3351840 0 3351840 0 0 0 0 0 43700069 24739001 18843470 117598 9496764 9164377 332387 0 Provision for Bad Debts 23611570 23611570 0 0 Repairs and Maintenance 3707000 1352590 2353945 465 Employee Recruitment and Advertising 3702873 2520916 1181957 0 Subscriptions 2610144 2408257 186625 15262 3799495 1508598 2256660 34237 847908437 631830306 213257501 2820630 61187955 86182077 79866229 50053008 5218154 3309142 82531146 89871864 0 0 0 0 0 0 2011152 3953450 7230157 7500638 1230748728 422641806 666990359 808106922 630928045 511789197 127124232 122029744 0 0 1461736 1502568 5961392 10980762 1670510557 1695279372 110725564 109032443 0 0 2668048 2078680 367621944 367369215 0 0 0 0 0 0 0 0 181399424 260839774 662414980 739320112 X 618341558 673210235 384491578 276915981 5262441 5833044 1008095577 955959260 1670510557 1695279372 X 8956620 12346080 0 0 0 -73439017 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3881 435931 439812 847468625 847908437 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 318455 310156 479339 439812 1547762 250000 250000 250000 250000 1000000 1500000 2000 2000 2000 3881 9881 SchC_P2A_S00_L01a 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 384535863 8086876 29080079 0 142011164 251774 279439880 392975995 4406956 -581412 0 11968151 297525 384535863 367585658 2176291 37275018 0 13764709 296263 392975995 332209589 3615644 46910682 0 15034448 115809 367585658 491454901 1989556 -145985744 0 14229620 1019504 332209589 0 0.02 0.98 0 0 106095 93989287 94095382 0 625980658 195572014 430408644 0 14075647 10545578 3530069 0 411421783 216524214 194897569 0 85175258 0 85175258 808106922 Partnerships 51219840 F Private Equity 20976948 F Hedge Funds 26293004 F Real Estate 23539952 F 122029744 0 Liabilities for Pension Benefits 193938018 Self-Insurance Reserves 61900108 Liabilities Under Securities Lending Transactions 5001648 260839774 861150424 4699329 0 0 26586579 31285908 829864516 0 27000541 27000541 856865057 827770533 0 0 0 -19970819 -19970819 847741352 0 167085 167085 847908437 SchD_P03_S00_L04 Schedule D, Part III, Line 4 The Nemours mansion is the 300-acre country estate of the late industrialist and philanthropist Alfred I. duPont. The mansion is located on the grounds of the renowned Alfred I. duPont Hospital for Children in Wilmington, Delaware. It derives its name from the town in France represented by Mr. duPont's great-great-grandfather, Pierre Samuel duPont de Nemours, as a member of the French estates general in 1789. 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. SchD_P05_S00_L04 Schedule D, Part V, Line 4 Nemours' endowments have been established for a variety of purposes including opthalmology, orthopaedic, dental and research. SchD_P11_S00_L02d Schedule D, Part XI, Line 2d Reconciliation Of Revenue Per Audited Financial Statements With Revenue Per Return: Net Assets Released From Restriction $49,123,315 plus PMSI Subsidiary Operating Loss $1,074,834 less Bad Debt Expense $23,611,570 = $26,586,579. SchD_P11_S00_L04b Schedule D, Part XI, Line 4b Reconciliation Of Revenue Per Audited Financial Statements With Revenue Per Return: Temporarily Restricted Contributions And Pledges $6,177,864 plus Temporarily Restricted Investment Income $2,767,308 plus Temporarily Restricted Realized Gains $18,581,330 less Rental Expenses $153,349 Less Fundraising Expenses $372,612 = $27,000,541. SchD_P12_S00_L02d Schedule D, Part XII, Line 2d Reconciliation Of Expenses Per Audited Financial Statements With Expenses Per Return: Rental Expenses $153,349 plus Fundraising Expenses $372,612 plus PMSI Subsidiary Expenses $3,114,790 less Bad Debt Expense $23,611,570 = ($19,970,819). SchD_P12_S00_L04b Schedule D, Part XII, Line 4b Reconciliation Of Expense Per Audited Financial Statements With Expenses Per Return: Temporarily Restricted Investment Expenses $165,920 plus Temporarily Restricted Occupancy Expenses $1,165 = $167,085. East Asia and the Pacific 0 0 Investments N/A 6154433 Europe (including Iceland and Greenland) 0 0 Investments N/A 3412302 Central America and the Caribbean 0 0 Investments N/A 1759079 North America (including Canada and Mexico, but not the United States) 0 0 Investments N/A 1441928 Russia and the newly independent States 0 0 Investments N/A 876037 South America 0 0 Investments N/A 112582 0 0 13756361 1 0 1 1 1 0 Delaware Gala 375145 246820 128325 0 0 11888 117590 10175 11400 Orlando Gala 514585 371510 143075 0 0 0 0 0 0 8 640318 526962 113356 0 0 57252 35867 6375 122065 1530048 1145292 384756 0 0 69140 153457 16550 133465 372612 12144 1 1 X 1 X 2.50 1 X 1 0 1 1 31618337 18476798 13141539 0.0159 304860768 238512285 66348482 0.0802 0 0 0 0 0 0 336479105 256989083 79490021 0.0961 29931533 4061614 25869919 0.0313 9761959 3759644 6002315 0.0073 0 0 0 0 25577333 7506351 18070983 0.0218 550592 0 550592 0.0007 0 0 65821417 15327609 50493809 0.0611 0 0 402300522 272316692 129983830 0.1572 1 10509633 0 696108 992306 -296198 X 0 2 1 ALFRED I DUPONT HOSPITAL FOR CHILDREN

1600 ROCKLAND ROAD WILMINGTON DE 19803

X X A 2 NEMOURS CHILDREN'S HOSPITAL

13535 NEMOURS PARKWAY ORLANDO FL 32827

X X A A 0 1 1 250 1 400 1 X X 1 1 X X X X 1 X 0 1 X 0 0 35 NEMOURS DUPONT PEDIATRICS WILMINGTON

1600 ROCKLAND ROAD WILMINGTON DE 19803

CHILDREN'S CLINIC SPECIALTY CARE NEMOURS DUPONT PEDIATRICS COLLEGEVILLE

599 ARCOLA ROAD COLLEGEVILLE PA 19426

CHILDREN'S CLINIC SPECIALTY CARE NEMOURS CHILDREN'S CLINIC JACKSONVILLE

807 CHILDRENS WAY JACKSONVILLE FL 32207

CHILDREN'S CLINIC SPECIALTY CARE NEMOURS CHILDREN'S CLINIC JACKSONVILLE SOUTH

14785 OLD ST AUGUSTINE ROAD SUITE 200 JACKSONVILLE FL 32258

CHILDREN'S CLINIC SPECIALTY CARE NEMOURS CHILDREN'S CLINIC ORANGE PARK

2300 PARK AVENUE SUITE 206 ORANGE PARK FL 32073

CHILDREN'S CLINIC SPECIALTY CARE NEMOURS DUPONT PEDIATRICS WILMINGTON

1600 ROCKLAND ROAD WILMINGTON DE 19803

CARDIAC CENTER NEMOURS DUPONT PEDIATRICS PHILADELPHIA

833 CHESTNUT STREET SUITE 601 PHILADELPHIA PA 19107

CHILDREN'S CLINIC SPECIALTY CARE NEMOURS CHILDREN'S CLINIC PENSACOLA

5153 NORTH 9TH AVENUE PENSACOLA FL 32504

CHILDREN'S CLINIC SPECIALTY CARE NEMOURS CHILDREN'S CLINIC DESTIN

7720 US HIGHWAY 98 WEST SUITE 260 DESTIN FL 32550

CHILDREN'S CLINIC SPECIALTY CARE NEMOURS CHILDREN'S CLINIC ORLANDO

1717 SOUTH ORANGE AVENUE SUITE 100 ORLANDO FL 32806

CHILDREN'S CLINIC SPECIALTY CARE NEMOURS CHILDREN'S CLINIC ORLANDO

13535 NEMOURS PARKWAY ORLANDO FL 32827

CHILDREN'S CLINIC SPECIALTY CARE NEMOURS CHILDREN'S CLINIC LAKE MARY

3300 WEST LAKE MARY BLVD SUITE 100 LAKE MARY FL 32746

CHILDREN'S CLINIC SPECIALTY CARE NEMOURS CHILDREN'S CLINIC VIERA

7000 SPYGLASS COURT SUITE 120 VIERA FL 32940

CHILDREN'S CLINIC SPECIALTY CARE NEMOURS DUPONT PEDIATRICS EGG HARBOR TOWNSHIP

2500 ENGLISH CREEK ROAD SUITE 1001 EGG HARBOR TOWNSHIP NJ 08234

CHILDREN'S CLINIC SPECIALTY CARE NEMOURS DUPONT PEDIATRICS BRYN MAWR

130 SOUTH BRYN MAWR AVENUE BRYN MAWR PA 19010

CHILDREN'S CLINIC SPECIALTY CARE NEMOURS DUPONT PEDIATRICS VOORHEES

443 LAUREL OAK ROAD SUITE 200 VOORHEES NJ 08043

CHILDREN'S CLINIC SPECIALTY CARE NEMOURS DUPONT PEDIATRICS VINELAND

2950 COLLEGE DRIVE SUITE 2B VINELAND NJ 08360

CHILDREN'S CLINIC SPECIALTY CARE NEMOURS DUPONT PEDIATRICS PEOPLE'S PLAZA

1400 PEOPLES PLAZA SUITE 300 NEWARK DE 19702

PEDIATRIC PRIMARY CARE NEMOURS DUPONT PEDIATRICS DOVER

102 WEST WATER STREET SUITE 1 DOVER DE 19904

PEDIATRIC PRIMARY CARE NEMOURS DUPONT PEDIATRICS ST FRANCIS

700 NORTH CLAYTON STREET SUITE 400 WILMINGTON DE 19805

PEDIATRIC PRIMARY CARE NEMOURS DUPONT PEDIATRICS NEWTOWN SQUARE

3855 WEST CHESTER PIKE SUITE 280 NEWTOWN SQUARE PA 19073

CHILDREN'S CLINIC SPECIALTY CARE NEMOURS DUPONT PEDIATRICS AT SEAFORD

49 FALLON AVENUE SEAFORD DE 19973

PEDIATRIC PRIMARY CARE NEMOURS DUPONT PERDIATRICS JESSUP STREET

1602 JESSUP STREET WILMINGTON DE 19802

PEDIATRIC PRIMARY CARE NEMOURS DUPONT PEDIATRICS MIDDLETOWN

200 CLEAVER FARM ROAD SUITE 201 MIDDLETOWN DE 19709

PEDIATRIC PRIMARY CARE NEMOURS DUPONT PEDIATRICS LANKENAU

100 EAST LANCASTER AVENUE SUITE 436 WYNNEWOOD PA 19096

PEDIATRIC PRIMARY CARE NEMOURS DUPONT PEDIATRICS MILFORD

703 NORTH DUPONT HIGHWAY MILFORD DE 19963

PEDIATRIC PRIMARY CARE NEMOURS DUPONT PEDIATRICS FOULK ROAD

910 FOULK ROAD SUITE 101 WILMINGTON DE 19809

PEDIATRIC PRIMARY CARE NEMOURS SENIORCARE WILMINGTON

1600 ROCKLAND ROAD WILMINGTON DE 19803

HEALTH CLINIC NEMOURS DUPONT PEDIATRICS PHILADELPHIA PIKE

222 PHILADELPHIA PIKE WILMINGTON DE 19809

PEDIATRIC PRIMARY CARE NEMOURS DUPONT PEDIATRICS LANCASTER

2128 EMBASSY DRIVE LANCASTER PA 17603

CHILDREN'S CLINIC SPECIALTY CARE NEMOURS SENIORCARE MILFORD

915 NORTH DUPONT BOULEVARD MILFORD DE 19963

HEALTH CLINIC NEMOURS BRIGHTSTART

9145 NARCOOSEE ROAD ORLANDO FL 32827

DYSLEXIA INITIATIVE NEMOURS BRIGHTSTART

49 FALLON AVENUE SEAFORD DE 19973

DYSLEXIA INITIATIVE NEMOURS HEALTH AND PREVENTION SERVICES

252 CHAPMAN ROAD CHRISTIANA BUILDING SUITE 200 NEWARK DE 19702

PREVENTION SERVICES NEMOURS HEALTH AND PREVENTION SERVICES

49 FALLON AVENUE SEAFORD DE 19973

PREVENTION SERVICES SchH_P01_S00_L03c Schedule H, Part I, Line 3c Not Applicable SchH_P01_S00_L06a Schedule H, Part I, Line 6a A copy of the Community Report can be found at: http://www.nemours.org/about/publications.html SchH_P01_S00_L07 Schedule H, Part I, Line 7 Lines 7a-b - The amounts included in Part I, Lines 7a-b were calculated utilizing the methodology provided in the various worksheets included in the instructions for Schedule H of Form 990. Such 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. SchH_P01_S00_L072f Schedule H, Part I, Line 7, Column f Nemours included Provision for Bad Debts (bad debt expense) in Form 990, Part IX, line 24 of $23,611,570 (excluding PMSI). Such amount was subtracted from total expenses of $847,908,437 for purposes of determining percent of total expense calculations. SchH_P01_S00_L07a Schedule H, Part I, Line 7a and Line 7b and and Form 990, Part III, Question 4a, Program Service Accomplishments. Nemours' mission is to "provide leadership, institutions, and services to restore and improve the heath of children through care and programs not readily available, with one high standard of quality and distinction regardless of the recipient's financial status." At Nemours, our plan to do that begins before illness or injury with our integrated model of care. We begin with education through the Nemours Center for Children's Health Media and Kidshealth. Then, add prevention in our communities with the perspective of Nemours Health & Prevention Services and literacy aided by our Brightstart! Dyslexia initiative. In the center are health operations, research and education-staples of an academic environment providing the right combination of evidence-based health services. Two more ingredients enable Nemours to energize this powerful mix: innovation and technology. Our model of care has gained definition from our families and experts in the field who sought the "ideal" combination of services throughout Nemours. The model is family-centered and incorporates what we have found to work in guarding the healthy, joyful life experience of a child. Whether hospitalized or visiting for a check-up, children and families find a centralized, pleasant reception area where the same nurses, physicians and therapists greet them. Patient families also find advice and can report progress electronically from a remote location. Our eye is on the best health and quality outcomes, measured and monitored according to established benchmarks and satisfaction as reported by the children and families who have helped define the model. Nemours children's clinic locations provide services at several primary and satellite locations ranging from primary care to sub-specialty care in the Delaware Valley, and sub-specialty care in Florida. These locations are listed in Schedule H, Part V, Section C. In the Delaware Valley, care was provided to over 164,000 Nemours Children's Clinic patients during more than 409,000 outpatient visits. Nemours Children's Clinic Florida locations treated nearly 120,000 patients during over 250,000 clinic and outpatient visits. SchH_P01_S00_L07d Schedule H, Part I, Line 7d Uncompensated Medical Care: Nemours' services classified as "charity care" or where the recipient could not afford services or lacked adequate health insurance exceeded $13.1 million in 2012. Nemours also covers the costs in excess of government payments for services provided to Medicaid and other public health beneficiaries of over $66 million with an additional $28 million in uncollected patient care charges written off by Nemours during the same period. All totaled, uncompensated care for 2012 approximates $103 million. SchH_P01_S00_L07e Schedule H, Part I, Line 7e Community Benefit: Nemours is unique among pediatric health care systems, providing treatment, care, health information and prevention services that form a continuum of care aimed at achieving our vision of freedom from disabling conditions. Alfred I. Dupont envisioned a world where all children could receive top-notch medical care, especially children disabled in some way. At Nemours, we demonstrate sound stewardship by staying true to Mr. Dupont's vision. In 2012, Nemours cared for more than 280,000 unique patients who experienced more than 1,000,000 encounters, nearly 660,000 clinic and outpatient visits, and nearly 46,000 hospital days of these visits, more than 125,000 were new patients. During 2012, Nemours provided care and services totaling more than $600 million for our communities throughout the Delaware Valley, Florida and beyond. Community Health Improvement Services and Community Benefit Operations: During 2012, 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 Nemours Health & Prevention Services, Nemours Center for Children's Health Media, Nemours Brightstart! and others, Nemours subsidized prevention and children's health programs in excess of $21.3 million in 2012. Nemours provided a variety of community health services for 37,000 of Delaware's low-income senior citizens of approximately $4.6 million. These outpatient health care services included dental care, eye examinations and eyeglasses, as well as hearing tests and hearing aids at the Nemours SeniorCare. SchH_P01_S00_L07f Schedule H, Part I, Line 7f 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 2012, Nemours hosted 666 residents and 656 medical students while providing fellowship rotations for 77 physicians. Nemours supported education and training programs for health professionals in excess of $6 million. SchH_P01_S00_L07h Schedule H, Part I, Line 7h 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 by over $18 million during 2012. SchH_P03_S0A_L04 Schedule H, Part III, Section A, Line 4 The amounts included in Part III, Line 2 were calculated using the methodology provided in worksheet A, estimated bad debt expense (at cost) included in the instructions for Schedule H of Form 990. SchH_P03_S0B_L08 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. SchH_P05_S0B_L14 Schedule H, Part V, Section B, Line 14 Brochures regarding the Nemours Financial Assistance Program are made available at a number of locations throughout AIDHC, NCH and the physician practices, as well as on-line at www.nemours.org. Personnel throughout each facility are instructed to direct families that may be having financial concerns or difficulty to one of the Financial Counselors. SchH_P05_S0B_L16 Schedule H, Part V, Section B, Line 16 Nemours utilizes an internal collections department. SchH_P05_S0B_L20 Schedule H, Part V, Section B, Line 20 Nemours offers financial assistance to all eligibile individuals who do not have insurance covering emergency or other medically necessary care. All patients of Nemours receive a statement relative to care provided, which constitutes a bill for services. This statement provides patients with the amount of gross charges less discounts. Discounts are based upon eligibility criteria including family income, family size, federal poverty guideline levels or other eligibility criteria. SchH_P06_S00_L02 Schedule H, Part VI, Line 2 Nemours has clinical operations in communities in Delaware, southeastern Pennsylvania and southern New Jersey (referred to as the Delaware Valley) and Florida. Nemours assesses the healthcare needs of these communities using various methods. For example, Nemours partners with other healthcare organizations and experts in publishing a Chartbook for both Delaware and Florida. The Chartbook is a comprehensive report on children's health, health behaviors and quality of those services, comparing the individual states' results with national benchmarks. This information is used in identifying opportunities to improve the health and wellbeing of children in both Florida and the Delaware Valley. Additionally, Nemours' community relations team is active at all sites to identify specific community needs for children. SchH_P06_S00_L03 Schedule H, Part VI, Line 3 Nemours, with its children's hospital in Delaware, the Alfred I. duPont Hospital for Children (AIDHC), children's hospital in central Florida, Nemours Children's Hospital (NCH), and the physician practices throughout Delaware, southeastern Pennsylvania, southern New Jersey and Florida, share the same practice of educating patients and patient families in the eligibility process. Nemours employs financial counselors, as well as engages independent firms (collectively referred to as Financial Counselors) to assist in determining Medicaid eligibility. The Financial Counselors, 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 admitted to or presents to emergency rooms as "self pay" are screened for Medicaid eligibility. The Financial Counselors follow up directly with the respective State regarding their decision/determination. Certain Financial Counselors may go to the families home if necessary. In some instances, certain Financial Counselors will ask for and receive limited power of attorney, 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. 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 Counselors. Personnel at AIDHC have also established the Family Advisory Council (FAC), a group of parents whose children have had services at AIDHC. The purpose of the FAC is to obtain feedback from families about additional ways Nemours can assist with financial eligibility issues. Nemours' representatives have participated in the Robert Wood Johnson Foundation funded "Children's Hospital Eligibility Process Improvement Collaborative", an effort about educating providers regarding eligibility best practices. The collaborative touched on topics from literacy and how to write and share a brochure in a way that the family can understand, to assessing what an appropriate staffing level should be. In an effort to perform proactive outreach in the Delaware Valley and Central Florida, Nemours' Financial Counselors 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 families about the various funding sources for which they might be eligible. SchH_P06_S00_L04 Schedule H, Part VI, Line 4 Nemours' clinical operations include a children's hospital and outpatient pediatric clinic in Wilmington, Delaware, specialty and primary care children's clinics in and around Delaware and a health clinic for the elderly, also in Delaware. Nemours' service area includes 27 counties throughout Delaware, southeastern Pennsylvania, and southern New Jersey. In 2011, there are an estimated 204,208 children and youth under the age of 18 living in Delaware, (US Census Bureau, 2011) comprising approximately 22.7 % of the area's total population. Nationally, an estimated 73,650,025 children and youth under 18 make up 23.8% of the total population (US Census Bureau, 2011). While Americans' overall health status has been improving, disparities remain in the prevalence of illness and death experienced by minority populations, as compared to the U.S. population as a whole. These disparities affect children as well as adults. Currently, Delaware's children and youth population is comprised primarily of 61% White and 25.7% African American compared to 68.2% White and 14.3% African American, nationally (US Census Bureau, 2011). Household income level can have a significant impact on the health status of children living in the household. For example, children living in low-income households may not have adequate health insurance or access to primary care. Overall, a smaller percentage of children and youth in Delaware (17.5%) live below 100% of the Federal Poverty Level (FPL) when compared to the national rate of children in poverty (22.5%) (US Census Bureau, 2011). Approximately, 63.9% of the area's children and youth live in households with incomes at or above 200 percent of the poverty level (US Census Bureau, 2011). Children who have health insurance typically have better access to preventive services, such as vaccinations, routine screenings, and medical treatment. The vast majority of children and youth in Delaware (96.4%) have health insurance coverage (NSCH, 2011), either through a private source or a public health insurance program such as Medicaid. Nemours' clinical operations in Florida include a children's hospital in Orlando, and a statewide physician practice with campuses in Jacksonville, Pensacola and Orlando. In 2011, 3,980,766 children and youth under the age of 18 years are living in Florida (US Census Bureau, 2011). Children under the age of 18 make up 21.1% of Florida's total population compared to 23.8% of the total population nationally (US Census Bureau, 2011). The majority of children and youth in Florida are white (67.6%) while African American children make up 21% of the population (US Census Bureau, 2011). A slightly larger number of children and youth in Florida (24.9%) live below 100% of the FPL when compared to the national rate of children in poverty (22.5%). Based on the US Census Bureau (2011). Children in Florida are more likely to be uninsured or publicly insured (40.9%), and less likely to be privately insured (59.1%) than children and youth nationally (32.8% and 66.2%, respectively). The majority of children and youth in Florida are covered through private, largely employer-sponsored, health insurance. About 32.1% of children and youth in Florida are covered by public health insurance (US Census Bureau, 2011), a percentage which is slightly lower than the national average (29.5%). Finally, a greater proportion of children and youth are uninsured in Florida than nationally (21% vs. 15.2%) (US Census Bureau, 2011). SchH_P06_S00_L06 Schedule H, Part VI, Line 6 Nemours is not a part of an affiliated health care system. SchH_P06_S00_L07 Schedule H, Part VI, Line 7 Not applicable. SchH_P06_S00_L08 Schedule H, Part VI, Line 8 Information provided at facility group reporting level in Part VI, line 1. 1 AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(c) (3) 20125 0 FMV DONATION AMERICAN LUNG ASSOCIATION OF FLORIDA INC 6952 BELFORT OAKS PLACE JACKSONVILLE FL 32216 590662271 501(c) (3) 7500 0 FMV DONATION ATLANTICARE FOUNDATION 2500 ENGLISH CREEK AVENUE BUILDING 500 EGG HARBOR TOWNSHIP NJ 08234 222148992 501(c) (3) 27000 0 FMV DONATION BRAIN INJURY ASSOCATION OF DELAWARE PO BOX 1897 DOVER DE 19903 510364396 501(c) (3) 5500 0 FMV DONATION CYSTIC FIBROSIS FOUNDATION 6931 ARLINGTON ROAD BETHESDA MD 20814 131930701 501(c) (3) 12500 0 FMV DONATION DELAWARE CHILDREN'S MUSEUM 550 JUSTISON STREET WILMINGTON DE 19801 510305812 501(c) (3) 20000 0 FMV DONATION JACKSONVILLE ZOO 370 ZOO PARKWAY JACKSONVILLE FL 32218 591319010 501(c) (3) 7000 0 FMV DONATION LEAPFROG GROUP 1660 L STREET NW SUITE 308 WASHINGTON DC 20036 522359517 501(c) (3) 25000 0 FMV DONATION MARCH OF DIMES FOUNDATION 1275 MAMARONECK AVENUE WHITE PLAINS NY 10605 131846366 501(c) (3) 10000 0 FMV DONATION TOM COUGHLIN JAY FOUNDATION PO BOX 50798 JACKSONVILLE BEACH FL 32240 593426937 501(c) (3) 11500 0 FMV DONATION UNIVERSITY OF CENTRAL FLORIDA FOUNDATION INC 12443 RESEARCH PARKWAY SUITE 301 ORLANDO FL 32826 596211832 501(c) (3) 10000 0 FMV DONATION CALIFORNIA STATE UNIVERSITY 3000 STATE UNIVERSITY DRIVE EAST SACRAMENTO CA 95819 000000000 GOVT 10000 0 FMV DONATION RODEL FOUNDATION OF DELAWARE 100 WEST 10TH STREET SUITE 704 WILMINGTON DE 19801 911944585 501(c) (3) 100000 0 FMV DELWARE EARLY LEARNING PROGRAM NATIONAL ACADEMY OF SCIENCE 500 5TH STREET NW RM 805 WASHINGTON DC 20001 530196932 501(c) (3) 125000 0 FMV POPULATION HEALTH IMPROVEMENT TIDES FOUNDATION PO BOX 29903 SAN FRANCISCO CA 94129 510198509 501(c) (3) 100000 0 FMV CONVERGENCE PARTNERSHIP FUND ORLANDO REGIONAL HOSPITAL 1414 KUHL AVENUE ORLANDO FL 32806 592244943 501(c) (3) 12374 0 FMV HUG ME PROGRAM ORANGE COUNTY BOARD OF COMMISSIONERS 201 SOUTH ROSALIND AVENUE ORLANDO FL 32829 000000000 GOVT 60592 0 FMV DONATION RONALD MCDONALD HOUSE OF DELAWARE 1901 ROCKLAND ROAD WILMINGTON DE 19803 510295320 501(c) (3) 52040 0 FMV DONATION RONALD MCDONALD HOUSE CHARITIES OF THE PHILADELPHIA REGION INC 200 SOUTH BROAD STREET PHILADELPHIA PA 19102 232705170 501(c) (3) 15000 0 FMV DONATION BRINGING HOPE HOME F/K/A GREAT GUYS GROUP 940 WEST VALLEY ROAD SUITE 1602 WAYNE PA 19087 261222985 501(c) (3) 33036 0 FMV DONATION 20 0 AGGREGATE EMPLOYEE RELIEF FUND DONATIONS 14 13250 0 FMV AGGREGATE RESEARCH PATIENT PARTICIPATION PAYMENT 583 115060 0 FMV SchI_P01_S00_L02 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 BERNARD J CLARK III MD 186469 0 70582 0 17003 0 47660 0 4652 0 326366 0 0 0 THOMAS P FERRY 0 0 0 0 156468 0 0 0 6310 0 162778 0 0 0 JUDITH E WALL MD 301249 0 51968 0 1584 0 6077 0 9748 0 370626 0 0 0 JAMES S REILLY MD 395549 0 47400 0 3048 0 6526 0 9748 0 462271 0 0 0 ANDREW T COSTARINO JR MD 438591 0 58938 0 1032 0 5660 0 345 0 504566 0 0 0 BARBARA D MEEKS 275152 0 32460 0 1032 0 0 0 22745 0 331389 0 0 0 CHRISTIAN PIZARRO MD 1538513 0 130830 0 552 0 5843 0 21194 0 1696932 0 0 0 DEBBIE J MERINBAUM MD 482092 0 69387 0 552 0 6369 0 13874 0 572274 0 0 0 ERIC A LOVELESS MD 493775 0 59249 0 1032 0 6443 0 9194 0 569693 0 0 0 GARY D JOSEPHSON MD 459837 0 60077 0 360 0 5127 0 16598 0 541999 0 0 0 JAY S GREENSPAN MD 362303 0 40163 0 1032 0 5794 0 19190 0 428482 0 0 0 KEVIN P SHEAHAN MD 229497 0 28098 0 511 0 7323 0 19169 0 284598 0 0 0 LESLIE GRISSOM MD 448747 0 63901 0 1584 0 7351 0 9748 0 531331 0 0 0 MICHAEL J ERHARD MD 479051 0 62078 0 360 0 6060 0 22891 0 570440 0 0 0 PAUL A PITEL MD 275878 0 37922 0 1584 0 6924 0 9748 0 332056 0 0 0 PAUL KEMPINSKI 361749 0 52520 0 552 0 3822 0 21194 0 439837 0 0 0 RANDALL W HARTLEY 253453 0 19680 0 6014 0 0 0 12654 0 291801 0 0 0 SALVATORE R GOODWIN MD 403766 0 61758 0 1584 0 5735 0 13791 0 486634 0 0 0 WILLIAM B BLANCHARD MD 271966 0 37381 0 3048 0 6110 0 9058 0 327563 0 0 0 WILLIAM G MACKENZIE MD 643417 0 81900 0 1584 0 6457 0 15488 0 748846 0 0 0 STEPHEN DUNN MD 439169 0 0 0 1584 0 5765 0 9748 0 456266 0 0 0 TERRI FINKEL MD 443732 0 80000 0 4210 0 0 0 29327 0 557269 0 0 0 STEVEN FRICK MD 297813 0 50000 0 150 0 0 0 15592 0 363555 0 0 0 KENNETH LIECHTY MD 532233 0 45000 0 300 0 0 0 30162 0 607695 0 0 0 GEORGE MYCHASKIW MD 412746 0 50000 0 506 0 0 0 23420 0 486672 0 0 0 DAVID J BAILEY MD 759512 0 154350 0 156587 0 211141 0 9748 0 1291338 0 0 0 DEBORAH CHANG 239914 0 36741 0 533 0 41345 0 336 0 318869 0 0 0 GINA ALTIERI 317373 0 46646 0 552 0 48875 0 579 0 414025 0 0 0 R J CUMMINGS MD 485812 0 90675 0 3048 0 88472 0 9335 0 677342 0 0 0 ROBERT D BRIDGES 492259 0 100961 0 552 0 125886 0 14968 0 734626 0 0 0 RODNEY A MCKENDREE 252540 0 37458 0 356 0 34645 0 16736 0 341735 0 0 0 ROGER A OXENDALE 485377 0 90869 0 1032 0 0 0 25596 0 602874 0 0 0 ROY PROUJANSKY MD 529131 0 109126 0 67127 0 114356 0 15488 0 835228 0 0 0 STEPHEN LAWLESS MD 362981 0 99899 0 1032 0 59633 0 11269 0 534814 0 0 0 STEVEN R SPARKS 287252 0 43710 0 552 0 43721 0 15488 0 390723 0 0 0 THERESA M YOUNG 257261 0 39109 0 1032 0 36702 0 8023 0 342127 0 0 0 WILLIAM W HIGGINBOTHAM II 208878 0 18133 0 288 0 4735 0 17438 0 249472 0 0 0 LANE F DONNELLY MD 739270 0 128765 0 360 0 113539 0 35749 0 1017683 0 0 0 KEVIN CHURCHWELL MD 599238 0 127875 0 552 0 0 0 37801 0 765466 0 0 0 MARIANE STEFANO 236785 0 26476 0 938 0 7726 0 320 0 272245 0 0 0 SUKEN A SHAH MD 673549 0 27802 0 240 0 5168 0 17493 0 724252 0 0 0 JEFFREY CAMPBELL MD 619504 0 0 0 360 0 3788 0 0 0 623652 0 0 0 JOSEPH H PIATT JR MD 614739 0 0 0 1032 0 0 0 35391 0 651162 0 0 0 TODD A MAUGANS MD 542458 0 30000 0 8303 0 0 0 23993 0 604754 0 0 0 FLORENCE LEWIS MD 423764 0 122921 0 360 0 0 0 12631 0 559676 0 0 0 SchJ_P01_S00_L01a 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. SchJ_P01_S00_L04 Schedule J, Part I, Line 4 Line 4a: Thomas Ferry received a severance payment of $158,956. Line 4b: The Nemours Foundation maintained a supplemental employee benefit plan ("SEBP") for most of the members of The Nemours executive team as determined by the Board of Directors. The SEBP provides each participant an employer provided annual "flexible" benefit allowance in the form of dollar credits which the participant may apply to any of the benefits offered under the plan: individual long-term disability insurance, unfunded nonqualified deferred compensation benefits subject to IRC section 457(f). Under the plan, each of the participants makes an annual election allocating his or her flexible benefit allowance for the upcoming year among the component benefits. The amount of the flexible benefit allowance may vary among the participants as determined by Nemours and Nemours may discontinue the flexible benefit allowances at any time. Contributions to the plan are disclosed in Form 990, Part VII, Column F and Schedule J, Part II, Column (C). SchJ_P01_S00_L07 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 Delaware Health Facilities Authority 510272458 246388NE8 2005-01-26 50950000 See Part V 0 0 0 B Orange County Health Facililties Authority 521035390 6845036W0 2009-10-15 326242302 See Part V 0 0 0 A 4865000 0 50950000 0 0 0 483143 0 0 50466857 0 0 2007 0 0 1 1 B 865000 0 326242302 0 0 24350000 1834712 0 0 300057590 0 0 2012 1 0 1 1 A 0 1 0 1 1 0.0251 0 0.0251 1 0 1 B 0 0 1 1 0 0.0066 0 0.0066 1 0 1 A 0 0 0 1 1 0 1 XL Asset Funding 1.5 1 0 0 B 0 0 0 1 1 0 0 0 0 A 1 B 1 SchK_P01_S00_L00a Schedule K, Part I, Column a The proceeds of these bonds were used to finance the cost of the acquisition, construction, and installation of certain health care facilities used in connection with the Alfred I. Dupont hospital located in Wilmington, DE. These facilities include improvements to an existing two-story building and multi-level parking structure; construction of a multi-level parking structure on the grounds of the hospital; the acquisition and installation of medical equipment, furnishings and other capital improvements at the hospital. SchK_P01_S00_L00b Schedule K, Part I, Column b 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 and Outpatient Clinic, and related facilities, equipment, fixtures and furnishings, located in Orlando, Florida. SchK_P03_S00_L04 Schedule K, Part III, Line 4 For the year ended December 31, 2012, private use disclosed in Schedule K, Part III Line 4 Column A is 2.51%. Included in the private use calculation is space leased pursuant to a lease agreement with a local healthcare provider ("Lease") which represents all private use for the noted bond issue in 2012. The Lease will expire June 30, 2015 and management does not anticipate renewing the Lease. Assuming the Lease is not renewed, the adjusted private business use amount relating to the Lease over the life of the 2005 Delaware Bonds is 1.1205%. SchK_P04_S00_L02c Schedule K, Part IV, Line 2c (A) Delaware Health Facilities Authority - No calculation performed as funds spent In 2007. (B) Orange County Healthy Facilities Authority - calculation performed 12/6/2012. X 4350 Cost or Sales Price X 381367 Cost or Sales Price X 7 10842 Cost or Sales Price X 1 3000 Cost or Sales Price X 2 367 Cost or Sales Price X Media 1 649 Cost or Sales Price X Miscellaneous 62 77110 Cost or Sales Price 0 0 1 0 SchM_P01_S00_L00 Schedule M, Part I Nemours reports the number of contributions received and not by the number of items. F990_P06_S0A_L02 Form 990, Part VI, Section A, Line 2 Mr. Durden , Mr. Porter, Mr. Lord, Mr. Thornton and Mr. Thompson have a shared business relationship. These directors serve as trustees of the Alfred I. DuPont Testamentary Trust, of which Nemours is the only charitable beneficiary. F990_P06_S0A_L06 Form 990, Part VI, Section A, Line 6 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 Testamentary 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, made up of member directors (those members that opt to also serve on the board of directors) and non-member directors, who are selected by the members of Nemours. The board of directors has full governance over the activities of Nemours. F990_P06_S0A_L07a Form 990, Part VI, Section A, Line 7a See response to Form 990, Part VI, Section A, Line 6. F990_P06_S0A_L07b Form 990, Part VI, Section A, Line 7b See response to Form 990, Part VI, Section A, Line 6. F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b During November 2013, management distributed a draft of the 2012 Form 990 to the business and ethics committee prior to the scheduled board of directors meeting on November 12, 2013. During the course of the board of directors meeting, management presented an overview of Form 990 to the Audit and Finance 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. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c 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 audit and finance committee as necessary. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 Nemours board of directors designated the people and compensation (PAC) to serve as a compensation committee responsible for establishing compensation practices which are reasonable and do not violate the private inurement prohibition. The practices and processes are designed to avoid any claim for intermediate sanctions and to satisfy the requirements to obtain the rebuttable presumption. The PAC annually reviews outside, independent data to establish the compensation of our officers and key employees. The board of directors reviews and set forth the compensation for the CEO using the same process as the PAC. The committee engages and utilizes an independent consulting firm, to provide expert information regarding industry-wide compensation norms. The PAC meets with a representative from the consulting firm and the human resources department when reviewing compensation for the senior leadership group on a yearly basis. The company philosophy is to match the market on average pay, identifying the median. Total cash compensation is generally targeted to be at the median of Nemours' peers. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 Generally, 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. F990_P11_S00_L09 Form 990, Part XI, Line 9 Unrestricted Net Assets Pension Liability Adjustment ($71,399,061) plus PMSI Subsidiary Unrestricted Net Assets ($2,039,956) = ($73,439,017). Cruden Bay Risk Retention Group Inc 2386 Airport Road Barre VT 05641 270057453 Risk Retention VT 501(C)(3) 509(A)(3) The Nemours Foundation 1 Pediatric Medical Services of Florida Inc 9145 Narcoossee Road Suite A203 Orlando FL 32827 453584225 Health Care FL 501(C)(3) 509(A)(2) The Nemours Foundation 1 Dornoch Sutherland Assurance LTD PO Box 1085 GT CJ 980404800 Captive Insurance CJ The Nemours Foundation C -910000 34915727 1 1 Alfred I duPont Testamentary Trust 510 Alfred Dupont Place Jacksonville FL 32202 590226560 Charity Investment FL N/A T 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 Dornoch Sutherland Assurance LTD l 250000 Fair Market Value Cruden Bay Risk Retention Group Inc l 3100000 Fair Market Value Cruden Bay Risk Retention Group Inc m 197000 Fair Market Value Cruden Bay Risk Retention Group Inc q 860016 Fair Market Value Pediatric Medical Services of Florida Inc r 2407099 Fair Market Value The extension for this return was filed on a timely basis; therefore, the return is being filed on a timely basis and there is no late filing.