Nemours Children's Health

Nonprofit profile at a glance

EIN
453584225
IRS 990 coverage
2012–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Jacksonville, FL, USA
Phone
(302) 651-4828
Rating
74
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Management & Technical Assistance

Official website

Reported finances

Revenue
$31,040,564
Expenses
$40,726,356
Assets
$9,403,571
Liabilities
$8,771,645

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

18 people listed

Executive titles in this filing

  • Martha G McGill (PMSI President and Board Chair)

Highest reported compensation

  • Michael J Erhard MD (PMSI Director (To Oct '24)): $1,727,108 total reported compensation
  • Mark Mumford (PMSI Director): $1,697,327 total reported compensation
  • Rodney A McKendree (PMSI Director and Treasurer): $1,600,960 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

We have made it our mission to pursue life-saving research and provide world-class pediatric care in our hospitals and clinics.

What it reported doing in 2024

PMSI was organized as a charitable organization to operate, support, and further the mission of its sole member, Nemours. PMSI's mission, similar to that of Nemours, is to provide services to restore and improve the health of children, with one high standard of quality, regardless of the recipient's financial status. PMSI has received recognition as an IRC section 501(c)(3) charitable organization as an IRC section 509(a)(2) public charity. Nemours, PMSI's sole member, has constructed a pediatric hospital in Orlando, the Nemours Children's Hospital, Florida ("NCH-FL"), which is operated as a division of Nemours. Nemours established PMSI in concert with NCH-FL to provide a flexible and responsive organization that facilitates the clinical practices Nemours wishes to foster, in order to promote the welfare of the community through the advancement of pediatric health care. In support of Nemours and NCH-FL, PMSI may engage in activities including, but not limited to patient care, strategic planning, budgeting, reporting, coding, charge entry, billing, collection, practice development, human resources, information technology, and clinical practice redesign activities.

Operating model

Revenue model
Other-operating. 99% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 88
  • Transparency & Controls: 84
  • Accountability: 42
  • Sustainability: 7
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 95.9%; rating input score 96
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 0%; rating input score 0; 3rd percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -31.2%; rating input score 3; 3rd percentile among comparable filings
  • Total-asset coverage ratio: 0.23; rating input score 5; 5th percentile among comparable filings
  • Liabilities to assets ratio: 0.93; rating input score 8; 8th percentile among comparable filings
  • Officer compensation ratio: 8.5%; rating input score 27; 27th percentile among comparable filings

Growth

  • Program expense growth: 13.9% per year; rating input score 100; 81st percentile among comparable filings
  • Revenue growth: 14.8% per year; rating input score 100; 86th percentile among comparable filings
  • Asset growth: 17% per year; rating input score 100; 85th percentile among comparable filings

Details

  • What they do: 4 programs and campaigns described on the official site · 3 operating locations identified
  • Where the money goes: 100% of revenue deployed · 95.9% of spending went to programs
  • Governance: 0 of 5 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $39M in reported program spending
  • Leadership: top reported pay $1.7M · 18 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 2 contractors listed · $460K reported
  • Consistency: 43 of 43 current checks pass
  • Schedules: 6 filed schedules · includes major donors and executive pay
  • Filing history: 12 filing years from 2012 to 2024
  • Contacts: How to reach this organization
  • Money network: 6 filed money-flow records
  • Related organizations: 13 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Accountability: Independent voting board scored 0/100.
  • High — Sustainability: Operating margin scored 3/100.
  • High — Sustainability: Total-asset coverage ratio scored 5/100.
  • High — Sustainability: Liabilities to assets ratio scored 8/100.
  • High — Sustainability: Officer compensation ratio scored 27/100.