Nemours Alfred I. duPont Hospital for Children

Health Systems Nemours Children's Health System

Nemours Alfred I. duPont Hospital for Children

501(c)(3)

1600 Rockland Rd.
Wilmington, DE

81

Total Sex Change Patients

info icon Total unique children who underwent gender-affirming procedures or hormone/puberty blocker therapy.
1

Total Surgery Patients

info icon Total unique children who underwent gender-affirming surgical procedures.
81

Total Hormone and Puberty Blocker Patients

info icon Total unique children who were prescribed puberty blockers or received gender-affirming hormone therapy.
756

Total Prescriptions Written

info icon Total number of scripts for puberty blockers or gender-affirming hormones.
$72,762

Total Submitted Charges

info icon Total amount submitted by providers or pharmacies to insurance for services, treatments, or prescriptions, before any reviews or adjustments. Includes medical procedures and prescription charges but may not reflect the final amount after negotiations.

Nemours Alfred I. DuPont Children’s Hospital is a 501(c)(3) nonprofit hospital and part of Nemours Children’s Health, located in Wilmington, Delaware. Nemours Children’s Health operates a “Gender Wellness Program.” This program offers hormone therapy, mental health services, and social work services. Claims data confirms that Nemours billed for hormone therapy, puberty blockers, and sex change surgeries for minors. On average, providers at Nemours Children’s Hospital wrote 32 gender-related prescriptions per patient from 2019 to 2023.

For more information on the specific procedure and diagnostic codes and other methodology used to make these determination, read our white paper here.

Key Findings

In 2015, Nemours Children’s Health opened their Gender Wellness Program that offers a variety of sex change treatments, including hormone therapy, psychological services, and social work resources. They have had 230+ patient visits relating to “transgender care.”

The Gender Wellness Clinic has seen explosive growth from when it was first introduced. Dr. Evan Graber claimed that despite seeing his first transgender patient in 2015, he had nearly 50 patients in 2018 and close to 100 patients in 2019, saying, “Ten years ago, even five years ago, this was rare.”

Graber, a pediatric endocrinologist, worked with the first transgender patient at Nemours Children’s Health. He has suggested hormone therapy and puberty blockers for children based not on their age, but for those “who feel they are ready.”

Dr. Anthony Alioto was hired on as the Director for Pediatric Psychology, helping lead the Gender Wellness Program at Nemours Children’s Health. He claims that the media has not caused the rise in transgenderism, but rather helped “ease the confusion and pain” of children experiencing gender dysphoria.

In September 2019, the Masterson family was interviewed about their experience at Nemours Children’s Health where two of their children were treated for gender dysphoria. After treatment, which included puberty blockers, Mary Masterson said, “anybody I meet who has transgender kids, I send them to duPont.”

In June 2022, Nemours Children’s Health was named an “LGBTQ+ Healthcare Equality Leader” by The Human Rights Campaign.

Sex Change Treatments Offered

Gender Wellness Program

The Nemours Gender Wellness Program is the first pediatric specialty team-based gender health program in the state of Delaware. The program does not accept new patients who are age 18 or older.

The hospital offers cross-sex hormones to minors, and has billed for child sex change surgeries.

The program features a “three-step care roadmap”
  1. Arrange for an appointment
  2. Meet the team and discuss treatment options
  3. Treatment, guided by the “child’s age, puberty, and readiness.”

 

Definitions

SEX CHANGE PATIENTS: Total unique children who underwent “gender-affirming” surgical procedures or hormone/puberty blocker therapy.

TOTAL SURGERY PATIENTS: Total unique children who underwent “gender-affirming” surgical procedures.

TOTAL HORMONE AND PUBERTY BLOCKERS PATIENTS: Total unique children who were prescribed puberty blockers or received gender-affirming hormone therapy.

TOTAL PRESCRIPTIONS WRITTEN: Total number of prescriptions written by a provider for puberty blockers or gender-affirming hormones for children.

TOTAL SUBMITTED CHARGES: This is the initial amount a healthcare provider or pharmacy submits to the insurance company for a specific service, treatment, or prescription before the insurance company reviews and adjusts the payment. This value includes both the pharmacy-submitted cost of prescription drug claims and the line-item charges associated with medical procedures. Please note that this amount does not necessarily reflect the full cost of the procedure or prescription, as it is subject to adjustments and negotiations by the insurance company.

Leadership

Executive Leadership

Name Title Compensation
R. Lawrence Moss, MD, FACS, FAAP President & CEO N/A
Mark Mumford Enterprise Chief Operating Officer N/A
Mark Marcantano, JD President of Delaware Valley Region N/A
Gina Altieri, CPA EVP, Corporate Affairs & Enterprise Chief Communications Officer N/A
Matthew Davis, MD, MAPP EVP Physician-in-Chief & Chief Scientific Officer N/A
James Digan President, Nemours Children Health Alliance N/A
Laura Kowal SVP, General Counsel & Corporate Secretary N/A
Jane Mericle, DNP, MHS-CL, RN, CENP EVP, Enterprise Chief Nursing Executive & Chief Patient Operations Officer N/A

The current leadership/titles are based on the Nemours Children’s Health website.

Delaware Business Times

Board of Trustees

Name Title Compensation
Bill Dugdale Chairman N/A
Raina Harper Allen Member N/A
Claire M. DeMatteis Member N/A
Sharon Mills Higgins Member N/A
John Wellons Member N/A

The current leadership/titles are based on the Nemours Children’s Health website.

Nemours Children’s Hospital appears to elect its Board of Managers but it is unclear how often elections are held and how long terms may last (if any).

In the News

Stay up to date with the latest news and updates.

Delaware Today

How Nemours' Gender Wellness Program Supports Transgender Youth

09/27/2020

The Gender Wellness Clinic has seen explosive growth from when it was first introduced. Dr. Evan Graber claimed that despite…

Read More →
Delaware Online

Nemours opens clinic to help Delaware transgender youth

08/07/2018

In 2015, Nemours Children’s Health opened their Gender Wellness Program that offers a variety of sex change treatments, including hormone…

Read More →
Nemours Children Health

Nemours Children’s Health Earns Top Score in Human Rights Campaign…

06/30/2022

In June 2022, Nemours Children’s Health was named an “LGBTQ+ Healthcare Equality Leader” by The Human Rights Campaign.

Read More →