2021-11-12T13:04:22-06:00 2020-12-31 350921680 CROWE LLP 750 N St Paul Suite 850 Dallas TX 752013246 990 2020-01-01 453462044 Children's Medical Center Research Institute at the UTSW Medical Center CHIL 2144567000 1935 Medical District Dr Dallas TX 75235 Robert Fries EVP and Chief Financial Officer 2021-11-12 true Robert Fries 999009999 Rachel Spurlock P00520729 2147775200 2020 2022-09-23 18:48:47Z Children's Research Institute at UT Southwestern Sean Morrison PhD 1935 Medical District Dr Dallas TX 75235 4787383 false X N/A X 2009 TX BASIC AND/OR CLINICAL RESEARCH IN CHILDREN'S HEALTH ISSUES. 7 6 0 6 0 0 4580505 4619692 0 0 32539 6664 12862 161027 4625906 4787383 0 1026768 0 2814171 400864 0 0 0 4986035 6859346 7800206 8286978 -3174300 -3499595 3807988 6117192 30621856 36430655 -26813868 -30313463 THE ORGANIZATION SHALL UNDERTAKE, SPONSOR, AND ADMINISTER BASIC AND/OR CLINICAL RESEARCH IN CHILDREN'S HEALTH ISSUES. false false 7013240 1026768 0 THE ORGANIZATION PLANS, DEVELOPS, AND CARRIES OUT RESEARCH CONDUCIVE TO THE DIAGNOSIS, TREATMENT, AND CURE OF CHILDHOOD HEALTH ISSUES. 7013240 true true false false false false false false false true false false true true true false true false false false false false false false false false true false true false false false false false false false false false false false false false true false false false true 1 0 true 0 false false false false false false false false false false false false X 7 6 true false false false true true true true true false false false true true true true true false false false X Amy Yeager 2144567000 1935 Medical District Drive Dallas TX 75235 Arnim Dontes Director 1.0 0 X 0 0 0 Christopher J Durovich Chairman (CHST Pres. & CEO) 1.0 59.0 X 0 4062464 73462 Daniel K Podolsky MD Director 1.0 0 X 0 0 0 David Russell PhD Director 1.0 0 X 0 0 0 David W Biegler Director 1.0 0 X 0 0 0 Robert A Chereck Director 1.0 1.0 X 0 0 0 Steven M Gruber Director 1.0 2.0 X 0 0 0 Amy Yeager Secretary 1.0 54.0 X 0 596605 167297 David T Berry EVP 48.0 7.0 X 0 1124048 240422 Jeremiah Radandt EVP, CFO & Treasurer 1.0 54.0 X 0 847291 229097 Michael Serber Vice President 50.0 0 X 0 0 0 Sean Morrison PhD President 55.0 0 X 115000 0 0 Teresa Y Hui (Egan) Vice President 55.0 0.0 X 0 342837 48469 Richard P Goode Former Officer 0.0 0.0 X 0 1830749 0 Stephanie K Smith Former Corporate Secretary 0.0 40.0 X 0 204254 25397 115000 9008249 784144 0 true true false UTSW 5323 HARRY HINES BLVD DALLAS TX 75390 Prof. Svcs/Research Support 4467248 Sean Morrison 6723 Brookshire Drive Dallas TX 75230 Consultant 115000 2 4619692 4619692 0 0 0 0 0 6664 6664 161027 161027 0 161027 161027 0 0 0 0 0 0 0 4787383 0 0 167691 X 1026768 1026768 115000 115000 237452 148250 89202 16977 10599 6378 17928 11193 6735 13507 8433 5074 3254659 3254659 0 0 545 545 519735 324489 195246 20359 12711 7648 1455456 908693 546763 45416 28355 17061 756223 472137 284086 Medical Surgical Supplies 806953 806953 0 0 0 0 8286978 7013240 1273738 0 1742893 3118114 51446 0 0 0 0 189892 336384 6042465 3921212 1875203 2121253 0 0 0 489995 3807988 6117192 1149882 2397072 0 0 29471974 34033583 30621856 36430655 X -26813868 -30313463 -26813868 -30313463 3807988 6117192 -3499595 0 X false true X true false X X X 2 Children's Health Clinical Operations 750800628 3 true 0 0 University of Texas Southwestern Medical Center 756002868 6 true 1026768 0 2 1026768 0 true false false false false false false false false false false false false false false true false Schedule A, Part IV, Section B, Line 1 The by-laws for Children's Medical Center Research Institute at the University of Texas Southwestern Medical Center ("CRI") dictate the allocation of the powers of appointment and removal of directors or trustees, among the supported organizations. As adopted within CRI's by-laws, the affairs of the organization shall be managed and directed by its Board of Directors. There shall be nine (9) directors constituting the Board of Directors. Two (2) of the directors shall be ex-officio non-voting Board members with full rights, privileges, responsibilities and protections afforded to the non-voting position, being: (i) the incumbent Provost of The University of Texas Southwestern Medical Center ("UTSW") or, if that position is eliminated, the incumbent Dean of the Southwestern Medical School of UTSW and (ii) the incumbent Executive Vice President for Medical Affairs of Children's Medical Center of Dallas ("Children's") or, if that position is eliminated, a person in a similar research focused position with Children's as agreed by the President of the Member and the President of UTSW. The incumbent CEO of Children's Health System of Texas shall be an ex-officio voting member of the Board with full rights, privileges, responsibilities and protections afforded to that position. Three (3) of the directors (the "CHST Directors") shall be appointed by and serve at the pleasure of the Member, one of whom must be an incumbent member of the Board of Directors of Children's. The remaining three (3) directors (the "UTSW Appointed Directors") shall be appointed by and serve at the pleasure of UTSW, as elected through the President of UTSW. No other restrictions or conditions applied to such powers during the tax year. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5835739 3921212 1914527 206726 206726 2121253 LT Advances-Affiliates 489995 489995 LT ADVANCES-Affiliates 34033583 LT DEFERRED RENT 34033583 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Children's Medical Center Research Institute's financial information is included in the consolidated audited financial statements of Children's Health System of Texas, a related organization. Children's Health System of Texas's FIN 48 (ASC 740) footnote for the year ended December 31, 2020, reads as follows: "The authoritative guidance in ASC 740 Income Taxes, creates a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated balance sheets. The statute of limitations remains open for tax years 2017 through 2020 in Children's Health main taxing jurisdictions." true UT Southwestern Medical Center 5323 Harry Hines BLVD Dallas TX 753908886 756002868 STATE GOVERNMENT 1026768 Program Support 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. UT Southwestern Medical Center is a supported organization and has the ability to appoint 3 voting members of the CRI board of directors. Appropriate use of funds is monitored through shared management functions and a close working relationship. false true false false false false false false false Christopher J Durovich Chairman (CHST Pres. & CEO) 0 1367076 0 1616060 0 1079328 0 32423 0 41039 0 4135926 0 0 Richard P Goode Former Officer 0 0 0 0 0 1830749 0 0 0 0 0 1830749 0 0 Stephanie K Smith Former Corporate Secretary 0 173878 0 27497 0 2879 0 9932 0 15465 0 229651 0 0 David T Berry EVP 0 622506 0 283091 0 218451 0 208430 0 31993 0 1364471 0 0 Teresa Y Hui (Egan) Vice President 0 274703 0 63137 0 4998 0 17100 0 31369 0 391306 0 0 Jeremiah Radandt EVP, CFO & Treasurer 0 568835 0 229425 0 49032 0 187563 0 41534 0 1076389 0 0 Amy Yeager Secretary 0 432519 0 158686 0 5400 0 127949 0 39348 0 763901 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The President of Children's Medical Center Research Institute at the University of Texas Southwestern Medical Center (CMCRI) receives compensation according to a consulting agreement executed and under the authority of Children's Health Clinical Operations (EIN 75-0800628). CMCRI's President has no influence over the compensation process performed by Children's Health Clinical Operation. Michael Serber, an officer of CMCRI, is neither an employee of nor compensated by CMCRI. Mr. Serber is an employee of the University of Texas Southwestern Medical Center (UTSWMC). UTSWMC is not a related organization of CMCRI. Therefore, there is no compensation reported for Mr. Serber on CMCRI's Form 990. Certain individuals identified herein as Director or Officers of the CMCRI are employed and compensated by a related organization, Children's Health System of Texas (CHST). The Individuals perform services for the CMCRI, and in some cases other related organizations, by arrangement between CHST and such organization(s). Therefore, Compensation decisions for the Director and officers were determined by the related organization following CHST compensation's policy. In their duties as Director and Officers of the CMCRI, they have no influence over the compensation process performed by CHST. The CHST process for determining executive compensation is as follows: The Human Resources Committee (Committee) of the CHST Board is responsible for setting the compensation for executives. The Committee is comprised of independent, non-employee directors. A written compensation philosophy has been developed by the Human Resources Committee for timeliness and appropriateness and defines the desired peer groups for compensation surveys. The HR Committee engages the services of an independent compensation consultant for executive compensation. COMPENSATION PROGRAM COMPONENTS: The elements of total compensation provided to CHST executives include: - Cash compensation (i.e., base salary, short-term and long-term incentive compensation, and/or other cash compensation), determined in consideration of competitive market practices, organizational and individual performance, recruitment and retention considerations, and other relevant factors. - Standard benefits, assisting in each executive's medical, dental, disability, life insurance, time off, and retirement needs, reflective of the employment status (i.e., full or part time) of the executive. - Supplemental benefits, including supplemental insurance, retirement benefits, and/or other supplemental benefits determined by the Committee to be appropriate and reasonable in relation to marketplace practices. Compensation and benefits decisions are made in consideration of each executive's position, responsibilities, skills, effort, and performance, in relation to documented practices within the appropriate comparator group(s). PEER GROUP: The Committee has defined its primary peer group for executives as not-for-profit health care organizations similar in size, structure, and complexity. This group will include leading pediatric health systems as well as integrated health systems and academic medical centers. - Data will be compiled in a manner consistent with the IRS Intermediate Sanctions rules of federal tax law, to reflect what is "ordinarily paid to like executives by like enterprises under like circumstances." - In certain circumstances, market data from additional comparator groups (e.g., research institutions, insurance industry, and general industry companies) may also be referenced. - The specific nature of the role at CHST will be considered when adding comparator groups outside of the primary peer group, and the Committee will discuss and agree on the appropriateness of adding comparator groups whenever the specific nature of the CHST role requires additional comparator groups to be used. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Savings Restoration Plan: Employees who received taxable income from the Savings Restoration Plan include: Christopher J. Durovich - $157,933. Executive Defined Contribution Retirement Plan (EDCRP): Employees who received taxable income from the EDCRP include: Christopher J. Durovich - $660,818, David Berry - $182,830, and Jeremiah Radandt - $41,723. Employees who participated in and have contributions to the EDCRP include: Christopher J. Durovich - $12,923, David Berry - $197,030, Amy Yeager- $116,549, and Jeremiah Radandt- $176,163. Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL The President of Children's Medical Center Research Institute at the University of Texas Southwestern Medical Center (CMCRI) receives compensation according to a consulting agreement executed and under the authority of Children's Health Clinical Operations (EIN 75-0800628). CMCRI's President has no influence over the compensation process performed by Children's Health Clinical Operations. Form 990, Part VI, Line 8b Committees Children's Health System of Texas has established seven standing Committees of the Board, which have the authority to act for and on behalf of CHST, Children's Health Clinical Operations, Children's Medical Center Foundation, and their affiliates, operating divisions and division facilities to fulfill the responsibilities designated in the respective Committee charters. Written minutes are prepared and maintained for all formal meetings of each Committee. Actions by Written Consent are also prepared and maintained as they occur. Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OFFICERS AND OTHER KEY EMPLOYEES Michael Serber, an officer of CMCRI, is neither an employee of nor compensated by CMCRI. Mr. Serber is an employee of the University of Texas Southwestern Medical Center (UTSWMC). UTSWMC is not a related organization of CMCRI. Therefore, there is no compensation reported for Mr. Serber on CMCRI's Form 990. Certain individuals identified herein as Directors/Officers of the corporation are employed and compensated by a related organization, Children's Health System of Texas (CHST). The Individuals perform services for CMCRI, and in some cases other related organizations, by arrangement between CHST and such organization(s). As set forth in the Schedule R, CMCRI and CHST are related organizations. In their duties as Directors/Officers of CMCRI, they have no influence over the compensation process performed by CHST, which is explained on Schedule J, Part I, Line 3. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons David Berry, Christopher Durovich, and Amy Yeager - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders Children's Health System of Texas (CHST) is the sole member. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Children's Health System of Texas and The University of Texas Southwestern Medical Center each appoint three of the seven voting directors. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Member reserve powers are specified in the organization's bylaws and represent those actions by the organization which require member approval. These powers generally encompass changes in the mission of the organization, addition of new members, certain dispositions of assets, amendments to the organization's Certificate of Formation and Bylaws, and appointment of directors. Form 990, Part VI, Line 11b Review of form 990 by governing body A draft of the Form 990 is presented to the CHST Audit Committee for review. A copy of the Form 990 is made available to the directors of the organization's parent corporation, Children's Health System of Texas, through our Board portal before it is filed. Form 990, Part VI, Line 12c Conflict of interest policy Officers, directors, and key employees receive annually a copy of the Children's Health Statement of Interest form to complete. Disclosures made are reviewed by the CHST Legal Department and the Chief Compliance Officer, who are authorized under the Children's Health Conflict of Interest Policy to make determinations under the Policy regarding persons who are medical staff members or employees of Children's Health and its affiliates. Disclosures made by senior officers (as defined in the Policy) are reviewed by the Compliance Officer, the Chief Legal Officer, and CHST's President and Chief Executive Officer to determine if a conflict exists. Disclosures made by directors of CHST and its affiliates, as well as by the President and Chief Executive Officer of CHST, are discussed as necessary with the appropriate delegated Board Committee and, if required pursuant to the Policy, by the appropriate Board of Directors at meetings to determine if further action is needed. A Statement of Interest must be completed annually and Board members are requested to report changes if they occur. A Committee or Board member with a potential conflict is prohibited from participating in deliberations regarding the transaction in question and will recuse themselves from voting. Form 990, Part VI, Line 19 Required documents available to the public IRC section 6104 does not require disclosure of the financial statements, conflict of interest policy and governing documents. The Certificate of Formation, Consolidated Financial Statements, and the conflict of interest policy are made available upon request. Form 990, Part IX, Line 11g Other Fees Consulting & Professional fees - Total Expense: 3254659, Program Service Expense: 3254659, Management and General Expenses: , Fundraising Expenses: ; Children's Health Clinical Operations 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 750800628 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHILDREN'S MEDICAL CENTER FOUNDATION 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752062015 FOUNDATION TX 501(c)(3) 7 CHILDREN'S HEALTH SYSTEM OF TEXAS false PHYSICIANS FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752854505 PHYSICIANS TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false DALLAS PHYS MED SVCS FOR CHILDREN INC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 810584868 PHYSICIANS TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false COMPLEX CARE MED SVC CORP 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461893597 MEDICAL SERVICES TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHILDREN'S MEDICAL CENTER HEALTH PLAN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 462737696 HMO TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false PEDIATRIC PARTNERS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461917702 CLINICALLY INTEGRATED NETWORK TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false ANESTHESIOLOGISTS FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752917570 PHYSICIANS TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false PHYSICIANS QUALITY ALLIANCE OF NORTH TEXAS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 464049491 PHYSICIANS TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false SOUTHWESTERN MEDICAL DISTRICT 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 204101612 MEDICAL DISTRICT TX 501(c)(3) Type I NA false WOMEN'S AUXILIARY TO THE CHILDREN'S MEDICAL CENTER 2777 N STEMMONS FWY 700 DALLAS TX 75207 752485538 WOMEN'S AUXILIARY TX 501(c)(3) 10 CHILDREN'S MEDICAL CENTER FOUNDATION false OCH Holdings 1935 Medical District Drive Dallas TX 75235 474837308 Hospital TX 501(c)(3) 3 Children's Health Clinical Operations false CHILDREN'S HEALTH SYSTEM OF TEXAS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752062019 MANAGEMENT COMPANY TX 501(c)(3) Type II NA false Bradford Memorial Hospital for Babies 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 756067819 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false The Children's Hospital of Texas 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 756081004 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false Richmond Freeman Memorial Clinic 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 237079698 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false ALTERNATIVE CARE SYSTEMS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752244475 OTHER MEDICAL SERVICES TX NA C Corporation false NTPSS INC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 471036641 PHYSICIAN SOLUTIONS TX NA C Corporation false Texas Bluebonnet Insurance Company 1935 Medical District Drive Dallas TX 75235 475032893 Insurance Company TX NA C Corporation false Texas Trinity River Assurance Company 981318151 Self-insurance CJ NA C Corporation false Children's Health 1935 Medical District Drive Dallas TX 75235 833809987 Other Medical Services TX NA C Corporation false CHST Physician Group 1 1935 Medical District Drive Dallas TX 75235 813582843 Physician TX NA C Corporation false CHFH Inc 1935 Medical District Drive Dallas TX 75235 831336111 Other Medical Services TX NA C Corporation false Children's Health Care Network 1935 Medical District Drive Dallas TX 75235 834560427 Other Medical Services TX NA C Corporation false false false true false false false false false false false false true true true true false false false true