2019-11-15T08:31:07-06:00 2018-12-31 350921680 CROWE LLP 750 N St Paul Suite 850 Dallas TX 75201 990 2018-01-01 453462044 Children's Medical Center Research Institute at the UTSW Medical Center CHIL 2144567000 1935 Medical District Dr Dallas TX 75235 Jeremiah Radandt EVP Finance & CFO 2019-11-15 true Rachel Spurlock P00520729 2147775200 2018 2020-04-17 16:48:07Z Children's Research Institute at UT Southwestern Sean Morrison PhD 1935 Medical District Dr Dallas TX 75235 4297466 false X N/A X 2009 TX BASIC AND/OR CLINICAL RESEARCH IN CHILDREN'S HEALTH ISSUES. 7 6 2 6 0 0 3619065 4297466 0 0 0 0 0 0 3619065 4297466 0 0 0 2289675 2859532 0 0 0 4854626 5947782 7144301 8807314 -3525236 -4509848 3994928 5138484 23224648 28778052 -19229720 -23639568 THE ORGANIZATION SHALL UNDERTAKE, SPONSOR, AND ADMINISTER BASIC AND/OR CLINICAL RESEARCH IN CHILDREN'S HEALTH ISSUES. false false 5861968 0 0 THE ORGANIZATION PLANS, DEVELOPS, AND CARRIES OUT RESEARCH CONDUCIVE TO THE DIAGNOSIS, TREATMENT, AND CURE OF CHILDHOOD HEALTH ISSUES. 5861968 true true false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true X 1 0 true 2 true false false false false false false true false false false false false X 7 6 false false false false true true true true true false false false true true true true true false false false X Stephanie K Smith 2144567000 1935 Medical District Drive Dallas TX 75235 Christopher J Durovich Chairman (CHST Pres. & CEO) 1.0 59.0 X 0 3556525 200803 David W Biegler Director 1.0 0 X 0 0 0 Robert A Chereck Director 1.0 1.0 X 0 0 0 Arnim Dontes Director 1.0 0 X 0 0 0 Steven M Gruber Director 1.0 3.0 X 0 0 0 Daniel K Podolsky MD Director 1.0 0 X 0 0 0 David Russell PhD Director 1.0 0 X 0 0 0 Sean Morrison PhD President 50.0 0 X 124583 0 0 Teresa Y Hui (Egan) Vice President 49.0 1.0 X 0 327531 6183 Michael Serber Vice President 1.0 0 X 0 0 0 Richard P Goode EVP, CFO & Treasurer 1.0 54.0 X 0 1029022 418477 Jeffrey Vawrinek Secretary 1.0 49.0 X 0 343457 0 William R Morrow MD Officer (until 7/21/2018) 1.0 54.0 X 0 2248262 115677 Lawrence L Foust Officer (until 2/20/2018) 1.0 54.0 X 0 1580407 43617 Michele Chulick Former Officer 0.0 0.0 X 0 548268 0 Stephanie K Smith Former Corporate Secretary 0.0 40.0 X 0 162833 4591 124583 9796306 789347 1 true true false UTSW 5323 HARRY HINES BLVD DALLAS TX 75390 Professional Services/Research Support 5222860 Sean Morrison 6723 Brookshire Drive Dallas TX 75230 Consultant 124583 2 4297466 4297466 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4297466 0 0 0 X 124583 124583 2647154 2647154 20942 20942 57040 57040 9813 9813 2151901 2151901 0 0 382 382 32109 32109 12672 12672 2310155 2310155 52407 50545 1862 30483 30483 711140 711140 Medical Surgical Supplies 607744 607744 Business Relations 31234 31234 Dietary and Food Costs 7363 7363 Miscellaneous expenses 192 192 0 0 0 0 8807314 5861968 2945346 0 995171 2221339 196398 0 0 0 0 0 226080 330740 4983917 2397512 2577279 2586405 0 0 0 0 3994928 5138484 474028 742650 0 0 22750620 28035402 23224648 28778052 -19229720 -23639568 -19229720 -23639568 3994928 5138484 X -4509848 100000 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 0 0 2 0 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 4983917 2397512 2586405 2586405 LT ADVANCES-Affiliates 28006217 LT DEFERRED RENT 29185 28035402 true true false false false false false true false Christopher J Durovich Chairman (CHST Pres. & CEO) 0 1132271 0 1262355 0 1161899 0 175306 0 25497 0 3757328 0 0 Michele Chulick Former Officer 0 0 0 548268 0 0 0 0 0 0 0 548268 0 0 Stephanie K Smith Former Corporate Secretary 0 128098 0 14598 0 20137 0 0 0 4591 0 167424 0 0 Teresa Y Hui (Egan) Vice President 0 265519 0 58532 0 3480 0 0 0 6183 0 333714 0 0 Richard P Goode EVP, CFO & Treasurer 0 716612 0 310110 0 2300 0 408147 0 10330 0 1447500 0 0 Jeffrey Vawrinek Secretary 0 297660 0 42953 0 2845 0 0 0 0 0 343457 0 0 William R Morrow MD Officer (until 7/21/2018) 0 327078 0 471289 0 1449895 0 110636 0 5041 0 2363939 0 0 Lawrence L Foust Officer (until 2/20/2018) 0 77211 0 322689 0 1180507 0 35406 0 8211 0 1624024 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 Medical Center of Dallas (EIN 75-0800628). 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. CMCRI'S Other Officers AND KEY EMPLOYEES ARE EMPLOYED AND COMPENSATED BY CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST). CHST IS THE SOLE MEMBER and common paying agent for those employees that are employed and compensated by CHST for the benefit of CMCRI. Schedule J, Part I, Line 4a Severance or change-of-control payment Severance Payment: *Severance - Lawrence Foust - $793,200 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Non-Qualified Retirement Plan: * Retirement Income Restoration Plan - Christopher J Durovich participated in the Retirement Income Restoration Plan and received $647,485 in taxable income during 2018. * Savings Restoration Plan - Employees who received taxable income from the Savings Restoration Plan include: Christopher J Durovich - $352,127, William Morrow - $12,299. Additional employees who participated in the Savings Restoration Plan include Jeff Vawrinek. *Executive Defined Contribution Retirement Plan (EDCRP): Employees who received taxable income from the EDCRP include: Christopher J Durovich - $141,304, William Morrow - $503,367, Lawrence Foust - $349,857. Employees who received compensation reported as deferred in column C from the EDCRP include: Christopher J Durovich - $157,922, Lawrence Foust - $24,406, Richard Goode - $400,183, William Morrow - $99,636. Schedule J, Part I, Line 7 Non-fixed payments Non-Fixed Payments - The Human Resources Committee of the Board of Directors of Children's Health System of Texas retains the authority to adjust annual payout percentages solely at their discretion. There were no non-fixed payments in 2018. Form 990, Part V, Line 2a CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST) EIN 75-2062019 IS THE COMMON PAYING AGENT FOR CHILDREN'S MEDICAL CENTER RESEARCH INSTITUTE AT THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER (CMCRI) THEREFORE, ALL APPLICABLE IRS TAX COMPLIANCE FILINGS ARE REPORTED BY CHST ON BEHALF OF CMCRI. CMCRI HAS APPROXIMATELY 1 EMPLOYEE. 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). 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. 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 Line 15b is answered no in accordance with the IRS Form 990 instructions because CMCRI'S Other Officers AND KEY EMPLOYEES ARE EMPLOYED AND COMPENSATED BY CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST). CHST IS THE SOLE MEMBER and common paying agent for those employees that are employed and compensated by CHST for the benefit of CMCRI. 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: 230164, Program Service Expense: 230164, Management and General Expenses: , Fundraising Expenses: ; Research Fees - Total Expense: 1921737, Program Service Expense: 1921737, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Restricted Gifts - F/A Acquisition - 100000; 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 Anesthesiologists for Children 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752917570 PHYSICIANS TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false Dallas Physician Medical Services for Childrens 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 810584868 PHYSICIANS TX 501(c)(3) 3 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 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 CHILDREN'S HEALTH SYSTEM OF TEXAS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752062019 MANAGEMENT COMPANY TX 501(c)(3) Type II N/A false OCH Holdings 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 474837308 Hospital TX 501(c)(3) 3 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 N/A false WOMEN'S AUXILIARY OF CMCD 12720 HILLCREST RD DALLAS TX 75230 752485538 WOMEN'S AUXILIARY TX 501(c)(3) 10 N/A false CHST Physician Group 1 1935 Medical District Drive Dallas TX 75235 813582843 Physician TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHST Physician Group 2 1935 Medical District Drive Dallas TX 75235 813679995 Physician TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHST Physician Group 3 1935 Medical District Drive Dallas TX 75235 813691209 Physician TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHST Physician Group 4 1935 Medical District Drive Dallas TX 75235 814577909 Physician TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHST Physician Group 5 1935 Medical District Drive Dallas TX 75235 814848085 Physician TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHST Physician Group 6 1935 Medical District Drive Dallas TX 75235 814865847 Physician TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false Wellness Innovations LLC 1935 Medical District Drive Dallas TX 75235 475246461 Physicians TX NA N/A false 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 LTD 878 West Bay Road PO Box 1159 Grand Cayman Grand Cayman CJ KY11202 981318151 Self-insurance CJ NA C Corporation false Wellness Innovations Physician Partners 1935 Medical District Drive Dallas TX 75235 811734937 Physicians TX NA C Corporation false Children's Health 1935 Medical District Drive Dallas TX 75235 833809987 Other Medical Services TX NA C Corporation false false false true false true false false false false false false true true true true false false false true