2018-11-13T11:03:25-06:00 2017-12-31 990 2017-01-01 453462044 Children's Medical Center Research Institute at the UTSW Medical Center CHIL 2144567000 1935 MEDICAL DISTRICT DR DALLAS TX 75235 Tammie Sibley CHST SVP, Finance 2018-11-13 2017 2019-02-21 02:37:17Z Children's Research Institute at UT Southwestern SEAN MORRISON PHD 1935 MEDICAL DISTRICT DR DALLAS TX 75235 3619065 false X N/A X 2009 TX BASIC AND/OR CLINICAL RESEARCH IN CHILDREN'S HEALTH ISSUES. 7 6 1 6 0 0 3938209 3619065 0 0 0 3938209 3619065 0 0 1716901 2289675 0 0 4834845 4854626 6551746 7144301 -2613537 -3525236 6438014 3994928 22142499 23224648 -15704485 -19229720 THE ORGANIZATION SHALL UNDERTAKE, SPONSOR, AND ADMINISTER BASIC AND/OR CLINICAL RESEARCH IN CHILDREN'S HEALTH ISSUES. false false 4716747 THE ORGANIZATION PLANS, DEVELOPS, AND CARRIES OUT RESEARCH CONDUCTIVE TO THE DIAGNOSIS, TREATMENT, AND CURE OF CHILDHOOD HEALTH ISSUES. 4716747 true true false 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 1 0 true 1 true false false false false false false true 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 Steven M Gruber Director 1.0 3.0 X 0 0 0 Robert A Chereck Director 1.0 1.0 X 0 0 0 Daniel K Podolsky MD Director 1.0 0 X 0 0 0 Arnim Dontes Director 1.0 0 X 0 0 0 David W Biegler Director 1.0 0 X 0 0 0 David Russell PhD Director 1.0 0 X 0 0 0 Christopher J Durovich Chairman, CMCRI & President and CEO, CHST 1.0 59.0 X 0 3886127 34737 William Morrow MD Officer, CMCRI & Pres Phys Orgs Acdmc Rel CCO, CHST 1.0 54.0 X 0 927755 19867 Lawrence Foust Officer, CMCRI &EVP CLO and General Counsel, CHST 1.0 54.0 X 0 805476 25812 Jeffrey Vawrinek Secretary, CMCRI & Secretary, CHST 1.0 49.0 X 0 415314 9043 Richard Goode Officer, CMCRI & EVP CHST Finance CFO and Treas, CHST 1.0 54.0 X 0 786266 21340 Teresa Egan Vice President CMCRI 50.0 0.0 X 0 319758 5973 Sean Morrison PhD President CMCRI 50.0 0 X 95833 0 0 Michael Serber Vice President CMCRI 1.0 0 X 0 0 0 Michele Chulick (term 1617) Former Officer, CMCRI & President CHST Ventures, CHST 0.0 55.0 X 0 1485371 10800 Stephanie Smith Former Officer, CMCRI & Sr Legal Counsel, CHST 0.0 50.0 X 0 140567 11005 95833 8766633 138578 0 true true false UTSW 5323 HARRY HINES BLVD DALLAS TX 75390 Professional Services/Research Support 6383569 1 3619065 3619065 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3619065 0 0 0 95833 95833 2107710 2107710 20866 20866 48419 48419 16847 16847 131868 131868 0 0 883 883 40372 40372 10774 10774 2474711 2474711 41464 38198 3266 25488 25488 595156 595156 Research Fees 1125952 1125952 Medical Surgical Supplies 325374 325374 Business Relations 56548 56548 Dietary and Food Costs 5908 5908 20128 0 20128 0 7144301 4716747 2427554 0 3743892 995171 196398 0 0 0 292151 226080 4263651 1686372 2401971 2577279 0 0 0 0 6438014 3994928 1717795 474028 0 20424704 22750620 22142499 23224648 -15704485 -19229720 -15704485 -19229720 6438014 3994928 X -3525236 1 X false true X true false X X X 2 Children's Medical Center of Dallas 750800628 3 true 0 0 University of Texas Southwestern Medical Center 756002868 6 true 6383569 0 2 6383569 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. 3493187 1686372 1806815 770464 770464 2577279 LT ADVANCES-Affiliates 22717615 LT DEFERRED RENT 33005 22750620 Schedule D, Part X, Line 2 The organization's consolidated financial statements for the year ending December 31, 2017 did not require a FIN 48 (ASC 740) footnote. false true false false false false false true false Christopher J Durovich Chairman, CMCRI & President and CEO, CHST 0 1087098 0 2641501 0 157528 0 12946 0 21791 0 3920864 0 0 Michele Chulick (term 1617) Former Officer, CMCRI & President CHST Ventures, CHST 0 20596 0 311646 0 1153129 0 10800 0 0 0 1496171 0 0 Stephanie Smith Former Officer, CMCRI & Sr Legal Counsel, CHST 0 124399 0 12883 0 3285 0 6793 0 4213 0 151572 0 0 William Morrow MD Officer, CMCRI & Pres Phys Orgs Acdmc Rel CCO, CHST 0 556606 0 291820 0 79328 0 10800 0 9067 0 947622 0 0 Lawrence Foust Officer, CMCRI &EVP CLO and General Counsel, CHST 0 511526 0 270308 0 23642 0 10800 0 15012 0 831288 0 0 Jeffrey Vawrinek Secretary, CMCRI & Secretary, CHST 0 294860 0 90417 0 30038 0 9043 0 0 0 424358 0 0 Richard Goode Officer, CMCRI & EVP CHST Finance CFO and Treas, CHST 0 638971 0 144875 0 2420 0 10696 0 10644 0 807606 0 0 Teresa Egan Vice President CMCRI 0 259446 0 56897 0 3416 0 0 0 5973 0 325731 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. 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. 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 * Retirement Income Restoration Plan - No employees received taxable income from the from the Retirement Income Restoration Plan. Christopher J Durovich participated in the Retirement Income Restoration Plan. * Savings Restoration Plan - Michele Chulick received $22,998 as taxable income from the Savings Restoration Plan. Additional employees who participated in the Savings Restoration Plan were Christopher J Durovich, William Morrow, Lawrence Foust and Jeffrey Vawrinek. 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 2017. 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 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. 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. 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. 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 Children's Medical Center Research Institute at the University of Texas Southwestern Medical Center has delegated its oversight and review of the Form 990 to the Board of Directors of Children's Health System of Texas (CHST), its Sole Member. A draft of the Form 990 is presented to the CHST Audit Committee for review prior to filing. A copy of the Final Form 990 is made available to the CHST directors through our Board portal before it is filed. Form 990, Part VI, Line 12c Conflict of interest policy Officers, directors, and key employees received a copy of the Statement of Interest form to execute. Disclosures made are reviewed by the CHST Legal Department and the Chief Compliance Officer and discussed as necessary at the appropriate Committee and Board meetings to determine if further action is needed. Form 990, Part VI, Line 19 Required documents available to the public Certificate of Formation, Consolidated Financial Statements , and the conflict of interest policy is made available upon request. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Rounding - 1; Children's Medical Center of Dallas 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 POPULATION HEALTH 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 463104601 POPULATION HEALTH 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 THE HEALTH AND WELLNESS ALLIANCE FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 463080586 PHYSICIANS TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS 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 CHST Investment Holdings LLC Unrelated false false 0 ALTERNATIVE CARE SYSTEMS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752244475 OTHER MEDICAL SERVICES TX CHST C Corporation 0 false NTPSS INC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 471036641 PHYSICIAN SOLUTIONS TX Pediatric Partners C Corporation 0 false Texas Bluebonnet Insurance Company 1935 Medical District Drive Dallas TX 75235 475032893 Insurance Company TX CHST C Corporation 0 false TEXAS TRINITY RIVER ASSURANCE COMPANY LTD 878 West Bay Road PO Box 1159 Grand Cayman Grand Cayman CJ KY11202 981318151 Self-insurance CJ CHST C Corporation 0 false Wellness Innovations Physician Partners 1935 Medical District Drive Dallas TX 75235 811734937 Physicians TX CHST C Corporation 0 0 0 false Children's BMG 1935 Medical District Drive Dallas TX 75235 475057374 Physicians TX CHST C Corporation 0 0 0 false false false true false true false false false false false false true true true true true false false true