2017-11-13T12:03:49-06:00 2016-12-31 990 2016-01-01 453462044 Children's Medical Center Research Institute at the UTSW Medical Center CHIL 2144567000 1935 MEDICAL DISTRICT DR DALLAS TX 75235 Jerry Lee CHST VP, Accounting & Treasury 2017-11-09 2016 2017-02-10 21:41:12Z Children's Research Institute at UT Southwestern SEAN MORRISON PHD 1935 MEDICAL DISTRICT DR DALLAS TX 75235 3938209 false X N/A X 2009 TX BASIC AND/OR CLINICAL RESEARCH IN CHILDREN'S HEALTH ISSUES. 7 6 1 6 0 0 1650575 3938209 0 0 0 1650575 3938209 0 0 336358 1716901 0 0 4820415 4834845 5156773 6551746 -3506198 -2613537 4578450 7631687 17774064 23336172 -13195614 -15704485 THE ORGANIZATION SHALL UNDERTAKE, SPONSOR, AND ADMINISTER BASIC AND/OR CLINICAL RESEARCH IN CHILDREN'S HEALTH ISSUES. false false 4710628 THE ORGANIZATION PLANS, DEVELOPS, AND CARRIES OUT RESEARCH CONDUCTIVE TO THE DIAGNOSIS, TREATMENT, AND CURE OF CHILDHOOD HEALTH ISSUES. 4710628 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 0 0 1 true false false false false false false false false false false X 7 6 false false true 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 CMCRI, President CEO CHST 1.0 59.0 X 0 3094791 39495 David W Biegler Director 1.0 1.0 X 0 0 0 Robert A Chereck Director 1.0 1.0 X 0 0 0 Steven M Gruber Director 1.0 3.0 X 0 0 0 Arnim Dontes Director 1.0 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 William Morrow MD Officer CMCRI, Pres Phys Orgs Acdmc Rel CCO CHST 1.0 54.0 X 0 822400 18621 Lawrence Foust Officer CMCRI, EVP Chief Legal Officer and General Counsel CHST 1.0 54.0 X 0 778911 25316 Jeffrey Vawrinek Officer CMCRI, Secretary CHST 1.0 49.0 X 0 436494 13337 Teresa Egan Officer CMCRI, Admin Dir 50.0 0.0 X 0 311667 5394 Sean Morrison PhD President CMCRI 50.0 0 X 115000 0 0 Michael Serber Officer CMCRI 1.0 0 X 0 0 0 Richard Goode Officer CMCRI, EVP Chief Financial Officer and Treasurer CHST 1.0 54.0 X 0 457734 14224 David Eager Former Officer CMCRI, Former EVP CFO and Treasurer CHST 0.0 55.0 X 0 544810 19493 Stephanie Smith Former Officer CMCRI, Sr Legal Counsel CHST 0.0 50.0 X 0 135085 11262 Michele Chulick Former Officer CMCRI, President Ventures CHST 0.0 55.0 X 0 1064361 10600 115000 7646253 157742 0 true true false UTSW 5323 HARRY HINES BLVD DALLAS TX 75390 Professional Services/Research Support 4827954 1 3938209 3938209 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3938209 0 0 0 1648168 1648168 11679 11679 44608 44608 12446 12446 123345 123345 0 0 45867 45867 2006 2006 2451328 2451328 38862 1578 37284 21220 21220 472260 472260 UTSW RESEARCH SUPPORT 1055000 1055000 MEDICAL SURG. SUPPLIES 585897 585897 BUSINESS RELATIONS 21169 21169 Dietary and Food Costs 17891 17891 0 0 0 0 6551746 4710628 1841118 0 886004 3743892 904639 1193673 0 0 0 373797 292151 3493187 1091216 2414010 2401971 0 0 0 0 4578450 7631687 1631630 1717794 16142434 21618378 17774064 23336172 -13195614 -15704485 -13195614 -15704485 4578450 7631687 X -2613537 104666 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 4827954 0 2 4827954 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 3493187 1091216 2401971 2401971 LT ADVANCES-Affiliates 21581552 LT DEFERRED RENT 36826 21618378 Schedule D, Part X, Line 2 The organization's consolidated financial statements for the year ending December 31, 2016 did not require a FIN 48 footnote. false true false false false false false true false Michele Chulick Former Officer CMCRI, President Ventures CHST 0 582817 0 408680 0 72864 0 10600 0 0 0 1074961 0 0 Christopher J Durovich Chairman CMCRI, President CEO CHST 0 1053808 0 1280410 0 760573 0 18000 0 21495 0 3134286 0 37775 David Eager Former Officer CMCRI, Former EVP CFO and Treasurer CHST 0 210273 0 264913 0 69624 0 10600 0 8893 0 564303 0 0 Stephanie Smith Former Officer CMCRI, Sr Legal Counsel CHST 0 123291 0 10547 0 1247 0 6812 0 4450 0 146347 0 0 William Morrow MD Officer CMCRI, Pres Phys Orgs Acdmc Rel CCO CHST 0 534242 0 283208 0 4950 0 10600 0 8021 0 841021 0 0 Lawrence Foust Officer CMCRI, EVP Chief Legal Officer and General Counsel CHST 0 496421 0 277725 0 4765 0 10600 0 14716 0 804227 0 0 Jeffrey Vawrinek Officer CMCRI, Secretary CHST 0 316821 0 92063 0 27610 0 13337 0 0 0 449831 0 0 Teresa Egan Officer CMCRI, Admin Dir 0 253818 0 54499 0 3350 0 0 0 5394 0 317061 0 0 Richard Goode Officer CMCRI, EVP Chief Financial Officer and Treasurer CHST 0 356414 0 100000 0 1320 0 7577 0 6647 0 471958 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 - Christopher J Durovich received $550,086 as taxable income from the Retirement Income Restoration Plan in 2016. No other employees participated in the Retirement Income Restoration Plan. * Savings Restoration Plan - Christopher J Durovich received $66,503 as taxable income from the Savings Restoration Plan. Additional employees who participated in the Savings Restoration Plan were Michele Chulick, David Eager, 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 retains the authority to adjust annual payout percentages solely at their discretion. There were no non-fixed payments in 2016. 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 4 Significant changes to organizational documents Bylaws Amendments in 2016 are as follows: Preamble and Section 3.02 Identity - Updated "Children's Health Services of Texas" to "Children's Health System of Texas" to reflect the entity's current name Section 4.03 Number, Tenure, Election, and Vacancies; Section 4.04 Officers of the Board; and Section 6.05 Advisory Committees or Boards - Revised "CEO of Children's" to "CEO of CHST" to reflect the officer changes at Children's Medical Center of Dallas 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 Executive Vice President, Chief Legal Officer and General Counsel and the Chief Compliance Officer and discussed as necessary at the appropriate Board meeting to determine if further action is needed. Form 990, Part VI, Line 19 Required documents available to the public Certificate of Formation and Consolidated Financial Statements are publicly available. The conflict of interest policy is made available to the public upon request. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Capital Support - CMCF - 104666; 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 MEDICAL CENTER SERVICES 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461934007 MEDICAL SERVICES TX 501(c)(3) 10 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 SPECIALISTS FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 463110125 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 COMMUNITY PROVIDERS FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 463675742 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 Children's BMG dba One Care Domain 1935 Medical District Drive Dallas TX 75235 475057374 Physician TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false Wellness Innovations Physician Partners 1935 Medical District Drive Dallas TX 75235 811734937 Physician TX 501(c)(3) 3 Wellness Innovations LLC 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 CHILDREN'S INSURANCE COMPANY 76 ST PAUL STREET SUITE 500 BURLINGTON VT 05401 030328102 INSURANCE COMPANY VT CHILDREN'S HEALTH SYSTEM OF TEXAS C Corporation 0 false ALTERNATIVE CARE SYSTEMS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752244475 OTHER MEDICAL SERVICES TX CHILDREN'S HEALTH SYSTEM OF TEXAS 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 Children's Health System of Texas C Corporation 0 false TEXAS TRINITY RIVER ASSURANCE COMPANY LTD 878 West Bay Road PO Box 1159 Grand Cayman CJ KY11202 981318151 Self-insurance CJ Children's Health System of Texas C Corporation 0 false false false true false true false false false false 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