CHILDRENS MEDICAL CENTER RESEARCH INSTITUTE AT THE UNIVERSITY OF TEX: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS MEDICAL CENTER RESEARCH INSTITUTE AT THE UNIVERSITY OF TEX (EIN 45-3462044)
- Tax period
- 2012-12-01 to 2013-11-30
- Filed
- 2014-10-14
- IRS object ID
- 201402879349300025
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-10-14T16:10:25-05:00 | Timestamp |
| Tax Period End Date | 2013-11-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 366055558 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Grant Thornton LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1717 Main Street Suite 1500 | AddressLine1 |
| City | Dallas | City |
| State | TX | State |
| ZIP Code | 75201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-12-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 453462044 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Children's Medical Center Research | BusinessNameLine1 |
| Business Name Line2 | Institute at the UTSW Medical Center | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CHIL | NameControl |
| Phone | 2144567000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1935 Medical District Dr | AddressLine1 |
| City | Dallas | City |
| State | TX | State |
| ZIP Code | 75235 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jerry Lee | Name |
| Title | VP, Acctng & Rev Cycle | Title |
| Phone | 2144567000 | Phone |
| Date Signed | 2014-10-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kimberly Temple CPA | Name |
| PTIN | P00669176 | PTIN |
| Phone | 2145612300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Christopher J Durovich | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1935 Medical District Dr | AddressLine1 |
| City | Dallas | City |
| State | TX | State |
| ZIP Code | 75235 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 3654553 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2009 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | Basic and/or clinical research in children's health issues. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3654553 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 0 | TotalRevenuePriorYear |
| Total Revenue Current Year | 3654553 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 575713 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1074971 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 5722236 | OtherExpensePriorYear |
| Other Expenses Current Year | 2960218 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6297949 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4035189 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -6297949 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -380636 | RevenuesLessExpensesCY |
| Total Assets BOY | 4044474 | TotalAssetsBOY |
| Total Assets EOY | 4318798 | TotalAssetsEOY |
| Total Liabilities BOY | 10342423 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 10997383 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -6297949 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -6678585 | NetAssetsOrFundBalancesEOY |
| Mission Description | The organization shall undertake, sponsor, and administer basic and/or clinical research in children's health issues. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 3052310 | Expense |
| Grants | 0 | Grants |
| Description | The organization plans, develops, and carries out research conducive to the diagnosis, treatment, and cure of childhood health issues. | Description |
| Total Program Service Expense | 3052310 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Stephanie K Smith | NamePerson |
| Telephone Number | 2144567000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1935 Medical District Drive | AddressLine1 |
| City | Dallas | City |
| State | TX | State |
| ZIP Code | 75235 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|---|
| Christopher J Durovich | |||||||
| Chairman; CMC President,CEO | 1.00 | 60.00 | X | 0 | 1975308 | 85059 | |
| Thomas Baker | |||||||
| Director | 1.00 | 1.00 | X | 0 | 0 | 0 | |
| David W Biegler | |||||||
| Director | 1.00 | 1.00 | X | 0 | 0 | 0 | |
| Robert A Chereck | |||||||
| Director | 1.00 | 1.00 | X | 0 | 0 | 0 | |
| Daniel K Podolsky MD | |||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |
| David Russell PhD | |||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |
| Arnim Dontes | |||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |
| Sean Morrison PhD | |||||||
| President, Ex-Off Non-Vtg Mbr | 55.00 | 1.00 | 75000 | 0 | 0 | X | |
| Michele Chulick | |||||||
| EVP, Corp Svs (hire date 9/10/12) | 1.00 | 55.00 | 0 | 180740 | 0 | X | |
| Ray R Dziesinski | |||||||
| Treasurer; CMC SVP & CFO | 1.00 | 55.00 | 0 | 722122 | 20019 | X | |
| Regina M Coggins | |||||||
| SVP, General Counsel | 1.00 | 55.00 | 0 | 466685 | 18606 | X | |
| Patricia U Winning | |||||||
| SVP, Strategy Phys Orgs | 1.00 | 55.00 | 0 | 741612 | 45224 | X | |
| Teresa Egan | |||||||
| Vice President, Admin Director | 40.00 | 1.00 | 0 | 289018 | 886 | X | |
| Michael Serber | |||||||
| Vice President, UTSWMC | 1.00 | 0.00 | 0 | 0 | 0 | X | |
| Stephanie K Smith | |||||||
| Secretary | 1.00 | 40.00 | 0 | 102713 | 744 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 75000 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4478198 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 170538 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UTSW | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5323 Harry Hines Blvd | AddressLine1 |
| City | Dallas | City |
| State | TX | State |
| ZIP Code | 75390 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | Physician Services | DescriptionOfServices |
| Compensation | 4011389 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Related Organizations | 3654553 | RelatedOrganizations |
| Total Contributions | 3654553 | TotalContributions |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3654553 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93750 | Total |
| Program Services | 93750 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 859760 | Total |
| Program Services | 265713 | ProgramServices |
| Management And General | 594047 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4633 | Total |
| Program Services | 4633 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101368 | Total |
| Program Services | 14224 | ProgramServices |
| Management And General | 87144 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15460 | Total |
| Program Services | 15460 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62703 | Total |
| Program Services | 62703 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1875 | Total |
| Management And General | 1875 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22173 | Total |
| Program Services | 11756 | ProgramServices |
| Management And General | 10417 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 615 | Total |
| Management And General | 615 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2425855 | Total |
| Program Services | 2262692 | ProgramServices |
| Management And General | 163163 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29810 | Total |
| Program Services | 28516 | ProgramServices |
| Management And General | 1294 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28218 | Total |
| Management And General | 28218 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 81842 | Total |
| Management And General | 81842 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Flow Cytometry | 250709 | 250709 | |
| Medical Surg. Supplies | 42154 | 42154 | |
| Catering, Meals, Coffee | 8604 | 8604 | |
| Business Relations | 5660 | 5660 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4035189 | Total |
| Program Services | 3052310 | ProgramServices |
| Management And General | 982879 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4044474 | BOY |
| EOY | 2293105 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1048612 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 246064 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 812859 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 81842 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 731017 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4044474 | BOY |
| EOY | 4318798 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 405934 | BOY |
| EOY | 654275 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9936489 | BOY |
| EOY | 10343108 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10342423 | BOY |
| EOY | 10997383 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -6297949 | BOY |
| EOY | -6678585 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -6297949 | BOY |
| EOY | -6678585 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4044474 | BOY |
| EOY | 4318798 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -380636 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Written IRS Determination | X | WrittenIRSDetermination |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (2 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| CMCD | |||||
| 750800628 | 3 | 1 | 1 | 1 | $0 |
| UTSWMC | |||||
| 756002868 | 6 | 1 | 1 | 1 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 2 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 812859 | OtherCostOrOtherBasis |
| Depreciation | 81842 | Depreciation |
| Book Value | 731017 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 731017 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Advances from CMCD | $10,295,753 |
| Deferred Rent | $47,355 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 10343108 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Part X, Line 2: The organization was not required to have a FIN 48 footnote disclosure. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Christopher J Durovich | ||||||||||||||
| Chairman; CMC President,CEO | 0 | 893847 | 0 | 934334 | 0 | 147127 | 0 | 60405 | 0 | 24653 | 0 | 2060366 | 0 | 514968 |
| Michele Chulick | ||||||||||||||
| EVP, Corp Svs (hire date 9/10/12) | 0 | 149740 | 0 | 30000 | 0 | 1000 | 0 | 0 | 0 | 0 | 0 | 180740 | 0 | 0 |
| Ray R Dziesinski | ||||||||||||||
| Treasurer; CMC SVP & CFO | 0 | 383861 | 0 | 287925 | 0 | 50336 | 0 | 13379 | 0 | 6639 | 0 | 742140 | 0 | 173018 |
| Regina M Coggins | ||||||||||||||
| SVP, General Counsel | 0 | 299144 | 0 | 119574 | 0 | 47967 | 0 | 7550 | 0 | 11056 | 0 | 485291 | 0 | 39394 |
| Patricia U Winning | ||||||||||||||
| SVP, Strategy Phys Orgs | 0 | 379696 | 0 | 306500 | 0 | 55416 | 0 | 36620 | 0 | 8604 | 0 | 786836 | 0 | 191137 |
| Teresa Egan | ||||||||||||||
| Vice President, Admin Director | 0 | 189306 | 0 | 55000 | 0 | 44712 | 0 | 0 | 0 | 886 | 0 | 289904 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 3 | The corporation's (CRI) president and other officers are employed and compensated by Children's Medical Center of Dallas (Children's). The Children's process is as follows: 1. The Human Resources Committee of the Board is responsible for setting the compensation for executives, except the President and CEO which is set by the Board of Directors. The Committee is comprised of independent, non-employee directors with no conflict of interest regarding executive compensation. A written compensation philosophy has been developed by the Human Resources Committee for timeliness and appropriateness. The philosophy defined desired comparator groups for compensation surveys. The comparator groups are from domestic healthcare industry sectors only and do not include any non-healthcare organizations. 2. The compensation philosophy also defines target levels relative to the marketplace comparator groups for base pay, base pay plus incentive pay, and fringe benefits provided to Children's executives. A third-party consultant, Sullivan Cotter, is engaged by the Human Resources Committee and provides independent, expert consulting services in the area of executive compensation market surveying, pay and benefits program design, and administrative services. Salaries for Children's executives (except for the President and CEO) are set by comparing the salaries paid for comparable positions in integrated systems, academic medical centers, and children's hospitals in similar size and scope of services to Children's. 3. The salary for the President and CEO is set in reference to salaries paid for Presidents and CEOs of children's hospitals in similar size and scope of services to Children's. The data is compiled by Sullivan Cotter and they develop and update annually salary ranges unique to each executive position. The Human Resources Committee approves base pay for each executive (except the President and CEO, whose base pay is approved by the Board of Directors) aimed in the aggregate at approximately the middle of executive pay ranges. 4. For other officers and key employees, Children's uses a combination of job evaluation and survey data to determine the market pay range. |
| Part I, Line 4b | Non-Qualified Retirement Plan: * Children's Medical Center of Dallas Retirement Income Restoration Plan - There were no employees that received taxable income from the Retirement Income Restoration Plan in 2013. Employees who participate in the Retirement Income Restoration Plan are Christopher J Durovich and Patricia U Winning. * Children's Medical Center of Dallas Savings Restoration Plan - There were no employees that received taxable income from the Savings Restoration Plan. Employees who participate in the Savings Restoration Plan are Christopher J Durovich, Michele Chulick, Patricia U Winning, Regina M Coggins, and Ray R Dziesinski. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 6 | Children's Health Services of Texas (CHST) is the sole member. |
| Form 990, Part VI, Section A, line 7a | Directors are appointed by the sole member and approved by the current CRI Board of Directors. |
| Form 990, Part VI, Section A, line 7b | Sole member reserve powers are specified in CRI's bylaws and represent actions by the organization which require sole member approval. These powers generally include specified financial decisions, appointment of directors, and strategic planning. |
| Form 990, Part VI, Section B, line 11 | The draft Form 990 is presented to the Board of Directors by the treasurer at either a scheduled meeting or sent electronically for their review. |
| Form 990, Part VI, Section B, line 12c | Directors execute a conflict of interest disclosure statement each year at the annual meeting of the Board of Directors. Any disclosures made in the statements are presented to the Board of Directors for discussion and review at that time. |
| Form 990, Part VI, Section B, line 15 | The corporation's president and other officers are employed and compensated by Children's Medical Center of Dallas (Children's). The Children's process is as follows: 1. The Human Resources Committee of the Board is responsible for setting the compensation for executives, except the President and CEO of Children's, which is set by the Board of Directors. The Committee is comprised of independent, non-employee directors with no conflict of interest regarding executive compensation. A written compensation philosophy has been developed by the Human Resources Committee for timeliness and appropriateness. The philosophy defined desired comparator groups for compensation surveys. The comparator groups are from domestic healthcare industry sectors only and do not include any non-healthcare organizations. 2. The compensation philosophy also defines target levels relative to the marketplace comparator groups for base pay, base pay plus incentive pay, and fringe benefits provided to Children's executives. A third-party consultant, Sullivan Cotter, is engaged by the Human Resources Committee and provides independent, expert consulting services in the area of executive compensation market surveying, pay and benefits program design, and administrative services. Salaries for Children's executives (except for the President and CEO) are set by comparing the salaries paid for comparable positions in integrated systems, academic medical centers, and children's hospitals in similar size and scope of services to Children's. 3. The salary for the President and CEO is set in reference to salaries paid for Presidents and CEOs of children's hospitals in similar size and scope of services to Children's. The data is compiled by Sullivan Cotter and they develop and update annually salary ranges unique to each executive position. The Human Resources Committee approves base pay for each executive (except the President and CEO, whose base pay is approved by the Board of Directors) aimed in the aggregate at approximately the middle of executive pay ranges. 4. For other officers and key employees, Children's uses a combination of job evaluation and survey data to determine the market pay range. |
| Form 990, Part VI, Section C, line 19 | Governing documents, conflict of interest policy and financial statements are made available upon request. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (17 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Children's Health Svc of Texas | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 752062019 | Management Company | TX | 501(c)(3) | Line 11a, I | N/A | 0 | |
| Children's Medical Center of Dallas | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 750800628 | Hospital | TX | 501(c)(3) | Line 3 | 0 | Children's Hlth Svc of TX | |
| Children's Medical Center Foundation | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 752062015 | Foundation | TX | 501(c)(3) | Line 7 | 0 | Children's Hlth Svc of TX | |
| Physicians For Children | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 752854505 | Physicians | TX | 501(c)(3) | Line 9 | 0 | Children's Medical Center of Dallas | |
| Anesthesiologists For Children | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 752917570 | Physicians | TX | 501(c)(3) | Line 9 | 0 | Children's Medical Center of Dallas | |
| Dallas Phys Medical Svcs for Children Inc | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 810584868 | Physicians | TX | 501(c)(3) | Line 9 | 0 | Children's Medical Center of Dallas | |
| Complex Care Med Svcs Corp | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 461893597 | Medical Services | TX | Pending | Pending | 0 | Children's Medical Center of Dallas | |
| Pediatric Partners For Children | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 461917702 | Clinically Integrated Network | TX | Pending | Pending | 0 | Children's Medical Center of Dallas | |
| Children's Medical Center Services | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 461934007 | Medical Services | TX | Pending | Pending | 0 | Children's Medical Center of Dallas | |
| Children's Population Health | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 463104601 | Population health | TX | Pending | Pending | 0 | Children's Hlth Svc of TX | |
| The Health and Wellness Alliance for Children | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 463080586 | Physicians | TX | 501(c)(3) | Line 11a, I | 0 | Children's Hlth Svc of TX | |
| Children's Medical Center Health Plan | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 462737696 | HMO | TX | Pending | Pending | 0 | Children's Hlth Svc of TX | |
| Physicians Quality Alliance of North Texas | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 464049491 | Physicians | TX | Pending | Pending | 0 | Children's Hlth Svc of TX | |
| Specialists for Children | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 463110125 | Physicians | TX | Pending | Pending | 0 | Children's Medical Center of Dallas | |
| Community Providers for Children | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 463675742 | Physicians | TX | Pending | Pending | 0 | Children's Medical Center of Dallas | |
| Southwestern Medical District | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 204101612 | Medical District | TX | 501(c)(3) | Line 11a, I | N/A | 0 | |
| Women's Auxiliary of CMCD | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 752485538 | Women's Auxiliary | TX | 501(c)(3) | Line 9 | N/A | 0 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| Alternative Care Systems | |||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 752244475 | Other Medical Svcs | TX | Children's Hlth Svc of TX | C | 0 |
| Children's Insurance Co | |||||||||
| 76 St Paul Street Suite 500 | Burlington | VT | 05401 | 030328102 | Insurance | VT | Children's Med Ctr of Dallas | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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