UT SOUTHWESTERN MONCRIEF CANCER CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
UT SOUTHWESTERN MONCRIEF CANCER CENTER (EIN 75-2655008)
Tax period
2011-09-01 to 2012-08-31
Filed
2013-05-21
IRS object ID
201341419349300704
Schema version
2011v1.5
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

FieldValueIRS element (for citing)
Timestamp2013-05-21T09:30:03-05:00Timestamp
Tax Period End Date2012-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN750786316EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WEAVER AND TIDWELL LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12821 W 7TH STREET SUITE 700AddressLine1
CityFORT WORTHCity
StateTXState
ZIP Code76107ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN752655008EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UT SOUTHWESTERN MONCRIEF CANCER CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUTSONameControl
Phone8172889800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 WEST MAGNOLIA AVENUEAddressLine1
CityFORT WORTHCity
StateTXState
ZIP Code76104ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameARNIM DONTESName
TitleTREASURERTitle
Phone8172889800Phone
Date Signed2013-05-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDANIEL M STEWARTName
PTINP00415184PTIN
Phone8173327905Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonARNIM DONTESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1400 WEST MAGNOLIA AVENUEAddressLine1
CityFORT WORTHCity
StateTXState
ZIP Code76104ZIPCode
FieldValueIRS element (for citing)
Gross Receipts18739179GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MONCRIEF.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1958YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE COUNSELING AND SUPPORT RESOURCES TO CANCER PATIENTS AND THEIR FAMILIES WITHIN TARRANT COUNTY AND SURROUNDING AREAS.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members1NbrIndependentVotingMembers
Total Nbr Employees40TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4212746ContributionsGrantsPriorYear
Contributions Grants Current Year16430869ContributionsGrantsCurrentYear
Program Service Revenue Prior Year744944ProgramServiceRevenuePriorYear
Program Service Revenue CY427371ProgramServiceRevenueCY
Investment Income Prior Year645130InvestmentIncomePriorYear
Investment Income Current Year228829InvestmentIncomeCurrentYear
Other Revenue Prior Year840709OtherRevenuePriorYear
Other Revenue Current Year848315OtherRevenueCurrentYear
Total Revenue Prior Year6443529TotalRevenuePriorYear
Total Revenue Current Year17935384TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year216985GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY226466GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2965907SalariesEtcPriorYear
Salaries Etc Current Year3173667SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2536722OtherExpensePriorYear
Other Expenses Current Year2823020OtherExpensesCurrentYear
Total Expenses Prior Year5719614TotalExpensesPriorYear
Total Expenses Current Year6223153TotalExpensesCurrentYear
Revenues Less Expenses Prior Year723915RevenuesLessExpensesPriorYear
Revenues Less Expenses CY11712231RevenuesLessExpensesCY
Total Assets BOY93467992TotalAssetsBOY
Total Assets EOY96438807TotalAssetsEOY
Total Liabilities BOY2419691TotalLiabilitiesBOY
Total Liabilities EOY4146476TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY91048301NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY92292331NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE COUNSELING AND SUPPORT RESOURCES TO CANCER PATIENTS AND THEIR FAMILIES WITHIN TARRANT COUNTY AND SURROUNDING AREAS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense491975Expense
Revenue517536Revenue
DescriptionBREAST AND CERVICAL CANCER SERVICES - PROVIDES CLINICAL BREAST EXAMS AND MAMMOGRAMS TO UNINSURED LOW INCOME WOMEN. THE PROGRAM ALSO PROVIDES ADDITIONAL DIAGNOSTIC SERVICES FOR WOMEN WITH POSITIVE MAMMOGRAM RESULTS. PROGRAM IS AIMED AT FINDING EARLY STAGE CANCERS WHICH HAVE THE HIGHEST RATE OF SUCCESSFUL TREATMENT OUTCOMES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense246075Expense
Revenue252225Revenue
DescriptionNUTRITIONAL SERVICES - REGISTERED AND LICENSED DIETITIANS ON STAFF TO HELP PATIENTS IN THEIR FIGHT WITH CANCER. NUTRITION PLAYS AN IMPORTANT ROLE IN CANCER TREATMENT AND RECOVERY. EATING A HEALTHY DIET KEEPS THE BODY STRONG TO FIGHT CANCER. IT ALSO HELPS CANCER PATIENTS FEEL BETTER DESPITE THE DISEASE AND TREATMENT.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense438674Expense
Grants438674Grants
DescriptionKOMEN MOBILE MAMMOGRAPHY SCREENINGS - REGISTERED AND LICENSED MEDICAL STAFF PROVIDE APPROPRIATE PATIENTS WITH ADVANCED TECHNOLOGICAL MAMMOGRAPHY SERVICES TO DETECT, DIAGNOSE AND FIGHT CANCER.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense3504652Expense
Grants711121Grants
Revenue175800Revenue
DescriptionTO PROVIDE OTHER COUNSELING AND SUPPORT RESOURCES TO CANCER PATIENTS AND THEIR FAMILIES WITHIN TARRANT COUNTY AND SURROUNDING AREAS.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp3504652TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt711121TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev175800TotalOfOtherProgramServiceRev
Total Program Service Expense4681376TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109661NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees40NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members1NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LORI DREWBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8172889800TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1400 W MAGNOLIAAddressLine1
CityFORT WORTHCity
StateTXState
ZIP Code76104ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
WILLIS C MADDREY MD
PRESIDENT/CHAIRMAN1.00XX056574645757
JOHN FREESE MD
SECRETARY1.00XX000
JAMES WILLSON MD
DIRECTOR1.00XX058013528978
ARNIM DONTES
TREASURER1.00XX0500601500
MICHAEL SERBER
OFFICER1.00X030487851862
JOHN ROAN
FORMER TREASURER1.00098385139894X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2484670TotalReportableCompFrmRltdOrgs
Total Other Compensation167991TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LINBECK GROUP LLC
201 MAIN ST STE 1801FORT WORTHTX76002CONSTRUCTION SERVICES11629342
CBCCTI
PO BOX 730761DALLASTX75373DIAGNOSTIC SERVICES441662
HKS INC
PO BOX 731121DALLASTX75373DESIGN SERVICES244229
TEXAS HCP HOLDING LP
HCPI FILE 50383LOS ANGELESCA90074RENT210245
FW RIVER PLAZA LP
1701 RIVER RUN STE 504FORT WORTHTX76107RENT205160
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Related Organizations14815930RelatedOrganizations
All Other Contributions1614939AllOtherContributions
Total Contributions16430869TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT COUNSELINGDescription
Business Code624100BusinessCode
Total Revenue Column427371TotalRevenueColumn
Related Or Exempt Function Income427371RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue427371TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column228829TotalRevenueColumn
Exclusion$228,829ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1634673Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real803795Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real830878Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column830878TotalRevenueColumn
Exclusion$830,878ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionRECOVERED EXPENSESDescription
Business Code624100BusinessCode
Total Revenue Column17437TotalRevenueColumn
Related Or Exempt Function Income17437RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue17437TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17935384TotalRevenueColumn
Related Or Exempt Function Income444808RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,059,707ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total153030Total
Program Services153030ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total73436Total
Program Services73436ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3173667Total
Program Services2273065ProgramServices
Management And General900602ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total10932Total
Program Services5466ProgramServices
Management And General5466ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total37600Total
Management And General37600ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1683336Total
Program Services1550168ProgramServices
Management And General133168ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total139063Total
Program Services132712ProgramServices
Management And General6351ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total54927Total
Program Services41883ProgramServices
Management And General13044ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total43756Total
Program Services21878ProgramServices
Management And General21878ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total248802Total
Program Services42499ProgramServices
Management And General206303ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total76525Total
Program Services58303ProgramServices
Management And General18222ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total597Total
Management And General597ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total586Total
Management And General586ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total116178Total
Program Services58089ProgramServices
Management And General58089ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total59190Total
Program Services588ProgramServices
Management And General58602ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MISCELLANEOUS17321710305070167
CONSULTING FEES148563148563
CERTIFICATIONS AND CONT276751657311102
MEDICAL CONSULTANTS20732073

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6223153Total
Program Services4681376ProgramServices
Management And General1541777ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY250620BOY
EOY232039EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2088514BOY
EOY1004380EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY86633BOY
EOY76773EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis38148623LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9105365LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14424214BOY
EOY29043258EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY4550041BOY
EOY4465022EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY72067970BOY
EOY61617335EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY93467992BOY
EOY96438807EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2295176BOY
EOY4059463EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY100542BOY
EOY72750EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY23973BOY
EOY14263EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2419691BOY
EOY4146476EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY14424214BOY
EOY29043258EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5074199BOY
EOY2074100EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY71549888BOY
EOY61174973EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY91048301BOY
EOY92292331EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY93467992BOY
EOY96438807EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses11712231ReconcilationRevenueExpenses
Reconcilation Other Changes-10468201ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1UT SOUTHWESTERN MEDICAL CENTER SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
EIN756002868EIN
Type Of Organization7TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$4,681,376Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts4681376SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance70046141BeginningOfYearBalance
Investment Earnings Or Losses4855085InvestmentEarningsOrLosses
Other Expenditures15238754OtherExpenditures
End Of Year Balance59662472EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance67452447BeginningOfYearBalance
Investment Earnings Or Losses6459043InvestmentEarningsOrLosses
Other Expenditures3865349OtherExpenditures
End Of Year Balance70046141EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance65070987BeginningOfYearBalance
Investment Earnings Or Losses8082480InvestmentEarningsOrLosses
Other Expenditures5701020OtherExpenditures
End Of Year Balance67452447EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis470212OtherCostOrOtherBasis
Book Value470212BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15096501OtherCostOrOtherBasis
Depreciation8525203Depreciation
Book Value6571298BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis742062OtherCostOrOtherBasis
Depreciation580162Depreciation
Book Value161900BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis21839848OtherCostOrOtherBasis
Book Value21839848BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings29043258TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLES442362
INTEREST IN NET ASSETS OF MONCRIEF CANCER FOUNDATION59662472
BENEFICIAL INTEREST IN PERPETUAL TRUST1512501
FieldValueIRS element (for citing)
Total Book Value Other Assets61617335TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionCAPITAL LEASESDescription
Amount$14,263Amount
FieldValueIRS element (for citing)
Total Of Amounts14263TotalOfAmounts
Total Revenue17935384TotalRevenue
Total Expenses6223153TotalExpenses
Excess Or Deficit For Year11712231ExcessOrDeficitForYear
Net Unrealized GL On Investments-93286NetUnrealizedGLOnInvestments
Other-$10,374,915OtherAmount
Total Adjustments-10468201TotalAdjustments
Excess Or Deficit Per FS1244030ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt18637210TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-93286NetUnrealizedGainsInvestments
Other Revenues812549OtherRevenues
Revenue Not Rptd F990719263RevenueNotRptdF990
Revenue Subtotal17917947RevenueSubtotal
Other Revenues Not Included17437OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt17437RevenueNotRptdOnFinStmt
Total Revenue Per Form99017935384TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7009511TotExpensesEtcAuditedFinclStmt
Other Expenses Included803795OtherExpensesIncluded
Expenses Not Rptd F990803795ExpensesNotRptdF990
Expenses Subtotal6205716ExpensesSubtotal
Other Expenses Not Included17437OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt17437ExpensesNotRptdOnFinStmt
Total Expenses Per Form9906223153TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:TAX POSITIONS TAKEN RELATED TO MONCRIEF'S UNRELATED BUSINESS INCOME AND ITS TAX EXEMPT STATUS AS A NONPROFIT ORGANIZATION FOR FEDERAL TAX PURPOSES HAVE BEEN REVIEWED, AND MANAGEMENT IS OF THE OPINION THAT MATERIAL POSITIONS TAKEN BY MONCRIEF WOULD MORE LIKELY THAN NOT BE SUSTAINED BY EXAMINATION. ACCORDINGLY, MONCRIEF HAS NOT RECORDED AN INCOME TAX LIABILITY FOR UNCERTAIN TAX BENEFITS. AS OF AUGUST 31, 2012, THE FOUNDATION'S TAX YEARS 2009 TO 2012 REMAIN SUBJECT TO EXAMINATION.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 8,754. CHANGE IN NET ASSETS OF MONCRIEF FOUNDATION -10,383,669. TOTAL TO SCHEDULE D, PART XI, LINE 8: -10,374,915.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 803,795. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 8,754.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RECOVERED EXPENSES 17,437.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 803,795.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:RECOVERED EXPENSES 17,437.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
JEWEL CHARITY BALL
PO BOX 472149FORT WORTHTX76147752267609501(C)(3)5000SUPPORT AND RESEARCH
CAREITY FOUNDATION
PO BOX 126038FORT WORTHTX76126061704800501(C)(3)30000SUPPORT AND RESEARCH
SUSAN G KOMEN FOR THE CURE
PO BOX 650309DALLASTX75265751835298501(C)(3)15000SUPPORT AND RESEARCH
AMERICAN CANCER SOCIETY
PO BOX 831041DALLASTX75283131788491501(C)(3)10000SUPPORT AND RESEARCH
BRIDGE BREAST NETWORK
3600 GASTON AVE STE 401DALLASTX75246752436606501(C)(3)5000SUPPORT AND RESEARCH
CATHOLIC CHARITIES
249 WEST THORNHILL DRIVEFORT WORTHTX76115750808769501(C)(3)55000SUPPORT AND RESEARCH
NATIONAL OVARIAN CANCER COALITION
2501 OAK LAWN AVE STE 435DALLASTX75219650628064501(C)(3)5000SUPPORT AND RESEARCH
CANCER CARE SERVICES
623 SOUTH HENDERSON STREETFORT WORTHTX76104751025511501(C)(3)5000SUPPORT AND RESEARCH
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants8TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantASSISTANCE FOR INDIGENT CARETypeOfGrant
Number Of Recipients350NumberOfRecipients
Amount Of Cash Grant73436AmountOfCashGrant

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WILLIS C MADDREY MD
04348260130200072003760408153061150300
JAMES WILLSON MD
04471150132300072002082508153060911300
MICHAEL SERBER
018807707500010930104189809964035674000
JOHN ROAN
036678201500000467069031741081530102374500

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED INTIALLY BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION BEFORE BEING SUBMITTED TO THE BOARD FOR THEIR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CMONCRIEF CANCER CENTER HAS A WRITTEN CONFLICT OF INTEREST POLICY WHICH REQUIRES THE DIRECTORS AND OFFICERS TO SIGN CONFLICT OF INTEREST STATEMENTS WHICH ARE THEN REVIEWED BY THE BOARD. ANYONE WITH A CONFLICT IS RECUSED FROM DISCUSSION AND VOTING ON THE TRANSACTION, WITH THE CONFLICT BEING DOCUMENTED IN THE MINUTES. THE CONFLICT OF INTEREST STATEMENTS ARE A PART OF THE MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATIONS'S GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -93,286. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 8,754. CHANGE IN NET ASSETS OF MONCRIEF FOUNDATION -10,383,669. TOTAL TO FORM 990, PART XI, LINE 5: -10,468,201.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
MONCRIEF CANCER FOUNDATION
5323 HARRY HINES BLVDDALLASTX75390752429817ORGANIZED AND OPERATED FOR THE BENEFIT OF UT SOUTHWESTERN MEDICAL CENTERTX501(C)(3)509(A)(3)0
UT SOUTHWESTERN MEDICAL CENTER SYSTEM
5323 HARRY HINES BLVDDALLASTX75390756002868MEDICAL CARE PROVIDERTX501(C)(3)LINE 60
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
UT SOUTHWESTERN MEDICAL CENTER SYSTEM
N3173667CASH
MONCRIEF CANCER FOUNDATION
C14815930CASH
UT SOUTHWESTERN MEDICAL CENTER SYSTEM
M1038603CASH

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