UT SOUTHWESTERN MONCRIEF CANCER CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
UT SOUTHWESTERN MONCRIEF CANCER CENTER (EIN 75-2655008)
Tax period
2010-09-01 to 2011-08-31
Filed
2012-04-12
IRS object ID
201231039349300623
Schema version
2010v3.4
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)
Timestamp2012-04-12T14:34:18-05:00Timestamp
Tax Period End Date2011-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-09-01TaxPeriodBeginDate

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
Phone8178384860Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 RIVER RUN NO 500AddressLine1
CityFORT WORTHCity
StateTXState
ZIP Code76107ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameARNIM DONTESName
TitleTREASURERTitle
Phone8178384860Phone
Date Signed2012-03-26DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDANIEL M STEWARTName
Phone8173327905Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11701 RIVER RUN NO 500AddressLine1
CityFORT WORTHCity
StateTXState
ZIP Code76107ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8738580GrossReceipts
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 Employees32TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5472400ContributionsGrantsPriorYear
Contributions Grants Current Year4212746ContributionsGrantsCurrentYear
Program Service Revenue Prior Year389875ProgramServiceRevenuePriorYear
Program Service Revenue CY744944ProgramServiceRevenueCY
Investment Income Prior Year409989InvestmentIncomePriorYear
Investment Income Current Year645130InvestmentIncomeCurrentYear
Other Revenue Prior Year916950OtherRevenuePriorYear
Other Revenue Current Year840709OtherRevenueCurrentYear
Total Revenue Prior Year7189214TotalRevenuePriorYear
Total Revenue Current Year6443529TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year206178GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY216985GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2380486SalariesEtcPriorYear
Salaries Etc Current Year2965907SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1978473OtherExpensePriorYear
Other Expenses Current Year2536722OtherExpensesCurrentYear
Total Expenses Prior Year4565137TotalExpensesPriorYear
Total Expenses Current Year5719614TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2624077RevenuesLessExpensesPriorYear
Revenues Less Expenses CY723915RevenuesLessExpensesCY
Total Assets BOY89041617TotalAssetsBOY
Total Assets EOY93467992TotalAssetsEOY
Total Liabilities BOY1415863TotalLiabilitiesBOY
Total Liabilities EOY2419691TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY87625754NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY91048301NetAssetsOrFundBalancesEOY
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
Expense309064Expense
Revenue341119Revenue
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)
Expense217060Expense
Revenue233975Revenue
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)
Expense295399Expense
Grants295399Grants
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)
Expense3314466Expense
Grants838630Grants
Revenue168050Revenue
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 Exp3314466TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt838630TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev168050TotalOfOtherProgramServiceRev
Total Program Service Expense4135989TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 With109629NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees32NumberOfEmployees
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
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 Number8178384862TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11701 RIVER RUN STE 500AddressLine1
CityFORT WORTHCity
StateTXState
ZIP Code76107ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
WILLIS C MADDREY MD
PRESIDENT/CHAIRMAN1.00XX056554544995
JOHN FREESE MD
SECRETARY1.00XX000
JOHN ROAN
TREASURER1.00XX0509765138439
JAMES WILLSON MD
DIRECTOR1.00XX083830728230
MICHAEL SERBER
TREASURER ELECT1.00X017694444964
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2090561TotalReportableCompFrmRltdOrgs
Total Other Compensation256628TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
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
HKS INC
PO BOX 731121DALLASTX75373DESIGN SERVICES1160107
CONATSER CONSTRUCTION
5327 WICHITA STFORT WORTHTX76119CONSTRUCTION SERVICES434415
CBCCTI
PO BOX 730761DALLASTX75373DIAGNOSTIC SERVICES433440
ONCOR ELECTRIC
1616 WOODALL RODGERS FREEWAYDALLASTX75202RELOCATE POWER LINES230439
KELLY HART & HALLMAN LLP
201 MAIN STREET 2500FORT WORTHTX76102PROFESSIONAL SERVICES163338
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Related Organizations3011840RelatedOrganizations
All Other Contributions1200906AllOtherContributions
Total Contributions4212746TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT COUNSELINGDescription
Business Code624100BusinessCode
Total Revenue Column744944TotalRevenueColumn
Related Or Exempt Function Income744944RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue744944TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column235614TotalRevenueColumn
Exclusion$235,614ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1634673Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real804567Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real830106Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column830106TotalRevenueColumn
Exclusion$830,106ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1900000Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1490484Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities409516Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column409516TotalRevenueColumn
Exclusion$409,516ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionRECOVERED EXPENSESDescription
Business Code624100BusinessCode
Total Revenue Column10603TotalRevenueColumn
Related Or Exempt Function Income10603RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue10603TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6443529TotalRevenueColumn
Related Or Exempt Function Income755547RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,475,236ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total154778Total
Program Services154778ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total62207Total
Program Services62207ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2965907Total
Program Services2036560ProgramServices
Management And General929347ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total59079Total
Program Services5908ProgramServices
Management And General53171ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total27600Total
Management And General27600ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1284151Total
Program Services1164399ProgramServices
Management And General119752ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total110804Total
Program Services104993ProgramServices
Management And General5811ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total65398Total
Program Services50375ProgramServices
Management And General15023ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total35430Total
Program Services17715ProgramServices
Management And General17715ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total226609Total
Program Services15033ProgramServices
Management And General211576ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total67253Total
Program Services44310ProgramServices
Management And General22943ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total213Total
Management And General213ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total873Total
Management And General873ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total113594Total
Program Services56797ProgramServices
Management And General56797ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total62944Total
Program Services588ProgramServices
Management And General62356ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
RESEARCH PROJECTS216109216109
MISCELLANEOUS1439539256951384
CONSULTING FEES5323853238
OUTSIDE LAB4397443974
CERTIFICATIONS AND CONT25500164369064

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5719614Total
Program Services4135989ProgramServices
Management And General1583625ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY853729BOY
EOY250620EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY208074BOY
EOY2088514EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY90507BOY
EOY86633EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis22846402LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8422188LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12474845BOY
EOY14424214EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY6027884BOY
EOY4550041EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY69386578BOY
EOY72067970EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY89041617BOY
EOY93467992EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1245150BOY
EOY2295176EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY137317BOY
EOY100542EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY33396BOY
EOY23973EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1415863BOY
EOY2419691EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12474845BOY
EOY14424214EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6299653BOY
EOY5074199EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY68851256BOY
EOY71549888EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY87625754BOY
EOY91048301EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY89041617BOY
EOY93467992EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses723915ReconcilationRevenueExpenses
Reconcilation Other Changes2698632ReconcilationOtherChanges
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$4,135,989Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts4135989SumOfAmounts

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 Balance67452447BeginningOfYearBalance
Investment Earnings Or Losses6459043InvestmentEarningsOrLosses
Other Expenditures3865349OtherExpenditures
End Of Year Balance70046141EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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
Depreciation7907014Depreciation
Book Value7189487BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis762459OtherCostOrOtherBasis
Depreciation515174Depreciation
Book Value247285BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6517230OtherCostOrOtherBasis
Book Value6517230BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14424214TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLES518082
INTEREST IN NET ASSETS OF MONCRIEF CANCER FOUNDATION70046141
BENEFICIAL INTEREST IN PERPETUAL TRUST1503747
FieldValueIRS element (for citing)
Total Book Value Other Assets72067970TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionCAPITAL LEASESDescription
Amount$23,973Amount
FieldValueIRS element (for citing)
Total Of Amounts23973TotalOfAmounts
Total Revenue6443529TotalRevenue
Total Expenses5719614TotalExpenses
Excess Or Deficit For Year723915ExcessOrDeficitForYear
Other$2,698,632OtherAmount
Total Adjustments2698632TotalAdjustments
Excess Or Deficit Per FS3422547ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt7342431TotRevenueEtcAuditedFinclStmt
Other Revenues909505OtherRevenues
Revenue Not Rptd F990909505RevenueNotRptdF990
Revenue Subtotal6432926RevenueSubtotal
Other Revenues Not Included10603OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt10603RevenueNotRptdOnFinStmt
Total Revenue Per Form9906443529TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6513578TotExpensesEtcAuditedFinclStmt
Other Expenses Included804567OtherExpensesIncluded
Expenses Not Rptd F990804567ExpensesNotRptdF990
Expenses Subtotal5709011ExpensesSubtotal
Other Expenses Not Included10603OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt10603ExpensesNotRptdOnFinStmt
Total Expenses Per Form9905719614TotalExpensesPerForm990

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, 2011, THE FOUNDATION'S TAX YEARS 2008 TO 2011 REMAIN SUBJECT TO EXAMINATION.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 104,938. CHANGE IN NET ASSETS OF MONCRIEF FOUNDATION 2,593,694.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 804,567. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 104,938.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RECOVERED EXPENSES 10,603.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 804,567.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:RECOVERED EXPENSES 10,603.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
AMERICAN RED CROSS
1515 S SYLVANIAFORT WORTHTX76111501(C)(3)70350SUPPORT AND RESEARCH
CAREITY FOUNDATION
PO BOX 126038FORT WORTHTX76126501(C)(3)30000SUPPORT AND RESEARCH
SUSAN G KOMEN FOR THE CURE
PO BOX 650309DALLASTX75265501(C)(3)10500SUPPORT AND RESEARCH
AMERICAN CANCER SOCIETY
PO BOX 831041DALLASTX75283501(C)(3)6000SUPPORT AND RESEARCH
BRIDGE BREAST NETWORK
3600 GASTON AVE STE 401DALLASTX75246501(C)(3)5000SUPPORT AND RESEARCH
TEXAS CHRISTIAN UNIVERSITY
2800 SOUTH UNIVERSITY DRIVEFORT WORTHTX76129501(C)(3)5500SUPPORT AND EDUCATION
NATIONAL OVARIAN CANCER COALITION
2501 OAK LAWN AVE STE 435DALLASTX75219501(C)(3)5000SUPPORT AND RESEARCH
CANCER CARE SERVICES
623 SOUTH HENDERSON STREETFORT WORTHTX76104501(C)(3)7500SUPPORT 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 Recipients110NumberOfRecipients
Amount Of Cash Grant62207AmountOfCashGrant

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
04346250130200072003759007405061054000
JOHN ROAN
035904501500000720013103407405064820400
JAMES WILLSON MD
04353420130150027281502082507405086653700
MICHAEL SERBER
0176944000003591409050022190800

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
MONCRIEF 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 B, LINE 12C
THE ORGANIZATIONS'S GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 104,938. CHANGE IN NET ASSETS OF MONCRIEF FOUNDATION 2,593,694. TOTAL TO FORM 990, PART XI, LINE 5: 2,698,632.FORM 990, PART XI, LINE 5:

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
N2965907CASH
MONCRIEF CANCER FOUNDATION
C3011840CASH
UT SOUTHWESTERN MEDICAL CENTER SYSTEM
M862432CASH

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