2011-04-12T09:32:27-05:00 2010-08-31 WEAVER AND TIDWELL LLP 2821 W 7TH STREET SUITE 700 FORT WORTH TX 76107 990 2009-09-01 752655008 UT SOUTHWESTERN MONCRIEF CANCER CENTER UTSO 8178384860 1701 RIVER RUN No 500 FORT WORTH TX 76107 JOHN ROAN 8178384860 2011-04-11 1 Daniel M Stewart 8173327905 2009 2016-02-24 21:20:13Z LORI DREW 1701 RIVER RUN No 500 FORT WORTH TX 76107 8338696 0 X WWW.MONCRIEF.COM X 1958 TX TO PROVIDE COUNSELING AND SUPPORT RESOURCES TO CANCER PATIENTS AND THEIR FAMILIES WITHIN TARRANT COUNTY AND SURROUNDING AREAS. 4 1 31 0 0 0 2454527 5472400 360875 389875 335051 409989 839135 916950 3989588 7189214 193989 206178 0 2380486 0 0 3944026 1978473 4138015 4565137 -148427 2624077 82790464 89041617 793007 1415863 81997457 87625754 TO PROVIDE COUNSELING AND SUPPORT RESOURCES TO CANCER PATIENTS AND THEIR FAMILIES WITHIN TARRANT COUNTY AND SURROUNDING AREAS. 1 0 187201 170200 Provides patients and their family members the professional assistance of state-licensed oncology social workers. The social workers have been professionally trained to assist patients and families in their adjustment to a cancer diagnosis. Following a patient assessment, the social workers are able to determine the areas of concern that may be preventing the patient from effectively coping with their disease. 228606 215300 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. 212742 212742 KOMEN MOBILE MAMMOGRAPHY SCREENINGS. REGISTERED AND LICENSED MEDICAL STAFF PROVIDE APPROPRIATE PATIENTS WITH ADVANCED TECHNOLOGICAL MAMMOGRAPHY SERVICES TO DETECT, DIAGNOSIS AND FIGHT CANCER. 2856677 224729 5844 TO PROVIDE OTHER COUNSELING AND SUPPORT RESOURCES TO CANCER PATIENTS AND THEIR FAMILIES WITHIN TARRANT COUNTY AND SURROUNDING AREAS. 2856677 224729 5844 3485226 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 29 0 1 31 1 0 0 0 0 0 0 0 4 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X LORI DREW 8178384862 1701 RIVER RUN STE 500 FORT WORTH TX 76107 X WILLIS C MADDREY MD 1.00 X X 0 566397 44444 JOHN FREESE MD 1.00 X X 0 0 0 JOHN ROAN 1.00 X X 0 464510 137662 JAMES WILLSON MD 1.00 X X 0 560994 202870 MICHAEL SERBER 1.00 X 0 157240 41966 0 1749141 426942 0 0 1 0 CBCCTI PO BOX 730761 DALLAS TX 75373 DIAGNOSTIC SERVICES 244958 KELLY HART & HALLMAN 201 MAIN STREET 2500 FORT WORTH TX 76102 PROFESSIONAL SERVICES 100588 2 4955213 517187 5472400 PATIENT COUNSELING 624100 389875 389875 389875 336609 336609 1710350 804678 905672 905672 905672 418184 337699 7105 80485 -7105 73380 73380 RECOVERED EXPENSES 624100 11278 11278 11278 7189214 401153 0 1315661 146260 146260 59918 59918 2380486 1785365 595121 58278 58278 35931 17965 17966 27600 27600 823114 823114 74092 65608 8484 37052 24207 12845 43812 21906 21906 257578 27001 230577 58402 58402 189 189 656 656 101850 50925 50925 75937 900 75037 RESEARCH PROJECTS 187888 187888 MISCELLANEOUS 94950 62145 32805 OUTSIDE LAB 83167 83167 CERTIFICATIONS AND CONT 17977 12177 5800 4565137 3485226 1079911 0 15116 853729 377679 208074 71676 90507 20173608 7698763 9100648 12474845 6013026 6027884 67212319 69386578 82790464 89041617 597752 1245150 185475 137317 9780 33396 793007 1415863 X 9100648 12474845 6711513 6299653 66185296 68851256 81997457 87625754 82790464 89041617 X 0 1 0 X 0 X X X 0 0 0 UT SOUTHWESTERN MEDICAL CENTER SYSTEM 756002868 7 1 1 1 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 470212 470212 15086520 7292331 7794189 711220 406432 304788 3905656 3905656 12474845 LONG TERM FUND 6027884 F 6027884 OTHER RECEIVABLES 535322 INTEREST IN NET ASSETS OF MONCRIEF CANCER FOUNDATION 67452447 BENEFICIAL INTEREST IN PERPETUAL TRUST 1398809 69386578 CAPITAL LEASES 33396 33396 7189214 4565137 2624077 338261 2665959 3004220 5628297 8612479 338261 1089177 1427438 7185041 4173 4173 7189214 5365642 804678 804678 4560964 4173 4173 4565137 Part X: Description of Uncertain Tax Positions Under FIN 48: 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, 2010, the Foundation's tax years 2007 to 2010 remain subject to examination. Part XI, Line 8 - Other Adjustments: CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST: 284499. CHANGE IN NET ASSETS OF MONCRIEF FOUNDATION: 2381460. Part XII, Line 2d - Other Adjustments: RENTAL EXPENSES: 804678. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST: 284499. Part XII, Line 4b - Other Adjustments: RECOVERED EXPENSES: 11278. DISPOSAL OF ASSET: -7105. Part XIII, Line 2d - Other Adjustments: RENTAL EXPENSES: 804678. Part XIII, Line 4b - Other Adjustments: RECOVERED EXPENSES: 11278. DISPOSAL OF ASSET: -7105. 0 AMERICAN RED CROSS 1515 S SYLVANIA FORT WORTH TX 76111 501(c)(3) 64050 SUPPORT AND RESEARCH CAREITY FOUNDATION PO BOX 126038 FORT WORTH TX 76126 501(c)(3) 30000 SUPPORT AND RESEARCH SUSAN G KOMEN FOR THE CURE PO BOX 650309 DALLAS TX 75265 501(c)(3) 5000 SUPPORT AND RESEARCH AMERICAN CANCER SOCIETY PO BOX 831041 DALLAS TX 75283 501(c)(3) 5000 SUPPORT AND RESEARCH BRIDGE BREAST NETWORK 3600 GASTON AVE STE 401 DALLAS TX 75246 501(c)(3) 5000 SUPPORT AND RESEARCH FORT WORTH BUSINESS PRESS 3509 HULEN ST STE 201 FORT WORTH TX 76107 501(c)(3) 5000 SUPPORT AND EDUCATION NATIONAL OVARIAN CANCER COALITION 2501 OAK LAWN AVE STE 435 DALLAS TX 75219 501(c)(3) 5000 SUPPORT AND RESEARCH 7 7 ASSISTANCE FOR INDIGENT CARE 150 59918 0 0 0 0 0 0 0 0 0 WILLIS C MADDREY MD 0 435477 0 130200 0 720 0 37584 0 6860 0 610841 0 0 JOHN ROAN 0 357590 0 106200 0 720 0 130802 0 6860 0 602172 0 0 JAMES WILLSON MD 0 432274 0 128000 0 720 0 196010 0 6860 0 763864 0 0 MICHAEL SERBER 0 157240 0 0 0 0 0 33582 0 8384 0 199206 0 0 Form 990, Part III, line 2 New Program Services UT Southwestern Moncrief Cancer Center became a state Breast and Cervical Cancer Services provider during its fiscal year. This allows the center to expand currently offered services. Form 990, Part VI, Section B, line 11 THE 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 12c 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 C, line 19 THE ORGANIZATIONS'S GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. MONCRIEF CANCER FOUNDATION 5323 HARRY HINES BLVD DALLAS TX 75390 752429817 ORGANIZED AND OPERATED FOR THE BENEFIT OF UT SOUTHWESTERN MEDICAL CENTER TX 501(C)(3) 509(A)(3) UT SOUTHWESTERN HEALTH SYSTEMS 5323 HARRY HINES BLVD DALLAS TX 75390 752556007 MEDICAL CARE PROVIDER TX 501(C)(3) 509(A)(1) 0 0 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 UT SOUTHWESTERN HEALTH SYSTEMS-BELOW REPORTING THRESHOLD M UT SOUTHWESTERN HEALTH SYSTEMS-BELOW REPORTING THRESHOLD N MONCRIEF CANCER FOUNDATION C 4955213