CHILDRENS MEDICAL CENTER FOUNDATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS MEDICAL CENTER FOUNDATION (EIN 75-2062015)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-14
- IRS object ID
- 201223199349306162
- Schema version
- 2011v1.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-14T16:17:51-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | 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 | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752062015 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Children's Medical Center Foundation | BusinessNameLine1 |
| 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 Drive | AddressLine1 |
| City | Dallas | City |
| State | TX | State |
| ZIP Code | 75235 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jerry Lee | Name |
| Title | SVP & CFO | Title |
| Phone | 2144567000 | Phone |
| Date Signed | 2012-11-14 | 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 | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | X | AmendedReturn |
| Name Of Principal Officer Person | J Peter Kline | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1935 Medical Distr Dr | AddressLine1 |
| City | Dallas | City |
| State | TX | State |
| ZIP Code | 75235 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 38546570 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.childrens.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | To provide financial support for CMC to enable the hospital to accomplish its mission. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 1202 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 22099020 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 25338047 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 7174978 | InvestmentIncomePriorYear |
| Investment Income Current Year | 12403566 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -497053 | OtherRevenuePriorYear |
| Other Revenue Current Year | -1026612 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 28776945 | TotalRevenuePriorYear |
| Total Revenue Current Year | 36715001 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 16895978 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 14489080 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5179300 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4914416 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 4314125 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2535933 | OtherExpensePriorYear |
| Other Expenses Current Year | 4207855 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 24611211 | TotalExpensesPriorYear |
| Total Expenses Current Year | 23611351 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 4165734 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 13103650 | RevenuesLessExpensesCY |
| Total Assets BOY | 286105114 | TotalAssetsBOY |
| Total Assets EOY | 284583295 | TotalAssetsEOY |
| Total Liabilities BOY | 20394949 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 17514187 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 265710165 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 267069108 | NetAssetsOrFundBalancesEOY |
| Mission Description | To provide financial support for CMC to enable the hospital to accomplish its mission to make life better for children. To accomplish this, the foundation is committed to supporting the guiding principles of CMCD. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 15425911 | Expense |
| Grants | 14489080 | Grants |
| Revenue | 16037 | Revenue |
| Description | Children's Medical Center Foundation is an organization devoted to raising money in support of Children's Medical Center of Dallas, a 501(c)(3) organization. To accomplish this purpose, the foundation, like the hospital, is committed to supporting the guiding principles: quality care, research and innovation, education and advocacy, excellence and accountability. | Description |
| Total Program Service Expense | 15425911 | 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 | 1 | 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 | 1 | 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 | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | 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 |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| 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 | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| 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 | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | 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 | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| 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
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Stephanie K Smith | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (96 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Debbie Scripps | |||||||
| Chairman, Trustee | 1.00 | X | X | 0 | 0 | 0 | |
| Steven M Gruber | |||||||
| Vice Chairman, Director | 1.00 | X | X | 0 | 0 | 0 | |
| Christopher J Durovich | |||||||
| CEO, Ex Officio Vtng Mbr | 1.00 | X | X | 0 | 2187334 | 153078 | |
| Samuel J Beard | |||||||
| Trustee Emeritus | 1.00 | X | 0 | 0 | 0 | ||
| Ann Goddard Corrigan | |||||||
| Trustee Emeritus | 1.00 | X | 0 | 0 | 0 | ||
| James B Goodson | |||||||
| Trustee Emeritus | 1.00 | X | 0 | 0 | 0 | ||
| Grady Jordan Sr | |||||||
| Trustee Emeritus | 1.00 | X | 0 | 0 | 0 | ||
| H Leslie Moore MD | |||||||
| Trustee Emeritus | 1.00 | X | 0 | 0 | 0 | ||
| Ann Duckett Reed | |||||||
| Trustee Emeritus | 1.00 | X | 0 | 0 | 0 | ||
| John L Adams | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Ashley Arnold | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Marilyn Augur | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Martha Lou Beaird | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Jill Bee | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| David Beuerlein | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Sheila Beuerlein | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Cordelia Boone | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Bill Carter | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Marie Crowe | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| R Brooks Cullum Jr | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Scott Dabney | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Ann Delatour | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Gregory Dowell | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Kent Eastman | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Sandra Estess | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Susan Farris | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Steve Folsom | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Kelli Ford | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Linda Gibbons | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Leslie Greco | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Randi Halsell | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Juli Harrison | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Hunter Henry | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Blake Holmes | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Joyce Houlihan | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Ward Hunt | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Gene Jones | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Caren Kline | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Amy Korenvaes | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Harlan Korenvaes | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Tracey Kozmetsky | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| C S Lee | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Anne Logan | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Karen A Matthews | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Lynn McBee | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Albert McClendon | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Jill McClung | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| P Mike McCullough | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Gail McDonald | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| William A McWhirter | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Melanie Medanich | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Vikki Moody | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Robert Morgan DDS | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Randall Muck | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Burk Murchison | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Jan Myers | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Connie O Neill | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Teresa Parravano | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Chris Patrick | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Pamela Dealey Petty | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| John T Pickens | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Claude Prestidge | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Deborah R Price AuD | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Debbie Raynor | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Richard L Rogers | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Steve Rudner | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Mardie Schoellkopf | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Betty M Schultz | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| John Field Scovell | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Ric Scripps | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| John R Sears Jr | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Mary Louise Sinclair | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Frank O Sloan | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Sandra Snyder | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Sally Seay Stout | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Barbara Stuart | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Stephen Suellentrop | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Smokey Swenson | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Debra Brennan Tagg | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Michael Tanner | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Richard Terrell | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| John P Thompson Jr | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Gifford Touchstone | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Jimmy Westcott | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Joel T Williams III | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Darrell W Wootton | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Sharon Worrell | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Terry N Worrell | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| John P Kline | |||||||
| President, SVP Dev | 1.00 | X | X | 0 | 496132 | 80003 | |
| Ray R Dziesinski | |||||||
| SVP, CFO, Treasurer | 1.00 | X | X | 0 | 769318 | 47762 | |
| Stephanie K Smith | |||||||
| Sr Atty, Asst Corp Sec | 1.00 | X | 0 | 80871 | 663 | ||
| Katherine Friend | |||||||
| Sr Dir, Development | 40.00 | 0 | 215320 | 1360 | X | ||
| Michele Whitsett | |||||||
| Sr Dir, Development | 40.00 | 0 | 190194 | 10870 | X | ||
| William Braem | |||||||
| Sr Dir, Annual Gvg Prog | 40.00 | 0 | 170339 | 1969 | X | ||
| Lori Waggoner | |||||||
| Dir, Dev Annl Supp | 40.00 | 0 | 166534 | 1058 | X | ||
| Olivia Davidson | |||||||
| Dir, Planned Giving | 40.00 | 0 | 141654 | 12604 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4417696 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 309367 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Membership Dues | 63875 | MembershipDues |
| Fundraising Events | 1366322 | FundraisingEvents |
| All Other Contributions | 23907850 | AllOtherContributions |
| Total Contributions | 25338047 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1497803 | TotalRevenueColumn |
| Exclusion | $1,497,803 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 11364691 | Securities |
| Other | 35326 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 485659 | Securities |
| Other | 8595 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 10879032 | Securities |
| Other | 26731 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10905763 | TotalRevenueColumn |
| Exclusion | $10,905,763 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 294666 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 1366322 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 1337315 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1042649 | TotalRevenueColumn |
| Exclusion | -$1,042,649 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Other Revenue | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 16037 | TotalRevenueColumn |
| Related Or Exempt Function Income | 16037 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 16037 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 36715001 | TotalRevenueColumn |
| Related Or Exempt Function Income | 16037 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $11,360,917 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14484080 | Total |
| Program Services | 14484080 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5000 | Total |
| Program Services | 5000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 742387 | Total |
| Program Services | 742387 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3152016 | Total |
| Management And General | 1254734 | ManagementAndGeneral |
| Fundraising | 1897282 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 231617 | Total |
| Program Services | 44153 | ProgramServices |
| Management And General | 74624 | ManagementAndGeneral |
| Fundraising | 112840 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 534682 | Total |
| Program Services | 101926 | ProgramServices |
| Management And General | 172269 | ManagementAndGeneral |
| Fundraising | 260487 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 253714 | Total |
| Program Services | 48365 | ProgramServices |
| Management And General | 81744 | ManagementAndGeneral |
| Fundraising | 123605 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 550577 | Total |
| Management And General | 548077 | ManagementAndGeneral |
| Fundraising | 2500 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65826 | Total |
| Management And General | 65826 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 493812 | Total |
| Management And General | 178375 | ManagementAndGeneral |
| Fundraising | 315437 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 500153 | Total |
| Management And General | 402892 | ManagementAndGeneral |
| Fundraising | 97261 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 502216 | Total |
| Management And General | 495139 | ManagementAndGeneral |
| Fundraising | 7077 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15572 | Total |
| Management And General | 15572 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 434304 | Total |
| Management And General | 433663 | ManagementAndGeneral |
| Fundraising | 641 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49234 | Total |
| Management And General | 9631 | ManagementAndGeneral |
| Fundraising | 39603 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24626 | Total |
| Management And General | 24626 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|
| Special Events | 1417851 | 750 | 1417101 |
| Other Expense | 107805 | 77085 | 30720 |
| Dues and Subscriptions | 45879 | 36308 | 9571 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23611351 | Total |
| Program Services | 15425911 | ProgramServices |
| Management And General | 3871315 | ManagementAndGeneral |
| Fundraising | 4314125 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24780717 | BOY |
| EOY | 22417599 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17200255 | BOY |
| EOY | 14800907 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25000 | BOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12834170 | BOY |
| EOY | 13811872 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 103547 | BOY |
| EOY | 188095 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 19193004 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 281540 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18925384 | BOY |
| EOY | 18911464 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 206664374 | BOY |
| EOY | 208362065 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5571667 | BOY |
| EOY | 6091293 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 286105114 | BOY |
| EOY | 284583295 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88820 | BOY |
| EOY | 25895 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7385038 | BOY |
| EOY | 4636461 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9865218 | BOY |
| EOY | 9868840 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3055873 | BOY |
| EOY | 2982991 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20394949 | BOY |
| EOY | 17514187 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 134442188 | BOY |
| EOY | 134757602 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82919982 | BOY |
| EOY | 82212618 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48347995 | BOY |
| EOY | 50098888 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 265710165 | BOY |
| EOY | 267069108 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 286105114 | BOY |
| EOY | 284583295 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 13103650 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -11744706 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 29412086 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 21344153 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14371441 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 22099020 | CurrentTaxYearMinus1Year |
| Current Tax Year | 25338047 | CurrentTaxYear |
| Total | 112564747 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 29412086 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 21344153 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14371441 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 22099020 | CurrentTaxYearMinus1Year |
| Current Tax Year | 25338047 | CurrentTaxYear |
| Total | 112564747 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 112564747 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8286349 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5517933 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2345340 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7174978 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12403566 | CurrentTaxYear |
| Total | 35728166 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10951 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 152057 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 18012 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 162350 | CurrentTaxYearMinus1Year |
| Current Tax Year | 16037 | CurrentTaxYear |
| Total | 359407 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 148652320 | TotalSupport |
| Gross Receipts From Admissions Etc | 2752645 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.75720 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.71420 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| General Explanation | Schedule A, Part II, Line 10, Explanation of Other Income: Other income for year-end 12/31/2007 Other income for year-end 12/31/2008 Proceeds from Haltine Seminar for year-end 12/31/2009 Other income for year-end 12/31/2010 Other income for year-end 12/31/2011 | GeneralExplanation |
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
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 48347994 | BeginningOfYearBalance |
| Contributions | 1877733 | Contributions |
| Investment Earnings Or Losses | 575901 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 702740 | GrantsOrScholarships |
| End Of Year Balance | 50098888 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 41912397 | BeginningOfYearBalance |
| Contributions | 812733 | Contributions |
| Investment Earnings Or Losses | 5622864 | InvestmentEarningsOrLosses |
| End Of Year Balance | 48347994 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 39929360 | BeginningOfYearBalance |
| Contributions | 1180734 | Contributions |
| Investment Earnings Or Losses | 802303 | InvestmentEarningsOrLosses |
| End Of Year Balance | 41912397 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 38556230 | BeginningOfYearBalance |
| Contributions | 2095272 | Contributions |
| Investment Earnings Or Losses | -722142 | InvestmentEarningsOrLosses |
| End Of Year Balance | 39929360 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 18911464 | InvestmentCostOrOtherBasis |
| Book Value | 18911464 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 281540 | OtherCostOrOtherBasis |
| Depreciation | 281540 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 18911464 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Annuities and Trust Payable | $1,725,360 |
| Other LT Liabilities | $1,257,631 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2982991 | TotalOfAmounts |
| Total Revenue | 36715001 | TotalRevenue |
| Total Expenses | 23611351 | TotalExpenses |
| Excess Or Deficit For Year | 13103650 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -11744706 | NetUnrealizedGLOnInvestments |
| Total Adjustments | -11744706 | TotalAdjustments |
| Excess Or Deficit Per FS | 1358944 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 24970295 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -11744706 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -11744706 | RevenueNotRptdF990 |
| Revenue Subtotal | 36715001 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 36715001 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 23611351 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 23611351 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 23611351 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Uncertain Tax Positions Under FIN 48: | Part X: | The Children's Medical Center Foundation audited financial statements for the year ending December 31, 2011 do not contain a FIN 48 footnote. |
| Part V, Line 4: The Foundation's endowment fund earnings, depending on the donor's designation, are used for patient care, education, and research. If an endowment is designated as unrestricted, management may determine how the earnings are used. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Red Balloon Run & Relay | NameOfEvent1 |
| Gross Receipts Event1 | 751874 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 751874 | CharitableContributionsEvent1 |
| Rent Facility Costs Event1 | 41799 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 261 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 3225 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 437878 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Parade | NameOfEvent2 |
| Gross Receipts Event2 | 740458 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 468957 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 271501 | GrossRevenueEvent2 |
| Food And Beverage Event2 | 411 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 3003 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 807680 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 168656 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 145491 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 23165 | GrossRevenueOtherEvents |
| Rent Facility Costs Other Events | 588 | RentFacilityCostsOtherEvents |
| Food And Beverage Other Events | 43 | FoodAndBeverageOtherEvents |
| Other Direct Expenses Other Events | 42427 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 1660988 | GrossReceiptsTotal |
| Charitable Contributions Total | 1366322 | CharitableContributionsTotal |
| Gross Revenue Total Events | 294666 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 42387 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 715 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 6228 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 1287985 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 1337315 | DirectExpenseSummaryEvents |
| Net Income Summary | -1042649 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|
| Children's Medical Center Dallas | |||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 750800628 | 501( c) (3) | 13593307 | N/A | N/A | Program Operations & Capital support |
| UT Southwestern Medical | |||||||||
| 5323 Harry Hines Blvd | Dallas | TX | 75390 | 752556007 | 501( c) (3) | 102225 | N/A | N/A | Research Salary Support |
| UT Southwestern Medical | |||||||||
| 5323 Harry Hines Blvd | Dallas | TX | 75390 | 752556007 | 501( c) (3) | 8081 | N/A | N/A | Lectureship |
| Anesthesiologists for Children | |||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 752917570 | 501( c) (3) | 30466 | N/A | N/A | Program Operations & Capital support |
| Physicians for Children | |||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 752854505 | 501( c) (3) | 750000 | N/A | N/A | Program Operations & Capital support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 4 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: Transfer of funds by the Foundation to Children's Medical Center and its affiliates as well as to UTSW are to reimburse them for expenditures that are to be covered by Foundation donated funds. | 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 | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| 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 | |||||||||||||
| 0 | 771277 | 0 | 905082 | 0 | 510975 | 0 | 134355 | 0 | 18723 | 0 | 2340412 | 0 | 1015615 |
| John P Kline | |||||||||||||
| 0 | 271846 | 0 | 153405 | 0 | 70881 | 0 | 66849 | 0 | 13154 | 0 | 576135 | 0 | 196624 |
| Ray R Dziesinski | |||||||||||||
| 0 | 330972 | 0 | 281838 | 0 | 156508 | 0 | 41734 | 0 | 6028 | 0 | 817080 | 0 | 320758 |
| Katherine Friend | |||||||||||||
| 0 | 174171 | 0 | 18724 | 0 | 22425 | 0 | 0 | 0 | 1360 | 0 | 216680 | 0 | 0 |
| Michele Whitsett | |||||||||||||
| 0 | 150044 | 0 | 20809 | 0 | 19341 | 0 | 0 | 0 | 10870 | 0 | 201064 | 0 | 0 |
| William Braem | |||||||||||||
| 0 | 138086 | 0 | 12797 | 0 | 19456 | 0 | 0 | 0 | 1969 | 0 | 172308 | 0 | 0 |
| Lori Waggoner | |||||||||||||
| 0 | 130565 | 0 | 16900 | 0 | 19069 | 0 | 0 | 0 | 1058 | 0 | 167592 | 0 | 0 |
| Olivia Davidson | |||||||||||||
| 0 | 109151 | 0 | 13723 | 0 | 18780 | 0 | 0 | 0 | 12604 | 0 | 154258 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 4b | Part I, Line 4b Non qualified retirement plan: * Retirement Income Restoration Plan - Christopher J Durovich participated in the Retirement Income Restoration Plan * Savings Restoration Plan - Employees who participated in the Savings Restoration Plan are Christopher J Durovich, Ray R Dziesinski, and John P Kline | |
| Part I, Line 7 | * Non-Fixed Payments - The Human Resources Committee of the Board of Directors retains the authority to adjust annual payout percentages solely at their discretion. | |
| Part III | * Schedule J, Part II, Column F - The compensation reported in Column F has been prepared using the FY2011 Form 990 (clarifying) instructions. The 2008, 2009, and 2010 Form 990s will be revised and refiled to maintain consistent compensation reporting in Column F across all four periods. | Supplemental Information |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | David Beuerlein and Sheila Beuerlein - Family Relationship Peter Kline and Caren Kline - Family Relationship Harlan Korenvaes and Amy Korenvaes - Family Relationship Ric Scripps and Debbie Scripps - Family Relationship Sharon Worrell and Terry Worrell - Family Relationship | |
| Form 990, Part VI, Section A, line 3 | All management duties are performed by employees of the organization's affiliate, Children's Medical Center of Dallas ("Children's"). A contract between the organization and Children's covers all services provided. | |
| Form 990, Part VI, Section A, line 6 | Children's Health Services of Texas ("CHST"), a Texas non-profit corporation, is the sole member of the corporation. | |
| Form 990, Part VI, Section A, line 7a | CHST elects all members of the organization's Board of Directors. | |
| Form 990, Part VI, Section A, line 7b | Decisions requiring approval by the member include: (a) Any change in the mission or purpose of the Corporation; (b) Any amendment to the Certificate of Formation or Bylaws of the Corporation; (c) Any addition of new members; (d) Approval of the annual budget for the Corporation; (c) Acquiring, selling, leasing, disposing of or mortgaging any real estate; (d) Selling, exchanging, or otherwise disposing of all or substantially all of the Corporation's assets; (e) Making expenditures of the Corporation's funds in excess of an amount which is established by CHST from time to time or which represent a significant departure from established policies or objectives of the Corporation; (f) Guaranteeing the debts of others; (g) Merging, consolidating, or entering into any joint business venture with any other person, corporation, or other legal entity; (h) Transferring any portion of the Corporation's assets to another person or legal entity other than pursuant to Section 2.05(f) above, or pursuant to the annual budget or policies of the Corporation governing the Corporation's support of Children's and its affiliates; (i) Appointment and removal of directors in accordance with Article 3 of these Bylaws; or (j) Taking any action where the Board of Directors has received notice that such prior approval is required. | |
| Form 990, Part VI, Section B, line 11 | A draft of the Form 990 is presented to the organization's Audit Committee. The Chief Financial Officer provides a detailed review of the Form 990 and answers questions presented by the Committee members. | |
| Form 990, Part VI, Section B, line 12c | The Board members receive a copy of the policy, along with a Disclosure of Possible Conflict of Interests form to complete, with their annual Board appointment letter. All disclosures made are reviewed by the Chief Compliance Officer and Vice President of Legal Affairs and Governance prior to being presented and discussed at a meeting of the board of directors to determine if further action is required. | |
| Form 990, Part VI, Section B, line 15 | The organization's CEO, President, other officers, and key employees are employed and compensated by Children's Medical Center of Dallas ("Children's"). The Children's process for determining compensation 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. | |
| Form 990, Part VI, Section C, line 19 | Governing documents, the conflict of interest policy and financial statements are made available upon request. | |
| Form 990, Part VII, Section A - Average Hours per Week | Average hours per week have been identified as 60 hours/week for the CEO as there are numerous offsite community events which involve weekend, breakfast, and evening meetings. Average hours per week for Senior Vice Presidents have been identified as 55 hours per week as they are involved with limited offsite community events. Average hours per week for all Vice Presidents have been identified as 50 hours per week as they have some involvement with offsite community events. Average hours per week for Key Employees, and Highest Compensated Employees have been identified as 40 hours per week. | |
| Form 990, Part XI, line 5: | Net unrealized losses on investments: -11,744,706. | Changes in Net Assets or Fund Balances: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (8 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 Svcs of Tx | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 752062019 | Management | 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 | 1 | Children's Health Svcs of Tx | |
| Dallas Phys Med Svcs Inc | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 810584868 | Physicians | TX | 501(c)(3) | Line 9 | 1 | Children's Medical Center of Dallas | |
| Physicians For Children | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 752854505 | Physicians | TX | 501(c)(3) | Line 9 | 1 | Children's Medical Center of Dallas | |
| Anesthesiologists for Children | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 752917570 | Physicians | TX | 501(c)(3) | Line 9 | 1 | Children's Medical Center of Dallas | |
| Children's Med Ctr Research Institute at UTSWMC | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 453462044 | Research Institute | TX | Pending | Pending | N/A | 0 | |
| Southwestern Medical District | |||||||||||
| 5323 Harry Hines Blvd | Dallas | TX | 75390 | 204101612 | Management | TX | 501(c)(3) | Line 11a, I | N/A | 0 | |
| Women's Auxiliary to CMCD | |||||||||||
| 12720 Hillcrest Road | Dallas | TX | 75230 | 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 | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Alternative Care Systems | ||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 752244475 | Management | TX | N/A | C |
| Children's Insurance Co | ||||||||
| 76 St Paul Street Suite 500 | Burlington | VT | 05401 | 030328102 | Insurance | VT | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| 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 | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | 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 |