2017-07-14T15:26:21-05:00 2016-08-31 750786316 WEAVER AND TIDWELL LLP 2821 W 7TH STREET SUITE 700 FORT WORTH TX 76107 990 2015-09-01 752556007 UT SOUTHWESTERN HEALTH SYSTEMS UTSO 2146482508 5323 HARRY HINES BLVD DALLAS TX 75390 ARNIM E DONTES SECRETARY/TREASURER 2146482508 2017-07-14 1 HEIDI J DOLAN P00934271 8173327905 2015 2021-01-29 14:40:06Z DANIEL PODOLSKY MD 5323 HARRY HINES BLVD DALLAS TX 75390 3550688 0 X N/A X 1994 TX THE MEDICAL CENTER IS A TAX-EXEMPT COMPONENT EDUCATIONAL INSTITUTION OF THE UNIVERSITY OF TEXAS SYSTEM, ESTABLISHED PURSUANT TO THE CONSTITUTION OF THE STATE OF TEXAS FOR THE PURPOSE OF EDUCATING STUDENTS IN THE DELIVERY OF MEDICAL SERVICES TO THE PUBLIC, CONDUCTING BIOMEDICAL RESEARCH, AND PROVIDING PUBLIC SERVICE. THROUGH VARIOUS ACTIVITIES, UT SOUTHWESTERN HEALTH SYSTEMS SUPPORTS THE ACADEMIC, RESEARCH, AND PUBLIC SERVICE MISSIONS OF THE MEDICAL CENTER. 4 0 0 0 0 0 112365 109749 3767608 3439042 3344 1897 0 0 3883317 3550688 0 0 0 0 0 0 0 0 0 2915399 2581094 2915399 2581094 967918 969594 14758278 21964504 1438960 7675592 13319318 14288912 X UT SOUTHWESTERN HEALTH SYSTEMS IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES, AND IS OPERATED FOR THE PURPOSES OF:(I) SUPPORTING THE PROVISION OF HEALTH CARE TO THE PUBLIC, (II) SUPPORTING HEALTH CARE EDUCATION AT THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER ("MEDICAL CENTER"), (III) PROVIDING GRANTS TO THE MEDICAL CENTER, AND (IV) ANY OTHER ACTIVITIES USEFUL OR APPROPRIATE TO THE ACCOMPLISHMENT OF THE MISSION OF THE MEDICAL CENTER. THE MEDICAL CENTER IS A TAX-EXEMPT COMPONENT EDUCATIONAL INSTITUTION OF THE UNIVERSITY OF TEXAS SYSTEM, ESTABLISHED PURSUANT TO THE CONSTITUTION OF THE STATE OF TEXAS FOR THE PURPOSE OF EDUCATING STUDENTS IN THE DELIVERY OF MEDICAL SERVICES TO THE PUBLIC, CONDUCTING BIOMEDICAL RESEARCH, AND PROVIDING PUBLIC SERVICE. THROUGH VARIOUS ACTIVITIES, UT SOUTHWESTERN HEALTH SYSTEMS SUPPORTS THE ACADEMIC, RESEARCH, AND PUBLIC SERVICE MISSIONS OF THE MEDICAL CENTER. 0 0 2358451 3410017 SUPPORTS THE ACADEMIC, RESEARCH, AND PUBLIC SERVICE MISSIONS OF UT SOUTHWESTERN MEDICAL CENTER (MEDICAL CENTER) BY PROVIDING STRATEGIC AND FINANCIAL ADVISORY SERVICES TO THE MEDICAL CENTER AND ITS AFFILIATED MEDICAL PROFESSIONALS. 29025 PROVIDE FINANCIAL AND OTHER ADMINISTRATIVE FUNCTIONS TO THE MEDICAL CENTER. 2358451 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 1 10 0 1 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 0 0 0 0 1 1 X ARNIM E DONTES 2146483572 5323 HARRY HINES BOULEVARD DALLAS TX 753909013 DR DANIEL PODOLSKY PRESIDENT/CHAIRMAN 1.00 40.00 X X 0 1745992 35169 DR BRUCE MEYER VICE CHAIRMAN 1.00 40.00 X X 0 1394773 77170 DR STAN TAYLOR DIRECTOR 1.00 40.00 X 0 762091 65166 DR JOHN WARNER DIRECTOR 1.00 40.00 X 0 684520 40073 DANNY IRLAND CHIEF OPERATING OFFICER 1.00 40.00 X 0 334821 40073 MICHAEL SERBER ASST SECRETARY/ASST TREASURER 1.00 40.00 X 0 277504 37718 ARNIM E DONTES SECRETARY/TREASURER 1.00 40.00 X 0 710682 40073 0 5910383 335442 0 0 1 0 LEAVITT PARTNERS 299 SOUTH MAIN STE 2300 SALT LAKE CITY UT 84111 CONSULTING 242868 1 109749 109749 EQUITY INCOME DAVITA 621400 2275822 2275822 CARE COORDINATION 561000 487160 487160 676060 676060 3439042 1897 1897 3550688 3439042 0 1897 X 58922 58922 16526 16526 3650 3650 1814786 1686956 127830 51575 45084 6491 600358 600358 21612 21612 4441 4441 OTHER CURRENT EXPENSES 7364 7364 MISCELLANEOUS EXPENSES 1860 1860 2581094 2358451 222643 0 97877 4392464 6918164 301870 62095 4231 7498 7494299 8790121 2467537 6186626 14758278 21964504 622378 726237 104133 816582 6845222 1438960 7675592 X 0 0 0 0 13319318 14288912 13319318 14288912 14758278 21964504 969594 0 X 0 0 0 X X X 1 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER 756002868 6 1 2358451 0 1 2358451 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 INVESTMENT IN JV - DAVITA 8790121 F 8790121 DUE FROM UTSWMC - UTSCAP/ACO 888431 DUE FROM UTSACN 5295779 DUE FROM UTSWMC (TR) 2416 6186626 DUE TO UTSACN 6037514 DUE TO UTSWMC 807708 6845222 0 0 0 0 0 0 0 0 0 DR DANIEL PODOLSKY PRESIDENT/CHAIRMAN 0 940987 0 475842 0 329163 0 22525 0 12644 0 1781161 0 0 DR BRUCE MEYER VICE CHAIRMAN 0 691167 0 702886 0 720 0 59622 0 17548 0 1471943 0 0 DR STAN TAYLOR DIRECTOR 0 614259 0 147112 0 720 0 52522 0 12644 0 827257 0 0 DR JOHN WARNER DIRECTOR 0 508800 0 175000 0 720 0 22525 0 17548 0 724593 0 0 DANNY IRLAND CHIEF OPERATING OFFICER 0 272633 0 62188 0 0 0 22525 0 17548 0 374894 0 0 MICHAEL SERBER ASST SECRETARY/ASST TREASURER 0 228034 0 48750 0 720 0 20170 0 17548 0 315222 0 0 ARNIM E DONTES SECRETARY/TREASURER 0 546712 0 163250 0 720 0 22525 0 17548 0 750755 0 0 ARNIM E DONTES OFFICER OF UT SOUTHWESTERN HEALTH SYSTEMS & UT SOUTHWESTERN MEDICAL CENTER 29025 FINANCIAL & ADMINISTRATIVE SERVICES 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS THE PRESIDENT OF THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER HAS THE POWER TO APPOINT AND REMOVE DIRECTORS IN ACCORDANCE WITH THE BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING MATTERS IN THE CONDUCT OF BUSINESS AND AFFAIRS OF THE CORPORATION ARE RESERVED FOR ACTION SOLELY TO THE ONE MEMBER - APPROVAL OF THE ANNUAL OPERATING AND CAPITAL BUDGET - APPROVAL OF THE PURCHASE AND OR SALE OF MATERIAL OR PERSONAL PROPERTY EXCEEDING $500,000 - APPROVAL OF THE INVESTMENT IN ANY SUBSIDIARY OR JOINT VENTURE ENTITY. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS INITIALLY REVIEWED BY CHUCK FOX, CONTROLLER OF SOUTHWESTERN HEALTH RESOURCES, AND SUBSEQUENTLY REVIEWED BY MICHAEL SERBER, ASSISTANT SECRETARY/TREASURER AND ARNIM E. DONTES, SECRETARY/TREASURER. THE 990 IS THEN SIGNED BY ARNIM E. DONTES. FORM 990, PART VI, SECTION B, LINE 12C UT SOUTHWESTERN HEALTH SYSTEMS HAS A CONFLICT OF INTEREST POLICY WHICH REQUIRES THE DIRECTORS AND OFFICERS TO SIGN CONFLICT OF INTEREST STATEMENTS ANNUALLY 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 UT SOUTHWESTERN HEALTH SYSTEMS MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND TAX RETURNS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 35,951. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,951. PHYSICAL PLANT SERVICE LABOR: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 445. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 445. PROGRAM SERVICE FEES: PROGRAM SERVICE EXPENSES 1,686,956. MANAGEMENT AND GENERAL EXPENSES 91,434. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,778,390. FORM 990, PART VI, SECTION B, LINE 16B BEFORE PARTICIPATING IN THE DAVITA JOINT VENTURE, THE JOINT VENTURE WAS EXAMINED BY ATTORNEYS TO ENSURE IT MET APPLICABLE TAX LAWS. UT SOUTHWESTERN HEALTH SYSTEMS CONTINUES TO MONITOR THE OPERATIONS OF THE JOINT VENTURE TO ENSURE THAT IT FULFILLS THE EXEMPT PURPOSE OF UT SOUTHWESTERN HEALTH SYSTEMS. SPECIFICALLY, THE OPERATION AND MAINTENANCE OF DIALYSIS CENTERS SUPPORTING THE MEDICAL CENTER IS DIRECTLY CONNECTED TO THE MEDICAL AND EDUCATIONAL FUNCTIONS OF THE ORGANIZATION. UNIV OF TEXAS SOUTHWESTERN MEDICAL CTR 5323 HARRY HINES BLVD DALLAS TX 753909013 756002868 MEDICAL CENTER TX 501(C)(3) LINE 6 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 UT SOUTHWESTERN MEDICAL CENTER O 6245825 CASH PAID UT SOUTHWEST DVA HEALTHCARE LLP PO BOX 2076 TACOMA WA 984010207 621634350 DIALYSIS CENTER TX RELATED 0 2264955 8496642 0 0 0.49000