2015-07-14T12:24:16-05:00 2014-08-31 750786316 WEAVER AND TIDWELL LLP 2821 W 7TH STREET SUITE 700 FORT WORTH TX 76107 990 2013-09-01 752556007 UT SOUTHWESTERN HEALTH SYSTEMS UTSO 2146482521 5323 HARRY HINES BLVD DALLAS TX 75390 ARNIM E DONTES SECRETARY/TREASURER 2146482521 2015-07-13 1 HEIDI J DOLAN P00934271 8173327905 2013 2016-02-25 16:41:14Z ARNIM E DONTES 5323 HARRY HINES BLVD DALLAS TX 75390 8675234 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 PATIENT CARE. THROUGH VARIOUS ACTIVITIES, UT SOUTHWESTERN HEALTH SYSTEMS SUPPORTS THE ACADEMIC, RESEARCH, AND PATIENT CARE MISSIONS OF THE MEDICAL CENTER. 4 0 0 0 0 0 0 313000 2668360 6680066 2632 -1998988 0 100 2670992 4994178 0 0 0 0 0 0 0 0 0 2124394 4141230 2124394 4141230 546598 852948 11918052 11908649 972114 109763 10945938 11798886 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, (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 PATIENT CARE. THROUGH VARIOUS ACTIVITIES, UT SOUTHWESTERN HEALTH SYSTEMS SUPPORTS THE ACADEMIC, RESEARCH, AND PATIENT CARE MISSIONS OF THE MEDICAL CENTER. 0 0 3491026 6541967 SUPPORTS THE ACADEMIC, RESEARCH, AND PATIENT CARE MISSIONS OF UT SOUTHWESTERN MEDICAL CENTER (MEDICAL CENTER) BY PROVIDING STRATEGIC AND FINANCIAL ADVISORY SERVICES TO THE MEDICAL CENTER AND ITS AFFILIATED MEDICAL PROFESSIONALS. TO UTILIZE THE SUBSIDIARY OF UT SOUTHWESTERN ACCOUNTABLE CARE NETWORK TO STRENGTHEN UT SOUTHWESTERN MEDICAL CENTER'S PARTICIPATION IN INNOVATIVE HEALTH CARE PROGRAMS, AND DEVELOP POPULATION MANAGEMENT THROUGH QUALITY-FOCUSED REPORTING AND ANALYTICAL ABILITIES. 206830 138099 PROVIDE EXCLUSIVE USE OF ITS OWNED PROPERTY TO THE MEDICAL CENTER FOR BILLING, FINANCIAL AND OTHER ADMINISTRATIVE FUNCTIONS. 3697856 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 5 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 BLVD DALLAS TX 753909013 DANIEL K PODOLSKY MD PRESIDENT/CHAIRMAN 1.00 40.00 X X 0 1197178 37509 DR STAN TAYLOR DIRECTOR 1.00 40.00 X 0 844156 64445 DR BRUCE MEYER VICE CHAIRMAN 1.00 40.00 X X 0 878265 71718 DR JOHN WARNER DIRECTOR 1.00 40.00 X 0 581389 37509 ARNIM E DONTES SECRETARY/TREASURER 1.00 40.00 X 0 493908 37509 DANNY IRLAND COO 1.00 40.00 X 0 273686 37509 MICHAEL SERBER ASST SECRETARY/ASST TREASURER 1.00 40.00 X 0 252574 34742 0 4521156 320941 0 0 1 0 LEAVITT PARTNERS 299 SOUTH MAIN STE 2300 SALT LAKE CITY UT 84111 CONSULTING SERVICES 240000 1 313000 313000 UT SOUTHWEST DVA HEALTHCARE 621400 2501930 2501930 OTHER UTSCAP INCOME - ACO 621400 2040033 2040033 OTHER UTSCAP INCOME FROM MED CTR 621400 2000004 2000004 MANAGEMENT SERVICES 561000 138099 138099 6680066 2068 2068 1680000 3681056 -2001056 -2001056 -2001056 OTHER 900099 100 100 100 4994178 6680066 0 -1998888 74683 74683 33895 33895 150 150 2437198 2103767 333431 109115 107900 1215 1206622 1206622 37430 37430 34403 34403 46637 46637 80105 80105 42658 42658 OTHER EXPENSES 38334 38334 4141230 3697856 443374 0 67136 220382 2707051 4359120 207933 2348 61027 691126 0 3761161 5113744 6635673 11918052 11908649 18964 41763 6000 68000 947150 0 972114 109763 X 0 0 0 0 10945938 11798886 10945938 11798886 11918052 11908649 852948 0 X 0 1 X 0 0 X X X X 0 0 0 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER 756002868 7 1 1 1 3617750 1 3617750 0 INVESTMENT IN JV - DAVITA 6635673 F 6635673 0 0 0 0 0 0 0 0 0 DANIEL K PODOLSKY MD PRESIDENT/CHAIRMAN 0 937939 0 259239 0 0 0 21675 0 15834 0 1234687 0 0 DR STAN TAYLOR DIRECTOR 0 584080 0 255690 0 4386 0 50116 0 14329 0 908601 0 0 DR BRUCE MEYER VICE CHAIRMAN 0 647045 0 230500 0 720 0 55884 0 15834 0 949983 0 0 DR JOHN WARNER DIRECTOR 0 461294 0 119375 0 720 0 21675 0 15834 0 618898 0 0 ARNIM E DONTES SECRETARY/TREASURER 0 384063 0 109125 0 720 0 21675 0 15834 0 531417 0 0 DANNY IRLAND COO 0 253593 0 20000 0 93 0 21675 0 15834 0 311195 0 0 MICHAEL SERBER ASST SECRETARY/ASST TREASURER 0 211894 0 40500 0 180 0 18908 0 15834 0 287316 0 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 BY 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, DIRECTOR OF FISCAL REPORTS AND ACCOUNTING OPERATIONS, AND SUBSEQUENTLY REVIEWED BY MICHAEL SERBER, ASSISTANT SECRETARY/TREASURER AND ARNIM E. DONTES, SECRETARY/TREASURER AND THEN SUBMITTED TO DR. DANIEL K. PODOLSKY, CHAIRMAN OF THE BOARD AND PRESIDENT FOR REVIEW. 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 ANNUALLY 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 UT SOUTHWESTERN HEALTH SYSTEMS MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND TAX RETURNS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 16B - JOINT VENTURE ARRANGEMENT 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. UT SOUTHWESTERN MEDICAL CENTER 5323 HARRY HINES BLVD DALLAS TX 753909013 756002868 MEDICAL CENTER TX 115 N/A N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 UT SOUTHWESTERN MEDICAL CENTER K 37430 UT SOUTHWESTERN MEDICAL CENTER O 4842097 UT SOUTHWEST DVA HEALTHCARE LLP PO BOX 2076 TACOMA WA 984010207 621634350 DIALYSIS CENTER TX RELATED 0 2407561 5841835 0 0 0.49000