2014-04-15T09:32:52-05:00 2013-08-31 PricewaterhouseCoopers LLP 1201 Louisiana Suite 2900 Houston TX 77002 990 2012-09-01 760682238 UTMB HEALTHCARE SYSTEMS INC % SANDRA Y BENIGAR UTMB 4097664000 301 UNIVERSITY BLVD ROUTE 0109 Suite GALVESTON TX 775550109 DAVID M CONNAUGHTON 4097476316 2014-04-14 true 7133564000 2012 2015-11-30 17:44:51Z X DAVID M CONNAUGHTON 301 UNIV BLVD RT 0128 GALVESTON TX 775550128 2976251 false X UTMBHCS.ORG X 1998 TX SEE SCHEDULE O 8 0 407 0 0 0 0 0 2153505 2848771 84684 127480 -26658 0 2211531 2976251 0 0 0 0 1038238 1446378 0 0 0 823409 664757 1861647 2111135 349884 865116 8996830 10715770 1177254 1954922 7819576 8760848 X THE MISSION OF UTMB HEALTHCARE SYSTEMS, INC. (UTMB HCS) IS TO IMPROVE THE HEALTH OF TEXAS COMMUNITIES BY CREATING A NETWORK OF HEALTH CARE PROFESSIONALS ENGAGING IN STATE-OF-THE-ART PATIENT CARE, SCHOLARLY MEDICAL EDUCATION, AND INNOVATIVE RESEARCH. false false 1520864 2479160 THE EXEMPT PURPOSE ACHIEVEMENT IS TO PROVIDE NURSE RECRUITING AND STAFFING, CASE MANAGEMENT, ETC. FOR THE UNIVERSITY OF TEXAS MEDICAL BRANCH HOSPITAL AND CLINICS. 210218 369611 THE EXEMPT PURPOSE ACHIEVEMENT IS TO PROVIDE PROPERTY MANAGEMENT FOR THE BENEFIT OF THE UNIVERSITY OF TEXAS MEDICAL BRANCH. UTMB HEALTHCARE SYSTEMS, INC. MANAGES AND LEASES PRIMARY CARE CLINICS FOR UTMB. 1731082 true false false false false false false false false true false false false false false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true X 15 0 true 407 true false false false false false false false false false false false X 8 0 false false false false false false false true true false false false true true true true true true true false TX X SANDRA Y BENIGAR 4097664082 123 25TH STREET 9TH FLOOR GALVESTON TX 775550985 DAVID L CALLENDER MD 1.0 39.0 X 0 835331 181761 DONNA K SOLLENBERGER 0.5 39.5 X 0 733715 107724 DONALD PROUGH MD 0.5 39.5 X 0 714470 3772 BEN RAIMER MD 1.0 39.0 X 0 515691 4131 REX MCCALLUM MD 0.5 39.5 X 0 464736 5497 DANNY O JACOBS MD 0.5 39.5 X 0 121545 9191 WILLIAM ELGER 0.75 39.25 X X 0 1051701 103995 DAVID M CONNAUGHTON 2.0 38.0 X X 0 379810 52374 SANDRA Y BENIGAR 21.0 19.0 X 0 56122 6600 STEVE QUACH MD 0.0 0.0 X 0 324965 7819 GARLAND D ANDERSON MD 0.0 0.0 X 0 525231 3609 BARBARA L THOMPSON MD 0.0 0.0 X 0 414114 519 CHRISTINE TURLEY MD 0.0 0.0 X 0 152140 2553 0 6289571 489545 0 true true false RUST EWING WATT AND HANEY INC INSURANCE 171660 AMN HEALTHCARE INC TEMP STAFF AGENCY 2674177 SPRINGBOARD HEALTHCARE STAFFING TEMP STAFF AGENCY 128948 COVENANT MANAGEMENT SYSTEMS LP THIRD PARTY ADMIN 106294 4 0 MANAGEMENT SERVICES 561499 2479160 2479160 PROPERTY MANAGEMENT 532000 369611 369611 2848771 127480 127480 0 0 0 0 0 0 0 0 0 0 2976251 2848771 127480 0 0 0 0 59624 59624 0 1261744 1032753 228991 35913 35913 70654 54304 16350 18443 18443 0 1408 1408 19298 2785 16513 0 0 0 42658 42621 37 118710 118158 552 38766 20964 17802 126035 124554 1481 0 78017 62503 15514 6081 3674 2407 0 0 4869 4869 0 109875 109875 116779 98258 18521 PUBLICATIONS 2261 2261 2111135 1731082 380053 0 443625 100784 4518348 5267941 0 0 1426106 2826798 0 0 0 0 0 0 0 0 53847 75218 3866936 1421907 2554904 2445029 0 0 0 0 0 0 0 0 0 0 8996830 10715770 853991 1917652 0 0 0 37270 0 0 0 0 0 0 0 0 323263 0 0 0 1177254 1954922 X 0 0 0 0 7819576 8760848 7819576 8760848 8996830 10715770 X 865116 76156 X false true X false false X X false false false UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON 746000949 06 true true true 1691445 1 1691445 716601 716601 3033881 1390121 1643760 6371 6371 110083 25415 84668 2445029 false false false false false false false false false DAVID L CALLENDER MD 0 653872 0 0 0 181459 0 175000 0 6761 0 1017092 0 0 DONNA K SOLLENBERGER 0 622952 0 109863 0 900 0 100000 0 7724 0 841439 0 0 DONALD PROUGH MD 0 552279 0 162191 0 0 0 0 0 3772 0 718242 0 0 BEN RAIMER MD 0 426811 0 85600 0 3280 0 0 0 4131 0 519822 0 0 REX MCCALLUM MD 0 410236 0 54400 0 100 0 0 0 5497 0 470233 0 0 STEVE QUACH MD 0 294581 0 29184 0 1200 0 0 0 7819 0 332784 0 0 DANNY O JACOBS MD 0 112265 0 0 0 9280 0 0 0 9191 0 130736 0 0 WILLIAM ELGER 0 596487 0 121359 0 333855 0 100000 0 3995 0 1155696 0 0 DAVID M CONNAUGHTON 0 339160 0 38250 0 2400 0 41667 0 10707 0 432184 0 0 GARLAND D ANDERSON MD 0 522591 0 0 0 2640 0 0 0 3609 0 528840 0 0 BARBARA L THOMPSON MD 0 336066 0 78048 0 0 0 0 0 519 0 414633 0 0 CHRISTINE TURLEY MD 0 140543 0 750 0 10847 0 0 0 2553 0 154693 0 0 COMPENSATION PROCEDURES OF RELATED ORGANIZATION SCH. J. PART 1, QUESTION 3 THE CEO RECEIVES NO COMPENSATION FROM UTMB HEALTHCARE SYSTEMS, INC. HE IS COMPENSATED BY THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON. THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON USES AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, AND A COMPENSATION SURVEY TO ESTABLISH THE COMPENSATION OF THE CEO. INDOOR TANNING SERVICES PART V, 14B THE ORGANIZATION DOES NOT HAVE INDOOR TANNING SERVICES. FORM 990 REVIEW PROCEDURES PART VI, SECTION B, 11B THE FORM 990 IS REVIEWED BY THE CEO AND CFO PRIOR TO BEING SIGNED. MONITORING OF CONFLICTS OF INTEREST PART VI, SECTION B, 12C THE CORPORATE SECRETARY REVIEWS THE ANNUAL CONFLICTS OF INTEREST QUESTIONNAIRE RESPONSES. UTMB'S INTERNAL AUDIT DEPARTMENT PERIODICALLY REVIEWS THE ORGANIZATION FOR COMPLIANCE. TO DATE THERE HAVE BEEN NO CONFLICTS OF INTEREST. EXECUTIVE COMPENSATION PART VI, SECTION B, 15A THE CEO RECEIVES NO COMPENSATION FROM UTMB HEALTHCARE SYSTEMS, INC. HE IS COMPENSATED BY THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON. HIS SALARY WAS DETERMINED FROM A REVIEW DONE BY AN INDEPENDENT CONSULTANT AND HE HAS A WRITTEN CONTRACT WITH UTMB IN WHICH HIS SALARY IS STATED. OFFICER COMPENSATION PART VI, SECTION B, 15B OTHER OFFICERS RECEIVE NO COMPENSATION FROM UTMB HEALTHCARE SYSTEMS, INC. THEY ARE COMPENSATED BY THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON. PUBLIC INSPECTION OF DOCUMENTS PART VI, SECTION C, 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST ONLY. BUSINESS RELATIONSHIPS THE FOLLOWING OFFICERS AND DIRECTORS HAVE A COMMON BOARD MEMBERSHIP WITH UTMB HEALTH PLANS, INC. (EIN 76-0480012): DAVID L. CALLENDER, M.D. DAVID M. CONNAUGHTON WILLIAM ELGER DANNY O. JACOBS, M.D. BEN RAIMER, M.D. SANDRA Y. BENIGAR THE FOLLOWING OFFICERS AND DIRECTORS HAVE A COMMON BOARD MEMBERSHIP WITH FHC FAMILY HEALTHCARE CENTERS, INC. (EIN 76-0697230): DAVID L. CALLENDER, M.D. DAVID M. CONNAUGHTON WILLIAM ELGER DANNY O. JACOBS, M.D. BEN RAIMER, M.D. REX MCCALLUM, M.D. SANDRA Y. BENIGAR THE FOLLOWING OFFICERS AND DIRECTORS HAVE A BUSINESS RELATIONSHIP WITH THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON (EIN 74-6000949): DAIVD L. CALLENDER, M.D. DAVID M. CONNAUGHTON WILLIAM ELGER BEN RAIMER, M.D. DANNY O. JACOBS, M.D. REX MCCALLUM, M.D. DONNA K. SOLLENBERGER DONALD PROUGH, M.D. SANDRA Y. BENIGAR PART I, 1 AND PART III, 1 THE MISSION OF UTMB HEALTHCARE SYSTEMS, INC. (UTMB HCS) IS TO IMPROVE THE HEALTH OF TEXAS COMMUNITIES BY CREATING A NETWORK OF HEALTH CARE PROFESSIONALS ENGAGING IN STATE-OF-THE-ART PATIENT CARE, SCHOLARLY MEDICAL EDUCATION, AND INNOVATIVE RESEARCH. UTMB HEALTH PLANS INC 301 UNIVERSITY BLVD RT 0109 GALVESTON TX 775550109 760480012 HMO & MANAGED TX 501(C)(3) 11A NA false UTMB AT GALVESTON 301 UNIVERSITY BLVD GALVESTON TX 77555 746000949 HIGHER EDUCAT TX 170(C)(1) NA true FHC FAMILY HEALTHCARE CENTERS INC 301 UNIVERSITY BLVD RT 0109 GALVESTON TX 775550109 760697230 HMO & MANAGED TX 501(C)(3) 11A NA false false false false false true false false false false true true true true true true true true false false UTMB HEALTH PLANS INC N 105149 % ALLOCATION UTMB HEALTH PLANS INC O 120768 % ALLOCATION UTMB HEALTH PLANS INC P 5537569 ACTUAL EXPENSES UTMB AT GALVESTON E 328132 PROMISSORY NOTE UTMB AT GALVESTON J 163305 MGMT. AGREEMENT UTMB AT GALVESTON L 2554556 MGMT. AGREEMENT UTMB AT GALVESTON M 321290 MGMT. AGREEMENT UTMB AT GALVESTON Q 12721333 ACTUAL EXPENSES UTMB AT GALVESTON O 1016924 MGMT. AGREEMENT