2024-07-01T16:53:53-05:00 2023-08-31 760448495 HAM LANGSTON & BREZINA LLP 2200 MARKET ST STE 400 GALVESTON TX 77550 990 2022-09-01 760682238 UTMB HEALTHCARE SYSTEMS INC UTMB 4097664000 301 UNIVERSITY BOULEVARD RT 0109 GALVESTON TX 775550109 JENNIFER B SARPALIUS PRESIDENT AND CEO 4097664000 2024-07-01 1 JENNIFER SARPALIUS 999009999 0 JOHN R MC KENNA JR P00618649 4097659311 2024-07-01 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z JENNIFER B SARPALIUS 301 UNIVERSITY BLVD RT O895 GALVESTON TX 775550895 100176573 0 X N/A X 1998 TX SEE SCHEDULE O 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. 9 0 881 0 0 0 0 0 92393108 99289703 450574 886870 0 0 92843682 100176573 0 0 0 0 23499437 48641863 0 0 0 64566675 43189462 88066112 91831325 4777570 8345248 27699419 37753986 3257920 4888339 24441499 32865647 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. 0 0 91083514 98903921 THE EXEMPT PURPOSE ACHIEVEMENT IS TO PROVIDE NURSE RECRUITING AND OTHER STAFFING NEEDS FOR THE UNIVERSITY OF TEXAS MEDICAL BRANCH. 302489 385782 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. 91386003 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 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 1 1 0 0 1 21 0 1 881 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X CHERYL HERROD 4097664045 301 UNIVERSITY BLVD RT 0985 GALVESTON TX 775550985 CHARLES MOUTON MD CHAIR, SOLE MEMBER 0.50 39.50 X 0 1500634 103929 DAVID C GRUENER PRESIDENT & CEO 2.00 38.00 X X 0 353583 6348 C AARON LEMAY CPA JD MSED TREASURER 1.00 39.00 X X 0 421432 59751 GULSHAN SHARMA MD DIRECTOR 0.50 39.50 X 0 881821 84872 TIMOTHY J HARLIN DSC FACHE MBA DIRECTOR 0.50 39.50 X 0 1369492 106527 REBECCA KORENEK MHA MBA VICE CHAIR 0.50 39.50 X 0 850921 103726 CARLOS A CLARK DO DIRECTOR 0.50 39.50 X 0 359054 6636 MARIA L GONZALEZ SECRETARY 5.00 35.00 X 0 87194 2660 VINCENTE RESTO MD DIRECTOR 0.50 39.50 X 0 846773 26988 DUSTIN THOMAS FORMER PRES & CEO 0.00 X 0 405287 54397 BEN RAIMER MD FORMER CHAIR, SOLE MEMBER 0.00 X 0 927166 2622 ANISH BHARDWAJ MD FORMER VICE CHAIR 0.00 X 0 842509 4854 CHERYL A SADRO FORMER TREASURER 0.00 0.00 X 0 306616 1709 0 9152482 565019 0 1 1 0 RELODE HEALTH LLC 7000 EXECUTIVE CENTER DR BLDG 2 19 BRENTWOOD TN 37027 TEMPORARY STAFF 8883926 AB STAFFING SOLUTIONS LLC 3451 S MERCY RD STE 102 GILBERT AZ 85297 TEMPORARY STAFF 7115525 MAXIM HEALTHCARE SERVICES INC 7227 LEE DEFOREST DRIVE COLUMBIA MD 21046 TEMPORARY STAFF 4918573 ANGEL STAFFING INC 1202 E SONTERRA BLVD STE 501 SAN ANTONIO TX 78258 TEMPORARY STAFF 4109452 SUPPLEMENTAL HEALTH CARE 6955 UNION PARK CTR STE 400 COTTONWOOD HEIGHTS UT 84047 TEMPORARY STAFF 3793898 34 MANAGEMENT SERVICES 561499 98903921 98903921 PROPERTY MANAGEMENT 532000 385782 385782 99289703 886870 886870 100176573 99289703 0 886870 X 68469 68469 44107066 43786485 320581 932611 932611 223828 221793 2035 3309889 3309889 12788 9969 2819 19987 13500 6487 42578864 42575493 3371 68244 66248 1996 12282 4995 7287 69111 68328 783 71954 69979 1975 81 81 990 990 90905 90905 261942 232504 29438 PUBLICATIONS 2314 2314 91831325 91386003 445322 0 225685 152273 15620881 17624592 4289611 12504313 6000000 6000000 133441 133912 3345925 2007029 1429801 1338896 27699419 37753986 3004793 4454433 98701 255322 154426 178584 3257920 4888339 X 0 0 0 0 24441499 32865647 24441499 32865647 27699419 37753986 8345248 78900 0 X 0 1 X 0 0 X X 1 UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON 746000949 6 1 2304971 0 1 2304971 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 2 - DETERMINE 509(A) (1) OR (2) THE SUPPORTED ORGANIZATION IS NOT REQUIRED TO OBTAIN RECOGNITION OF ITS PUBLIC CHARITY STATUS SINCE IT IS A GOVERNMENTAL UNIT DESCRIBED IN IRC 170 (B) (1) (A) (V). 701601 701601 2527870 1920502 607368 6371 6371 0 110083 80156 29927 1338896 DUE TO UTMB 178584 178584 0 1 0 0 0 0 0 0 0 CHARLES MOUTON MD CHAIR, SOLE MEMBER 0 1351908 0 147286 0 1440 0 100000 0 3929 0 1604563 0 0 DAVID C GRUENER PRESIDENT & CEO 0 319704 0 33760 0 120 0 0 0 6348 0 359932 0 0 C AARON LEMAY CPA JD MSED TREASURER 0 389102 0 31130 0 1200 0 50000 0 9751 0 481183 0 0 GULSHAN SHARMA MD DIRECTOR 0 765368 0 116286 0 167 0 75000 0 9872 0 966693 0 0 TIMOTHY J HARLIN DSC FACHE MBA DIRECTOR 0 1231252 0 138000 0 240 0 100000 0 6527 0 1476019 0 290173 REBECCA KORENEK MHA MBA VICE CHAIR 0 741211 0 108750 0 960 0 100000 0 3726 0 954647 0 0 CARLOS A CLARK DO DIRECTOR 0 316096 0 22313 0 20645 0 0 0 6636 0 365690 0 0 VINCENTE RESTO MD DIRECTOR 0 714304 0 73281 0 59188 0 0 0 26988 0 873761 0 0 DUSTIN THOMAS FORMER PRES & CEO 0 329489 0 39325 0 36473 0 50000 0 4397 0 459684 0 0 BEN RAIMER MD FORMER CHAIR, SOLE MEMBER 0 922533 0 0 0 4633 0 0 0 2622 0 929788 0 0 ANISH BHARDWAJ MD FORMER VICE CHAIR 0 646836 0 195507 0 167 0 0 0 4854 0 847364 0 0 CHERYL A SADRO FORMER TREASURER 0 249498 0 56878 0 240 0 0 0 1709 0 308325 0 0 PART I, LINE 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 LABOR MARKET SURVEY INFORMATION TO ESTABLISH THE COMPENSATION OF THE CEO. PART I, LINE 4 - SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SEVERANCE NONQUALIFIED EQUITY-BASED CHARLES MOUTON, MD 0 100,000 0 C. AARON LEMAY 0 50,000 0 GULSHAN SHARMA, MD 0 75,000 0 TIMOTHY J. HARLIN 0 100,000 0 REBECCA B. KORENEK 0 100,000 0 DUSTIN THOMAS 0 50,000 0 FORM 990, PART VI, SECTION A, LINE 6 THE MEMBER OF UTMB HEALTHCARE SYSTEMS, INC. IS THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON (UTMB), WHOSE DESIGNATED REPRESENTATIVE TO ACT FOR THE MEMBER SHALL BE THE THEN-CURRENT CHIEF ADMINISTRATIVE OFFICER OF THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON. THE MEMBER HAS THE SOLE POWER TO DESIGNATE THE OFFICERS OF THE BOARD AND APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7A UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON, THROUGH ITS DESIGNATED REPRESENTATIVE, THE CHIEF ADMINISTRATIVE OFFICER OF THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON, HAS THE RIGHT TO DESIGNATE THE OFFICERS OF THE BOARD OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON, THROUGH ITS DESIGNATED REPRESENTATIVE, THE CHIEF ADMINISTRATIVE OFFICER OF THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON, IS REQUIRED TO APPROVE THE FOLLOWING MATTERS OF THE ORGANIZATION. (A) THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; (B) MATERIAL ($100,000) DEVIATIONS FROM ANNUAL OPERATING AND CAPITAL BUDGETS; (C) THE PURCHASE OR ACQUISITION OF ANY PROPERTY, REAL, PERSONAL, OR MIXED, BY THE CORPORATION EXCEEDING $100,000 OR THE LEASE OF ANY SUCH PROPERTY BY THE CORPORATION WHERE THE ANNUAL LEASE PAYMENT EXCEEDS $100,000; (D) THE SALE, GIFT, OR OTHER DISPOSITION OF ANY PROPERTY, REAL, PERSONAL, OR MIXED, OF THE CORPORATION IN EXCESS OF $100,000; (E) THE MORTGAGE OR OTHER ENCUMBRANCE OF ANY PROPERTY, REAL, PERSONAL, OR MIXED, OF THE CORPORATION IN EXCESS OF $100,000; (F) THE MERGER, DISSOLUTION, OR CONSOLIDATION OF THE CORPORATION; AND (G) THE CREATION OF OR INVESTMENT IN ANY SUBSIDIARY ENTITY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S CEO PRIOR TO BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CORPORATE SECRETARY REVIEWS THE ANNUAL CONFLICTS OF INTEREST QUESTIONNAIRE RESPONSES. THE UTMB HCS BOARD OF DIRECTORS WILL MONITOR COMPLIANCE AND THE BOARD OF DIRECTORS WILL ADDRESS ANY CONFLICTS THAT ARISE. THE BOARD WILL DETERMINE IF A CONFLICT OF INTEREST EXISTS, AND IF SO, WILL APPLY DISCIPLINARY ACTION AND A CORRECTIVE ACTION PLAN. TO DATE THERE HAVE BEEN NO REPORTED CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST ONLY. FORM 990, PART IX, LINE 11G MISC FEES AND OTHER EXPENSES: PROGRAM SERVICE EXPENSES 115,372. MANAGEMENT AND GENERAL EXPENSES 3,371. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 118,743. LICENSED PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 10,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,000. TEMPORARY EMPLOYMENT AGENCIES: PROGRAM SERVICE EXPENSES 42,366,858. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,366,858. EMPLOYEE BACKGROUND: PROGRAM SERVICE EXPENSES 83,263. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,263. UTMB HEALTH PLANS INC 301 UNIVERSITY BLVD RT 0109 GALVESTON TX 775550109 760480012 HMO TX 501(C)(3) LINE 12A, I N/A 0 UTMB AT GALVESTON 301 UNIVERSITY BLVD GALVESTON TX 77555 746000949 HIGHER EDUCATION TX 170C1 N/A N/A 1 THE UNIVERSITY MEDICAL BRANCH STUDENT BOOK STORE & HOSPITALITY 301 UNIVERSITY BLVD GALVESTON TX 775550128 741343044 BOOKSTORE TX 501(C)(3) LINE 10 UTMB 0 FHC FAMILY HEALTHCARE CENTERS INC 301 UNIVERSITY BLVD RT 0109 GALVESTON TX 775550109 760697230 INACTIVE TX UTMB HCS C 1.00000 0 HSI HEALTHCARE SERVICES INC 301 UNIVERSITY BLVD RT 0109 GALVESTON TX 775550109 760632955 INACTIVE TX UTMB HCS C 1.00000 0 MEDICAL BRANCH INNOVATIONS INC 301 UNIVERSITY BLVD RT 0927 GALVESTON TX 775550927 813252934 HEALTHCARE TX N/A C 0 0 0 0 1 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0 UTMB HEALTH PLANS INC O 120934 % ALLOCATION UTMB AT GALVESTON J 90082 MANAGEMENT AGREEMENT UTMB AT GALVESTON L 98903921 MANAGEMENT AGREEMENT UTMB AT GALVESTON M 320000 MANAGEMENT AGREEMENT UTMB AT GALVESTON O 1951266 MANAGEMENT AGREEMENT UTMB AT GALVESTON Q 19893 MANAGEMENT AGREEMENT MEDICAL BRANCH INNOVATIONS INC D 210000 LOAN AGREEMENT