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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
Graphic Arrow Attach to Form 990.
Graphic Arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
SOUTHWESTERN MEDICAL FOUNDATION
 
Employer identification number
75-0945939
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) YMCA OF METROPOLITAN DALLAS
601 N AKARD STREET
DALLAS,TX75201
75-0800696 501(C)(3) 5,090 0     TO SUPPORT THE YMCA OF METROPOLITAN DALLAS PROGRAMS
(2) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 5,326 0     TO SUPPORT BRAIN CANCER RESEARCH
(3) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 5,500 0     TO SUPPORT CANCER RESEARCH
(4) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 6,000 0     TO SUPPORT UT SOUTHWESTERN CIRCLE OF FRIENDS PROGRAM
(5) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 6,125 0     TO SUPPORT UT SOUTHWESTERN'S COVID-19 RESPONSE FUND
(6) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 7,750 0     TO SUPPORT VARIOUS MEDICAL RESEARCH PROJECTS AT UT SOUTHWESTERN
(7) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 8,000 0     TO SUPPORT LOUISE EISEMAN FOR GERIATRICS, DR. BELINDA VICIOSO
(8) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 8,000 0     TO SUPPORT LOUISE EISEMAN FUND FOR DR. JARETT BERRY CARDIOLOGY
(9) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 9,714 0     TO SUPPORT H. AND D. ADLETA CHILDREN'S PEDIATRIC ONCOLOGY
(10) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 10,000 0     TO SUPPORT FRIENDS OF COMPREHENSIVE CANCER CARE AND RESEARCH
(11) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 10,000 0     TO SUPPORT UT SOUTHWESTERN'S COVID-19 RESPONSE FUND
(12) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 10,000 0     TO SUPPORT ALZHEIMER'S RESEARCH
(13) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 10,000 0     TO SUPPORT THE MARKEY FAMILY FUND IN FAMILY MEDICINE
(14) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 10,000 0     TO SUPPORT DERMATOLOGY
(15) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 10,000 0     TO SUPPORT THE PETE SCHENKEL FUND FOR DEPARTMENT OF OPHTHALMOLOGY
(16) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 10,000 0     TO SUPPORT ALZHEIMER'S RESEARCH
(17) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 10,000 0     TO SUPPORT UT SOUTHWESTERN FRIENDS OF COMPREHENSIVE CANCER CARE AND RESEARCH
(18) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 10,000 0     TO SUPPORT THE DIGESTIVE AND LIVER DISEASE DIV HONORING DRS. THOMAS KERR AND SHANNON TUJIOS
(19) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 10,000 0     TO SUPPORT UT SOUTHWESTERN LUNG TRANSPLANT PROGRAM
(20) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 10,000 0     TO SUPPORT THE SHUTT FAMILY FUND FOR INNOVATIONS IN MEDICINE
(21) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 10,000 0     TO SUPPORT MEDICAL RESEARCH
(22) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 10,000 0     TO SUPPORT THE CIRCLE OF FRIENDS PROGRAM AT UT SOUTHWESTERN
(23) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 10,201 0     TO SUPPORT UT SOUTHWESTERN'S CIRCLE OF FRIENDS PROGRAM
(24) PARKLAND HEALTH & HOSPITAL SYSTEM
5200 HARRY HINES BOULEVARD
DALLAS,TX75235
75-6004221 GOVERNMENT 10,800 0     SUPPORT THE PARKLAND MEMORIAL HOSPITAL NEURO-TRAUMA AWARD
(25) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 12,500 0     TO SUPPORT THE BARBARA AND DONALD ZALE FUND IN HONOR OF DR. JOEL WELLS
(26) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 13,424 0     TO SUPPORT PEDIATRIC ONCOLOGY RESEARCH
(27) YOUNGSTOWN STATE UNIVERSITY
655 WICK AVENUE
YOUNGSTOWN,OH44502
34-6576610 170(B)(1)(A)(VI) 15,612 0     TO SUPPORT THE THOMAS W. CROGAN, III MEMORIAL SCHOLARSHIP IN NURSING FUND
(28) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 18,703 0     TO SUPPORT MEDICAL RESEARCH
(29) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 20,000 0     TO SUPPORT DEPRESSION RESEARCH AND CLINICAL CARE
(30) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 20,000 0     TO SUPPORT DEPRESSION RESEARCH AND CLINICAL CARE
(31) UNIVERSITY OF NORTH CAROLINA AT GREENSBORO
821 SOUTH AYCOCK STREET
GREENSBORO,NC27403
56-6001468 170(C)(1) 23,418 0     TO SUPPORT THE BRENDA WELLING RECHTINE SCHOLARSHIP FUND
(32) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 24,700 0     TO SUPPORT HANNAY FAMILY FUND IN NEUROLOGY
(33) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 25,000 0     TO SUPPORT IRWIN GROSSMAN RESTRICTED FUND FOR DIABETES RESEARCH
(34) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 25,000 0     TO SUPPORT KIDNEY DISEASE RESEARCH
(35) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 25,000 0     TO SUPPORT UT SOUTHWESTERN EFFORTS IN MEDICAL PROGRESS
(36) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 25,000 0     TO SUPPORT A JUNIOR FACULTY MEMBER IN SUPPORT OF TYPE 1 DIABETES RESEARCH
(37) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 25,594 0     TO SUPPORT O'DONNELL BRAIN INSTITUTE
(38) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 30,000 0     TO SUPPORT THE RAMINDER KUMAR, M.D. PROFESSORSHIP IN GENERAL INTERNAL MEDICINE
(39) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 32,000 0     TO SUPPORT INTERNAL MEDICINE
(40) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 32,705 0     TO SUPPORT THE O'DONNELL BRAIN INSTITUTE
(41) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 39,024 0     TO SUPPORT HAROLD C. SIMMONS COMPREHENSIVE CANCER CENTER
(42) THE PHOENIX HOUSE OF TEXAS INC
2351 WEST NORTHWEST HIGHWAY
DALLAS,TX75220
13-3810073 501(C)(3) 45,330 0     TO SUPPORT THE HILL FEINBERG ACADEMY
(43) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 50,000 0     TO SUPPORT CLEMENTS UNIVERSITY HOSPITAL BRAIN INPATIENT TOWER
(44) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 55,000 0     TO SUPPORT UT SOUTHWESTERN'S COVID-19 RESPONSE FUND
(45) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 74,010 0     TO SUPPORT PEDIATRIC ONCOLOGY RESEARCH UNDER THE DIRECTION OF DR. ANIMESH TANDON
(46) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 75,000 0     TO SUPPORT CONSTRUCTION OF THE HAROLD C. SIMMONS OUTPATIENT CANCER CARE TOWER
(47) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 75,000 0     TO SUPPORT PEDIATRIC GASTROENTEROLOGY
(48) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 80,000 0     TO SUPPORT THE JLH FOUNDATION FUND FOR TRANSPLANT PATIENTS
(49) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 80,000 0     TO SUPPORT THE O'DONNELL BRAIN INSTITUTE
(50) COLLIN COUNTY HEALTH CARE FOUNDATION
825 NORTH MCDONALD STREET
MCKINNEY,TX75069
75-6000873 GOVERNMENT 84,122 0     TO SUPPORT THE PROGRAMS OF THE COLLIN COUNTY HEALTH DEPARTMENT
(51) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 87,250 0     TO SUPPORT GENE THERAPY
(52) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 100,000 0     TO SUPPORT ALZHEIMER'S RESEARCH
(53) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 100,000 0     TO SUPPORT THE WILLIAM P. CLEMENTS, JR. UNIVERSITY HOSPITAL CONSTRUCTION PROJECT
(54) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 100,000 0     TO SUPPORT ALZHEIMER'S RESEARCH
(55) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 100,000 0     TO SUPPORT ALZHEIMER'S RESEARCH
(56) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 100,000 0     TO SUPPORT ALZHEIMER'S RESEARCH
(57) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 100,000 0     TO SUPPORT THE PENNY AND JESSE RALSTON BEHAVIORAL NEUROLOGY AND DEMENTIA FELLOWSHIP
(58) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 100,000 0     TO SUPPORT MULTIPLE SCLEROSIS RESEARCH
(59) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 105,000 0     TO SUPPORT THE O'DONNELL BRAIN INSTITUTE
(60) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 150,000 0     TO SUPPORT RESEARCH FOR THREE NEW INVESTIGATORS
(61) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 167,500 0     TO SUPPORT UT SOUTHWESTERN AMGEN SCHOLARS PROGRAM
(62) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 200,000 0     TO SUPPORT UT SOUTHWESTERN'S DFW COVID-19 COMMUNITY PREVALENCE STUDY
(63) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 200,000 0     TO SUPPORT BIPOLAR RESEARCH
(64) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 200,000 0     TO SUPPORT PALLIATIVE CARE PROGRAM
(65) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 275,000 0     TO SUPPORT THE CENTER FOR DEPRESSION RESEARCH AND CLINICAL CARE
(66) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 300,000 0     TO SUPPORT THE WILLIAM P. CLEMENTS, JR. UNIVERSITY HOSPITAL CONSTRUCTION PROJECT
(67) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 573,043 0     TO BE APPLIED TO OUTSTANDING HOSPITAL BILLS FOR INDIGENT, ELDERLY PATIENTS
(68) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 1,000,000 0     TO SUPPORT RESEARCH, CENTERS, ENDOWED CHAIRS, PROFESSORSHIPS, AND OTHER PROGRAMS
(69) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 1,000,591 0     TO SUPPORT NEUROSCIENCE RESEARCH AT SIMMONS COMPREHENSIVE CENTER FOR NEUROLOGY
(70) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 1,750,000 0     TO SUPPORT THE PEDIATRIC MOOD DISORDERS NETWORK AT CENTER FOR DEPRESSION RESEARCH
(71) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 9,000,000 0     TO SUPPORT CURRENT NEEDS OF UT SOUTHWESTERN
(72) UT SOUTHWESTERN
5323 HARRY HINES BOULEVARD
DALLAS,TX75390
74-6000203 170(B)(1)(A)(V) 13,031,521 0     TO SUPPORT RESEARCH, CENTERS, ENDOWED CHAIRS, PROFESSORSHIPS AND OTHER PROGRAMS
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Graphic Arrow
7
3
Enter total number of other organizations listed in the line 1 table ........................ . Graphic Arrow
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021

Schedule I (Form 990) 2021
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1) SCHOLARSHIPS 211 851,782      
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: THE ORGANIZATION THOROUGHLY REVIEWS AND APPROVES THE USE OF GRANT FUNDS MADE TO THE UT SOUTHWESTERN MEDICAL CENTER AND OTHER CHARITABLE ORGANIZATIONS.
SCHEDULE I, PART III: THE FOUNDATION MAKES SCHOLARSHIPS AVAILABLE TO MEDICAL STUDENTS BASED UPON THE RECOMMENDATIONS OF THE SCHOLARSHIP AWARDS COMMITTEE OF THE UT SOUTHWESTERN MEDICAL SCHOOL. THE COMMITTEE IS COMPOSED OF THE ASSOCIATE DEANS FOR STUDENT AFFAIRS, THE VICE PRESIDENT FOR STUDENT & ALUMNI AFFAIRS, THE DIRECTOR OF ADMISSIONS, THE REGISTRAR & THE DIRECTOR OF FINANCIAL AID. SCHOLARSHIP AWARDS MAY BE BASED EITHER UPON FINANCIAL NEED OR UPON PRIOR OUTSTANDING ACADEMIC PERFORMANCE. ALL APPLICANTS ARE SCREENED WITH THE MANDATES OF THE STATE OF TEXAS. FELLOWSHIPS ARE MADE UPON THE RECOMMENDATION OF THE PRESIDENT OF THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AND THE APPROPRIATE MEDICAL CHAIRMAN.
Schedule I (Form 990) 2021



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