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        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 1C-HOW SUPPORTED GOVERNMENT ENTITY</FormAndLineReferenceDesc>
        <ExplanationTxt>UTMB, 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). HOWEVER, THE ORGANIZATION HAS A COPY OF A LETTER, DATED OCTOBER 9, 1997, FROM THE IRS ACTING DISTRICT DIRECTOR STATING THAT THE UNIVERSITY OF TEXAS SYSTEM AND ALL OF ITS COMPONENT INSTITUTIONS, INCLUDING THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON ("UTMB"), ARE DESCRIBED IN SECTIONS 170(B)(1)(A)(V) AND 170(C)(1) OF THE INTERNAL REVENUE CODE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART IV, SECTION D, LINE 2 - EXPLANATION OF WORKING RELATION</FormAndLineReferenceDesc>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION D, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S INVESTMENT DECISIONS ARE INFLUENCED BY THE GRANT REQUESTS IT RECEIVES FROM UTMB. UTMB, A GOVERNMENTAL ENTITY, IS THE ONLY CHARITABLE ORGANIZATION OR SUPPORTED ORGANIZATION TO WHICH THE ORGANIZATION MAKES GRANTS. MANY OF THE GRANTS THE ORGANIZATION MAKES TO UTMB ARE FOR LARGE CAPITAL EXPENDITURES. LEADERS OF UTMB MEET WITH THE ORGANIZATION THROUGHOUT THE YEAR TO DISCUSS THE NEED FOR GRANTS AND THEIR TIMING WHICH ALLOWS THE ORGANIZATION TO MANAGE ITS INVESTMENTS BASED ON UTMB'S GRANT NEEDS. ALTHOUGH UTMB DID NOT DRAFT THE ORGANIZATION'S INVESTMENT POLICY, IT DOES HAVE A SIGNIFICANT VOICE IN THE TIMING OF GRANTS, DICTATING THE GRANTS' PAYMENT SCHEDULES, AND SELECTING WHICH UTMB DEPARTMENTS WILL RECEIVE GRANTS.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 1C-HOW SUPPORTED GOVERNMENT ENTITY</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A SUPPORTING ORGANIZATION TO UTMB, A GOVERNMENTAL ENTITY. THE ORGANIZATION WAS FORMED IN 1922 AND SINCE THAT TIME HAS MAINTAINED A CLOSE, CONTINUING AND HISTORIC RELATIONSHIP WITH UTMB. THE ORGANIZATION HAS CONTRIBUTED MORE THAN $1 BILLION TO SUPPORT MEDICAL EDUCATION AND THE DELIVERY OF HEALTHCARE AT UTMB, INCLUDING FUNDING FOR THE CONSTRUCTION OF UTMB'S HOSPITALS, ITS BIO-SAFETY LAB, STATE-OF-THE-ART MEDICAL EQUIPMENT, INCREASED CLINICAL STAFFING FOR PATIENTS, A HEART AND VASCULAR CENTER AND FUNDING FOR MEDICAL RESEARCH, INCLUDING COVID-19. THE ORGANIZATION IS ALSO THE LARGEST, SINGLE ENTITY CONTRIBUTOR TO A UNIVERSITY OF TEXAS SYSTEM INSTITUTION. THE ORGANIZATION, TOGETHER WITH UTMB, HAS PROVIDED THE VISION AND STRATEGIC DIRECTION THAT ALLOWS UTMB TO SERVE GALVESTON, THE STATE OF TEXAS AND THE NATION AS A PREMIER HEALTH INSTITUTION. THE ORGANIZATION AND UTMB'S LEADERS MEET ON A REGULAR BASIS TO DISCUSS UTMB'S ONGOING PROJECTS AND NEEDS, AS WELL AS PROVIDING COUNSEL DURING CONSTRUCTION OF MANY OF THE PROJECTS BUILT FOR UTMB. AS PREVIOUSLY STATED,THE ORGANIZATION'S BOARD MEETS AND CONSIDERS UTMB'S NEEDS WHEN MAKING INVESTMENT DECISIONS. THE ORGANIZATION ENGAGES IN MANY CHARITABLE ACTIVITIES ON BEHALF OF UTMB. FOR EXAMPLE, THE ORGANIZATION OWNS PROPERTY AND BUILDINGS THAT UTMB USES FOR ITS CHARITABLE AND EDUCATIONAL MISSION. THE ORGANIZATION OWNS, MAINTAINS AND MANAGES SEVERAL OF THESE PROPERTIES AND WORKS WITH UTMB TO ENSURE THAT THE UPKEEP OF THESE PROPERTIES MEETS UTMB'S EXPECTATIONS. FOR INSTANCE, THE ORGANIZATION PROVIDES THREE PATIENT CARE FACILITIES AT NO COST, INCLUDING INSURANCE COVERAGE AND MAINTENANCE FOR THE EXTERIOR ENVELOPE (WINDOWS, ROOFS, ETC.)/GROUNDS OF THE PROPERTIES AND MAJOR COMPONENTS SUCH AS EXTERIOR CLIMATE CONTROL EQUIPMENT. THESE PROPERTIES INCLUDE THE PRIMARY CARE PAVILION, R. WAVERLEY SMITH PAVILION, UTMB OPHTHALMOLOGY/OTOLARYNGOLOGY CENTER OF EXCELLENCE, AND THE EWING HALL RESEARCH BUILDING. THE ORGANIZATION ALSO PROVIDES, AT NO COST TO UTMB, FACILITIES ON CAMPUS FOR PARKING, INCLUDING A PARKING GARAGE AND PARKING LOT. THE UTMB HUMAN RESOURCES OFFICES, LOCATED IN A BUILDING OWNED BY THE ORGANIZATION, ARE ALSO MAINTAINED BY THE ORGANIZATION AT NO EXPENSE TO UTMB. DURING 2022, THE LEADERSHIP OF THE ORGANIZATION AND UTMB MET NUMEROUS TIMES TO DISCUSS PROGRAMS, THE ONGOING COVID-19 PANDEMIC, AND UTMB'S FACILITIES. THE ORGANIZATION'S LEADERS AND UTMB'S LEADERSHIP CONTINUED TO COLLABORATE ON THE IMPLEMENTATION OF PROGRAMS TO DEAL WITH THE COVID-19 PANDEMIC, AND PREPARE FOR A FUTURE VIRUS OUTBREAK, WHEN IT APPEARS. IN ADDITION TO WORKING WITH UTMB IN REGARD TO THE PANDEMIC, THE ORGANIZATION AND UTMB REALIZED THAT, BY BRINGING IN HOUSE THE MANAGEMENT OF ITS LEVEL 1 TRAUMA CENTER, UTMB COULD NOT ONLY INCREASE REVENUES, BUT ADD A DEGREE PLAN FOR TRAINING EMERGENCY ROOM DOCTORS IN ITS MEDICAL SCHOOL. AS A RESULT, THE ORGANIZATION APPROVED AN $11.8 MILLION GRANT TO ESTABLISH THE DEPARTMENT OF ACADEMIC EMERGENCY MEDICINE. THE ORGANIZATION ALSO APPROVED AN ADDITIONAL GRANT OF $6.5 MILLION FOR EQUIPMENT AND FINISH-OUT OF THE TRAUMA CENTER. ALSO IN 2022, BOTH THE ORGANIZATION AND UTMB RECONFIRMED THEIR SUPPORT OF THE ST. VINCENT'S HOUSE CLINICS. WITH A THREE YEAR, $3.725 MILLION GRANT FROM THE ORGANIZATION, THESE CLINICS WILL CONTINUE TO PROVIDE HEALTHCARE AND SERVICES TO LOW INCOME AND HOMELESS INDIVIDUALS. BY BRINGING HEALTHCARE SERVICES TO THESE PATIENTS DIRECTLY IN THEIR NEIGHBORHOOD, THE ST. VINCENT'S HOUSE CLINICS ALSO FREE UP UTMB'S EMERGENCY ROOM FOR MORE CRITICAL PATIENTS. DURING 2022, THE ORGANIZATION PROVIDED UTMB WITH OVER $25.5 MILLION IN FUNDING FOR HEALTHCARE, MEDICAL EDUCATION AND RESEARCH.</ExplanationTxt>
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      <RevenueSubtotalAmt>154840649</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>3893572</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>3893572</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotRptFinclStmtAmt>3893572</ExpensesNotRptFinclStmtAmt>
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    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
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          <BusinessNameLine1Txt>JOHN SEALY HOSPITALUTMB</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 UNIVERSITY BOULEVARD</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>775550129</ZIPCd>
        </USAddress>
        <RecipientEIN>746000949</RecipientEIN>
        <CashGrantAmt>24020135</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SEE ATTACHED DETAIL</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE UNIVERSITY OF TEXAS MEDICAL BRANCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 UNIVERSITY BOULEVARD</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>775550129</ZIPCd>
        </USAddress>
        <RecipientEIN>746000949</RecipientEIN>
        <CashGrantAmt>376260</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>UTMB HUMAN RESOURCES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE UNIVERSITY OF TEXAS MEDICAL BRANCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 UNIVERSITY BOULEVARD</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>775550129</ZIPCd>
        </USAddress>
        <RecipientEIN>746000949</RecipientEIN>
        <CashGrantAmt>551409</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PRIMARY CARE PAVILION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE UNIVERSITY OF TEXAS MEDICAL BRANCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 UNIVERSITY BOULEVARD</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>775550129</ZIPCd>
        </USAddress>
        <RecipientEIN>746000949</RecipientEIN>
        <CashGrantAmt>100311</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>R. WAVERLY SMITH PAVILION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE UNIVERSITY OF TEXAS MEDICAL BRANCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 UNIVERSITY BOULEVARD</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>775550129</ZIPCd>
        </USAddress>
        <RecipientEIN>746000949</RecipientEIN>
        <CashGrantAmt>252143</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>UTMB OPHTALMOLOGY CLINIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE UNIVERSITY OF TEXAS MEDICAL BRANCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 UNIVERSITY BOULEVARD</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>775550129</ZIPCd>
        </USAddress>
        <RecipientEIN>746000949</RecipientEIN>
        <CashGrantAmt>47153</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>WEST END CLINIC PROPERTY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE UNIVERSITY OF TEXAS MEDICAL BRANCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 UNIVERSITY BOULEVARD</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>775550129</ZIPCd>
        </USAddress>
        <RecipientEIN>746000949</RecipientEIN>
        <CashGrantAmt>69624</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>UTMB PARKING LOT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE UNIVERSITY OF TEXAS MEDICAL BRANCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 UNIVERSITY BOULEVARD</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>775550129</ZIPCd>
        </USAddress>
        <RecipientEIN>746000949</RecipientEIN>
        <CashGrantAmt>99606</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>OTHER REAL ESTATE</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAINTAINS RECORDS OF THE GRANTS IT AWARDS TO UTMB AND MONITORS SUCH GRANTS BY (1) REQUIRING UTMB TO SIGN A WRITTEN GRANT AGREEMENT FOR MONETARY AWARDS; (2) CONDUCTING FIELD INVESTIGATIONS OF HOW UTMB WILL, AND DOES, USE THE GIFT; (3) MEETING WITH UTMB OFFICERS AND PERSONNEL WHO WILL OVERSEE THE GRANT; AND (4) REQUESTING UTMB TO PROVIDE PROGRESS REPORTS, INCLUDING AMOUNT OF FUNDS EXPENDED ON THE PROJECT AS DRAWS ON THE GRANT ARE REQUESTED. BECAUSE THE ORGANIZATION AND UTMB HAVE A HISTORICALLY CLOSE WORKING RELATIONSHIP, THE ORGANIZATION CAN MAKE SURE THAT IT IS RESPONSIVE TO UTMB WHILE GUARANTEEING THAT GRANTS TO UTMB ARE USED CONSISTENTLY WITH ITS CHARITABLE PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART II,</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTS TO DOMESTIC ORGANIZATIONS AND DOMESTIC GOVERNMENTS NAME AND ADDRESS OF ORGANIZATION JOHN SEALY HOSPITAL/UTMB 301 UNIVERSITY BOULEVARD GALVESTON, TX 77555-0129 EIN: 74-6000949 AMOUNT OF GRANT PURPOSE OF GRANT $ 100,000 OMICRON COVID-19 ANTIBODY STUDY $ 1,000,000 ST. VINCENT'S HOUSE CLINIC 2023 OPERATION $ 11,800,000 SEALY DEPARTMENT OF ACADEMIC EMERGENCY MEDICINE $ 6,500,000 EQUIPMENT AND FURNISHINGS OF THE EMERGENCY DEPARTMENT $ 500,000 INSTALLATION OF TWO HYPERBARIC CHAMBERS $ 2,725,000 ST. VINCENT'S HOUSE CLINIC 2024 AND 2025 OPERATIONS $ 1,000 UTMB PRESIDENT'S CABINET $ 1,394,135 AMORTIZATION OF DISCOUNTS ON LONG-TERM GRANTS $ 376,260 UTMB HUMAN RESOURCES PROGRAM EXPENSES $ 551,409 PRIMARY CARE PAVILION OPERATING EXPENSES $ 100,311 R. WAVERLEY SMITH PAVILION OPERATING EXPENSES $ 252,143 UTMB OPHTHALMOLOGY CLINIC OPERATING EXPENSES $ 47,153 WEST END CLINIC PROPERTY PLANNING EXPENSES $ 69,624 UTMB PARKING LOT &amp; GARAGE $ 99,606 OTHER REAL ESTATE UTILIZED BY UTMB</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DOUGLAS G ROGERS</PersonNm>
        <TitleTxt>EXEC DIR/ SEC/TREAS</TitleTxt>
        <BaseCompensationFilingOrgAmt>302012</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>45000</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>53087</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>400099</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES S JOBE</PersonNm>
        <TitleTxt>ASST SEC/TREASURER</TitleTxt>
        <BaseCompensationFilingOrgAmt>162026</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>30044</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>192070</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FOUNDATION'S FORM 990 IS FURNISHED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO BEING FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY DURING THE JANUARY BOARD OF DIRECTORS MEETING AND A WRITTEN ACKNOWLEDGEMENT IS COMPLETED BY EACH DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY THE ORGANIZATION'S INDEPENDENT COMPENSATION COMMITTEE REVIEWS THE COMPENSATION OF THE EXECUTIVE DIRECTOR. THE COMMITTEE USES COMPARABLE DATA FROM VARIOUS NONPROFIT PUBLICATIONS, INCLUDING THE COUNCIL ON FOUNDATIONS SALARY AND BENEFIT REPORT, WHICH PROVIDES COMPENSATION DATA. IT ALSO USES OTHER NONPROFITS' FORMS 990. THE EXECUTIVE DIRECTOR DOES NOT PARTICIPATE IN THE CONVERSATIONS AND DISCUSSIONS ABOUT HIS OWN COMPENSATION. DETAILED MINUTES OF THE COMPENSATION COMMITTEE'S MEETINGS ARE MAINTAINED BY THE ORGANIZATION. ANNUALLY THE ORGANIZATION'S INDEPENDENT COMPENSATION COMMITTEE REVIEWS THE COMPENSATION OF THE OFFICERS. THE COMMITTEE USES COMPARABLE DATA FROM VARIOUS NONPROFIT PUBLICATIONS, INCLUDING THE COUNCIL ON FOUNDATIONS SALARY AND BENEFIT REPORT, WHICH PROVIDES COMPENSATION DATA. IT ALSO USES OTHER NONPROFITS' FORMS 990. OFFICERS DO NOT PARTICIPATE IN THE CONVERSATIONS AND DISCUSSIONS ABOUT THEIR OWN COMPENSATION. DETAILED MINUTES OF THE COMPENSATION COMMITTEE'S MEETINGS ARE MAINTAINED BY THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDIT REPORT AVAILABLE TO ITS SUPPORTED ORGANIZATION, THE JOHN SEALY HOSPITAL AND THE UNIVERSITY OF TEXAS MEDICAL BRANCH (UTMB). UPON REASONABLE WRITTEN REQUEST, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HARBOR PROPERTIES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2200 MARKET STREET STE 500</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77550</ZIPCd>
        </USAddress>
        <EIN>760388046</EIN>
        <PrimaryActivitiesTxt>TITLE HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(2)</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MAGNOLIA HOLDING COMPANY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2200 MARKET STREET STE 500</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77550</ZIPCd>
        </USAddress>
        <EIN>760611545</EIN>
        <PrimaryActivitiesTxt>TITLE HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(2)</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WAVERLEY HOLDING COMPANY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2200 MARKET STREET STE 500</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77550</ZIPCd>
        </USAddress>
        <EIN>760423548</EIN>
        <PrimaryActivitiesTxt>TITLE HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(2)</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UTMB-GALVESTON</BusinessNameLine1Txt>
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          <AddressLine1Txt>301 UNIVERSITY BOULEVARD</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>775550129</ZIPCd>
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        <EIN>746000949</EIN>
        <PrimaryActivitiesTxt>GOVERNMENT UNIT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
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      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
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      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
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      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>WAVERLEY HOLDING COMPANY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>90900</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>WAVERLEY HOLDING COMPANY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>129639</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>WAVERLEY HOLDING COMPANY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>96357</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HARBOR PROPERTIES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>2500000</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HARBOR PROPERTIES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>186930</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MAGNOLIA HOLDING COMPANY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>242632</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MAGNOLIA HOLDING COMPANY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>900000</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>UTMB-GALVESTON</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>25516641</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
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</Return>
