<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2021v4.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2022-08-18T15:03:09-05:00</ReturnTs>
    <TaxPeriodEndDt>2021-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>832933734</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>HEAD MAXWELL &amp; MCKENNA LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>2200 MARKET ST STE 401</AddressLine1Txt>
        <CityNm>GALVESTON</CityNm>
        <StateAbbreviationCd>TX</StateAbbreviationCd>
        <ZIPCd>77550</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2021-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>741109652</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>THE SEALY &amp; SMITH FOUNDATION</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>SEAL</BusinessNameControlTxt>
      <PhoneNum>4097628666</PhoneNum>
      <USAddress>
        <AddressLine1Txt>2200 MARKET STREET SUITE 500</AddressLine1Txt>
        <CityNm>GALVESTON</CityNm>
        <StateAbbreviationCd>TX</StateAbbreviationCd>
        <ZIPCd>77550</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>DOUGLAS G ROGERS</PersonNm>
      <PersonTitleTxt>EXEC DIR/ SEC/TREAS</PersonTitleTxt>
      <PhoneNum>4097628666</PhoneNum>
      <SignatureDt>2022-08-18</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>DOUGLAS</PersonFirstNm>
        <PersonLastNm>ROGERS</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>JOHN R MCKENNA JR</PreparerPersonNm>
      <PTIN>P00618649</PTIN>
      <PhoneNum>4097636479</PhoneNum>
      <PreparationDt>2022-08-18</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2021</TaxYr>
    <BuildTS>2022-09-23 18:48:47Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="8">
    <IRS990 documentId="RetDoc1" referenceDocumentId="RetDoc6">
      <PrincipalOfficerNm>DOUGLAS G ROGERS</PrincipalOfficerNm>
      <GrossReceiptsAmt>460834797</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>SEALY-SMITH-FOUNDATION.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1922</FormationYr>
      <LegalDomicileStateCd>TX</LegalDomicileStateCd>
      <ActivityOrMissionDesc>SUPPORT OF THE JOHN SEALY HOSPITAL / UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON (UTMB).</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>7</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>7</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>7</TotalEmployeeCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <CYContributionsGrantsAmt>0</CYContributionsGrantsAmt>
      <CYProgramServiceRevenueAmt>0</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>61100001</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>165236762</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>25459143</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>28524188</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>86559144</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>193760950</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>18075275</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>54371334</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>1173655</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>1184940</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>3764160</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>4387958</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>23013090</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>59944232</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>63546054</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>133816718</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>1512427384</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>1823742664</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>116512154</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>144680456</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>1395915230</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>1679062208</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>TO PROVIDE FOR THE CONSTRUCTION, REMODELING, EQUIPPING, AND FURNISHING OF THE JOHN SEALY HOSPITAL AND OTHER HOSPITAL BUILDING OR BUILDINGS IN THE CITY OF GALVESTON, TX, IN CONNECTION WITH THE JOHN SEALY HOSPITAL, AND TO PROVIDE FOR HEALTHCARE OF CITIZENS OF GALVESTON THEREIN.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>54371334</ExpenseAmt>
      <GrantAmt>54371334</GrantAmt>
      <Desc>EXPENDITURES TO SUPPORT THE JOHN SEALY HOSPITAL / UTMB - GALVESTON. SEE SCHEDULE I.</Desc>
      <TotalProgramServiceExpensesAmt>54371334</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc8">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd>false</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc2">false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc2">true</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc2">false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc3">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">true</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">true</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc4">true</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc4">false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc5">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc7">false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc7">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>true</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="RetDoc7">true</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc7">true</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc7">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>21</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>7</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <Form8899Filedind>false</Form8899Filedind>
      <Form1098CFiledInd>false</Form1098CFiledInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>7</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>7</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>DOUGLAS G ROGERS</PersonNm>
        <PhoneNum>4097628666</PhoneNum>
        <USAddress>
          <AddressLine1Txt>2200 MARKET STREET SUITE 500</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77550</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN W KELSO</PersonNm>
        <TitleTxt>PRESIDENT/DI</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>54000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGE SEALY</PersonNm>
        <TitleTxt>EXEC VICE-PR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>49500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN ECKEL</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>31500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL C DOHERTY</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>54000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES B GALBRAITH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>54000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>E J PEDERSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>54000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEITH BASSETT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>49500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DOUGLAS G ROGERS</PersonNm>
        <TitleTxt>EXEC DIR/ SE</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>295360</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>47465</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES S JOBE</PersonNm>
        <TitleTxt>ASST SEC/TRE</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>160000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28260</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GLADYS STANSBERRY</PersonNm>
        <TitleTxt>ASST TREASUR</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>107478</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10570</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>909338</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>86295</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CAMBRIDGE ASSOCIATES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>125 HIGH STREET</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02110</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INVEST MANAGERS</ServicesDesc>
        <CompensationAmt>884779</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SILCHESTER INTERNATIONAL INVESTORS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>780 THIRD AVENUE 42ND FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10017</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INVEST MANAGERS</ServicesDesc>
        <CompensationAmt>642999</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FOCUSED INVESTORS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1999 AVENUE OF THE STARS STE 3320</AddressLine1Txt>
            <CityNm>LOS ANGELES</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>90067</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INVEST MANAGERS</ServicesDesc>
        <CompensationAmt>586644</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COLCHESTER GLOBAL INVESTORS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>885 THIRD AVENUE 24TH FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10022</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INVEST MANAGERS</ServicesDesc>
        <CompensationAmt>286668</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EDGBASTON ASIAN EQUITY TRUST</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>C/O THE NORTHERN TRUSY COMPANY</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 4766</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>606804766</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INVEST MANAGERS</ServicesDesc>
        <CompensationAmt>268907</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>9</CntrctRcvdGreaterThan100KCnt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>27776590</TotalRevenueColumnAmt>
        <ExclusionAmt>27776590</ExclusionAmt>
      </InvestmentIncomeGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>24009713</TotalRevenueColumnAmt>
        <ExclusionAmt>24009713</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>1867586</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>30008</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>1837578</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1837578</TotalRevenueColumnAmt>
        <ExclusionAmt>1837578</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>302578116</SecuritiesAmt>
        <OtherAmt>101925895</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>267043839</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>35534277</SecuritiesAmt>
        <OtherAmt>101925895</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>137460172</TotalRevenueColumnAmt>
        <ExclusionAmt>137460172</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>HARBOR PROPERTIES</Desc>
        <TotalRevenueColumnAmt>1003473</TotalRevenueColumnAmt>
        <ExclusionAmt>1003473</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>AGENCY ACCOUNT</Desc>
        <TotalRevenueColumnAmt>475693</TotalRevenueColumnAmt>
        <ExclusionAmt>475693</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>DAMAGES - WARD &amp; WINKLER CO</Desc>
        <TotalRevenueColumnAmt>475474</TotalRevenueColumnAmt>
        <ExclusionAmt>475474</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>722257</TotalRevenueColumnAmt>
        <ExclusionAmt>722257</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>2676897</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>193760950</TotalRevenueColumnAmt>
        <ExclusionAmt>193760950</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>54371334</TotalAmt>
        <ProgramServicesAmt>54371334</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>909338</TotalAmt>
        <ManagementAndGeneralAmt>909338</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>111300</TotalAmt>
        <ManagementAndGeneralAmt>111300</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>61440</TotalAmt>
        <ManagementAndGeneralAmt>61440</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>62942</TotalAmt>
        <ManagementAndGeneralAmt>62942</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>39920</TotalAmt>
        <ManagementAndGeneralAmt>39920</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>77383</TotalAmt>
        <ManagementAndGeneralAmt>77383</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>68125</TotalAmt>
        <ManagementAndGeneralAmt>68125</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>3481394</TotalAmt>
        <ManagementAndGeneralAmt>3481394</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>40531</TotalAmt>
        <ManagementAndGeneralAmt>40531</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>35261</TotalAmt>
        <ManagementAndGeneralAmt>35261</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>90900</TotalAmt>
        <ManagementAndGeneralAmt>90900</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <InsuranceGrp>
        <TotalAmt>41672</TotalAmt>
        <ManagementAndGeneralAmt>41672</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PROPERTY TAXES</Desc>
        <TotalAmt>480218</TotalAmt>
        <ManagementAndGeneralAmt>480218</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CUST FEES &amp; BANK CHARGES</Desc>
        <TotalAmt>47698</TotalAmt>
        <ManagementAndGeneralAmt>47698</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>15569</TotalAmt>
        <ManagementAndGeneralAmt>15569</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>INVESTMENT EXPENSES</Desc>
        <TotalAmt>7304</TotalAmt>
        <ManagementAndGeneralAmt>7304</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1903</TotalAmt>
        <ManagementAndGeneralAmt>1903</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>59944232</TotalAmt>
        <ProgramServicesAmt>54371334</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5572898</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>50250</BOYAmt>
        <EOYAmt>50250</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>77190837</BOYAmt>
        <EOYAmt>93048370</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>861904</BOYAmt>
        <EOYAmt>595180</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>56443</BOYAmt>
        <EOYAmt>61560</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>9147580</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>632987</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>8514593</BOYAmt>
        <EOYAmt>8514593</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>1164294555</BOYAmt>
        <EOYAmt>1206877335</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>219071129</BOYAmt>
        <EOYAmt>465616925</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>42387673</BOYAmt>
        <EOYAmt>48978451</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>1512427384</BOYAmt>
        <EOYAmt>1823742664</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>155300</BOYAmt>
        <EOYAmt>327816</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>115198901</BOYAmt>
        <EOYAmt>142794696</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>77763</BOYAmt>
        <EOYAmt>80256</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1080190</BOYAmt>
        <EOYAmt>1477688</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>116512154</BOYAmt>
        <EOYAmt>144680456</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1395915230</BOYAmt>
        <EOYAmt>1679062208</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1395915230</BOYAmt>
        <EOYAmt>1679062208</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1512427384</BOYAmt>
        <EOYAmt>1823742664</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>133816718</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>149330260</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc8">
      <SupportingOrganization509a3Ind>X</SupportingOrganization509a3Ind>
      <SupportingOrgType3FuncIntInd>X</SupportingOrgType3FuncIntInd>
      <SupportedOrganizationsCnt>1</SupportedOrganizationsCnt>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>JOHN SEALY HOSPITALUTMB GALVESTON</BusinessNameLine1Txt>
        </SupportedOrganizationName>
        <EIN>746000949</EIN>
        <OrganizationTypeCd>6</OrganizationTypeCd>
        <GoverningDocumentListedInd>true</GoverningDocumentListedInd>
        <SupportAmt>54371334</SupportAmt>
        <OtherSupportAmt>0</OtherSupportAmt>
      </SupportedOrgInformationGrp>
      <SupportedOrganizationsTotalCnt>1</SupportedOrganizationsTotalCnt>
      <SupportSumAmt>54371334</SupportSumAmt>
      <OtherSupportSumAmt>0</OtherSupportSumAmt>
      <Form990SchASupportingOrgGrp>
        <ListedByNameGoverningDocInd>true</ListedByNameGoverningDocInd>
        <SuprtOrgNoIRSDeterminationInd>true</SuprtOrgNoIRSDeterminationInd>
        <SupportedOrgSectionC456Ind>false</SupportedOrgSectionC456Ind>
        <SupportedOrgNotOrganizedUSInd>false</SupportedOrgNotOrganizedUSInd>
        <OrganizationChangeSuprtOrgInd>false</OrganizationChangeSuprtOrgInd>
        <SupportNonSupportedOrgInd>false</SupportNonSupportedOrgInd>
        <PaymentSubstantialContribtrInd>false</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>false</LoanDisqualifiedPersonInd>
        <ControlledDisqualifiedPrsnInd>false</ControlledDisqualifiedPrsnInd>
        <DisqualifiedPrsnControllIntInd>false</DisqualifiedPrsnControllIntInd>
        <DisqualifiedPrsnOwnrIntInd>false</DisqualifiedPrsnOwnrIntInd>
        <ExcessBusinessHoldingsRulesInd>false</ExcessBusinessHoldingsRulesInd>
        <ContributionControllerInd>false</ContributionControllerInd>
        <ContributionFamilyInd>false</ContributionFamilyInd>
        <Contribution35ControlledInd>false</Contribution35ControlledInd>
      </Form990SchASupportingOrgGrp>
      <Form990SchAType3SprtOrgAllGrp>
        <TimelyProvidedDocumentsInd>true</TimelyProvidedDocumentsInd>
        <OfficersCloseRelationshipInd>false</OfficersCloseRelationshipInd>
        <SupportedOrgVoiceInvestmentInd>false</SupportedOrgVoiceInvestmentInd>
      </Form990SchAType3SprtOrgAllGrp>
      <Form990SchAType3FuncIntGrp>
        <GovernmentalEntityInd>X</GovernmentalEntityInd>
      </Form990SchAType3FuncIntGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 2</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>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION D, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>LEADERS FROM THE ORGANIZATION AND UTMB MEET ON A REGULAR BASIS TO DISCUSS UTMB'S ONGOING PROJECTS AND NEEDS. UTMB'S PRESIDENT REGULARLY ATTENDS THE ORGANIZATION'S BOARD OF DIRECTORS' MEETINGS, AS WELL AS MEETS MONTHLY WITH THE ORGANIZATION'S BOARD OF DIRECTORS' PRESIDENT. THE ORGANIZATION'S EXECUTIVE DIRECTOR MEETS OR SPEAKS WITH UTMB'S PRESIDENT OR OTHER EXECUTIVES AT LEAST MONTHLY IF NOT MORE OFTEN. IN FACT, THE ORGANIZATION'S ASSISTANT SECRETARY AND SECOND IN COMMAND SPENDS A SIGNIFICANT AMOUNT OF TIME EACH MONTH WORKING DIRECTLY ON UTMB MATTERS. FURTHER, MEMBERS OF THE ORGANIZATION'S STAFF FREQUENTLY MEET OR SPEAK WITH OTHER UTMB LEADERS AND/OR STAFF EACH WEEK ON A VARIETY OF MATTERS THAT ARE IMPORTANT TO UTMB, INCLUDING, BUT NOT LIMITED TO PATIENT ACCESS TO DOCTORS, IMPLEMENTING NEW PROGRAMS, THE PROPERTIES THAT THE ORGANIZATION MANAGES FOR UTMB AND THE GRANTS THAT THE ORGANIZATION MAKES TO UTMB. THE ORGANIZATION AND UTMB HAVE MAINTAINED A CLOSE AND CONTINUOUS WORKING RELATIONSHIP FOR ALMOST 100 YEARS, WHICH ALLOWS THE ORGANIZATION TO BE RESPONSIVE TO UTMB'S NEEDS AND REQUESTS. PART IV, SECTION D, LINE 3 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>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 1C</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 2021, THE LEADERSHIP OF THE ORGANIZATION AND UTMB MET NUMEROUS TIMES TO DISCUSS PROGRAMS, THE 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, INCLUDING UPGRADING A HIGH SECURE BSL-2 LAB TO AN EVEN MORE SECURE BSL-3 LAB. BASED ON COVID-19 AND THE REALIZATION THAT THERE IS A CERTAINTY THAT FUTURE VIRUSES WILL APPEAR; THE ORGANIZATION AND UTMB WORKED TOGETHER TO ESTABLISH A DRUG DISCOVERY INSTITUTE AT UTMB. THIS INSTITUTE WILL ALLOW UTMB TO FURTHER PARTNER WITH LARGE DRUG COMPANIES TO PREPARE FOR VIRUSES THAT COULD INFECT THE WORLD POPULATION, ESPECIALLY IN THE POORER, MORE REMOTE COUNTRIES. A SECOND AREA OF SUPPORT THAT THE FOUNDATION ADDRESSED DURING 2021 WAS TO INSURE THAT UTMB HAD THE MOST UP-TO-DATE MEDICAL EQUIPMENT AVAILABLE IN ITS HOSPITALS. UTMB PRIORITIZED ITS NEEDS AND, REQUESTED OVER 17 MILLION OF STATE-OF-THE-ART EQUIPMENT, FOR WHICH THE ORGANIZATION APPROVED A GRANT. ADDITIONALLY, THROUGH DISCUSSIONS WITH UTMB'S PRESIDENT ON URGENT CARE, IT WAS DETERMINED THAT THE LEVEL 1 EMERGENCY ROOM NEEDED UPDATING. THE ORGANIZATION STEPPED UP AND PROVIDED FUNDING FOR DESIGN AND BUILDOUT OF THE TRAUMA CENTER BUILDING. IN ADDITION, BOTH UTMB AND THE ORGANIZATION RECONFIRMED THEIR SUPPORT OF THE TEEN HEALTH CENTERS, WHICH ARE IN PUBLIC SCHOOLS, AND PROVIDE AN IMPORTANT SOURCE FOR HEALTHCARE TO MINORS, AS WELL AS FREEING UP UTMB'S EMERGENCY ROOM AND URGENT CARE CLINICS FOR MORE CRITICAL PATIENTS. ULTIMATELY, DURING 2021, THE ORGANIZATION PROVIDED UTMB WITH OVER 54 MILLION IN FUNDING FOR RESEARCH, FACILITY UPGRADES, AND EQUIPMENT.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="RetDoc2">
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>56462838</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>56462838</FilingOrganizationsTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>1000000</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>250000</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus3Amt>648726</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>1000000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>3648726</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>5473089</LobbyingCeilingAmt>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>162182</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>250000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>912182</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>1368273</GrassrootsCeilingAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc3">
      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>8504593</InvestmentCostOrOtherBasisAmt>
        <BookValueAmt>8504593</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>642987</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>632987</DepreciationAmt>
        <BookValueAmt>10000</BookValueAmt>
      </BuildingsGrp>
      <TotalBookValueLandBuildingsAmt>8514593</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>MANAGED INVESTMENT ACCOUNTS</Desc>
        <BookValueAmt>370916456</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>INTERNALLY MANAGED EQUITIES</Desc>
        <BookValueAmt>94700469</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>465616925</TotalBookValueSecuritiesAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO MAGNOLIA HOLDING CO.</Desc>
        <Amt>1477688</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1477688</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>339609816</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>149330260</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>149330260</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>190279556</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>3481394</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>3481394</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>193760950</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>56462838</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>56462838</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>3481394</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>3481394</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>59944232</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc4">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <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>52692750</CashGrantAmt>
        <PurposeOfGrantTxt>SEE ATTACHED DETAIL</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE UNIVERSITY OF TEXAS MEDICAL BRA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 UNIVERSITY BOULEVARD</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>775550129</ZIPCd>
        </USAddress>
        <RecipientEIN>746000949</RecipientEIN>
        <CashGrantAmt>404504</CashGrantAmt>
        <PurposeOfGrantTxt>UTMB HUMAN RESOURCES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE UNIVERSITY OF TEXAS MEDICAL BRA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 UNIVERSITY BOULEVARD</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>775550129</ZIPCd>
        </USAddress>
        <RecipientEIN>746000949</RecipientEIN>
        <CashGrantAmt>617110</CashGrantAmt>
        <PurposeOfGrantTxt>PRIMARY CARE PAVILIO</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE UNIVERSITY OF TEXAS MEDICAL BRA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 UNIVERSITY BOULEVARD</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>775550129</ZIPCd>
        </USAddress>
        <RecipientEIN>746000949</RecipientEIN>
        <CashGrantAmt>185883</CashGrantAmt>
        <PurposeOfGrantTxt>R. WAVERLEY SMITH PA</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE UNIVERSITY OF TEXAS MEDICAL BRA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 UNIVERSITY BOULEVARD</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>775550129</ZIPCd>
        </USAddress>
        <RecipientEIN>746000949</RecipientEIN>
        <CashGrantAmt>232740</CashGrantAmt>
        <PurposeOfGrantTxt>UTMB OPHTHALMOLOGY C</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE UNIVERSITY OF TEXAS MEDICAL BRA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 UNIVERSITY BOULEVARD</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>775550129</ZIPCd>
        </USAddress>
        <RecipientEIN>746000949</RecipientEIN>
        <CashGrantAmt>38243</CashGrantAmt>
        <PurposeOfGrantTxt>WEST CLINIC PROPERTY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE UNIVERSITY OF TEXAS MEDICAL BRA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 UNIVERSITY BOULEVARD</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>775550129</ZIPCd>
        </USAddress>
        <RecipientEIN>746000949</RecipientEIN>
        <CashGrantAmt>129557</CashGrantAmt>
        <PurposeOfGrantTxt>UTMB PARKING LOT &amp; G</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE UNIVERSITY OF TEXAS MEDICAL BRA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 UNIVERSITY BOULEVARD</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>775550129</ZIPCd>
        </USAddress>
        <RecipientEIN>746000949</RecipientEIN>
        <CashGrantAmt>70547</CashGrantAmt>
        <PurposeOfGrantTxt>OTHER REAL ESTATE UT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, 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, PAGE 4, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE I, PART II, 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 9,700,000 UPGRADE TRAUMA CENTER AT UTMB 340,000 REPAIR THE ROSENBERG HOUSE AT UTMB 850,000 UPGRADE EXISTING BSL-2 LABORATORY SPACE TO BSL-3 155,000 RONALD MCDONALD HOUSE REPAIRS 2,000,000 CHILLED WATER AND STEAM TO R. WAVERLEY SMITH PAVILION 17,400,000 PURCHASE HOSPITAL EQUIPMENT 3,846,000 RENEW THE UTMB TEEN HEALTH PROGRAMS IN GALVESTON SCHOOLS 500,000 ADDITIONAL COOLING CAPACITY IN FREEZER ROOMS FOR RESEARCH 100,000 STUDY OF LONG-TERM SYMPTOMS OF POST-COVID PATIENTS 16,164,928 FUND THE DRUG DISCOVERY INSTITUTE AT UTMB 1,000 UTMB PRESIDENT'S CABINET (15,845) LAPSE OF UNUSED PORTION OF PRIOR CHILLED WATER GRANT 1,651,667 AMORTIZATION OF DISCOUNTS ON LONG-TERM GRANTS 404,504 UTMB HUMAN RESOURCES PROGRAM EXPENSES 617,110 PRIMARY CARE PAVILION OPERATING EXPENSES 185,883 R. WAVERLEY SMITH PAVILION OPERATING EXPENSES 232,740 UTMB OPHTHALMOLOGY CLINIC OPERATING EXPENSES 38,243 WEST END CLINIC PROPERTY PLANNING EXPENSES 129,557 UTMB PARKING LOT &amp; GARAGE 70,547 OTHER REAL ESTATE UTILIZED BY UTMB</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc5">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DOUGLAS G ROGERS</PersonNm>
        <TitleTxt>EXEC DIR/ SEC/TREAS</TitleTxt>
        <BaseCompensationFilingOrgAmt>295360</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>47465</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>342825</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES S JOBE</PersonNm>
        <TitleTxt>ASST SEC/TREASURER</TitleTxt>
        <BaseCompensationFilingOrgAmt>160000</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28260</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>188260</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROVIDE FOR THE CONSTRUCTION, REMODELING, EQUIPPING, AND FURNISHING OF THE JOHN SEALY HOSPITAL AND OTHER HOSPITAL BUILDING OR BUILDINGS IN THE CITY OF GALVESTON, TX, IN CONNECTION WITH THE JOHN SEALY HOSPITAL, AND TO PROVIDE FOR HEALTHCARE OF CITIZENS OF GALVESTON THEREIN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, 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, PAGE 6, PART VI, 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, PAGE 6, PART VI, LINE 15A</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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>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, PAGE 6, PART VI, 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>
    <IRS990ScheduleR documentId="RetDoc7">
      <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 HLDG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C2</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</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 HLDG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C2</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</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 HLDG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C2</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UTMB-GALVESTON</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>301 UNIVERSITY BOULEVARD</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>775550129</ZIPCd>
        </USAddress>
        <EIN>746000949</EIN>
        <PrimaryActivitiesTxt>GOVRN UNIT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WAVERLEY HOLDING COMPANY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>90900</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WAVERLEY HOLDING COMPANY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>127489</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WAVERLEY HOLDING COMPANY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>200522</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HARBOR PROPERTIES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>5530449</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HARBOR PROPERTIES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>151664</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MAGNOLIA HOLDING COMPANY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>258883</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MAGNOLIA HOLDING COMPANY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>400000</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>UTMB-GALVESTON</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>54371334</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
