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      <MethodOfAccountingCash>X</MethodOfAccountingCash>
      <AccountantCompileOrReview>true</AccountantCompileOrReview>
      <AccountantCompileOrReviewBasis>
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      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
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      <GeneralExplanation>THE CULLEN TRUST FOR HEALTH CARE TRUSTEES ARE CHARGED WITH THE SELECTION OF HEALTH CARE INSTITUTIONS AS BENEFICIARIES OF TRUST ASSETS IN ORDER TO MAINTAIN THE ORGANIZATION'S STATUS AS A SUPPORT ORGANIZATION OF INSTITUTIONS PROVIDING HEALTH CARE IN THE STATE OF TEXAS, PRIMARILY IN THE GREATER HOUSTON AREA.</GeneralExplanation>
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          <State>TX</State>
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        <EINOfRecipient>760698464</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>CHARITABLE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>LEGACY COMMUNITY HEALTH SERVICE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 66308</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77266</ZIPCode>
        </AddressUS>
        <EINOfRecipient>760009637</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>CHARITABLE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>SPRING BRANCH COMMUNITY HEALTH CENTER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1615 HILLENDAHL BLVD SUITE 100</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77055</ZIPCode>
        </AddressUS>
        <EINOfRecipient>300198705</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>CHARITABLE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>UNIVERSITY OF ST THOMAS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3800 MONTROSE BLVD</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77006</ZIPCode>
        </AddressUS>
        <EINOfRecipient>741277664</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>400000</AmountOfCashGrant>
        <PurposeOfGrant>CHARITABLE</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>21</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIV>
        <Identifier>Procedures for monitoring and reviewing the use of grant funds:</Identifier>
        <ReturnReference>SCHEDULE I, PART I, LINE 2</ReturnReference>
        <Explanation>Grant recipients are required to acknowledge in writing prior to the issuance of grant funds that: the grant will be used in accordance with the stAted purpose of the grant application, the recipient is an eligible recipient of such funds, any unused funds related to the specific purpose of the grant will be returned to the organization, and progress reports and other financial statements/tax returns will be submitted periodically to the organization for review. Accordingly, the organization reviews the progress reports and other financial data received from recipients to insure proper use of granted funds.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Copy of Form 990 provided to governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Question 11</ReturnReference>
        <Explanation>The organization engages an outside accounting firm to prepare Form 990. Once prepared, the board chair and administrative assistant review the form prior to filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Regular and Consistent monitoring and compliance with policy</Identifier>
        <ReturnReference>Form 990, Part VI, Question 12c</ReturnReference>
        <Explanation>The board chair reviews and resolves, if necessary, any transactions as they arise throughout the year.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Organizational documents made available to public</Identifier>
        <ReturnReference>Form 990, Part VI, Question 19</ReturnReference>
        <Explanation>The organization does not make its governing documents, policies, and financial statements available to the public.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Committee responsible for oversight of audit, review, or compilation</Identifier>
        <ReturnReference>Form 990, Part XII, Question 2c</ReturnReference>
        <Explanation>The board of trustees acts in a capacity as an audit committee and assumes the responsibility for oversight of the audit, review, or compilation of financial statements and selection of an independent accountant.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 9</ReturnReference>
        <Explanation>AETHER REAL ASSETS II, L.P. ($12,336)</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>