﻿<?xml version="1.0" encoding="utf-8"?>
<Return returnVersion="2015v3.0" xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2017-05-18T09:59:29-05:00</ReturnTs>
    <TaxPeriodEndDt>2016-08-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>760354302</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>HEAD MAXWELL &amp; MCKENNA PC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>2200 MARKET ST SUITE 401</AddressLine1Txt>
        <CityNm>GALVESTON</CityNm>
        <StateAbbreviationCd>TX</StateAbbreviationCd>
        <ZIPCd>77550</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2015-09-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>760682238</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>UTMB HEALTHCARE SYSTEMS INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>UTMB</BusinessNameControlTxt>
      <PhoneNum>4097664000</PhoneNum>
      <USAddress>
        <AddressLine1Txt>301 UNIVERSITY BOULEVARD RT 0109</AddressLine1Txt>
        <CityNm>GALVESTON</CityNm>
        <StateAbbreviationCd>TX</StateAbbreviationCd>
        <ZIPCd>775550109</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>DAVID C GRUENER</PersonNm>
      <PersonTitleTxt>PRESIDENT &amp; CEO</PersonTitleTxt>
      <PhoneNum>4097664000</PhoneNum>
      <SignatureDt>2017-05-16</SignatureDt>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>JOHN R MCKENNA JR</PreparerPersonNm>
      <PTIN>P00618649</PTIN>
      <PhoneNum>4097636479</PhoneNum>
      <PreparationDt>2017-05-16</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2015</TaxYr>
    <BuildTS>2021-01-29 14:40:06Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="6">
    <IRS990 documentId="RetDoc1" referenceDocumentId="RetDoc4">
      <PrincipalOfficerNm>DAVID C GRUENER</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>301 UNIVERSITY BLVD RT 0128</AddressLine1Txt>
        <CityNm>GALVESTON</CityNm>
        <StateAbbreviationCd>TX</StateAbbreviationCd>
        <ZIPCd>775550128</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>33648114</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>UTMBHCS.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1998</FormationYr>
      <LegalDomicileStateCd>TX</LegalDomicileStateCd>
      <ActivityOrMissionDesc>THE MISSION OF UTMB HEALTHCARE SYSTEMS, INC. (UTMB HCS) IS TO IMPROVE THE HEALTH OF TEXAS COMMUNITIES BY CREATING A NETWORK OF HEALTH CARE PROFESSIONALS ENGAGING IN STATE-OF-THE-ART PATIENT CARE, SCHOLARLY MEDICAL EDUCATION, AND INNOVATIVE RESEARCH.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>8</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>0</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>720</TotalEmployeeCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <CYContributionsGrantsAmt>0</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>31350104</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>30043855</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>138155</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>416405</CYInvestmentIncomeAmt>
      <CYOtherRevenueAmt>0</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>31488259</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>30460260</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>18375150</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>16364032</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>11298301</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>12717990</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>29673451</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>29082022</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>1814808</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>1378238</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>13846116</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>19294550</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>2214312</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>6328813</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>11631804</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>12965737</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>THE MISSION OF UTMB HEALTHCARE SYSTEMS, INC. (UTMB HCS) IS TO IMPROVE THE HEALTH OF TEXAS COMMUNITIES BY CREATING A NETWORK OF HEALTH CARE PROFESSIONALS ENGAGING IN STATE-OF-THE-ART PATIENT CARE, SCHOLARLY MEDICAL EDUCATION, AND INNOVATIVE RESEARCH.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>28367053</ExpenseAmt>
      <RevenueAmt>29692163</RevenueAmt>
      <Desc>THE EXEMPT PURPOSE ACHIEVEMENT IS TO PROVIDE NURSE RECRUITING AND STAFFING, CASE MANAGEMENT, ETC. FOR THE UNIVERSITY OF TEXAS MEDICAL BRANCH.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>261923</ExpenseAmt>
        <RevenueAmt>651361</RevenueAmt>
        <Desc>THE EXEMPT PURPOSE ACHIEVEMENT IS TO PROVIDE PROPERTY MANAGEMENT FOR THE BENEFIT OF THE UNIVERSITY OF TEXAS MEDICAL BRANCH. UTMB HEALTHCARE SYSTEMS,INC. MANAGES AND LEASES PRIMARY CARE CLINICS FOR UTMB.</Desc>
      </ProgSrvcAccomActy2Grp>
      <TotalProgramServiceExpensesAmt>28628976</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc5">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd>false</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc2">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc2">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc2">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc2">false</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="RetDoc2">false</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc2">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc2">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc2">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc2">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc2">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc2">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc2">false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc2">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>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc3">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd>false</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc6">false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc6">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>true</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="RetDoc6">true</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc6">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc6">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>12</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>720</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>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>8</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>0</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>true</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>true</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>true</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>false</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>MARIA L GONZALEZ</PersonNm>
        <PhoneNum>4097664059</PhoneNum>
        <USAddress>
          <AddressLine1Txt>123 25TH STREET 9TH FLOOR</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>775550985</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID L CALLENDER MD</PersonNm>
        <TitleTxt>CHAIR, SOLE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1007235</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>206704</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANNY O JACOBS MD</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1219099</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>103711</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DONNA K SOLLENBERGER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>835550</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>107504</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BEN RAIMER MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>557281</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3298</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REX MCCALLUM MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>489459</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4541</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SELWYN O ROGERS MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>609821</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5269</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHERYL A SADRO</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>823872</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>111026</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID M CONNAUGHTON</PersonNm>
        <TitleTxt>PRESIDENT &amp;</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>38.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>438644</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8937</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA L GONZALEZ</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>35.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>74982</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2473</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA L THOMPSON MD</PersonNm>
        <TitleTxt>FORMER DIREC</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>423430</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>807</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DONALD PROUGH MD</PersonNm>
        <TitleTxt>FORMER DIREC</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>618780</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6042</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotReportableCompRltdOrgAmt>7098153</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>560312</TotalOtherCompensationAmt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SUPPLEMENTAL HEALTH CARE SERVICES LI</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 27124</AddressLine1Txt>
            <CityNm>SALT LAKE CITY</CityNm>
            <StateAbbreviationCd>UT</StateAbbreviationCd>
            <ZIPCd>841270124</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMPORARY STAFF</ServicesDesc>
        <CompensationAmt>3087347</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MILLENIA MEDICAL SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 162713</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303212713</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMPORARY STAFF</ServicesDesc>
        <CompensationAmt>1645038</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AMEDISTAF LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 595</AddressLine1Txt>
            <CityNm>TONTITOWN</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72770</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMPORARY STAFF</ServicesDesc>
        <CompensationAmt>1222933</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AMN HEALTHCARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2735 COLLECTIONS CENTER DR</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMPORARY STAFF</ServicesDesc>
        <CompensationAmt>1011036</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NORDIC CONSULTING PARTNERS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>740 REGENT STREET SUITE 400</AddressLine1Txt>
            <CityNm>MADISON</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>53715</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMPORARY STAFF</ServicesDesc>
        <CompensationAmt>964462</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>15</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>MANAGEMENT SERVICES</Desc>
        <BusinessCd>561499</BusinessCd>
        <TotalRevenueColumnAmt>29692163</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>29692163</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PROPERTY MANAGEMENT</Desc>
        <BusinessCd>532000</BusinessCd>
        <TotalRevenueColumnAmt>351692</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>351692</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>30043855</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>119259</TotalRevenueColumnAmt>
        <ExclusionAmt>119259</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>3000000</SecuritiesAmt>
        <OtherAmt>485000</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>3002523</SecuritiesAmt>
        <OtherAmt>185331</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-2523</SecuritiesAmt>
        <OtherAmt>299669</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>297146</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>299669</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>-2523</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>30460260</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>30343524</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>116736</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>70249</TotalAmt>
        <ManagementAndGeneralAmt>70249</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>14999790</TotalAmt>
        <ProgramServicesAmt>14749545</ProgramServicesAmt>
        <ManagementAndGeneralAmt>250245</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>110146</TotalAmt>
        <ProgramServicesAmt>110146</ProgramServicesAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>113392</TotalAmt>
        <ProgramServicesAmt>113021</ProgramServicesAmt>
        <ManagementAndGeneralAmt>371</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1070455</TotalAmt>
        <ProgramServicesAmt>1070455</ProgramServicesAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>86949</TotalAmt>
        <ProgramServicesAmt>19342</ProgramServicesAmt>
        <ManagementAndGeneralAmt>67607</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>4070</TotalAmt>
        <ProgramServicesAmt>7500</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-3430</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>11969933</TotalAmt>
        <ProgramServicesAmt>11968759</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1174</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>236583</TotalAmt>
        <ProgramServicesAmt>236583</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>74028</TotalAmt>
        <ProgramServicesAmt>57226</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16802</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>21481</TotalAmt>
        <ProgramServicesAmt>20223</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1258</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>72997</TotalAmt>
        <ProgramServicesAmt>57191</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15806</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>12308</TotalAmt>
        <ProgramServicesAmt>2736</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9572</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>575</TotalAmt>
        <ProgramServicesAmt>575</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>104308</TotalAmt>
        <ProgramServicesAmt>104308</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>129647</TotalAmt>
        <ProgramServicesAmt>111366</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18281</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>OTHER FEES</Desc>
        <TotalAmt>5000</TotalAmt>
        <ManagementAndGeneralAmt>5000</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEMBERSHIP DUES - PROFESS</Desc>
        <TotalAmt>111</TotalAmt>
        <ManagementAndGeneralAmt>111</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>29082022</TotalAmt>
        <ProgramServicesAmt>28628976</ProgramServicesAmt>
        <ManagementAndGeneralAmt>453046</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>766414</BOYAmt>
        <EOYAmt>319901</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>8323323</BOYAmt>
        <EOYAmt>9787081</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>2425269</BOYAmt>
        <EOYAmt>1814361</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <EOYAmt>5320793</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>105832</BOYAmt>
        <EOYAmt>83904</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>3345925</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1377415</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2225278</BOYAmt>
        <EOYAmt>1968510</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <TotalAssetsGrp>
        <BOYAmt>13846116</BOYAmt>
        <EOYAmt>19294550</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2212248</BOYAmt>
        <EOYAmt>1328424</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>2064</BOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <EOYAmt>5000389</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2214312</BOYAmt>
        <EOYAmt>6328813</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrgDoesNotFollowSFAS117Ind>X</OrgDoesNotFollowSFAS117Ind>
      <RtnEarnEndowmentIncmOthFndsGrp>
        <BOYAmt>11631804</BOYAmt>
        <EOYAmt>12965737</EOYAmt>
      </RtnEarnEndowmentIncmOthFndsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>11631804</BOYAmt>
        <EOYAmt>12965737</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>13846116</BOYAmt>
        <EOYAmt>19294550</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1378238</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-44305</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>false</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc5">
      <SupportingOrganization509a3Ind>X</SupportingOrganization509a3Ind>
      <SupportingOrgType1Ind>X</SupportingOrgType1Ind>
      <SupportedOrganizationsCnt>1</SupportedOrganizationsCnt>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON</BusinessNameLine1Txt>
        </SupportedOrganizationName>
        <EIN>746000949</EIN>
        <OrganizationTypeCd>6</OrganizationTypeCd>
        <GoverningDocumentListedInd>true</GoverningDocumentListedInd>
        <SupportAmt>1732226</SupportAmt>
        <OtherSupportAmt>0</OtherSupportAmt>
      </SupportedOrgInformationGrp>
      <SupportedOrganizationsTotalCnt>1</SupportedOrganizationsTotalCnt>
      <SupportSumAmt>1732226</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>
      <Form990SchAType1SuprtOrgGrp>
        <PowerAppointMajorityDirTrstInd>true</PowerAppointMajorityDirTrstInd>
        <OperateBenefitNonSuprtOrgInd>false</OperateBenefitNonSuprtOrgInd>
      </Form990SchAType1SuprtOrgGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SUPPORTING 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).</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc2">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>701601</OtherCostOrOtherBasisAmt>
        <BookValueAmt>701601</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>2527870</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1323116</DepreciationAmt>
        <BookValueAmt>1204754</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>6371</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6371</DepreciationAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>110083</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>47928</DepreciationAmt>
        <BookValueAmt>62155</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1968510</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>AFFILIATE LOAN - PROCEEDS PAYABLE</Desc>
        <Amt>5000000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO UTMB-REFUND 3 SHARE EXPENSES</Desc>
        <Amt>389</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>5000389</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc3">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID L CALLENDER MD</PersonNm>
        <TitleTxt>CHAIR, SOLE MEMBER</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>665016</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>155879</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>186340</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>200000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>6704</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1213939</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANNY O JACOBS MD</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>753348</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>161661</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>304090</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>100000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>3711</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1322810</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>300000</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DONNA K SOLLENBERGER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>684155</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>148995</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>2400</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>100000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>7504</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>943054</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BEN RAIMER MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>432242</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>119889</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>5150</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>3298</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>560579</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>REX MCCALLUM MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>421500</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>50679</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>17280</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>4541</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>494000</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SELWYN O ROGERS MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>544731</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>63690</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>1400</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>5269</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>615090</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHERYL A SADRO</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>566745</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>245927</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>11200</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>100000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>11026</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>934898</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID M CONNAUGHTON</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>363849</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>70915</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>3880</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>8937</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>447581</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BARBARA L THOMPSON MD</PersonNm>
        <TitleTxt>FORMER DIRECTOR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>343945</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>77985</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>1500</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>807</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>424237</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DONALD PROUGH MD</PersonNm>
        <TitleTxt>FORMER DIRECTOR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>497547</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>120033</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>1200</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>6042</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>624822</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO RECEIVES NO COMPENSATION FROM UTMB HEALTHCARE SYSTEMS, INC. HE IS COMPENSATED BY THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON. THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON USES LABOR MARKET SURVEY INFORMATION TO ESTABLISH THE COMPENSATION OF THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>DAVID L. CALLENDER, M.D. 0 200,000 0 DANNY O. JACOBS, M.D. 0 403,200 0 DONNA K. SOLLENBERGER 0 100,000 0 CHERYL A. SADRO 0 100,000 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MISSION OF UTMB HEALTHCARE SYSTEMS, INC. (UTMB HCS) IS TO IMPROVE THE HEALTH OF TEXAS COMMUNITIES BY CREATING A NETWORK OF HEALTH CARE PROFESSIONALS ENGAGING IN STATE-OF-THE-ART PATIENT CARE, SCHOLARLY MEDICAL EDUCATION, AND INNOVATIVE RESEARCH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBER OF UTMB HEALTHCARE SYSTEMS, INC. IS THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON (UTMB), WHOSE DESIGNATED REPRESENTATIVE TO ACT FOR THE MEMBER SHALL BE THE THEN-CURRENT CHIEF ADMINISTRATIVE OFFICER OF THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON. THE MEMBER HAS THE SOLE POWER TO DESIGNATE THE OFFICERS OF THE BOARD AND APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON, THROUGH ITS DESIGNATED REPRESENTATIVE, THE CHIEF ADMINISTRATIVE OFFICER OF THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON, HAS THE RIGHT TO DESIGNATE THE OFFICERS OF THE BOARD OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON, THROUGH ITS DESIGNATED REPRESENTATIVE, THE CHIEF ADMINISTRATIVE OFFICER OF THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON, IS REQUIRED TO APPROVE THE FOLLOWING MATTERS OF THE ORGANIZATION. (A) THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; (B) MATERIAL (100,000.00) DEVIATIONS FROM ANNUAL OPERATING AND CAPITAL BUDGETS; (C) THE PURCHASE OR ACQUISITION OF ANY PROPERTY, REAL, PERSONAL, OR MIXED, BY THE CORPORATION EXCEEDING 100,000.00 OR THE LEASE OF ANY SUCH PROPERTY BY THE CORPORATION WHERE THE ANNUAL LEASE PAYMENT EXCEEDS 100,000.00; (D) THE SALE, GIFT, OR OTHER DISPOSITION OF ANY PROPERTY, REAL, PERSONAL, OR MIXED, OF THE CORPORATION IN EXCESS OF 100,000.00; (E) THE MORTGAGE OR OTHER ENCUMBRANCE OF ANY PROPERTY, REAL, PERSONAL, OR MIXED, OF THE CORPORATION IN EXCESS OF 100,000.00; (F) THE MERGER, DISSOLUTION, OR CONSOLIDATION OF THE CORPORATION; AND (G) THE CREATION OF OR INVESTMENT IN ANY SUBSIDIARY ENTITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S CEO PRIOR TO BEING FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATE SECRETARY REVIEWS THE ANNUAL CONFLICTS OF INTEREST QUESTIONNAIRE RESPONSES. UTMB'S OFFICE OF INSTITUTIONAL COMPLIANCE REGULARLY MONITORS CONFLICTS OF INTEREST, AND UTMB'S INTERNAL AUDIT DEPARTMENT PERIODICALLY VALIDATES THEIR ACTIVITIES. TO DATE THERE HAVE BEEN NO CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO RECEIVES NO COMPENSATION FROM UTMB HEALTHCARE SYSTEMS, INC. HE IS COMPENSATED BY THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON. HIS SALARY WAS DETERMINED FROM A REVIEW DONE BY AN INDEPENDENT CONSULTANT AND HE HAS A WRITTEN CONTRACT WITH UTMB IN WHICH HIS SALARY IS STATED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER OFFICERS RECEIVE NO COMPENSATION FROM UTMB HEALTHCARE SYSTEMS, INC. THEY ARE COMPENSATED BY THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST ONLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>TEMPORARY STAFFING SERVICES 11,869,986 0 0 GENERAL SERVICES 68 0 0 EDUCATIONAL/TRAINING SERVICES 0 49 0 CONVERSION FEES 749 0 0 CONSULTANT SERVICES 2,000 0 0 FILING FEES - DOCUMENTS 0 1,125 0 FEES INCIDENTAL 95,956 0 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc6">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UTMB HEALTH PLANS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>301 UNIVERSITY BLVD RT 0109</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>775550109</ZIPCd>
        </USAddress>
        <EIN>760480012</EIN>
        <PrimaryActivitiesTxt>HMO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11A</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UTMB AT GALVESTON</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>301 UNIVERSITY BLVD</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77555</ZIPCd>
        </USAddress>
        <EIN>746000949</EIN>
        <PrimaryActivitiesTxt>HIGHER ED.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>170C1</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE UNIVERSITY MEDICAL BRANCH</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>STUDENT BOOK STORE &amp; HOSPITALITY</BusinessNameLine2Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>914 MARKET MOODY MED LIBRARY 1106</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>775550936</ZIPCd>
        </USAddress>
        <EIN>741343044</EIN>
        <PrimaryActivitiesTxt>BOOKSTORE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UTMB</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>FHC FAMILY HEALTHCARE CENTERS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>301 UNIVERSITY BLVD RT 0109</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>775550109</ZIPCd>
        </USAddress>
        <EIN>760697230</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UTMB HCS</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>HEALTHCARE SYSTEMS INC</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HSI HEALTHCARE SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>301 UNIVERSITY BLVD RT 0109</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>775550109</ZIPCd>
        </USAddress>
        <EIN>760632955</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UTMB HCS</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>HEALTHCARE SYSTEMS INC</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MEDICAL BRANCH INNOVATIONS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>301 UNIVERSITY BLVD RT 0927</AddressLine1Txt>
          <CityNm>GALVESTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>775550927</ZIPCd>
        </USAddress>
        <EIN>813252934</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>UTMB HEALTH PLANS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>92371</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>% ALLOCATION</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>UTMB AT GALVESTON</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>74709</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>MANAGEMENT AGREEMENT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>UTMB AT GALVESTON</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>29679554</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>MANAGEMENT AGREEMENT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>UTMB AT GALVESTON</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>325277</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>MANAGEMENT AGREEMENT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>UTMB AT GALVESTON</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>1385971</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>MANAGEMENT AGREEMENT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>UTMB AT GALVESTON</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>710785</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>MANAGEMENT AGREEMENT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MEDICAL BRANCH INNOVATIONS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>5000000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>LOAN AGREEMENT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>