The UTMB Center to Eliminate Health Disparities (CEHD) chose the REAL Data project on Race, Ethnicity and Language disparities as one of its selected projects under the State of Texas 1115 Medicaid Waiver. The purpose of the project is to use the growing set of information resources in the hospital’s electronic health record (EHR) and administrative data systems to identify disparities in health and health care in the UTMB patient population. The ultimate goal of this project is to improve the equitable delivery of high quality care to all racial and ethnic groups in our diverse patient population. This is CEHD’s second disparities report focusing on disparities in patients hospitalized with heart failure. Race, ethnicity (Hispanic Origin), and primary payer are assessed as potential sources of disparity. Data are presented on three racial and ethnic populations in the UTMB patient population: Non-Hispanic Whites, Non-Hispanic Blacks, and Hispanics along with four payer status: Commercial, Medicare, Medicaid and Indigent, and Other Type of Payers such as military plans.