The aerial view of both UM Health System and Jackson Memorial Health System shows how UM facilities have encircled the cash strapped Jackson Memorial Health System's Alamo and its various facilities on Wednesday, November 9, 2011. University of Miami facilities and Jackson Health System have co-existed for the past 59 years as Jackson leaders try to shrink the $130 million it pays to UM each year after the long suspicion of UM shifting some paying patients from financially desperate Jackson Health System. CARL JUSTE / MIAMI HERALD STAFF