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      <ActivityOrMissionDescription>and Form 990, Part III, Line 1, Description of Organization Mission:Vanderbilt University is a center for scholarly research, informed and creative teaching, and service to the community and society at large. Vanderbilt will uphold the highest standards and be a leader in the quest for new knowledge through scholarship, dissemination of knowledge through teaching and outreach, and creative experimentation of ideas and concepts. In pursuit of these goals, Vanderbilt values most highly the intellectual freedom that supports open inquiry and equality, compassion and excellence in all endeavors.</ActivityOrMissionDescription>
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      <Description>See Schedule O - EducationEducation: Vanderbilt University offers undergraduate programs in the Liberal Arts and Science, Engineering, Music, Education and Human Development, as well as a full range of graduate and professional degrees. Vanderbilt's ten schools and colleges include: College of Arts and Science, Graduate School, Blair School of Music, Divinity School, School of Engineering, Law School, School of Medicine, School of Nursing, Owen Graduate School of Management, and Peabody College (of Education and Human Development). Vanderbilt University has approximately 6,800 undergraduate students, 6,000 graduate and professional students, and more than 4,100 faculty members.Vanderbilt University ranked 17th among the nation's best universities, and jumped five spots among national universities, moving from 16th to 11th in the "Great Schools at a Great Price" category in an annual survey conducted by the U.S. News &amp; World Report.Vanderbilt's Peabody College of Education and Human Development ranked as the best graduate school of education in the nation by U.S. News &amp; World Report for the fifth consecutive year. The special education program has been ranked at No. 1. Other Vanderbilt schools with notable rankings include: School of Medicine, ranked 14th for research hopsitals in the nation; Law School ranked 15th; and the Vanderbilt Owen Graduate School of Management ranked 30th. U.S. News &amp; World Report ranked the social sciences and humanities doctoral programs for the first time since 2009. The English Department's African American Literature program was tied for No. 4; English overall was tied for the No. 26 ranking (up three spots); History was tied for the No. 24 ranking (up from a tie for No. 26 in 2009).Expenses $669,398,047. including grants of $284,670,745. Revenue $475,901,800.For more information regarding education at Vanderbilt University, visit: http://www.vanderbilt.edu</Description>
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        <Description>See Schedule O - Academic and Scientific ResearchAcademic and Scientific Research: Vanderbilt is an internationally recognized research university. A majority of Vanderbilt University's research funding is received from the federal government. Funding is also received from foundations, associations, corporations, and other sources. Vanderbilt University's researchers are at the forefront of posing innovative solutions to some of the most challenging questions facing the world today.Expenses $447,251,484. including grants of $54,414,803. Revenue $214,423,104.For more information regarding research at Vanderbilt University, visit: http://www.research.vanderbilt.edu.</Description>
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        <Description>See Schedule O - Patient CarePatient Care: Vanderbilt University hospitals and clinics provide quality medical health care regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of Vanderbilt University hospitals and clinics, it is recognized that not all individuals possess the ability to purchase essential medical services, and further that part of Vanderbilt's mission is to serve the community. Therefore, in keeping with Vanderbilt's commitment to serve all members of its community, free care and/or subsidized care, care provided to persons covered by governmental programs at below cost, and health activities and programs to support the community are provided where the need and/or an individual's inability to pay coexists. These activities include wellness programs, community education programs, special programs for the elderly, handicapped, medically underserved, and a variety of broad community support activities. Charity care is also provided through many reduced price services and free programs offered throughout the year based upon activities and services which Vanderbilt believes will serve a bona fide community health need. During the fiscal year, Vanderbilt serviced 57,768 inpatients and 1,952,562 emergency and outpatient clinic visits.Vanderbilt University Medical Center finished fiscal 2013 in the U.S. News and World Report annual rankings of America's Best Hospitals named, once again, among the nation's elite providers of health care services. For the second consecutive year, Vanderbilt University Medical Center was lauded as both the No. 1 hospital in Tennessee and No. 1 in the Metro Nashville area. Vanderbilt University Medical Center equaled an all-time best with 11 ranked specialties out of a possible 16 categories. Specialty programs ranking among the top 50 in their respective fields include; urology, nephrology, ear, nose and throat, pulmonology, gastroenterology, geriatrics, cardiology and heart surgery, cancer, neurology and neurosurgery, orthopedics, and gynecology. In addition, the Monroe Carell Jr. Children's Hospital at Vanderbilt was included among the nation's leaders in pediatric health care in the U.S. News &amp; World report magazine's Best Children's Hospital ranking. The hospital achieved rankings in nine out of 10 specialties: urology, neonatology, cardiology and heart surgery, gastroenterology, diabetes and endocrinology, orthopedics, pulmonology, neurology and neurosurgery, and cancer.Along with the various national rankings, there are several Vanderbilt University Medical Center programs unique to the Middle Tennessee region, which include:- The only National Cancer Institute-designated Comprehensive Cancer center in the state serving adults and children;- The only Level 1 trauma center in Middle Tennessee;- The only Dedicated Burn Center in the region;- The only comprehensive solid organ transplant program in Tennessee; and- The only Level 4 Neonatal Intensive Care Unit.Expenses $2,233,581,192. including grants of $9,475,989. Revenue $2,394,213,806.For more information regarding health care at Vanderbilt University, visit: http://www.mc.vanderbilt.edu.</Description>
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        <Description>Other program services include public service, academic support, institutional support, student services, room and board, and other auxiliary services. Vanderbilt University engages in a variety of public service projects, including, but not limited to: supporting HIV care and treatment programs in rural Mozambique and Nigeria, Africa; developing training materials for current and future school personnel; formulating new approaches to increase health, safety, quality and outcomes, while decreasing total costs; and many other sponsored community health and educational programs.</Description>
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        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Joanne F Hayes</NamePerson>
        <Title>Secretary</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John J Hindle</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>15043</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John R Ingram</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Edith Carell Johnson</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Leslie C Labruto</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jackson W Moore</NamePerson>
        <Title>Vice-Chairman</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ayo Ositelu</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Courtney C Pastrick</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Nancy E Perot</NamePerson>
        <Title>Vice-Chairman</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>H Ross Perot Jr</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Joe L Roby</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Eugene B Shanks Jr</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Richard H Sinkfield</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Wyatt H Smith</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Levi Watkins Jr MD</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Rebecca Webb Wilson</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>William M Wilson</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jon Winkelried</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Nicholas S Zeppos JD</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>1130518</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>200865</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Audrey Jane Anderson</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jeffrey R Balser MD PHD</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>1294642</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>274387</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jerry G Fife BS</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.10</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>467314</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>32030</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Beth A Fortune MA</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>385741</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>21040</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John M Lutz</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Richard C McCarty MS PHD</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.50</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>666349</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>28569</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Susie S Stalcup BA</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>559860</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>27949</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Brett C Sweet MBA</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>8.10</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>802947</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>30541</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David Williams II MA MBA JD LLM</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>1.40</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>990430</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>224871</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Matthew W Wright MBA</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.10</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>999075</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>224735</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Charles L Gregory MA MBA MHA</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>1.00</AverageHoursPerWeekRelated>
        <KeyEmployee>X</KeyEmployee>
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        <OtherCompensation>50017</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John F Manning Jr PHD MBA</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.10</AverageHoursPerWeekRelated>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>788330</ReportableCompFromOrganization>
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        <OtherCompensation>129853</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Charles W Pinson MD MBA</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>8.00</AverageHoursPerWeekRelated>
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        <OtherCompensation>205165</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David R Posch</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>3.40</AverageHoursPerWeekRelated>
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        <OtherCompensation>27824</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Melanie S Balcomb</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>1767419</ReportableCompFromOrganization>
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        <OtherCompensation>672056</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>James G Franklin</NamePerson>
        <Title>See Schedule O</Title>
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        <OtherCompensation>142665</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John W Klekamp MD</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
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        <ReportableCompFromOrganization>1267880</ReportableCompFromOrganization>
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        <OtherCompensation>34278</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Kevin E Stallings MS</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
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        <OtherCompensation>174601</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Paul A Thomas MD</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
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        <OtherCompensation>31304</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Harry R Jacobson MD</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Former>X</Former>
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        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Betty L Price MBA CPA</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
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        <OtherCompensation>5880</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Martin P Sandler MD</NamePerson>
        <Title>See Schedule O</Title>
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        <AverageHoursPerWeekRelated>0.60</AverageHoursPerWeekRelated>
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        <OtherCompensation>22469</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>22029945</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>2561099</TotalOtherCompensation>
      <NumberIndividualsGT100K>3257</NumberIndividualsGT100K>
      <FormersListed>1</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Turner Universal Construction Company</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>5300 Virginia Way</AddressLine1>
            <City>Brentwood</City>
            <State>TN</State>
            <ZIPCode>37027</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Construction</DescriptionOfServices>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Brasfield &amp; Gorrie</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2636 Elm Hill Pike 200</AddressLine1>
            <City>Nashville</City>
            <State>TN</State>
            <ZIPCode>37214</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Construction</DescriptionOfServices>
        <Compensation>14821367</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Balfour Beatty Construction</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>535 Marriott Dr Ste 625</AddressLine1>
            <City>Nashville</City>
            <State>TN</State>
            <ZIPCode>37214</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Construction</DescriptionOfServices>
        <Compensation>10421939</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Orion Building Corporation</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>9025 Overlook Blvd Ste 100</AddressLine1>
            <City>Brentwood</City>
            <State>TN</State>
            <ZIPCode>37027</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Construction</DescriptionOfServices>
        <Compensation>9531852</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Lewis Communications Inc</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>30 Burton Hills 207</AddressLine1>
            <City>Nashville</City>
            <State>TN</State>
            <ZIPCode>37215</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Advertising Svcs.</DescriptionOfServices>
        <Compensation>6589249</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>271</NumberOfContractorsGT100K>
      <FundraisingEvents>604278</FundraisingEvents>
      <GovernmentGrants>341718783</GovernmentGrants>
      <AllOtherContributions>142358186</AllOtherContributions>
      <NoncashContributions>22406403</NoncashContributions>
      <TotalContributions>484681247</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Health Care Services</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>2394213806</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2388971119</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>5242687</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Tuition and Fees</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>475901800</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>475901800</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Research &amp; Other Contr</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>211774239</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>211774239</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Room, Board &amp; Auxiliar</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>125803460</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>124335535</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>1467925</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Other</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>2648865</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2648865</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>3210342170</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>173306420</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>-13537367</UnrelatedBusinessRevenue>
        <ExclusionAmount>186843787</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>157</TotalRevenueColumn>
        <ExclusionAmount>157</ExclusionAmount>
      </IncomeFromInvestBondProceeds>
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        <ExclusionAmount>13843577</ExclusionAmount>
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      </GrossRents>
      <LessRentalExpenses>
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      <NetRentalIncomeOrLoss>
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      <NetGainOrLossInvestments>
        <TotalRevenueColumn>212661683</TotalRevenueColumn>
        <ExclusionAmount>212661683</ExclusionAmount>
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      <CntrbtnsRprtdFundraisingEvents>604278</CntrbtnsRprtdFundraisingEvents>
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        <ExclusionAmount>-1458</ExclusionAmount>
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        <Description>Other</Description>
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        <TotalRevenueColumn>35867086</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>35506409</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>360677</UnrelatedBusinessRevenue>
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      <TotalOtherRevenue>35867086</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>4139063269</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>3239137967</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>-6466078</UnrelatedBusinessRevenue>
        <ExclusionAmount>421710133</ExclusionAmount>
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      <InfoInScheduleOPartIX>X</InfoInScheduleOPartIX>
      <GrantsToDomesticOrgs>
        <Total>46570255</Total>
        <ProgramServices>46570255</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>284670745</Total>
        <ProgramServices>284670745</ProgramServices>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>17320537</Total>
        <ProgramServices>17320537</ProgramServices>
      </ForeignGrants>
      <CompCurrentOfficersDirectors>
        <Total>15937246</Total>
        <ProgramServices>3115763</ProgramServices>
        <ManagementAndGeneral>10946502</ManagementAndGeneral>
        <Fundraising>1874981</Fundraising>
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      <CompDisqualPersons>
        <Total>442805</Total>
        <ProgramServices>316556</ProgramServices>
        <ManagementAndGeneral>126249</ManagementAndGeneral>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>1852918420</Total>
        <ProgramServices>1736294234</ProgramServices>
        <ManagementAndGeneral>99693220</ManagementAndGeneral>
        <Fundraising>16930966</Fundraising>
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      <PensionPlanContributions>
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        <ProgramServices>84226247</ProgramServices>
        <ManagementAndGeneral>4836038</ManagementAndGeneral>
        <Fundraising>821308</Fundraising>
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      <OtherEmployeeBenefits>
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        <ProgramServices>183774352</ProgramServices>
        <ManagementAndGeneral>14760758</ManagementAndGeneral>
        <Fundraising>2439225</Fundraising>
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      <PayrollTaxes>
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        <ProgramServices>109661605</ProgramServices>
        <ManagementAndGeneral>6296467</ManagementAndGeneral>
        <Fundraising>1069333</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>2592961</Total>
        <ProgramServices>1304834</ProgramServices>
        <ManagementAndGeneral>1288127</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>7882938</Total>
        <ManagementAndGeneral>7882938</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>697461</Total>
        <ManagementAndGeneral>697461</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>133300</Total>
        <ManagementAndGeneral>133300</ManagementAndGeneral>
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      <FeesForServicesProfFundraising>
        <Total>610091</Total>
        <Fundraising>610091</Fundraising>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>9591630</Total>
        <ManagementAndGeneral>9591630</ManagementAndGeneral>
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        <ProgramServices>83526913</ProgramServices>
        <ManagementAndGeneral>22605522</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>19946613</Total>
        <ProgramServices>18220336</ProgramServices>
        <ManagementAndGeneral>1625029</ManagementAndGeneral>
        <Fundraising>101248</Fundraising>
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      <OfficeExpenses>
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        <ProgramServices>104381610</ProgramServices>
        <ManagementAndGeneral>2491184</ManagementAndGeneral>
        <Fundraising>2074965</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>52350574</Total>
        <ProgramServices>45874923</ProgramServices>
        <ManagementAndGeneral>6051154</ManagementAndGeneral>
        <Fundraising>424497</Fundraising>
      </InformationTechnology>
      <Royalties>
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        <ProgramServices>242923</ProgramServices>
      </Royalties>
      <Occupancy>
        <Total>196844116</Total>
        <ProgramServices>178435914</ProgramServices>
        <ManagementAndGeneral>16436794</ManagementAndGeneral>
        <Fundraising>1971408</Fundraising>
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      <Travel>
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        <ProgramServices>34436471</ProgramServices>
        <ManagementAndGeneral>1869527</ManagementAndGeneral>
        <Fundraising>691178</Fundraising>
      </Travel>
      <ConferencesMeetings>
        <Total>14397050</Total>
        <ProgramServices>13502895</ProgramServices>
        <ManagementAndGeneral>777987</ManagementAndGeneral>
        <Fundraising>116168</Fundraising>
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      <Interest>
        <Total>68170000</Total>
        <ProgramServices>68163906</ProgramServices>
        <ManagementAndGeneral>6094</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>174329785</Total>
        <ProgramServices>162885059</ProgramServices>
        <ManagementAndGeneral>10021153</ManagementAndGeneral>
        <Fundraising>1423573</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>23097253</Total>
        <ProgramServices>22301713</ProgramServices>
        <ManagementAndGeneral>795034</ManagementAndGeneral>
        <Fundraising>506</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>Other Medical</Description>
        <Total>400373417</Total>
        <ProgramServices>400297868</ProgramServices>
        <ManagementAndGeneral>75549</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Other Programs</Description>
        <Total>24891332</Total>
        <ProgramServices>19334045</ProgramServices>
        <ManagementAndGeneral>4278544</ManagementAndGeneral>
        <Fundraising>1278743</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Other</Description>
        <Total>19414330</Total>
        <ProgramServices>17921467</ProgramServices>
        <ManagementAndGeneral>1402473</ManagementAndGeneral>
        <Fundraising>90390</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Other Library</Description>
        <Total>13080762</Total>
        <ProgramServices>13080762</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>2256626</Total>
        <ProgramServices>2256626</ProgramServices>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>3908725873</Total>
        <ProgramServices>3652118559</ProgramServices>
        <ManagementAndGeneral>224688734</ManagementAndGeneral>
        <Fundraising>31918580</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
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        <EOY>9763929</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
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        <EOY>835473927</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
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        <EOY>120592881</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
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        <EOY>362026560</EOY>
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        <EOY>15093464</EOY>
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      <InventoriesForSaleOrUse>
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        <EOY>47693015</EOY>
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      <PrepaidExpensesDeferredCharges>
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        <EOY>32545169</EOY>
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      <LandBuildingsEquipmentBasis>3819159426</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>2053400733</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
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        <EOY>1765758693</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
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        <EOY>1815545416</EOY>
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      <InvestmentsOtherSecurities>
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        <EOY>2518096969</EOY>
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      <InvestmentsProgramRelated>
        <BOY>46932146</BOY>
        <EOY>69813272</EOY>
      </InvestmentsProgramRelated>
      <OtherAssetsTotal>
        <BOY>2862537</BOY>
        <EOY>4638439</EOY>
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      <TotalAssets>
        <BOY>7437841959</BOY>
        <EOY>7597041734</EOY>
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      <AccountsPayableAccruedExpenses>
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        <EOY>457684601</EOY>
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        <EOY>693015</EOY>
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        <EOY>90107277</EOY>
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        <EOY>370346880</EOY>
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      <TotalLiabilities>
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        <EOY>2261795114</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
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        <EOY>2967761869</EOY>
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        <EOY>1132419315</EOY>
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      <TotalNetAssetsFundBalances>
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        <EOY>5335246620</EOY>
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      <TotalLiabNetAssetsFundBalances>
        <BOY>7437841959</BOY>
        <EOY>7597041734</EOY>
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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>230337396</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>94270697</ReconciliationUnrealizedInvest>
      <ReconcilationInvestExpenses>9591630</ReconcilationInvestExpenses>
      <ReconcilationOtherChanges>2740372</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      </FSAuditedBasis>
      <AuditCommittee>1</AuditCommittee>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <School170b1Aii>X</School170b1Aii>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="RetDoc1039600001">
      <TotalDirectLobbying>
        <FilingOrganizationsTotals>382544</FilingOrganizationsTotals>
      </TotalDirectLobbying>
      <TotalLobbyingExpenditures>
        <FilingOrganizationsTotals>382544</FilingOrganizationsTotals>
      </TotalLobbyingExpenditures>
      <OtherExemptPurposeExpenditures>
        <FilingOrganizationsTotals>3899395036</FilingOrganizationsTotals>
      </OtherExemptPurposeExpenditures>
      <TotalExemptPurposeExpenditures>
        <FilingOrganizationsTotals>3899777580</FilingOrganizationsTotals>
      </TotalExemptPurposeExpenditures>
      <LobbyingNontaxableAmount>
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      </LobbyingNontaxableAmount>
      <GrassrootsNontaxableAmount>
        <FilingOrganizationsTotals>250000</FilingOrganizationsTotals>
      </GrassrootsNontaxableAmount>
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      </TotLobbyingGrassrootMinusNonTx>
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        <FilingOrganizationsTotals>0</FilingOrganizationsTotals>
      </TotLobbyExpendMnsLobbyingNontx>
      <LobbyingNontaxableAmount2>
        <CurrentYearMinus3>1000000</CurrentYearMinus3>
        <CurrentYearMinus2>1000000</CurrentYearMinus2>
        <CurrentYearMinus1>1000000</CurrentYearMinus1>
        <CurrentYear>1000000</CurrentYear>
        <Total>4000000</Total>
      </LobbyingNontaxableAmount2>
      <LobbyingCeilingAmount>6000000</LobbyingCeilingAmount>
      <TotalLobbyingExpenditures2>
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        <CurrentYearMinus2>101442</CurrentYearMinus2>
        <CurrentYearMinus1>137299</CurrentYearMinus1>
        <CurrentYear>382544</CurrentYear>
        <Total>812282</Total>
      </TotalLobbyingExpenditures2>
      <GrassrootsNontaxableAmount2>
        <CurrentYearMinus3>250000</CurrentYearMinus3>
        <CurrentYearMinus2>250000</CurrentYearMinus2>
        <CurrentYearMinus1>250000</CurrentYearMinus1>
        <CurrentYear>250000</CurrentYear>
        <Total>1000000</Total>
      </GrassrootsNontaxableAmount2>
      <GrassrootsCeilingAmount>1500000</GrassrootsCeilingAmount>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1039900001">
      <ArtPublicExhibitionAmts>
        <RevenuesIncluded>50000</RevenuesIncluded>
        <AssetsInPartX>4595957</AssetsInPartX>
      </ArtPublicExhibitionAmts>
      <CollectUsedForPublicExhibition>X</CollectUsedForPublicExhibition>
      <CollectUsedForScholarResearch>X</CollectUsedForScholarResearch>
      <CollectUsedForPreservation>X</CollectUsedForPreservation>
      <CollectUsedForLoanOrExchPrgrms>X</CollectUsedForLoanOrExchPrgrms>
      <CollectionUsedForOther>
        <CollectionUsedForOtherPurposes>X</CollectionUsedForOtherPurposes>
        <DescriptionOfOtherPurposes>Education</DescriptionOfOtherPurposes>
      </CollectionUsedForOther>
      <SolicitedAssetsForSale>1</SolicitedAssetsForSale>
      <AgentTrusteeEtc>0</AgentTrusteeEtc>
      <IncludedOnFS>1</IncludedOnFS>
      <ExplanationInPartXIII>X</ExplanationInPartXIII>
      <CurrentYear>
        <BeginningOfYearBalance>3360035514</BeginningOfYearBalance>
        <Contributions>116470228</Contributions>
        <InvestmentEarningsOrLosses>319370422</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>60864586</GrantsOrScholarships>
        <OtherExpenditures>89692275</OtherExpenditures>
        <AdministrativeExpenses>9976265</AdministrativeExpenses>
        <EndOfYearBalance>3635343038</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>3375152628</BeginningOfYearBalance>
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        <InvestmentEarningsOrLosses>52851982</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>58847982</GrantsOrScholarships>
        <OtherExpenditures>89046970</OtherExpenditures>
        <AdministrativeExpenses>8081853</AdministrativeExpenses>
        <EndOfYearBalance>3360035514</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>3007607383</BeginningOfYearBalance>
        <Contributions>117059853</Contributions>
        <InvestmentEarningsOrLosses>408026551</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>30779321</GrantsOrScholarships>
        <OtherExpenditures>121479173</OtherExpenditures>
        <AdministrativeExpenses>5282665</AdministrativeExpenses>
        <EndOfYearBalance>3375152628</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>2833614014</BeginningOfYearBalance>
        <Contributions>87532312</Contributions>
        <InvestmentEarningsOrLosses>246815111</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>37168980</GrantsOrScholarships>
        <OtherExpenditures>115903768</OtherExpenditures>
        <AdministrativeExpenses>7281306</AdministrativeExpenses>
        <EndOfYearBalance>3007607383</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <CurrentYearMinus4Years>
        <BeginningOfYearBalance>3495439084</BeginningOfYearBalance>
        <Contributions>67443992</Contributions>
        <InvestmentEarningsOrLosses>-570114222</InvestmentEarningsOrLosses>
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        <OtherExpenditures>113111628</OtherExpenditures>
        <AdministrativeExpenses>6437905</AdministrativeExpenses>
        <EndOfYearBalance>2833614014</EndOfYearBalance>
      </CurrentYearMinus4Years>
      <BoardDesignatedEOYBalance>0.39900</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.28100</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.32000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>56251526</OtherCostOrOtherBasis>
        <BookValue>56251526</BookValue>
      </Land>
      <Buildings>
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        <Depreciation>1370734751</Depreciation>
        <BookValue>1117917688</BookValue>
      </Buildings>
      <LeaseholdImprovements>
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        <BookValue>57571264</BookValue>
      </LeaseholdImprovements>
      <Equipment>
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        <Depreciation>666744070</Depreciation>
        <BookValue>350670279</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>183347936</OtherCostOrOtherBasis>
        <BookValue>183347936</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>1765758693</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>Limited Partnerships</Description>
        <BookValue>1751608535</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>Int in Trusts Held by Others</Description>
        <BookValue>38091375</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>Other Investments &amp; Securities</Description>
        <BookValue>535316500</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>Closely-held Equity Interests</Description>
        <BookValue>6179268</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>Inv Allocable to Minority Int</Description>
        <BookValue>186901291</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>2518096969</TotalOfBookValueSecurities>
      <OtherLiabilities>
        <Description>Actuarial Liab-Self Insurance</Description>
        <Amount>33968148</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Gov Adv for Student Loans</Description>
        <Amount>22051786</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Actuarial liab-Annuities Payable</Description>
        <Amount>107513702</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>FV of Int Rate Exchg Agreement</Description>
        <Amount>206732998</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>State Taxes Payable</Description>
        <Amount>80246</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>370346880</TotalOfAmounts>
      <Form990ScheduleDPartXIII>
        <ReturnReference>Part III, Line 4:</ReturnReference>
        <Explanation>- Description of Collections: Vanderbilt University maintains various collections of art, historical treasures, and other similar assets in departments across the University. Such collections include, but are not limited to, historical drawings; historical scientific instruments; historical furniture; paintings; photography; book collections; and other similar items and artifacts. All such collections further Vanderbilt's exempt purpose by providing historical materials for students and researchers, and by providing cultural, historical, and educational opportunities to Vanderbilt University students and the community at large through exhibits, displays, and loan or exchange programs. Part III, line 5: - Solicitation of Art, etc.: Vanderbilt University solicited works of art to be sold at fundraising events in silent auctions. The fair market value of these items can range in value, and in FY13 the fair market value of these items did not meet the thresholds required for Form 8282 to be filed.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <ReturnReference>Part IV, Line 2b:</ReturnReference>
        <Explanation>- Agency funds: Agency funds are held by Vanderbilt University, which serves as a custodian or fiscal agent for students, student groups, faculty, staff members, and other University related organizations.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Description of Intended Use of Endowment Funds:</Identifier>
        <ReturnReference>Part V, Line 4:</ReturnReference>
        <Explanation>- Endowment funds: Vanderbilt University's endowment funds, as related to Part V, are intended to be used for scholarships, fellowships, endowed academic chair support, and capital and operational support.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleE documentId="RetDoc1040400001">
      <NondiscriminatoryPolicyStmt>1</NondiscriminatoryPolicyStmt>
      <PolicyStatementInBrochuresEtc>1</PolicyStatementInBrochuresEtc>
      <PolicyPublViaBroadcastMedia>1</PolicyPublViaBroadcastMedia>
      <MaintRacialCompositionRecords>1</MaintRacialCompositionRecords>
      <MaintScholarshipsRecords>1</MaintScholarshipsRecords>
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        <Identifier>Procedure for Monitoring Grants Outside the U.S.:</Identifier>
        <Explanation>Schedule F, Part I, Line 2: - Monitoring Use of Grant Funds: Vanderbilt University maintains a formal policy defining its procedures for monitoring the use of sponsored funds by subrecipients located outside of the United States who are performing a portion of a sponsored project externally awarded to Vanderbilt. The policy provides guidance to ensure that subrecipients conduct their portions of sponsored projects in compliance with laws, regulations, terms and conditions of awards and subawards, and that reimbursed costs incurred by subrecipients are allowed. The policy addresses the roles and responsibilities of central offices and academic departments of the University and describes the monitoring procedures for each area. The full text of Vanderbilt's subrecipient monitoring guidelines are available online at the following web address: http://www.vanderbilt.edu/ocga/vupolicies/subrecipient/ subrecipientsmonitoringguidelinesfinal.pdf</Explanation>
      </Form990ScheduleFPartV>
      <Form990ScheduleFPartV>
        <Identifier>Method Used to Acccount for Expenditures:</Identifier>
        <Explanation>Schedule F, Part I, Line 3: - Accounting method for Reporting Expenses: Expenses reported in Schedule F, Part I, Line 3 and Part II, Line 1 are derived from Vanderbilt's books and records, which are maintained on the accrual basis of accounting.</Explanation>
      </Form990ScheduleFPartV>
    </IRS990ScheduleF>
    <IRS990ScheduleG documentId="RetDoc1041200001">
      <MailSolicitations>X</MailSolicitations>
      <EmailSolicitations>X</EmailSolicitations>
      <PhoneSolicitations>X</PhoneSolicitations>
      <InPersonSolicitations>X</InPersonSolicitations>
      <SolicitationOfNonGovtGrants>X</SolicitationOfNonGovtGrants>
      <SolicitationOfGovtGrants>X</SolicitationOfGovtGrants>
      <SpecialFundraisingEvents>X</SpecialFundraisingEvents>
      <AgreementRefFundraising>1</AgreementRefFundraising>
      <FundraiserActivityInformation>
        <NameOfOrganization>
          <BusinessNameLine1>Ruffalo Cody LLC</BusinessNameLine1>
        </NameOfOrganization>
        <AddressUS>
          <AddressLine1>65 Kirkwood North Road SW</AddressLine1>
          <City>Cedar Rapids</City>
          <State>IA</State>
          <ZIPCode>52404</ZIPCode>
        </AddressUS>
        <Activity>Call Center</Activity>
        <FundraiserControlOfFunds>0</FundraiserControlOfFunds>
        <GrossReceipts>942264</GrossReceipts>
        <AmountRetainedByContractor>467437</AmountRetainedByContractor>
        <NetToOrganization>474827</NetToOrganization>
      </FundraiserActivityInformation>
      <FundraiserActivityInformation>
        <NameOfOrganization>
          <BusinessNameLine1>True Sense Marketing</BusinessNameLine1>
        </NameOfOrganization>
        <AddressUS>
          <AddressLine1>155 Commerce Drive</AddressLine1>
          <City>Freedom</City>
          <State>PA</State>
          <ZIPCode>15042</ZIPCode>
        </AddressUS>
        <Activity>Consulting Regarding Annual Giving Direct Appeals</Activity>
        <FundraiserControlOfFunds>0</FundraiserControlOfFunds>
        <GrossReceipts>129219</GrossReceipts>
        <AmountRetainedByContractor>59170</AmountRetainedByContractor>
        <NetToOrganization>70049</NetToOrganization>
      </FundraiserActivityInformation>
      <FundraiserActivityInformation>
        <NameOfOrganization>
          <BusinessNameLine1>Grenzebach Glier and Associates</BusinessNameLine1>
        </NameOfOrganization>
        <AddressUS>
          <AddressLine1>401 N Michigan Avenue Suite 2800</AddressLine1>
          <City>Chicago</City>
          <State>IL</State>
          <ZIPCode>60611</ZIPCode>
        </AddressUS>
        <Activity>Consulting Services Related to Fundraising Programs</Activity>
        <FundraiserControlOfFunds>0</FundraiserControlOfFunds>
        <GrossReceipts>0</GrossReceipts>
        <AmountRetainedByContractor>83484</AmountRetainedByContractor>
        <NetToOrganization>0</NetToOrganization>
      </FundraiserActivityInformation>
      <TotalGrossReceipts>1071483</TotalGrossReceipts>
      <TotalRetainedByContractors>610091</TotalRetainedByContractors>
      <TotalNetToOrganization>544876</TotalNetToOrganization>
      <EventsInformation>
        <NameOfEvent1>Rascal Flatts - Behind the Music</NameOfEvent1>
        <GrossReceiptsEvent1>262650</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>145749</CharitableContributionsEvent1>
        <GrossRevenueEvent1>116901</GrossRevenueEvent1>
        <NonCashPrizesEvent1>30800</NonCashPrizesEvent1>
        <RentFacilityCostsEvent1>57660</RentFacilityCostsEvent1>
        <FoodAndBeverageEvent1>25945</FoodAndBeverageEvent1>
        <EntertainmentEvent1>1560</EntertainmentEvent1>
        <OtherDirectExpensesEvent1>6344</OtherDirectExpensesEvent1>
        <NameOfEvent2>Friends in Fashion</NameOfEvent2>
        <GrossReceiptsEvent2>157423</GrossReceiptsEvent2>
        <CharitableContributionsEvent2>96934</CharitableContributionsEvent2>
        <GrossRevenueEvent2>60489</GrossRevenueEvent2>
        <NonCashPrizesEvent2>14015</NonCashPrizesEvent2>
        <FoodAndBeverageEvent2>27511</FoodAndBeverageEvent2>
        <EntertainmentEvent2>3557</EntertainmentEvent2>
        <OtherDirectExpensesEvent2>18186</OtherDirectExpensesEvent2>
        <TotalNumberOfOtherEvents>10</TotalNumberOfOtherEvents>
        <GrossReceiptsOtherEvents>519712</GrossReceiptsOtherEvents>
        <CharitableContribOtherEvents>361595</CharitableContribOtherEvents>
        <GrossRevenueOtherEvents>158117</GrossRevenueOtherEvents>
        <NonCashPrizesOtherEvents>9421</NonCashPrizesOtherEvents>
        <RentFacilityCostsOtherEvents>40752</RentFacilityCostsOtherEvents>
        <FoodAndBeverageOtherEvents>7110</FoodAndBeverageOtherEvents>
        <EntertainmentOtherEvents>10060</EntertainmentOtherEvents>
        <OtherDirectExpensesOtherEvents>84044</OtherDirectExpensesOtherEvents>
        <GrossReceiptsTotal>939785</GrossReceiptsTotal>
        <CharitableContributionsTotal>604278</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>335507</GrossRevenueTotalEvents>
        <NonCashPrizesTotalEvents>54236</NonCashPrizesTotalEvents>
        <RentFacilityCostsTotalEvents>98412</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>60566</FoodAndBeverageTotalEvents>
        <EntertainmentTotalEvents>15177</EntertainmentTotalEvents>
        <OtherDirectExpensesTotalEvents>108574</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>336965</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-1458</NetIncomeSummary>
      </EventsInformation>
      <Form990ScheduleGPartIV>
        <Identifier>Explanation of Fundraising Payments</Identifier>
        <ReturnReference>Schedule G, Part I, Line 2b, Column (v)</ReturnReference>
        <Explanation>- Ruffalocody: The total amount paid to Ruffalocody for Fiscal Year 2013 was $481,688 which includes professional fundraising fees of $467,437 and fundraising expenses of $14,251. The contract between Vanderbilt University and Ruffalocody calls for the reimbursement of fundraising expenses incurred by Ruffalocody, such as printing and postage, which are invoiced separately from telemarketing services fees. Schedule G, Part I, Line 2b, Column (v): - True Sense Marketing: The total amount paid to True Sense Marketing for Fiscal Year 2013 was $73,242, which includes professional fundraising fees of $59,170 and postage of $14,072. The contract between Vanderbilt University and True Sense Marketing calls for the reimbursement of travel related fundraising expenses, printing and postage incurred by True Sense Marketing, which are invoiced as incurred. Schedule G, Part I, Line 2b, Column (v): - Grenzebach Glier and Associates: The total amount paid to Grenzebach Glier and Associates for Fiscal Year 2013 was $92,948, which includes professional fundraising fees of $83,484 and expenses of $9,464. The contract between Vanderbilt University and Grenzebach Glier and Associates calls for the reimbursement of travel related fundraising expenses incurred by Grenzebach Glier and Associates, such as airfare and hotel, which are invoiced as incurred. Grenzebach Glier and Associates provide consulting services for Vanderbilt University's overall fundraising program. They do not raise funds for Vanderbilt or help raise funds for a specific purpose.</Explanation>
      </Form990ScheduleGPartIV>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <PolicyAppliedToMostHospitals>X</PolicyAppliedToMostHospitals>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent250>X</Pcent250>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>1</ExpensesExceededBudget>
      <UnableToProvideCare>0</UnableToProvideCare>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>117614026</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>117614026</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03000</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>312198478</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>251296404</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>60902074</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01550</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>429812504</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>251296404</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>178516100</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04550</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>5677740</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>5677740</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00140</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>115474998</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>26344667</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>89130331</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02270</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <Research>
        <TotalCommunityBenefitExpense>503927177</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7726063</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>496201114</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.12660</PercentOfTotalExpense>
      </Research>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>625079915</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>34070730</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>591009185</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.15070</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>1054892419</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>285367134</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>769525285</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.19620</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>20212370</BadDebtExpenseAmount>
      <AmountAttributableTo>3926113</AmountAttributableTo>
      <AmountReimbursedByMedicare>341860811</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>395682552</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-53821741</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>0</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>1 Ambulatory Surgery Center of Cool Springs LLC</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>Ambulatory Surgery Center</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.51020</OrganizationProfitOrOwnership>
        <OfficersEtcProfitOrOwnership>0.00000</OfficersEtcProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.16260</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>2 Vanderbilt Imaging Services LLC</BusinessNameLine1>
        </NameOfEntity>
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        <OfficersEtcProfitOrOwnership>0.00000</OfficersEtcProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.33330</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>3 New Light Imaging LLC</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>Outpatient Diagnostic Imaging</DescriptionEntPrimaryActivity>
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        <OfficersEtcProfitOrOwnership>0.00000</OfficersEtcProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.33330</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>4 One Hundred Oaks Imaging LLC</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>Outpatient Diagnostic Imaging</DescriptionEntPrimaryActivity>
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        <OfficersEtcProfitOrOwnership>0.00000</OfficersEtcProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.20000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>5 Williamson Imaging LLC</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>Outpatient Diagnostic Imaging</DescriptionEntPrimaryActivity>
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        <OfficersEtcProfitOrOwnership>0.00000</OfficersEtcProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.26660</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>6 VIP Midsouth LLC</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>Pediatric Clinics</DescriptionEntPrimaryActivity>
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        <OfficersEtcProfitOrOwnership>0.00000</OfficersEtcProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.53780</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>7 Springfield VIP Realty LLC</BusinessNameLine1>
        </NameOfEntity>
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        <PhysicansProfitOrOwnership>0.51000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
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      <Form990ScheduleHPartVSectionA>
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        <Name>
          <BusinessNameLine1>Vanderbilt Univ Hospitals &amp; Clinics</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1211 22nd Avenue South</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37212</ZIPCode>
        </Address>
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        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>2</FacilityNumber>
        <Name>
          <BusinessNameLine1>Vanderbilt Stallworth Rehab Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2201 Childrens Way</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37212</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Vanderbilt Univ Hospitals &amp; Clinics</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>1</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <NeedsAssessmentConducted>12</NeedsAssessmentConducted>
        <TakeIntoAccount>1</TakeIntoAccount>
        <OtherFacilities>1</OtherFacilities>
        <CHNAWidelyAvailable>1</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <ExecuteImplementStrategy>X</ExecuteImplementStrategy>
        <AdoptBudget>X</AdoptBudget>
        <AllNeedsAddressed>1</AllNeedsAddressed>
        <OrganizationIncurExciseTax>0</OrganizationIncurExciseTax>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>200.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>250.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <UninsuredDiscount>X</UninsuredDiscount>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>0</IncludesPublicityMeasures>
        <ActionsOnNonpayment>0</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Vanderbilt Stallworth Rehab Hospital</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>2</HospitalFacilityNumber>
        <CHNAConducted>1</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <NeedsAssessmentConducted>12</NeedsAssessmentConducted>
        <TakeIntoAccount>1</TakeIntoAccount>
        <OtherFacilities>1</OtherFacilities>
        <CHNAWidelyAvailable>1</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <ExecuteImplementStrategy>X</ExecuteImplementStrategy>
        <AllNeedsAddressed>1</AllNeedsAddressed>
        <OrganizationIncurExciseTax>0</OrganizationIncurExciseTax>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>200.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>400.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <UninsuredDiscount>X</UninsuredDiscount>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>0</IncludesPublicityMeasures>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>0</NondiscrimEmergencyCarePolicy>
        <NoEmergencyCare>X</NoEmergencyCare>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>10</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Ambulatory Surgery Ctr of Cool Springs</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2009 Mallory Lane Suite 100</AddressLine1>
            <City>Franklin</City>
            <State>TN</State>
            <ZIPCode>37067</ZIPCode>
          </Address>
          <FacilityType>Ambulatory Surgery Treatment Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SCA Nashville Surgery Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1717 Patterson Street</AddressLine1>
            <City>Nashville</City>
            <State>TN</State>
            <ZIPCode>37203</ZIPCode>
          </Address>
          <FacilityType>Ambulatory Surgery Treatment Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Vanderbilt Maury Radiation Oncology</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1003 Reserve Boulevard</AddressLine1>
            <City>Spring Hill</City>
            <State>TN</State>
            <ZIPCode>37174</ZIPCode>
          </Address>
          <FacilityType>Ambulatory Surgery Treatment Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Vanderbilt Williamson Cancer Ctr at Fran</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2107 Edward Curd Lane</AddressLine1>
            <City>Franklin</City>
            <State>TN</State>
            <ZIPCode>37067</ZIPCode>
          </Address>
          <FacilityType>Ambulatory Surgery Treatment Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>One Hundred Oaks Imaging</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>719 Thompson Lane</AddressLine1>
            <City>Nashville</City>
            <State>TN</State>
            <ZIPCode>37204</ZIPCode>
          </Address>
          <FacilityType>Outpatient Diagnostic Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Vanderbilt Gateway Cancer Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>375 Alfred Thun Road</AddressLine1>
            <City>Clarksville</City>
            <State>TN</State>
            <ZIPCode>37040</ZIPCode>
          </Address>
          <FacilityType>Ambulatory Surgery Treatment Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Spring Hill Imaging Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5421 Main Street</AddressLine1>
            <City>Spring Hill</City>
            <State>TN</State>
            <ZIPCode>37174</ZIPCode>
          </Address>
          <FacilityType>Outpatient Diagnostic Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Cool Springs Imaging</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2009 Mallory Lane Suite 150</AddressLine1>
            <City>Franklin</City>
            <State>TN</State>
            <ZIPCode>37067</ZIPCode>
          </Address>
          <FacilityType>Outpatient Diagnostic Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Belle Meade Imaging</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4525 Harding Road Suite 102</AddressLine1>
            <City>Nashville</City>
            <State>TN</State>
            <ZIPCode>37232</ZIPCode>
          </Address>
          <FacilityType>Outpatient Diagnostic Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Hillsboro Imaging</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1909 Acklen Avenue</AddressLine1>
            <City>Nashville</City>
            <State>TN</State>
            <ZIPCode>37212</ZIPCode>
          </Address>
          <FacilityType>Outpatient Diagnostic Center</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>Costing Methodology - Charity Care:</Identifier>
        <ReturnReference>Form 990, Schedule H, Part I, Line 7</ReturnReference>
        <Explanation>The costing methodology used to calculate Charity Care and Certain Other Community Benefit costs reported was based on an overall cost-to-charge ratio for all patient populations.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Community Benefit Expense:</Identifier>
        <ReturnReference>Form 990, Schedule H, Part I, Line 7(k), Column (f)</ReturnReference>
        <Explanation>The total community benefit expense using Part I, Line 7, Column (c) (before direct offsetting revenue) as a percentage of total expenses is 26.99%.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Costing Methodology - Bad Debt Expense:</Identifier>
        <ReturnReference>Form 990, Schedule H, Part III, Lines 2 &amp; 3</ReturnReference>
        <Explanation>The costing methodology used to calculate Bad Debt Expense reported in Part III, Lines 2 and 3 was based on an overall cost-to-charge ratio for all patient populations. Discounts and payments on accounts considered as bad debt offset the total bad debt expense recorded. The applicable accounts are estimated to be 20% of the total bad debts recorded.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Audited Financial Statements:</Identifier>
        <ReturnReference>Form 990, Schedule H, Part III, Line 4</ReturnReference>
        <Explanation>The audited financial statements of Vanderbilt University disclose the consolidated amount of bad debt expense, the preponderant portion of which is attributable to its hospitals and clinics. This information is contained in Footnote 3, Accounts Receivable, on page 22 of the audited financial statements.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Costing Methodology - Medicare Allowable Costs:</Identifier>
        <ReturnReference>Form 990, Schedule H, Part III, Line 8</ReturnReference>
        <Explanation>The costing methodology used to calculate Medicare allowable costs reported in Part III, Line 6 was based on an overall cost-to-charge ratio for all patient populations. Although Schedule H does not allow the reporting of Medicare shortfalls as a community benefit item, the hospital believes that shortfalls from government programs such as Medicare and Tricare (Federal Health Plan for military and their families) should be included in the community benefit calculation similar to Medicaid shortfalls. In FY13, such shortfalls amounted to $53.8 million.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Collection Practices:</Identifier>
        <ReturnReference>Form 990, Schedule H, Part III, Line 9b</ReturnReference>
        <Explanation>Although Vanderbilt University's policies do not contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance, in practice, if a patient qualifies for a 100% charity care write off, the account is closed and no further collection efforts are made. If a patient qualifies for a partial charity care write off, the account is reduced for the applicable charity discount and normal collection efforts are made.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Community Health Needs Assessment:</Identifier>
        <ReturnReference>Form 990, Schedule H, Part V, Section B, Line 1(i), Facility 1</ReturnReference>
        <Explanation>Vanderbilt University Hospitals and Clinics used multiple primary and secondary resources to assess the community's health needs and therefore was able to adequately identify the community's needs.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Community Health Needs Assessment:</Identifier>
        <ReturnReference>Form 990, Schedule H, Part V, Section B, Line 3, Facility 1</ReturnReference>
        <Explanation>The following describes the methodologies Vanderbilt University Hospitals and Clinics used to take into account input from persons who represent the community:- Online and paper surveys were used to seek the views of health care consumers and community leaders to identify gaps in services and health priorities in their communities. The survey was completed by 2,303 people.- Fourteen focus groups were conducted across the four counties that primarily represent the community served. In each county there was a focus group of community leaders from various sectors including education, government, healthcare, faith-based organizations, and business.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Community Health Needs Assessment:</Identifier>
        <ReturnReference>Form 990, Schedule H, Part V, Section B, Line 4, Facility 1</ReturnReference>
        <Explanation>Vanderbilt University Hospitals and Clinics also conducted a health needs assessment in partnership with its affiliated hospital Vanderbilt Stallworth Rehabilitation Hospital.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Community Health Needs Assessment - Web Address</Identifier>
        <ReturnReference>Form 990, Schedule H, Part V, Section B, Line 5a, Facility 1</ReturnReference>
        <Explanation>The Vanderbilt University Hospitals and Clinics Community Health Needs Assessment is accessible to the public via the following web address: http://www.vanderbilthealth.com/main/38766.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Community Health Needs Assessment:</Identifier>
        <ReturnReference>Form 990, Schedule H, Part V, Section B, Line 6 (c) &amp; (d), Facility 1</ReturnReference>
        <Explanation>The Vanderbilt University Hospitals and Clinics implementation plan states that "Vanderbilt is situated in a region that has many health and health care stakeholders including public health, community healthcare providers, schools, social service providers, governmental agencies, and other entities. To achieve success in any of the three strategic areas, collaboration with these organizations is critical. To move from planning to implementation over the next three years, Vanderbilt will actively engage key community stakeholders to further refine these plans and work collaboratively to improve the health of our community."</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Financial Assistance Policy:</Identifier>
        <ReturnReference>Form 990, Schedule H, Part V, Section B, Line 14, Facility 1</ReturnReference>
        <Explanation>Although Vanderbilt University Hospitals and Clinics' policies do not contain measures to publicize the policy, Vanderbilt did make the policy available to its community. See supplemental information for Part VI, Line 3 for Vanderbilt University Hospitals and Clinics.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Financial Assistance Policy:</Identifier>
        <ReturnReference>Form 990, Schedule H, Part V, Section B, Line 15, Facility 1</ReturnReference>
        <Explanation>See supplemental information for Part III, Line 9(b) for Vanderbilt University Hospitals and Clinics.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Charges to Individuals Eligible for Assistance Under the FAP:</Identifier>
        <ReturnReference>Form 990, Schedule H, Part V, Section B, Line 20(d), Facility 1</ReturnReference>
        <Explanation>The State of Tennessee requires each healthcare facility in the State to provide a discount from charges for uninsured patients. The discount is calculated for each hospital specifically and is based on the most recently filed Joint Annual Report with the State of Tennessee. For FY13, the state mandated discount for Vanderbilt was 39.8%. However, Vanderbilt voluntarily implemented a higher discount for the uninsured of 50%.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Community Health Needs Assessment:</Identifier>
        <ReturnReference>Form 990, Schedule H, Part V, Section B, Line 1(i), Facility 2</ReturnReference>
        <Explanation>Vanderbilt Stallworth Rehabilitation Hospital used multiple primary and secondary resources to assess the community's health needs and therefore was able to adequately identify the community's needs.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Community Health Needs Assessment:</Identifier>
        <ReturnReference>Form 990, Schedule H, Part V, Section B, Line 3, Facility 2</ReturnReference>
        <Explanation>The following describes the methodologies Vanderbilt Stallworth Rehabilitation Hospital used to take into account input from persons who represent the community:- Online and paper surveys were used to seek the views of health care consumers and community leaders to identify gaps in services and health priorities in their communities. The survey was completed by 2,303 people.- Fourteen focus groups were conducted across the four counties that primarily represent the community served. In each county there was a focus group of community leaders from various sectors including education, government, healthcare, faith-based organizations, and business.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Community Health Needs Assessment:</Identifier>
        <ReturnReference>Form 990, Schedule H, Part V, Section B, Line 4, Facility 2</ReturnReference>
        <Explanation>Vanderbilt Stallworth Rehabilitation Hospital also conducted a health needs assessment in partnership with its affiliated hospital Vanderbilt University Hospitals and Clinics.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Community Health Needs Assessment - Web Address</Identifier>
        <ReturnReference>Form 990, Schedule H, Part V, Section B, Line 5a, Facility 2</ReturnReference>
        <Explanation>The Vanderbilt Stallworth Rehabilitation Hospital Community Health Needs Assessment is accessible to the public via the following web address: http://www.vanderbiltstallworthrehab.com/en/our-approach/committed-to-quality.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Community Health Needs Assessment:</Identifier>
        <ReturnReference>Form 990, Schedule H, Part V, Section B, Line 6 (c) &amp; (d), Facility 2</ReturnReference>
        <Explanation>The Vanderbilt Stallworth Rehabilitation Hospital implementation plan states that "Vanderbilt is situated in a region that has many health and health care stakeholders including public health, community healthcare providers, schools, social service providers, governmental agencies, and other entities. To achieve success in any of the three strategic areas, collaboration with these organizations is critical. To move from planning to implementation over the next three years, Vanderbilt will actively engage key community stakeholders to further refine these plans and work collaboratively to improve the health of our community."</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Financial Assistance Policy:</Identifier>
        <ReturnReference>Form 990, Schedule H, Part V, Section B, Line 14, Facility 2</ReturnReference>
        <Explanation>Although Vanderbilt Stallworth Rehabilitation Hospital's policies do not contain measures to publicize the policy, Stallworth did make the policy available to its community. A summary of the policy is posted in the main elevator to the patient care units. Pre-Admitting, Registration, or Billing personnel may refer uninsured or low income patients to financial personnel to discuss qualifications for free or discounted care.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Charges to Individuals Eligible for Assistance Under the FAP:</Identifier>
        <ReturnReference>Form 990, Schedule H, Part V, Section B, Line 20(d), Facility 2</ReturnReference>
        <Explanation>Individuals without insurance are extended a 40% discount off gross charges which extends the discount required by Tennessee Code Annotated 68-11-262 - Limit on Amount of Charges for Services to an Uninsured Patient.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Needs Assessment:</Identifier>
        <ReturnReference>Form 990, Schedule H, Part VI, Line 2</ReturnReference>
        <Explanation>The hospitals and clinics play an active part in assessing the health care needs of the communities it serves by strategically targeting and providing essential health care services that would otherwise not be available to these patient populations. These services include high risk obstetrics, children's specialty services such as neonatal intensive care, pediatric intensive care, and hemophilia clinic as well as an adult aids program that is administered through the Department of Infectious Disease. Services have also been strategically implemented for underserved and economically disadvantaged areas and include the Vine Hill Community Clinic which is staffed by Nurse Practitioners, Certified Nurse Midwives, and Psychiatric Mental Health Nurse Practitioners from Vanderbilt University School of Nursing and the Shade Tree Family Clinic, a free health clinic run by Vanderbilt medical students.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Patient Education of Eligibility for Assitance:</Identifier>
        <ReturnReference>Form 990, Schedule H, Part VI, Line 3</ReturnReference>
        <Explanation>Patients are notified of potential assistance under Federal, State, or local government programs or under the organization's charity care policy via signage posted in the patient care registration points, brochures available at the registration points, and language included on all statements mailed to the patients. A summary of the Vanderbilt Stallworth Rehabilitation Hospital policy is posted in the main elevator to the patient care units. Pre-Admitting, Registration, or Billing personnel may refer uninsured or low income patients to financial personnel to discuss qualifications for free or discounted care.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Community Information:</Identifier>
        <ReturnReference>Form 990, Schedule H, Part VI, Line 4, Facility 1</ReturnReference>
        <Explanation>The Vanderbilt University Medical Center (VUMC), located in Nashville, Tennessee, serves Tennessee, northern Alabama and southern Kentucky. Three hospitals comprise the Vanderbilt Hospital System: the Vanderbilt University Hospital (adult care), the Monroe Carell, Jr. Children's Hospital at Vanderbilt and the Vanderbilt Psychiatric Hospital. Annually, the Vanderbilt University Hospitals have approximately 57,000 discharges. Annually, VUMC also provides approximately 1.7 million outpatient visits, including 110,000 to the emergency departments of the three hospitals. Vanderbilt University Hospitals provide critical and often unique health care resources to the community and provide broad access to care. The majority of Vanderbilt's patients live in four Tennessee counties: Davidson, Williamson, Rutherford and Montgomery.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Community Information:</Identifier>
        <ReturnReference>Form 990, Schedule H, Part VI, Line 4, Facility 2</ReturnReference>
        <Explanation>The Vanderbilt Stallworth Rehabilitation Hospital (Stallworth), located in Nashville, Tennessee, serves middle Tennessee, southern Kentucky, and the northern parts of Mississippi, Alabama and Georgia. This 80-bed hospital is a joint venture between Vanderbilt University Medical Center and HealthSouth and offers comprehensive acute rehabilitation services. Annually, Stallworth has approximately 1,600 discharges. The majority of Stallworth's patients live in four Tennessee counties: Davidson, Montgomery, Rutherford and Williamson.</Explanation>
      </Form990ScheduleHPartVI>
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          <AddressLine1>PO Box 1592</AddressLine1>
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          <State>TN</State>
          <ZIPCode>37605</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>6000</AmountOfCashGrant>
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          <AddressLine1>75 Francis St</AddressLine1>
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          <State>MA</State>
          <ZIPCode>02115</ZIPCode>
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        <EINOfRecipient>042312909</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>554663</AmountOfCashGrant>
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          <BusinessNameLine1>Brigham Young University</BusinessNameLine1>
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          <AddressLine1>PO Box 21128</AddressLine1>
          <City>Provo</City>
          <State>UT</State>
          <ZIPCode>84602</ZIPCode>
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        <EINOfRecipient>870217280</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>21064</AmountOfCashGrant>
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          <BusinessNameLine1>BrightStone</BusinessNameLine1>
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          <AddressLine1>PO Box 682966</AddressLine1>
          <City>Franklin</City>
          <State>TN</State>
          <ZIPCode>37064</ZIPCode>
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        <EINOfRecipient>621783260</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>7500</AmountOfCashGrant>
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          <BusinessNameLine1>Brown University</BusinessNameLine1>
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          <AddressLine1>164 Angell Street</AddressLine1>
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          <State>RI</State>
          <ZIPCode>02912</ZIPCode>
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        <EINOfRecipient>050258809</EINOfRecipient>
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        <AmountOfCashGrant>79647</AmountOfCashGrant>
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          <BusinessNameLine1>Carnegie-Mellon University</BusinessNameLine1>
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          <AddressLine1>5000 Forbes Avenue</AddressLine1>
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          <State>PA</State>
          <ZIPCode>15213</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>54852</AmountOfCashGrant>
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          <BusinessNameLine1>Case Western Reserve University</BusinessNameLine1>
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          <AddressLine1>10900 Euclid Avenue</AddressLine1>
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          <State>OH</State>
          <ZIPCode>44106</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>515027</AmountOfCashGrant>
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          <BusinessNameLine1>Cedars-Sinai Medical Center</BusinessNameLine1>
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          <AddressLine1>8700 Beverly Boulevard 6732</AddressLine1>
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          <State>CA</State>
          <ZIPCode>90048</ZIPCode>
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        <EINOfRecipient>951644600</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>57736</AmountOfCashGrant>
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          <BusinessNameLine1>Center for Biomedical Research LLC</BusinessNameLine1>
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          <AddressLine1>1415 Old Weisgarber Rd Suite 200</AddressLine1>
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          <State>TN</State>
          <ZIPCode>37909</ZIPCode>
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        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>10367</AmountOfCashGrant>
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          <BusinessNameLine1>Centers for Family Life</BusinessNameLine1>
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          <AddressLine1>5712 Spring House Way</AddressLine1>
          <City>Brentwood</City>
          <State>TN</State>
          <ZIPCode>37027</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>6500</AmountOfCashGrant>
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          <BusinessNameLine1>CFD Research Corporation</BusinessNameLine1>
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          <AddressLine1>601 Genome Way Suite 2301</AddressLine1>
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          <State>AL</State>
          <ZIPCode>35806</ZIPCode>
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        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>112069</AmountOfCashGrant>
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          <BusinessNameLine1>Childrens Hospital Medical Center</BusinessNameLine1>
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          <AddressLine1>3333 Burnet Ave</AddressLine1>
          <City>Cincinnati</City>
          <State>OH</State>
          <ZIPCode>45229</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>168756</AmountOfCashGrant>
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          <BusinessNameLine1>Children's Hospital of Boston</BusinessNameLine1>
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          <AddressLine1>300 Longwood Ave</AddressLine1>
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          <State>MA</State>
          <ZIPCode>02115</ZIPCode>
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        <EINOfRecipient>042774441</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>94451</AmountOfCashGrant>
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          <BusinessNameLine1>Childrens Hospital of Los Angeles</BusinessNameLine1>
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          <AddressLine1>4650 Sunset Boulevard Mailstop 97</AddressLine1>
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          <State>CA</State>
          <ZIPCode>90027</ZIPCode>
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        <EINOfRecipient>951690977</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>19987</AmountOfCashGrant>
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          <BusinessNameLine1>Childrens Hospital of Philadelphia</BusinessNameLine1>
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          <AddressLine1>34th Street and Civic Center Blvd</AddressLine1>
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          <State>PA</State>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>285157</AmountOfCashGrant>
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          <BusinessNameLine1>Children's Research Institute at Nationwide Children's Hospital</BusinessNameLine1>
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          <AddressLine1>700 Childrens Drive</AddressLine1>
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          <State>OH</State>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>98308</AmountOfCashGrant>
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          <AddressLine1>650 East Parkway South</AddressLine1>
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          <State>TN</State>
          <ZIPCode>38104</ZIPCode>
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        <EINOfRecipient>620476666</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>5519</AmountOfCashGrant>
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          <BusinessNameLine1>Claremont Graduate University</BusinessNameLine1>
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          <AddressLine1>150 East Tenth Street Harper Hall</AddressLine1>
          <AddressLine2>152</AddressLine2>
          <City>Claremont</City>
          <State>CA</State>
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        <AmountOfCashGrant>679212</AmountOfCashGrant>
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          <BusinessNameLine1>Cleveland Clinic Foundation</BusinessNameLine1>
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          <AddressLine1>9500 Euclid Ave</AddressLine1>
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          <State>OH</State>
          <ZIPCode>44195</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>293997</AmountOfCashGrant>
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          <AddressLine1>4825 Mark Center Drive</AddressLine1>
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          <State>VA</State>
          <ZIPCode>22311</ZIPCode>
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        <EINOfRecipient>541558882</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>15831</AmountOfCashGrant>
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          <BusinessNameLine1>College of William and Mary</BusinessNameLine1>
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          <AddressLine1>314 Jamestown Road</AddressLine1>
          <City>Williamsburg</City>
          <State>VA</State>
          <ZIPCode>23185</ZIPCode>
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        <EINOfRecipient>546001718</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>17697</AmountOfCashGrant>
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          <AddressLine1>1500 Illinois Street</AddressLine1>
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          <State>CO</State>
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          <BusinessNameLine1>Columbia University</BusinessNameLine1>
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          <AddressLine1>2960 Broadway</AddressLine1>
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          <ZIPCode>10027</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>675253</AmountOfCashGrant>
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          <AddressLine1>UW Box 354809</AddressLine1>
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          <State>WA</State>
          <ZIPCode>98915</ZIPCode>
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        <EINOfRecipient>943285533</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>35640</AmountOfCashGrant>
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          <BusinessNameLine1>Community Fdn of Middle TN Inc</BusinessNameLine1>
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          <AddressLine1>3833 Cleghorn Ave Ste 400</AddressLine1>
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          <State>TN</State>
          <ZIPCode>37215</ZIPCode>
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        <EINOfRecipient>621471789</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>6500</AmountOfCashGrant>
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          <BusinessNameLine1>Cooper Health Systems</BusinessNameLine1>
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          <AddressLine1>1 Cooper Plz</AddressLine1>
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          <State>NJ</State>
          <ZIPCode>08103</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>29573</AmountOfCashGrant>
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          <BusinessNameLine1>Cornell University</BusinessNameLine1>
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          <AddressLine1>1300 York Ave</AddressLine1>
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          <State>NY</State>
          <ZIPCode>10065</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>978030</AmountOfCashGrant>
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          <AddressLine1>2525 West End Ave Ste 950</AddressLine1>
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          <State>TN</State>
          <ZIPCode>37203</ZIPCode>
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        <EINOfRecipient>621765329</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>52848</AmountOfCashGrant>
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          <BusinessNameLine1>Dana Farber Cancer Institute</BusinessNameLine1>
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          <AddressLine1>44 Binney St</AddressLine1>
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          <State>MA</State>
          <ZIPCode>02115</ZIPCode>
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        <EINOfRecipient>042263040</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>223532</AmountOfCashGrant>
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          <AddressLine1>7 Lebanon St Ste 302</AddressLine1>
          <City>Hanover</City>
          <State>NH</State>
          <ZIPCode>03755</ZIPCode>
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        <EINOfRecipient>020222111</EINOfRecipient>
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          <BusinessNameLine1>David Lipscomb University</BusinessNameLine1>
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          <AddressLine1>One University Park Dr</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37204</ZIPCode>
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        <EINOfRecipient>620485733</EINOfRecipient>
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        <AmountOfCashGrant>72557</AmountOfCashGrant>
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          <BusinessNameLine1>Delaware State University</BusinessNameLine1>
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          <AddressLine1>Administration Building Room 307</AddressLine1>
          <City>Dover</City>
          <State>DE</State>
          <ZIPCode>19901</ZIPCode>
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        <EINOfRecipient>510305893</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>63283</AmountOfCashGrant>
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          <AddressLine1>777 Bannock St</AddressLine1>
          <City>Denver</City>
          <State>CO</State>
          <ZIPCode>80204</ZIPCode>
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        <EINOfRecipient>841343242</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>40760</AmountOfCashGrant>
        <PurposeOfGrant>Subcontract - Research</PurposeOfGrant>
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          <BusinessNameLine1>Duke University</BusinessNameLine1>
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          <AddressLine1>OSP Box 104135</AddressLine1>
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          <State>NC</State>
          <ZIPCode>27708</ZIPCode>
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        <EINOfRecipient>560532129</EINOfRecipient>
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        <AmountOfCashGrant>200947</AmountOfCashGrant>
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          <BusinessNameLine1>East Tennessee University</BusinessNameLine1>
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          <AddressLine1>ORSP Box 70565 Ada Earnest House</AddressLine1>
          <City>Johnson City</City>
          <State>TN</State>
          <ZIPCode>37614</ZIPCode>
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        <EINOfRecipient>626021046</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>6040</AmountOfCashGrant>
        <PurposeOfGrant>Instruction</PurposeOfGrant>
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          <BusinessNameLine1>Education Development Center Inc</BusinessNameLine1>
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          <AddressLine1>55 Chapel Street</AddressLine1>
          <City>Newton</City>
          <State>MA</State>
          <ZIPCode>02458</ZIPCode>
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        <EINOfRecipient>042241718</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>792395</AmountOfCashGrant>
        <PurposeOfGrant>Research</PurposeOfGrant>
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          <BusinessNameLine1>Emory University</BusinessNameLine1>
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          <AddressLine1>201 Dowman Drive</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>30322</ZIPCode>
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        <EINOfRecipient>580566256</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>1325882</AmountOfCashGrant>
        <PurposeOfGrant>Subcontract - Research</PurposeOfGrant>
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          <BusinessNameLine1>Eucleo Software Corporation</BusinessNameLine1>
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          <AddressLine1>3000 Pine Spring Road</AddressLine1>
          <City>Falls Church</City>
          <State>VA</State>
          <ZIPCode>22042</ZIPCode>
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        <EINOfRecipient>272145593</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>396346</AmountOfCashGrant>
        <PurposeOfGrant>Research</PurposeOfGrant>
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          <BusinessNameLine1>FACET Innovations LLC</BusinessNameLine1>
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          <AddressLine1>1314 NE 43rd Street Suite 207</AddressLine1>
          <City>Seattle</City>
          <State>WA</State>
          <ZIPCode>98105</ZIPCode>
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        <EINOfRecipient>200155627</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>89396</AmountOfCashGrant>
        <PurposeOfGrant>Research</PurposeOfGrant>
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          <BusinessNameLine1>Filament Games LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2010 Eastwood Drive Suite 104</AddressLine1>
          <City>Madison</City>
          <State>WI</State>
          <ZIPCode>53704</ZIPCode>
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        <EINOfRecipient>412188923</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>165793</AmountOfCashGrant>
        <PurposeOfGrant>Research</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>Fisk University</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1000 17th Avenue North</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37208</ZIPCode>
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        <EINOfRecipient>620202000</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>112451</AmountOfCashGrant>
        <PurposeOfGrant>Public Service, Research, Instruction</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Florida Atlantic University</BusinessNameLine1>
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        <PurposeOfGrant>Research</PurposeOfGrant>
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          <AddressLine1>3901 Rainbow Blvd</AddressLine1>
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          <AddressLine1>181 Presidents Drive</AddressLine1>
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        <IRCSection>501(c)(3)</IRCSection>
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        <AmountOfCashGrant>504934</AmountOfCashGrant>
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          <AddressLine1>Administration Bldg Room 315</AddressLine1>
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          <State>TN</State>
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        <EINOfRecipient>620648618</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>69775</AmountOfCashGrant>
        <PurposeOfGrant>Instruction, Research</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>University of Miami</BusinessNameLine1>
        </RecipientNameBusiness>
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          <AddressLine1>1200 Campo Sano Ave</AddressLine1>
          <City>Miami</City>
          <State>FL</State>
          <ZIPCode>33146</ZIPCode>
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        <EINOfRecipient>590624458</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>548532</AmountOfCashGrant>
        <PurposeOfGrant>Subcontract - Research</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>University of Michigan</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1009 Greene St</AddressLine1>
          <City>Ann Arbor</City>
          <State>MI</State>
          <ZIPCode>48109</ZIPCode>
        </AddressUS>
        <EINOfRecipient>386006309</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>29605</AmountOfCashGrant>
        <PurposeOfGrant>Subcontract - Research</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>University of Minnesota</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>200 Oak Street SE Suite 450</AddressLine1>
          <City>Minneapolis</City>
          <State>MN</State>
          <ZIPCode>55455</ZIPCode>
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        <EINOfRecipient>416007513</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>198297</AmountOfCashGrant>
        <PurposeOfGrant>Subcontract - Education and Research/Research</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>University of Missouri-Columbia</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>310 Jesse Hall</AddressLine1>
          <City>Columbia</City>
          <State>MO</State>
          <ZIPCode>65211</ZIPCode>
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        <EINOfRecipient>436003859</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>35513</AmountOfCashGrant>
        <PurposeOfGrant>Research</PurposeOfGrant>
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          <BusinessNameLine1>University of Norte Dame</BusinessNameLine1>
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          <AddressLine1>511 Main Building</AddressLine1>
          <City>Notre Dame</City>
          <State>IN</State>
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        <EINOfRecipient>350868188</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>451807</AmountOfCashGrant>
        <PurposeOfGrant>Research</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>University of North Carolina Chapel Hill</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>104 Airport Dr Ste 2200 CB 1350</AddressLine1>
          <City>Chapel Hill</City>
          <State>NC</State>
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        <EINOfRecipient>566001393</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>741017</AmountOfCashGrant>
        <PurposeOfGrant>Subcontract - Education and Research/Research</PurposeOfGrant>
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          <BusinessNameLine1>University of North Florida</BusinessNameLine1>
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          <AddressLine1>1 UNF Drive</AddressLine1>
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          <State>FL</State>
          <ZIPCode>32224</ZIPCode>
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        <EINOfRecipient>592976169</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>37587</AmountOfCashGrant>
        <PurposeOfGrant>Research</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>University of Pennsylvania</BusinessNameLine1>
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          <AddressLine1>3440 Market Street Suite 560</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
          <ZIPCode>19104</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>1119929</AmountOfCashGrant>
        <PurposeOfGrant>Subcontract - Research/Research</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>University of Pittsburgh</BusinessNameLine1>
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          <AddressLine1>3130 Cathedral of Learning</AddressLine1>
          <City>Pittsburgh</City>
          <State>PA</State>
          <ZIPCode>15620</ZIPCode>
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        <EINOfRecipient>250965591</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>568105</AmountOfCashGrant>
        <PurposeOfGrant>Subcontract - Education and Research/Research</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>University of Rochester</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>910 Genesee St Ste 200</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14611</ZIPCode>
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        <EINOfRecipient>160743209</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>31533</AmountOfCashGrant>
        <PurposeOfGrant>Subcontract - Research</PurposeOfGrant>
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          <BusinessNameLine1>University of South Alabama</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>307 North University Boulevard</AddressLine1>
          <City>Mobile</City>
          <State>AL</State>
          <ZIPCode>36688</ZIPCode>
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        <EINOfRecipient>630477348</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>14742</AmountOfCashGrant>
        <PurposeOfGrant>Subcontract - Research</PurposeOfGrant>
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          <BusinessNameLine1>University of South Carolina</BusinessNameLine1>
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          <AddressLine1>514 Main St</AddressLine1>
          <City>Columbia</City>
          <State>SC</State>
          <ZIPCode>29208</ZIPCode>
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        <EINOfRecipient>576001153</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>108947</AmountOfCashGrant>
        <PurposeOfGrant>Subcontract - Research</PurposeOfGrant>
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          <BusinessNameLine1>University of South Florida</BusinessNameLine1>
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          <AddressLine1>4202 E Fowler Ave BEH 253</AddressLine1>
          <City>Tampa</City>
          <State>FL</State>
          <ZIPCode>33620</ZIPCode>
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        <EINOfRecipient>159601874</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>192194</AmountOfCashGrant>
        <PurposeOfGrant>Research</PurposeOfGrant>
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          <BusinessNameLine1>University of Southern California</BusinessNameLine1>
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          <AddressLine1>University Gardens</AddressLine1>
          <City>Los Angeles</City>
          <State>CA</State>
          <ZIPCode>90089</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>870035</AmountOfCashGrant>
        <PurposeOfGrant>Subcontract - Research/Research</PurposeOfGrant>
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          <BusinessNameLine1>University of Tennessee</BusinessNameLine1>
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          <AddressLine1>201 Andy Holt Tower</AddressLine1>
          <City>Knoxville</City>
          <State>TN</State>
          <ZIPCode>37996</ZIPCode>
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        <EINOfRecipient>626001636</EINOfRecipient>
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        <AmountOfCashGrant>704948</AmountOfCashGrant>
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          <AddressLine1>1 University Station</AddressLine1>
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          <State>TX</State>
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        <AmountOfCashGrant>107513</AmountOfCashGrant>
        <PurposeOfGrant>Subcontract - Research</PurposeOfGrant>
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          <AddressLine1>5323 Harry Hines Boulevard</AddressLine1>
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          <State>TX</State>
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        <AmountOfCashGrant>314765</AmountOfCashGrant>
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          <BusinessNameLine1>University of Texas Health Science Center at San Antonio</BusinessNameLine1>
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          <AddressLine1>7703 Floyd Curl Drive</AddressLine1>
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          <State>TX</State>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>23962</AmountOfCashGrant>
        <PurposeOfGrant>Subcontract - Research</PurposeOfGrant>
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          <AddressLine1>201 S Presdients Circle Room 408</AddressLine1>
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        <AmountOfCashGrant>235480</AmountOfCashGrant>
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          <BusinessNameLine1>University of Virginia Health System</BusinessNameLine1>
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        <AmountOfCashGrant>54000</AmountOfCashGrant>
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        <AmountOfCashGrant>368214</AmountOfCashGrant>
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          <AddressLine1>21 N Park Street Suite 6401</AddressLine1>
          <City>Madison</City>
          <State>WI</State>
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        <AmountOfCashGrant>139086</AmountOfCashGrant>
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          <BusinessNameLine1>University of Wisconsin-Madison</BusinessNameLine1>
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          <AddressLine1>21 North Park Street Suite 6401</AddressLine1>
          <City>Madison</City>
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        <EINOfRecipient>396006492</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>1216072</AmountOfCashGrant>
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          <ZIPCode>37206</ZIPCode>
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        <AmountOfCashGrant>38158</AmountOfCashGrant>
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        <AmountOfCashGrant>38500</AmountOfCashGrant>
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        <AmountOfCashGrant>77204</AmountOfCashGrant>
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          <BusinessNameLine1>Wake Forest University Health Sciences</BusinessNameLine1>
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          <AddressLine1>PO Box 7201</AddressLine1>
          <City>WinstonSalem</City>
          <State>NC</State>
          <ZIPCode>27109</ZIPCode>
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        <EINOfRecipient>560532138</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>24981</AmountOfCashGrant>
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          <AddressLine1>WSU</AddressLine1>
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        <AmountOfCashGrant>79559</AmountOfCashGrant>
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          <State>MO</State>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>462396</AmountOfCashGrant>
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          <State>WV</State>
          <ZIPCode>26506</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>5900</AmountOfCashGrant>
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        <AmountOfCashGrant>64331</AmountOfCashGrant>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>20464</AmountOfCashGrant>
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        <AmountOfCashGrant>20000</AmountOfCashGrant>
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          <State>CT</State>
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        <AmountOfCashGrant>140354</AmountOfCashGrant>
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          <AddressLine1>1608 Woodmont Blvd</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37215</ZIPCode>
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        <EINOfRecipient>620475702</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>28000</AmountOfCashGrant>
        <PurposeOfGrant>Subcontract - Education and Research</PurposeOfGrant>
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      <TotalNbrOfOtherOrganizations>53</TotalNbrOfOtherOrganizations>
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        <TypeOfGrant>Patient Assistance</TypeOfGrant>
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        <TypeOfGrant>Patient Assistance</TypeOfGrant>
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        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>Food</DescriptionOfNonCashAssistance>
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      <Form990ScheduleIPartIII>
        <TypeOfGrant>Patient Assistance</TypeOfGrant>
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        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>Medical Supplies</DescriptionOfNonCashAssistance>
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      <Form990ScheduleIPartIII>
        <TypeOfGrant>Patient Assistance</TypeOfGrant>
        <NumberOfRecipients>450</NumberOfRecipients>
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        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>Outreach Programs</DescriptionOfNonCashAssistance>
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      <Form990ScheduleIPartIII>
        <TypeOfGrant>Patient Assistance</TypeOfGrant>
        <NumberOfRecipients>4000</NumberOfRecipients>
        <AmountOfNonCashAssistance>346210</AmountOfNonCashAssistance>
        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>Senior Wellness Programs</DescriptionOfNonCashAssistance>
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      <Form990ScheduleIPartIII>
        <TypeOfGrant>Student Financial Assistance</TypeOfGrant>
        <NumberOfRecipients>6648</NumberOfRecipients>
        <AmountOfCashGrant>283920686</AmountOfCashGrant>
        <MethodOfValuation>N/A</MethodOfValuation>
        <DescriptionOfNonCashAssistance>N/A</DescriptionOfNonCashAssistance>
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        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
        <ReturnReference>Part I, Line 2:</ReturnReference>
        <Explanation>Schedule I, Part I, Line 2: Subrecipient grants - Vanderbilt University maintains a formal policy defining its procedures for monitoring the use of sponsored funds by subrecipients who are performing a portion of a sponsored project externally awarded to Vanderbilt. The policy provides guidance to ensure that subrecipients conduct their portions of sponsored projects in compliance with laws, regulations, terms and conditions of awards and subawards, and that reimbursed costs incurred by subrecipients are allowed. The policy addresses the roles and responsibilities of central offices and academic departments of the University and describes the monitoring procedures for each area. The full text of Vanderbilt's subrecipient policy is available online at the following web address: http://www.vanderbilt.edu/ocga/vupolicies/subrecipient /SubrecipientMonitoringGuidelinesfinal.pdf Other Assistance - Assistance offered from institutional funds by Vanderbilt to our students is awarded on the basis of merit and/or financial need. Such assistance helps students and their families support the cost of attendance which includes tuition, mandatory fees, room &amp; board, books, other course materials/supplies, and allowances for personal/miscellaneous and travel expenses. Merit-based awards are competitively awarded in recognition of academic achievement, leadership, commitment to community service, contributions to society, and other forms of accomplishment. Need-based assistance is awarded on the basis of documented financial need, resulting from a need analysis evaluation accomplished in accordance with relevant and applicable federal, state, and/or institutional programs, policies, and eligibility requirements. Financial Aid - The units responsible for administering student financial aid at Vanderbilt regularly initiate system-generated reviews, as well as other cross-checks on an ad hoc basis. Results from these reviews, along with recurring management reports, are regularly evaluated. Subsequently, follow-up corrective actions are taken when appropriate and potentially include award revisions or cancellations. These provisions are designed to help ensure that student assistance funds are awarded to eligible recipients, in accordance with applicable federal, state, institutional, and other program legislation, as well as relevant internal University policies and operational guidelines/criteria.</Explanation>
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        <DeferredCompFilingOrg>12176</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>10293</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>655726</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 1a</ReturnReference>
        <Explanation>Vanderbilt excludes the benefits from taxable income when a documented business purpose is served. First-class or charter travel - Travelers should fly via commercial airline and work to obtain the lowest fare possible. If an airline provides business class or first class seating and the length of an individual flight segment is more than four hours, the traveler may petition his/her vice Chancellor and with this written approval purchase a business or first class ticket. In cases where it is not possible to fly commercial due to scheduling commitments, and the travel is of the highest importance, travelers may request that the Chancellor approve a charter flight, after weighing the benefits of the trip against the cost of the charter. The Board of trust has approved the first class travel or charter for the Chancellor when necessitated by his schedule. Per Vanderbilt's athletics travel policy, family members are allowed, with the approval of the Vice Chancellor for University Affairs and Athletics, to accompany the team on charter flights when there are extra seats, without having to reimburse the university since the charter fee is not determined by the number of actual passengers. Three officers, two highest compensated employees and one trustee/officer received first-class or charter travel benefits in accordance with Vanderbilt's travel policy that were not included in taxable compensation. Travel for companion - One highest compensated employee received travel for companion benefits in accordance with Vanderbilt's travel policy that were included in taxable compensation. One highest compensated employee received travel for companion benefits in accordance with Vanderbilt's travel policy that were not included in taxable compensation. Tax indemnification and gross-up payments - Two officers and two key employees received tax indemnification and/or gross-up payment benefits that were included in taxable compensation. Health or social club dues or initiaion fees - Three key employees and two officers received health or social club dues or initiation fees benefits that were included in taxable compensation. Two officers received health or social club dues or initiation fees benefits that were not included in taxable compensation.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Lines 4a-b</ReturnReference>
        <Explanation>Part I, Lines 4a-b: Line 4a: Former Officer (Vice Chancellor for Health Affairs) Harry R. Jacobson, MD terminated employment with Vanderbilt University in May 2010. He received severance payments totaling $541,667 in 2012, which was included in his 2012 W-2. Former Interim Officer (Interim Vice Chancellor for Finance and CFO) Betty L. Price, terminated employment with Vanderbilt University in July 2011. She received severance payments totaling $488,484 in 2012, which was included in her 2012 W-2. Line 4b: Certain individuals listed in Form 990, Schedule J, Part II, participate in nonqualified deferred compensation plans. Amounts contributed to the plans include fixed %s of annual bonus payments, and fixed dollar amounts. Contributions to the plan vest when individuals complete their contract term. Current year accruals of compensation associated with these plans are included in the amounts reported for such individuals in Schedule J, Part II, Column (C). The payout of these amounts will be included in the amounts reported in Schedule J, Part II, Column (B)(iii) for such individuals in future years. There were no payments made under these plans to participating individuals in 2012.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 7</ReturnReference>
        <Explanation>Chancellor Nicholas S. Zeppos achieved various incentive goals where judgment was determined by the Board of Trust. Total incentive compensation earned from these measures was $72,900 and is included in his 2012 W-2. The following individuals achieved various incentive goals where judgment was determined by the Chancellor or the Board of Trust. Total incentive compensation earned from these measures during 2012 for each individual follows, and is included in their respective 2012 W-2s. Vice Chancellor for Health Affairs; Dean, School of Medicine; Associate Vice Chancellor for Research Jeffrey R. Balser, MD, PHD - $27,891; Provost and Vice Chancellor for Academic Affairs, Professor of Psychology Richard C. McCarty - $16,830; Vice Chancellor for Finance and Chief Financial Officer Brett C. Sweet - $49,920; Vice Chancellor for University Affairs and Athletics; Former General Counsel; and Former Secretary of the University David Williams, II - $39,780; Vice Chancellor for Public Affairs Beth A. Fortune - $8,691.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>HEFB Vanderbilt Univ Series 2012D&amp;E</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>626139016</IssuerEIN>
        <CUSIPNumber>VariousNu</CUSIPNumber>
        <DateIssued>2012-11-29</DateIssued>
        <IssuePrice>169603023</IssuePrice>
        <DescriptionOfPurpose>See Part VI</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>HEFB Vanderbilt Univ Series 2012AB&amp;C</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>626139016</IssuerEIN>
        <CUSIPNumber>VariousNu</CUSIPNumber>
        <DateIssued>2012-03-29</DateIssued>
        <IssuePrice>180230953</IssuePrice>
        <DescriptionOfPurpose>See Part VI</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>HEFB Vanderbilt Univ Series 2009A&amp;B</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>626139016</IssuerEIN>
        <CUSIPNumber>VariousNu</CUSIPNumber>
        <DateIssued>2009-04-01</DateIssued>
        <IssuePrice>328850840</IssuePrice>
        <DescriptionOfPurpose>See Part VI</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>HEFB Vanderbilt Univ Series 2008A&amp;B</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>626139016</IssuerEIN>
        <CUSIPNumber>VariousNu</CUSIPNumber>
        <DateIssued>2008-04-23</DateIssued>
        <IssuePrice>274405009</IssuePrice>
        <DescriptionOfPurpose>See Part VI</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceeds>169603023</TotalProceeds>
        <OtherSpentProceeds>169603023</OtherSpentProceeds>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>B</BondReferenceCd>
        <AmountRetired>16440000</AmountRetired>
        <TotalProceeds>180231110</TotalProceeds>
        <OtherSpentProceeds>180231110</OtherSpentProceeds>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>C</BondReferenceCd>
        <TotalProceeds>328896899</TotalProceeds>
        <IssuanceCostsFromProceeds>2245733</IssuanceCostsFromProceeds>
        <CapitalExpenditures>100365260</CapitalExpenditures>
        <OtherSpentProceeds>266285906</OtherSpentProceeds>
        <YearOfSubstCompletion>2011</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>D</BondReferenceCd>
        <AmountRetired>42790000</AmountRetired>
        <TotalProceeds>275052312</TotalProceeds>
        <IssuanceCostsFromProceeds>1774403</IssuanceCostsFromProceeds>
        <OtherSpentProceeds>273277909</OtherSpentProceeds>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>1</EngageBondCounselContracts>
        <AnyResearchAgreements>1</AnyResearchAgreements>
        <EngageBondCounselResearch>1</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>1</ChangeInUseBondFinancedProp>
        <PrcntgeBondFinancedProp>0.00020</PrcntgeBondFinancedProp>
        <RemedialActionTaken>0</RemedialActionTaken>
        <NonQualifiedBondRemedProcdrs>1</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>1</EngageBondCounselContracts>
        <AnyResearchAgreements>1</AnyResearchAgreements>
        <EngageBondCounselResearch>1</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00070</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00070</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>1</ChangeInUseBondFinancedProp>
        <PrcntgeBondFinancedProp>0.00010</PrcntgeBondFinancedProp>
        <RemedialActionTaken>0</RemedialActionTaken>
        <NonQualifiedBondRemedProcdrs>1</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>1</EngageBondCounselContracts>
        <AnyResearchAgreements>1</AnyResearchAgreements>
        <EngageBondCounselResearch>1</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00030</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00030</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>1</ChangeInUseBondFinancedProp>
        <PrcntgeBondFinancedProp>0.00040</PrcntgeBondFinancedProp>
        <RemedialActionTaken>0</RemedialActionTaken>
        <NonQualifiedBondRemedProcdrs>1</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>1</EngageBondCounselContracts>
        <AnyResearchAgreements>1</AnyResearchAgreements>
        <EngageBondCounselResearch>1</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00120</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00010</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00130</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>0</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>1</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>1</RebateNotDueYet>
        <ExceptionToRebate>1</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>1</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>1</RebateNotDueYet>
        <ExceptionToRebate>1</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>1</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>1</RebateNotDueYet>
        <ExceptionToRebate>1</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>1</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>0</RebateNotDueYet>
        <ExceptionToRebate>1</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>1</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>1</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>B</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>1</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>C</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>1</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>D</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>1</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartVI>
        <Identifier>Form 990, Schedule K, Part I, Column (a), All Rows</Identifier>
        <ReturnReference>Full Issuer Name:</ReturnReference>
        <Explanation>The Health and Educational Facilities Board of Metropolitan Government of Nashville and Davidson County, TN (HEFB).</Explanation>
      </Form990ScheduleKPartVI>
      <Form990ScheduleKPartVI>
        <Identifier>Form 990, Schedule K, Part I, Column (f)</Identifier>
        <ReturnReference>Description of Purpose:</ReturnReference>
        <Explanation>1st group (Series 2012D&amp;E, 2012A,B&amp;C, 2009A&amp;B &amp; 2008A&amp;B) Row A - To refund a portion of series 2000A bonds (issued on January 20, 2005); a portion of the series 2005A bonds (issued on January 20, 2005); and a portion of tax-exempt commercial paper. Row B - To refund series 2000B bonds (issued on May 16,2000); series 2003A bonds (issued on May 29, 2003); a portion of the series 2005A bonds (issued on January 20, 2005); and the series 2001A&amp;B bonds (both issued January 1, 2001). Row C - To refund tax-exempt commercial paper (issued on June 28, 2007) used to finance various capital projects; refund series 2005 B-1 &amp; B-2 bonds (both issued on January 20, 2005); finance various capital improvements; to pay for costs associated with issuance of bonds. Row D - To refund tax-exempt commercial paper (issued on June 28, 2007) used to finance capital projects of the University and Hospitals; to pay for costs associated with issuance of bonds. 2nd group (CP Program 5, Series 2005 A-1 &amp; A-2) Row A - To refund series 2005B bonds (issued on January 20, 2005 and June 28, 2007); to finance various capital projects and improvements. Row B - Issued as a private replacement to fund purchase of medical transport helicopters.</Explanation>
      </Form990ScheduleKPartVI>
      <Form990ScheduleKPartVI>
        <Identifier>Form 990, Schedule K, Part II, Line 3,</Identifier>
        <ReturnReference>Variances:</ReturnReference>
        <Explanation>Differences between Part I, Column (e) and Part II, Line 3 is investment earnings.</Explanation>
      </Form990ScheduleKPartVI>
      <Form990ScheduleKPartVI>
        <Identifier>Form 990, Schedule K, Part III, Lines 4, 5, &amp; 6</Identifier>
        <ReturnReference>Private Business Use:</ReturnReference>
        <Explanation>Vanderbilt University is reporting private business use percentages on a net basis. Reporting on a net basis means that private business use has been allocated to the equity portion of any debt-financed buildings and equipment where private business use has occurred. In Vanderbilt's case, equity has substantially exceeded relatively minor private business use, resulting in zero reported amounts on a net basis.</Explanation>
      </Form990ScheduleKPartVI>
      <Form990ScheduleKPartVI>
        <Identifier>Form 990, Schedule K, Part III, Line 8a</Identifier>
        <ReturnReference>Sale or Disposition of Bond-Financed Property:</ReturnReference>
        <Explanation>Vanderbilt University calculates the percentage of sale or disposition of bond-financed property by using all disposed property in the numerator without considering if the property was sold to a private organization or disposed of in the regular course of business. This provides for a more conservative calculation. The assets that have been disposed of consist of small equipment. No bond-financed buildings or large equipment have been sold. It is not Vanderbilt's policy to sell any bond-financed assets to a nongovernmental person other than a 501(c)(3) organization.</Explanation>
      </Form990ScheduleKPartVI>
      <Form990ScheduleKPartVI>
        <Identifier>Form 990, Schedule K, Part III, Line 8b</Identifier>
        <ReturnReference>Percentage of Bond-Financed Property:</ReturnReference>
        <Explanation>1st group (Series 2012D&amp;E, 2012A,B&amp;C, 2009A&amp;B) Column A - Since a portion of the 20012D&amp;E bonds refinanced the 2005A&amp;B bonds, the portion of the 2005A&amp;B bonds that has been disposed of is allocated to the 2012D&amp;E bonds. Column B - Since a portion of the 2012A,B&amp;C bonds refinanced the 2005A&amp;B bonds, the portion of the 2005A&amp;B bonds that has been disposed of is allocated to the 2012A,B&amp;C bonds. Column C - Since a portion of the 2009A&amp;B bonds refinanced the 2005A&amp;B bonds, the portion of the 2005A&amp;B bonds that has been disposed of is allocated to the 2009A&amp;B bonds. 2nd group (CP Program 5) Column A - Since a portion of the CP Program 5 bonds refinanced the series 2005A&amp;B bonds, the portion of the 2005A&amp;B bonds that has been disposed of is allocated to the CP Program 5 bonds. The cost of the disposed asset was such that the calculation rounded to 0.04%. In addition, there were other assets financed by the CP Program 5 bonds that were disposed of which resulted in a calculation that rounded to 0.02%. This results in a total calculation of 0.06%.</Explanation>
      </Form990ScheduleKPartVI>
      <Form990ScheduleKPartVI>
        <Identifier>Form 990, Schedule K, Part IV, Lines 2c</Identifier>
        <ReturnReference>No Rebate Due:</ReturnReference>
        <Explanation>2nd group (Series 2005 A-1 &amp; A-2) Column B - No rebate is due as calculated by our rebate monitor in the report dated June 10, 2013.</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="RetDoc1053100002">
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>HEFB Vanderbilt Univ CP Program 5</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>626139016</IssuerEIN>
        <CUSIPNumber>VariousNu</CUSIPNumber>
        <DateIssued>2010-03-29</DateIssued>
        <IssuePrice>177740000</IssuePrice>
        <DescriptionOfPurpose>See Part VI</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>HEFB Vanderbilt Univ Series 2005A-1 &amp; A-2</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>626139016</IssuerEIN>
        <CUSIPNumber>VariousNu</CUSIPNumber>
        <DateIssued>2005-02-15</DateIssued>
        <IssuePrice>16440000</IssuePrice>
        <DescriptionOfPurpose>See Part VI</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <BondReferenceCd>A</BondReferenceCd>
        <AmountRetired>78535000</AmountRetired>
        <TotalProceeds>177740000</TotalProceeds>
        <OtherSpentProceeds>177740000</OtherSpentProceeds>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>B</BondReferenceCd>
        <AmountRetired>7380000</AmountRetired>
        <TotalProceeds>16440000</TotalProceeds>
        <IssuanceCostsFromProceeds>64961</IssuanceCostsFromProceeds>
        <CapitalExpenditures>16375039</CapitalExpenditures>
        <YearOfSubstCompletion>2005</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>1</EngageBondCounselContracts>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>1</ChangeInUseBondFinancedProp>
        <PrcntgeBondFinancedProp>0.00060</PrcntgeBondFinancedProp>
        <RemedialActionTaken>0</RemedialActionTaken>
        <NonQualifiedBondRemedProcdrs>1</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>0</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>1</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>0</RebateNotDueYet>
        <ExceptionToRebate>1</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>1</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>0</RebateNotDueYet>
        <ExceptionToRebate>0</ExceptionToRebate>
        <NoRebateDue>1</NoRebateDue>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>1</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>1</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>B</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>1</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIII>
        <NameOfInterestedBusiness>
          <BusinessNameLine1>See Part V</BusinessNameLine1>
        </NameOfInterestedBusiness>
      </Form990ScheduleLPartIII>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>See Part V</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>Schedule L, Part III</Identifier>
        <ReturnReference>Grants or Assistance Benefiting Interested Persons</ReturnReference>
        <Explanation>(a) Name of interested person:Education assistance provided to eleven interested persons(b) Relationship between interested person and the organization:Employees, dependents, family members(c) Amount of assistance:$401,068(d) Type of assistance:Merit based scholarships and awards(e) Purpose of assistance:Scholarships and awards to assist individuals fund education costs(a) Name interested person:Tuition assistance provided to six interested persons(b) Relationship between interested person and the organization:Qualifying dependents of eligible employees(c) Amount of assistance:$120,250(d)Type of assistance:Tuition assistance(e) Purpose of assistance:Tuition to assist individuals fund education costs</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Schedule L, Part IV</Identifier>
        <ReturnReference>Business Transactions Involving Interested Persons</ReturnReference>
        <Explanation>(a) Name of Person: Barbara E. Wilson-Engelhardt, MD(b) Relationship between interested person and Organization: Family member of trustee William Wilson(c) Amount of transaction: $130,490(d) Description of transaction: Employment at Vanderbilt(e) Sharing of Organization revenues? = No(a) Name of Person: Taylor Fife, APRN-BC(b) Relationship between interested person and Organization: Family member of current officer Jerry Fife(c) Amount of transaction: $24,703(d) Description of transaction: Employment at Vanderbilt (terminated 11/1/12)(e) Sharing of Organization revenues? = No(a) Name of Person: Hava Fife, APRN-BC(b) Relationship between interested person and Organization: Family member of current officer Jerry Fife(c) Amount of transaction: $111,185(d) Description of transaction: Employment at Vanderbilt(e) Sharing of Organization revenues? = No(a) Name of Person: Stacey McCarty(b) Relationship between interested person and Organization: Family member of current officer Richard McCarty(c) Amount of transaction: $50,178(d) Description of transaction: Employment at Vanderbilt(e) Sharing of Organization revenues? = No(a) Name of Person: Gail P. Carr-Williams, JD(b) Relationship between interested person and Organization: Family member of current officer David Williams, II(c) Amount of transaction: $126,249(d) Description of transaction: Employment at Vanderbilt(e) Sharing of Organization revenues? = No(a) Name of Person: Dell, Inc.(b) Relationship between interested person and Organization: Trustee Nancy E. Perot's brother and Trustee H. Ross Perot, Jr. serve on the board of Dell, Inc.(c) Amount of transaction: $4,327,312(d) Description of transaction: Purchases of computer hardware, software, accessories and services(e) Sharing of Organization revenues? = No(a) Name of Person: Summit Partners(b) Relationship between interested person and Organization: Trustee Bruce Evans is an owner/investor and on the board of Summit Partners(c) Amount of transaction: $2,151,983(d) Description of transaction: Management fees of $504,628 and carried interest of $1,647,355(e) Sharing of Organization revenues? = No</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <WorksOfArt>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>18</NumberOfContributions>
        <NoncashContribsRptdF990>50451</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </WorksOfArt>
      <BooksAndPublications>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NoncashContribsRptdF990>367997</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Various</MethodOfDeterminingRevenues>
      </BooksAndPublications>
      <ClothingAndHouseholdGoods>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NoncashContribsRptdF990>25145</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Selling Price</MethodOfDeterminingRevenues>
      </ClothingAndHouseholdGoods>
      <SecuritiesPubliclyTraded>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>532</NumberOfContributions>
        <NoncashContribsRptdF990>18383029</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Market Quote</MethodOfDeterminingRevenues>
      </SecuritiesPubliclyTraded>
      <RealEstateResidential>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>360900</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Selling Price/FMV</MethodOfDeterminingRevenues>
      </RealEstateResidential>
      <Collectibles>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>38</NumberOfContributions>
        <NoncashContribsRptdF990>16849</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Various</MethodOfDeterminingRevenues>
      </Collectibles>
      <FoodInventory>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>117</NumberOfContributions>
        <NoncashContribsRptdF990>14754</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Cost</MethodOfDeterminingRevenues>
      </FoodInventory>
      <DrugsAndMedicalSupplies>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>31</NumberOfContributions>
        <NoncashContribsRptdF990>404227</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Cost</MethodOfDeterminingRevenues>
      </DrugsAndMedicalSupplies>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>See Part II</Description>
        <NumberOfContributions>17</NumberOfContributions>
        <NoncashContribsRptdF990>25251</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Cost</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>See Part II</Description>
        <NumberOfContributions>256</NumberOfContributions>
        <NoncashContribsRptdF990>52968</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Cost</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>Software</Description>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>2704832</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <NumberOf8283Received>4</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>0</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>1</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>1</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
        <Identifier>Method for Determining Number of Contributions:</Identifier>
        <ReturnReference>Part I, Column (b):</ReturnReference>
        <Explanation>- Number of contributions or items contributed: Vanderbilt University reports the number of contributions received throughout the year for each type of property listed. Schedule M, Part I, Line 26: - Types of property, other: This line includes donations for various fundraising efforts and silent auctions items, such as giftcards and tickets to performances and athletic events. Schedule M, Part I, Line 27: - Types of property, other: This line includes donor out-of-pocket expenses for hosting Vanderbilt events.</Explanation>
      </Form990ScheduleMPartII>
      <Form990ScheduleMPartII>
        <Identifier>Third Party Use:</Identifier>
        <ReturnReference>Part I, Line 32b:</ReturnReference>
        <Explanation>Vanderbilt used an unrelated third party to sell gifts of real property. The terms of such arrangements are in accordance with the ordinary course of business for such real estate transactions.</Explanation>
      </Form990ScheduleMPartII>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 2</ReturnReference>
        <Explanation>- Family/Business Relationships: Trustees Jackson W. Moore and Rebecca W. Wilson have a family relationship. Trustees Nancy E. Perot and H. Ross Perot, Jr. have family and business relationships. Trustees Dennis C. Bottorff and John R. Ingram have a business relationship.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>- Complete Copy of Form 990 to Governing Body: The Form 990 is prepared by Vanderbilt University Finance Staff and provided to PricewaterhouseCoopers, Vanderbilt University's independent accounting firm for review. After review by PricewaterhouseCoopers, Vanderbilt University provides a draft copy of the Form 990 and all required schedules for review to all General Officers, which includes the Chancellor and Chief Financial Officer. Once this review process is complete, the Full Board of Trust and its Audit Committee are provided a hard copy of the draft Form 990 and all required schedules for review. The final Form 990 and all required schedules are made available to the full Board of Trust for review via Vanderbilt's secure Board of Trust website prior to the filing of the return.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>- Conflict of Interest: Vanderbilt University requires that for any faculty or staff member disclosing a potential conflict of interest, the conflict be reviewed by the individual's manager, as well as by the conflict of interest and commitment management office or Vanderbilt University Medical Center faculty affairs office, and the reported conflict be managed, reduced, or eliminated. The manager is required to respond that any recommended management plan has been implemented or that the reported conflict no longer exists. For those conflicts in which Vanderbilt may have an institutional interest, those in which human subject research is performed, or those deemed unmanageable, the University Conflicts Committee reviews and determines appropriate actions. The University Conflicts Committee members are appointed by the chancellor and are made up of a faculty member representing each of the university schools, the vice chancellor for administration, the director of technology transfer, the director of the institutional review board, the assistant vice chancellor of internal audit, and the heads of research for both the university and medical center. The University Conflicts Committee is chaired by the vice chancellor for university affairs and athletics, general counsel, and secretary of the university. The University Conflicts Committee reports bi-annually to the Audit Committee of the Board of Trust the matters brought before the committee and the resulting actions. Board of Trust members and senior executive management of the university also must complete annual conflict of interest disclosures and management plans are developed to manage, reduce, or eliminate any potential conflicts of interest. Trustees are notified of their plans and the plans are thoroughly discussed with them to ensure compliance. Those with disclosed potential conflict of interest are presented to the Audit Committee of the board of trust, along with their respective management action plans, where applicable. Management plans may include restrictions on members such as recusing themselves during deliberations and decisions in which a potential conflict may exist, with the minutes of the meeting reflecting their recusal. Additionally, all members of the Vanderbilt community are required to disclose potential conflicts as they arise throughout the year. The same process noted above occurs for these disclosures.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>- Determining Compensation: To ensure that Vanderbilt is paying reasonable total compensation, is not violating the private inurement prohibition, which requires that none of the organization's income or assets unreasonably benefit any of its trustees, officers, or key employees, and is in compliance with the intermediate sanctions provisions with respect to the general officers, Vanderbilt's Board of Trust has designated a Compensation Committee made up of outside, independent, board members to review and recommend to the Executive Committee of the Board of Trust the total compensation annually for the general officers. The committee utilizes an outside consulting firm to provide expert information regarding industry-wide compensation norms and compliance with all Internal Revenue Service rules concerning executive compensation, including the Internal Revenue Code provision related to intermediate sanctions, deferred compensation, and private inurement. The Compensation Committee reviews the executive compensation philosophy and affirms that it is in line with the Board's expectation. The compensation of the general officers is disclosed in the annual Form 990, which is available to the public in accordance with regulations sections 301.6104(d)-1 through 3. Each year the total compensation review and recommendations are recorded in the minutes of the Compensation Committee meetings. The approval of the recommendations is recorded in the Executive Committee meetings. The full Board is informed annually of the total compensation of the general officers during private session.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>- Policies Available to Public: - Vanderbilt University makes its governing documents available to the public through its Board of Trust website located at: http://www.vanderbilt.edu/boardoftrust. - Vanderbilt University makes its conflict of interest policy available to the public through its Compliance Program website located at: http://www.vanderbilt.edu/compliance and Vanderbilt University Medical Center's Office of Compliance and Corporate Integrity website located at: http://www.mc.vanderbilt.edu/compliance. - Vanderbilt University makes its financial statements available to the public through its website located at: http://www.financialreport.vanderbilt.edu.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Continuation of Titles</Identifier>
        <ReturnReference>Form 990, Part VII, Section A, Column (A)</ReturnReference>
        <Explanation>- Nicholas S. Zeppos, JD - Chancellor - Audrey Jane Anderson - Vice Chancellor, General Counsel and University Secretary (effective March 11, 2013) - Jeffrey R. Balser, MD, PHD - Vice Chancellor for Health Affairs; Dean, School of Medicine; Associate Vice Chancellor for Research - Jerry G. Fife, BS - Vice Chancellor of Administration - Beth A. Fortune, MA - Vice Chancellor for Public Affairs - John M. Lutz - Vice Chancellor for Information Technology (effective April 15, 2013) - Richard C. McCarty, MS, PHD - Provost and Vice Chancellor for Academic Affairs, Professor of Psychology - Susie S. Stalcup, BA - Vice Chancellor for Development and Alumni Relations - Brett C. Sweet, MBA - Vice Chancellor for Finance and Chief Financial Officer and Interim Vice Chancellor for Investments (effective January 31, 2013) - David Williams, II, MA, MBA, JD, LLM - Vice Chancellor for University Affairs and Athletics; Former General Counsel and Former Secretary of the University (effective March 11, 2013) - Matthew W. Wright, MBA - Former Vice Chancellor for Investments (through January 31, 2013) - Charles L. Gregory, MA, MBA, MHA - Assistant Vice Chancellor and CEO, Monroe Carell, Jr. Children's Hospital at Vanderbilt; Chief Business Development Officer - John F. Manning, Jr., PHD, MBA - Associate Vice Chancellor for Health Affairs and Chief Administrative Officer, Vanderbilt University Medical Center; Senior Associate Dean for Operations and Administration, School of Medicine - Charles W. Pinson, MD, MBA - Deputy Vice Chancellor for Health Affairs; Senior Associate Dean for Clinical Affairs - David Posch - CEO, Vanderbilt University Hospital - Melanie S. Balcomb - Head Women's Basketball Coach - James G. Franklin - Head Football Coach - John W. Klekamp, MD - Assistant Professor for Clinical Orthopaedic Surgery - Kevin E. Stallings, ME - Head Men's Basketball Coach - Paul A. Thomas, MD - Associate Professor of Clinical Orthopaedic Surgery - Harry R. Jacobson, MD - Former Officer (Vice Chancellor for Health Affairs); Terminated status as an officer in June 2009 - Betty L. Price, MBA, CPA - Former Interim Officer (Interim Vice Chancellor for Finance and CFO); Terminated status as an officer in August 2009 - Martin P. Sandler, MD - Former Key Employee (Associate Vice Chancellor for Hospital Affairs); Terminated status as a key employee in June 2009; Professor of Radiology and Radiological Sciences</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Investment Management Fees</Identifier>
        <ReturnReference>Form 990, Part IX, Line 11F</ReturnReference>
        <Explanation>The investment management fee of $9,591,630 represent fees paid directly to investment managers (i.e., separately managed accounts processed through the university's asset custodian). For Vanderbilt's audited financial statements, these fees are recorded through other comprehensive income. These fees are required to be reported as current year expense on Form 990, Part IX, line 11f. To reconcile net assets back to the audited financial statements, the expense is also reported on Form 990 Part XI (Reconciliation of Net Assets), Line 7, Investment Expenses.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part IX, Line 24e, All Other Functional Expenses:</ReturnReference>
        <Explanation>Bad Debts: Program service expenses 2,256,626 Management and general expenses 0 Fundraising expenses 0 Total expenses 2,256,626 Total Other Expenses of Form 990, Part IX, Line 24e Col A 2,256,626</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 9:</ReturnReference>
        <Explanation>Adjustment resulting from deconsolidation of entities having different EIN 1,655,137. Adjustment to reconsolidate prior years deconsolidated entities 15,570,219. Change in net assets related to noncontrolling interests -14,484,984.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Dore Capital LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2100 West End Ave Suite 1000</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37203</ZIPCode>
        </AddressUS>
        <EIN>264337602</EIN>
        <PrimaryActivities>Investment</PrimaryActivities>
        <LegalDomicileState>DE</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>VU</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Dore Capital Real Estate LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2100 West End Ave Suite 1000</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37203</ZIPCode>
        </AddressUS>
        <EIN>264581498</EIN>
        <PrimaryActivities>Investment</PrimaryActivities>
        <LegalDomicileState>DE</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>VU</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Vanderbilt Global Holdings LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2100 West End Ave Suite 750</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37203</ZIPCode>
        </AddressUS>
        <EIN>463504785</EIN>
        <PrimaryActivities>Holding Company</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>VU</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Vanderbilt Health Services LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2100 West End Ave Suite 750</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37203</ZIPCode>
        </AddressUS>
        <EIN>621176354</EIN>
        <PrimaryActivities>Support Org</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <TotalIncome>1302708</TotalIncome>
        <EOYAssets>8806790</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>VU</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Friends in Global Health LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2100 West End Ave Suite 750</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37203</ZIPCode>
        </AddressUS>
        <EIN>260170070</EIN>
        <PrimaryActivities>Public Health</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <TotalIncome>48262</TotalIncome>
        <EOYAssets>540766</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>VHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Vanderbilt-Wilson Radiation Oncology LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2100 West End Ave Suite 750</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37203</ZIPCode>
        </AddressUS>
        <EIN>261241612</EIN>
        <PrimaryActivities>Inactive</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>62934</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>VHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Vanderbilt Health Affiliated Network LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2100 West End Ave Suite 750</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37203</ZIPCode>
        </AddressUS>
        <EIN>461571024</EIN>
        <PrimaryActivities>Support Org</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <TotalIncome>-611918</TotalIncome>
        <EOYAssets>341506</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>VHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VUCH Donation LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2100 West End Ave Suite 750</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37203</ZIPCode>
        </AddressUS>
        <EIN>620476822</EIN>
        <PrimaryActivities>Investment</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>VU</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VU Real Estate Holdings Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2100 West End Ste 750</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37203</ZIPCode>
        </AddressUS>
        <EIN>582018307</EIN>
        <PrimaryActivities>Title Holding</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>501(C)(2)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>VU</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Vanderbilt Student Communications Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2301 Vanderbilt Place</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37235</ZIPCode>
        </AddressUS>
        <EIN>237030713</EIN>
        <PrimaryActivities>Support Org</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-A-I</PublicCharityStatus>
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        <ReturnReference>Form 990, Schedule R, Part V, Column C</ReturnReference>
        <Explanation>The amounts reported are derived from the books and records of Vanderbilt University, which are maintained on an accrual basis in accordance with U.S. Generally Accepted Accounting Principles. Valuation of the amounts reported in Schedule R, Part V, Column C is consistent with the valuation reflected in the University's consolidated audited financial statements.</Explanation>
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