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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARCO J CLARK</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL TORGAN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REID W BUTLER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROSIE ALLEN-HERRING</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CRAIG M PHELPS</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>1102376</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50704</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANA T FUNDERBURK</PersonNm>
        <TitleTxt>VICE PRESIDENT/CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>236701</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>44795</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANN LEE BURCH</PersonNm>
        <TitleTxt>DEAN</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>249581</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41591</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DWIGHT MCLEOD</PersonNm>
        <TitleTxt>DEAN</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>351963</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>49081</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC SAUERS</PersonNm>
        <TitleTxt>DEAN</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>285093</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>46180</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARGARET WILSON LEMLEY</PersonNm>
        <TitleTxt>DEAN</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>404779</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28396</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARISA HASTIE</PersonNm>
        <TitleTxt>DEAN</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>245398</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39541</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NORMAN GEVITZ</PersonNm>
        <TitleTxt>SENIOR VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>453229</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28564</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT TROMBLY</PersonNm>
        <TitleTxt>DEAN</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>345045</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48577</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON OBADIA</PersonNm>
        <TitleTxt>DEAN</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>395609</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43127</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID SHOUP</PersonNm>
        <TitleTxt>PROFESSOR</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>275598</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>45750</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEBORAH HEATH</PersonNm>
        <TitleTxt>ASSOCIATE DEAN</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>311542</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27677</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>O TED WENDEL</PersonNm>
        <TitleTxt>SENIOR VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>284385</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42256</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD LABAERE III</PersonNm>
        <TitleTxt>ASSOCIATE DEAN</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>312167</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>44879</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WAYNE COTTAM</PersonNm>
        <TitleTxt>PROFESSOR</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>279144</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40484</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DONALD ALTMAN</PersonNm>
        <TitleTxt>FORMER DEAN</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>382965</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29964</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RANDY DANIELSEN</PersonNm>
        <TitleTxt>FORMER DEAN</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>178312</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11622</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>6093887</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>663188</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>270</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FABIANO COMMUNICATIONS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7033 E GREENWAY STE 350</AddressLine1Txt>
            <CityNm>SCOTTSDALE</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>852542046</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MARKETING/ADV.</ServicesDesc>
        <CompensationAmt>2377788</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MERRILL LYNCH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>275 E RIVULON BLVD STE 400</AddressLine1Txt>
            <CityNm>GILBERT</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85297</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INVESTMENT MANAG.</ServicesDesc>
        <CompensationAmt>1434450</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TRITON MEDICAL SOLUTIONS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 13606</AddressLine1Txt>
            <CityNm>TEMPE</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85284</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLINIC MANAGEMENT</ServicesDesc>
        <CompensationAmt>1150845</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AFFINIA HEALTHCARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 551</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>631880551</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLINIC MANAGEMENT</ServicesDesc>
        <CompensationAmt>1073318</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LUTHERAN FAMILY HEALTH CENTERS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>150-55TH ST</AddressLine1Txt>
            <CityNm>BROOKLYN</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11220</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLINICAL ROTATIONS</ServicesDesc>
        <CompensationAmt>663698</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>41</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>5428886</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>3757470</AllOtherContributionsAmt>
      <NoncashContributionsAmt>123891</NoncashContributionsAmt>
      <TotalContributionsAmt>9186356</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>EDUCATIONAL PROGRAMS</Desc>
        <BusinessCd>611600</BusinessCd>
        <TotalRevenueColumnAmt>183014176</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>183014176</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT CARE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>9157738</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9157738</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>STUDENT LOAN INTEREST</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>26231</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>26231</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>STUDENT HOUSING/RECREATIONAL</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>258679</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>258679</RelatedOrExemptFuncIncomeAmt>
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      <TotalOthProgramServiceRevGrp>
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        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>0</ExclusionAmt>
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      <TotalProgramServiceRevenueAmt>192456824</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>14068674</TotalRevenueColumnAmt>
        <ExclusionAmt>14068674</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>9</TotalRevenueColumnAmt>
        <ExclusionAmt>9</ExclusionAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>22249</TotalRevenueColumnAmt>
        <ExclusionAmt>22249</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>1778258</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>1778258</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1778258</TotalRevenueColumnAmt>
        <ExclusionAmt>1778258</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>97699733</SecuritiesAmt>
        <OtherAmt>14148</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>95797516</SecuritiesAmt>
        <OtherAmt>30327</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>1902217</SecuritiesAmt>
        <OtherAmt>-16179</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1886038</TotalRevenueColumnAmt>
        <ExclusionAmt>1886038</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1231583</TotalRevenueColumnAmt>
        <ExclusionAmt>1231583</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>1231583</OtherRevenueTotalAmt>
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        <TotalRevenueColumnAmt>220629991</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>192456824</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>18986811</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>92779</TotalAmt>
        <ProgramServicesAmt>92779</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>2345585</TotalAmt>
        <ProgramServicesAmt>2345585</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>2613741</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2165169</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CompDisqualPersonsGrp>
        <TotalAmt>103659</TotalAmt>
        <ProgramServicesAmt>103659</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>89453928</TotalAmt>
        <ProgramServicesAmt>79599173</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8568255</ManagementAndGeneralAmt>
        <FundraisingAmt>1286500</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>4743914</TotalAmt>
        <ProgramServicesAmt>4099405</ProgramServicesAmt>
        <ManagementAndGeneralAmt>528083</ManagementAndGeneralAmt>
        <FundraisingAmt>116426</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>10650867</TotalAmt>
        <ProgramServicesAmt>9026706</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1421204</ManagementAndGeneralAmt>
        <FundraisingAmt>202957</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>6623162</TotalAmt>
        <ProgramServicesAmt>5844340</ProgramServicesAmt>
        <ManagementAndGeneralAmt>684231</ManagementAndGeneralAmt>
        <FundraisingAmt>94591</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>337835</TotalAmt>
        <ProgramServicesAmt>130270</ProgramServicesAmt>
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        <ExplanationTxt>THE COLLECTIONS OF THE MUSEUM OF OSTEOPATHIC MEDICINE INCLUDE MORE THAN 100,000 OBJECTS, PHOTOGRAPHS, DOCUMENTS, AND BOOKS DATING FROM THE EARLY 1800S TO THE PRESENT (BULK 1870-1940). THE CORE OF THE COLLECTION CONSISTS OF ARTIFACTS FROM A.T. STILL'S PROFESSIONAL AND PRIVATE LIFE, MOST OF THEM DONATED BY DR. STILL'S DAUGHTER, BLANCHE LAUGHLIN, AND MEMBERS OF HER FAMILY. SINCE THE FOUNDING OF THE MUSEUM, OTHER FAMILY MEMBERS, DOCTORS OF OSTEOPATHIC MEDICINE, AND MUSEUM SUPPORTERS HAVE DONATED MANY ADDITIONAL ARTIFACTS THAT REFLECT THE ONGOING HISTORY OF THE OSTEOPATHIC PROFESSION. THE RESEARCH COLLECTIONS OF THE INTERNATIONAL CENTER FOR OSTEOPATHIC HISTORY ALSO INCLUDE MANY FORMER HOLDINGS OF THE ATSU-KCOM LIBRARY'S SPECIAL COLLECTIONS, FOR WHICH THE MUSEUM ASSUMED RESPONSIBILITY IN 1997. AS A PUBLIC TRUST THE MATERIAL IS AVAILABLE FREE OF CHARGE FOR VIEWING AND RESEARCH BY THE LOCAL, NATIONAL AND INTERNATIONAL POPULATION. ITS PROGRAMS AND TOURS USED BY THE LOCAL SCHOOLS AND THE PUBLIC ARE PROVIDED FREE AS AN EDUCATIONAL SERVICE. THE MUSEUM WAS ACCREDITED BY THE AMERICAN ALLIANCE OF MUSEUMS IN 2022.</ExplanationTxt>
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        <DeferredCompensationFlngOrgAmt>14159</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27432</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>291172</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARISA HASTIE</PersonNm>
        <TitleTxt>DEAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>243834</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>280</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1284</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13904</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25637</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>284939</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARGARET WILSON LEMLEY</PersonNm>
        <TitleTxt>DEAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>402482</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>30</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2267</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17940</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10456</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>433175</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DWIGHT MCLEOD</PersonNm>
        <TitleTxt>DEAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>350122</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>280</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1561</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17940</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>31141</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>401044</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHARON OBADIA</PersonNm>
        <TitleTxt>DEAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>357053</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>38363</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>193</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17940</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25187</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>438736</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIC SAUERS</PersonNm>
        <TitleTxt>DEAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>284870</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>30</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>193</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16194</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29986</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>331273</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT TROMBLY</PersonNm>
        <TitleTxt>DEAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>343698</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>280</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1067</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17940</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>30637</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>393622</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DONALD ALTMAN</PersonNm>
        <TitleTxt>FORMER DEAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>293518</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>87180</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2267</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17940</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12024</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>412929</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>O TED WENDEL</PersonNm>
        <TitleTxt>SENIOR VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>280425</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1030</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2930</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15869</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26387</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>326641</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBORAH HEATH</PersonNm>
        <TitleTxt>ASSOCIATE DEAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>294945</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15030</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1567</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17053</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10624</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>339219</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICHARD LABAERE III</PersonNm>
        <TitleTxt>ASSOCIATE DEAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>309633</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>280</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2254</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17292</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27587</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>357046</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID SHOUP</PersonNm>
        <TitleTxt>PROFESSOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>269857</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5380</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>361</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15609</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>30141</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>321348</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WAYNE COTTAM</PersonNm>
        <TitleTxt>PROFESSOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>255811</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>280</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>23053</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14600</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25884</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>319628</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Items added to President's W-2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE UNIVERSITY PROVIDES A HOUSING ALLOWANCE FOR THE UNIVERSITY PRESIDENT FOR A HOUSE IN ARIZONA AND ALSO MAINTAINS A HOUSE FOR THE PRESIDENT IN KIRKSVILLE. THE HOUSING BENEFIT FOR BOTH HOUSES IS TREATED AS TAXABLE COMPENSATION AND INCLUDED ON THE PRESIDENT'S W-2. THE UNIVERSITY PROVIDED TRAVEL EXPENSES FOR THE PRESIDENT'S SPOUSE TO ATTEND EVENTS THROUGHOUT THE YEAR. THESE ITEMS WERE TREATED AS TAXABLE INCOME IN HIS W-2. THE UNIVERSITY PAID FOR AQUATIC CENTER AND HEALTH CENTER DUES FOR SEVERAL EMPLOYEES, WHICH WERE REPORTED AS TAXABLE INCOME ON THEIR W-2S. THIS BENEFIT IS AVAILABLE TO ALL EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental Nonqualified Retirement Plan</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE TERM OF THE PRESIDENT'S EMPLOYMENT WITH THE INSTITUTION AS PROVIDED IN THE PRESIDENT'S EMPLOYMENT AGREEMENT WITH ATSU DATED JULY, 2020. ON OR AROUND AUGUST 1 INSTITUTION WILL REMIT TO CREDIT TO THE DEFERRED COMPENSATION ACCOUNT AN AMOUNT EQUAL TO UP TO 20% OF THE PRESIDENT'S BASE SALARY PER YEAR FOR EACH FULL YEAR OF THE PRESIDENT'S EMPLOYMENT IN AN AMOUNT EQUAL TO THE AMOUNT OF THE PRESIDENT'S BONUS, IF ANY, AS DETERMINED BY THE INSTITUTION'S BOARD OF TRUSTEES. THE PRESIDENT SHALL VEST IN THE DEFERRED COMPENSATION ACCOUNT ON JUNE 30, 2024, PROVIDED HE REMAINS IN CONTINUOUS EMPLOYMENT THROUGH SUCH DATE, OR UPON HIS EARLIER TERMINATION OF EMPLOYMENT DUE TO HIS DEATH OR DISABILITY OR UPON TERMINATION OF THE PRESIDENT'S EMPLOYMENT BY ATSU WITHOUT CAUSE, AS DEFINED IN THE EMPLOYMENT AGREEMENT. 2023 ACTIVITY CRAIG M. PHELPS - ACCRUAL $ 144,983, DISTRIBUTION $ 131,818, TOTAL $ 276,801</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI</BusinessNameLine1Txt>
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        <BondIssuerEIN>431178966</BondIssuerEIN>
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        <BondIssuedDt>2016-12-06</BondIssuedDt>
        <IssuePriceAmt>27564854</IssuePriceAmt>
        <PurposeDesc>See Part VI</PurposeDesc>
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        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI</BusinessNameLine1Txt>
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        <BondIssuerEIN>431178966</BondIssuerEIN>
        <CUSIPNum>60636AUC5</CUSIPNum>
        <BondIssuedDt>2019-11-07</BondIssuedDt>
        <IssuePriceAmt>8728181</IssuePriceAmt>
        <PurposeDesc>See Part VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>27577788</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>426075</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>27151713</CapitalExpendituresAmt>
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        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>2940000</RetiredAmt>
        <TotalProceedsAmt>8728181</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>58252</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>8669929</OtherSpentProceedsAmt>
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        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
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        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
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        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsPrivateBusUseGrp>
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        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>true</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II COLUMN A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNT IS NOT EQUAL TO ISSUE PRICE DUE TO INVESTMENT EARNINGS EARNED DURING THE PROJECT PERIOD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II COLUMN B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS AMOUNT WAS USED TO REFUND THE SERIES 2000 BONDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part III COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>PART III IS NOT REQUIRED TO BE COMPLETED FOR PROJECTS ORIGINALLY FINANCED PRIOR TO 01/01/2003.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV COLUMN A, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>ARBITRAGE REBATE ANALYSIS COMPLETED AS OF 10/1/2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV COLUMN A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS DEPOSITED IN THE PROJECT FUND WERE INVESTED AFTER THE 3-YEAR TEMPORARY PERIOD. HOWEVER, ALL AMOUNTS WERE INVESTED BELOW THE BOND YIELD AND HAVE SUBSEQUENTLY BEEN SPENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I COLUMN F, LINE A - DESCRIPTION OF PURPOSE</FormAndLineReferenceDesc>
        <ExplanationTxt>ACQUIRE, IMPROVE, RENOVATE, EQUIP AND FURNISH UNIVERSITY FACILITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I COLUMN F, LINE B - DESCRIPTION OF PURPOSE</FormAndLineReferenceDesc>
        <ExplanationTxt>REFUND SERIES 2000 BONDS (ORIGINALLY ISSUED ON 8/4/2000 AND REISSUED ON 1/27/2010).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV Column B, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>Arbitrage Rebate Analysis completed as of 10/1/2024.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="23017437" softwareVersionNum="2023v6.0">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>LLOYD CLEAVER</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FATHER OF JONATHAN CLEAVER</RelationshipDescriptionTxt>
        <TransactionAmt>68679</TransactionAmt>
        <TransactionDesc>EMPLOYEE OF ATSU</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>DAVID CLEAVER</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BROTHER OF JONATHAN CLEAVER</RelationshipDescriptionTxt>
        <TransactionAmt>34980</TransactionAmt>
        <TransactionDesc>EMPLOYEE OF ATSU</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="23017437" softwareVersionNum="2023v6.0">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>5073</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Selling cost</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>MEDICAL EQUIPMENT</Desc>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>118818</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I Explanations of reporting method for number of contributions</FormAndLineReferenceDesc>
        <ExplanationTxt>Securities - Publicly traded - Number of contributions Other - MEDICAL EQUIPMENT Number of contributions</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017437" softwareVersionNum="2023v6.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a ABOUT ATSU</FormAndLineReferenceDesc>
        <ExplanationTxt>ABOUT A.T. STILL UNIVERSITY ESTABLISHED IN 1892 BY ANDREW TAYLOR STILL, DO, THE FOUNDER OF OSTEOPATHIC MEDICINE, A.T. STILL UNIVERSITY (ATSU) BEGAN AS THE NATION'S FIRST COLLEGE OF OSTEOPATHIC MEDICINE AND HAS GROWN INTO A COMPREHENSIVE HEALTH SCIENCES UNIVERSITY WITH SEVEN SCHOOLS OFFERING MORE THAN 40 HEALTH PROFESSIONS PROGRAMS ON CAMPUSES IN KIRKSVILLE, MISSOURI; MESA, ARIZONA; SANTA MARIA, CALIFORNIA; AND ONLINE. THE UNIVERSITY'S MISSOURI CAMPUS COLLEGES/SCHOOLS INCLUDE KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE (ATSU-KCOM), COLLEGE OF GRADUATE HEALTH STUDIES (ATSU-CGHS), AND MISSOURI SCHOOL OF DENTISTRY AL HEALTH (ATSU-MOSDOH). THE UNIVERSITY'S ARIZONA CAMPUS SCHOOLS INCLUDE ARIZONA SCHOOL OF HEALTH SCIENCES (ATSU-ASHS), ARIZONA SCHOOL OF DENTISTRY AL HEALTH (ATSU-ASDOH), AND SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA (ATSU-SOMA). THE UNIVERSITY'S CALIFORNIA CAMPUS INCLUDES THE COLLEGE FOR HEALTHY COMMUNITIES (ATSU-CHC). STUDENT LEARNING IS AT THE HEART OF ATSU, AND STUDENTS AND FACULTY ARE PART OF A DISTINGUISHED HERITAGE EMPHASIZING WHOLE PERSON HEALTHCARE. THIS APPROACH BEGINS WITH A BELIEF IN THE INTERACTIONS OF THE BODY, MIND, AND SPIRIT AND CONTINUES WITH AN UNDERSTANDING OF HOW THESE DIMENSIONS MAY BE TREATED AS ONE. EACH PROGRAM INTEGRATES WHOLE PERSON HEALTHCARE INTO ITS CURRICULUM AND EMPHASIZES DEVELOPMENT OF COMPETENCIES IN INTERPROFESSIONAL COLLABORATION, CULTURAL PROFICIENCY, CRITICAL THINKING, SOCIAL RESPONSIBILITY, AND INTERPERSONAL SKILLS. INSPIRED TO INFLUENCE WHOLE PERSON HEALTHCARE, ATSU GRADUATES IMPROVE INDIVIDUAL AND COMMUNITY HEALTH WHILE LEADING WITH A SELFLESS PASSION. BEGINNING WITH THE MISSION STATEMENT, THE UNIVERSITY PRACTICES TWO-WAY INVOLVEMENT WITHIN ITS COMMUNITIES AT ALL LEVELS OF ATSU, THUS PROVIDING NOT ONLY SERVICE, BUT ALSO TRUE ENGAGEMENT. THIS IS EVIDENCED BY LISTENING AND RESPONDING TO COMMUNITY AND PROFESSION NEEDS THROUGH DEVELOPMENT OF PROGRAMS, INVOLVEMENT IN OFF-SITE CLINICS, EMERGENCY RESPONSE TEAMS, ACTIVE MEMBERSHIP AND COLLABORATION WITH VARIOUS COMMUNITY ORGANIZATIONS, AND COMMUNICATING WITH UNIVERSITY CONSTITUENTS TO ADVANCE ATSU'S MISSION WHILE RESPONDING TO THE GREATER COMMUNITY NEEDS. ATSU PROGRAMS (FALL 2023) ATSU-ASDOH RESIDENTIAL PROGRAMS DOCTOR OF DENTAL MEDICINE (DMD) MASTER OF SCIENCE - ORTHODONTICS (MS RESIDENCY) CERTIFICATE (RESIDENCY) ATSU-ASHS RESIDENTIAL PROGRAMS DOCTOR OF AUDIOLOGY (AUD) DOCTOR OF OCCUPATIONAL THERAPY - ENTRY LEVEL (OTD) DOCTOR OF PHYSICAL THERAPY (DPT) MASTER OF SCIENCE - OCCUPATIONAL THERAPY (MS) MASTER OF SCIENCE - PHYSICIAN ASSISTANT STUDIES (MS) MASTER OF SCIENCE - SPEECH-LANGUAGE PATHOLOGY (MS) ONLINE PROGRAMS DOCTOR OF ATHLETIC TRAINING (DAT) DOCTOR OF AUDIOLOGY (AUD POST-PROFESSIONAL) DOCTOR OF MEDICAL SCIENCE (DMSC) (PHYSICIAN ASSISTANT STUDIES) DOCTOR OF PHYSICAL THERAPY (DPT POST-PROFESSIONAL) MASTER OF SCIENCE - ATHLETIC TRAINING (MS POST-PROFESSIONAL) MASTER OF SCIENCE - BIOMEDICAL SCIENCES (MS) CERTIFICATE - CLINICAL DECISION MAKING IN ATHLETIC TRAINING (POST-GRADUATE) CERTIFICATE - LEADERSHIP AND EDUCATION IN ATHLETIC TRAINING (POST-GRADUATE) CERTIFICATE - ORTHOPAEDICS IN ATHLETIC TRAINING (POST- GRADUATE) CERTIFICATE - REHABILITATION IN ATHLETIC TRAINING (POST- GRADUATE) CERTIFICATE - SPORT NEUROLOGY AND CONCUSSION IN ATHLETIC TRAINING (POST- GRADUATE) CERTIFICATE - EDUCATION (PA POST-PROFESSIONAL) CERTIFICATE - LEADERSHIP (PA POST-PROFESSIONAL) NEUROLOGIC (PT RESIDENCY CERTIFICATE NON-DEGREE) ORTHOPEDIC (PT RESIDENCY CERTIFICATE NON-DEGREE) ATSU-CHC RESIDENTIAL PROGRAM MASTER OF SCIENCE - PHYSICIAN ASSISTANT STUDIES (MS) ATSU-CGHS ONLINE PROGRAMS DOCTOR OF EDUCATION IN HEALTH PROFESSIONS (EDD) DOCTOR OF HEALTH ADMINISTRATION (DHA) DOCTOR OF HEALTH SCIENCES (DHSC) DOCTOR OF NURSING PRACTICE (DNP) MASTER OF EDUCATION IN HEALTH PROFESSIONS (MED) MASTER OF HEALTH ADMINISTRATION (MHA) MASTER OF HEALTH SCIENCES (MHSC) MASTER OF PUBLIC HEALTH (MPH) MASTER OF PUBLIC HEALTH - DENTAL EMPHASIS (MPH) MASTER OF PUBLIC HEALTH - DENTAL PUBLIC HEALTH RESIDENCY MASTER OF SCIENCE - KINESIOLOGY (MS) CERTIFICATE - ADAPTIVE SPORTS (KINESIOLOGY) CERTIFICATE - CORRECTIVE EXERCISE THOPEDIC REHABILITATION (KINESIOLOGY) CERTIFICATE - EDUCATION IN HEALTH PROFESSIONS CERTIFICATE - EXERCISE AND SPORT PSYCHOLOGY KINESIOLOGY) CERTIFICATE - FUNDAMENTALS OF EDUCATION (DHSC) CERTIFICATE - GERIATRIC EXERCISE SCIENCES (KINESIOLOGY) CERTIFICATE - SPORTS CONDITIONING (KINESIOLOGY) CERTIFICATE - GLOBAL HEALTH (DHSC) CERTIFICATE - LEADERSHIP AND ORGANIZATIONAL BEHAVIOR (DHSC) CERTIFICATE - PUBLIC HEALTH, EMERGENCY PREPAREDNESS, &amp; DISASTER RESPONSE (MPH) CERTIFICATE - PUBLIC HEALTH WORKFORCE PREPAREDNESS (MPH) CERTIFICATE - SPORTS CONDITIONING (KINESIOLOGY) ATSU-KCOM RESIDENTIAL PROGRAMS DOCTOR OF OSTEOPATHIC MEDICINE (DO) MASTER OF BIOMEDICAL SCIENCES (MS) ATSU-SOMA RESIDENTIAL PROGRAM DOCTOR OF OSTEOPATHIC MEDICINE (DO) ATSU-MOSDOH RESIDENTIAL PROGRAM DOCTOR OF DENTAL MEDICINE (DMD)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a ATSU QUICK FACTS</FormAndLineReferenceDesc>
        <ExplanationTxt>ATSU QUICK FACTS CAMPUS LOCATIONS KIRKSVILLE, MISSOURI MESA, ARIZONA SANTA MARIA, CALIFORNIA KIRKSVILLE POPULATION ESTIMATE: 17,483 (2023) MESA POPULATION ESTIMATE: 511,648 (2023) SANTA MARIA POPULATION ESTIMATE: 109,987 (2023) ENROLLMENT (FALL 2023) TOTAL - 3,956 ARIZONA SCHOOL OF DENTISTRY AL HEALTH (ATSU-ASDOH) - 328 ARIZONA SCHOOL OF HEALTH SCIENCES (ATSU-ASHS) - 1,063 COLLEGE OF GRADUATE HEALTH STUDIES (ATSU-CGHS) - 898 COLLEGE FOR HEALTHY COMMUNITIES (ATSU-CHC) - 177 KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE (ATSU-KCOM) - 691 MISSOURI SCHOOL OF DENTISTRY AL HEALTH (ATSU-MOSDOH) - 258 SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA (ATSU-SOMA) - 541 DEGREES GRANTED (2023-24) DOCTORAL - 820 MASTER - 397 CERTIFICATE - 203 LIVING ALUMNI (2023-24) TOTAL - 25,064 ATSU-KCOM - 7,649 ATSU-ASHS - 11,415 ATSU-CGHS- 4,376 ATSU-ASDOH - 1,185 ATSU-SOMA - 1,345 ATSU-MOSDOH - 313 ATSU-POST-GRADUATE SCHOOL OF OSTEOPATHIC CLINICAL RESEARCH - 8 *PLEASE NOTE SOME ATSU ALUMNI HAVE MORE THAN ONE ATSU DEGREE, THEREFORE, THE SCHOOL COUNTS MAY NOT SUM TO THE TOTAL. EMPLOYEES (SEPTEMBER 2023) FULL-TIME EMPLOYEES - 869 PART-TIME EMPLOYEES - 860</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a POINTS OF PRIDE &amp; ACCOMPLISHMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>2023-24 ATSU &amp; COLLEGES/SCHOOLS POINT OF PRIDE &amp; ACCOMPLISHMENTS A.T. STILL UNIVERSITY (ATSU) - ATSU'S DREAMLINE PATHWAYS PROGRAM EARNED INSIGHT INTO DIVERSITY MAGAZINE'S 2023 INSPIRING PROGRAMS IN STEM AWARD FOR THE THIRD CONSECUTIVE YEAR. - RECEIVED INSIGHT INTO DIVERSITY HEALTH PROFESSIONS HIGHER EDUCATION EXCELLENCE IN DIVERSITY (HEED) AWARD FOR THE SEVENTH CONSECUTIVE YEAR (2017-2023). - A.T. STILL MEMORIAL LIBRARY RECEIVED THE INAUGURAL INSIGHT INTO DIVERSITY LEAD AWARD FOR ADVANCING DIVERSITY, EQUITY, AND INCLUSION. - RANKED #25 BY DIVERSE: ISSUES IN HIGHER EDUCATION FOR PRODUCING DOCTORAL HEALTH SCIENCE DEGREES FOR AFRICAN-AMERICAN STUDENTS. - RECOGNIZED BY SOCIAL MISSION ALLIANCE FOR COMMITMENT TO HEALTH EQUITY AND UNDERSERVED POPULATIONS. - FACULTY AND STAFF PUBLISHED 218 PEER-REVIEWED ARTICLES AND SECURED $4.8 MILLION IN EXTERNAL GRANT AWARDS. - HOSTED THE 15TH ANNUAL INTERDISCIPLINARY BIOMEDICAL RESEARCH SYMPOSIUM, ATTRACTING 173 ATTENDEES AND FEATURING 84 RESEARCH POSTERS. - DEVELOPED THE GROW OUR OWN PROGRAM TO SUPPORT ASPIRING FACULTY AMONG STUDENTS AND GRADUATES. - INTRODUCED INNOVATIVE EDUCATIONAL TOOLS, INCLUDING AI-ENHANCED LEARNING AND A PATENTED 3D MEDICAL TRAINING MODEL. ARIZONA SCHOOL OF DENTISTRY AL HEALTH (ATSU-ASDOH) - PROVIDED FREE DENTAL CARE TO OVER 200 UNINSURED CHILDREN DURING THE ANNUAL "GIVE KIDS A SMILE" EVENT. - ADVANCED DIGITAL DENTISTRY CAPABILITIES, IMPROVING CURRICULUM AND PATIENT CARE OUTCOMES. - ACHIEVED 100% FIRST-TIME PASS RATE FOR CLASSES OF 2024 AND 2025 ON INTEGRATED NATIONAL BOARD DENTAL EXAMINATION. - INTEGRATED AI-ASSISTED TOOLS AND VIRTUAL REALITY TO ENHANCE DENTAL EDUCATION. - SECURED COMMUNITY SERVICE PARTNERSHIPS TO ENSURE ALL REQUIRED FOURTH-YEAR ROTATIONS ARE COMPLETED AT EXTERNAL SITES. ARIZONA SCHOOL OF HEALTH SCIENCES (ATSU-ASHS) - LAUNCHED MASTER OF SCIENCE IN BIOMEDICAL SCIENCES PROGRAM IN JULY 2023, ENROLLING 38 STUDENTS AND GRADUATING 35 IN JUNE 2024. - AWARDED 10-YEAR ACCREDITATION FOR THE DOCTOR OF PHYSICAL THERAPY PROGRAM, THE MAXIMUM TERM POSSIBLE. - PHYSICIAN ASSISTANT STUDENTS SURPASSED NATIONAL AVERAGES ON BOARD EXAMS WITH A 98% SUCCESS RATE. - HOSTED ANNUAL MASS CASUALTY SIMULATION, INVOLVING OVER 100 STANDARDIZED PATIENT ACTORS AND FIRST RESPONDERS. - ORGANIZED IMPACTFUL COMMUNITY EVENTS, INCLUDING GERI-LYMPICS, E.A.R. DAY FOR DEAF AND HARD-OF-HEARING CHILDREN, AND A HOLIDAY TOY GIVEAWAY FOR CHILDREN WITH DISABILITIES. COLLEGE FOR HEALTHY COMMUNITIES (ATSU-CHC) - CELEBRATED INAUGURAL CENTRAL COAST PHYSICIAN ASSISTANT PROGRAM COMMENCEMENT, GRADUATING 88 STUDENTS. - CREATED THE FIRST ENDOWED SCHOLARSHIP FOR ATSU-CHC, FUNDED BY A $45,000 GIFT FROM COASTHILLS CREDIT UNION. - REPORTED OVER 60% OF CENTRAL COAST PHYSICIAN ASSISTANT STUDENTS FROM HISTORICALLY UNDERREPRESENTED GROUPS. - ESTABLISHED THE CHC DEAN'S COUNCIL TO ENHANCE COMMUNITY ENGAGEMENT AND PHILANTHROPIC SUPPORT. - PARTNERED WITH LOCAL ORGANIZATIONS TO HOST HEALTH FAIRS, BLOOD DRIVES, AND DREAMLINE PATHWAYS EVENTS, IMPACTING HUNDREDS OF STUDENTS AND COMMUNITY MEMBERS. COLLEGE OF GRADUATE HEALTH STUDIES (ATSU-CGHS) - CELEBRATED 25TH ANNIVERSARY AND REACCREDITATION OF MASTER OF PUBLIC HEALTH-DENTAL PROGRAM. - RECEIVED ACCREDITATION FOR DOCTOR OF NURSING PRACTICE PROGRAM BY THE COMMISSION ON COLLEGIATE NURSING EDUCATION. - ESTABLISHED DR. MICHAEL AND SANDRA SAMUELS SCHOLARSHIP ENDOWMENT TO SUPPORT STUDENTS SERVING UNDERSERVED COMMUNITIES. - LAUNCHED INNOVATION ADVISORY COMMITTEE TO INTEGRATE ARTIFICIAL INTELLIGENCE TECHNOLOGY INTO LEARNING ENVIRONMENTS. - UPDATED ALL COURSES TO ALIGN WITH REVISED ADA ACCESSIBILITY GUIDELINES. KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE (ATSU-KCOM) - RANKED #7 BY U.S. NEWS &amp; WORLD REPORT FOR GRADUATES PRACTICING IN PRIMARY CARE AND #4 FOR GRADUATES PRACTICING IN RURAL AREAS. - ACHIEVED 99.2% GRADUATE MEDICAL EDUCATION MATCH RATE OVER FOUR YEARS. - REPORTED FIRST-TIME PASS RATES ABOVE NATIONAL AVERAGES FOR NATIONAL BOARD EXAMS. - HOSTED 15TH ANNUAL INTERDISCIPLINARY BIOMEDICAL RESEARCH SYMPOSIUM, FEATURING MORE THAN 80 RESEARCH POSTERS. - A STUDENT TEAM WON FIRST PLACE IN A REGIONAL SIMULATION COMPETITION AGAINST PEER MEDICAL SCHOOLS. MISSOURI SCHOOL OF DENTISTRY AL HEALTH (ATSU-MOSDOH) - CELEBRATED 10TH ANNIVERSARY WITH EVENTS HIGHLIGHTING WORK IN UNDERSERVED COMMUNITIES AND WITH VETERANS. - ACHIEVED 100% PASS RATE FOR CLASS OF 2024 ON INTEGRATED NATIONAL BOARD DENTAL EXAMINATION. - INCREASED APPLICATIONS FROM HISTORICALLY UNDERREPRESENTED GROUPS BY 12.5% YEAR-OVER-YEAR. - INTRODUCED RESEARCH ELECTIVE FOR SECOND-YEAR DENTAL STUDENTS, CULMINATING IN FACULTY-SUPPORTED PRESENTATIONS DURING RESEARCH DAY. - ADVANCED ARTIFICIAL INTELLIGENCE AND VIRTUAL SIMULATION TOOLS FOR CASE-BASED LEARNING. SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA (ATSU-SOMA) - ACHIEVED 98.7% RESIDENCY MATCH RATE FOR CLASS OF 2024. - HOSTED 10TH ANNUAL POVERTY SIMULATION FOR FIRST-YEAR STUDENTS, FOSTERING EMPATHY AND CULTURAL PROFICIENCY. - INCORPORATED AUGMENTED REALITY TOOLS, SUCH AS THE HOLOLENS, FOR ANATOMY EDUCATION. - CONDUCTED LARGE-SCALE INTERPROFESSIONAL TRAINING EVENTS, INCLUDING MASS CASUALTY SIMULATION. - PARTNERED WITH COMMUNITY ORGANIZATIONS FOR A SERVICE DAY INVOLVING 250 STUDENTS, FACULTY, AND STAFF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE UNIVERSITY ENGAGES IN REGULAR COMPENSATION REVIEWS TO ENSURE COMPETITIVE AND EQUITABLE PAY STRUCTURES FOR KEY EMPLOYEES. THE MOST RECENT REVIEW WAS CONDUCTED IN FALL 2023. IN JANUARY 2024, ATSU ENGAGED SEGAL TO PERFORM A COMPREHENSIVE EVALUATION OF COMPENSATION RANGES, WITH IMPLEMENTATION ANTICIPATED IN JULY 2025, SUBJECT TO BUDGET APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4 Significant changes to organizational documents</FormAndLineReferenceDesc>
        <ExplanationTxt>IN JULY 2023, THE ORGANIZATION AMENDED ITS BYLAWS TO REFLECT A SLIGHT MODIFICATION TO IT'S MISSION STATEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE UNIVERSITY POLICY STIPULATES THAT THE AUDIT TEAM OF THE BOARD OF TRUSTEES SHALL REVIEW AND APPROVE THE IRS FORM 990 ANNUAL TAX FILING PRIOR TO SUBMISSION. FOR THE TAX YEAR ENDING JUNE 30, 2024, THIS REVIEW AND APPROVAL TOOK PLACE ON JANUARY 31, 2025. THE MINUTES OF THIS MEETING DOCUMENT THIS REVIEW AND APPROVAL. A COMPLETE COPY OF FORM 990, INCLUDING ALL SCHEDULES, WAS PROVIDED TO EACH BOARD OF TRUSTEE MEMBER PRIOR TO ITS SUBMISSION TO THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THE TIME OF HIRE (OR ELECTION IN THE CASE OF TRUSTEES) AND ANNUALLY THEREAFTER, THE PRESIDENT OR HIS/HER DESIGNEE SHALL PROVIDE TO THE BOARD AND TO ALL EXECUTIVE OFFICERS AND KEY EMPLOYEES A COPY OF THE CONFLICT OF INTEREST POLICY AND THE APPLICABLE CONFLICT OF INTEREST DISCLOSURE FORM AND QUESTIONNAIRE, WHICH SHALL BE COMPLETED TO IDENTIFY ANY RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES WITH RESPECT TO WHICH IT IS BELIEVED A CONFLICT MAY ARISE. SUCH ANNUAL MONITORING AND REVIEW PROCEDURES SHALL BE PART OF THE CORPORATE COMPLIANCE PLAN. AN APPROPRIATE REPORT SHALL BE SUBMITTED TO THE AUDIT TEAM CONCERNING ANY INTEREST TO BE DISCLOSED. EACH MEMBER OF THE BOARD OF TRUSTEES AND ALL MANAGEMENT ASSOCIATES SHALL DISCLOSE FULLY AND FRANKLY ANY AND ALL ACTUAL OR POTENTIAL CONFLICTS OR DUALITY OF INTEREST OR RESPONSIBILITY, WHETHER INDIVIDUAL, PERSONAL OR BUSINESS, WHICH MAY EXIST. IF IT IS DETERMINED THAT THERE IS A CONFLICT OF INTEREST WITH RESPECT TO A BOARD MEMBER, THE CONFLICT SHALL BE REPORTED TO THE FULL BOARD, AND THE AFFECTED BOARD MEMBER MUST ANSWER ANY QUESTIONS PERTAINING TO THE CONFLICT THAT OTHER BOARD MEMBERS MAY HAVE. IF A VOTE IS REQUIRED, THE AFFECTED BOARD MEMBER SHALL ABSTAIN FROM VOTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2023, THE BOARD ENGAGED AN INDEPENDENT LEGAL ADVISOR TO CONDUCT A COMPENSATION ANALYSIS FOR THE CHANCELLOR POSITION AS PART OF ORGANIZATIONAL RESTRUCTURING AND THE ESTABLISHMENT OF A NEW EMPLOYMENT CONTRACT. THIS ANALYSIS INCLUDED A REVIEW OF COMPARABLE COMPENSATION STRUCTURES FOR SIMILAR ROLES AT PEER INSTITUTIONS. THE BOARD OF TRUSTEES REVIEWED THE FINDINGS TO SUPPORT THE DETERMINATION OF THE CHANCELLOR'S COMPENSATION UNDER THE UPDATED CONTRACT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN BENEFICIAL INTEREST IN TRUSTS - 946132; LOSS ON ANNUITY/UNITRUST OBLIGATIONS - -90330;</ExplanationTxt>
      </SupplementalInformationDetail>
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          <BusinessNameLine1Txt>ATSUCHC-U LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>5850 E STILL CIRCLE</AddressLine1Txt>
          <CityNm>MESA</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85206</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>EDUCATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AZ</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ATSU</BusinessNameLine1Txt>
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