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      <MissionDesc>THE MISSION OF THE EDWARD VIA COLLEGE OF OSTEOPATHIC MEDICINE IS TO PREPARE GLOBALLY-MINDED, COMMUNITY-FOCUSED PHYSICIANS TO MEET THE NEEDS OF RURAL AND MEDICALLY UNDERSERVED POPULATIONS AND PROMOTE RESEARCH TO IMPROVE HUMAN HEALTH.</MissionDesc>
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      <Desc>Educational Activities: The Virginia Campus in Blacksburg, Virginia graduated the tenth class of 178 medical students, and the Graduate Certificate program graduated its seventh class of 67 students. Also, the Carolinas Campus in Spartanburg, South Carolina graduated its second class of 151 students. Moreover, the Auburn Campus in Auburn, Alabama matriculated its second class of 165 medical students in July 2016. The colleges enrollment on three campuses totaled to 1488 medical students. The following statistics and information also help illustrate the attainment of VCOMs mission: 60% of medical students are from target states in Appalachia; from the classes of 2007 to 2019, an average of 16% of medical students were recruited from underrepresented minorities; from 2007 to 2015, 67% of VCOM alumni were placed in residencies in states in Appalachia, and 66% of VCOM alumni returned to states in Appalachia to practice medicine after their residencies; 73% of the Class of 2016 were placed in primary care residencies; from 2012 to 2015, 72% of alumni were in residences in states in Appalachia, and the U.S. News and World Report recently ranked VCOM as seventh for graduates entering primary care residencies. Moreover, the National Board of Osteopathic Medical Examiners (NBOME) is the leading assessment organization for the osteopathic medical profession. Its mission is to protect the public by providing the means to assess competencies for osteopathic medicine and related health care professions. The NBOME COMLEX-USA examination series provides the pathway for licensure for osteopathic physicians in the United States, and is a graduation requirement for earning a D.O. degree from colleges of osteopathic medicine. In fiscal year 2016, VCOM medical students achieved passing rates of 96% in COMLEX Level 1, 97% and 92% for the Virginia and Carolinas Campuses, respectively, in COMLEX Level 2 CE, and 100% in COMLEX Level 3. In seven years of operation, Osteopathic Medical Network of Excellence in Education (OMNEE) has grown to include 25 additional hospital members that offer positions in dermatology, emergency medicine, family medicine, internal medicine, Neuromusculoskeletal Medicine/Neuromusculoskeletal Medicine plus 1 year, neurosurgery, OB/GYN, Orthopedic Surgery, Pediatrics, Psychiatry, and traditional rotating internship. Also, OMNEE members have increased to include VCOMs branch campuses in Spartanburg, South Carolina and Auburn, Alabama; Campbell Universitys Jerry M. Wallace School of Osteopathic Medicine (CUSOM) in Lillington, North Carolina; Liberty Universitys College of Osteopathic Medicine (LUCOM) in Lynchburg, Virginia; Burrell College of Osteopathic Medicine at New Mexico State University, Las Cruces, New Mexico; a proposed member of Idaho College of Osteopathic Medicine at Idaho State University, Meridian, Idaho; and, University of the Incarnate Word, School of Osteopathic Medicine, San Antonio, Texas. In 2016, the OMNEE had 53 programs, 861 positions or residencies and 268 first-year positions or residencies. Finally, the economic impact of VCOM in Southern Appalachia is estimated to be $138,037,813.</Desc>
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        <Desc>Research Activities: Scholarly works from VCOM faculty are not only based on funded research, but also on the numerous intramural research projects our faculty pursue. These internal, non-funded projects allow faculty to collect preliminary data for future extramural applications, and offer excellent opportunities for students to learn about research firsthand. These intramural projects cover all areas of research biomedical, clinical, educational and outreach, and the majority of them involve our students as active members of the research team. There are currently over 120 VCOM students involved in projects. Research Summary for Each Campus: Virginia Campus Faculty at VCOMVirginia continue to develop partnerships with research centers and research universities across the nation, and also locally at Virginia Tech, including the Institute for Critical Technology and Applied Science (ICTAS) and Biomedical Engineering group (SBES). The area of greatest collaborative activity is in the newly formed VCOM-Virginia Maryland College of Veterinary Medicine One Health Research Center, which announced its first round of pilot grants last fall. Biomedical faculty members have continued to publish their work in peer-reviewed journals, and many of the publications feature VCOM students as co-authors. Likewise, faculty have been active at conferences and meetings, presenting a large number of posters and presentations. Consistent with the strategic plan to increase extramurally funded research, faculty have submitted many new extramural grant applications. The funding agencies include NIH, National Science Foundation, American Heart Association and Commonwealth Health Research Board and a number of private foundations. Also in response to the Strategic Initiative to stimulate new osteopathic research projects, several new and exciting translational and clinical research projects have been initiated. The faculty at the Virginia campus has over $7,026,160 in currently active multi-year grant awards. Over $11,846,512 in grant proposals have been submitted. Carolinas Campus Carolinas campus researchers have focused on conducting research to establish data to support grant applications to the NIH and research foundations. VCOMs collaborative research programs with the Gibbs Cancer Center and Research Institute has brought about submissions to the NIH for grants. Promising research has been developed in our labs at Converse College in Spartanburg. One exciting aspect of our research is that students have been able to participate in research projects at Gibbs Cancer Center and Research Institute and Converse College. Research opportunities at VCOMCarolinas Campus included community outreach, education, laboratory, and animal investigations. Renovations for a new research facility, known as the Magnolia Research Center has been completed on our campus. Currently, faculty from the Carolinas campus have over $282,837 in active grant awards. Over $458,975 in new research proposals have been submitted. Recent grant awards show the commitment our VCOMCarolinas faculty have in playing their part to achieve the Colleges strategic goal of becoming the one of the top ranked osteopathic medical schools in research. Another milestone this year was VCOMCarolinas first Research Day, which is discussed later. Plans for research seminars which will be open to all faculty and students are planned for later this year. Auburn Campus Research initiatives at VCOMAuburn continue to be in areas where faculty have formed successful partnerships with researchers from outside institutions, such as Auburn University. Orthopedics research, specifically focused on sports medicine and osteopathic medicine, joins VCOM faculty with researchers in Auburn University School of Kinesiology as well as researchers at Andrews Sports Medicine and Orthopaedics Center. Other initiatives include medical genetics and primary care medicine, as well as research into how chronic diseases affect rural populations. The Motion Analysis Research Laboratory is a collaborative research initiative with the Jack Hughston Foundation. VCOM will help to facilitate motion analysis research, which will involve collaborations with Hughston Clinic Orthopaedic faculty and residents. This initiative will bring together partners within Auburn University such as engineering, veterinary medicine and kinesiology. The VCOMAuburn research program is expanding, and faculty at this campus have been actively engaged in submitting extramural applications to federal agencies and research foundations. Seven different faculty, in both the clinical and biomedical disciplines, have submitted proposals as principal investigators. In the first year that the research program at VCOMAuburn has been active, the faculty at the college have current active grant awards of over $129,285, and over $708,565 in grant proposals have been submitted. Research Partnerships VMCVM/VCOM Center for One Health Research. The connection between human and animal health and the environment is not a new concept, and the health of each group is only becoming more interconnected as our population grows. The One Health initiative is an international movement and a collaborative effort of multiple disciplines. This effort incorporates human medicine, veterinary medicine and environmental science with the goal of improving health for all species and the environment. The Center for One Health Research is a collaborative research venture to promote joint VCOM and Virginia Maryland College of Veterinary Medicine (VMCVM) research programs relevant for humans and animals. The initiative includes VMCVM in Virginia and all three VCOM campuses, as well as joint research projects at VCOM international sites. Center faculty from both institutions will utilize research facilities and infrastructure at locations throughout Virginia Tech, VCOM and our international sites for a wide variety of educational, clinical and biomedical research programs conducted collaboratively within the Center. Another major feature of the Center is the central involvement of VCOM and VMCVM students in collaborative disease prevention, public health and global health research projects. Thus, a funding mechanism has been established in order to initiate and help sustain collaborations between VMCVM and VCOM researchers. Innovation and Intellectual Property. The research department at VCOM assists researchers to protect and promote intellectual property through the patent process and to work in collaboration with outside partners to develop the marketing potential of products and ideas. Motion Analysis Research Laboratory This is a collaborative research initiative with the Jack Hughston Foundation. VCOM which will help to facilitate motion analysis research collaborations with Hughston Clinic Orthopaedic faculty and residents. In addition, this initiative will bring together partners within Auburn University such as engineering, veterinary medicine, and kinesiology. The partnership will also extend to Andrews Orthopaedic Education and Research Foundation. The initiative will address pre- and post-operative management, including optimization of rehabilitation to reduce pain and decrease recovery time. The application of basic principles of osteopathic medicine will be incorporated to research protocols and clinical applications. VCOMAuburn has recently added a biomechanics engineer to its faculty to direct the Rehabilitation and Biomechanics Laboratory. First Research Day at the Carolinas Campus On April 1, 2016, VCOMCarolinas hosted its first Research Day event. Coordination of this event on a second campus was inspired by the success of the VCOMVirginia Via Research Recognition Day, in which a number of Carolinas faculty and students have participated. Research Day was a great success, thanks to the efforts of those who helped to coordinate, and all of the participants. For the event, VCOM welcomed two honored guest speakers, Timothy J. Yeatman, MD, FACS, director and president of the Gibbs Cancer Center and Research Institute and founding president and CSO of the Guardian Research Network, and Thomas Geisbert, PhD, professor of microbiology and immunology at the University of Texas Medical Branch. Dr. Yeatman gave a presentation titled "Sequencing Identifies New Biology of Colorectal Cancer,Dr. Geisbert presented on "Meeting the Ebola Challenge Vaccines and Treatments". VCOM students and faculty from the Virginia and Carolinas campuses, as well as researchers from the local community, spent the day sharing their studies and findings with other participants. The campus buzzed with the energy of the scientists who help to further the college mission, serving those most in need and promoting research activities to improve human health. Virginia Campus - Biomedical Research 1) Blaise Costa, PhD A) Elucidating the molecular mechanisms of cranial osteopathic manipulation B) Identifying mole</Desc>
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        <Desc>CONTINUED FROM PART III - PROGRAM SERVICE, LINE 4B A) Analysis of the intracellular interaction of estradiol receptors and sex hormone binding globulin B) Editing volume of steroids C) Role of SHBG in calcium influx in PC12 cells 4) Jeff Martin, PhD A) The role of target inflation pressures on skeletal muscle gene expression and the efficacy of a peristaltic pulse external pneumatic compression device as an adjuvant to exercise training B) The effects of red spinach extract on variables related to blood flow and exercise performance C) Age related changes in cardiac and skeletal muscle stem cells and their relation to functional outcomes D) The effects of curcumin on nutritionally induced non-alcoholic fatty liver disease (NAFLD) E) Effects of a novel plant extract on cycling performance, hemodynamics and markers of red blood cell physiology F) The effects of different protein and amino acid supplements on muscle hypertrophy after 12 weeks of resistance training in untrained men G) Effect of unilateral external pneumatic compression on bilateral measures of skin temperature and regional blood flow H) Modification in sedentary behavior and its influence on blood glucose response 5) Cinzia Mastrorilli, DVM, PhD A) Optimization of bone marrow derived porcine mesenchymal stem cells harvest and cell characterization 6) Danielle McCullough, PhD A) Peripheral blood flow and exercise intolerance in pulmonary arterial hypertension B) Role of bone blood flow in bone loss following spinal cord injury C) Role of mitochondrial supercomplexes in PAH-induced exercise intolerance D) Role of skeletal muscle arterioles in exercise intolerance in idiopathic pulmonary arterial hypertension 7) Kaelin Young, PhD A) Acute effects of OxySport on lipolysis and basal metabolic rate,as well as chronic effects of OxySPORT on body n composition in overweight, college-aged males B) Effects of a ketogenic diet on bone health C) Effects of a purported thermogenic nutraceutical on changes in body composition and metabolism D) Effects of aging on systemic stem cell content and tissue functionality E) Studying the efficacy of 'BCAA 3.1.2' on cycling performance, body composition, and immune system markers in elite cyclists over a training season Auburn Campus Clinical Research 1) Siraj Abdullah, DO; Tye Harrison, DO; Derek Lee, DO A) Comparing nitrous oxide spirometry and peak flow for the management of exercise induced bronchospasms and asthma 2) Paul Brisson,MD A) Non-conformity in the naming of the duodenum and the effect on surgical care 3) Kenny Brock, DVM, PhD A) VCOM orthopedic sports medicine research initiative 4) David Coffey, DO A) Examine and characterize a novel primo-vascular system and to assess the correlation with the principles of osteopathic manipulative medicine 5) Tye Harrison, DO A) Quantitative T2 mapping of the anterior cruciate ligament with 3T and 7T MRI 6) Tye Harrison, DO; Derek Lee, DO A) Range of motion in the interphalangeal joints of collegiate football players 7) Joshua Hollingsworth, PharmD A) Differences in participant recall and preference based on patient medication information format Auburn Campus Clinical Research 1) Paul Brisson, MD; Dan Dayberry, PhD, DO; Moira Jackson, PhD; David Stephen, DO A) Pathology consultation in the gross anatomy lab 2) Courtney Gamston, PharmD A) Utilization of a web-based training curriculum to improve student knowledge, comfort, and preparation to perform clinical activities required in an advanced pharmacy practice rotation Auburn Campus Outreach and Community Focused Research 1) Courtney Gamston, PharmD A) Assessment of the efficacy and economy of an employer-based biometric screening program as a platform for diabetes prevention B) Impact of a diabetes prevention initiative in a rural patient population with prediabetes identified through an employer based screening program C) Impact of a diabetes prevention initiative in patients with prediabetes identified through an employer-based screening program D) Utilization of SAM (an integrated electronic, web-based disease management platform) to improve clinical and humanistic outcomes among obese patients enrolled in an employer-sponsored weight loss program Outreach Activities: VCOM first began its medical outreach program to developing countries in 2005. Among the first trips were assistance with the tsunami victims in India and global health outreach trips to El Salvador and to Africa. VCOM believes that in order to address the health issues in these developing countries, a sustained presence is required to address determinants of health. VCOM began to collaborate with the medical schools in each country the college serves, then established year-round, sustainable, primary care clinics with public health outreach programs, and assured approvals from the ministry of health in each country. Establishing this collaborative foundation allowed VCOM to focus on health related work and address the many public health, community health, and social determinants of poor health, as well as treat immediate patient needs. By 2007, VCOM had established sustainable clinics in Honduras, El Salvador, and the Dominican Republic. Interested VCOM first and second year students may participate in one week international outreach trips. Third year students can participate in month long experiences with the sustainable clinics, and students in the dual degree tracks may spend up to one year working in the international setting. Medical outreach trips are opportunities for students to nurture their commitment to serve those who have fewer resources and to strengthen their compassion and cultural competency through patient care. The outreach trips and rotations provide students with hands-on, problem-based, learning experiences in a real world setting, where they develop skills that cannot be learned in the classroom. While VCOM facilitates both local and international outreach trips for the first and second year medical students, the college also provides immediate assistance after certain global emergencies such as floods, tornados, or hurricanes. In the Dominican Republic, VCOM provides a sustainable primary care clinic in Vern, a community of greater than 60,000. In 2005, prior to VCOM and the Punta Cana Foundation committing to this project, Vern was a community of 3,800 where no healthcare existed for the uninsured until you reached Higuey, a drive of about 50 minutes. Even in Higuey, the city was medically underserved and patients waited days for care. VCOM and Punta Cana Foundation committed the resources required to remodel an abandoned community health clinic and partnered with the Dominican government to provide clinical services. Today the clinic provides care for patients with HIV and TB, education on water purification, immunizations, primary care, pediatrics, prenatal care, and emergency services for some of the regions poorest and uninsured patients. The college has trained local volunteers to operate an ambulance donated by Punta Cana Foundation so patients may be transported to the hospital in Higuey. Also, the college conducts one week outreach trips to neighboring communities without healthcare, encouraging these patients to follow up with visits to the Vern Clinic. Other partners at this clinic include Punta Cana Ecological Foundation, the Appalachian College of Pharmacy, INTEC and UCE. In addition, a new pediatric center is being constructed to serve patients from Vern and Bavarro. The clinic is funded by the Oscar de la Renta Foundation, in collaboration with the Punta Cana Foundation, and will feature state of the art facility and equipment. In fiscal year ending June 30, 2016, VCOM supported three mission trips to this clinic involving 75 medical students, whom under the supervisor of 38 clinical faculty, physician volunteers, and clinic employees, assisted treating over 2025 patients. El Salvador is the first country where VCOM faculty and students provided care internationally. Today, VCOM helps to support resources for the Shalom Family Medical Center, a clinic and orphanage sponsored by Asociacion Amigos para Lationamerica (AMILAT) in Santa Toms, just outside of San Salvador, and to provide weekly care to two additional orphanages and to the mountain communities of Chalatenango and Sonsonate. Many would be without medical care if VCOM did not sponsor these VCOMs weekly clinics. Community and patient education on water contamination and proper water sanitation practices were provided to heads of household. Also, research on water quality and access, along with sanitation and related health risks based on World Health Organization (WHO) standards was conducted. Partners for this clinic include AMILAT, UEEC, the Ministry of Health, Presbyterian College of Pharmacy, and Decameron Resort. In fiscal year ending June 30, 2016, VCOM supported five mission trips to this clinic involving 75 medical students, 18 students in the Graduate Certificate Pr</Desc>
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        <CompensationAmt>491000</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>IMG College LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>PALATINE</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>600556533</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Advertising</ServicesDesc>
        <CompensationAmt>663725</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Sci Electronics Inc</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>GREENVILLE</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29615</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>UPDATE/MAINTAIN SYST</ServicesDesc>
        <CompensationAmt>411458</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MOUNTAIN STATES HEALTH ALLIANCE</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>ABINGDON</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>24211</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Grad.Med.Edu&amp;Support</ServicesDesc>
        <CompensationAmt>355358</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>18</CntrctRcvdGreaterThan100KCnt>
      <InfoInScheduleOPartVIIIInd>X</InfoInScheduleOPartVIIIInd>
      <FundraisingAmt>12124</FundraisingAmt>
      <RelatedOrganizationsAmt>277000</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>83640602</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>203493</AllOtherContributionsAmt>
      <TotalContributionsAmt>84133219</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>SPONSORED RESEARCH</Desc>
        <BusinessCd>611000</BusinessCd>
        <TotalRevenueColumnAmt>505895</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>505895</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>TUITION AND FEES</Desc>
        <BusinessCd>611000</BusinessCd>
        <TotalRevenueColumnAmt>67795415</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>67795415</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
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      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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      </RoyaltiesRevenueGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>-12039</ExclusionAmt>
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        <ExclusionAmt>-1205</ExclusionAmt>
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        <ManagementAndGeneralAmt>25894</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>316952</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>102346</ManagementAndGeneralAmt>
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        <FundraisingAmt>250893</FundraisingAmt>
      </AdvertisingGrp>
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      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
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        <ProgramServicesAmt>374501</ProgramServicesAmt>
        <ManagementAndGeneralAmt>185499</ManagementAndGeneralAmt>
        <FundraisingAmt>855</FundraisingAmt>
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        <FundraisingAmt>34100</FundraisingAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
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      <PaymentsToAffiliatesGrp>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>581371</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>1219933</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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      <ReceivablesFromOfficersEtcGrp>
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    <IRS990ScheduleA documentId="IRS990ScheduleA">
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    <IRS990ScheduleB documentId="IRS990ScheduleB">
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      <TotalDirectLobbyingGrp />
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      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
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      <TotLbbyExpendMnsLbbyngNonTxGrp />
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      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule C, Part II-B</FormAndLineReferenceDesc>
        <ExplanationTxt>VHHA, NACUBO and CICV Lobbying Expenses: VCOM ENGAGED IN INDIRECT LOBBYING ACTIVITIES THROUGH MEMBERSHIP DUES PAID TO THE COUNCIL OF INDEPENDENT COLLEGES IN VIRGINIA(CICV), THE NATIONAL ASSOCIATION OF COLLEGE AND UNIVERSTIY BUSINESS OFFICERS (NACUBO) AND THE VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION (VHHA)</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
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      <FinancialDerivativesGrp />
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      <OtherSecuritiesGrp>
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        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>EQUITY SECURITIES</Desc>
        <BookValueAmt>8944803</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>FIXED INCOME</Desc>
        <BookValueAmt>7787009</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>24437792</TotalBookValueSecuritiesAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <TotalLiabilityAmt>0</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The College, APCA, ViaStar and VC Medical Endowment Trust have analyzed filing positions in all of the federal and state jurisdictions where they are required to file income tax returns, including the College and VCMET's statuses as a tax-exempt entities. The only periods subject to examination for federal and state tax returns are for taxable years ended June 30, 2013 through June 30, 2016. The College, APCA, ViaStar and VC Medical Endowment Trust believe their income tax filing positions, including the College and VCMET's status as a tax-exempt entities, will be sustained on audit and do not anticipate any adjustments that will result in a material change to their financial position. Therefore, no reserves for uncertain tax positions, nor interest and penalties, have been recorded in these consolidated financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleE documentId="IRS990ScheduleE">
      <NondiscriminatoryPolicyStmtInd>true</NondiscriminatoryPolicyStmtInd>
      <PolicyStmtInBrochuresEtcInd>true</PolicyStmtInBrochuresEtcInd>
      <PlcyPblczdViaBroadcastMediaInd>true</PlcyPblczdViaBroadcastMediaInd>
      <MaintainRacialCompRecsInd>true</MaintainRacialCompRecsInd>
      <MaintainScholarshipsRecsInd>true</MaintainScholarshipsRecsInd>
      <MaintainCpyOfBrochuresEtcInd>true</MaintainCpyOfBrochuresEtcInd>
      <MaintainCpyOfAllSolInd>true</MaintainCpyOfAllSolInd>
      <DiscriminateRaceStdntsRghtsInd>false</DiscriminateRaceStdntsRghtsInd>
      <DiscriminateRaceAdmissPlcyInd>false</DiscriminateRaceAdmissPlcyInd>
      <DiscriminateRaceEmplmFcultyInd>false</DiscriminateRaceEmplmFcultyInd>
      <DiscriminateRaceSchsInd>false</DiscriminateRaceSchsInd>
      <DiscriminateRaceEducPlcyInd>false</DiscriminateRaceEducPlcyInd>
      <DiscriminateRaceUseOfFcltsInd>false</DiscriminateRaceUseOfFcltsInd>
      <DiscriminateRaceAthltProgInd>false</DiscriminateRaceAthltProgInd>
      <DiscriminateRaceOtherActyInd>false</DiscriminateRaceOtherActyInd>
      <GovernmentFinancialAidRcvdInd>true</GovernmentFinancialAidRcvdInd>
      <GovernmentFinancialAidRvkdInd>false</GovernmentFinancialAidRvkdInd>
      <ComplianceWithRevProc7550Ind>true</ComplianceWithRevProc7550Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule E Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The nondiscriminatory policy is included in the college catalog/student handbook, both of the College's faculty and staff handbooks, as well as the college's website. The college also publicizes its nondiscriminatory policy through the media each calendar year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule E Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>VCOM receives research grants sponsored by U.S. agencies and direct loans funded by the U.S. Department of Education.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleE>
    <IRS990ScheduleF documentId="IRS990ScheduleF">
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        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>OPERATIONS OF CLINICS</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>487090</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>INVESTMENTS</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>57750</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>North America</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>INVESTMENTS</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>100353</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>INVESTMENTS</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>959596</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>INVESTMENTS</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>297619</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>INVESTMENTS</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>81378</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>INVESTMENTS</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>59630</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>INVESTMENTS</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>28732</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>INVESTMENTS</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>1827</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalSpentAmt>2073975</SubtotalSpentAmt>
      <TotalSpentAmt>2073975</TotalSpentAmt>
      <TransferToForeignCorpInd>false</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>false</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 3 (1E)</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNT REPORTED INCLUDES PAYMENTS TO FOREIGN VENDORS FOR MISSION TRIP EXPENSES AND A DOMESTIC ENTITY THAT SUPPORTS ONE OF THE MISSION SITES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 3 (2F)</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNT REPORTED REPRESENTS NET BOOK VALUE OF THE CONDO OWNED IN PUNTA CANA. THE CONDO IS USED TO HOUSE STUDENTS DURING MISSION TRIPS AND SHORT TERM ROTATIONS.</ExplanationTxt>
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    </IRS990ScheduleF>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
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        <Event1Nm>Golf Tournament</Event1Nm>
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        <CharitableContriEvent1Amt>12124</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>8241</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>380</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>5465</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>3292</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>309</OtherDirectExpensesEvent1Amt>
        <OtherEventsTotalCnt>0</OtherEventsTotalCnt>
        <GrossReceiptsTotalAmt>20365</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>12124</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>8241</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>380</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>5465</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>3292</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>309</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>9446</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-1205</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VC Medical Endowment Trust</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6010 SMINNESOTA AVENUE</AddressLine1Txt>
          <CityNm>SIOUX FALLS</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57108</ZIPCd>
        </USAddress>
        <RecipientEIN>476343397</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>232000</CashGrantAmt>
        <PurposeOfGrantTxt>SEE PART IV</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Grants and Scholarships to Students</GrantTypeTxt>
        <RecipientCnt>1394</RecipientCnt>
        <CashGrantAmt>83912852</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The college maintains records to ensure direct loans are awarded to eligible students in compliance with federal financial aid regulations or donor restrictions for externally funded scholarships or college criteria for internally funded scholarships.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part II Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDS WERE PROVIDED TO VC MEDICAL ENDOWMENT TRUST IN ORDER TO SUPPORT ITS EXEMPT PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR DIXIE TOOKE-RAWLINS DO</PersonNm>
        <TitleTxt>PRESIDENT/PROVOST</TitleTxt>
        <BaseCompensationFilingOrgAmt>553189</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>100</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>3564</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>31800</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11320</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>599973</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>52200</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAN WILLCOX DO</PersonNm>
        <TitleTxt>DEAN</TitleTxt>
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        <BonusFilingOrganizationAmount>100</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>27564</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>32280</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6553</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>386184</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>35880</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GUNNAR BROLINSON DO</PersonNm>
        <TitleTxt>VICE PROVOST</TitleTxt>
        <BaseCompensationFilingOrgAmt>266742</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>100</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>14322</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>32280</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19084</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>332528</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>30936</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES POWERS DO</PersonNm>
        <TitleTxt>ASSOCIATE DEAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>190416</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>14051</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>20960</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16435</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>241862</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>27677</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FREDERIC RAWLINS DO</PersonNm>
        <TitleTxt>VICE PROVOST</TitleTxt>
        <BaseCompensationFilingOrgAmt>253600</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>100</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>27564</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>30912</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>312176</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>30168</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIMOTHY KOWALSKI DO</PersonNm>
        <TitleTxt>DEAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>317760</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>500</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>26322</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>32280</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19647</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>396509</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>35880</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RONALD JANUCHOWSKI DO</PersonNm>
        <TitleTxt>ASSOCIATE DEAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>220669</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>100</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1665</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>26960</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20377</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>269771</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>26441</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK HAMRIC CPA</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>216040</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>100</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>25871</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>25205</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21922</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>289138</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>24720</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN LUCAS DO</PersonNm>
        <TitleTxt>ASSOCIATE DEAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>180062</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>381</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>21607</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11533</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>213583</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>28047</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL K SWITZER DO</PersonNm>
        <TitleTxt>ASSOCIATE DEAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>222813</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>100</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>3136</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>26978</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2000</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>255027</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>26330</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GARY HILL DO</PersonNm>
        <TitleTxt>ASSOCIATE DEAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>222200</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>100</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>27124</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>27144</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19397</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>295965</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>35360</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELIZABETH PALMAROZZI DO</PersonNm>
        <TitleTxt>DEAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>307920</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>100</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2322</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>74600</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18724</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>403666</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BILLY R PRICE</PersonNm>
        <TitleTxt>CHIEF OF OPERATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>162375</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>100</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>26031</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>18765</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8028</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>215299</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM P KING MBA</PersonNm>
        <TitleTxt>VICE PRESIDENT FOR STUDENT SER</TitleTxt>
        <BaseCompensationFilingOrgAmt>154228</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>100</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>24660</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17787</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8533</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>205308</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAN DAYBERRY DO</PersonNm>
        <TitleTxt>ASSOCIATE DEAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>239583</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>100</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>4484</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>28750</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5890</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>278807</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IV</FormAndLineReferenceDesc>
        <ExplanationTxt>Section 1.263(a)-3(n) Election - Book Conformity Election Edward Via Virginia College of Osteopathic Medicine is making the election under Treas. Reg. 1.263(a)-3(n) to capitalize those repair and maintenance costs that it treats as capital expenditures on its books and records for the tax year ended June 30, 2016. Taxpayer Name: Edward Via Virginia College of Osteopathic Medicine Address: 2265 Kraft Drive Blacksburg, VA 24060 Taxpayer Identification Number: 54-2052107 Section 1.263(a)-1(f) De Minimis Safe Harbor Election Edward Via Virginia College of Osteopathic Medicine hereby makes the de minimis safe harbor election under Section 1.263(a)-1(f) of the Treasury Regulations, effective for the tax year ending June 30, 2016. Taxpayer has an Applicable Financial Statement for the year of the election. This election permits the taxpayer to deduct for tax purposes any item deducted under its book policy that does not exceed $5,000 per invoice (or per item, as substantiated by the invoice) or items having an economic useful life of twelve months or less as described in Section 1.263(a)-1(f)(1)(i). Taxpayer Name: Edward Via Virginia College of Osteopathic Medicine Address: 2265 Kraft Drive Blacksburg, VA 24060 Taxpayer Identification Number: 54-2052107</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART VI SEC. A LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Two Board Members, John G. Rocovich and Sue Ellen Rocovich are spouses, and the President, Dr. Dixie Tooke-Rawlins and a vice provost, Frederic Ralwins, are spouses. Moreover, a Board Member/Officer, John G. Rocovich, and another Officer, Dennis Barbour, are partners at the same law firm.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART VI SEC. A LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE POST GRADUATE AFFAIRS DIVISION ON THE CAROLINAS CAMPUS IS OPERATED BY PROVIDIA HEALTH CARE, WHICH FUNCTIONS AS AN INDEPENDENT CONTRACTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART VI SEC. A LINE 6A and 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DIRECTORS SHALL BE APPOINTED, FROM TIME TO TIME, BY THE SOLE MEMBER, THE HARVEY W. PETERS RESEARCH FOUNDATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART VI SEC. B LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD REVIEWED A DRAFT OF THE FORM 990 DURING A BOARD MEETING ON 11/14/2016 AND SUBSEQUENTLY REVIEWED CHANGES PRIOR TO FILING. CHARLES SWAHA, INTERIM-CFO, AND DIXIE TOOKE-RAWLINS, PROVOST AND PRESIDENT, REVIEWED THE DRAFT OF THE FORM 990 IN ADVANCE OF THE BOARD MEETING AND DISCUSSED QUESTIONS AND PROPOSED MODIFICATIONS WITH THE TAX RETURN PREPARER, WHO SUBSEQUENTLY UPDATED THE FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FOMR 990 PART VI SEC. B LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE, SIGN AND DATE A CONFLICT OF INTEREST STATEMENT IDENTIFYING POSSIBLE CONFLICTS OF INTEREST. THE CFO INITIATES AN ANNUAL SURVEY EVERY FALL FOR BOARD MEMBERS AND EVERY SPRING FOR EMPLOYEES. THE FORMS ARE COLLECTED AND REVIEWED BY THE CFO FOR ANY POTENTIAL CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART VI SEC. B LINE 15A &amp; B</FormAndLineReferenceDesc>
        <ExplanationTxt>VCOM PERFORMED A SALARY SURVEY IN FY15 AND INTENDS TO PERFORM ONE EVERY THREE YEARS THEREAFTER. THE SALARY SURVEY IS CONDUCTED BY VCOM HUMAN RESOURCES LEADERSHIP. HUMAN RESOURCES LEADERSHIP ANALYZES DATABASES WITH SALARY INFORMATION (EG. VIRGINIA TECH AND OTHER PUBLIC UNIVERSITIES) AND REVIEWS SIMILAR SCHOOLS' FORM 990S IN GUIDESTAR. THEY ALSO REVIEW A SURVEY CONDUCTED BY THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES. THE DELIVERABLE PRODUCED IS A REPORT BY POSITION WHICH INCLUDES A SALARY RECOMMENDATION WITH COMPARISON TO DATA FOUND DURING THE SURVEY. THE REPORT IS REVIEWED BY THE PROVOST AND PRESIDENT. THE BOARD CHAIRMAN REVIEWS SALARIES OF KEY EMPLOYEES. THE BOARD APPROVES AND REVIEWS SALARIES OF THE PRESIDENT AND PROVOST AND CAMPUS DEANS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART VI SEC. C LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>REQUESTS WILL BE EVALUATED BY EXECUTIVE MANAGEMENT OF THE COLLEGE. REQUESTS FOR A VALID BUSINESS PURPOSE GENERALLY ARE HONORED. MOST FINANCIAL INFORMATION IS AVAILABLE IN THE FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART VIII LINE 1E</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 1E REPRESENTS FEDERAL FINANCIAL AID RECIEVED FROM THE U.S. DPEARTMENT OF EDUCATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART XI LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>rounding difference of $1.00.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MARCO ISLAND VIRGINIA LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4415 Electric Road</AddressLine1Txt>
          <CityNm>Roanoke</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24018</ZIPCd>
        </USAddress>
        <EIN>264282653</EIN>
        <PrimaryActivitiesTxt>Management</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <TotalIncomeAmt>1883</TotalIncomeAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VCOM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DUPRE HOLDINGS LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2265 Kraft Drive</AddressLine1Txt>
          <CityNm>Blacksburg</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24060</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>Management</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <EndOfYearAssetsAmt>2312463</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VCOM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SERPENTINE HOLDINGS LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2265 Kraft Drive</AddressLine1Txt>
          <CityNm>Blacksburg</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24060</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>Management</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <EndOfYearAssetsAmt>1624013</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VCOM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Mill Street Holdings LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2265 KRAFT DRIVE</AddressLine1Txt>
          <CityNm>BLACKSBURG</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24060</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <EndOfYearAssetsAmt>225868</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VCOM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HARVEY W PETERS RESEARCH FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>6010 S MINNESOTA</AddressLine1Txt>
          <CityNm>SIOUX FALLS</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57108</ZIPCd>
        </USAddress>
        <EIN>460459671</EIN>
        <PrimaryActivitiesTxt>Management</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>PF</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HARVEY W PETERS (VIRGINIA) HOLDING CORP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4415 ELECTRIC ROAD</AddressLine1Txt>
          <CityNm>Blacksburg</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24018</ZIPCd>
        </USAddress>
        <EIN>542052207</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(2)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SEE ATTACHED</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VC MEDICAL ENDOWMENT TRUST</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>6010 S MINNESOTA AVENUE</AddressLine1Txt>
          <CityNm>SIOUX FALLS</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57108</ZIPCd>
        </USAddress>
        <EIN>476343397</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(a)(3)</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Academic Primary Care Associates LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2265 KRAFT DRIVE</AddressLine1Txt>
          <CityNm>BLACKSBURG</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24060</ZIPCd>
        </USAddress>
        <EIN>204851978</EIN>
        <PrimaryActivitiesTxt>For profit cl</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VCOM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>2170545</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1126702</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>VIASTAR LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2265 KRAFT DRIVE</AddressLine1Txt>
          <CityNm>BLACKSBURG</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24060</ZIPCd>
        </USAddress>
        <EIN>811333324</EIN>
        <PrimaryActivitiesTxt>See suppl. in</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VCOM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>21416</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>42198</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ACADEMIC PRIMARY CARE ASSOCIATESLLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>1O</TransactionTypeTxt>
        <InvolvedAmt>841714</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ACADEMIC PRIMARY CARE ASSOCIATESLLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>1P</TransactionTypeTxt>
        <InvolvedAmt>455399</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ACADEMIC PRIMARY CARE ASSOCIATESLLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>1R</TransactionTypeTxt>
        <InvolvedAmt>150000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HARVEY W PETERS (VA) HOLDING CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>1K</TransactionTypeTxt>
        <InvolvedAmt>1194448</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART II, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>HARVEY W. PETERS RESEARCH FOUNDATION</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>