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        <BusinessNameLine1>MEHARRY MEDICAL COLLEGE</BusinessNameLine1>
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        <AddressLine1>1005 Dr D B Todd Jr Blvd</AddressLine1>
        <City>Nashville</City>
        <State>TN</State>
        <ZIPCode>372083599</ZIPCode>
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      <Name>LaMel Bandy-Neal</Name>
      <Title>Sr. Vice President of Finance &amp; CFO</Title>
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      <DateSigned>2013-01-04</DateSigned>
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        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lorenzo Williams</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Charae Farmer</NamePerson>
        <Title>Prof Assoc Dean/Interim Chair/Trustee</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>136276</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>9329</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Daphne Ferguson-Young</NamePerson>
        <Title>Assoc Prof Dentistry/Trustee</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>105112</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>8381</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>George Breaux</NamePerson>
        <Title>Chair Assoc Prof/Former Trustee</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Former>X</Former>
        <ReportableCompFromOrganization>151000</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>4655</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Dr Wayne J Riley</NamePerson>
        <Title>President / CEO</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>571106</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>23804</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Angela Franklin</NamePerson>
        <Title>Former Executive Vice President</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Officer>X</Officer>
        <Former>X</Former>
        <ReportableCompFromOrganization>140527</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>6132</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LaMel Bandy-Neal</NamePerson>
        <Title>Senior VP Finance / CFO</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>281903</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>21147</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Benjamin Rawlins</NamePerson>
        <Title>General Counsel/SVP Administration</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Officer>X</Officer>
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        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>20262</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Robert S Poole</NamePerson>
        <Title>VP Advancement &amp; College Relations</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>207635</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>12931</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Charles Mouton</NamePerson>
        <Title>Dean School of Medicine</Title>
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        <ReportableCompFromOrganization>464750</ReportableCompFromOrganization>
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        <OtherCompensation>20209</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Janet H Southerland</NamePerson>
        <Title>Dean School of Dentistry</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
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        <ReportableCompFromOrganization>256923</ReportableCompFromOrganization>
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        <OtherCompensation>5956</OtherCompensation>
      </Form990PartVIISectionA>
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        <NamePerson>Maria F Lima</NamePerson>
        <Title>Dean School of Graduate Studies</Title>
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        <ReportableCompFromOrganization>218703</ReportableCompFromOrganization>
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        <OtherCompensation>12784</OtherCompensation>
      </Form990PartVIISectionA>
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        <NamePerson>Billy Ballard</NamePerson>
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        <Former>X</Former>
        <ReportableCompFromOrganization>351000</ReportableCompFromOrganization>
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        <OtherCompensation>21147</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Valerie Montgomery-Rice MD</NamePerson>
        <Title>Former Dean SOM/Professor Dir CWHR</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
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        <Former>X</Former>
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        <OtherCompensation>7192</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>William Butler DDS</NamePerson>
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        <KeyEmployee>X</KeyEmployee>
        <Former>X</Former>
        <ReportableCompFromOrganization>273647</ReportableCompFromOrganization>
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        <OtherCompensation>13504</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Joseph Akamah</NamePerson>
        <Title>Cardiologist/Prof Internal Medicine</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
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        <ReportableCompFromOrganization>432500</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>22951</OtherCompensation>
      </Form990PartVIISectionA>
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        <NamePerson>Rahn Bailey</NamePerson>
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        <ReportableCompFromOrganization>351000</ReportableCompFromOrganization>
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        <OtherCompensation>24977</OtherCompensation>
      </Form990PartVIISectionA>
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        <NamePerson>Thomas Limbird</NamePerson>
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        <OtherCompensation>21147</OtherCompensation>
      </Form990PartVIISectionA>
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        <NamePerson>Ronald Baker</NamePerson>
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        <OtherCompensation>13017</OtherCompensation>
      </Form990PartVIISectionA>
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        <NamePerson>Anthony Disher</NamePerson>
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        <OtherCompensation>16353</OtherCompensation>
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      <TotalOtherCompensation>285878</TotalOtherCompensation>
      <NumberIndividualsGT100K>144</NumberIndividualsGT100K>
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        <NameOfContractor>
          <NameBusiness>
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        <AddressOfContractor>
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          <NameBusiness>
            <BusinessNameLine1>PER-SE Technologies</BusinessNameLine1>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
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        <AddressOfContractor>
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            <State>IL</State>
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        </AddressOfContractor>
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      <MembershipDues>0</MembershipDues>
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      <GovernmentGrants>80363653</GovernmentGrants>
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      <TotalContributions>94518430</TotalContributions>
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        <BusinessCode>611310</BusinessCode>
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      <ProgramServiceRevenue>
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      <ProgramServiceRevenue>
        <Description>Net Paitient Revenue</Description>
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        <TotalRevenueColumn>11361745</TotalRevenueColumn>
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        <ExclusionAmount>0</ExclusionAmount>
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      <ProgramServiceRevenue>
        <Description>Contractual Healthcare</Description>
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        <ExclusionAmount>0</ExclusionAmount>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>50569819</TotalProgramServiceRevenue>
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      <GrossRents>
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        <Personal>0</Personal>
      </GrossRents>
      <LessRentalExpenses>
        <Real>0</Real>
        <Personal>0</Personal>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>0</Real>
        <Personal>0</Personal>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>0</Securities>
        <Other>0</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>0</Securities>
        <Other>0</Other>
      </LessCostOthBasisSalesExpenses>
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        <Other>0</Other>
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      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
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        <BusinessCode>611310</BusinessCode>
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        <TotalRevenueColumn>-1154191</TotalRevenueColumn>
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      <GrantsToDomesticOrgs>
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        <ProgramServices>0</ProgramServices>
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      <GrantsToDomesticIndividuals>
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        <ProgramServices>1863562</ProgramServices>
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        <ProgramServices>0</ProgramServices>
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        <ProgramServices>0</ProgramServices>
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        <ProgramServices>940376</ProgramServices>
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        <ManagementAndGeneral>0</ManagementAndGeneral>
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        <ProgramServices>49333840</ProgramServices>
        <ManagementAndGeneral>18178461</ManagementAndGeneral>
        <Fundraising>1449269</Fundraising>
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      <PensionPlanContributions>
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        <ProgramServices>2024054</ProgramServices>
        <ManagementAndGeneral>783041</ManagementAndGeneral>
        <Fundraising>66707</Fundraising>
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      <OtherEmployeeBenefits>
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        <ProgramServices>5852647</ProgramServices>
        <ManagementAndGeneral>2264199</ManagementAndGeneral>
        <Fundraising>192888</Fundraising>
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      <PayrollTaxes>
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        <ProgramServices>3218917</ProgramServices>
        <ManagementAndGeneral>1245294</ManagementAndGeneral>
        <Fundraising>106087</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
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        <ProgramServices>6827181</ProgramServices>
        <ManagementAndGeneral>5620264</ManagementAndGeneral>
        <Fundraising>204827</Fundraising>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
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        <ProgramServices>1208</ProgramServices>
        <ManagementAndGeneral>258188</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>180350</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>180350</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>192566</Total>
        <Fundraising>192566</Fundraising>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesInvstMgmntFees>
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        <Total>2182715</Total>
        <ProgramServices>2081597</ProgramServices>
        <ManagementAndGeneral>101118</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>188462</Total>
        <ProgramServices>98616</ProgramServices>
        <ManagementAndGeneral>63252</ManagementAndGeneral>
        <Fundraising>26594</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>8591013</Total>
        <ProgramServices>5677956</ProgramServices>
        <ManagementAndGeneral>2761640</ManagementAndGeneral>
        <Fundraising>151417</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>7401228</Total>
        <ProgramServices>2398201</ProgramServices>
        <ManagementAndGeneral>4694618</ManagementAndGeneral>
        <Fundraising>308409</Fundraising>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Royalties>
      <Occupancy>
        <Total>5298785</Total>
        <ProgramServices>3848508</ProgramServices>
        <ManagementAndGeneral>1337413</ManagementAndGeneral>
        <Fundraising>112864</Fundraising>
      </Occupancy>
      <Travel>
        <Total>1980856</Total>
        <ProgramServices>1154313</ProgramServices>
        <ManagementAndGeneral>746051</ManagementAndGeneral>
        <Fundraising>80492</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>428604</Total>
        <ProgramServices>301559</ProgramServices>
        <ManagementAndGeneral>123376</ManagementAndGeneral>
        <Fundraising>3669</Fundraising>
      </ConferencesMeetings>
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        <NamePerson>Anthony Disher</NamePerson>
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        <NamePerson>George Breaux</NamePerson>
        <BaseCompensationFilingOrg>150000</BaseCompensationFilingOrg>
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      <Form990ScheduleJPartIII>
        <Identifier>SchJ_P01_S00_L01a</Identifier>
        <ReturnReference>Schedule J, Part I, Line 1a</ReturnReference>
        <Explanation>The compensation paid to the CEO/President is approved by the compensation committee of the Board of Trustees.</Explanation>
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      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Health and Educational Facilities Board of the Metropolitan Government</BusinessNameLine1>
          <BusinessNameLine2>of Nashville and Davidson County TN</BusinessNameLine2>
        </IssuerName>
        <IssuerEIN>626139016</IssuerEIN>
        <CUSIPNumber>592041SK4</CUSIPNumber>
        <DateIssued>2009-12-03</DateIssued>
        <IssuePrice>17025000</IssuePrice>
        <DescriptionOfPurpose>Refunding of outstanding callable bond issue.</DescriptionOfPurpose>
        <Defeased>1</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>17025000</AmountBondDefeased>
        <TotalProceeds>17025000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>0</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2024</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
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        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
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      <Form990ScheduleKPartIV>
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        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Fernando Villalta</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Family member of Maria F Lima, Officer</Relationship>
        <AmountOfTransaction>181250</AmountOfTransaction>
        <DescriptionOfTransaction>Employment</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Natalie Fleming</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Family member of LaMel Bandy-Neal, Officer/CFO</Relationship>
        <AmountOfTransaction>49160</AmountOfTransaction>
        <DescriptionOfTransaction>Employment</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Christian D Neal</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Family member of LaMel Bandy-Neal, Officer/CFO</Relationship>
        <AmountOfTransaction>39327</AmountOfTransaction>
        <DescriptionOfTransaction>Employment</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>George E Butler</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Family member of William Butler DDS, Former officer</Relationship>
        <AmountOfTransaction>37132</AmountOfTransaction>
        <DescriptionOfTransaction>Employment</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
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      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L11b</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>Copies of Form 990 will be reviewed by the Executive Committee of the board of trustees prior to filing. The Executive Committee provides review on behalf of the full Board. The College will post the 990 on its Sharepoint web system and make hard copies available, giving access to all voting board members. The College files return with the IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12c</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>The organization has a formal policy on conflict of interest that requires an annual report and update from all employees. The policy requires reporting of existing or potential conflicts to the Office of the General Counsel via email. Potential and actual conflicts will be discussed between the employees immediate supervisor and a representative from the Office of the General Counsel. A conflict of interest committee has been established to hear complaints or to provide advice in cases where conflicts can be resolved. Potential or actual conflicts that are identified by Board of Trustees members are reviewed by the Board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L15</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15</ReturnReference>
        <Explanation>Compensation for the CEO is determined by a compensation committee of the Board of Trustees. Compensation arrangements of officers are approved by the compensation committee. Periodic use of an independent compensation consultant is utilized. Comparable data from the Association of Academic Health Centers, Association of American Medical Colleges, and NACUBO is utilized to determine compensation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0C_L19</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>Policies are reviewed and approved by the executive management of the College and made available to the campus through the College's intranet site. Training is provided where deemed necessary. The organization provides upon request governing documents through the Office of the General Counsel and financial statements through the Office of the Controller.</Explanation>
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  </ReturnData>
</Return>