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      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>true</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>15000</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>15000</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
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        <ReturnReference>Schedule C, Part II-B, Line 1i</ReturnReference>
        <Explanation>The University paid $15,000 during the year to a lobbyist firm for various legislative activities relating to the University's tax-exempt purpose.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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        <AssetsInPartX>221112</AssetsInPartX>
      </ArtPublicExhibitionAmts>
      <HeldWorksOfArtAmts />
      <CollectUsedForPublicExhibition>X</CollectUsedForPublicExhibition>
      <CollectUsedForScholarResearch>X</CollectUsedForScholarResearch>
      <CollectUsedForPreservation>X</CollectUsedForPreservation>
      <SolicitedAssetsForSale>false</SolicitedAssetsForSale>
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        <Contributions>701541</Contributions>
        <InvestmentEarningsOrLosses>11808365</InvestmentEarningsOrLosses>
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        <AdministrativeExpenses>236102</AdministrativeExpenses>
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      </CurrentYear>
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        <Contributions>159655</Contributions>
        <InvestmentEarningsOrLosses>5257938</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>111400</GrantsOrScholarships>
        <OtherExpenditures>1008701</OtherExpenditures>
        <AdministrativeExpenses>84650</AdministrativeExpenses>
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      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>61298451</BeginningOfYearBalance>
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        <InvestmentEarningsOrLosses>-8425284</InvestmentEarningsOrLosses>
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        <AdministrativeExpenses>116785</AdministrativeExpenses>
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      <BoardDesignatedEOYBalance>0.32500</BoardDesignatedEOYBalance>
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      <TermEndowmentEOYBalance>0.17900</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
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        <Depreciation>14943375</Depreciation>
        <BookValue>32087283</BookValue>
      </Buildings>
      <LeaseholdImprovements>
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        <Depreciation>713222</Depreciation>
        <BookValue>1544817</BookValue>
      </LeaseholdImprovements>
      <Equipment>
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        <Depreciation>6829448</Depreciation>
        <BookValue>15307624</BookValue>
      </Equipment>
      <OtherLandBuildings>
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        <Depreciation>957111</Depreciation>
        <BookValue>1313071</BookValue>
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      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
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      <TotalRevenue>112373666</TotalRevenue>
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      <ExcessOrDeficitForYear>14413658</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>6953475</NetUnrealizedGLOnInvestments>
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      <TotalAdjustments>6795181</TotalAdjustments>
      <ExcessOrDeficitPerFS>21208839</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>122651309</TotRevenueEtcAuditedFinclStmt>
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      <RevenueNotRptdOnFinStmt>158294</RevenueNotRptdOnFinStmt>
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      <Form990ScheduleDPartXIV>
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        <ReturnReference>Schedule D, Part III, Line 4</ReturnReference>
        <Explanation>THE COLLECTIONS OF THE STILL NATIONAL OSTEOPATHIC MUSEUM INCLUDE MORE THAN 30,000 OBJECTS, PHOTOGRAPHS, DOCUMENTS, AND BOOKS DATING FROM THE EARLY 1800S TO THE PRESENT (BULK 1870-1940). THE CORE OF THE COLLECTION CONSISTS OF ARTIFACTS FROM A.T. STILL'S PROFESSIONAL AND PRIVATE LIFE, MOST OF THEM DONATED BY DR. STILL'S DAUGHTER, BLANCHE LAUGHLIN, AND MEMBERS OF HER FAMILY. SINCE THE FOUNDING OF THE MUSEUM, OTHER FAMILY MEMBERS, D.O.S AND MUSEUM SUPPORTERS HAVE DONATED MANY ADDITIONAL ARTIFACTS THAT REFLECT THE ONGOING HISTORY OF THE OSTEOPATHIC PROFESSION. THE RESEARCH COLLECTIONS OF THE INTERNATIONAL CENTER FOR OSTEOPATHIC HISTORY ALSO INCLUDE MANY FORMER HOLDINGS OF THE ATSU-KCOM LIBRARY'S SPECIAL COLLECTIONS, FOR WHICH THE MUSEUM ASSUMED RESPONSIBILITY IN 1997. AS A PUBLIC TRUST THE MATERIAL IS AVAILABLE FREE OF CHARGE FOR VIEWING AND RESEARCH BY THE LOCAL, NATIONAL AND INTERNATIONAL POPULATION. ITS PROGRAMS AND TOURS USED BY THE LOCAL SCHOOLS AND PUBLIC ARE PROVIDED FREE AS AN EDUCATIONAL SERVICE.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
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        <Explanation>The University's endowments are intended to provide sustainable and reliable funding for student scholarships and support of the University's operating budget. Quasi-endowments have been established by both the University's Board of Trustees and administration. Earnings from the quasi-endowments are used for support of the operating budget and research endeavors. The corpus of the Board quasi-endowments may be expended as approved by the Board of Trustees.</Explanation>
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      <Form990ScheduleDPartXIV>
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        <Explanation>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</Explanation>
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      <Form990ScheduleDPartXIV>
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        <ReturnReference>SCHEDULE D, PART XII, LINE 4B</ReturnReference>
        <Explanation>LOSS ON ANNUITY &amp; UNITRUST OBLIGATIONS $158,294</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
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        <ReturnReference>SCHEDULE D, PART XIII, LINE 2D</ReturnReference>
        <Explanation>SPECIAL EVENT EXPENSES $78,768</Explanation>
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      <DiscriminateRaceEmplmnFaculty>false</DiscriminateRaceEmplmnFaculty>
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      <DiscriminateRaceEducPolicies>false</DiscriminateRaceEducPolicies>
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      <DiscriminateRaceAthleticProg>false</DiscriminateRaceAthleticProg>
      <DiscriminateRaceOtherActy>false</DiscriminateRaceOtherActy>
      <GovernmentFinancialAidReceived>true</GovernmentFinancialAidReceived>
      <GovernmentFinancialAidRevoked>false</GovernmentFinancialAidRevoked>
      <ComplianceWithRevProc7550>true</ComplianceWithRevProc7550>
      <Form990ScheduleEPartII>
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        <ReturnReference>SCHEDULE E, PART I, LINE 3</ReturnReference>
        <Explanation>THE RACIALLY NON-DISCRIMINATORY POLICY APPEARS IN THE UNIVERSITY CATALOG, ADMISSIONS BROCHURES, AND NEWSPAPER ADVERTISEMENTS.</Explanation>
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      <Form990ScheduleEPartII>
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        <ReturnReference>SCHEDULE E, PART I, LINE 6A</ReturnReference>
        <Explanation>ATSU RECEIVES FINANCIAL SUPPORT FROM THE FEDERAL GOVERNMENT IN A VARIETY OF WAYS, INCLUDING FINANCIAL AID TO STUDENTS IN REVOLVING LOAN FUNDS, SUCH AS PERKINS AND HPSL, AND GRANT SUPPORT FOR TEACHING AND RESEARCH PROJECTS. INFORMATION WITH REGARD TO THESE PROGRAMS IS REPORTED TO THE FUNDING AGENCY AS REQUESTED AND IS COVERED UNDER THE SCOPE OF THE SINGLE AUDIT.</Explanation>
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        <NumberOfEmployees>1</NumberOfEmployees>
        <TypeOfActivitiesConducted>Program Services</TypeOfActivitiesConducted>
        <SpecificServicesProvided>EDUCATION</SpecificServicesProvided>
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      <AcctsActvsOutUSTable>
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        <TypeOfActivitiesConducted>Investments</TypeOfActivitiesConducted>
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      <FundraiserActivityInformation>
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        <Activity>VIDEO CAMPAIGN</Activity>
        <FundraiserControlOfFunds>false</FundraiserControlOfFunds>
      </FundraiserActivityInformation>
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      <SeverancePayment>true</SeverancePayment>
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        <NamePerson>JOHN C COLLINS</NamePerson>
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        <NamePerson>Michael D Lockwood</NamePerson>
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        <NamePerson>James J McGovern</NamePerson>
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        <NamePerson>MICHAEL MCMANIS</NamePerson>
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      <Form990ScheduleJPartIII>
        <Identifier>Travel for Companions</Identifier>
        <ReturnReference>Schedule J, Part I, Line 1a</ReturnReference>
        <Explanation>THE UNIVERSITY PAID FOR TRAVEL FOR COMPANIONS FOR DANIEL BIERY, DAVID CONNOR, AND ROBERT UHL. THE AMOUNT FOR ALL WERE LESS THAN $600, THEREFORE NO 1099 WAS ISSUED, BUT THE UNIVERSITY DID SEND THE TRUSTEE A LETTER, STATING THE AMOUNT PAID BY THE UNIVERSITY FOR SPOUSAL TRAVEL IS REQUIRED TO BE INCLUDED IN INCOME ON THEIR PERSONAL TAX RETURNS AND INCLUDED THE AMOUNTS ON FORM 990, PART VII.</Explanation>
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      <Form990ScheduleJPartIII>
        <Identifier>Health or Social Club Dues or Initiation Fees</Identifier>
        <ReturnReference>Schedule J, Part I, Line 1a</ReturnReference>
        <Explanation>THE UNIVERSITY PAID FOR AQUATIC CENTER AND HEALTH CENTER DUES FOR SEVERAL EMPLOYEES, WHICH WERE REPORTED AS TAXABLE INCOME ON THEIR W-2S. ALL EMPLOYEES OF THE UNIVERSITY ARE ALLOWED TO SIGN UP TO RECEIVE THIS BENEFIT.</Explanation>
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        <Identifier>Severance Payment</Identifier>
        <ReturnReference>Schedule J, Part I, Line 4a</ReturnReference>
        <Explanation>James J. McGovern $269,250</Explanation>
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      <Form990ScheduleJPartIII>
        <Identifier>Incentive Compensation</Identifier>
        <ReturnReference>Schedule J, Part I, Line 5a</ReturnReference>
        <Explanation>INCENTIVES ARE CALCULATED USING A FORMULA BASED ON RELATIVE VALUE UNITS IN THE MEDICAL CLINICS. THE CLINICIANS' SALARIES ARE PAID USING A FORMULA THAT IS CUSTOMARY IN THE CLINICAL SETTINGS AND THEREFORE THE CLINICIANS RECEIVED FAIR MARKET COMPENSATION. MICHAEL D. LOCKWOOD $ 94,259 RALPH O. BOLING $ 107,780</Explanation>
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        <DateIssued>2010-01-27</DateIssued>
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        <AmountUnspent>0</AmountUnspent>
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        <NamePerson>JOHN C COLLINS</NamePerson>
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        <Identifier>Business Transactions with Interested Persons</Identifier>
        <ReturnReference>Schedule L, Part IV</ReturnReference>
        <Explanation>Transaction 1 (a) Elsie Gaber (b) Ronald Gaber is an officer of AT Still University (ATSU) and Elsie Gaber is an employee of ATSU (c) $82,308 (d) Ronald and Elsie are spouses employed by ATSU (e) No Transaction 2 (a) SANDY SLOCUM (b) PHILIP SLOCUM IS AN OFFICER OF ATSU AND SANDY SLOCUM IS AN EMPLOYEE OF ATSU (c) $10,449 (d) PHILIP AND SANDY ARE SPOUSES EMPLOYED BY ATSU (e) NO TRANSACTION 3 (A) RONALD WINKLER (B) RONALD WINKLER IS A TRUSTEE OF ATSU AND 100% OWNER OF KIRKSVILLE MINI STORAGE, INC. DBA WINKLER COMMUNICATION (C) $105,013 (D) KIRKSVILLE MINI STORAGE, INC. PROVIDED, INSTALLED AND SERVICED THE COMMUNICATION EQUIPMENT AT THE KIRKSVILLE CAMPUS (E) NO TRANSACTION 4 (A) LINDA NIESSEN (B) LINDA NIESSEN IS A TRUSTEE OF ATSU AND SERVES AS VICE PRESIDENT, CHIEF CLINICAL OFFICER FOR DENTSPLY INTERNATIONAL, A MANUFACTURER OF DENTAL PRODUCTS. (C) $136,291 (D) ASDOH PURCHASES DENTAL PRODUCTS FROM DENTSPLY. (E) NO</Explanation>
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    </IRS990ScheduleL>
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      <CarsAndOtherVehicles />
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        <MethodOfDeterminingRevenues>SELLING PRICE</MethodOfDeterminingRevenues>
      </SecuritiesPubliclyTraded>
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      <SecuritiesMiscellaneous />
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      <QualifiedContribOther />
      <RealEstateResidential />
      <RealEstateCommercial />
      <RealEstateOther />
      <Collectibles />
      <FoodInventory />
      <DrugsAndMedicalSupplies />
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      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
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        <MethodOfDeterminingRevenues>COST</MethodOfDeterminingRevenues>
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      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>true</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
        <Identifier>NUMBER OF CONTRIBUTIONS OR ITEMS CONTRIBUTED</Identifier>
        <ReturnReference>SCHEDULE M, PART I, COLUMN B</ReturnReference>
        <Explanation>THE AMOUNTS LISTED IN THIS COLUMN ARE A COMBINATION OF NUMBER OF CONTRIBUTIONS AND NUMBER OF ITEMS CONTRIBUTED.</Explanation>
      </Form990ScheduleMPartII>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S MISSION</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 1</ReturnReference>
        <Explanation>A.T. Still University of Health Sciences serves as a learning-centered university dedicated to preparing highly competent professionals through innovative academic programs with a commitment to continue its osteopathic heritage and its focus on whole person healthcare, scholarship, community health, interprofessional education, diversity, and underserved populations.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Program Service Accomplishments</Identifier>
        <ReturnReference>Form 990, Part III, Line 4a</ReturnReference>
        <Explanation>About A.T. Still University Established in 1892 by Andrew Taylor Still, M.D., D.O., the founder of osteopathy, A.T. Still University (ATSU) began as the nation's first college of osteopathic medicine and today has evolved into a leading university of health sciences comprised of five schools located on two campuses. The University's schools include the Kirksville College of Osteopathic Medicine (KCOM) and School of Health Management (SHM) located in Kirksville, Mo., and the Arizona School of Health Sciences (ASHS), Arizona School of Dentistry &amp; Oral Health (ASDOH), and School of Osteopathic Medicine in Arizona (SOMA) located in Mesa, Ariz. Student learning is at the heart of A.T. Still University. Our students and faculty are part of a distinguished heritage of humanistic healthcare based on an integrated approach that includes the body, mind, and spirit of the patient. This "whole person" approach to healthcare is the foundation of the educational experience and is integrated into the curriculum for each school's programs, from audiology to dentistry, family practice to public health, and online to residential programs. Programs Doctor of Osteopathic Medicine (D.O.) Master of Biomedical Sciences (M.S.) Athletic Training (M.S.) Audiology (Au.D.) Transitional Audiology (Au.D.) Occupational Therapy (M.S.) Physician Assistant Studies (M.S.) Physical Therapy (D.P.T.) Transitional Physical Therapy (D.P.T.) Advanced Occupational Therapy (M.S.) Advanced Physician Assistant Studies (M.S.) Health Sciences (D.H.Sc.) Human Movement (M.S.) Master of Public Health (M.P.H.) Master of Health Administration (M.H.A.) Doctor of Health Education (D.H.Ed.) Doctor of Dental Medicine (D.M.D.) Certificates Orthodontics Public Health - Dental Emphasis Sports Conditioning Geriatric Exercise Science Exercise &amp; Sports Psychology Quick Facts Campus Locations Kirksville, Mo. Mesa, Ariz. Kirksville Population 17,505 Mesa Population 468,012 Campus Size Kirksville, Mo. - 150 acres Mesa, Ariz. - 59 acres Enrollment (2010-11) Total - 3,624 Kirksville College of Osteopathic Medicine - 725 School of Osteopathic Medicine in Arizona - 407 Arizona School of Health Sciences - 1,628 School of Health Management - 593 Arizona School of Dentistry &amp; Oral Health - 271 Number of Programs Total - 23 Doctoral - 9 Master's - 10 Certificates - 4 International Enrollment (2010-11) Approximately 99 students from more than 35 countries Living Alumni Total 13,566 KCOM - 6,408 ASHS - 6,054 SHM - 744 ASDOH - 271 SOMA -89 Degrees Granted (2010-11) Doctoral - 810 Master's - 380 Certificates - 70 Full-Time Employees 669 Male/Female Students 1,554/2,070 Points of University Pride - In February, 2011, the Board of Trustees voted to support bringing a dental school to the University's Kirksville campus. Plans for an interprofessional education building to house the new dental school are underway. ATSU's first dental students in Kirksville will start in the Fall of 2013. - SOMA graduated its first class of 92 D.O.s on June 3, 2011, and received its initial full accreditation status from the American Osteopathic Association's Commission on Osteopathic College Accreditation - In March 2011, ATSU was selected as one of only three inaugural member institutions of the Gallup Campus Wellbeing Consortium. The consortium works to create a new discussion about the wellbeing of the people who learn and work at colleges and universities, and to create a community where people use a common vocabulary about what is right with individuals. These institutions are collectively committed to increasing the wellbeing of all the people on their campuses and in the surrounding communities. - The Health Resources and Services Administration (HRSA) granted ATSU eight awards totaling more than $5.86 million. These gifts will greatly benefit the Kirksville, Mo., and Mesa, Ariz., communities and beyond. In all, ATSU was awarded more than 60 percent of HRSA's Federal Health Professions grant funding in Missouri and more than 75 percent of all grants in Arizona (Oct. 2010) - The American Heart Association has recognized ATSU for its outstanding efforts to create a fitness- and wellness-friendly environment on its campuses in Kirksville, Mo., and Mesa, Ariz. This is the fourth consecutive year that the University has been recognized as a Gold Start! Fit-Friendly Company (June 2010) - ATSU was named to the 2009 President's Higher Education Community Service Honor Roll, the highest federal recognition a college or university can receive for its commitment to volunteering, service-learning, and civic engagement (February 2010) KCOM - Founding college of osteopathic medicine - Graduated more than 15,000 D.O.s - Offers Master's in Biomedical Sciences (M.S.) and dual D.O./M.S. degree - First osteopathic medical school to receive two NIH research grants for clinical OMM methodology - Ranked US News &amp; World Report's America's Best Graduate Schools 2008 - Received 2008 President's Honor Roll recognition - Home of the Still Museum of Osteopathic Medicine SOMA - Graduated its first class of 92 D.O.s on June 3, 2011, and received its initial full accreditation status from the American Osteopathic Associations Commission on Osteopathic College Accreditation - Only medical school in the country to integrate physical diagnosis with ongoing didactic curriculum - Curriculum blends the case presentation model and the Harvard- Cambridge model - Nearly 84 percent of graduates enter primary care or National Association of Community Health Center specialties ASDOH - Arizona's first dental school - One out of four dental school applicants nationwide applies to ASDOH - ASDOH has one of the largest contingencies of tribally enrolled American Indian students of any dental school in the nation, with a 100 percent graduation rate for American Indian students - Operates Thunderbirds Charities Special Care Unit at Dental Care West in Glendale, the only one of its kind in Arizona - More than 75 full-time faculty members and nationally recognized experts teach one-week modules in their areas of expertise - In a significant community investment to increase access to oral care for the uninsured and underinsured in the West Valley, Thunderbirds Charities has awarded $75,000 to expand Dental Care West, a university-affiliated dental clinic run by ATSU-ASDOH (August 2010) - The American Association of Orthodontists (AAO) awarded Jae Hyun Park, D.M.D., M.S.D., M.S., Ph.D., director of the Postgraduate Orthodontic program at ASDOH the 2010 AAO Academy of Academic Leadership Sponsorship Program Award (May 2010) - The Commission on Dental Accreditation has awarded a seven-year accreditation - the top accreditation - to ASDOH's postgraduate orthodontic program (February 2010) - The Center for Advanced Oral Health Education is advancing A.T. Still Universitys vision to be the preeminent University for the health professions. A First for Arizona, the Center will provide oral care for individuals with medically complex conditions and advanced dental needs. - Led by a $75,000 grant from the BHHS Legacy Foundation, ASDOH has formed a unique collaborative that combines the resources of the dental school, Phoenix-based Hacienda HealthCare, and the National Kidney Foundation of Arizona. ASDOH will provide oral care to 20 individuals with special needs referred by Hacienda HealthCare and 25 dialysis patients referred by the National Kidney Foundation of Arizona. ASDOHs Special Care Dentistry unit in Mesa and Glendale will provide services to this patient population. The initiative also provides training in special care dentistry to 58 students and six residents. - The United Health Foundation (UHF) awarded a $50,000 grant to ASDOH to provide loan repayment for a graduate who elects to work in a community health center for a minimum of two years. - ASDOHs community supporters include the Phoenix Suns Charities, CVS Caremark, Sundt Foundation and other leading corporations and Foundations.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ASHS</Identifier>
        <ReturnReference>- Graduated more than 4,000 students</ReturnReference>
        <Explanation>- ASHS faculty received top two honors at 2009 National Athletic Trainers' Association Annual Symposium - Audiology externs are placed in prestigious clinical facilities across the country - Physician Assistant Studies (PA) program has established strong relationships with community health centers, bureaucrats, leaders, healers, and others committed to improving the health of the nation's rural and inner-city, underserved communities - PA pass rate for the Physician Assistant National Certifying Exam 2008=95 percent pass rate amongst ATSU first time takers (national average was 94 percent) - Occupational Therapy (OT) program offers community-based lab experiences as part of coursework before clinical rotations - 20 percent of all Native American PAs in the United States graduated from ASHS - Partnerships with National Center for American Indian Health Professions (NCAIHP) - Physical Therapy program noted for tutelage of professors with doctorates from top notch universities like George Washington, Columbia, ASU, and NAU SHM - First dental public health curriculum to be offered 100 percent online - First dental public health certificate offered to dental medicine students - Online writing center assists students - SHM Dean Kimberly O'Reilly, D.H.Ed., M.S.W., was selected to participate in the 2010 Harvard Graduate School of Education summer programs(April 2010)</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Significant Changes to Organizational Documents</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 4</ReturnReference>
        <Explanation>Over the past couple of years, the ATSU Board of Trustees has been transitioning towards a governance model designed to empower the President to creatively lead the University in a direction that is in lockstep with the organization's mission and vision, both of which are set by the Board. This governance model, named the Visionary Leadership Model, recognizes the President as the Board's one employee and empowers its one employee to run the organization while staying within the limitations set by the Board in order to achieve its vision for the future. The limitations serve as the boundaries within which the President must develop a strategic plan that is consistent with the organization's mission and vision and lead the organization forward. In addition, the Board sets Metrics for the President that reflect the institutional priorities and the way in which the Board measures success towards those priorities. The Board votes by "consensus" which is defined as the following: The cooperative process whereby all Board members speak with a single voice by developing and agreeing to support a decision that the Board believes to be in the best interest of the whole. A consensus is reached when all Board members present explicitly consent to the approval of the matter before the Board at a duly called meeting at which a quorum of Trustees is present. At the May 2011 meeting of the ATSU Board of Trustees, the bylaws of the institution were amended to reflect the new governance model. In addition, a new mission statement (see Schedule O) was adopted 9/25/10.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Review Process</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>THE UNIVERSITY POLICY, ADOPTED IN MAY 2009, STIPULATES THAT THE AUDIT TEAM OF THE BOARD OF TRUSTEES SHALL REVIEW AND APPROVE THE IRS FORM 990 ANNUAL TAX FILING PRIOR TO SUBMISSION. FOR THE TAX YEAR ENDING JUNE 30, 2011, THIS REVIEW AND APPROVAL TOOK PLACE ON FEBRUARY 3, 2012. THE MINUTES OF THIS MEETING DOCUMENT THIS REVIEW AND APPROVAL. A COMPLETE COPY OF THE FORM 990, INCLUDING ALL SCHEDULES, WERE PROVIDED TO EACH BOARD OF TRUSTEE MEMBER PRIOR TO ITS SUBMISSION TO THE INTERNAL REVENUE SERVICE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Conflict of Interest Policy</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>AT THE TIME OF HIRE (OR ELECTION IN THE CASE OF TRUSTEES) AND ANNUALLY THEREAFTER, THE PRESIDENT OR HIS/HER DESIGNEE SHALL PROVIDE TO THE BOARD AND TO ALL EXECUTIVE OFFICERS AND KEY EMPLOYEES A COPY OF THE CONFLICT OF INTEREST POLICY AND THE APPLICABLE CONFLICT OF INTEREST DISCLOSURE FORM AND QUESTIONNAIRE, WHICH SHALL BE COMPLETED TO IDENTIFY ANY RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES WITH RESPECT TO WHICH IT IS BELIEVED A CONFLICT MAY ARISE. SUCH ANNUAL MONITORING AND REVIEW PROCEDURES SHALL BE PART OF THE CORPORATE COMPLIANCE PLAN. AN APPROPRIATE REPORT SHALL BE SUBMITTED TO THE AUDIT TEAM CONCERNING ANY INTEREST SO DISCLOSED. EACH MEMBER OF THE BOARD OF TRUSTEES AND ALL MANAGEMENT ASSOCIATES SHALL DISCLOSE FULLY AND FRANKLY ANY AND ALL ACTUAL OR POTENTIAL CONFLICTS OR DUALITY OF INTEREST OR RESPONSIBILITY, WHETHER INDIVIDUAL, PERSONAL OR BUSINESS, WHICH MAY EXIST. IF IT IS DETERMINED THAT THERE IS A CONFLICT OF INTEREST WITH RESPECT TO A BOARD MEMBER, THE CONFLICT SHALL BE REPORTED TO THE FULL BOARD, AND THE AFFECTED BOARD MEMBER MUST ANSWER ANY QUESTIONS PERTAINING TO THE CONFLICT THAT OTHER BOARD MEMBERS MAY HAVE. IF A VOTE IS REQUIRED, THE AFFECTED BOARD MEMBER SHALL ABSTAIN FROM VOTING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Compensation Review</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Lines 15a &amp; b</ReturnReference>
        <Explanation>At the May 2009 meeting of the A.T. Still University of Health Sciences Board of Trustees, the Board unanimously adopted a policy creating "The Executive Compensation Program." The AUDIT Team of the Board administers the Executive Compensation Program by recommending a competitive range of compensation for the officers and key employees of the University to be adopted by the full Board. The competitive ranges shall be determined by analyzing compensation structures for similar positions from similarly-situated organizations and from the independent compensation survey recently performed on the University by the Hay Group. The AUDIT Team reviews such data and recommends salary ranges to be adopted by the full Board once a year.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Availability of Documents</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>The organization's governing documents, conflict of interest policy and financial statements are available upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS FOR FUND BALANCES</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS $ 6,953,475 GAIN/(LOSS) ON ANNUITY UNITRUST $ (158,925) ----------- TOTAL $ 6,795,180 ===========</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>