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        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetGainOrLossInvestments>
      <GrossIncomeFundraisingEvents>7873</GrossIncomeFundraisingEvents>
      <CntrbtnsRprtdFundraisingEvents>44328</CntrbtnsRprtdFundraisingEvents>
      <FundraisingDirectExpenses>20828</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>-12955</TotalRevenueColumn>
        <ExclusionAmount>-12955</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>Miscellaneous Revenue</Description>
        <TotalRevenueColumn>6752</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>6752</RelatedOrExemptFunctionIncome>
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      <TotalOtherRevenue>6752</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>5089218</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4720874</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>-12955</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>48485</Total>
        <ProgramServices>48485</ProgramServices>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>1009151</Total>
        <ProgramServices>807321</ProgramServices>
        <ManagementAndGeneral>201830</ManagementAndGeneral>
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      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>1085972</Total>
        <ProgramServices>868777</ProgramServices>
        <ManagementAndGeneral>217195</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>115325</Total>
        <ProgramServices>69195</ProgramServices>
        <ManagementAndGeneral>46130</ManagementAndGeneral>
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      <OtherEmployeeBenefits>
        <Total>230437</Total>
        <ProgramServices>34903</ProgramServices>
        <ManagementAndGeneral>195534</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>133186</Total>
        <ProgramServices>106549</ProgramServices>
        <ManagementAndGeneral>26637</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>15304</Total>
        <ManagementAndGeneral>15304</ManagementAndGeneral>
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      <FeesForServicesAccounting>
        <Total>29918</Total>
        <ManagementAndGeneral>29918</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
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      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>22961</Total>
        <ManagementAndGeneral>22961</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>35076</Total>
        <ManagementAndGeneral>35076</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>46290</Total>
        <ProgramServices>41197</ProgramServices>
        <ManagementAndGeneral>5093</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>0</Total>
      </Occupancy>
      <Travel>
        <Total>62075</Total>
        <ProgramServices>62075</ProgramServices>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>293609</Total>
        <ProgramServices>58722</ProgramServices>
        <ManagementAndGeneral>234887</ManagementAndGeneral>
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      <Insurance>
        <Total>62950</Total>
        <ProgramServices>24469</ProgramServices>
        <ManagementAndGeneral>38481</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Utilities</Description>
        <Total>95816</Total>
        <ProgramServices>76180</ProgramServices>
        <ManagementAndGeneral>19636</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Student Services</Description>
        <Total>83732</Total>
        <ProgramServices>83732</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Student Education</Description>
        <Total>449904</Total>
        <ProgramServices>449904</ProgramServices>
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      <OtherExpenses>
        <Description>Contract Labor</Description>
        <Total>138861</Total>
        <ProgramServices>138481</ProgramServices>
        <ManagementAndGeneral>380</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Accreditation and Association</Description>
        <Total>88567</Total>
        <ProgramServices>47417</ProgramServices>
        <ManagementAndGeneral>41150</ManagementAndGeneral>
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      <AllOtherExpenses>
        <Total>333251</Total>
        <ProgramServices>222537</ProgramServices>
        <ManagementAndGeneral>110714</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
        <Total>4380870</Total>
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      <LandBuildingsEquipmentBasis>4465876</LandBuildingsEquipmentBasis>
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      <LandBuildingsEquipmentBasisNet>
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      <InvestmentsProgramRelated>
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        <EOY>1546</EOY>
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      <TotalLiabilities>
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        <EOY>859620</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
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      <TemporarilyRestrictedNetAssets>
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      <PermanentlyRestrictedNetAssets>
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        <EOY>25000</EOY>
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        <EOY>7510964</EOY>
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        <EOY>8370584</EOY>
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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>708348</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>171409</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="11000144" softwareVersion="2011v1.2">
      <School170b1Aii>X</School170b1Aii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="11000144" softwareVersion="2011v1.2">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
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        <InvestmentEarningsOrLosses>41</InvestmentEarningsOrLosses>
        <EndOfYearBalance>25972</EndOfYearBalance>
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      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>25841</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>90</InvestmentEarningsOrLosses>
        <EndOfYearBalance>25931</EndOfYearBalance>
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      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>25755</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>86</InvestmentEarningsOrLosses>
        <EndOfYearBalance>25841</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <PermanentEndowmentEOYBalance>1.00000</PermanentEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>false</AreRelatedOrgsListedScheduleR>
      <Land>
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        <BookValue>151645</BookValue>
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      <Buildings>
        <OtherCostOrOtherBasis>1457102</OtherCostOrOtherBasis>
        <Depreciation>222214</Depreciation>
        <BookValue>1234888</BookValue>
      </Buildings>
      <LeaseholdImprovements>
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        <Depreciation>471457</Depreciation>
        <BookValue>992124</BookValue>
      </LeaseholdImprovements>
      <Equipment>
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        <BookValue>179091</BookValue>
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        <BookValue>56064</BookValue>
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      <OtherLiabilities>
        <Description>Loan Proceeds Held for Students</Description>
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      <TotalOfAmounts>1546</TotalOfAmounts>
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      <ExcessOrDeficitForYear>708348</ExcessOrDeficitForYear>
      <PriorPeriodAdjustments>171409</PriorPeriodAdjustments>
      <TotalAdjustments>171409</TotalAdjustments>
      <ExcessOrDeficitPerFS>879757</ExcessOrDeficitPerFS>
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      <RevenueSubtotal>5110046</RevenueSubtotal>
      <OtherRevenuesNotIncluded>-20828</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-20828</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>5089218</TotalRevenuePerForm990>
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      <OtherExpensesIncluded>20828</OtherExpensesIncluded>
      <ExpensesNotRptdF990>20828</ExpensesNotRptdF990>
      <ExpensesSubtotal>4380870</ExpensesSubtotal>
      <TotalExpensesPerForm990>4380870</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line 2d</Identifier>
        <ReturnReference>Part XIII, Line 2d: Other expenses and losses per audited F/S</ReturnReference>
        <Explanation>Special Events Expenses $20828</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part V, Line 4</Identifier>
        <ReturnReference>Part V, Line 4: Intended uses of the endowment fund.</ReturnReference>
        <Explanation>The initial donation of the permanent endowment is to remain intact with the earnings on this balance to be used for scholarships.</Explanation>
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    </IRS990ScheduleD>
    <IRS990ScheduleE documentId="IRS990ScheduleE" softwareId="11000144" softwareVersion="2011v1.2">
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      <PolicyStatementInBrochuresEtc>true</PolicyStatementInBrochuresEtc>
      <PolicyPublViaBroadcastMedia>true</PolicyPublViaBroadcastMedia>
      <MaintRacialCompositionRecords>true</MaintRacialCompositionRecords>
      <MaintScholarshipsRecords>true</MaintScholarshipsRecords>
      <MaintCopiesOfBrochuresEtc>true</MaintCopiesOfBrochuresEtc>
      <MaintCopiesOfAllSolicitations>true</MaintCopiesOfAllSolicitations>
      <DiscriminateRaceStudentsRights>false</DiscriminateRaceStudentsRights>
      <DiscriminateRaceAdmissPolicies>false</DiscriminateRaceAdmissPolicies>
      <DiscriminateRaceEmplmnFaculty>false</DiscriminateRaceEmplmnFaculty>
      <DiscriminateRaceScholarships>false</DiscriminateRaceScholarships>
      <DiscriminateRaceEducPolicies>false</DiscriminateRaceEducPolicies>
      <DiscriminateRaceUseOfFclts>false</DiscriminateRaceUseOfFclts>
      <DiscriminateRaceAthleticProg>false</DiscriminateRaceAthleticProg>
      <DiscriminateRaceOtherActy>false</DiscriminateRaceOtherActy>
      <GovernmentFinancialAidReceived>true</GovernmentFinancialAidReceived>
      <GovernmentFinancialAidRevoked>false</GovernmentFinancialAidRevoked>
      <ComplianceWithRevProc7550>true</ComplianceWithRevProc7550>
      <Form990ScheduleEPartII>
        <Identifier>Schedule E, Line 6 - Explanation of Aid or Assistance from Governmental Agency</Identifier>
        <Explanation>The School acts as a pass-through organization for federal financial aid received through the Federal Direct Student Loans and the Post-9/11 Veterans Educational Assistance. The School also receives small grants from the Department of Health and Human Services to be distributed to students in the form of stipends.</Explanation>
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    <IRS990ScheduleG documentId="IRS990ScheduleG" softwareId="11000144" softwareVersion="2011v1.2">
      <AgreementRefFundraising>false</AgreementRefFundraising>
      <EventsInformation>
        <NameOfEvent1>Golf Tournament</NameOfEvent1>
        <GrossReceiptsEvent1>52201</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>44328</CharitableContributionsEvent1>
        <GrossRevenueEvent1>7873</GrossRevenueEvent1>
        <NonCashPrizesEvent1>7481</NonCashPrizesEvent1>
        <RentFacilityCostsEvent1>6517</RentFacilityCostsEvent1>
        <FoodAndBeverageEvent1>4059</FoodAndBeverageEvent1>
        <OtherDirectExpensesEvent1>2771</OtherDirectExpensesEvent1>
        <GrossReceiptsTotal>52201</GrossReceiptsTotal>
        <CharitableContributionsTotal>44328</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>7873</GrossRevenueTotalEvents>
        <NonCashPrizesTotalEvents>7481</NonCashPrizesTotalEvents>
        <RentFacilityCostsTotalEvents>6517</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>4059</FoodAndBeverageTotalEvents>
        <OtherDirectExpensesTotalEvents>2771</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>20828</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-12955</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="11000144" softwareVersion="2011v1.2">
      <RecordsMaintained>true</RecordsMaintained>
      <NoGrantMoreThan5000>X</NoGrantMoreThan5000>
      <TotalNbrOf501C3AndGovtGrants>0</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>Scholarships</TypeOfGrant>
        <NumberOfRecipients>210</NumberOfRecipients>
        <AmountOfCashGrant>48485</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="11000144" softwareVersion="2011v1.2">
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>Mary Elizabeth DeVasher CRNA</NamePerson>
        <BaseCompensationFilingOrg>200429</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>11532</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>22441</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>234402</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Kenneth L Schwab EdD</NamePerson>
        <BaseCompensationFilingOrg>256365</BaseCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>21111</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>277476</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Chris Hulin CRNA MBA DNP A</NamePerson>
        <BaseCompensationFilingOrg>179834</BaseCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>41696</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>221530</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Alescia DeVasher</NamePerson>
        <BaseCompensationFilingOrg>200429</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>11187</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>36290</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>247906</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="11000144" softwareVersion="2011v1.2">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Mary Minten</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Employee</Relationship>
        <AmountOfTransaction>42521</AmountOfTransaction>
        <DescriptionOfTransaction>Compensation for Services</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Anesthesia Medical Group</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Trustees/Owners</Relationship>
        <AmountOfTransaction>267981</AmountOfTransaction>
        <DescriptionOfTransaction>Affiliation Revenue</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Bernard DeVasher</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Employee</Relationship>
        <AmountOfTransaction>58600</AmountOfTransaction>
        <DescriptionOfTransaction>Compensation for Services</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="11000144" softwareVersion="2011v1.2">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>The School's governing documents, policies, and financial statements are made available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>Compensation for the President is determined per a written contract. The contract is recommended by the Executive Committee and approved by the Board. Compensation for all other Officiers is recommended by the President and approved by the Board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>The Form 990 is e-mailed to the board members for review before the form is filed.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 2</Identifier>
        <ReturnReference>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</ReturnReference>
        <Explanation>Mary Elizabeth DeVasher, Vice President, Dean, and Program Administrator, is the mother of Alescia Bethea, Associate VP of IE &amp; Program Development.Dr. Art Runyon-Hass,a Trustee of MTSA, has a relationship through their involvement with Anesthesia Group.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <BusinessNameLine1>MTSA Holdings LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>315 Hospital Drive</AddressLine1>
          <City>Madison</City>
          <State>TN</State>
          <ZIPCode>37115</ZIPCode>
        </AddressUS>
        <PrimaryActivities>Holding Company</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <TotalIncome>13263</TotalIncome>
        <DirectControllingEntityName>
          <BusinessNameLine1>Middle Tennessee School of Anesthesia</BusinessNameLine1>
        </DirectControllingEntityName>
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      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
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      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
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      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
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</Return>