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        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
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        <NamePerson>KAREN MCLEAN PHD</NamePerson>
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        <OtherCompensation>29769</OtherCompensation>
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        <NamePerson>MARK J PEIFFER</NamePerson>
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        <NamePerson>STEPHEN S DENGLE</NamePerson>
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        <OtherCompensation>29769</OtherCompensation>
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        <NamePerson>SUSAN HUPPERT</NamePerson>
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        <OtherCompensation>17354</OtherCompensation>
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        <NamePerson>MARY ANN ZUG</NamePerson>
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        <OtherCompensation>24615</OtherCompensation>
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      <Form990PartVIISectionA>
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        <NameOfContractor>
          <NameBusiness>
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        <AddressOfContractor>
          <AddressUS>
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        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>ENCORE ONE LLC</BusinessNameLine1>
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          <AddressUS>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
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          <AddressUS>
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        <NameOfContractor>
          <NameBusiness>
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          <AddressUS>
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      <ProgramServiceRevenue>
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        <Personal>5184</Personal>
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        <ManagementAndGeneral>345401</ManagementAndGeneral>
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        <Description>AFFIL. CLINICAL PROGRAM</Description>
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        <ProgramServices>1516411</ProgramServices>
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      <OtherExpenses>
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        <ProgramServices>1191438</ProgramServices>
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      <OtherExpenses>
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        <ProgramServices>441440</ProgramServices>
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      <OtherExpenses>
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        <ProgramServices>268534</ProgramServices>
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      <OtherExpenses>
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        <EOY>1475</EOY>
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        <EOY>31145000</EOY>
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      </EscrowAccountLiability>
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      <TotalLiabilities>
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        <EOY>7713841</EOY>
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        <EOY>107923456</EOY>
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      <TotalLiabNetAssetsFundBalances>
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        <ContributorNameBusiness>
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        </ContributorNameBusiness>
        <ContributorAddressUS>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
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      <MailingsMembers>0</MailingsMembers>
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        <Identifier>EXPLANATION OF OTHER LOBBYING ACTIVITIES:</Identifier>
        <ReturnReference>PART II-B, LINE 1I:</ReturnReference>
        <Explanation>THE UNIVERSITY HAS UTILIZED LOBBYISTS FOR ITS WORK WITH THE IOWA GENERAL ASSEMBLY AND STATE GOVERNMENT. SUCH COUNSEL HAS PROVIDED GUIDANCE ON THE STATUS OF APPROPRIATIONS FOR EXISTING STATE OF IOWA LEGISLATION WHICH PROVIDES FINANCIAL SUPPORT TO UNIVERSITY STUDENTS. IN ADDITION, COUNSEL HAS BEEN PROVIDED ON PROPOSED LEGISLATION WHICH WOULD EXPAND SUCH FINANCIAL SUPPORT FOR STUDENTS. LOBBYISTS HAVE ALSO PROVIDED COUNSEL TO THE UNIVERSITY IN ITS WORK WITH CONGRESS AND THE FEDERAL GOVERNMENT. SUCH COUNSEL HAS PROVIDED GUIDANCE ON SOURCES OF POTENTIAL FUNDING FOR RESEARCH, COMMUNITY DEVELOPMENT, AND PUBLIC HEALTH EDUCATION FOR PHYSICIANS, THE UNIVERSITY, AND COMMUNITIES THROUGHOUT THE STATE OF IOWA.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtc>0</AgentTrusteeEtc>
      <IncludedOnFS>1</IncludedOnFS>
      <CurrentYear>
        <BeginningOfYearBalance>51279039</BeginningOfYearBalance>
        <Contributions>1057014</Contributions>
        <InvestmentEarningsOrLosses>17175936</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>1020001</GrantsOrScholarships>
        <OtherExpenditures>4238320</OtherExpenditures>
        <AdministrativeExpenses>257767</AdministrativeExpenses>
        <EndOfYearBalance>63995901</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>41826731</BeginningOfYearBalance>
        <Contributions>828875</Contributions>
        <InvestmentEarningsOrLosses>12922964</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>681680</GrantsOrScholarships>
        <OtherExpenditures>3395168</OtherExpenditures>
        <AdministrativeExpenses>222683</AdministrativeExpenses>
        <EndOfYearBalance>51279039</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>67373883</BeginningOfYearBalance>
        <Contributions>717863</Contributions>
        <InvestmentEarningsOrLosses>-21510241</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>603236</GrantsOrScholarships>
        <OtherExpenditures>3945884</OtherExpenditures>
        <AdministrativeExpenses>205654</AdministrativeExpenses>
        <EndOfYearBalance>41826731</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <BoardDesignatedEOYBalance>0.79000</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.12000</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.09000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>1</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>3395216</OtherCostOrOtherBasis>
        <BookValue>3395216</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>58223375</OtherCostOrOtherBasis>
        <Depreciation>23886987</Depreciation>
        <BookValue>34336388</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>9375860</OtherCostOrOtherBasis>
        <Depreciation>6104405</Depreciation>
        <BookValue>3271455</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>2040935</OtherCostOrOtherBasis>
        <Depreciation>1499844</Depreciation>
        <BookValue>541091</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>41544150</TotalOfBookValueLandBuildings>
      <CloselyHeldEquityInterests>
        <BookValue>200000</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </CloselyHeldEquityInterests>
      <OtherSecurities>
        <Description>SEI OFFSHORE OPPORTUNITY</Description>
        <BookValue>12001127</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>SEI STRUCTURED CREDIT</Description>
        <BookValue>4510653</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>SEI GLOBAL PRIVATE EQUITY</Description>
        <BookValue>1559556</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>SEI SPECIAL SITUATIONS</Description>
        <BookValue>1562484</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>19833820</TotalOfBookValueSecurities>
      <OtherLiabilities>
        <Description>INTEREST RATE SWAP LIABILITY</Description>
        <Amount>3033803</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>3033803</TotalOfAmounts>
      <TotalRevenue>55368349</TotalRevenue>
      <TotalExpenses>54836328</TotalExpenses>
      <ExcessOrDeficitForYear>532021</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>17158513</NetUnrealizedGLOnInvestments>
      <OtherAmount>671177</OtherAmount>
      <TotalAdjustments>17829690</TotalAdjustments>
      <ExcessOrDeficitPerFS>18361711</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>69852532</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>17158513</NetUnrealizedGainsInvestments>
      <DonatedSrvcAndUseOfFacilities>7820</DonatedSrvcAndUseOfFacilities>
      <OtherRevenues>-2732388</OtherRevenues>
      <RevenueNotRptdF990>14433945</RevenueNotRptdF990>
      <RevenueSubtotal>55418587</RevenueSubtotal>
      <OtherRevenuesNotIncluded>-50238</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-50238</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>55368349</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>51490821</TotExpensesEtcAuditedFinclStmt>
      <DonatedServicesUseOfFacilities>7820</DonatedServicesUseOfFacilities>
      <OtherExpensesIncluded>50238</OtherExpensesIncluded>
      <ExpensesNotRptdF990>58058</ExpensesNotRptdF990>
      <ExpensesSubtotal>51432763</ExpensesSubtotal>
      <OtherExpensesNotIncluded>3403565</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>3403565</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>54836328</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <ReturnReference>PART IV, LINE 2B:</ReturnReference>
        <Explanation>STUDENTS WHO PREPAY TUITION FOR THE ENTIRE LENGTH OF THE PROGRAM LOCK IN THE TUITION RATE WITH NO INCREASES. FUNDS HELD IN ESCROW FOR FUTURE TUITION PAYMENTS TOTAL $818,309. DEPOSITS HELD IN CUSTODY FOR STUDENT ORGANIZATIONS TOTAL $469,403. RENT DEPOSITS HELD IN CUSTODY TOTAL $1,000.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <Explanation>ENDOWMENT FUNDS ARE INTENDED TO PROVIDE SCHOLARSHIPS FOR STUDENTS, ESTABLISH RESEARCH FUNDS FOR FACULTY, AND SUPPORT PROGRAMS AND FACILITIES.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>THE UNIVERSITY HAS A TAX DETERMINATION LETTER FROM THE IRS STATING THAT IT QUALIFIES UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES. THE UNIVERSITY FILES A FORM 990 ANNUALLY. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE TAX POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO THE UNIVERSITIES INCLUDE SUCH MATTERS AS THE TAX-EXEMPT STATUS OF EACH ENTITY AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBIT). UBIT IS REPORTED ON THE FORM 990-T, AS APPROPRIATE. THE BENEFIT OF TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. AS OF JUNE 30, 2011 AND 2010, THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY. FORMS 990 AND 990-T FILED BY THE UNIVERSITY ARE SUBJECT TO EXAMINATION BY THE IRS UP TO 3 YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 AND 990-T FILED BY THE UNIVERSITY ARE NO LONGER SUBJECT TO EXAMINATION FOR THE FISCAL YEARS ENDED JUNE 30, 2007 AND PRIOR.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8 - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>UNREALIZED GAIN ON BOND INTEREST RATE SWAP 671,177.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>UNREALIZED GAIN ON BOND INTEREST RATE SWAP 671,177. SCHOLARSHIPS &amp; TUITION DISCOUNTS REPORTED NET IN REVENUE ON AUDIT F/S -3,403,565.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RENTAL EXPENSES REPORTED AS EXPENSE ON AUDITED F/S -13,322. EVENT EXPENSES REPORTED AS EXPENSE ON AUDITED F/S -36,916.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RENTAL EXPENSES REPORTED AS EXPENSE ON AUDITED FINANCIAL STATEMENTS 13,322. EVENT EXPENSES REPORTED AS EXPENSE ON AUDITED FINANCIAL STATEMENTS 36,916.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>SCHOLARSHIPS &amp; TUITION DISCOUNTS REPORTED NET IN REVENUE ON AUDIT F/S 3,403,565.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleE documentId="RetDoc1040400001">
      <NondiscriminatoryPolicyStmt>1</NondiscriminatoryPolicyStmt>
      <PolicyStatementInBrochuresEtc>1</PolicyStatementInBrochuresEtc>
      <PolicyPublViaBroadcastMedia>0</PolicyPublViaBroadcastMedia>
      <MaintRacialCompositionRecords>1</MaintRacialCompositionRecords>
      <MaintScholarshipsRecords>1</MaintScholarshipsRecords>
      <MaintCopiesOfBrochuresEtc>1</MaintCopiesOfBrochuresEtc>
      <MaintCopiesOfAllSolicitations>1</MaintCopiesOfAllSolicitations>
      <DiscriminateRaceStudentsRights>0</DiscriminateRaceStudentsRights>
      <DiscriminateRaceAdmissPolicies>0</DiscriminateRaceAdmissPolicies>
      <DiscriminateRaceEmplmnFaculty>0</DiscriminateRaceEmplmnFaculty>
      <DiscriminateRaceScholarships>0</DiscriminateRaceScholarships>
      <DiscriminateRaceEducPolicies>0</DiscriminateRaceEducPolicies>
      <DiscriminateRaceUseOfFclts>0</DiscriminateRaceUseOfFclts>
      <DiscriminateRaceAthleticProg>0</DiscriminateRaceAthleticProg>
      <DiscriminateRaceOtherActy>0</DiscriminateRaceOtherActy>
      <GovernmentFinancialAidReceived>1</GovernmentFinancialAidReceived>
      <GovernmentFinancialAidRevoked>0</GovernmentFinancialAidRevoked>
      <ComplianceWithRevProc7550>1</ComplianceWithRevProc7550>
      <Form990ScheduleEPartII>
        <Identifier>EXPLANATION OF NONDISCRIMINATORY POLICY PUBLICATION</Identifier>
        <ReturnReference>SCHEDULE E, PART I, LINE 3</ReturnReference>
        <Explanation>THE UNIVERSITY IS NOT REQUIRED TO PUBLICIZE THE RACIALLY NONDISCRIMINATORY POLICY THROUGH NEWSPAPER OR BROADCAST MEDIA DURING REGISTRATION BECAUSE PARAGRAPH 4.03-2(B) OF REV. PROC. 75-50 APPLIES. THE NONDISCRIMINATORY POLICY IS INCLUDED IN ALL PRINTED ADMISSIONS PUBLICATIONS. DATA IS AVAILABLE UPON REQUEST.</Explanation>
      </Form990ScheduleEPartII>
      <Form990ScheduleEPartII>
        <Identifier>EXPLANATION OF GOVERNMENT FINANCIAL ASSISTANCE</Identifier>
        <ReturnReference>SCHEDULE E, PART I, LINE 6</ReturnReference>
        <Explanation>GOVERNMENT ASSISTANCE RECEIVED INCLUDES AMOUNTS FROM THE US DEPARTMENT OF EDUCATION AND THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES. US DEPARTMENT OF EDUCATION PROGRAMS PROVIDING FUNDS INCLUDE THE FEDERAL FAMILY EDUCATIONAL LOAN PROGRAM AND THE FEDERAL PERKINS LOAN PROGRAM.</Explanation>
      </Form990ScheduleEPartII>
    </IRS990ScheduleE>
    <IRS990ScheduleF documentId="RetDoc1040500001">
      <AcctsActvsOutUSTable>
        <Region>CENTRAL AMERICA AND THE CARIBBEAN</Region>
        <TypeOfActivitiesConducted>INVESTMENTS</TypeOfActivitiesConducted>
        <TotalExpenditures>13563611</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <SubtotalNumberOfEmployees>0</SubtotalNumberOfEmployees>
      <ContNumberOfEmployees>0</ContNumberOfEmployees>
      <TotalNumberOfEmployees>0</TotalNumberOfEmployees>
      <SubtotalAmountSpent>13563611</SubtotalAmountSpent>
      <ContAmountSpent>0</ContAmountSpent>
      <TotalAmountSpent>13563611</TotalAmountSpent>
      <TransferToForeignCorp>0</TransferToForeignCorp>
      <InterestInForeignTrust>0</InterestInForeignTrust>
      <OwnForeignCorp>0</OwnForeignCorp>
      <PassiveForeignInvestCo>0</PassiveForeignInvestCo>
      <ForeignPartnership>0</ForeignPartnership>
      <BoycottCountries>0</BoycottCountries>
    </IRS990ScheduleF>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <EventsInformation>
        <NameOfEvent1>SCHOL DINNER</NameOfEvent1>
        <GrossReceiptsEvent1>243594</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>213749</CharitableContributionsEvent1>
        <GrossRevenueEvent1>29845</GrossRevenueEvent1>
        <OtherDirectExpensesEvent1>25175</OtherDirectExpensesEvent1>
        <NameOfEvent2>GOLF EVENT</NameOfEvent2>
        <GrossReceiptsEvent2>65548</GrossReceiptsEvent2>
        <CharitableContributionsEvent2>59023</CharitableContributionsEvent2>
        <GrossRevenueEvent2>6525</GrossRevenueEvent2>
        <OtherDirectExpensesEvent2>7673</OtherDirectExpensesEvent2>
        <TotalNumberOfOtherEvents>1</TotalNumberOfOtherEvents>
        <GrossReceiptsOtherEvents>22002</GrossReceiptsOtherEvents>
        <CharitableContribOtherEvents>17682</CharitableContribOtherEvents>
        <GrossRevenueOtherEvents>4320</GrossRevenueOtherEvents>
        <OtherDirectExpensesOtherEvents>4068</OtherDirectExpensesOtherEvents>
        <GrossReceiptsTotal>331144</GrossReceiptsTotal>
        <CharitableContributionsTotal>290454</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>40690</GrossRevenueTotalEvents>
        <OtherDirectExpensesTotalEvents>36916</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>36916</DirectExpenseSummaryEvents>
        <NetIncomeSummary>3774</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>HEALTH EDUCATION AND RESIDENCY TRAINING</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3200 GRAND AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50312</ZIPCode>
        </AddressUS>
        <EINOfRecipient>272911834</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>147194</AmountOfCashGrant>
        <PurposeOfGrant>ASSIST ORGANIZATION IN FORMATION AND INITIAL YEAR OPERATIONS</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>1</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>SCHOLARSHIP AND TUITION DISCOUNTS FOR STUDENTS</TypeOfGrant>
        <NumberOfRecipients>349</NumberOfRecipients>
        <AmountOfCashGrant>3403565</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: THE UNIVERSITY ATTEMPTS TO MAKE ADEQUATE FINANCIAL ASSISTANCE AVAILABLE TO STUDENTS WITHIN THE LIMITS OF EACH STUDENT BUDGET AND THE AVAILABILITY OF FUNDS. AWARDS ARE BASED ON ACADEMIC ACHIEVEMENT, PROFESSIONAL PROMISE, LEADERSHIP POTENTIAL, FINANCIAL NEED AND/OR SPECIFIC GUIDELINES ESTABLISHED BY DONORS. FINANCIAL NEED IS DETERMINED ON THE BASIS OF INFORMATION PROVIDED BY THE FREE APPLICATION FOR FEDERAL STUDENT AID (FAFSA). THE UNIVERSITY ALSO ASSISTED BY SUPPORTING THE INITIAL YEAR OF OPERATIONS FOR THE HEALTH EDUCATION AND RESIDENCY TRAINING NETWORK, A CHARITABLE ORGANIZATION FORMED TO PROMOTE AND SUPPORT COLLABORATION OF MEMBER MEDICAL AND EDUCATION INSTITUTIONS IN EDUCATION AND TRAINING FOR MEDICAL STUDENTS.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>0</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>1</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>1</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>KAREN MCLEAN PHD</NamePerson>
        <BaseCompensationFilingOrg>211748</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>250</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1261</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>16500</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>13269</NontaxableBenefitsFilingOrg>
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        <TotalCompensationFilingOrg>243028</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARK J PEIFFER</NamePerson>
        <BaseCompensationFilingOrg>204830</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>5250</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>16500</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>226580</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>STEPHEN S DENGLE</NamePerson>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARY ANN ZUG</NamePerson>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>2510</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1641</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>15571</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>9044</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>181605</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KENDALL REED DO</NamePerson>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>10</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>2227</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
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        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>433815</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GEORGE CLAVENNA DO</NamePerson>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>250</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>2227</OtherCompensationFilingOrg>
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        <DeferredCompFilingOrg>16500</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>9166</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>353850</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GEORGE B KLOCK DO</NamePerson>
        <BaseCompensationFilingOrg>231084</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>2505</BonusFilingOrg>
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        <OtherCompensationFilingOrg>41666</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>16500</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>8621</NontaxableBenefitsFilingOrg>
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        <TotalCompensationFilingOrg>300376</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>YOGESH SHAH MD</NamePerson>
        <BaseCompensationFilingOrg>230500</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>5005</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>3211</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>16500</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>545</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>255761</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>VICTOR KAYLARIAN DO</NamePerson>
        <BaseCompensationFilingOrg>230956</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>1505</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>4789</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>16500</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>5456</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>259206</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ROBERTA A WATTLEWORTH DO</NamePerson>
        <BaseCompensationFilingOrg>235777</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>10</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>105</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>16500</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>13269</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>265661</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WILLIAM APPELGATE</NamePerson>
        <BaseCompensationFilingOrg>90473</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>17932</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8250</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>4535</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>121190</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>THE ORGANIZATION PAYS DUES TO THE EMBASSY CLUB WHICH PROVIDES ACCESS FOR THE PRESIDENT TO CONDUCT BUSINESS IN A SOCIAL SETTING ON BEHALF OF THE ORGANIZATION WITH PROSPECTS, DONORS, AND OTHER INDIVIDUALS.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1B</ReturnReference>
        <Explanation>MONTHLY INVOICES ARE REVIEWED BY THE CFO FOR BUSINESS PURPOSES. ANY PERSONAL ITEM IS REQUIRED TO BE PAID TO THE CLUB ON THE DATE OF THE TRANSACTION.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 5</ReturnReference>
        <Explanation>ADDITIONAL COMPENSATION FOR CLINICAL FACULTY IS CALCULATED USING A PERCENTAGE OF NET CLINICAL REVENUE GENERATED DIRECTLY BY THE FACULTY MEMBER.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>IOWA HIGHER EDUCATION LOAN AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>421235696</IssuerEIN>
        <CUSIPNumber>462460RF5</CUSIPNumber>
        <DateIssued>2003-06-25</DateIssued>
        <IssuePrice>22700000</IssuePrice>
        <DescriptionOfPurpose>CONSTRUCT AND FURNISH EDUCATION CENTER</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>IOWA HIGHER EDUCATION LOAN AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>421235696</IssuerEIN>
        <CUSIPNumber>462460SL1</CUSIPNumber>
        <DateIssued>2004-06-02</DateIssued>
        <IssuePrice>13785000</IssuePrice>
        <DescriptionOfPurpose>REFUNDED PRIOR ISSUE (05/10/95)</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>2130000</AmountRetired>
        <TotalProceeds>23083276</TotalProceeds>
        <IssuanceCostsFromProceeds>241704</IssuanceCostsFromProceeds>
        <CreditEnhancement>83035</CreditEnhancement>
        <CapitalExpenditures>22058537</CapitalExpenditures>
        <OtherSpentProceeds>700000</OtherSpentProceeds>
        <YearOfSubstCompletion>2005</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>3210000</AmountRetired>
        <TotalProceeds>13785000</TotalProceeds>
        <IssuanceCostsFromProceeds>156560</IssuanceCostsFromProceeds>
        <CreditEnhancement>24692</CreditEnhancement>
        <WorkingCapitalExpenditures>224550</WorkingCapitalExpenditures>
        <OtherSpentProceeds>13379198</OtherSpentProceeds>
        <YearOfSubstCompletion>2004</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
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        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>0</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>1</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <Identifier>SCHEDULE K SUPPLENTAL INFORMATION</Identifier>
        <Explanation>PART II, LINE 3 - THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS.</Explanation>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MERCY MEDICAL CENTER-DES MOINES</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE SCH L, PART V</Relationship>
        <AmountOfTransaction>230122</AmountOfTransaction>
        <DescriptionOfTransaction>SEE PART V</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>WELLMARK HEALTH PLAN OF IOWA</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE SCH L, PART V</Relationship>
        <AmountOfTransaction>2894869</AmountOfTransaction>
        <DescriptionOfTransaction>SEE PART V</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS</Identifier>
        <Explanation>(A) NAME OF PERSON: MERCY MEDICAL CENTER-DES MOINES(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DALE F. ANDRES, TRUSTEE, IS CMO OF MERCY MEDICAL CENTER-DES MOINES. DAVID H. VELLINGA, TRUSTEE, IS PRESIDENT &amp; CEO OF MERCY MEDICAL CENTER-DES MOINES. (C) DESCRIPTION OF TRANSACTION: THE UNIVERSITY CONTRACTS WITH MERCY MEDICAL CENTER-DES MOINES FOR CLINICAL ROTATION AND PATHOLOGY CURRICULUM.</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Explanation>(A) NAME OF PERSON: WELLMARK HEALTH PLAN OF IOWA(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: KENDALL REED, DO, KEY EMPLOYEE, IS A TRUSTEE WITH WELLMARK HEALTH PLAN OF IOWA. (C) THE UNIVERSITY PROVIDES HEALTH INSURANCE TO EMPLOYEES AND STUDENTS THROUGH WELLMARK.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>BEFORE FORM 990 IS FILED, AN ELECTRONIC COPY IS MADE AVAILABLE TO ALL BOARD MEMBERS ON THE BOARD OF TRUSTEES' PORTAL. THE FINANCE COMMITTEE VOTES TO APPROVE FILING OF THE 990 PRIOR TO SUBMISSION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>IN ACCORDANCE WITH THE UNIVERSITY'S CONFLICT OF INTEREST POLICY, ALL PERSONS IN GOVERNANCE AND MANAGEMENT POSITIONS WITH THE UNIVERSITY COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. FOR MEMBERS OF THE BOARD, THE CHAIRPERSON OF THE BOARD REVIEWS THE DISCLOSURE STATEMENTS AND IMPLEMENTS THE POLICY. FOR MANAGEMENT PERSONNEL, THE DISCLOSURE STATEMENTS ARE ANNUALLY REVIEWED BY UNIVERSITY COUNSEL WHO IMPLEMENTS THE POLICY WITH THE PRESIDENT. ADDITIONALLY, THE UNIVERSITY'S EXTERNAL AUDIT FIRM REVIEWS THE DISCLOSURE STATEMENTS AS PART OF THEIR ANNUAL AUDIT AND REPORTS FINDINGS TO THE FINANCE COMMITTEE OF THE BOARD. A CONFLICT OF INTEREST EXISTS (1) WHEN AN INDIVIDUAL OBTAINS OR APPEARS TO OBTAIN AN IMPROPER GAIN OR ADVANTAGE AS A RESULT OF HIS/HER ACTIVITIES ON BEHALF OF THE UNIVERSITY, (2) WHEN HIS/HER ACTIVITIES ADVANCE OR APPEAR TO ADVANCE HIS/HER OWN INTERESTS OR THOSE OF ANOTHER RATHER THAN THE INTERESTS OF THE UNIVERSITY, OR (3) WHEN HIS/HER ACTIONS ADVERSELY AFFECT OR APPEAR TO ADVERSELY AFFECT THE BEST INTERESTS OF THE UNIVERSITY. INDIVIDUALS SHALL NOT PARTICIPATE IN DISCUSSIONS, VOTES, OR OTHER REPRESENTATIONS ON PREVIOUSLY DISCLOSED OR NEWLY DEVELOPED CONFLICTS OF INTEREST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE ORGANIZATION HAS A METHOD AND PROCESS WHICH INCLUDES GATHERING COMPARATIVE DATA FROM EXTERNAL SOURCES FOR RATING POSITIONS AND DETERMINING COMPENSATION. IN INSTANCES WHERE SUFFICIENT COMPARATIVE DATA IS NOT AVAILABLE, THE ORGANIZATION UTILIZES MEMBERSHIP IN AN EMPLOYER'S ASSOCIATION WHICH PROVIDES HUMAN RESOURCES SERVICES IN SEVERAL AREAS INCLUDING HR CONSULTING, COMPENSATION, AND COMPLIANCE. THE EXECUTIVE COMMITTEE REVIEWS SALARIES AND RANGES OF OFFICERS AND KEY EMPLOYEES IN MAY FOR SALARIES EFFECTIVE THE FOLLOWING JULY 1ST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>PART VII:</ReturnReference>
        <Explanation>ANGELA L WALKER FRANKLIN, PHD BEGAN SERVING AS UNIVERSITY PRESIDENT AND CEO EFFECTIVE MARCH 1, 2011. AS A RESULT, NO COMPENSATION WAS PAID TO DR. FRANKLIN DURING CALENDAR YEAR 2010 AND NO COMPENSATION IS REPORTABLE ON EITHER FORM 990, PART VII OR SCHEDULE J.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 17,158,513. UNREALIZED GAIN ON BOND INTEREST RATE SWAP 671,177. TOTAL TO FORM 990, PART XI, LINE 5: 17,829,690.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMMITTEE ASSUMING RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT:</Identifier>
        <ReturnReference>FORM 990, PART XII, LINE 2C:</ReturnReference>
        <Explanation>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>VOLUNTEERS</Identifier>
        <ReturnReference>FORM 990, PART I, LINE 6</ReturnReference>
        <Explanation>VOLUNTEERS ARE MADE UP OF BOARD MEMBERS, GUEST CLASSROOM LECTURERS, PRECEPTORS FOR CLINICAL ROTATION AND STUDENT VOLUNTEERS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HEALTH EDUCATION AND RESIDENCY TRAINING NETWORK</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3200 GRAND AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50312</ZIPCode>
        </AddressUS>
        <EIN>272911834</EIN>
        <PrimaryActivities>EDUCATION AND TRAINING FOR MEDICAL STUDENTS</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11A, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>DES MOINES UNIVERSITY</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HEALTH EDUCATION AND RESIDENCY TRAINING NETWORK</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>147194</AmountInvolved>
        <MethodOfAmtDetermination>GAAP</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>