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        <ExplanationTxt>CHS DEVELOPMENT CORPORATION ASSISTED MUSC BY RENOVATING</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV Sec A Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MUSC IS DEEMED TO BE A 509(a)(1) ORGANIZATION DUE TO BEING AN "EDUCATIONAL ORGANIZATION" THAT MAINTAINS A REGULAR FACULTY AND STUDENTS.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV Sec D Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OFFICERS OF CHS DEVELOPMENT CORPORATION ARE FULL-TIME EMPLOYEES OF MUSC AND AS A RESULT, MUSC HAS A CRITICAL ROLL IN FINANCIAL DECISIONS.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV Sec E Line 1c</FormAndLineReferenceDesc>
        <ExplanationTxt>CHS DEVELOPMENT CORP ASSISTED MUSC THROUGH RENOVATION PROJECTS THAT AID MUSC IN CARRYING OUT THE UNIVERSITY'S EDUCATIONAL AND OTHER FUNCTIONS.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV Sec E Line 2a</FormAndLineReferenceDesc>
        <ExplanationTxt>CHS DEVELOPMENT CORP ASSISTED MUSC THROUGH CONSTRUCTION PROJECTS TO SUPPORT IT'S EDUCATIONAL MISSION.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV Sec E Line 2b</FormAndLineReferenceDesc>
        <ExplanationTxt>MUSC REQUIRES BUILDING RENOVATION &amp; CONSTRUCTION SUPPORT TO CONTINUE TO FUNCTION AND FULFILL IT'S CORE MISSION.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV Sec E Line 3a</FormAndLineReferenceDesc>
        <ExplanationTxt>MUSC IS PART OF A HOSPITAL SYSTEM</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV Sec E Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL CHS DEVELOPMENT OFFICERS ARE MUSC EMPLOYEES.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleK documentId="IRS990ScheduleK-191-Copy1">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>C JOBS- ECONOMIC DEV AUTH</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>570960018</BondIssuerEIN>
        <CUSIPNum>837031NB5</CUSIPNum>
        <BondIssuedDt>2003-11-20</BondIssuedDt>
        <IssuePriceAmt>33091963</IssuePriceAmt>
        <PurposeDesc>RENOVATE BUILDINGS</PurposeDesc>
        <DefeasedInd>true</DefeasedInd>
        <OnBehalfOfIssuerInd>true</OnBehalfOfIssuerInd>
        <PoolFinancingInd>true</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>D</BondReferenceCd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>D</BondReferenceCd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</BondReferenceCd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO-197-Copy1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON COMPLEION OF FORM 990, A COPY IS GIVEN TO EACH MEMBER OF THE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD OF DIRECTORS FOR APPROVAL AND ADDRESS ANY QUESTIONS OR CONCERNS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL BOARD MEMBERS ARE REQUIRED TO ANNUALLY REVIEW AND COMPLETE THE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY WHICH IS ESTABLISHED AND ENFORCED BY MUSC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ENTITY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, B, LN 11</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON COMPLETION OF FORM 990, A COPY IS GIVEN TO EACH MEMBER</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, B, LN 11</FormAndLineReferenceDesc>
        <ExplanationTxt>OF THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, B, LN 11</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THIS TIME, ANY QUESTIONS OR CONCERNS ARE ADDRESSED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, B, LN 12</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL BOARD MEMBERS ARE EMPLOYEES OF THE RELATED ENTITY, THE MEDICAL</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, B, LN 12</FormAndLineReferenceDesc>
        <ExplanationTxt>UNIVERSITY OF SOUTH CAROLINA, AND THERE ARE NO OTHER EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, B, LN 12</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL BOARD MEMBERS ARE REQUIRED TO ANNUALLY REVIEW AND COMPLETE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, B, LN 12</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY WHICH IS ESTABLISHED AND</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, B, LN 12</FormAndLineReferenceDesc>
        <ExplanationTxt>ENFORCED BY MUSC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI,C, LN 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE NO PAID BOARD MEMBERS OR EMPLOYEES. ALL BOARD MEMBERS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI,C, LN 15</FormAndLineReferenceDesc>
        <ExplanationTxt>ARE EMPLOYEES OF THE MEDICAL UNIVERSITY OF SOUTH CAROLINA,</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI,C, LN 15</FormAndLineReferenceDesc>
        <ExplanationTxt>A PUBLIC INSTITUTION OF HIGHER LEARNING. THEIR SALARIES ARE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI,C, LN 15</FormAndLineReferenceDesc>
        <ExplanationTxt>ESTABLISHED AS PROVIDED BY THE STATE OF SOUTH CAROLINA LAW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI,C, LN 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ENTITY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI,C, LN 19</FormAndLineReferenceDesc>
        <ExplanationTxt>POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI,C, LN 19</FormAndLineReferenceDesc>
        <ExplanationTxt>REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LN 12</FormAndLineReferenceDesc>
        <ExplanationTxt>CHS DEVELOPMENT CORPORATION FINANCIAL STATEMENTS WERE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LN 12</FormAndLineReferenceDesc>
        <ExplanationTxt>INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LN 12</FormAndLineReferenceDesc>
        <ExplanationTxt>OF THE MEDICAL UNIVERSITY OF SOUTH CAROLINA.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR-198-Copy1">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MEDICAL UNIVERSITY OF SOUTH CAROLINA</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <EIN>576000722</EIN>
        <PrimaryActivitiesTxt>HIGHER EDUCATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>IRC SEC 1151</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MUSC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>