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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The College believes it qualifies for exemption under Section 501(c)(3) and is operating accordingly. The potential tax liability for this period is not currently estimable. Management evaluated the College's tax positions and concluded that the College has taken no uncertain tax positions that require adjustment to the financial statements to comply with the provisions of the Income Taxes Topic of the Financial Accounting Standards Board ("FASB") Accounting Standards Codification ("ASC").</ExplanationTxt>
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      <MaintainCpyOfAllSolInd>false</MaintainCpyOfAllSolInd>
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      <DiscriminateRaceAdmissPlcyInd>false</DiscriminateRaceAdmissPlcyInd>
      <DiscriminateRaceEmplmFcultyInd>false</DiscriminateRaceEmplmFcultyInd>
      <DiscriminateRaceSchsInd>false</DiscriminateRaceSchsInd>
      <DiscriminateRaceEducPlcyInd>false</DiscriminateRaceEducPlcyInd>
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      <DiscriminateRaceAthltProgInd>false</DiscriminateRaceAthltProgInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule E, Part I, Line 3 RACIALLY NONDISCRIMINATORY POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>This type of information is not allowed to be published at this time as per our accreditation requirements pathway.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule E, Part I, Line 4(d) RECORDS AND COPIES MAINTAINED BY THE ORGANIZATION</FormAndLineReferenceDesc>
        <ExplanationTxt>Operating an osteopathic medical school involves several stages of regulatory approval. In 2024, RIMS/NCOM was established to complete the initial pathway toward candidacy status and is currently awaiting approval. Candidacy status stage does not involve students or faculty until it reaches the next status of pre-accreditation.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleE>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SecuritiesPubliclyTradedGrp>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>27378763</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I Explanations of reporting method for number of contributions</FormAndLineReferenceDesc>
        <ExplanationTxt>Securities - Publicly traded - The amount in column (b) represents the number of contributions.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1b Independent Voting Members</FormAndLineReferenceDesc>
        <ExplanationTxt>In 2025, the NCOM board was restructured to meet IRS requirements of ensuring that more than 50% of the members are independent.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>Dr. M. T. AliNiazee - Family relationship, Dr. Mateen AliNiazee - Family relationship, Mubeen Aliniazee - Family relationship</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT HAVE COMMITTEES AS OF THE END OF 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is initially prepared by the organization's tax preparer and submitted to the organization for review. The President, EVP, and Chief Strategy &amp; Culture Officer review the form in detail. After their review, the President presents the Form 990 to the Board of Trustees for review and formal approval. Once approved by the Board, the Form 990 is returned to the tax preparer for filing with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation is determined through a comparative analysis of compensation data for similar positions at other COMs and regional medical schools. Various publicly available salary sources are reviewed to establish a benchmark based on the institution size and scope.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The documents are available in the organization's office upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2f Other Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>- Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Consulting Services - Total Expense: 154000, Program Service Expense: 77000, Management and General Expenses: 77000, Fundraising Expenses: 0;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>