Form 4 PCL AOR revised

FINANCIAL DATA
1. Federal Agency and Organization Element to Which Report is Submitted	2. Federal Grant or Other Identifying Number Assigned by Federal Agency		3a. DUNS #			4. Reporting Period End Date
Health Resources and Services Administration (HRSA)	Grant #: Submission Tracking #: OPSID:		3b. EIN			06/30/2013
PAGE 1A - STUDENT BORROWER DATA SECTION
Student/Graduate Data		Cumulative (Includes current year)			Current Year (7/1/2012-6/30/2013)
1A-1. Number of Loans for the Osteopathic Medicine discipline
1A-2. Total Dollar Amount of Loans Awarded for the Osteopathic Medicine discipline
1A-3. Total Full-Time Enrollment for the Osteopathic Medicine discipline for the academic year (both non-PCL and PCL recipients)
1A-4a. Total Number of Defaulted Loans (HSPL -Osteopathic Medicine and PCL -Osteopathic Medicine)
1A-4b. Of the total number of defaulted loans above in question 1A-4a, how many are PCLs?
1A-4c . Of the total number of defaulted loans above in question 1A-4b, how many are HPSLs?
1A-5. Total Original Defaulted Principal Loaned for the Osteopathic Medicine discipline
1A-6a. Total Number of Students (PCL recipients and non- recipients) who dropped out of the Osteopathic Medicine discipline
1A-6b. Of the number above how many of them were PCL student borrowers
1A-7. Total Number of Service Defaulted Borrowers for the Osteopathic Medicine discipline (Individuals not number of loans)
8 1A-8b. Of the total number of borrowers above in question 1A-8a, how many are PCL borrowers?
1A-8c . Of the number of PCL borrowers for the Osteopathic Medicine discipline above in 1A- 8b, number of Active and Non Retired/Defaulted Borrowers
1A-9. Total Number of PCL Students including those who graduated during the reporting period for the Osteopathic Medicine discipline
1A-10. Total Graduates (PCL-Osteopathic Medicine Only) *1A-11. Number of PCL loan students including those who graduated during this reporting period that indicate an intention to serve in a medic ally underserved community. *1A-12. Number of PCL students and graduates during this reporting period from rural backgrounds.

Current Year Graduate Special Data Number of Graduates
1A-13. Total number of full time graduates during the current reporting period at your school
1A-13a. Of the total number in question 1A-13, how many are URM graduates
1A-13b. Of the total number in question 1A-13, how many are non- URM graduates
1A-14. Total number of full time PCL graduates during the current reporting period who indicate an intention to work in rural areas

Prior Years Graduate Special Data Number of Graduates
1A-15a. Total Number of PCL - Osteopathic Medicine Loan Recipients who graduated in academic year 2008-2009
1A-15b. Of the Total Graduates reported in question 1A-15a, the Number of Full-Time PCL - Osteopathic Medicine Graduates in academic year 2008- 2009 serving in Medic ally Underserved Communities
1A-15c . Of the Total Graduates reported in question 1A-15a, the Number of Full-Time PCL - Osteopathic Medicine Graduates in academic year 2008- 2009 serving in Primary Care
1A-15d. Of the Total Graduates reported in question 1A-15a, the Number of PCL - Osteopathic Medicine Graduates in academic year 2008-2009 serving in a Rural Area.

Student/Graduate Data	Academic Year		Cumulative from 1993 to AY 2008-2009
1A-16. Total Graduates (Osteopathic Medicine Only)
1A-17. Of the number above, the number of Graduates in Primary Care Residencies & Practice
1A-18. Percentage of Graduates in Primary Health Care
1A-19. Percentage Change from Prior Year

OMB No.: 0915-0044

Expiration Date: 07/31/2015

FINANCIAL DATA
DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration BUREAU OF HEALTH PROFESSIONS Annual Operating Report Page 1b - Student Race/Ethnicity Data Section	FOR HRSA USE ONLY
	Institution						Program
	MIDWESTERN UNIVERSITY DOWNERS GROVE - CHICAGO COLLEGE OF OSTEOPATHIC						PCL - Osteopathic Medicine
	Submission Tracking Number		OPSID		Grant Number		Reporting Period
	AORE2700012785/1		68822012(Active)		E27HP21719		07/01/2012 - 06/30/2013
1. Hispanic or Latino Students
Did your BHPr funded program have students of "Hispanic or Latino ethnicity" betw een 7/1/2012 and 6/30/2013? Y es, I can provide some of the counts by race but not all.
Hispanic or Latino Students by Race		Enrollment of Discipline (A)	New Student Recipients (B)	Recipients Other Than New W ho Did Not Graduate (C)		Recipients Other Than New W ho Graduated (D)		Total Recipients (B+C+D)
A. American Indian or Alaska Native
B. Asian - All (including underrepresented)
B1. Asian - underrepresented, if Know n
C. Black or African American
D. Native Haw aiian or Other Pacific Islander
E. W hite
F. More than one race (Race co mbinatio ns)
TOTAL (A + B + C + D + E + F)
Hispanic or Latino Students All Races		Enrollment of Discipline (A)	New Student Recipients (B)	Recipients Other Than New W ho Did Not Graduate (C)		Recipients Other Than New W ho Graduated (D)		Total Recipients (B+C+D)
G. All races

2. Non-Hispanic or Non-Latino Students
Did your BHPr funded program have students of "Non-Hispanic or Non-Latino ethnicity" betw een 7/1/2012 and 6/30/2013? Y es, I can provide some of the counts by race but not all.
Non-Hispanic or Non-Latino Students by Race	Enrollment of Discipline (A)	New Student Recipients (B)	Recipients Other Than New W ho Did Not Graduate (C)	Recipients Other Than New W ho Graduated (D)	Total Recipients (B+C+D)
A. American Indian or Alaska Native
B. Asian - All (including underrepresented)
B1. Asian - underrepresented, if know n
C. Black or African American
D. Native Haw aiian or Other Pacific Islander
E. W hite
F. More than one race (Race co mbinatio ns)
TOTAL (A + B + C + D + E + F)
Non-Hispanic or Non-Latino Students All Races	Enrollment of Discipline (A)	New Student Recipients (B)	Recipients Other Than New W ho Did Not Graduate (C)	Recipients Other Than New W ho Graduated (D)	Total Recipients (B+C+D)
G. All races

OMB No.: 0915-0044

Expiration Date: 07/31/2015

FINANCIAL DATA
DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration BUREAU OF HEALTH PROFESSIONS Annual Operating Report Page 2 - PROGRAMS ACCOUNT SECTION			FOR HRSA USE ONLY
			Institution					Program
			MIDWESTERN UNIVERSITY DOWNERS GROVE - CHICAGO COLLEGE OF OSTEOPATHIC					PCL - Osteopathic Medicine
			Submission Tracking Number	OPSID		Grant Number		Reporting Period
			AORE2700012785/1	68822012(Active)		E27HP21719		07/01/2012 - 06/30/2013
Program Accounts					Cumulative (includes current year)		Current Y ear
A.	FEDERAL FUNDS AWARDED
B.	C ASH BALANC E - START OF REPORT PERIOD
C.	CASH RECEIPTS
	1.	Federal Funds Received/Receivable
	2.	Institutional C ontributions Deposited
	3.	Transferred from Scholarship Fund
	4.	Loan Principal C ollected
	5.	Interest Income C ollected on Loans
	6.	Penalty C harges C ollected on Loans
	7.	Investment Income
	8.	Institutional Repayments of Bad Debts, Principal
	9.	Institutional Repayments of Bad Debts, Interest
	10.	Institutional Repayments of Bad Debts, Penalty C harges
	11.	Cash Receipts Total (sum of C.1 through C.10)
D.	C ASH DISBURSEMENTS
	1.	Loaned to Students
	2.	Transferred to Scholarship Fund
	3.	Repayments to Federal Government, Principal
	4.	Repayments to Federal Government, Interest
	5.	Repayments to Federal Government, Other Income
	6.	Repayments to Institution, Principal
	7.	Repayments to Institution, Interest
	8.	Repayments to Institution, Other Income
	9.	C ollection Agent C osts, Principal
	10.	C ollection Agent C osts, Interest
	11.	Litigation C osts, Principal
	12.	Litigation C osts, Interest
	13.	C redit Bureau Fees
	14.	Other C osts
	15.	C ash Disbursements Total (sum of D.1 through D.14)
E.	C ASH BALANC E - END OF REPORT PERIOD (C ASH BALANC E START OF REPORT PERIOD + C ASH REC EIPTS - C ASH DISBURSEMENTS)

OMB No.: 0915-0044

Expiration Date: 07/31/2015

FINANCIAL DATA
DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration BUREAU OF HEALTH PROFESSIONS Annual Operating Report Page 3 - PROGRAMS ACCOUNT SECTION (Continued)			FOR HRSA USE ONLY
			Institution						Program
			MIDWESTERN UNIVERSITY DOWNERS GROVE - CHICAGO COLLEGE OF OSTEOPATHIC						PCL - Osteopathic Medicine
			Submission Tracking Number		OPSID		Grant Number		Reporting Period
			AORE2700012785/1		68822012(Active)		E27HP21719		07/01/2012 - 06/30/2013
Program Accounts (Continued)			Cumulative (includes current year)			Current Y ear
F.	LOAN CANCELLATIONS TO BORROW ERS		Number of Borrow ers	Principal	Interest	Number of Borrow ers		Principal		Interest
	1.	Professional Practice
		a. HP Practice-Shortage (10%)
		b. HP Practice-Rural Shortage (15%)
		c. Total (Sum of 1.a and 1.b)
	2.	Nursing Employment
		a. Nursing Employment (10%)
		b. Nursing Employment (15%)
		c. Nursing Employment (20%)
		d. Nursing Employment (15%) on or after 03/23/2011
		e. Nursing Employment (20%) on or after 03/23/2011
		f. Nursing Employment (Other) on or after 03/23/2011
		g. Total (sum of 2.a through 2.f)
	3.	Death
		a. On PC L Loans made on or after 10/22/85
		b. On Loans except those reported in F.3.a
		c. Total (Sum of 3.a and 3.b)
	4.	Permanent & Total Disability Approved by HHS
		a. On PC L Loans made on or after 10/22/85
		b. On Loans except those reported in F.4.a
		c. Total (Sum of 4.a and 4.b)

PROGRAM ACCOUNTS (Continued)		Cumulative (includes current year)					Current Y ear
G.	BAD DEBTS APPROVED FOR W RITE-OFF BY HHS		Number of Borrow ers	Principal	Interest	Penalty Charges	Number of Borrow ers	Principal	Interest	Penalty Charges
	Total Approved

OMB No.: 0915-0044

Expiration Date: 07/31/2015

FINANCIAL DATA
DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration BUREAU OF HEALTH PROFESSIONS Annual Operating Report Page 4 - EXCESS CASH WORKSHEET			FOR HRSA USE ONLY
			Institution				Program
			MIDWESTERN UNIVERSITY DOWNERS GROVE - CHICAGO COLLEGE OF OSTEOPATHIC				PCL - Osteopathic Medicine
			Submission Tracking Number	OPSID	Grant Number		Reporting Period
			AORE2700012785/1	68822012(Active)	E27HP21719		07/01/2012 - 06/30/2013
A.	General Ledger Cash Balance as of 6/30/2012
B.	Actual Collections for 7/1/2012 - 6/30/2013
	1.	Principal
	2.	Interest
	3.	Investment Income and Penalty Charges
	4.	Institutional Repayments of Bad Debts (Principal, Interest & Penalty Charges)
C.	Federal Funds Received/Receivable 7/1/2012 - 6/30/2013
D.	Institutional Contribution for 7/1/2012 - 6/30/2013
E.	Projected Collections for 7/1/2013 - 6/30/2013
	1.	Principal
	2.	Interest
	3.	Investment Income and Penalty Charges
F.	Projected Funds Available as of 6/30/2013 (A + B + C + D + E)
G.	Actual Expenditures for 7/1/2012 - 6/30/2013
	1.	Loans to Students
	2.	Costs(Collection, Litigation, Credit Bureau and Other)
	3.	Repayments to Federal Government and Institution (Principal, Interest and Other Income)
H.	Projected Expenditures for 7/1/2013 - 6/30/2013
	1.	Loans to Students
	2.	Costs(Collection, Litigation and Credit Bureau)
I.	Projected Expenditures as of 6/30/2013 (G + H)
J.	Projected Cash Balance as of 6/30/2013 (F - I)
K.	Less Projected Expenditures for 7/1/2013 - 6/30/2015
L.	Excess Cash (J - K)
M.	General Ledger Ending Cash Balance as of 6/30/2013

OMB No.: 0915-0044

Expiration Date: 07/31/2015

FINANCIAL DATA
DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration BUREAU OF HEALTH PROFESSIONS Annual Operating Report Page 5 - PROGRAMS ACCOUNT SECTION (Continued)			FOR HRSA USE ONLY
			Institution				Program
			MIDWESTERN UNIVERSITY DOWNERS GROVE - CHICAGO COLLEGE OF OSTEOPATHIC				PCL - Osteopathic Medicine
			Submission Tracking Number	OPSID	Grant Number		Reporting Period
			AORE2700012785/1	68822012(Active)	E27HP21719		07/01/2012 - 06/30/2013
Program Accounts (Continued)
H.	FROM WORKSHEET C ALC ULATIONS
	1.	Default Rate
	FOR AC TIVE SC HOOLS
	2.	Excess C ash from report page 4 that was or will be returned to PMS
	3.	Excess C ash from report page 4 that was or will be returned to the Division of Financial Operations
	FOR C LOSING SC HOOLS
	4.	Amount of cash determined to be due the Federal Government and remitted separately to the Division of Financial Operations
I.	CHEC K LIST/QUESTIONS
	1.	W hat is the total amount of interest that is past due?
	AUDITS
	2.	Does your institution provide for a biennial audit of the loan and/or scholarship funds by a qualified independent auditor?
		a. Period of last audit				Fro m : / To : /
		b. Date audit submitted to Regional Audit Agency				/

OMB No.: 0915-0044

Expiration Date: 07/31/2015

FINANCIAL DATA
DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration BUREAU OF HEALTH PROFESSIONS Annual Operating Report Page 6a - BORROWER ACCOUNTS WORKSHEET			FOR HRSA USE ONLY
			Institution						Program
			MIDWESTERN UNIVERSITY DOWNERS GROVE - CHICAGO COLLEGE OF OSTEOPATHIC						PCL - Osteopathic Medicine
			Submission Tracking Number		OPSID		Grant Number		Reporting Period
			AORE2700012785/1		68822012(Active)		E27HP21719		07/01/2012 - 06/30/2013
Borrower Accounts				Number of Borrowers (1)		Principal Loaned (2)		Principal Repaid (3)
1.	FULLY RETIRED
	A.	Repayment/Prof Pract/C ancel
	B.	C ancellation/Death
	C.	C ancellation/Disability
	D.	Discharged in Bankruptcy
	E.	HHS Approved Write-off
	F.	Uncollectible per P.L. 100-607
	G.	Total (sum of 1.A through 1.F)
2.	CURRENT
	A.	Student Status
	B.	Grace Period
	C.	Deferment Status
	D.	Postponement/C ancellation
	E.	Repayment - Not Past Due
	F.	Past Due 1-119 Days
	G.	Total (sum of 2.A through 2.F)
3.	IN BANKRUPTCY
	A.	Pending Discharge/Wage Earners Agreement
4.	IN DEFAULT
	A.	120 Days and Over
5.	FORBEARANCE
	A.	Forbearance
	TOTAL

OMB No.: 0915-0044

Expiration Date: 07/31/2015

FINANCIAL DATA
DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration BUREAU OF HEALTH PROFESSIONS Annual Operating Report Page 6b - BORROWER ACCOUNTS WORKSHEET			FOR HRSA USE ONLY
			Institution						Program
			MIDWESTERN UNIVERSITY DOWNERS GROVE - CHICAGO COLLEGE OF OSTEOPATHIC						PCL - Osteopathic Medicine
			Submission Tracking Number		OPSID		Grant Number		Reporting Period
			AORE2700012785/1		68822012(Active)		E27HP21719		07/01/2012 - 06/30/2013
Borrower Accounts				PRINCIPAL CANCELED
				Employment/ Prof Pract (4)		Death/ Disability (5)		Principal Delinquent (6)
1.	FULLY RETIRED
	A.	Repayment/Prof Pract/C ancel
	B.	C ancellation/Death
	C.	C ancellation/Disability
	D.	Discharged in Bankruptcy
	E.	HHS Approved Write-off
	F.	Uncollectible per P.L. 100-607
	G.	Total (sum of 1.A through 1.F)
2.	CURRENT
	A.	Student Status
	B.	Grace Period
	C.	Deferment Status
	D.	Postponement/C ancellation
	E.	Repayment - Not Past Due
	F.	Past Due 1-119 Days
	G.	Total (sum of 2.A through 2.F)
3.	IN BANKRUPTCY
	A.	Pending Discharge/Wage Earners Agreement
4.	IN DEFAULT
	A.	120 Days and Over
5.	FORBEARANCE
	A.	Forbearance
	TOTAL

OMB No.: 0915-0044

Expiration Date: 07/31/2015

FINANCIAL DATA
DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration BUREAU OF HEALTH PROFESSIONS Annual Operating Report Page 6c - BORROWER ACCOUNTS WORKSHEET			FOR HRSA USE ONLY
			Institution				Program
			MIDWESTERN UNIVERSITY DOWNERS GROVE - CHICAGO COLLEGE OF OSTEOPATHIC				PCL - Osteopathic Medicine
			Submission Tracking Number		OPSID	Grant Number	Reporting Period
			AORE2700012785/1		68822012(Active)	E27HP21719	07/01/2012 - 06/30/2013
Borrower Accounts				Principal Uncollectible Not Past Due (7)	Principal Outstanding but Not Due (8)	Principal Written Off (9)		Capitalized Interest (10)
1.	FULLY RETIRED
	A.	Repayment/Prof Pract/C ancel
	B.	C ancellation/Death
	C.	C ancellation/Disability
	D.	Discharged in Bankruptcy
	E.	HHS Approved Write-off
	F.	Uncollectible per P.L. 100-607
	G.	Total (sum of 1.A through 1.F)
2.	CURRENT
	A.	Student Status
	B.	Grace Period
	C.	Deferment Status
	D.	Postponement/C ancellation
	E.	Repayment - Not Past Due
	F.	Past Due 1-119 Days
	G.	Total (sum of 2.A through 2.F)
3.	IN BANKRUPTCY
	A.	Pending Discharge/Wage Earners Agreement
4.	IN DEFAULT
	A.	120 Days and Over
5.	Forbearance
	A.	Forbearance
	TOTAL

OMB No.: 0915-0044