The school of my dreams (LLU) is a private, Christian medical school, while the top 20 I got accepted to was a public, state school. For me, the Christian environment and mission of the school won out over a public Top 20 school. I would rather go to a school that better fits my lifestyle and that teaches medicine from a Christian perspective. LLU is very medical mission focused and integrates religion classes into their curriculum, and they do a good job training Christian physicians who are geared for a life of medical service. I also wanted to be in a medical school class where most of my classmates and professors are Christian and abide by a similar lifestyle to me (LLU does not allow drinking, smoking, or drugs, which is a huge plus for me as I hate all 3 of these activities).
My life goal is to become a medical missionary, and I felt LLU will do a much better job preparing me for that. A Top 20 school has prestige and money, but that was a minor factor for me compared to the environment and the training of LLU. This is not to say that the Top 20 did not do a great job trying to recruit me to come to their school (hence the scholarship), and I WAS really impressed by their program and the money they have to offer to students. The students at the Top 20 were very relaxed and it was clear they enjoyed medical school and the school's program clearly showed they cared for their students and their program is very well supported. The students at the Top 20, however, were also big party people and they were telling me all their Vegas and drinking stories after exams, which are things I do not want to participate in in medical school. It ultimately came down to which factors are most important for me, and I decided that the advantages of LLU outweighed the advantages of Top 20.