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      <PublicSupportTotal509Amt>168791820</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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      <Post1975UBTIGrp>
        <TotalAmt>0</TotalAmt>
      </Post1975UBTIGrp>
      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus1YearAmt>44428</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>48307</CurrentTaxYearAmt>
        <TotalAmt>151533</TotalAmt>
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      <NetIncomeFromOtherUBIGrp>
        <TotalAmt>0</TotalAmt>
      </NetIncomeFromOtherUBIGrp>
      <OtherIncome509Grp>
        <TotalAmt>0</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>52892948</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>48061716</CurrentTaxYearMinus3YearsAmt>
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      <PublicSupportCY509Pct>0.64431</PublicSupportCY509Pct>
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      <InvestmentIncomePYPct>0.00084</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
      <BuildingsGrp />
      <LeaseholdImprovementsGrp>
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        <BookValueAmt>304289</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp />
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      <TotalRevenuePerForm990Amt>59404627</TotalRevenuePerForm990Amt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED THEIR TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TRUMAN MEDICAL CENTER CHARITABLE FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2310 HOLMES STREET SUITE 735</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64108</ZIPCd>
        </USAddress>
        <RecipientEIN>431194064</RecipientEIN>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>689387</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GRANTS PROVIDED WERE MADE TO A PUBLIC ORGANIZATION WHO HAS A CLOSE WORKING RELATIONSHIP WITH UNIVERSITY PHYSICIAN ASSOCIATES. THIS ORGANIZATION STRIVES TO FURTHER SUPPORT THE OPERATIONS OF UNIVERSITY PHYSICIAN ASSOCIATES. THEREFORE, THE USE OF THE GRANTED FUNDS IS MONITORED THROUGH THE CLOSE WORKING RELATIONSHIP WITH THIS ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>E SADEDDIN</PersonNm>
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        <DeferredCompensationFlngOrgAmt>21200</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>545992</TotalCompensationFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>M O'DELL</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>A ALGREN</PersonNm>
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        <TotalCompensationFilingOrgAmt>282009</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>K LANKACHANDRA</PersonNm>
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        <DeferredCompensationFlngOrgAmt>21200</DeferredCompensationFlngOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>D GEEHAN</PersonNm>
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        <TotalCompensationFilingOrgAmt>390739</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>M STEELE</PersonNm>
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        <TotalCompensationFilingOrgAmt>415620</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>T SYVERSON</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <PersonNm>S KOTWAL</PersonNm>
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        <PersonNm>RS GRIFFITH</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>MOST OF OUR PHYSICIANS PARTICIPATE IN AN INCENTIVE PROGRAM. THE OVERALL INCENTIVE EXPENSE IS BASED UPON A SET FORMULA, HOWEVER, THE ALLOCATION OF THE CALCULATED INCENTIVE TO THE INDIVIDUAL PHYSICIAN IS BASED UPON A DEPARTMENTAL INCENTIVE PROGRAM. AS MANY OF OUR OFFICERS AND KEY EMPLOYEES ARE PHYSICIANS WHO PARTICIPATE IN AN INCENTIVE PROGRAM, THEY DO RECEIVE NON-FIXED COMPENSATION PAYMENTS. LIKEWISE, THE EXECUTIVE MEDICAL DIRECTOR AND CHIEF FINANCIAL OFFICER PARTICIPATE IN AN INCENTIVE PROGRAM WHERE THE MAXIMUM INCENTIVE IS SET, BUT THE ACTUAL PAYMENT IS BASED UPON AN ANNUAL PERFORMANCE REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
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        <NameOfInterested>
          <PersonNm>SEE PART V</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART IV, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>A. S. GRATTON B. S. GRATTON IS THE SON OF M. GRATTON WHO IS A KEY EMPLOYEE. C. $213,731 D. S. GRATTON IS AN EMPLOYEE OF UNIVERSITY PHYSICIAN ASSOCIATES. E. NO</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>S. KANTER, C. SHIELDS, P. DUNN, M. STEELE, E. SADDEDIN AND D. THOMPSON HAVE A BUSINESS RELATIONSHIP. THEY HAVE AN EMPLOYER/EMPLOYEE RELATIONSHIP AT TRUMAN MEDICAL CENTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPLOYEES WHO HOLD THE PROFESSIONAL DEGREE OF DOCTOR OF MEDICINE (M.D.), DOCTOR OF OSTEOPATHY (D.O.), DOCTOR OF DENTAL SURGERY (D.D.S.), DOCTOR OF CLINICAL PHARMACY (PHARM.D.), DOCTOR OF PODIATRY (D.P.M.) OR DOCTOR OF PSYCHOLOGY (PH.D.) VOTE FOR 5 OF THE 11 VOTING MEMBERS OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A FORM 990 REVIEW COMMITTEE, COMPRISED OF THE UPA CHAIRMAN OF THE BOARD, VICE-CHAIRMAN OF THE BOARD, SECRETARY, TREASURER AND THE FINANCE COMMITTEE CHAIRPERSON, REVIEW THE PREPARED FORM 990 PRIOR TO THE FILING. THE BOARD OF DIRECTORS IS PROVIDED A COPY OF FORM 990 PRIOR TO THE FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS, DIRECTORS, MEMBERS OF BOARD COMMITTEES, AND KEY EMPLOYEES ARE PROVIDED THE CONFLICT OF INTEREST POLICY AND REQUIRED TO COMPLETE A RELATED DISCLOSURE STATEMENT UPON HIS/HER TAKING THE POSITION, AND ANNUALLY THEREAFTER. THE COMPLIANCE OFFICER COMPILES AND ANALYZES THE DISCLOSURES. THE COMPLIANCE OFFICER SUMMARIZES THE DISCLOSURES AND IDENTIFIES ANY POTENTIAL ISSUES FOR THE BOARD. THE COMPLIANCE OFFICER REPORTS ANY CONTINUING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST TO THE FULL BOARD AT LEAST ANNUALLY. IF AN INDIVIDUAL IS DEEMED TO HAVE A CONFLICT WITH REGARDS TO A SUBJECT IN CONSIDERATION, THAT INDIVIDUAL ABSTAINS FROM VOTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE AND/OR BOARD OF DIRECTORS APPROVE FACULTY COMPENSATION AND ADMINISTRATIVE INCREASES IN THE ANNUAL BUDGET. THE EXECUTIVE MEDICAL DIRECTOR (EMD) AND THE CHAIR OF THE FINANCE COMMITTEE EXERCISE OVERSIGHT ON BEHALF OF THE BOARD REGARDING COMPENSATION LEVELS FOR THE FACULTY. AN EXECUTIVE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS WITH THE MAJORITY COMPRISED OF INDEPENDENT BOARD MEMBERS. THEY REVIEW AND APPROVE THE COMPENSATION OF THE EMD, OFFICERS, AND KEY EMPLOYEES. THE UNIVERSITY PHYSICIAN ASSOCIATES BOARD CHAIR, THE TRUMAN MEDICAL CENTER CEO AND THE UNIVERSITY OF MISSOURI-KANSAS CITY SCHOOL OF MEDICINE DEAN REVIEW AND APPROVE THE COMPENSATION OF THE EXECUTIVE MEDICAL DIRECTOR AND THE DEPARTMENT CHAIRS. COMPARABILITY (BENCHMARK) DATA IS USED AS PART OF THIS REVIEW AND APPROVAL PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
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          <AddressLine1Txt>2301 HOLMES STREET</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64108</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>LIABILITY INS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11B</PublicCharityStatusTxt>
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      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
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      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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</Return>