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        <PersonNm>JOHN HAMILTON</PersonNm>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR ALL EMPLOYEES, AN ANNUAL BONUS IS PARTIALLY BASED ON THE ACHIEVEMENT OF CERTAIN ORGANIZATIONAL GOALS. THESE GOALS PERTAIN TO QUALITY, SERVICE, AND FINANCIAL INDICATORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR ALL EMPLOYEES, AN ANNUAL BONUS IS PARTIALLY BASED ON THE ACHIEVEMENT OF CERTAIN ORGANIZATIONAL GOALS. THESE GOALS PERTAIN TO QUALITY, SERVICE, AND FINANCIAL INDICATORS.</ExplanationTxt>
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        <AssetsDistriOrExpnssPaidDesc>NET RECEIVABLES</AssetsDistriOrExpnssPaidDesc>
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        <ExplanationTxt>AS PART OF THE MERGER, UNIVERSITY OF MISSOURI - COLUMBIA, ALSO ASSUMED CERTAIN LIABILITIES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICAL CENTER PRIMARILY EARNED REVENUES BY PROVIDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO PATIENTS IN THE JEFFERSON CITY, MISSOURI, AREA. IT ALSO OPERATED MEDICAL CLINICS IN THE SURROUNDING COMMUNITIES. THE SECOND STEP OF THE REORGANIZATION TOOK PLACE EFFECTIVE JANUARY 1, 2024 AND INVOLVED: (I) THE CRMC ENTITY TRANSFERRING TO THE CURATORS OF THE UNIVERSITY OF MISSOURI ON BEHALF OF UNIVERSITY OF MISSOURI HEALTH CARE SUBSTANTIALLY ALL OF THE ASSETS OF THE CRMC ENTITY, INCLUDING OWNED AND LEASED REAL AND PERSONAL PROPERTY; (II) THE UNIVERSITY ASSUMED CERTAIN AGREED UPON CONTRACTS AND LIABILITIES OF THE CRMC ENTITY; (III) CRMC EMPLOYEES BECAME EMPLOYEES OF THE UNIVERSITY; (IV) THE UNIVERSITY BEGAN OPERATING THE FORMER CRMC ENTITY FACILITIES AS ADDITIONAL LOCATIONS OF MU HEALTH CARE; AND (V) THE CRMC EMPLOYED MEDICAL STAFF BECAME EMPLOYEES OF THE UNIVERSITY IN ITS SCHOOL OF MEDICINE OPERATING AS THE DEPARTMENT OF COMMUNITY PRACTICE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>UNIVERSITY OF MISSOURI-COLUMBIA MEDICAL ALLIANCE, A MISSOURI NONPROFIT CORPORATION ("MEDICAL ALLIANCE"), SHALL BE THE SOLE MEMBER OF THE CAPITAL REGIONAL MEDICAL CENTER.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL ELECTIONS FOR APPOINTMENT TO THE GOVERNING BODY ARE SUBJECT TO APPROVAL OF THE MEMBER, THE UNIVERSITY OF MISSOURI MEDICAL ALLIANCE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BYLAWS PROVIDE A NUMBER OF INSTANCES REQUIRING APPROVAL BY THE UNIVERSITY OF MISSOURI MEDICAL ALLIANCE (E.G. AMENDMENT OF THE BYLAWS, DISSOLUTION OF THE ORGANIZATION, SALE OF SUBSTANTIAL ASSETS, AND DISCONTINUANCE OF A MAJOR SERVICE).</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE 990 IS REVIEWED BY THE FINANCE DIRECTOR AND THE CHIEF OPERATING OFFICER. IT IS PRESENTED ELECTRONICALLY TO THE BOARD OF DIRECTORS. MEMBERS ARE ASKED TO REVIEW THE RETURN AND RAISE ANY CONCERNS THEY MAY HAVE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DISCLOSURE STATEMENTS ARE REVIEWED BY THE CAMPUS CONFLICT OF INTEREST COMMITTEE. ULTIMATELY ALL DISCLOSURE STATEMENTS REQUIRE APPROVAL BY LEADERSHIP: THE MU HEALTH CARE CEO, THE DEAN OF THE SCHOOL OF MEDICINE, THE DEAN OF THE SINCLAIR SCHOOL OF NURSING OR THE DEAN OF THE SCHOOL OF HEALTH PROFESSIONS. ADHERING TO THIS PROCESS MINIMIZES RISK TO MU HEALTH AND OUR PATIENTS BY AVOIDING OR MITIGATING POTENTIAL INAPPROPRIATE INFLUENCE BY OUTSIDE FINANCIAL INTERESTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE REQUIRED DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER TO RELATED PARTIES - -6773203; Total - -6773203;</ExplanationTxt>
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        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <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>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>