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        <PersonNm>JOHN B ANDERSON JR MD</PersonNm>
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        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>NON-FIXED PAYMENTS DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. MAINTAINS AN EXECUTIVE INCENTIVE COMPENSATION PLAN. PAYMENTS UNDER THE PLAN ARE BASED ON PRE-ESTABLISHED PERFORMANCE METRICS AND A FIXED CALCULATION METHODOLOGY APPROVED BY THE DUKE UNIVERSITY HEALTH SYSTEM, INC. COMPENSATION COMMITTEE WITH ASSISTANCE AND INPUT FROM AN EXECUTIVE COMPENSATION CONSULTING FIRM ASSURING COMPARABILITY WITH SIMILAR SYSTEMS. THE PLAN ALLOWS FOR A MODIFICATION TO AN INDIVIDUAL'S INCENTIVE PAYMENT BASED ON LEADERSHIP COMPETENCIES AND OTHER FACTORS WITH PAYOUTS (AND MODIFICATIONS, IF ANY) APPROVED BY THE DUKE UNIVERSITY HEALTH SYSTEM, INC. COMPENSATION COMMITTEE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 3B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DID NOT HAVE UNRELATED BUSINESS GROSS INCOME OF $1,000 OR MORE DURING THE FISCAL YEAR ENDED JUNE 30, 2023. AS A RESULT, FORM 990-T IS NOT REQUIRED FOR THE FISCAL YEAR ENDED JUNE 30, 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>CRAIG T. ALBANESE, MD, JOHN P. MORDACH AND ROBERT WILLIS SERVED AS AS OFFICERS OF DUKE UNIVERSITY HEALTH SYSTEM, INC. DURING FISCAL YEAR ENDED JUNE 30, 2023. THOMAS A. OWENS, MD WAS A KEY EMPLOYEE OF DUKE UNIVERSITY HEALTH SYSTEM, INC. DURING FISCAL YEAR ENDED JUNE 30, 2023. RICHARD P. SHANNON, MD, AND LAURA HUFFMAN LOCKAMY WERE EMPLOYEES OF DUKE UNIVERSITY HEALTH SYSTEM, INC. DURING FISCAL YEAR ENDED JUNE 30, 2023. CRAIG T. ALBANESE, MD, THOMAS A OWENS, MD, ROBERT WILLIS, AND JOHN P. MORDACH SERVED AS DIRECTORS AND OFFICERS OF DURHAM CASUALTY COMPANY, LTD. CRAIG T. ALBANESE, MD, THOMAS A OWENS, MD, ROBERT WILLIS, AND JOHN P. MORDACH SERVED AS DIRECTORS AND OFFICERS OF HEALTH SYSTEM MEDICAL STRATEGIES, INC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>APPOINTMENT TO THE BOARD OF DIRECTORS OF DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. IS CONTROLLED BY DUKE UNIVERSITY HEALTH SYSTEM, INC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ANNUAL BUDGET FOR DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. IS APPROVED BY DUKE UNIVERSITY HEALTH SYSTEM, INC. MANAGEMENT AND BOARD.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AFTER STAFF PREPARATION AND MANAGEMENT REVIEW, THE DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND COMMENT. BOARD LEVEL COMMENT AND DISCUSSION ARE INCORPORATED INTO THE FORM AS APPROPRIATE PRIOR TO FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. MONITORS AND ENFORCES COMPLIANCE RELATED TO CONFLICT OF INTEREST VIA DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC.'S FORM 990 CONFLICT OF INTEREST QUESTIONNAIRE. THIS QUESTIONNAIRE IS COMPLETED ANNUALLY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO PROVIDING THE ORGANIZATION'S FORM 990 UPON REQUEST, THE ORGANIZATION'S FORM 990 IS AVAILABLE TO THE PUBLIC ON SEVERAL THIRD PARTY WEBSITES. WHILE THE ORGANIZATION DOES NOT PROVIDE THE FORM 990 DIRECTLY TO THESE THIRD PARTIES, THE FORM 990 IS OBTAINED FROM THE INTERNAL REVENUE SERVICE. THE THIRD PARTIES SUBSEQUENTLY AND INDEPENDENTLY PROVIDE ACCESS TO THE FORM 990 ON THEIR PLATFORM.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. GOVERNING DOCUMENTS (ARTICLES OF INCORPORATION AND ANY SUBSEQUENT AMENDMENTS OR RESTATEMENTS) ARE AVAILABLE TO THE PUBLIC ON THE NORTH CAROLINA SECRETARY OF STATE WEBSITE. DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. IS INCLUDED IN CONSOLIDATED, INDEPENDENTLY AUDITED FINANCIAL STATEMENTS OF DUHS WHICH ARE AVAILABLE AT HTTPS://CORPORATE.DUKEHEALTH.ORG/FINANCIAL-INFORMATION</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>INTERCOMPANY TRANSFERS BETWEEN DUAP, INC. AND DUHS, INC. 57,833,667.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 3B:</FormAndLineReferenceDesc>
        <ExplanationTxt>FEDERAL AWARDS RECEIVED BY THE ORGANIZATION ARE INCLUDED IN THE DUKE UNIVERSITY FY2023 SINGLE AUDIT. ITS AUDIT UNDER THE UNIFORM ADMINISTRATIVE REQUIREMENTS, COST PRINCIPLES, AND AUDIT REQUIREMENTS FOR FEDERAL AWARDS WAS ISSUED BY THE DUE DATE OF MARCH 31, 2024.</ExplanationTxt>
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        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GHI JBD LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>9TH FL ORANGE TOWER CYBERCITY</AddressLine1Txt>
          <CityNm>EBENE</CityNm>
          <CountryCd>MP</CountryCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>INVESTMENTS</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>MP</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GHI LTP LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>9TH FL ORANGE TOWER CYBERCITY</AddressLine1Txt>
          <CityNm>EBENE</CityNm>
          <CountryCd>MP</CountryCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>INVESTMENTS</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>MP</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MCP PRIVATE CAPITAL (FEEDER) FUND I LP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>6 RUE GABRIEL LIPPMANN</AddressLine1Txt>
          <CityNm>LUXEMBOURG</CityNm>
          <CountryCd>LU</CountryCd>
          <ForeignPostalCd>L-5365</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>INVESTMENTS</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>LU</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>DUKE INDIA SERVICES PRIVATE LIMITED</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>302 PRIDE ELITE 10 MUSEUM ROAD</AddressLine1Txt>
          <CityNm>BANGALORE</CityNm>
          <ProvinceOrStateNm>KARNATAKA</ProvinceOrStateNm>
          <CountryCd>IN</CountryCd>
          <ForeignPostalCd>560001</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>MEDICAL RESEARCH</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>IN</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HEALTH SYSTEM MEDICAL STRATEGIES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2200 W MAIN STREET STE 300</AddressLine1Txt>
          <CityNm>DURHAM</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27705</ZIPCd>
        </USAddress>
        <EIN>562222444</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>VITA BELLAVISTA CASA 84 SRL</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>EDIFICIO BLP CENTRO EMPRESARIAL VI</AddressLine1Txt>
          <CityNm>SAN JOSE</CityNm>
          <ProvinceOrStateNm>SANTA ANA/BELLEN</ProvinceOrStateNm>
          <CountryCd>CS</CountryCd>
          <ForeignPostalCd>KM3</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CS</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>VITA BELLAVISTA CASA DIECINUEVE SRL</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>EDIFICIO BLP CENTRO EMPRESARIAL VI</AddressLine1Txt>
          <CityNm>SAN JOSE</CityNm>
          <ProvinceOrStateNm>SANTA ANA/BELLEN</ProvinceOrStateNm>
          <CountryCd>CS</CountryCd>
          <ForeignPostalCd>KM3</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CS</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>DUKE GLOBAL GERMANY GMBH</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>ESCHERSHEIMER LANDSTR 14</AddressLine1Txt>
          <CityNm>FRANKFURT</CityNm>
          <CountryCd>GM</CountryCd>
          <ForeignPostalCd>60322</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>EDUCATION</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>GM</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
