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        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION PERIODICALLY ASSESSES WHETHER IT HAS INCURRED INCOME TAX EXPENSE OR RELATED INTEREST OR PENALTIES IN ACCORDANCE WITH ACCOUNTING FOR UNCERTAIN TAX POSITIONS. NO SUCH AMOUNTS WERE RECOGNIZED FOR THE YEARS ENDING SEPTEMBER 30, 2024 AND 2023, RESPECTIVELY. THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THE ORGANIZATION HAS EVALUATED THEIR TAX POSITIONS AND DETERMINED THEY HAVE NO UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2024 AND 2023. SHOULD THE ORGANIZATIONS TAX-EXEMPT STATUS BE CHALLENGED IN THE FUTURE, THE ORGANIZATIONS 2022, 2023, AND 2024 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KENNETH GOLDBERG MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID EDELMAN MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALYSHIA SMITH DNP</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PURPOSE OF THE INSTITUTE OF MEDICAL RESEARCH, INC. IS TO SUPPORT RESEARCH AND EDUCATION THROUGHOUT THE DURHAM VETERANS AFFAIRS HEALTHCARE SYSTEM TO ENHANCE THE HEALTH AND LIVES OF VETERANS, THEIR FAMILIES AND THE PUBLIC AT LARGE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPORTED A MEDICAL TRAINING AND EDUCATION PROGRAM TO SUPPORT THE VA PHARMACOGENOMICS ACTION FOR CANCER SURVIVORSHIP (PHASER). EXPANDED ACCESS TO PHARMACOGENOMIC (PGX) TESTING, INCLUDING PROVIDING BASIC PGX EDUCATION, TO AN ADDITIONAL 10,000 VETERANS SEEN ACROSS 25 VA HEALTH CARE SYSTEMS NATIONWIDE. ENGAGED IN PHARMACOGENOMIC EDUCATION WITH APPROXIMATELY 1,000 NEW VA PROVIDERS IN ADDITION TO HOSTING MONTHLY PGX BROWN BAG LEARNING SESSIONS AND RELEASING A MONTHLY PGX NEWSLETTER TO OVER 1,700 CLINICIANS. SECURED COMMITMENTS FROM ANOTHER 27 VA HOSPITALS TO IMPLEMENT THE PHASER PGX TESTING PROGRAM. BUILT AND RELEASED NATIONALLY AUTOMATED CLINICAL DECISION SUPPORT TOOLS FOR DRUG-GENE ALERTS FOR ALL STATINS AND SELECT SSRIS, NSAIDS, PPIS, CLOPIDOGREL, ONDANSETRON, AND LOOK TO HAVE RELEASED BEFORE THE END OF THE CALENDAR YEAR ALERTS TO SUPPORT DRUG-GENE ALERTS FOR SELECT TCAS, ATOMOXETINE, PHENYTOIN, TACROLIMUS, TAMOXIFEN, AND VORICONAZOLE. PREPARED THE EDUCATION AND TECHNICAL ENVIRONMENTS FOR A TESTING PANEL EXPANSION FROM 11 TO 15 GENES DUE TO BE RELEASED BY THE END OF THE CALENDAR YEAR. DEVELOPED AND DELIVERED MANAGEMENT TRAININGS TO BETTER SUPPORT GROWING ORGANIZATION. SECURED 20M IN REVENUE WHILE FOCUSING ON INDUSTRY-SUPPORTED RESEARCH. FINETUNED TRANSITIONAL LEADERSHIP (FINANCE, ED, HR) TO GUIDE IMR THROUGH SCALING ORGANIZATION DUE TO RAPID GROWTH AND CHANGING NEEDS. STABILIZED ORGANIZATION AND REFINED OPERATIONS. CONTINUATION OF PHASER PROJECT TO OFFER VETERANS OPPORTUNITIES TO UTILIZE GENETIC TESTING FOR IMPROVED DISEASE OUTCOMES. PHASER IS BEING OPERATIONALIZED THROUGHOUT THE VA. TRAINING CLERGY TO ASSIST WITH MENTAL HEALTH ISSUES AMONG VETERANS.</ExplanationTxt>
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        <ExplanationTxt>THE FORM 990 IS REVIEWED IN DETAIL BY THE INSTITUTE'S FINANCIAL OFFICER, EXECUTIVE DIRECTOR, AND APPROPRIATE BOARD MEMBER WHO SUBSEQUENTLY RECOMMENDS APPROVAL AND FILING TO THE BOARD OF DIRECTORS. THE FORM 990 IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING.</ExplanationTxt>
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        <ExplanationTxt>ALL NEW KEY EMPLOYEES AND BOARD MEMBERS ARE REQUIRED ANNUALLY TO COMPLETE A CONFLICT OF INTEREST TRAINING, WHICH SPECIFIES ACTION TO BE TAKEN IN THE EVENT OF A PERCEIVED CONFLICT OF INTEREST.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>THE EXECUTIVE DIRECTOR'S SALARY WAS REVIEWED NOVEMBER 2023. THE SALARY WAS DETERMINED BY COMPARATIVE VETERAN'S AFFAIRS NON-PROFITS' EXECUTIVE DIRECTORS' SALARIES AND FMV. SALARY WAS DETERMINED BY VOTE OF FULL BOARD OF DIRECTORS.</ExplanationTxt>
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        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
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