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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANA NOVAIS</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES DANSEREAU</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HOLLY STARK</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE DEXTER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DARLENE MORRIS</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT YOUNG</PersonNm>
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      <IndivRcvdGreaterThan100KCnt>6</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>TIERPOINT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>11224 POWERSCOUT DR</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63141</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT AND DATA CENTER SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>INTERSYSTEMS CORP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1 MEMORIAL DR</AddressLine1Txt>
            <CityNm>CAMBRIDGE</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02142</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>APPLICATION SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>J2 INTERACTIVE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2 13TH STREET</AddressLine1Txt>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02129</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT CONSULTING</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>QUADRAMED AFFINITY CORP</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3460 LOTUS DRIVE</AddressLine1Txt>
            <CityNm>PLANO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75075</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>APPLICATION SERVICES</ServicesDesc>
        <CompensationAmt>182730</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMPASS IT COMPLIANCE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2 ASYLUM ROAD</AddressLine1Txt>
            <CityNm>NORTH PROVIDENCE</CityNm>
            <StateAbbreviationCd>RI</StateAbbreviationCd>
            <ZIPCd>02904</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COMPLIANCE SERVICES</ServicesDesc>
        <CompensationAmt>111947</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>1663655</GovernmentGrantsAmt>
      <TotalContributionsAmt>1663655</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT REVENUE</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>5584324</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5584324</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>SUPPORT REVENUE</Desc>
        <BusinessCd>541900</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>2798740</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>FEE FOR SERVICE</Desc>
        <BusinessCd>541900</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>788867</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>541900</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>19135</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
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        <ExclusionAmt>0</ExclusionAmt>
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      <OtherSalariesAndWagesGrp>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>66919</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>159602</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>47542</ProgramServicesAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>27093</ProgramServicesAmt>
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      <FeesForServicesLobbyingGrp>
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        <ManagementAndGeneralAmt>25000</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ManagementAndGeneralAmt>22783</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>3260248</ProgramServicesAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>158902</ProgramServicesAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>4107</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10059</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>1340</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>52221</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>30486</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <GrassrootsNontaxableGrp>
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      <TotLbbyngGrassrootMnsNonTxGrp>
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      <TotLbbyExpendMnsLbbyngNonTxGrp>
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        <CurrentYearMinus1Amt>601709</CurrentYearMinus1Amt>
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        <CurrentYearMinus2Amt>12500</CurrentYearMinus2Amt>
        <CurrentYearAmt>25000</CurrentYearAmt>
        <TotalAmt>50000</TotalAmt>
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        <CurrentYearAmt>149324</CurrentYearAmt>
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    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <DepreciationAmt>172815</DepreciationAmt>
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      <EquipmentGrp>
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        <BookValueAmt>83442</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>83442</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>10854721</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>10854721</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>10854721</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>8945946</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>8945946</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>8945946</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INSTITUTE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE INSTITUTE IS ALSO EXEMPT FROM RHODE ISLAND INCOME TAXES. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE INSTITUTE'S TAX-EXEMPT PURPOSE MAY BE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME AT BOTH THE STATE AND FEDERAL LEVELS. THE INSTITUTE HAD NO UNRELATED INCOME AS OF DECEMBER 31, 2021. THE INSTITUTE EVALUATES ALL SIGNIFICANT TAX POSITIONS AS REQUIRED BY GAAP. AS OF DECEMBER 31, 2021, THE INSTITUTE DOES NOT BELIEVE THAT IT HAS TAKEN ANY TAX POSITIONS THAT WOULD REQUIRE THE RECORDING OF ANY ADDITIONAL TAX LIABILITY NOR DOES IT BELIEVE THAT THERE ARE ANY UNREALIZED TAX BENEFITS THAT WOULD EITHER INCREASE OR DECREASE WITHIN THE NEXT TWELVE MONTHS. THE INSTITUTE'S INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE APPROPRIATE TAXING JURISDICTIONS. AS OF DECEMBER 31, 2021, THE INSTITUTE'S INCOME TAX RETURNS GENERALLY REMAIN OPEN FOR EXAMINATION FOR THREE YEARS FROM THE DATE FILED WITH EACH TAXING JURISDICTION. THERE ARE CURRENTLY NO EXAMINATIONS PENDING OR IN PROGRESS. THE INSTITUTE'S POLICY IS TO CLASSIFY INCOME TAX AND RELATED PENALTIES IN INCOME TAX EXPENSE AND ANY INTEREST EXPENSES IN INTEREST EXPENSE, RESPECTIVELY. THE INSTITUTE ANNUALLY FILES IRS FORM 990 - RETURN OF INSTITUTE EXEMPT FROM INCOME TAX, REPORTING VARIOUS INFORMATION THAT THE IRS USES TO MONITOR THE ACTIVITIES OF TAX-EXEMPT ENTITIES. THESE INFORMATIONAL TAX RETURNS ARE SUBJECT TO REVIEW BY THE TAXING AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THEY ARE FILED. THE INSTITUTE CURRENTLY HAS NO TAX EXAMINATIONS IN PROGRESS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>INDRA NEIL SARKAR PHD</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>335125</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>335125</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLES DANSEREAU</PersonNm>
        <TitleTxt>DIRECTOR INFORMATION TECHN</TitleTxt>
        <BaseCompensationFilingOrgAmt>159827</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>159827</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>AS PART OF THE ANNUAL COMPENSATION REVIEW FOR THE TOP EXECUTIVE OF THE ORGANIZATION, THE BOARD HAS CHOSEN TO PAY AN INCENTIVE COMPENSATION PAYMENT. THIS AMOUNT INCREASES THE COMPENSATION TO AN AMOUNT THE BOARD BELIEVES IS JUSTIFIED BY THE CURRENT SIZE, COMPLEXITY AND PERFORMANCE OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>JACK A ELIAS, MD - THE FOLLOWING HAVE HOSPITAL AFFILIATION WITH BROWN: TIMOTHY BABINEAU, MD, PRESIDENT AND CEO OF LIFESPAN, AND DIANA FRANCHITTO, PRESIDENT AND CEO OF HOPE HEALTH, IS A BOARD MEMBER OF HEALTH CENTRIC ADVISORS JAMES FANALE HAS A RELATIONSHIP ALL HEATLH PLANS - CONTRACTUAL RELATIONSHIPS; AARON ROBINSON, PRESIDENT &amp; CEO, SOUTH COUNTY HEALTH, BOARD MEMBER, INTEGRA; BROWN UNIVERISTY, AFLLIATION AGREEMENT. JACK ELIAS, DEAN OF MEDICINE AND BIOLOGICAL SCIENCES AT BROWN UNIVERSITY HAS A RELATIONSHIP WITH RIQI PRESIDENT &amp; CEO, INDRA NEIL SARKAR, WHOM TEACHES AT BROWN UNIVERSITY AND REPORTS TO HIM IN HIS TEACHING CAPACITY. THE SPOUSE OF INDRA NEIL SARKAR, PRESIDENT AND CEO OF RIQI, IS ON MUTUAL FEDERAL GRANTS OF WHICH RIQI AND BROWN UNIVERSITY ARE BOTH NAMED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>AMENDMENT TO THE BYLAWS TO ALIGN THE CHAIR ELECT'S COMMITTEE PARTICIPATION TO MATCH THAT OF THE CHAIRS' BOTH THE BOARD CHAIR AND CHAIR-ELECT SHALL SERVE AS EX-OFFICIO VOTING MEMBERS OF EACH BOARD COMMITTEE, BUT WILL NOT BE COUNTED TOWARDS QUORUM FOR THE TRANSACTION OF BUSINESS. THIS ALLOWS THE CHAIR AND CHAIR-ELECT THE FLEXIBILITY TO ATTEND COMMITTEE MEETING AS-NEEDED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR 990 FORM APPROVAL INVOLVES EXTERNAL AUDIT PREPARATION AND SUBSEQUENT REVIEW BY MANAGEMENT. THE FORM 990 IS SENT TO THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW AND APPROVAL. ANY CHANGES TO THE FORM 990 ARE MADE AS NECESSARY. THE COMMITTEE RECOMMENDS THE FORM 990 TO THE BOARD (THEY RECEIVE A COPY PRIOR TO THE BOARD MEETING) FOR FINAL APPROVAL</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH YEAR THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS PROVIDED TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES. THESE PEOPLE ARE ASKED TO REVIEW THE POLICY AND SIGN A STATEMENT INDICATING THAT THEY UNDERSTAND THE POLICY AND HAVE REPORTED ALL POTENTIAL CONFLICTS DURING THE PAST YEAR IN ACCORDANCE WITH THE POLICY AND WILL REPORT ALL POTENTIAL CONFLICTS DURING THE COMING YEAR. ALL POTENTIAL CONFLICTS ARE EVALUATED BY THE BOARD TO DETERMINE IF A CONFLICT ACTUALLY EXISTS IN THOSE INSTANCES WHERE THE POTENTIAL TRANSACTION IS A CONFLICT, THE BOARD EXAMINES THE TRANSACTION AND A VOTE IS TAKEN (WITH THOSE INVOLVED RECUSING THEMSELVES) AS TO WHETHER THE ORGANIZATION WILL ENTER INTO THE TRANSACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY THE BOARD CONDUCTS A PERFORMANCE REVIEW AND EVALUATION OF THE CHIEF EXECUTIVE OFFICER. THE REVIEW ALSO ESTABLISHES THE INDIVIDUAL'S COMPENSATION FOR THE FOLLOWING YEAR. THIS PROCESS INVOLVES THE EVALUATION OF THE INDIVIDUAL AND A REVIEW OF COMPENSATION OF COMPARABLE POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS (ARTICLES OF INCORPORATION AND BY-LAWS), ITS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. THE ORGANIZATION WILL MAIL COPIES UPON REQUEST OR PROVIDE COPIES TO THOSE WHO COME TO THE ADMINISTRATIVE OFFICE DURING NORMAL BUSINESS HOURS. THE ORGANIZATION CHARGES FOR THE COPIES IN ACCORDANCE WITH IRS REGULATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
