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          <BusinessNameLine1Txt>Duke University</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 602651 Accounts Receivable L</AddressLine1Txt>
          <CityNm>Charlotte</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
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          <BusinessNameLine1Txt>Emory University</BusinessNameLine1Txt>
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          <AddressLine1Txt>1599 Clifton Road NE 4th floor</AddressLine1Txt>
          <CityNm>Atlanta</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30322</ZIPCd>
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        <RecipientEIN>580566256</RecipientEIN>
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        <CashGrantAmt>337707</CashGrantAmt>
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          <BusinessNameLine1Txt>Feinstein Institute for Medical Research</BusinessNameLine1Txt>
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          <AddressLine1Txt>350 Community Drive</AddressLine1Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11030</ZIPCd>
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        <RecipientEIN>112673595</RecipientEIN>
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          <AddressLine1Txt>1100 Fairview Ave N J6-330 PO Box 1</AddressLine1Txt>
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          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>981091024</ZIPCd>
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        <RecipientEIN>237156071</RecipientEIN>
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          <BusinessNameLine1Txt>Hospital for Special Surgery</BusinessNameLine1Txt>
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          <AddressLine1Txt>535 East 70th Street</AddressLine1Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10021</ZIPCd>
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        <RecipientEIN>131624135</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>29423</CashGrantAmt>
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          <BusinessNameLine1Txt>Icahn School of Medicine at Mount Sinai</BusinessNameLine1Txt>
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          <AddressLine1Txt>One Gustave L Levy Place Box 3500 O</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>100296574</ZIPCd>
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        <CashGrantAmt>228337</CashGrantAmt>
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          <BusinessNameLine1Txt>Indiana University</BusinessNameLine1Txt>
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          <AddressLine1Txt>400 E 7th St Poplars Room 501</AddressLine1Txt>
          <CityNm>Bloomington</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47405</ZIPCd>
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        <CashGrantAmt>100375</CashGrantAmt>
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          <BusinessNameLine1Txt>Johns Hopkins University</BusinessNameLine1Txt>
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          <AddressLine1Txt>Central Lockbox c/o B of A 12529 Co</AddressLine1Txt>
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        <CashGrantAmt>1637275</CashGrantAmt>
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          <BusinessNameLine1Txt>Jonathan Corren MD Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>10780 Santa Monica Blvd 280 Allergy</AddressLine1Txt>
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          <StateAbbreviationCd>CA</StateAbbreviationCd>
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        <RecipientEIN>462346264</RecipientEIN>
        <CashGrantAmt>334001</CashGrantAmt>
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          <BusinessNameLine1Txt>Joslin Diabetes Center</BusinessNameLine1Txt>
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          <AddressLine1Txt>One Joslin Place</AddressLine1Txt>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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        <RecipientEIN>042203836</RecipientEIN>
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        <CashGrantAmt>78804</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Research</PurposeOfGrantTxt>
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          <AddressLine1Txt>41 Mall Rd Attn Office of Research</AddressLine1Txt>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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          <AddressLine1Txt>9420 Athena Circle</AddressLine1Txt>
          <CityNm>La Jolia</CityNm>
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        <RecipientEIN>330328688</RecipientEIN>
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          <BusinessNameLine1Txt>Massachusetts General Hospital</BusinessNameLine1Txt>
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          <AddressLine1Txt>55 Fruit Street Research Management</AddressLine1Txt>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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        <RecipientEIN>042697983</RecipientEIN>
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          <BusinessNameLine1Txt>Medical College of Wisconsin</BusinessNameLine1Txt>
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          <AddressLine1Txt>Accounts Receivable PO Box 26509</AddressLine1Txt>
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          <StateAbbreviationCd>WI</StateAbbreviationCd>
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        <RecipientEIN>390806261</RecipientEIN>
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          <BusinessNameLine1Txt>Medical University of South Carolina</BusinessNameLine1Txt>
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          <AddressLine1Txt>19 Hagood Avenue Ste 604 MSC 808</AddressLine1Txt>
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          <StateAbbreviationCd>SC</StateAbbreviationCd>
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        <RecipientEIN>576000722</RecipientEIN>
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          <BusinessNameLine1Txt>National Jewish Health</BusinessNameLine1Txt>
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          <AddressLine1Txt>1400 Jackson Street M213</AddressLine1Txt>
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          <StateAbbreviationCd>CO</StateAbbreviationCd>
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        <RecipientEIN>742044647</RecipientEIN>
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          <BusinessNameLine1Txt>New York University-School of Medicine</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 415026 Bank of America</AddressLine1Txt>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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          <BusinessNameLine1Txt>Northwestern University</BusinessNameLine1Txt>
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          <AddressLine1Txt>750 N Lake Shore Drive</AddressLine1Txt>
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          <StateAbbreviationCd>IL</StateAbbreviationCd>
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          <BusinessNameLine1Txt>Ohio State University</BusinessNameLine1Txt>
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          <AddressLine1Txt>Office of Sponsored Programs 1960 K</AddressLine1Txt>
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        <CashGrantAmt>29096</CashGrantAmt>
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          <AddressLine1Txt>825 NE 13th Street</AddressLine1Txt>
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          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73104</ZIPCd>
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          <BusinessNameLine1Txt>Polyclinic</BusinessNameLine1Txt>
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          <AddressLine1Txt>Madison Center 904 7th Ave 6th Floo</AddressLine1Txt>
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          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98104</ZIPCd>
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        <RecipientEIN>910369070</RecipientEIN>
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          <BusinessNameLine1Txt>Rockefeller University</BusinessNameLine1Txt>
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          <AddressLine1Txt>1230 York Ave Financial Post Award</AddressLine1Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
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          <BusinessNameLine1Txt>Rogosin Institute</BusinessNameLine1Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
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          <BusinessNameLine1Txt>Rutgers the State University of New Jersey</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Sanford Research</BusinessNameLine1Txt>
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          <AddressLine1Txt>2301 E 60th St N Attn Clinical Rese</AddressLine1Txt>
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          <StateAbbreviationCd>SD</StateAbbreviationCd>
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          <AddressLine1Txt>PO Box 24728</AddressLine1Txt>
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        <RecipientEIN>910564748</RecipientEIN>
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          <BusinessNameLine1Txt>Stanford University</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 44253</AddressLine1Txt>
          <CityNm>San Francisco</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>941444253</ZIPCd>
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        <CashGrantAmt>833372</CashGrantAmt>
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          <BusinessNameLine1Txt>State University of Iowa</BusinessNameLine1Txt>
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          <AddressLine1Txt>105 Jessup Hall</AddressLine1Txt>
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          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52242</ZIPCd>
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        <RecipientEIN>426004813</RecipientEIN>
        <IRCSectionDesc>Iowa</IRCSectionDesc>
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          <StateAbbreviationCd>TN</StateAbbreviationCd>
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          <StateAbbreviationCd>WA</StateAbbreviationCd>
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          <AddressLine1Txt>PO Box 025405 Location 3</AddressLine1Txt>
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          <StateAbbreviationCd>FL</StateAbbreviationCd>
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          <BusinessNameLine1Txt>University of Washington</BusinessNameLine1Txt>
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          <AddressLine1Txt>Box 94224</AddressLine1Txt>
          <CityNm>Seattle</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
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          <BusinessNameLine1Txt>University of Michigan</BusinessNameLine1Txt>
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          <AddressLine1Txt>Box 223131</AddressLine1Txt>
          <CityNm>Pittsburgh</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
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          <StateAbbreviationCd>UT</StateAbbreviationCd>
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          <BusinessNameLine1Txt>Univ of Minnesota Regents</BusinessNameLine1Txt>
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          <ZIPCd>554552070</ZIPCd>
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        <RecipientEIN>416007513</RecipientEIN>
        <IRCSectionDesc>Minnesota</IRCSectionDesc>
        <CashGrantAmt>61814</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Research</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Univ of Texas SW Med Ctr</BusinessNameLine1Txt>
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          <AddressLine1Txt>Grants Management PO Box 841753</AddressLine1Txt>
          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>752841753</ZIPCd>
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        <RecipientEIN>756002868</RecipientEIN>
        <IRCSectionDesc>Texas</IRCSectionDesc>
        <CashGrantAmt>66724</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>University of Colorado-Denver</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 910238</AddressLine1Txt>
          <CityNm>Denver</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>802910238</ZIPCd>
        </USAddress>
        <RecipientEIN>846000555</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>1947529</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>University of Chicago</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Section Of Endocrinology 5841 S Mar</AddressLine1Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60637</ZIPCd>
        </USAddress>
        <RecipientEIN>362177139</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>267199</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>University of California The Regents of</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Accounting Office CGA Box 0897</AddressLine1Txt>
          <CityNm>San Francisco</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>941430897</ZIPCd>
        </USAddress>
        <RecipientEIN>946002123</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>13586</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>University of Pittsburgh</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>200 Lothrop St E1140 Biomedical Sci</AddressLine1Txt>
          <CityNm>Pittsburgh</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15213</ZIPCd>
        </USAddress>
        <RecipientEIN>250965591</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>424490</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>University of Oklahoma</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Dept of ORL PO Box 26901 WP-1290</AddressLine1Txt>
          <CityNm>Oklahoma City</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>731269818</ZIPCd>
        </USAddress>
        <RecipientEIN>731377584</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>109130</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>University of Pennsylvania</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 785541</AddressLine1Txt>
          <CityNm>Philadelphia</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>171785541</ZIPCd>
        </USAddress>
        <RecipientEIN>231352685</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>174137</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>University of Florida Board of Trustees</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 113001</AddressLine1Txt>
          <CityNm>Gainesville</CityNm>
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          <ZIPCd>32611</ZIPCd>
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        <RecipientEIN>596002052</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>33041</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Research</PurposeOfGrantTxt>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>University of Nebraska Medical Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>985045 Nebraska Medical Center</AddressLine1Txt>
          <CityNm>Omaha</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>681985045</ZIPCd>
        </USAddress>
        <RecipientEIN>470049123</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>36607</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>University of Maryland Baltimore</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Sponsored Projects Acctng 220 Arch</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>212011508</ZIPCd>
        </USAddress>
        <RecipientEIN>526002033</RecipientEIN>
        <IRCSectionDesc>Maryland</IRCSectionDesc>
        <CashGrantAmt>18713</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Research</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>University of North Carolina at Chapel Hill</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 402420 Bank of America Lockb</AddressLine1Txt>
          <CityNm>Atlanta</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>303842420</ZIPCd>
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        <RecipientEIN>566001393</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>694818</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Research</PurposeOfGrantTxt>
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        </RecipientBusinessName>
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          <AddressLine1Txt>PO Box 4390 Grants Contract Acctng</AddressLine1Txt>
          <CityNm>Houston</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>772104390</ZIPCd>
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        <RecipientEIN>746001118</RecipientEIN>
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        <CashGrantAmt>11923</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Research</PurposeOfGrantTxt>
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        </RecipientBusinessName>
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          <AddressLine1Txt>600 Highland Ave F8/138 CSC</AddressLine1Txt>
          <CityNm>Madison</CityNm>
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          <ZIPCd>53792</ZIPCd>
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        <RecipientEIN>396006492</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>389888</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Research</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>University of California San Francisco</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Controllers Office Contract Grants</AddressLine1Txt>
          <CityNm>San Francisco</CityNm>
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          <ZIPCd>941430897</ZIPCd>
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        <RecipientEIN>946036493</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>7304374</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Research</PurposeOfGrantTxt>
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          <CityNm>Birmingham</CityNm>
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        <RecipientEIN>636005396</RecipientEIN>
        <IRCSectionDesc>Alabama</IRCSectionDesc>
        <CashGrantAmt>24499</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Research</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>University of North Carolina at Greensboro</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>2511 MHRA Building PO Box 26170</AddressLine1Txt>
          <CityNm>Greensboro</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
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        <RecipientEIN>566001468</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>58271</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Research</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>University of California Los Angeles</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>11000 Kinross Ave Ste 211</AddressLine1Txt>
          <CityNm>Los Angeles</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>90095</ZIPCd>
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        <RecipientEIN>956006143</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>93170</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Research</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Vital Prospects Clinical Research Institute PC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7307 S Yale Ave Suite 200</AddressLine1Txt>
          <CityNm>Tulsa</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74136</ZIPCd>
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        <RecipientEIN>261814411</RecipientEIN>
        <CashGrantAmt>24194</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Research</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Wake Forest University Health Sciences</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Medical Center Boulevard</AddressLine1Txt>
          <CityNm>WinstonSalem</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27157</ZIPCd>
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        <RecipientEIN>223849199</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>35009</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Research</PurposeOfGrantTxt>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>Western Michigan University School of Medicine</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 50391</AddressLine1Txt>
          <CityNm>Kalamazoo</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>490050391</ZIPCd>
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        <RecipientEIN>454135256</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>7758</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Research</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Winthrop University Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Dept of Finance 700 Hicksville Road</AddressLine1Txt>
          <CityNm>Bethpage</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11714</ZIPCd>
        </USAddress>
        <RecipientEIN>111633486</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>33147</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Research</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Yale University</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Grant and Contract Financial Admini</AddressLine1Txt>
          <CityNm>New Haven</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>065081873</ZIPCd>
        </USAddress>
        <RecipientEIN>080648973</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>583741</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Research</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>64</Total501c3OrgCnt>
      <TotalOtherOrgCnt>6</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Subrecipient Monitoring Policy - medical research sub awards - BRI has formal policies and procedures to assure full compliance with applicable policies and laws governing federal grants. The Subrecipient Monitoring Policy provides assurance that subrecipients comply with federal grant regulations. This policy sets the criteria to establish eligibility of subrecipients to provide annual audited financial reports and the annual OMB single audit report that identify compliance with federal laws and regulations. The reports are analyzed with emphasis on auditors assessment of subrecipient internal controls and a standardized risk assessment is presented to management on each subrecipient. A Management Letter is issued to each subrecipient showing any findings on their OMB single audit report, and measurements are set for increased monitoring when an elevated level of risk is established. Management has communciated with an educated administrative staff regarding implementation of this policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 2 continued</FormAndLineReferenceDesc>
        <ExplanationTxt>The Director of Grants and Contracts is responsible for monitoring subrecipient adherence to financial regulations. The principal investigator is responsible for overseeing the satisfactory performance of the sub-award to ensure that goals are achieved. If there are unusual or unforeseen items, these will be investigated.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jane Buckkner MD</PersonNm>
        <TitleTxt>Ex Officio, President</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>24000</DeferredCompensationFlngOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Carla Greenbaum MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>24000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6979</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>254608</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joyce Lammert MD PhD</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>453400</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>120892</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>254724</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>86450</DeferredCompRltdOrgsAmt>
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        <PersonNm>John Corman MD</PersonNm>
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        <PersonNm>Gary Kaplan MD</PersonNm>
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        <PersonNm>Gerald Nepom MD PhD</PersonNm>
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        <PersonNm>William Kwok PhD</PersonNm>
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        <PersonNm>Lynn Rose</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Benaroya Research Institute at Virginia Mason BRI delegates to Virginia Mason Health Systems its parent and sole member Board Compensation and Benefits Committee, a committee composed of independent Health System Board members to whom the BRI Board has delegated the authority to approve all compensation and benefits for the executive leaders of BRI. To ensure that such benefit plans are market competitive and reasonable, the Committee receives support and advice, including appropriate market comparability data from an independent compensation consultant with expertise in the health care industry and access to relevant market data. See Schedule O for additional disclosure.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Virginia Mason Medical Center has a Supplemental Executive Retirement Plan SERP in which certain BRI Executives particpate. The SERP is a 457 f nonqualified deferred compensation plan pursuant to which plan benefits are subject to a substantial risk of forfeiture, entered into in connection with certain senior executives joining the Medical Center. The plan was approved by the Boards Compensation and Benefits Committee, a committee composed of independent board members to whom the Board delegates the authority to approve compensation and benefits to the Medical Centers most senior executives. The Committee receives advice from an independent compensation consultant to ensure that compensation and benefits, including the SERP, are market competitive and reasonable. Supplemental Executive Retirement Plans such as this are customary for senior executives in the health care industry.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Gary Kaplan, M.D. received a payment of 10,031,813 from a Supplemental Executive Retirement Plan. Joyce Lammert, M.D. received a 234,438 payout from a Supplemental Executive Retirement Plan. Gary Kaplan M.D. accrued benefits in a Supplemental Executive Retirement Plan of 96,280. Joyce Lammert, M.D. accrued benefits in a Supplemental Executive Retirement Plan of 63,000.</ExplanationTxt>
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        <ExplanationTxt>Purposes to currently refund WEDFA Series 2006C bonds issued 11/15/2006, and to fund research facility improvements.</ExplanationTxt>
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        <ExplanationTxt>Purposes to currently refund WEDFA Series 2012A taxable bonds issued 06/01/2012. No tax-exempt private activity bonds are being refunded.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Benaroya Research Institute at Virginia Mason BRI is a world-renowned medical research institute whose work has resulted in major advances in our understanding of autoimmune and immune-mediated diseases. BRI is affiliated with the Virginia Mason Health System, which provides governance oversight and development support through the Virginia Mason Foundation. In 2016, BRI researchers generated 90 scientific publications that were published in prestigious research journals and delivered 94 presentations at domestic and international research conferences. One in 15 Americans suffers from an autoimmune disease and many suffer from more than one. These diseases include type 1 diabetes, multiple sclerosis, Crohns disease and rheumatoid arthritis to name a few. Even more Americans, one out of every four, suffer from other immune-mediated diseases, allergy and asthma. Because these diseases are connected by common destructive pathways, research on one or two immune system diseases has far reaching implications for the whole spectrum of immune-mediated disease. As a world leader in scientific innovation, BRIs discoveries are having significant impact on people living with these diseases today-by improving the ability to predict disease risk, prevent onset of disease, decrease disease progression and make treatments safer and better.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>One of the unique qualities of BRI is the close integration of three types of medical research - laboratory research, translational research and clinical research - to improve peoples lives. Our scientists can address both the basic science issues and clinical applications, which is the best way to design studies with the highest potential for success. For BRI, discovery starts in the laboratory. 2016 advancements in translational, immunology, clinical research and other areas are highlighted below.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>Funding for the Immune Tolerance Network ITN was awarded to BRIs Dr. Jerry Nepom in 2014 from the National Institute of Allergy and Infectious Disease NIAID of the National Institutes of Health NIH. The 7-year award, totaling 27 million annually supports the ITN, a research consortium established in 1999 with a primary focus on the development of new tolerogenic approaches for the treatment and prevention of disease in three clinical areas asthma and allergic diseases autoimmune diseases and immune-mediated rejection of transplanted solid organs, tissues and cells. As the Prime recipient of this grant, BRI is responsible for the overall management of the grant from NIAID including oversight of all aspects of the Networks infrastructure. The major activities in 2016 were diverse, but continued to center on preserving the ITNs cohesive project focused environment and its framework which has proven so successful in the management of a large cooperative agreement grant. Key outcomes in 2016 include the following 1 Cross Network Integration A top priority in this reporting period was to continue the successful ITN infrastructure which is spread across three main operational sites. This required careful planning and collaboration as the ITNs major centers of operations are geographically diverse, located in Seattle, San Francisco and Bethesda. Few changes were made to the existing network integration as the current model continues to successfully support the overall ITN program. Establishing new relationships and vital connections within the research community continued to be an ITN goal. 2 Operations and Clinical Trial Support The ITN program team at BRI issued 161 subawards in 2016 in support of 20 active ITN clinical trials and numerous supporting ITN mechanistic trials. 3 Supplemental Funding / Partnerships ITN central administration continued to focus on identifying additional opportunities for supplemental funding and/or funding partnerships. a Supplemental Funding Opportunities The ITN Program Team at BRI submitted one supplemental funding request in 2016. This request was awarded, bringing in an additional 4.9M in funding to the ITN BRI. b Partnerships The ITN continued its relationship with pharmaceutical partners for partial funding for two ITN studies with NIAID as the clinical sponsor. 4 Publication Activity In 2016, 25 ITN publications were published in prestigious research journals and were presented at domestic and international research conferences. These publications represented ITN research in all therapeutic focus areas Type 1 Diabetes, Transplant, Autoimmune disease and Allergy and Asthma.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Translational research is a scientific approach that allows research observations made at the bench to be quickly tested in patients, at the bedside and brought back to the bench again in an expedient and systematic way. This research is translating new methods that improve our ability to predict disease risk, prevent onset of disease, decrease disease progression and make treatments safer and better. The research emphasis of the BRI Translational Research Program is the area of autoimmune and immune-mediated diseases. BRI scientists and physician collaborators work together to study blood and serum samples along with medical and demographic data collected from people with autoimmune and immune-mediated diseases. These include multiple sclerosis, type 1 diabetes, lupus, rheumatoid arthritis, inflammatory bowel disease, allergy and asthma. BRI maintains an extensive biorepository with samples dating back to 2000, including seven disease categories and a biorepository of healthy people for comparison purposes. Advancements in 2016 include the following 1 Connecting Cancer to Immunotherapy Research - In addition to autoimmune disease research, BRI scientists are actively investigating new cancer immunotherapies as a means of understanding the underlying causes of autoimmunity. Many cancer patients treated with specific immune-therapeutics have been observed to develop autoimmune syndromes, many of them long-lasting. This research is being conducted in partnership with Virginia Mason Medical Center. A major component of this research is the development of a robust tissue repository that includes tumor samples, blood samples and demographic data from patients with a variety of cancer types including pancreatic, colorectal, lung and breast tumors. 2 Translational Research Symposium - The annual Clinical and Translational Research Symposium, sponsored by the Wilske Center for Translational Research, took place at Virginia Mason Medical Center. The event connected researchers and clinicians by highlighting the range of clinical and translational research being conducted at BRI. Of the more than 60 research abstracts submitted, the Wilske committee selected the top eight abstracts for oral presentation. 3 Gene Editing - BRI and Seattle Childrens Research Institute SCRI are collaborating on a preclinical study pioneering the use of gene editing techniques in efforts to control type 1 diabetes. To attack this complex problem, BRI is combining its regulatory T cell expertise with SCRIs gene editing expertise. 4 Studying Rheumatoid Arthritis RA - BRI continues its research into studying how RA starts and progresses, and have found the disease begins years before clinical signs and symptoms are apparent. The goal is to understand the disease so it can be prevented before it even starts. Researach into monitoring disease activity during therapy and predicting patient drug responses are also underway. 5 Understanding Antigen-Specific T Cells - Using single-cell RNA sequencing, researchers are investigating T cell receptors and genes expressed by antigen-specific T cells. This could pave the way to monitor, treat and prevent diseases like type 1 diabetes.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 4c</FormAndLineReferenceDesc>
        <ExplanationTxt>BRI is dedicated to seeking ways to eliminate type 1 diabetes, while at the same time looking for therapies to prevent, reverse and intervene in the disease at all stages. BRI is an international leader in type 1 diabetes research and has investigated it for more than 30 years, starting with identification of a genetic marker for the disease. BRI continues to lead the Type 1 Diabetes TrialNet, a National Institutes of Health-funded clinical trial network for type 1 diabetes prevention and early treatment. BRI also serves as the TrialNet Hub that includes 23 clinical centers working in cooperation with more than 200 screening and clinical research sites throughout the U.S. and six other countries.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>1 Clinical Research Program Benaroya Research Institute oversees all clinical research at Virginia Mason Medical Center which uniquely combines the expertise of a world-renowned medical research institute with the remarkable care of a healthcare quality leader. The BRI Clinical Research Program supports Virginia Mason Medical Center clinical investigators in studies across a wide variety of diseases and conditions, such as cardiology and cancer. Each year the Clinical Research Program staff enrolls more than 1500 study participants in Virginia Mason Medical Center trials. This program involves approximately 170 research investigators, oversees 440 active studies and has 135 studies currently open to enrollment. 2 Immunology Research Program a Leadership of Asthma and Allergic Diseases Cooperative Research Center - BRI received a five-year grant from the National Institute of Allergy and Infectious Diseases to study the immune systems responses to allergens in the lungs. Investigators at BRI, University of Washington Medicine and Seattle Childrens Research Institute will collaborate to gain insights into the lung epithelium. Dr. Steve Ziegler will lead the project along with eight other principal investigators from the other two institutions. b Understanding cell communication in the gut by studying special rare cells which organize communications, to understand how they can cause inflammatory bowel disease. c Developing new experimental models to understand how the oral drug fingolimod works in multiple sclerosis at a molecular level and how it is modulating different cells of the immune system. Does the drug work differently in different people and on different immune cells Eventually this information will help clinicians to match the right drug to the right person at the right time. d Lung in a Dish - In collaboration with Seattle Childrens Research Institute SCRI scientists at BRI have created a modeling system of the human lung in a laboratory dish to study asthma, allergies and respiratory diseases in children. They hope to understand mechanisms that drive childhood asthma, which will lead to novel therapies for this common condition. e Critical Discovery in Peanut Allergy - Scientists at BRI recently discovered a critical pathway in peanut allergy that may extend to other food allergies. The pathway is triggered by Interleukin 33 IL-33, a protein that helps drive the immune response that promotes allergic reactions to a substance, such as peanuts, that in most people is generally harmless. f Discovering a Biomarker to Fight Allergies - Scientists are pioneering new allergy research using a rare type of immune cell, called TH2A, identified at BRI that is associated with all allergic diseases. g T Cell Response to Different Challenge - Researchers are working to pinpoint how T cells tailor their response to different challenges, since its becoming clear that T cells play a role not just in fighting infections, but in things as diverse as Alzheimers disease, obesity, and wound repair. h Studying the P13-Kinase Enzyme-Scientists are now taking a closer look at how P13-kinase pathways activate T cells and influence how they develop as well as what happens when this process malfunctions. The P13-kinase work is part of their effort to generate insights that could eventually lead to improved therapies for both fighting cancer and stopping autoimmune diseases. 3 Matrix Biology Research Program a The Pathogenic Nature of the Extracellular Matrix in Rheumatoid Arthritis - Scientists are working to discover whether the extracellular matrix and two of its components, hyaluronan and versican, are remodeled differently in the joint synovium of rheumatoid arthritis patients compared to that of osteoarthritis patients and whether these differences lead to a more pervasive and heightened form of inflammation in RA as compared to OA synovium. b Mechanisms of Inflammation in Viral-triggered Asthma - Working with immunologists and physician-scientists at Seattle Childrens Research Institute, matrix biologists are investigating mechnisms responsible for airway extracellular matrix dysregulation in asthma, and the resulting increased adhesion and activation of leukocytes.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing body delegates to an Executive Committee comprised of four officers of the Board and the Chairs of each standing Board Committee, the authority of the Board of Directors in the management of the corporation as may be deemed by the Executive Committee to be appropriate, to be exercised in time periods between regularly scheduled meetings of the Board of Directors provided that the Executive Committee has the authority to act only in time sensitive or emergency situations. The Director and the Executive Director of the corporation serve as ex officio members of the Executive Committee without voting rights. The Executive Committee does not have the authority to amend, alter or repeal the bylaws elect, appoint or remove any member of such Executive Committee or any director or officer of the corporation amend the articles of incorporation adopt a plan of merger or adopt a plan of consolidation with another corporation authorize the sale, lease or exchange of all or substantially all the property and assets of the corporation not in the ordinary course of business authorize the voluntary dissolution of the corporation or revoke proceedings therefore adopt a plan for the distribution of the assets of the corporation or amend, alter or repeal any resolution of the Board which by its terms provides that it shall not be amended, altered or repealed by such Executive Committee. The Executive Committee also serves as the planning committee for the Board of Directors and oversees any compliance issues raised by the Board of Directors.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6, 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Virginia Mason Health System VMHS is the sole corporate member of Benaroya Research Institute at Virginia Mason BRI. VMHS as the sole voting member has the following approval rights a election or appointment of Directors and Officers of the Board of Directors b removal of Directors and Officers of the Board of Directors including any executive officer of the corporation c approval of all long-range and short-range plans proposed by the Board of Directors d approval of the annual capital and operating budgets proposed by the Board of Directors e approval of the borrowing of funds where the amount borrowed is in excess of Five Hundred Thousand Dollars 500,000 f approval of the sale, lease, exchange, mortgage, pledge or disposal of all or substantially all of the property and assets g approval of all amendments to or repeal of the Agreement Association or the Bylaws of the corporation h all other rights and powers as specified in the Washington Nonprofit Corporation Act.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The VMHS Audit and Compliance Committee ACC, a committee composed of independent community members has been delegated responsibility for oversight of the annual Form 990 preparation process including a selection, engagement, and review of the performance of the independent tax preparer b review of the annual draft Form 990 tax return, and c recommendation of the final Form 990 tax return for review to the BRI Board of Directors. Annually, at the September meeting, management and the tax preparer provides the ACC with an initial draft of the Form 990 and present an overview of the Form 990 preparation process. The final draft Form 990 is reviewed and approved by the ACC in November followed by a Board review of the final Form 990 prior to filing. The final Form 990 tax return is provided to each member of the Board of Directors via electronic delivery.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The VMHS Governance Committee has been delegated accountability for oversight of the process for disclosure, evaluation and management of conflict of interest involving any member of the BRI Board of Directors, executive leadership or key employees Covered Person. Pursuant to the Conflict of Interest Policy, an annual conflict of interest questionnaire is distributed to all Covered Persons. In addition, a Covered Person has an on-going duty to disclose the existence of a conflict of interest at any time an actual or potential conflict arises. Each Covered Person is required upon appointment and annually thereafter to attest to a statement that affirms that such person has a received a copy of the Conflict of Interest Policy b has read and understands the Policy c has agreed to comply with the Policy and d understands that BRI is a charitable organization and that in order to maintain its federal tax exemption must engage in activities that accomplish its tax-exempt purposes. Written disclosures are reviewed by the Governance Committee to determine if an actual or potential conflict of interest exists and if so, how it should be managed. The Covered Person is informed in writing regarding the determination the Conflict of Interest Management Plan. No Covered Person with an actual or potential conflict of interest shall engage in an activity on BRIs behalf related to the disclosed actual or potential Conflict of Interest unless such activity is permitted by the Conflict of Interest Management Plan or until the Covered Person has undertaken all steps set forth in the Management Plan to manage, reduce or eliminate the conflict. All Covered Persons have a duty to disclose the existence of any actual or potential conflict of interest with respect to meeting agenda items. The Conflict of Interest Policy requires that copies of the Conflict of Interest Questionnaire be completed annually by each covered Person and any Conflict of Interest Management Plan be maintained.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The VMHS Compensation and Benefits Board Committee, a committee composed solely of independent directors none of whom have a conflict of interest, is accountable for setting reasonable total compensation packages for each executive, officer and key employee of BRI Executives consistent with BRIs compensation philosophy and principles. The Committee approves annual goals and performance criteria which are used in determining merit increases and variable compensation opportunities. The Committee assesses performance against these goals. The Committee selects and engages a qualified independent compensation consultant to review and analyze the total compensation and benefits packages of the Executives. The Committee as part of its analysis obtains from the compensation consultant appropriate comparability data including total compensation paid by similarly situated organizations for positions that are functionally comparable to each of the Executives. The Committee will consider the significant terms of the agreement with each Executive including the total compensation to be paid and the employees duties and responsibilities. Consistent with the compensation philosophy and principles, the Committee approves total compensation packages for each of the Executives based on information presented to the Committee, reasonableness and the best interest of BRI. The Committees decisions regarding compensation for each Executive are documented in written resolutions and minutes of the Committee. The Committee promptly reports its actions to the VMHS board which reports are reflected in the Boards minutes. The individual positions who were reviewed in 2016 were the Board Director, Carla Greenbaum, BRI Director, and Executive Director and Chief Financial Officer.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organizations Articles, Bylaws, Conflict of Interest Policy and financial statements are made available upon request.</ExplanationTxt>
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