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      <InformationTechnology>
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      <Royalties>
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      <Travel>
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      <TravelEntrtnmntPublicOfficials>
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        <Identifier>Severance Payments Paid During the Year</Identifier>
        <ReturnReference>Sch J Pt I Line 4a</ReturnReference>
        <Explanation>During the 2010 tax year, the following individuals received severance payments from Altarum Institute. Severance payments are included in the total of B(iii) Other Compensation: Jamie Solak $111,099 Lauren Thompson $6,538</Explanation>
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        <Identifier>Supplemental Nonqualified Retirement Plan</Identifier>
        <ReturnReference>Sch J Pt I Line 4b</ReturnReference>
        <Explanation>Altarum Institute administers a supplemental nonqualified IRC Section 457(f) plan for its senior executives and another such plan for middle management. These IRC Section 457(f) plans provide specific time deferrals of incentive compensation for these employees. The following individuals deferred the listed amounts of 2009 incentive compensation under the plans in which they qualified: Lincoln T Smith $345,023 Mark A Kielb $248,314 Patricia H Ferguson $172,364 Jeff G Moore $179,024 Michael N Potter $232,252 James A Lee $211,274 Glen Greenlee $233,080 Jesse Milan, Jr. $206,393 Douglas R Gilbert $61,356 Eric P Gelman $76,695 Charles S Roehrig $47,551 Dan C. Armijo $59,055</Explanation>
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        <Identifier>Describe the Process used by Management &amp;/or Governing Body to Review 990</Identifier>
        <ReturnReference>Form 990, Part VI, Question 11A</ReturnReference>
        <Explanation>1. IRS Form 990 is prepared externally by Altarums tax accounting firm. The process is managed by the office of the Chief Financial Officer. With appropriate guidance from the tax accountants, information gathering and reporting is primarily conducted by the Controller. As part of the information gathering process, the Controller works with Altarum Institute Officers and other managers as necessary. 2. The Chief Financial Officer, also a Trustee of Altarum Institute, presents the completed draft Form 990 to the Chair of the audit committee of the Altarum Institute Board of Trustees. This Committee has been designated by the Board to review the Form 990 to either approve as written or make suggested modifications, drawing upon whatever Board Committees or individual Trustees it deems necessary. 3. Once reviewed and approved for submission, the Chair of the audit Committee notifies the Chief Financial Officer that the Form is ready for submission to the IRS. 4. The Chief Financial Officer provides a copy of the form 990 to each member of the board of trustees prior to filing. 5. The Chief Financial Officer instructs the external tax accountants to finalize the IRS Form 990 and present it for signature and filing with the IRS.</Explanation>
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      <GeneralExplanation>
        <Identifier>Description of Process to Monitor Transactions for Conflicts of Interest</Identifier>
        <ReturnReference>Form 990, Part VI, Question 12c</ReturnReference>
        <Explanation>Annually, each member of the Board of Trustees and every officer must complete and submit a disclosure form to the Director of Legal Affairs. Included in the disclosure is any employment, board membership, compensatory arrangements, material interests, etc. with other entities. The Director of Legal Affairs inputs all of the information into a database so that material transactions can be checked against all of the data provided in the disclosure forms. Also, pursuant to policy, the board members and officers have to disclose any interests in or relationship with an entity that Altarum is pursuing a transaction with (at the time of the board member or officer becoming aware of the potential Altarum relationship). In the event of a potential conflict of interest, the interested person must disclose all material facts, and the disinterested board members (in the absence of the interested person) discuss and vote upon whether or not an actual conflict of interest exists. If a conflict of interest exists, then alternative transactions or arrangements will be sought out and considered. If no alternative transaction is suitable, the disinterested members of the board determine whether or not the conflicted transaction is in Altarum's best interests and determine if the terms of the transaction are fair and reasonable. Upon a conflict of interest occurring that was not disclosed, the interested person must explain the failure to disclose the alleged conflict. After hearing the explanation and conducting any necessary further investigation, the board will take appropriate disciplinary and corrective action.</Explanation>
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        <Identifier>Offices &amp; Positions for Which Process was Used, &amp; Year Process was Begun</Identifier>
        <ReturnReference>Form 990, Part VI, Question 15a &amp; 15b</ReturnReference>
        <Explanation>The Altarum Institute Compensation Committee meets every year for the purpose of reviewing, determining and approving compensation for the executive employees of Altarum Institute. The committee meets in February to evaluate the reasonableness of the amount and conformity with Altarum Institute policies and prior Committee approvals. Review of prior year total compensation also occurs at the February meeting. Executive Positions included in review are: 1. President &amp; CEO 2. Chief Financial Officer 3. Chief Operations Officer 4. Chief HR Officer 5. Chief Development Officer 6. Group Operations Director(s) 7. Business Development Officer The following information is considered as part of the determination of compensation: 1. Independent and current Salary Survey information compiled by Mercer Human Resource Consulting 2. Independent and current Salary Survey information compiled by Watson Wyatt Worldwide. 3. Independent and current Salary Survey information compiled by Economic Research Institute. 4. Review of employee performance evaluation data summarized by the President and CEO. After discussion, assuming there are no issues with the reasonableness of the compensation as documented in the record, all members of the compensation committee vote on the compensation presented. If the compensation packages presented are approved as reasonable and in conformity with Altarum Institute's policies, the compensation committee then submits the compensation packages for approval by the board of trustees. After reviewing and discussing the recommendation of the compensation committee, the board of trustees votes on the recommendations.</Explanation>
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      <GeneralExplanation>
        <Identifier>Explain Changes in Net Assets</Identifier>
        <ReturnReference>Part XI, Line 5</ReturnReference>
        <Explanation>Profit from Subsidiaries $1,542,532</Explanation>
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      <GeneralExplanation>
        <Identifier>Avail of Gov Docs, Conflict of Interest Policy, &amp; Fin Stmts to Gen Public</Identifier>
        <ReturnReference>Form 990, Part VI, Question 19</ReturnReference>
        <Explanation>All available upon request</Explanation>
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      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Altarum Supporting Organization</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>3000000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Altarum Supporting Organization</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
        <AmountInvolved>855969</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Altarum Supporting Organization</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>929229</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>KAI Research Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>24388</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Altarum Supporting Organization</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>7987204</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Green Court Holdings</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>1146</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Altarum Asset Management Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>72843</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Health Systems Research Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>60821</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>KAI Research Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>1427045</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>