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        <ManagementAndGeneralAmt>294580</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>88229</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19321</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>21845</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>40614</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>436241</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>RESEARCH STUDY COSTS</Desc>
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        <ProgramServicesAmt>376451</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>RESEARCH SUBAWARDS</Desc>
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      <TotalFunctionalExpensesGrp>
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        <EOYAmt>115681</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>9010591</EOYAmt>
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        <EOYAmt>11133168</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-2741544</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc7">
      <MedicalResearchOrganizationInd>X</MedicalResearchOrganizationInd>
      <HospitalNameAndAddressGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>DURHAM VETERAN AFFAIRS HEALTH CARE SYSTEM</BusinessNameLine1Txt>
        </SupportedOrganizationName>
        <CityNm>DURHAM</CityNm>
        <StateAbbreviationCd>NC</StateAbbreviationCd>
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        <DepreciationAmt>32421</DepreciationAmt>
        <BookValueAmt>73047</BookValueAmt>
      </EquipmentGrp>
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        <Desc>OPERATING LEASE RIGHT OF USE, NET</Desc>
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        <Desc>SECURITY DEPOSITS</Desc>
        <BookValueAmt>9523</BookValueAmt>
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        <Desc>OPERATING LEASE LIABILITY</Desc>
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      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>588364</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>13811348</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>60125</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>60125</RevenueNotReportedAmt>
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      <TotalRevenuePerForm990Amt>13751223</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>16492767</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>16492767</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>16492767</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <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, 2025 AND 2024, 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, 2025 AND 2024. SHOULD THE ORGANIZATIONS TAX-EXEMPT STATUS BE CHALLENGED IN THE FUTURE, THE ORGANIZATIONS 2023, 2024, AND 2025 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LIANA PUSCAS MD</PersonNm>
        <TitleTxt>SECRETARY/TREASURER</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>427457</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KENNETH GOLDBERG MD</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>344385</CompensationBasedOnRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>344385</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID EDELMAN MD</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>279588</CompensationBasedOnRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>279588</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALYSHIA SMITH DNP</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>228705</CompensationBasedOnRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>228705</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AMANDA DE HOEDT</PersonNm>
        <TitleTxt>RESEARCH DIR</TitleTxt>
        <BaseCompensationFilingOrgAmt>172072</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>172072</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CAROL MEYER</PersonNm>
        <TitleTxt>EXEC DIR</TitleTxt>
        <BaseCompensationFilingOrgAmt>149979</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>149979</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>INITIATED A FOOD IS MEDICINE PROJECT SERVING VETERANS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL NEW KEY EMPLOYEES AND BOARD MEMBERS ARE REQUIRED ANNUALLY TO COMPLETE A CONFLICT-OF-INTEREST TRAINING COURSE WHICH SPECIFIES ACTION TO BE TAKEN IN THE EVENT OF A PERCEIVED CONFLICT OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <AddressLine1Txt>508 FULTON ST</AddressLine1Txt>
          <CityNm>DURHAM</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27706</ZIPCd>
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      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
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      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
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          <BusinessNameLine1Txt>VETERANS AFFAIRS DEPARTMENT</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
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        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
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</Return>