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        <Amount>224030</Amount>
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        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
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        <Explanation>THE INTERNAL REVENUE SERVICE HAS GRANTED THE FOUNDATION AND ABIM, WHICH ARE NOT PRIVATE FOUNDATIONS, EXEMPTION FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS.</Explanation>
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          <State>PA</State>
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        <ReturnReference>PART I, LINE 2:</ReturnReference>
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        <BonusFilingOrg>13352</BonusFilingOrg>
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        <NontaxableBenefitsRelatedOrgs>33218</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>596140</TotalCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>DANIEL B WOLFSON</NamePerson>
        <BaseCompensationFilingOrg>262690</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>29121</BonusFilingOrg>
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        <ReturnReference>PART I, LINE 1B</ReturnReference>
        <Explanation>DR. CASSEL'S EMPLOYMENT CONTRACT ALLOWS FOR SPOUSAL TRAVEL. THIS ALLOWANCE IS SUBJECT TO ALL APPLICABLE PAYROLL TAXES.</Explanation>
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      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINES 4A-B</ReturnReference>
        <Explanation>PART I, LINE 4B: CHRISTINE CASSEL</Explanation>
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      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE FINANCE DEPARTMENT PROVIDES ALL INFORMATION AND REVIEWS THE FORM 990 PRIOR TO FILING. THE FORM 990 IS THEN MADE AVAILABEL TO THE ENTIRE GOVERNING BODY, VIA EMAIL, FOR COMMENTS AND QUESTIONS. ONCE ALL COMMENTS AND QUESTIONS HAVE BEEN ADDRESSED THE FORM 990 IS APPROVED. THE CFO SIGNS THE FORM 990 AND COMMUNICATES TO THE BOARD OF DIRECTORS THAT THE FORM 990 HAS BEEN FILED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ALL OFFICERS, DIRECTORS OR TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST POLICY AND ANNUAL REMINDERS ARE PERFORMED EACH YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE ORGANIZATION UTILIZES COMPENSATION CONSULTANTS TO PROVIDE MARKET COMPARISONS IN THE AREAS OF CASH COMPENSATION, HEALTH AND WELFARE BENEFITS, RETIREMENT BENEFITS AND EXECUTIVE BENEFITS. THE RESULTS OF THESE COMPENSATION STUDIES ARE REVIEWED BY THE BOARD OF DIRECTORS AND RELATED COMMITTEES OF DIRECTORS. THIS PROCESS IS PERFORMED AS NEEDED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>AVAILABLE UPON REQUEST</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 11,280,947.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>FORM 990, PART XI, QUESTION 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>FORM 990, PART V, LINE 2A AND FORM 990, PART VII: IN ORDER TO SIMPLIFY MANAGEMENT OF THE OVERALL ORGANIZATIONS PAYROLL SYSTEM AND MINIMIZE PAYROLL COSTS, ABIM FOUNDATION USES A COMMON PAYMASTER TO ADMINISTER PAYROLL. THE RELATED ORGANIZATION THAT SERVES IN THIS CAPACITY IS "THE AMERICAN BOARD OF INTERNAL MEDICINE" (EIN: 39-0866228).</Explanation>
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          <State>PA</State>
          <ZIPCode>19106</ZIPCode>
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