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        <ManagementAndGeneral>0</ManagementAndGeneral>
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      <OtherExpenses>
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        <ReturnReference>Schedule J, Part I, Line 1a</ReturnReference>
        <Explanation>EMPLOYEES THAT ARE EMPLOYED OUTSIDE OF THE UNITED STATES HAVE LOCAL HOUSING COSTS PAID BY FHI.</Explanation>
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        <Explanation>FHI'S AUDIT COMMITTEE OF THE BOARD OF DIRECTORS SERVES AS THE COMPENSATION COMMITTEE AND SETS THE CEO'S COMPENSATION BASED ON PERFORMANCE REVIEW AND COMPARABILITY DATA FOR BOTH NOT-FOR-PROFIT AND FOR PROFIT ORGANIZATIONS. FURTHER DETAILS OF THE COMMITTEE'S ACTIVITIES ARE RECORDED AS FHI'S RESPONSE TO PART VI LINE 15B.</Explanation>
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        <Explanation>CHARLES S SMOOT RESIGNED IN AUGUST OF 2009 AND WAS PAID SEVERANCE AND CONSULTING FEES OF 153,040 DURING THE YEAR ENDED SEPTEMBER 30, 2010.</Explanation>
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        <ReturnReference>Form 990, Part VI, Section A, Line 3</ReturnReference>
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      <GeneralExplanation>
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        <ReturnReference>Form 990, Part VI, Section B, Line 11</ReturnReference>
        <Explanation>FORM 990 IS COMPLETED BY FHI'S FINANCE, ACCOUNTING, AND LEGAL TEAM IN CONSULTATION WITH ERNST &amp; YOUNG LLP. A FINAL REVIEW IS PERFORMED BY THE CFO, GENERAL COUNSEL, AND CEO. THE 990 IS THEN REVIEWED BY THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS WITH COPIES PROVIDED TO ALL BOARD MEMBERS. AFTER APROVAL HAS BEEN OBTAINED, THE 990 IS SUBMITTED TO THE IRS.</Explanation>
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      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12c</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>FHI POLICY 020, "CONFLICTS OF INTEREST', ADOPTED BY BOARD RESOLUTION IS APPLICABLE TO EACH BOARD MEMBER AS WELL AS EACH EMPLOYEE. A DISCLOSURE FORM IS COMPLETED BY EACH BOARD MEMBER AT THEIR TIME OF APPOINTMENT AND BY EVERY EMPLOYEE AT THE INITIATION OF THEIR EMPLOYMENT. STATEMENTS COMPLETED BY BOARD MEMBERS ARE FILED WITH THE BOARD CHAIR. STATEMENTS BY U.S. BASED EMPLOYEES ARE FILED WITH THE HUMAN RESOURCES DEPARTMENT. STATEMENTS BY NON U.S. BASED EMPLOYEES ARE FILED WITH THE RELATED COUNTRY DIRECTOR AND HR OFFICE. THE POLICY REQUIRES DISCLOSURE ON AN ONGOING BASIS OF ANY CONFLICTS AS THEY ARISE. ADDITIONALLY, IN JULY OF EACH YEAR, FHI'S ASSISTANT CORPORATE SECRETARY OBTAINS A DISCLOSURE STATEMENT FROM EACH BOARD MEMBER FOR FILING WITH THE BOARD CHAIR AND FROM ALL EMPLOYEES AT THE LEVEL OF DIRECTOR AND ABOVE WHICH IS FILED WITH THE CEO. FHI'S CODE OF ETHICS AND CONDUCT, WHICH REFERENCES AND SUMMARIZES THE CONFLICTS OF INTEREST POLICY AND OTHER EXPECTATIONS REGARDING CONDUCT AND ETHICAL STANDARDS, IS PROVIDED TO EACH BOARD MEMBER UPON APPOINTMENT AND TO EACH EMPLOYEE UPON EMPLOYMENT. EACH SIGNS A STATEMENT THAT THEY HAVE REVIEWED THE FHI CODE OF CONDUCT.</Explanation>
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      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L15</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15</ReturnReference>
        <Explanation>BOTH THE FHI BYLAWS IN ESTABLISHING THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS, AND THE CHARTER OF THE AUDIT COMMITTEE, PROVIDE THAT THE AUDIT COMMITTEE SHALL SERVE AS THE CORPORATE COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE CORPORATION'S PRINCIPAL OFFICERS. THE AUDIT COMMITTEE, SERVING IN THIS CAPACITY, CONSTITUTES A COMMITTEE THAT IS INDEPENDENT OF THE COMPENSATED OFFICERS. ON AN ANNUAL BASIS, THE COMMITTEE OBTAINS COMPARABILITY DATA FOR THE POSITIONS REFLECTING A SAMPLE OF BOTH NOT-FOR-PROFIT AND COMMERCIAL ORGANIZATIONS, AND AN EXTERNAL SURVEY OF DATA SUCH AS THE RADFORD LIFE SCIENCES SURVEY, WHICH PROVIDES COMPENSATION AND PRACTICES DATA FOR 650 MULTINATIONAL LIFE SCIENCES COMPANIES. ADDITIONALLY, FOR EACH POSITION (EXCEPT FOR THAT OF THE CEO), THE COMMITTEE OBTAINS THE CEO'S RECOMMENDATIONS FOR OFFICER COMPENSATION LEVELS FOR THE COMING YEAR. THE COMMITTEE MEETS IN EXECUTIVE SESSION (INITIALLY WITH THE CEO) TO REVIEW THE CEO'S RECOMMENDATIONS AND ASSESSMENTS OF INDIVIDUAL PERFORMANCES DURING THE PRIOR YEAR. THEN, WITHOUT THE PRESENCE OF THE CEO, THE COMMITTEE MEETS TO (1) CONSIDER THE CEO'S PERFORMANCE DURING THE PRIOR YEAR;(2)CONSIDER THE CEO'S ASSESSMENT OF CORPORATE OFFICER PERFORMANCE AND RELATED RECOMMENDATIONS; (3) REVIEW THE RELEVANT COMPARABILITY DATA; (4) ESTABLISH OFFICER COMPENSATION LEVELS FOR THE COMING YEAR; AND (5) DOCUMENT THE COMMITTEE'S DELIBERATIONS AND DECISIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0C_L19</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>FHI'S ORGANIZATIONAL CHARTER IS AVAILABLE THROUGH THE WEBSITE OF THE NORTH CAROLINA SECRETARY OF STATE. FHI'S FORM 990, AUDITED FINANCIAL STATEMENTS AND CONFLICTS OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P07_S0A_L01a</Identifier>
        <ReturnReference>Form 990, Part VII, Section A, Line 1a</ReturnReference>
        <Explanation>MARJORIE NEWMAN-WILLIAMS HIRED AFTER DECEMBER 31, 2009 THEREFORE NO 2009 W-2 COMPENSATION TO REPORT. HUBERT GRAVES WAS HIRED SEPTEMBER 1, 2010. HIS SERVICES PRIOR TO THAT TIME WERE PAID TO A MANAGEMENT SERVICES PROVIDER. THAT VALUE IS SHOWN IN PART VII SECTION A. CHRISTOPH HAMELMANN AND NZAPFURUNDI CHABIKULI ARE NOT U.S. CITIZENS AND ARE EMPLOYED OUTSIDE OF THE UNITED STATES AND THEREFORE THEY DO NOT RECEIVE W-2 FORMS. DR SIEMENS IS EMPLOYED AN AVERAGE OF 4 HOURS PER WEEK BY NOVELLA AND MR. WHITEHORNE AVERAGES 3 HOURS PER WEEK BETWEEN NOVELLA AND THE FOUNDATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>SchR_P05_S00_L01c</Identifier>
        <ReturnReference>Schedule R, Part V, Line 1c</ReturnReference>
        <Explanation>FAMILY HEALTH INTERNATIONAL FOUNDATION CONTRIBUTION TO SUPPORT RESEARCH</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>SchR_P05_S00_L01k</Identifier>
        <ReturnReference>Schedule R, Part V, Line 1k</ReturnReference>
        <Explanation>NOVELLA CLINICAL RESEARCH SERVICES</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>SchR_P05_S00_L01l</Identifier>
        <ReturnReference>Schedule R, Part V, Line 1l</ReturnReference>
        <Explanation>NOVELLA CLINICAL PAYMENT FOR RESEARCH SERVICES</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>SchR_P05_S00_L01p</Identifier>
        <ReturnReference>Schedule R, Part V, Line 1p</ReturnReference>
        <Explanation>FAMILY HEALTH INTERNATIONAL FOUNDATION REIMBURSEMENT FOR BOARD MEETING EXPENSES</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <BusinessNameLine1>FAMILY HEALTH INTERNATIONAL FOUNDATION</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>PO BOX 13950</AddressLine1>
          <City>RESEARCH TRIANGLE PARK</City>
          <State>NC</State>
          <ZIPCode>27709</ZIPCode>
        </AddressUS>
        <EIN>561719871</EIN>
        <PrimaryActivities>PROVIDE SUPPORT FUNDS TO FHI</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>509A3</ExemptCodeSection>
        <PublicCharityStatus>I</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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          <BusinessNameLine1>NOVELLA CLINICAL</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>SUITE 400 EMPEROR BLVD</AddressLine1>
          <City>DURHAM</City>
          <State>NC</State>
          <ZIPCode>27703</ZIPCode>
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        <EIN>562095062</EIN>
        <PrimaryActivity>CLINICAL TRIALS</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FHI FDN</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>0</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>NOVELLA CLINICAL</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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        <AmountInvolved>1014408</AmountInvolved>
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      <TransactionsRelatedOrgsTable>
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        <AmountInvolved>87747</AmountInvolved>
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    </IRS990ScheduleR>
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      <Explanation>EXTENSION APPLICATION WAS COMPLETED ON A TIMELY BASIS</Explanation>
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