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        <AddressLine1>888 Commonwealth Avenue 3rd Floor</AddressLine1>
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      <Name>Ann Quandt</Name>
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      <WebSite>www.pih.org</WebSite>
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      <ActivityOrMissionDescription>Partners In Health's mission is to provide a preferential option for the poor in health care. By establishing long-term relationships with sister organizations based in settings of poverty, Partners In Health strives to achieve two overarching goals: to bring the benefits of modern medical science to those most in need of them and to serve as an antidote to despair.</ActivityOrMissionDescription>
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      <MissionDescription>Partners In Health's mission is to provide a preferential option for the poor in health care. By establishing long-term relationships with sister organizations based in settings of poverty, Partners In Health strives to achieve two overarching goals: to bring the benefits of modern medical science to those most in need of them and to serve as an antidote to despair. We draw on the resources of the world's leading medical and academic institutions and on the lived experience of the world's poorest and sickest communities. At its root, our mission is both medical and moral. It is based on solidarity, rather than charity alone. When our patients are ill and have no access to care, our team of health professionals, scholars, and activists will do whatever is takes to make them well - just as we would do if a member of our own families or ourselves were ill.</MissionDescription>
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      <Description>Since the beginning of the cholera outbreak, PIH/Zanmi Lasante (ZL) has been at the forefront of advocating for a comprehensive response to the cholera epidemic in Haiti, including treatment, clean water programs, hygiene improvement, and education, as well as vaccination. In April, working with the Haitian Ministry of Health, PIH/ZL began providing oral vaccinations to approximately 45,000 people living in the country's Artibonite region. PIH/ZL community health workers delivered two doses of the vaccine to participants. Between 60 and 80 percent of eligible recipients in the targeted area received vaccines, and 91 percent of those who received the first dose also received the second - an outstanding completion rate. After initial skepticism about the use of the vaccine, the Pan American Health Organization issued a recommendation in August to use the cholera vaccine more widely in Haiti, based in part on data from the project, and the World Health Organization endorsed a recommendation that a global stockpile of 2 million cholera vaccine doses be created to respond to outbreaks around the world. Responding to the Ministry of Health's call to train a new generation of health care providers to meet the needs of Haiti's population, PIH/ZL launched a family medicine residency and nurse education programs in 2011. Partnering with Haiti's national medical school, in January 2012 PIH/ZL welcomed the first class of six residents to the program, based at Hospital Saint Nicolas in St. Marc. The nurse education program has improved the quality of patient care and is setting a new standard of practice for nursing professionals in Haiti. Made possible through the support of the Clinton Bush Haiti Fund and other generous donors, the medical education program in St. Marc strives to develop the skills of physicians and nurses in Haiti's public medical system. Poverty and disease affect women disproportionately, and PIH/ZL has worked to offer high-quality services to women for 25 years. Today, Pwoje Sante Fanm offers comprehensive, community-based health care in rural areas home to 250,000 women. This year the project worked to reduce maternal and infant deaths by providing mothers' waiting houses, safe spaces near the hospital where women can stay before their due dates, ensuring access to health services when labor starts. Working from existing health programs and in partnership with the Ministry of Health, PIH/ZL launched Haiti's first comprehensive breast cancer program across the area PIH/ZL serves. So far, the program has screened and treated hundreds of women, trained doctors and nurses in breast cancer detection and treatment, including chemotherapy and surgery, and integrated breast cancer awareness into health education efforts. After the 2010 earthquake destroyed much of Haiti's largest public teaching hospital and nursing school, the Ministry of Health asked PIH/ZL to scale up plans for a small community hospital in Mirebalais. The result is Hopital Universitaire de Mirebalais- a 205,000-square foot, 300-bed teaching hospital that will train the next generation of Haitian physicians and health professionals in comprehensive and specialized health care services. With construction completed in late 2012, PIH/ZL continues operational planning. When opened in early 2013, the hospital will employ an estimated 800 people, including 175 community health workers, and see about 500 patients daily. Based on a July 2012 review of available information on solar panels worldwide, HUM is positioned to be the largest solar-powered hospital in the world to produce more than 100 percent of its energy needs during peak daylight hours.</Description>
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        <Description>Recognizing the growing burden of cancer in the developing world, PIH/Inshuti Mu Buzima (IMB) launched an ambitious plan to bring comprehensive cancer care to rural east Africa in collaboration with the Rwandan Ministry of Health and the Harvard-affiliated Dana-Farber/Brigham and Women's Cancer Center. In March, 61 Rwandan doctors and nurses from 10 hospitals participated in a seven-day training on cancer diagnostics and care with 22 expert trainers. In July, PIH/IMB inaugurated the Cancer Center of Excellence at Butaro Hospital, with former U.S. President Bill Clinton in attendance. The Center offers prevention, pathology-based diagnosis, chemotherapy, surgery, referral for radiotherapy, follow-up, and palliative care, as well as social and economic support. The Center is a national referral facility, and PIH/IMB has contributed to national policy and implementation planning on cancer care. In Rwanda, the vast majority of care is delivered by nurses at community health centers. Initiated in 2010, the Mentorship, Enhanced Supervision, and Quality Improvement program is designed to improve the quality of care through intensive training, mentoring, and supervision of health center nurses across many types of care. Two years into the program, there has been an impressive increase in the quality of care provided to patients. In Rwanda, a disproportionate number of child deaths occur in the first month of life. In response, PIH/IMB began work in communities, health centers, and hospitals to train nurses, equip facilities, and develop protocols for care with integrated monitoring and evaluation. PIH/IMB opened a new neonatal unit at Kirehe Hospital and broke ground on a fully equipped neonatal facility at Rwinkwavu Hospital. PIH/IMB aims to eliminate preventable neonatal deaths in the areas it serves by the end of 2013. In February, PIH/IMB's Center for Training and Operational Research in Rwinkwavu became a Harvard University satellite campus, as 30 global health leaders from across Rwanda, Burundi, and the U.S. gathered to learn from each other and leading academics from Harvard Medical School and the Rwandan Ministry of Health. Participants analyzed Harvard case studies of global health projects from around the world and learned from Rwandan expert implementers. The course will be offered regularly to global health leaders from across Africa and beyond.</Description>
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        <Description>PIH/Lesotho (PIH/L) works to improve the health of eight remote mountain communities, providing integrated services for maternal and child health as well as HIV and tuberculosis, while managing the national program to treat multidrug-resistant tuberculosis (MDR-TB). PIH/L continued its success in providing comprehensive care in pregnancy, delivery, and beyond to save the lives of women and newborns in the country's challenging mountainous terrain. This year, PIH/L supported training for nurse-midwives on neonatal resuscitation and on using ultrasound as part of antenatal care, which helps identify risk factors and gives women a first glimpse of their babies. To prevent needless deaths in complicated deliveries, PIH/L has increased its capacity to provide emergency obstetric care by renovating an operating room in Mamohau Hospital and hiring an obstetrician-gynecologist and nurse anesthetist. All eight facilities now offer family planning and mothers' waiting houses, which provide women a place to stay before their due dates so they can avoid grueling travel during labor. Lesotho has one of the highest child mortality rates in the world- about one of every nine children dies before age 5, according to the 2009 Lesotho Demographic and Health Surveys- yet PIH/L clinics were not seeing many children for illness. In response, PIH/L this year began conducting outreach to families with young children. Through a door-to-door survey, PIH/L sought to identify every child 5 years old and younger in the areas our clinics serve. The survey helped explain why so few children visited the clinics: out of 7,655 children included in the survey, one in three reported traveling five or more hours to reach the nearest center, often by foot, and at least 9 percent had lost one or both parents. PIH/L community health workers worked to reach all these children with services, including screening, testing, and treatment for HIV, TB, and malnutrition, as well as immunization, deworming, and nutritional supplements. PIH/L has begun to provide services to children not identified in the survey, which suggests that families from beyond PIH/L areas are bringing their children for care. PIH/L developed and now manages the national program to treat MDR-TB in partnership with the Lesotho Ministry of Health, treating more than 770 patients throughout the country since 2007. It continues to be a model for other nations in Africa, particularly in treating patients who are sick with both MDR-TB and HIV. This year PIH/L hosted the international meeting of TB Care, a USAID funded project to address tuberculosis worldwide; contributed to a managers guide for drug-resistant TB, and provided training and technical assistance to clinicians and program managers from Malawi, Tanzania, and Cameroon, among other countries. PIH/L completed construction of a new national TB reference laboratory that will expand capacity in the country to diagnose MDR-TB. PIH/L also published a peer-reviewed paper about its treatment of children with MDR-TB, showing that nearly 90 percent of pediatric patients were successfully treated- a success rate among the highest in the world.</Description>
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        <CurrentYearMinus2>116575</CurrentYearMinus2>
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        <CurrentYearMinus2>250000</CurrentYearMinus2>
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        <Description>Fixed Income Bonds &amp; Notes</Description>
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      <OtherSecurities>
        <Description>Private Equity &amp; Hedge Funds</Description>
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      <Form990ScheduleDPartXIV>
        <Identifier>SchD_P04_S00_L02b</Identifier>
        <ReturnReference>Schedule D, Part IV, Line 2b</ReturnReference>
        <Explanation>Partners In Health had served as a custodian for several small partner organizations. This included receiving revenue and paying expense.</Explanation>
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        <Identifier>SchD_P10_S00_L02</Identifier>
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        <Explanation>PIH is an organization described under Section 501(c)(3) of the Internal Revenue Code (IRC) and is generally exempt from income taxes under IRC Section 501(a). PIH has determined that it has taken no significant uncertain tax positions and accordingly no provision for income taxes has been recorded. PIH recognizes the financial statement benefit of a tax position only after determining that the relevant tax authority would more likely than not sustain the position following an audit. For tax positions meeting the more-likely-than-not threshold, the amount recognized in the financial statements is the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement with the relevant tax authority. PIH has applied this more-likely-than-not threshold to all tax positions for which the statute of limitations remained open and determined there were no material unrecognized tax benefits as of that date. In addition, there have been no material changes in unrecognized benefits since adoption. It is PIH's policy to record estimated interest and penalties (if any) as part of management and general expense. Management believes that PIH's income tax returns for fiscal years 2009 and prior are no longer subject to examination by taxing authorities.</Explanation>
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        <NumberOfOffices>3</NumberOfOffices>
        <NumberOfEmployees>7412</NumberOfEmployees>
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      <AcctsActvsOutUSTable>
        <Region>Russia and the newly independent States</Region>
        <NumberOfOffices>2</NumberOfOffices>
        <NumberOfEmployees>31</NumberOfEmployees>
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        <Region>South America</Region>
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        <NumberOfEmployees>388</NumberOfEmployees>
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      <AcctsActvsOutUSTable>
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          <City>Washington</City>
          <State>DC</State>
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          <City>Seattle</City>
          <State>WA</State>
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          <City>Weston</City>
          <State>MA</State>
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        <Explanation>Compensation information: Housing allowance or residence for personal use: PIH provides housing in some circumstances for certain staff members working in remote areas and occasionally for their families as a condition of employment for the convenience of PIH. Dr. Paul Farmer, an Officer and Director of PIH, his wife Didi Bertrand, an employee of PIH Rwanda, and their three children, have a home in Kigali, the capital city of Rwanda, the costs of which they pay themselves. When members of the Farmer family are in Rwinkwavu, where PIH's main facilities are located, PIH provides the use of a house for the family as a condition of employment to better serve PIH's need for their service in Rwinkwavu. A meaningful valuation of the housing provided by PIH is not really possible due to its location and the absence of comparability data. Discretionary Spending Account: Dr. Paul Farmer, a founder, officer and Director, who receives no compensation from PIH, travels extensively to remote locations on behalf of PIH to advise on clinical strategy and healthcare operations. He also does a fair amount of travel for fundraising purposes. To facilitate these efforts where transactions receipts are often not available or are for small amounts (i.g., taxi fare) where a receipt would not be required for reimbursement, PIH has provided Dr. Farmer with an ATM card for periodic cash withdrawals for business purposes each month. Paul Farmer's support team also holds a petty cash account worth $700 to support his incidental travel expenses. The Executive Director, who is very familiar with Dr. Farmer's travel, his business obligations and the nature of his expenses reviews and approves a summary of the cash withdrawals each month. The total spending from this account totaled $4,981.03 for fiscal year 2012.</Explanation>
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        <MethodOfDeterminingRevenues>Fair Value</MethodOfDeterminingRevenues>
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      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
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      </OtherNonCashContributionsTable>
      <NumberOf8283Received>0</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>0</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>1</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>0</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
        <Identifier>SchM_P01_S00_L09</Identifier>
        <ReturnReference>Schedule M, Part I, Line 9</ReturnReference>
        <Explanation>PIH tracked security contributions by donor in FY12. PIH received stock gifts from 121 individual donors.</Explanation>
      </Form990ScheduleMPartII>
      <Form990ScheduleMPartII>
        <Identifier>SchM_P01_S00_L19</Identifier>
        <ReturnReference>Schedule M, Part I, Line 19</ReturnReference>
        <Explanation>PIH tracked noncash contributions by donor in FY12. PIH received food inventory for use at fundraising events from 1 donor.</Explanation>
      </Form990ScheduleMPartII>
      <Form990ScheduleMPartII>
        <Identifier>SchM_P01_S00_L20</Identifier>
        <ReturnReference>Schedule M, Part I, Line 20</ReturnReference>
        <Explanation>PIH tracked drug and medical supply donations by donor in FY12. PIH received drug and medical supplies contributions from 30 donors and corporations.</Explanation>
      </Form990ScheduleMPartII>
      <Form990ScheduleMPartII>
        <Identifier>SchM_P01_S00_L25</Identifier>
        <ReturnReference>Schedule M, Part I, Lines 25-28</ReturnReference>
        <Explanation>PIH tracked noncash contributions by donor in FY12. PIH received computer hardware from 1 donor in FY12. PIH received construction material donations from 1 donor. PIH also received office furniture from 3 donors.</Explanation>
      </Form990ScheduleMPartII>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="R000011" softwareId="11000129" softwareVersion="v1.00">
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L02</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 2</ReturnReference>
        <Explanation>Directors Albert Kaneb and Diane E. Kaneb are married to one another.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L04</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 4</ReturnReference>
        <Explanation>Partners In Health has clarified the by-laws to state that there shall be an Executive Committee. The Executive Committee is comprised of officers and governors of the corporation. The Committee is responsible for supervising the operation of the corporation, subject to the policies and directives of the Board of Governors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L11b</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>The Form 990 is prepared by the Finance Office staff and is reviewed carefully by the PIH Vice President of Finance. The Form 990 is then reviewed by CBIZ Tofias, PIH's tax advisor. A complete draft of the Form 990 is then reviewed by the PIH Executive Director and the Chief Operating Officer. This draft is then provided to the Audit and Investment Committee for their review. Finally, the Form 990 is provided to the full Board of Governors prior to filing. Any and all questions and comments are addressed by the PIH Vice President of Finance, who engages CBIZ Tofias in the discussion whenever relevant or necessary.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12c</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>Each year, all PIH officers and board members are required to review the organization's conflict of interest policy and indicate their compliance in writing. Throughout the year, PIH senior leadership reviews major contracts and expenditures. Any arrangements or expenditures that might give rise to a conflict of interest either in fact or appearance would be raised to the Executive Committee and the Board of Governors for discussion and disposition. The Board reserves the right to disallow any such transaction, arrangement or other working relationship and/or to ask the interested person to remove him or herself from any discussion or vote on the matter. The Board shall determine the existence of a conflict of interst by a majority vote of the disinterested directors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L14</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 14</ReturnReference>
        <Explanation>Partners In Health has document retention and destruction policies that it adheres to although these policies have not been approved by the Board of Governors or an authorized committee of the Board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L15</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15</ReturnReference>
        <Explanation>The Compensation Committee of the Board of Governors, none of whose members have a conflict of interest, is charged with reviewing the proposed compensation of the Executive Director and of the Officers of the organization. Comparability data for similarly qualified persons in functionally comparable positions at similarly situated organizations is prepared by the organization and reviewed by the Compensation Committee before forming its conclusions. The deliberation and decision are documented in the minutes contemporaneously.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0C_L19</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>Partners In Health posts a copy of its annual report, its audited financial statements, and its Form 990 on its website and provides copies to anyone who inquires. PIH also provides a copy of its Articles of Organization, its by-laws, and its conflict of interest policy on its website for any interested person to view.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P11_S00_L05</Identifier>
        <ReturnReference>Form 990, Part XI, Line 5</ReturnReference>
        <Explanation>Unrealized Gain/Loss on Investments was a gain of 393,202. Currency Translation Adjustment was a loss of 47,297.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="R000012" softwareId="11000129" softwareVersion="v1.00">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Socios En Salud - Sucursal Peru</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressForeign>
          <AddressLine1>Av Merino Reyna 575 06 Porras B</AddressLine1>
          <City>Carabayllo</City>
          <Country>PE</Country>
        </AddressForeign>
        <PrimaryActivities>Healthcare</PrimaryActivities>
        <LegalDomicileForeignCountry>PE</LegalDomicileForeignCountry>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Inshuti Mu Buzima (Rwanda)</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressForeign>
          <AddressLine1>Rwinkwavu</AddressLine1>
          <City>Rwinkwavu</City>
          <Country>RW</Country>
        </AddressForeign>
        <PrimaryActivities>Healthcare</PrimaryActivities>
        <LegalDomicileForeignCountry>RW</LegalDomicileForeignCountry>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Partners In Health - Lesotho</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressForeign>
          <AddressLine1>New Europa 438 Pope John Paul</AddressLine1>
          <City>Maseru</City>
          <Country>LT</Country>
        </AddressForeign>
        <PrimaryActivities>Healthcare</PrimaryActivities>
        <LegalDomicileForeignCountry>LT</LegalDomicileForeignCountry>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Partners In Health - Malawi</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressForeign>
          <AddressLine1>PO Box 56 Neno Boma 624200</AddressLine1>
          <City>Neno</City>
          <ProvinceOrState>Neno District</ProvinceOrState>
          <Country>MI</Country>
        </AddressForeign>
        <PrimaryActivities>Healthcare</PrimaryActivities>
        <LegalDomicileForeignCountry>MI</LegalDomicileForeignCountry>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PIH - Canada</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressForeign>
          <AddressLine1>c/o St Paul University</AddressLine1>
          <AddressLine2>223 Main Street</AddressLine2>
          <City>Ottawa</City>
          <ProvinceOrState>Ontario</ProvinceOrState>
          <Country>CA</Country>
        </AddressForeign>
        <PrimaryActivities>International Development</PrimaryActivities>
        <LegalDomicileForeignCountry>CA</LegalDomicileForeignCountry>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Partners In Health - Russia</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressForeign>
          <AddressLine1>11 13 Trekprudniy Pereulok 10</AddressLine1>
          <City>Moscow</City>
          <Country>RS</Country>
        </AddressForeign>
        <PrimaryActivities>Healthcare</PrimaryActivities>
        <LegalDomicileForeignCountry>RS</LegalDomicileForeignCountry>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Partners In Health - Kazahkstan</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressForeign>
          <AddressLine1>99 Gogol Street 19</AddressLine1>
          <City>Almaty</City>
          <Country>KZ</Country>
        </AddressForeign>
        <PrimaryActivities>Healthcare</PrimaryActivities>
        <LegalDomicileForeignCountry>KZ</LegalDomicileForeignCountry>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Companeros En Salud - Mexico</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressForeign>
          <AddressLine1>5a Avenida Norte Poniente No 42</AddressLine1>
          <AddressLine2>frente al hospital</AddressLine2>
          <City>Angel Albino Corzo</City>
          <ProvinceOrState>Chiapas CP</ProvinceOrState>
          <Country>MX</Country>
          <PostalCode>30370</PostalCode>
        </AddressForeign>
        <PrimaryActivities>Healthcare</PrimaryActivities>
        <LegalDomicileForeignCountry>MX</LegalDomicileForeignCountry>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>The River Street Development Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>888 Commonwealth Avenue 3rd Floor</AddressLine1>
          <City>Boston</City>
          <State>MA</State>
          <ZIPCode>02215</ZIPCode>
        </AddressUS>
        <EIN>522117495</EIN>
        <PrimaryActivities>Support PIH</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 Type II</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</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>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Inshuti Mu Buzima (Rwanda)</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>11508431</AmountInvolved>
        <MethodOfAmtDetermination>Amount is determined based on fiscal year budget proposal from site, budget review, revision, and PIH Board approval</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Inshuti Mu Buzima (Rwanda)</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>443400</AmountInvolved>
        <MethodOfAmtDetermination>This amount represents payments processed by PIH in Boston to contractors performing their jobs at the country sites</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Inshuti Mu Buzima (Rwanda)</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>542489</AmountInvolved>
        <MethodOfAmtDetermination>PIH in Boston raises funds for all country sites. These expenses are allocated based on the proportion that the site expenses bear to the total program expenses across all sites.</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Inshuti Mu Buzima (Rwanda)</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>299886</AmountInvolved>
        <MethodOfAmtDetermination>This amount represents HR costs (excluding consultant costs) paid by PIH in Boston to employees performing their jobs for the sites</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Socios En Salud - Sucursal Peru</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>2381662</AmountInvolved>
        <MethodOfAmtDetermination>Amount is determined based on fiscal year budget proposal from site, budget review, revision, and PIH Board approval</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Socios En Salud - Sucursal Peru</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>285930</AmountInvolved>
        <MethodOfAmtDetermination>This amount represents payments processed by PIH in Boston to contractors performing their jobs at the country sites</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Socios En Salud - Sucursal Peru</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>271552</AmountInvolved>
        <MethodOfAmtDetermination>PIH in Boston raises funds for all country sites. These expenses are allocated based on the proportion that the site expenses bear to the total program expenses across all sites.</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Socios En Salud - Sucursal Peru</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>175789</AmountInvolved>
        <MethodOfAmtDetermination>This amount represents HR costs (excluding consultant costs) paid by PIH in Boston to employees performing their jobs for the sites</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Partners In Health - Malawi</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>2826522</AmountInvolved>
        <MethodOfAmtDetermination>Amount is determined based on fiscal year budget proposal from site, budget review, revision, and PIH Board approval</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Partners In Health - Malawi</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>247387</AmountInvolved>
        <MethodOfAmtDetermination>This amount represents payments processed by PIH in Boston to contractors performing their jobs at the country sites</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Partners In Health - Malawi</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>136360</AmountInvolved>
        <MethodOfAmtDetermination>PIH in Boston raises funds for all country sites. These expenses are allocated based on the proportion that the site expenses bear to the total program expenses across all sites.</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Partners In Health - Malawi</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>150998</AmountInvolved>
        <MethodOfAmtDetermination>This amount represents HR costs (excluding consultant costs) paid by PIH in Boston to employees performing their jobs for the sites</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Partners In Health - Lesotho</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>6278167</AmountInvolved>
        <MethodOfAmtDetermination>Amount is determined based on fiscal year budget proposal from site, budget review, revision, and PIH Board approval</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Partners In Health - Lesotho</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>163600</AmountInvolved>
        <MethodOfAmtDetermination>This amount represents payments processed by PIH in Boston to contractors performing their jobs at the country sites</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Partners In Health - Lesotho</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>269436</AmountInvolved>
        <MethodOfAmtDetermination>PIH in Boston raises funds for all country sites. These expenses are allocated based on the proportion that the site expenses bear to the total program expenses across all sites.</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Partners In Health - Lesotho</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>115009</AmountInvolved>
        <MethodOfAmtDetermination>This amount represents HR costs (excluding consultant costs) paid by PIH in Boston to employees performing their jobs for the sites</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Partners In Health - Russia</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>1936652</AmountInvolved>
        <MethodOfAmtDetermination>Amount is determined based on fiscal year budget proposal from site, budget review, revision, and PIH Board approval</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Partners In Health - Russia</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>71088</AmountInvolved>
        <MethodOfAmtDetermination>This amount represents payments processed by PIH in Boston to contractors performing their jobs at the country sites</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Partners In Health - Russia</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>115981</AmountInvolved>
        <MethodOfAmtDetermination>PIH in Boston raises funds for all country sites. These expenses are allocated based on the proportion that the site expenses bear to the total program expenses across all sites.</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Partners In Health - Russia</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>228059</AmountInvolved>
        <MethodOfAmtDetermination>This amount represents HR costs (excluding consultant costs) paid by PIH in Boston to employees performing their jobs for the sites</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Partners In Health - Kazahkstan</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>260534</AmountInvolved>
        <MethodOfAmtDetermination>Amount is determined based on fiscal year budget proposal from site, budget review, revision, and PIH Board approval</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Companeros En Salud - Mexico</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>66522</AmountInvolved>
        <MethodOfAmtDetermination>Amount is determined based on fiscal year budget proposal from site, budget review, revision, and PIH Board approval</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Companeros En Salud - Mexico</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>56013</AmountInvolved>
        <MethodOfAmtDetermination>This amount represents HR costs (excluding consultant costs) paid by PIH in Boston to employees performing their jobs for the sites</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PIH - Canada</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>57426</AmountInvolved>
        <MethodOfAmtDetermination>Amount is determined based on fiscal year budget proposal from site, budget review, revision, and PIH Board approval</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <Form990ScheduleRPartVII>
        <Identifier>SchR_P05_S00_L01k</Identifier>
        <ReturnReference>Schedule R, Part V, Line 1k</ReturnReference>
        <Explanation>Development staff at Partners In Health in Boston raise funds for all country sites. For purposes of Schedule R, these expenses have been allocated based on the proportion that the site expenses bear to the total program expenses across all sites.</Explanation>
      </Form990ScheduleRPartVII>
    </IRS990ScheduleR>
  </ReturnData>
</Return>