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        <BusinessNameLine1>PARTNERS IN HEALTH A NONPROFIT CORPORATION</BusinessNameLine1>
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        <AddressLine1>888 Commonwealth Avenue</AddressLine1>
        <AddressLine2>3rd Floor</AddressLine2>
        <City>Boston</City>
        <State>MA</State>
        <ZIPCode>02215</ZIPCode>
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      <Name>Paul Zintl</Name>
      <Title>Deputy Director</Title>
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      <DateSigned>2012-05-15</DateSigned>
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      <WebSite>www.pih.org</WebSite>
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      <ActivityOrMissionDescription>Our 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 it takes to make them well--just as we would do if a member of our own families our ourselves were ill.</ActivityOrMissionDescription>
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      <MissionDescription>Partners In Health is an international non-governmental organization dedicated to delivering quality health care to people and communities devastated by the joint burdens of poverty and disease. PIH's work has three goals: to care for patients, to alleviate the root causes of disease, and to share lessons learned around the world.</MissionDescription>
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      <Description>HAITI Continuing to rebuild from the unimaginable disaster of the January 12, 2010 earthquake, Zanmi Lasante (ZL) provided urgent care and ongoing community outreach in response to widespread cholera outbreaks, continued constructing a state-of-the-art hospital in the Central Plateau, and strengthened specialized services. Haiti Highlights of the Year Responded to the cholera epidemic: Since the first cases of cholera were confirmed by the Haitian Ministry of Health in October 2010, ZL worked tirelessly to treat over 75,000 cases, conduct community education and outreach, and strengthen the infrastructure necessary to provide clean water and basic sanitation for Haitians most vulnerable to the outbreaks. On the international stage, PIH/ZL advocated for a comprehensive, community-based strategy for prevention and treatment-including oral vaccination campaigns and attention to the structural causes of cholera, such as improved water and sanitation infrastructure. Thanks to funding from the US government and the World Bank, ZL was able to build and operate cholera treatment facilities and oral rehydration posts, train additional community health workers, and provide mental health and psychosocial support to cholera survivors. Completed over 50 percent of construction on Mirebalais Hospital: By May 2011, construction teams had already completed more than 50 percent of construction of a flagship national referral hospital and teaching center in Mirebalais. The 180,000-square-foot, 320-bed facility will change the face of public health care in Haiti by providing comprehensive clinical services, many of which-such as neonatal intensive care and thoracic surgery-are not currently available at any public facility. When the hospital becomes fully operational, it will be the largest functioning hospital in the country, with the capacity to treat upwards of 500 patients per day and provide high-quality education for nurses, medical students, and resident physicians. Provided mental health, psychosocial support, and rehabilitative services: Since the earthquake in January 2010, ZL's Mental Health and Psychosocial Support team has more than doubled the number of psychologists, social workers, and community health workers trained to identify, refer, and support people suffering from myriad mental health problems. The services provided, such as the treatment of depression, anxiety, post-traumatic stress, and psychosis, have been integrated into the comprehensive system of care at all ZL sites to better support the mental health needs of all our patients. ZL also trained seven rehabilitation educators to provide specialized rehabilitative accompaniment to an estimated 225 patients, many of whom were injured in the earthquake. In addition, plans were completed for Haiti's first wheelchair-accessible public sector rehabilitation center at the hospital ZL runs in partnership with the Ministry of Health in Saint-Marc. This facility will provide rehabilitation services and be the site for a nine month Rehabilitation Technician Training program. Cared for children with physical and developmental disabilities: Zanmi Beni, Creole for "Blessed Friends," is home to 50 unaccompanied minors and vulnerable children with physical or developmental disabilities, abandoned in the crumbled pediatric ward of Port-au-Prince's General Hospital in the days following the earthquake. In April 2010, ZL purchased land in a quiet neighborhood of Port-au-Prince to build what is now a safe haven and caring home providing the children an educational and loving environment in which to thrive. Zanmi Beni strives to reduce the stigma and discrimination faced by children with special needs, and has already become a model center for addressing special needs in resource-poor settings. Haiti by the Numbers: * 2.8 million total patient encounters (all services included) * 13,784 children received educational assistance * 53 houses constructed or repaired * 6,268 HIV-positive patients on treatment * 482 TB patients treated * Approximately 75,000 cholera patients treated * 9,780 children treated for moderate or severe malnutrition * 25,269 active users of modern contraception methods * 98,735 pregnant women seen in antenatal clinic Haiti Staff: * 1,192 medical * 1,841 non-medical * 2,378 community health workers</Description>
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        <Description>RWANDA By collaborating with the Rwandan Government on a variety of projects-building a hospital in a previously underserved rural region, creating a district model that can be scaled up nationwide, and constructing new homes for a historically marginalized community-Inshuti Mu Buzima (IMB) helped to transform the health system in three districts of rural Rwanda. Rwanda Highlights of the Year Opened state-of-the-art hospital in rural Burera district: Inaugurated in January 2011, Butaro Hospital now brings high quality medical care and serves as a flagship center for medical education and innovation for the entire east Africa region. In addition to the four basic services-maternity, internal medicine, surgery, and pediatrics- the new hospital includes an emergency department, full surgery ward with two operating rooms, intensive care unit, neonatal intensive care unit, outpatient ophthalmology and gynecology services, and significantly expanded laboratory capabilities. Constructed in partnership with the Rwandan Government, which is supporting more than 40 percent of the operating costs, the facility features modern measures for infection control, including natural crossventilation reinforced by large ceiling fans and ultraviolet lights, secluded patient wards around courtyards, and an effective spatial triage system allowing for separation of patients based on their condition. Expanded services from seven to 22 health centers in the Eastern Province: With support from the Doris Duke Charitable Foundation, IMB expanded to 15 new health centers in Southern Kayonza and Kirehe Districts. With the addition of these facilities, IMB now covers all health centers in the districts. The major components of this project include social support programs, increased human resources and service delivery support, constructive nursing supervision, and an enhanced network of community health workers. IMB's research and monitoring and evaluation programs will document this strengthened healthcare system, allowing other districts to scale up and replicate the model. Supported Rwandan Government in cervical cancer screening, treatment, and training: Beginning in August 2010, PIH worked to enable Butaro, Rwinkwavu, and Ruhengeri Hospitals to offer cervical cancer screening. Combined, the hospitals provided screenings to more than 1,200 women, and treated 56 with cryotherapy. In June 2011, IMB organized a three-week training on quick and low-cost approaches to screening for cervical cancer. This training is part of PIH's collaboration with the non-profit PATH and the Ministry of Health to support Rwanda's National Cervical Cancer Plan. The plan includes HPV vaccination for adolescents, screening for HPV and cervical cancer using Visual Inspection with Acetic Acid, and treating precancerous lesions with cryotherapy. Provided social and economic support for a marginalized community: In partnership with the local community, and as part of the Rwandan Government's initiative to eliminate grass-roofed houses, IMB constructed 39 houses for families from the marginalized pygmy community in the remote hills of northern Rwanda. Replacing leaky, grass-thatched huts, the new houses were built with sturdy walls and metal roofs, ensuring equity while complying with district housing standards. In addition to housing, IMB and Burera district officials provided a full package of support to the pygmy community, including mutuelle health insurance subscriptions for every family, agricultural and food support, and school support for every child, including the costs of uniforms, shoes, notebooks, and other fees. Rwanda by the Numbers: * 660,137 total patient visits * 5,910 HIV patients on treatment * 19,759 babies delivered in health facilities * 107,980 patients tested for HIV * 37 health centers supported * 554 secondary school students received tuition coverage * 37,200 people received mutuelle health insurance coverage Rwanda Staff: * 865 medical * 1,146 non-medical * 3,313 community health workers</Description>
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        <Description>PERU On July 9, 2011, Socios En Salud (SES) celebrated 15 years of providing high-quality treatment and support for tuberculosis and HIV patients in some of the poorest areas of Peru. This year, SES continued to grow, increasing social and economic support for patients, conducting advocacy initiatives to increase public awareness of TB and HIV, and engaging in research and trainings to inform the clinical management of both illnesses. Peru Highlights of the Year Provided socioeconomic support to patients with MDR-TB and HIV: Patients receiving treatment for TB and HIV need to have sufficient food and housing to ensure a sound recovery. This year, in partnership with the Peruvian Ministry of Health, SES continued to provide multi-drug resistant tuberculosis (MDR-TB) and HIV patients with the nutritional support, transportation, and pre-constructed, well ventilated houses that allow patients to recover at home with their families while reducing the risk of transmission. Scaled up outreach and training for TB control and prevention: As part of national efforts to scale up TB prevention and early diagnosis efforts among general and high- risk populations, SES trained university educators and administrators in TB prevention, and began studies in indigenous communities in Peru related to risk factors and vulnerability for TB. In addition, SES collaborated with the Ministry of Health to provide training on MDR-TB treatment and prevention to doctors, nurses, and community health workers in Lima and the southern Pisco region. At the national level, SES reached more than 7,000 university students with TB health campaigns on campuses across the country, and ran mass media campaigns estimated to have reached 1.5 million people. Contributed to research on MDR-TB and HIV: SES provided oversight and research capacity for the EPI project: a study of the transmission dynamics of MDR-TB, enrolling 4,000 patients and 20,000 of their household contacts. SES and the Ministry of Health will use the results of this research to reinforce early detection efforts and improve coverage by the national TB strategy. And in a study that seeks to show the impact and cost-effectiveness of community-based intervention in HIV treatment, SES worked in 92 health posts to enroll patients living in extreme poverty who had recently begun treatment but were at risk of non-adherence. Provided patients with options for sustainable income generation: SES's income generation project offers interest-free loans to TB and HIV patients and their families to start small businesses, helping them gain economic independence, improve self-esteem, and reignite their will to recover from their disease. This year SES provided in-house training, small loans and staff accompaniment to 97 current and former patients to start or expand small businesses including a taxi service, a juice stand, and a curtain-making enterprise. Within a year the average per capita household monthly income of those patients more than doubled-from $48 to $114. Peru By the Numbers: * Treated more than 10,500 MDR-TB patients to date with a 75% cure rate-the highest in the world * 150 university staff trained in TB prevention * Approximately 800 MDR-TB and HIV patients received socioeconomic support * 2,063 MDR-TB patients and 6,413 contacts enrolled in TB transmission research study * More than1,800 food baskets distributed Peru Staff: * 111 medical * 195 non-medical * 174 community health workers</Description>
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        <Description>OTHER PROGRAM SERVICES In addition to the programs listed, PIH has programs in Lesotho, Malawi, Russia, Kazakhstan, Mexico and Guatemala. Other major expenditures in Other Programs include those for training and electronic medical records.</Description>
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      <AcctsActvsOutUSTable>
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      <AcctsActvsOutUSTable>
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          <City>Boston</City>
          <State>MA</State>
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      <Form990ScheduleJPartII>
        <NamePerson>Dr Joia Mukherjee</NamePerson>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>Theodore Constan</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>Paul Zintl</NamePerson>
        <BaseCompensationFilingOrg>167573</BaseCompensationFilingOrg>
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      <Form990ScheduleJPartIII>
        <Identifier>SchJ_P01_S00_L01a</Identifier>
        <ReturnReference>Schedule J, Part I, Line 1a</ReturnReference>
        <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 Kagali, 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 (e.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. 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 $3,146 for fiscal year 2011</Explanation>
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      <Form990ScheduleJPartIII>
        <Identifier>SchJ_P01_S00_L01b</Identifier>
        <ReturnReference>Schedule J, Part I, Line 1b</ReturnReference>
        <Explanation>See explanation above for Sch J, Part I, Line 1a</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SchJ_P02_S00_L00</Identifier>
        <ReturnReference>Schedule J, Part II</ReturnReference>
        <Explanation>Three officers of Partners In Health received compensation from unrelated organizations that is primarily for services rendered to Partners In Health, as follows: 1. Dr. Joia Mukherjee, Medical Director, received $146,591.52 in reportable income and approximately $52,773 in other compensation from Partners Healthcare, via Brigham and Women's Hospital (BWH), Division of Global Health Equity, where she holds the title Associate Physician. 2. Theodore Constan, Chief Program Office, received $41,566.84 in reportable income and $17,970.81 in other compensation from Harvard Medical School (HMS), Department of Global Health and Social Medicine, where he holds the title Program Manager for the Programs in Global Health and Social Change. 3. Paul Zintl, Chief Operating Officer, received $80,793.05 in reportable income and $34,929.69 in other compensation from HMS Department of Global Health and Social Medicine, where he hold the title PIDSC Senior Advisor for Planning and Finance. Note that both the BWH Division of Global Health Equity and the HMS Department of Global Health and Social Medicine work closely with Partners In Health and are headed by Partners In Health co-founder Paul Farmer.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="R000009" softwareId="10000077" softwareVersion="v1.00">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Didi Bertrand</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Paul Farmer's Spouse</Relationship>
        <AmountOfTransaction>42875</AmountOfTransaction>
        <DescriptionOfTransaction>Compensation for Services</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="R000010" softwareId="10000077" softwareVersion="v1.00">
      <SecuritiesPubliclyTraded>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>153</NumberOfContributions>
        <NoncashContribsRptdF990>4642133</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Fair Market Value</MethodOfDeterminingRevenues>
      </SecuritiesPubliclyTraded>
      <DrugsAndMedicalSupplies>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>141</NumberOfContributions>
        <NoncashContribsRptdF990>4170966</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Fair Market Value</MethodOfDeterminingRevenues>
      </DrugsAndMedicalSupplies>
      <AnyPropertyThatMustBeHeld>0</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>1</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>0</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
        <Identifier>SchM_P01_S00_L33</Identifier>
        <ReturnReference>Schedule M, Part I, Line 33</ReturnReference>
        <Explanation>Sch M, Line 20 PIH tracks the drug and medical supplies donated by donor during FY11 PIH received contributions from 141 Individual Donors and Corporations</Explanation>
      </Form990ScheduleMPartII>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="R000011" softwareId="10000077" softwareVersion="v1.00">
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L02</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 2</ReturnReference>
        <Explanation>Section A Governing Body and Management LINE 2 Family relationship: Directors Albert and Diane Kaneb are married to one another.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L11b</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>Process to review the Form 990: The Form 990 is prepared by the Finance Office staff and is reviewed carefully by the PIH Chief Financial Officer. The Form 990 is then reviewed by Grant Thornton, PIH's accounting firm. 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 draft 990 as it is ultimately filed with the Internal Revenue Service is provided to the full Board of Directors. Any and all questions and comments are addressed by the PIH Chief Financial Officer, who engages Grant Thornton 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>Conflict of interest: 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 review 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 Directors 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 interest by a majority vote of the disinterested directors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L15</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15</ReturnReference>
        <Explanation>Setting of compensation: The Compensation Committee of the Board of Directors, 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. The Executive Committee reviews a summary of market data before forming its conclusions. The deliberation and decision are documented in the minutes.</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>Currency Translation Adjustment is a gain of 100,677. Unrealized Gain/Loss Investments is a loss of 172,686.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="R000012" softwareId="10000077" softwareVersion="v1.00">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>The River Street Development Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>c/o 888 Commonwealth Avenue</AddressLine1>
          <AddressLine2>3rd Floor</AddressLine2>
          <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>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Socios En Salud</BusinessNameLine1>
          <BusinessNameLine2>Peru</BusinessNameLine2>
        </NameOfDisregardedEntity>
        <AddressForeign>
          <AddressLine1>Av Merino Reyna 575 06</AddressLine1>
          <AddressLine2>Porras B</AddressLine2>
          <City>Carabayllo</City>
          <Country>PE</Country>
        </AddressForeign>
        <PrimaryActivities>Healthcare</PrimaryActivities>
        <LegalDomicileForeignCountry>PE</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>Partners In Health</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
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      <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>
        <DirectControllingEntityName>
          <BusinessNameLine1>Partners In Health</BusinessNameLine1>
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        <ControlledOrg>1</ControlledOrg>
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      <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>
        <DirectControllingEntityName>
          <BusinessNameLine1>Partners In Health</BusinessNameLine1>
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        <ControlledOrg>1</ControlledOrg>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Partners In Health - Malawi</BusinessNameLine1>
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        <AddressForeign>
          <AddressLine1>Po Box 56</AddressLine1>
          <AddressLine2>Neno Boma 624200</AddressLine2>
          <City>Neno District</City>
          <Country>MI</Country>
        </AddressForeign>
        <PrimaryActivities>Healthcare</PrimaryActivities>
        <LegalDomicileForeignCountry>MI</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>Partners In Health</BusinessNameLine1>
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        <ControlledOrg>1</ControlledOrg>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>PIH - Canada</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressForeign>
          <AddressLine1>co 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>
        <DirectControllingEntityName>
          <BusinessNameLine1>Partners In Health</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Partners In Health - Russia</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressForeign>
          <AddressLine1>11 13 Trekhprudniy 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 - Kazakhstan</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressForeign>
          <AddressLine1>99 Gogol Street</AddressLine1>
          <AddressLine2>19</AddressLine2>
          <City>Almaty</City>
          <Country>KZ</Country>
        </AddressForeign>
        <PrimaryActivities>Healthcare</PrimaryActivities>
        <LegalDomicileForeignCountry>KZ</LegalDomicileForeignCountry>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>1</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>12679971</AmountInvolved>
        <MethodOfAmtDetermination>Amount is determined based on fiscal year budget proposal from IMB, budget review, revision and PIH Board approval.</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Inshuti Mu Buzima (Rwanda)</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>225210</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>557558</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>312746</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>2682142</AmountInvolved>
        <MethodOfAmtDetermination>Amount is determined based on fiscal year budget proposal from PIH-Malawi, budget review, revision and PIH Board approval.</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Partners In Health - Malawi</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>235754</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>121945</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>126489</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>6194436</AmountInvolved>
        <MethodOfAmtDetermination>Amount is determined based on fiscal year budget proposal from PIH-Lesotho, budget review, revision and PIH Board approval.</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Partners In Health - Lesotho</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>138400</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>249825</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>109329</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</BusinessNameLine1>
          <BusinessNameLine2>Peru</BusinessNameLine2>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>2476608</AmountInvolved>
        <MethodOfAmtDetermination>Amount is determined based on fiscal year budget proposal from Socios en Salud, budget review, revision and PIH Board approval.</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Socios En Salud</BusinessNameLine1>
          <BusinessNameLine2>Peru</BusinessNameLine2>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>329501</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</BusinessNameLine1>
          <BusinessNameLine2>Peru</BusinessNameLine2>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>259258</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</BusinessNameLine1>
          <BusinessNameLine2>Peru</BusinessNameLine2>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>244802</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>2331485</AmountInvolved>
        <MethodOfAmtDetermination>Amount is determined based on fiscal year budget proposal from PIH-Russia, budget review, revision and PIH Board approval.</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Partners In Health - Russia</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>221261</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>105278</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>162326</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 - Kazakhstan</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>265000</AmountInvolved>
        <MethodOfAmtDetermination>Amount is determined based on fiscal year budget proposal from PIH-Kazakhstan, budget review, revision and PIH Board approval.</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Partners In Health - Kazakhstan</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>11433</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 - Kazakhstan</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>18463</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>
      <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, Question 1k, 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>