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      <ActivityOrMissionDesc>Partners In Health (PIH) is a non-profit, global health organization that fights social injustice by bringing the benefits of modern medical science first and foremost to the most vulnerable communities worldwide. In Haiti, Malawi, Rwanda, Sierra Leone, Liberia, Lesotho, Peru, Mexico, Kazakhstan, U.S., and Navajo Nation, PIH's work focuses on those who would not otherwise have access to quality health care. PIH partners with the world's leading academic institutions to create rigorous evidence that shapes more sound and all-inclusive global health policies. PIH also supports local governments' efforts to build capacity and strengthen national health systems.</ActivityOrMissionDesc>
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      <MissionDesc>Partners In Health (PIH) is a non-profit, global health organization that fights social injustice by bringing the benefits of modern medical science first and foremost to the most vulnerable communities worldwide. In Haiti, Malawi, Rwanda, Sierra Leone, Liberia, Lesotho, Peru, Mexico, Kazakhstan, U.S., and Navajo Nation, PIH's work focuses on those who would not otherwise have access to quality health care. PIH partners with the world's leading academic institutions to create rigorous evidence that shapes more sound and all-inclusive global health policies. PIH also supports local governments' efforts to build capacity and strengthen national health systems.</MissionDesc>
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      <Desc>In Haiti, PIH, known locally as Zanmi Lasante (ZL), serves a direct catchment area of 1.2 million people in primary care alone and nearly 3.9 million with secondary and tertiary care. Since its founding in 1987, ZL has built and run, in partnership with the Haitian Government, a network of 17 hospitals and health centers, including Hopital Universitaire de Mirebalais (HUM). All of ZL's facilities today represent an indispensable lifeline for millions of patients in the Central Plateau region. ZL's staff of more than 6,500, mostly Haitian nationals, includes more than 2,300 community health workers, who work tirelessly to provide hope, health services, and social support to local communities. HUM is the largest, internationally accredited, public teaching hospital in Haiti, and offers an unparalleled scope of medical services and training opportunities in rural Haiti. The 205,000-square-foot, 350-bed health facility operates in conjunction with the Haitian Ministry of Public Health and Population (MSPP). HUM is filling a significant gap, both locally and nationally, for people who previously had very limited access to quality health care. HUM offers advanced care across clinic specialty and subspecialty areas including a full-service emergency department, critical care units, psychiatry, oncology, urology, dermatology, nephrology, general and orthopedic surgery, medical evacuation capacity, on-site oxygen production, and more. HUM brings innovation and services previously unavailable to Haiti's public system: digital imaging, an open-source electronic medical records system, telemedicine capacity, and high-tech classrooms for training the next generation of Haitian medical professionals. The Mirebalais Reference Laboratory for Diagnostics and Research on the campus of HUM is further setting a new standard for laboratory excellence in Haiti. Centrally located at HUM and providing a wide range of diagnostics for all PIH/ZL facilities, this 12,000 square foot reference lab is the premier reference center for HUM, as well as for an extensive network of other PIH/ZL-supported public health centers and hospitals across the country. HUM received international accreditation as a teaching institution in 2019 and is home to six residency programs. Through residency and training programs in Mirebalais and in Saint Marc, PIH/ZL is providing high quality training to increase the pipeline of trained clinicians working in Haiti. PIH's clinical residency programs at University Hospital in Mirebalais (HUM) and Saint-Marc are increasing the number of medical specialists across the country, including emergency medicine (the first residency of its kind in Haiti), family medicine, internal medicine, pediatrics, surgery, obstetrics/gynecology, and nurse anesthesiology. Since 2012, Zanmi Lasante's medical education program has trained 194 Haitian clinicians across 10 different specialties. 80% of graduates stay to work in Haiti and more than half (52%) of graduates are women; in 2022-2023 there are 143 clinicians currently in training, with 54.5% women. Together, these highly trained professionals are bolstering Haiti's health system, one new graduate at a time.</Desc>
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        <Desc>For 25 years, PIH in Peru, known locally as Socios En Salud (SES), has been deeply embedded in the communities it serves and has strong ties to the health system at all levels. SES supports public health services at the first level of care and at the national level, and supports the Ministry of Health on issues such as tuberculosis, HIV, mental health, maternal and child health, among others. Over 500 staff support the team's work in 90 health centers and 13 hospitals. SES's programs serve 284,000 people's primary health needs, and the national TB work reaches 31.8 million people. SES currently serves at the Ministry of Health's lead partner in COVID response and as the Global Fund Principal Recipient for HIV/TB from 2022-2025. At Mexico Health Center in Peru, COVID-19 has impacted the ability to provide patient care and timely HIV case detection. Many providers were moved to work from home to prevent severe COVID-19 infections, resulting in only 23% of expected HIV cases being detected. SES implemented a quality improvement (QI) project to increase HIV case detection by establishing a virtual telephone exchange and technical assistance for the use of GeneXpert (rapid real-time PCR test) for screening. This allowed health center staff to work remotely. After a four-month intervention period, over 100% of all expected HIV cases were detected, achieving a nearly 108% case detection rate. SES has also complemented and informed efforts to improve the treatment of HIV, TB, MDR-TB (Multi-Drug Resistant TB), and XDR-TB (Extensively Drug Resistant TB), by completing several research projects in this field. In 2010, a study in Lima, Peru showed people living with HIV and accompanied by a CHW had better outcomes at 12 months, including higher viral suppression. From 2007-2014, the US National Institutes of Health (NIH) granted PIH a $5.7M research award to study the epidemiology and transmission dynamics of MDR-/XDR-TB, a study involving over 124 health centers, 4,000 patients, 20,000 contacts and hundreds of staff in Peru, making this study among the world's largest research studies on tuberculosis. During 2013-2016, the NIH awarded PIH $1.1M to conduct a phase two pharmacodynamics study of high-dose levofloxacin in MDR-TB treatment. Most recently, the NIH awarded PIH $342,635 for a study measuring TB metabolic factors.</Desc>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Andrew Wilson</PersonNm>
        <TitleTxt>Chief Development Officer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lori Silver</PersonNm>
        <TitleTxt>General Counsel/Clerk</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Megan Carbone</PersonNm>
        <TitleTxt>Chief Financial Officer</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Laura Baber</PersonNm>
        <TitleTxt>Deputy Chief Development Officer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Patrick Ulysse</PersonNm>
        <TitleTxt>Chief Operating Officer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Juan Daniel Orozco</PersonNm>
        <TitleTxt>Chief Knowledge Officer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Catherine Oswald</PersonNm>
        <TitleTxt>Chief Policy and Partnership Officer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Zarela Maldonado</PersonNm>
        <TitleTxt>Regional Dir. of Development</TitleTxt>
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        <OtherCompensationAmt>16981</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dr Joia Mukherjee</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <AverageHoursPerWeekRt>30</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Ophelia Dahl</PersonNm>
        <TitleTxt>Chair of BOD</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Choe</PersonNm>
        <TitleTxt>Director/ Treasurer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Pierre Cremieux</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>3</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Anne Dinning</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kebba Jobarteh</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Joanne Kagle</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jim Yong Kim</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lesley King</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Todd McCormack</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Max Stone</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Charlotte Wagner</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>David Walton</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michelle Morse</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dede Orraca-Cecil</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Tracey Lewis</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Suprotik Basu</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Alix Cantave</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Cassia van der Hoof Holstein</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dilip Wagle</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Keith Joseph</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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          <BusinessName>
            <BusinessNameLine1Txt>Build Health International</BusinessNameLine1Txt>
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          <USAddress>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>RKD Group LLC</BusinessNameLine1Txt>
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          <USAddress>
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            <CityNm>Richardson</CityNm>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Delve Partners LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 3330</AddressLine1Txt>
            <CityNm>Boulder</CityNm>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Brigham and Women's Hospital</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>Boston</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02115</ZIPCd>
          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>China Civil Engineering Construction Corporation</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <ForeignAddress>
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            <AddressLine2Txt>Kacyiru</AddressLine2Txt>
            <CityNm>Kigali</CityNm>
            <CountryCd>RW</CountryCd>
            <ForeignPostalCd>PO Box 8</ForeignPostalCd>
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        <BusinessCd>813311</BusinessCd>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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        <ExclusionAmt>0</ExclusionAmt>
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      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
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        <TotalRevenueColumnAmt>13940</TotalRevenueColumnAmt>
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      <AvgGrassrootsLobbyingExpendGrp>
        <CurrentYearMinus3Amt>7776</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>9331</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>8787</CurrentYearMinus1Amt>
        <CurrentYearAmt>10767</CurrentYearAmt>
        <TotalAmt>36661</TotalAmt>
      </AvgGrassrootsLobbyingExpendGrp>
    </IRS990ScheduleC>
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      <AgentTrusteeEtcInd>0</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>7692371</BeginningYearBalanceAmt>
        <ContributionsAmt>299696</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>641711</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>421668</GrantsOrScholarshipsAmt>
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        <AdministrativeExpensesAmt>0</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>8212110</EndYearBalanceAmt>
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      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>7847059</BeginningYearBalanceAmt>
        <ContributionsAmt>975158</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-896703</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>233143</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>0</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>0</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>7692371</EndYearBalanceAmt>
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      <CYMinus2YrEndwmtFundGrp>
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        <ContributionsAmt>50000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>1369947</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>221307</GrantsOrScholarshipsAmt>
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      <CYMinus3YrEndwmtFundGrp>
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        <ContributionsAmt>51000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>80227</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>57975</GrantsOrScholarshipsAmt>
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        <AdministrativeExpensesAmt>0</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>6648419</EndYearBalanceAmt>
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      <CYMinus4YrEndwmtFundGrp>
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        <GrantsOrScholarshipsAmt>145122</GrantsOrScholarshipsAmt>
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        <AdministrativeExpensesAmt>0</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>6575167</EndYearBalanceAmt>
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        <OtherCostOrOtherBasisAmt>935783</OtherCostOrOtherBasisAmt>
        <BookValueAmt>935783</BookValueAmt>
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      <BuildingsGrp>
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        <BookValueAmt>9443873</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <OtherCostOrOtherBasisAmt>450186</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>305250</DepreciationAmt>
        <BookValueAmt>144936</BookValueAmt>
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      <EquipmentGrp>
        <InvestmentCostOrOtherBasisAmt>0</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>15312259</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>11026495</DepreciationAmt>
        <BookValueAmt>4285764</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>0</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>3011177</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>0</DepreciationAmt>
        <BookValueAmt>3011177</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>17821533</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Lease liability</Desc>
        <Amt>10441890</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>10441890</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>278432732</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>168235</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>1794679</DonatedServicesAndUseFcltsAmt>
      <RecoveriesPriorYearGrantsAmt>0</RecoveriesPriorYearGrantsAmt>
      <OtherRevenueAmt>6026295</OtherRevenueAmt>
      <RevenueNotReportedAmt>7989209</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>270443523</RevenueSubtotalAmt>
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      <OtherRevenuesNotIncludedAmt>2683508</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>2683508</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>273127031</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>237801745</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>1794679</DonatedServicesUseFcltsAmt>
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      <OtherExpensesIncludedAmt>3813007</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>5607686</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>232194059</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>0</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>0</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>232194059</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part IV, Line 2b</FormAndLineReferenceDesc>
        <ExplanationTxt>Partners In Health serves as a custodian for several small partner organizations that have a common mission of breaking the cycle of disease and poverty but have not yet completed the process to register as 501(c)(3) organizations. PIH provides services including receiving revenue and paying expenses.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The PIH endowment, established during fiscal year 2016, is a grouping of several endowment funds, including the Ophelia Dahl Endowment, designed to provide long term funding for both general operations and specific initiatives.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>PIH is a not-for-profit organization as described in Section 501(c)(3) of the Internal Revenue Code (the "Code"),and is generally exempt from income taxes at both a Federal and state level. Affiliates are likewise exempt from income taxes as per the laws of the respective countries. PIH is required to assess uncertain tax positions and has determined that there were no such positions that required recognition in the consolidated financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>Local revenue received in Partners in Health Lesotho, Mexico and Canada is consolidated in audited financial statement but excluded from the Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Amount included rental expenses of $571,680 which are being subtracted from total revenue in Part VIII on the Form 990, and inter-organization wire transfer from Partners in Health Canada of $3,255,187, which is considered revenue in the Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XII, Line 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>Amount included $2,705,147 local expenses incurred in foreign organizations and $536,184 foreign currency translation losses that are excluded from the Form 990, and rental expenses of $571,680 which are reported on Part VIII Revenue but excluded from Part IX Expenses in the Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="R000006" softwareId="22015720" softwareVersionNum="v1.00">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <OfficesCnt>1</OfficesCnt>
        <EmployeeCnt>8</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Grantmaking</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>40584048</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <OfficesCnt>5</OfficesCnt>
        <EmployeeCnt>23</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Grantmaking</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>7139316</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>North America (including Canada and Mexico, but not the United States)</RegionTxt>
        <OfficesCnt>2</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Grantmaking</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>3908827</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Europe (including Iceland and Greenland)</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Grantmaking</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>1455928</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Grantmaking</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>959016</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <OfficesCnt>1</OfficesCnt>
        <EmployeeCnt>1</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Grantmaking</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>641359</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Russia and the newly independent States</RegionTxt>
        <OfficesCnt>1</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Grantmaking</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>425852</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Grantmaking</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>9455</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <TotalOfficeCnt>10</TotalOfficeCnt>
      <TotalEmployeeCnt>32</TotalEmployeeCnt>
      <TotalSpentAmt>55123801</TotalSpentAmt>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <PurposeOfGrantTxt>Healthcare</PurposeOfGrantTxt>
        <CashGrantAmt>40573748</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Healthcare</PurposeOfGrantTxt>
        <CashGrantAmt>6865958</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
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      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>North America (including Canada and Mexico, but not the United States)</RegionTxt>
        <PurposeOfGrantTxt>Healthcare</PurposeOfGrantTxt>
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        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Europe (including Iceland and Greenland)</RegionTxt>
        <PurposeOfGrantTxt>Healthcare</PurposeOfGrantTxt>
        <CashGrantAmt>1455928</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <PurposeOfGrantTxt>Healthcare</PurposeOfGrantTxt>
        <CashGrantAmt>959016</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>Healthcare</PurposeOfGrantTxt>
        <CashGrantAmt>627676</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Russia and the newly independent States</RegionTxt>
        <PurposeOfGrantTxt>Healthcare</PurposeOfGrantTxt>
        <CashGrantAmt>425852</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Healthcare</PurposeOfGrantTxt>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Healthcare</PurposeOfGrantTxt>
        <CashGrantAmt>36349</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Healthcare</PurposeOfGrantTxt>
        <CashGrantAmt>27019</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Healthcare</PurposeOfGrantTxt>
        <CashGrantAmt>25998</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Healthcare</PurposeOfGrantTxt>
        <CashGrantAmt>23160</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Healthcare</PurposeOfGrantTxt>
        <CashGrantAmt>16652</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Healthcare</PurposeOfGrantTxt>
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        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
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      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>Healthcare</PurposeOfGrantTxt>
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        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
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      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Healthcare</PurposeOfGrantTxt>
        <CashGrantAmt>12413</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
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      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <PurposeOfGrantTxt>Healthcare</PurposeOfGrantTxt>
        <CashGrantAmt>10300</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>Healthcare</PurposeOfGrantTxt>
        <CashGrantAmt>9455</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Healthcare</PurposeOfGrantTxt>
        <CashGrantAmt>9202</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Healthcare</PurposeOfGrantTxt>
        <CashGrantAmt>6287</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Healthcare</PurposeOfGrantTxt>
        <CashGrantAmt>5878</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Healthcare</PurposeOfGrantTxt>
        <CashGrantAmt>5196</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <Total501c3OrgCnt>20</Total501c3OrgCnt>
      <TotalOtherOrgCnt>2</TotalOtherOrgCnt>
      <TransferToForeignCorpInd>1</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>1</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>1</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule F, Part I, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Partners In Health makes grants to organizations outside the United States of America in partnership toward the common mission of breaking the cycle of poverty and disease. Prior to awarding any grant, the PIH grants management and compliance team reviews information about the potential recipient's internal process for grants management and compliance, as well as financial statements, audit reports, and bank account information. On an ongoing basis, PIH finance staff review budgets, invoices, and financial reports and perform periodic checks of recipient's backup documentation of ledger entries. PIH clinical/programs staff review recipient's work plans, deliverables, and programmatic reports.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
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      <MailSolicitationsInd>X</MailSolicitationsInd>
      <EmailSolicitationsInd>X</EmailSolicitationsInd>
      <PhoneSolicitationsInd>X</PhoneSolicitationsInd>
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <SolicitationOfNonGovtGrantsInd>X</SolicitationOfNonGovtGrantsInd>
      <SolicitationOfGovtGrantsInd>X</SolicitationOfGovtGrantsInd>
      <AgrmtProfFundraisingActyInd>1</AgrmtProfFundraisingActyInd>
      <FundraiserActivityInfoGrp>
        <PersonNm>RKD Group LLC</PersonNm>
        <USAddress>
          <AddressLine1Txt>3400 Waterview Parkway</AddressLine1Txt>
          <AddressLine2Txt>Suite 250</AddressLine2Txt>
          <CityNm>Richardson</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75080</ZIPCd>
        </USAddress>
        <ActivityTxt>Direct mail - Consultation and design</ActivityTxt>
        <FundraiserControlOfFundsInd>0</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>7731910</GrossReceiptsAmt>
        <RetainedByContractorAmt>275000</RetainedByContractorAmt>
        <NetToOrganizationAmt>7456910</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <FundraiserActivityInfoGrp>
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        <PersonNm>Zarela Maldonado</PersonNm>
        <TitleTxt>Regional Dir. of Development</TitleTxt>
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        <OtherCompensationFilingOrgAmt>27151</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5391</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>211389</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Joia Mukherjee</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25818</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>109103</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>From time to time, at the recommendation of senior management and HR, the CEO will approve performance-based bonuses to key employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Dr. Joia Mukherjee, Chief Medical Officer, receives compensation from Brigham &amp; Women's Hospital (BWH), an unrelated organization. Amount represents PIH's payments for Dr. Mukherjee's services as an Officer.</ExplanationTxt>
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    </IRS990ScheduleJ>
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        <NameOfInterested>
          <PersonNm>Didi Bertrand</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Widow of Dr. Paul Farmer (Co-Founder)</RelationshipDescriptionTxt>
        <TransactionAmt>137354</TransactionAmt>
        <TransactionDesc>Compensation for Services</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>3430</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Fair Value</MethodOfDeterminingRevenuesTxt>
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      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>10258</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Fair Value</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <CarsAndOtherVehiclesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>5</ContributionCnt>
        <NoncashContributionsRptF990Amt>166546</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Fair Value</MethodOfDeterminingRevenuesTxt>
      </CarsAndOtherVehiclesGrp>
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>285</ContributionCnt>
        <NoncashContributionsRptF990Amt>4702632</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Fair Value</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>76</ContributionCnt>
        <NoncashContributionsRptF990Amt>1941759</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Fair Value</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Mobile triage units</Desc>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>3350000</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Fair Value</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>IT equipment</Desc>
        <ContributionCnt>60</ContributionCnt>
        <NoncashContributionsRptF990Amt>109210</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Fair Value</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>1</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>PIH counted security contributions by the number of donations made to PIH. PIH received 285 security donations in FY23.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I, Line 20</FormAndLineReferenceDesc>
        <ExplanationTxt>PIH counted drug and medical supply contributions by the number of donations made to PIH. PIH received 76 donations in FY23.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I, Line 32b</FormAndLineReferenceDesc>
        <ExplanationTxt>PIH engages with CARS, a 501(c)(3) organization that solicits vehicle donations to benefit PIH. PIH does not receive the donated vehicles, but instead cash proceeds from CARS once the vehicle is sold.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="R000012" softwareId="22015720" softwareVersionNum="v1.00">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is prepared by finance staff and is reviewed carefully by the PIH Chief Financial Officer and Legal Department. The Form 990 is then reviewed by CBIZ MHM, LLC., PIH's tax advisor. A complete draft of the Form 990 is then reviewed by the PIH Chief Executive Officer. This draft is then provided to the Audit Committee for their review with the exception of Schedule B. Finally, the Form 990 is provided to the full Board of Directors prior to filing, with the exception of Schedule B. Any and all questions and comments are addressed by the PIH Chief Financial Officer, who engages CBIZ &amp; MHM in the discussion whenever relevant or necessary.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>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 conflicts 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 transactions, arrangements, or other working relationship and/or to ask the interested person to remove themselves from any discussion or vote in the matter. The Board shall determine the existence of a conflict of interest by a majority vote of the disinterested directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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 PIH's CEO and Key Employees. Comparability data for similarly qualified persons in functionally comparable positions at similarly situated organizations are prepared by the Organization and reviewed by the Compensation Committee before forming its conclusions. The deliberation and decision are documented in the minutes contemporaneously.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Partners In Heath posts a copy of its annual report, audited financial statements, and Form 990, with the exception of Schedule B, 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 party to view.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Amount represents the foreign currency translation adjustments in net assets for statement of financial position accounts using exchange rates in effect at year end.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>University of Global Health Equity (UGHE) Ltd</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <ForeignAddress>
          <AddressLine1Txt>Kigali Heights Plot 772</AddressLine1Txt>
          <AddressLine2Txt>KG 7 Ave 5th Floor</AddressLine2Txt>
          <CityNm>Kigali</CityNm>
          <CountryCd>RW</CountryCd>
        </ForeignAddress>
        <EIN>981528439</EIN>
        <PrimaryActivitiesTxt>Health Education</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>RW</LegalDomicileForeignCountryCd>
        <TotalIncomeAmt>49336794</TotalIncomeAmt>
        <EndOfYearAssetsAmt>17020818</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Partners In Health A Nonprofit Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Partners In Health Sierra Leone LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>615 South DuPont Highway</AddressLine1Txt>
          <CityNm>Dover</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19901</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <TotalIncomeAmt>12646965</TotalIncomeAmt>
        <EndOfYearAssetsAmt>3057790</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Partners in Health A Nonprofit Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Abwenzi Pa Za Umoyo</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>Partners In Health Malawi</BusinessNameLine2Txt>
        </DisregardedEntityName>
        <ForeignAddress>
          <AddressLine1Txt>PO Box 56</AddressLine1Txt>
          <CityNm>Neno Boma</CityNm>
          <ProvinceOrStateNm>Neno District</ProvinceOrStateNm>
          <CountryCd>MI</CountryCd>
          <ForeignPostalCd>624200</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>MI</LegalDomicileForeignCountryCd>
        <TotalIncomeAmt>2364156</TotalIncomeAmt>
        <EndOfYearAssetsAmt>1236991</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Partners In Health a Nonprofit Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Partners In Health Liberia LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>615 South DuPont Highway</AddressLine1Txt>
          <CityNm>Dover</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19901</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
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        <TotalIncomeAmt>1053438</TotalIncomeAmt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Partners In Health A Nonprofit Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PIH Universities of Global Health Equity LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>615 South DuPont Highway</AddressLine1Txt>
          <CityNm>Dover</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19901</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>Health Education</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Partners In Health A Nonprofit Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bo Mphato Litsebeletsong Tsa Bophelo (Lesotho)</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <ForeignAddress>
          <AddressLine1Txt>New Europa 438 Pope John Paul</AddressLine1Txt>
          <CityNm>Maseru</CityNm>
          <CountryCd>LT</CountryCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>LT</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Partners In Health</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PIH Partners In Health Canada</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <ForeignAddress>
          <AddressLine1Txt>890 Yonge St</AddressLine1Txt>
          <AddressLine2Txt>Suite 603</AddressLine2Txt>
          <CityNm>Toronto</CityNm>
          <ProvinceOrStateNm>Ontario</ProvinceOrStateNm>
          <CountryCd>CA</CountryCd>
          <ForeignPostalCd>M4W3P4</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CA</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Partners In Health</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
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      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
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      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
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      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
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        <MethodOfAmountDeterminationTxt>Amount is determined based on fiscal year budget proposal from site, budget review, revision, and PIH Board approval.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Bo Mphato Litsebeletsong Tsa Bophelo (Lesotho)</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>4777108</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Amount represents HR costs paid by PIH Boston to employees performing their jobs for related organization.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Bo Mphato Litsebeletsong Tsa Bophelo (Lesotho)</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>514071</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>PIH 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.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Bo Mphato Litsebeletsong Tsa Bophelo (Lesotho)</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>90402</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Amount represents payments processed by PIH Boston to contractors performing their jobs at country sites.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PIH Partners In Health Canada</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>c</TransactionTypeTxt>
        <InvolvedAmt>3255187</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Amount is determined based on grant budget and memorandum of understanding between PIH sites and the related organization.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PIH Partners In Health Canada</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>p</TransactionTypeTxt>
        <InvolvedAmt>15068</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Amount represents reimbursement for salaries, consulting work, and conferences fees paid by the related organization for work related to PIH Boston.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule R, Part I</FormAndLineReferenceDesc>
        <ExplanationTxt>- Development Staff at PIH 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
