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      <SignatureDt>2017-02-08</SignatureDt>
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      <Desc>In collaboration with the Haitian Ministry of Health (MSPP), Partners In Health/Zanmi Lasante (PIH/ZL) provides comprehensive care and accompaniment while actively investing in training and education for long-term capacity-building. This year, PIH/ZL also expanded its water, sanitation and hygiene (WASH) program. The WASH program, a critical component in the prevention of cholera and water-borne diseases, rehabilitated or constructed water points and sanitation facilities at 9 schools and led a hygiene promotion training session that trained 207 community health workers, teachers, and school administrators on hygiene promotion and improved sanitation methods. Additionally, in partnership with USAID and the MSPP, PIH/ZL began its comprehensive cervical cancer initiative (CCCI). This project aims to reduce morbidity and mortality linked to cervical cancer through health education in the St. Marc catchment area. As a result, 75 community health workers were trained on cervical cancer, 6,003 girls ages 9-13 years old received the 1st dose against HPV, and 4,503 girls ages 9-13 years were vaccinated against HPV (second dose). PIH/ZL also continued its critical work in malnutrition and continued to support Hopital Universitaire de Mirebalais (HUM). In ZL's catchment area, an estimated 32% of children under five (70,130 children) suffer from acute or chronic malnutrition. Zanmi Lasante provides Nourimanba free of charge to patients in its sites across the Central Plateau and lower-Artibonite regions. Between October 2015 and September 2016, 10,713 children benefited from 51 tons of Nourimanba. In addition, at HUM, PIH/ZL continues to provide advanced care and bring innovation and services previously unavailable in Haiti's public system. As an example of this, Partners In Health and ZL supported the creation of the Mirebalais Reference Laboratory for Diagnostics and Research. The laboratory will be the only public diagnostic and pathology facility in Haiti, providing referral and research capabilities to the entire national health system. The laboratory will expand testing capacity and initiate public health surveillance projects for TB, HIV, cholera, Zika, maternal health, and malnutrition.</Desc>
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        <Desc>In Sierra Leone, PIH-SL works in partnership with the Ministry of Health Services (MoHS) to implement the safe restoration of essential health services at District Hospitals in Port Loko and Kono, which were impacted by the Ebola crisis. At Koidu Government Hospital (KGH) and WellBody Clinic in Kono district, PIH-SL provides care for over 500,000 people as well as clinical packages to over 25,000 patients every year. In Port Loko, PIH-SL has led the way in the implementation of Comprehensive Program for Ebola Survivors (CPES) for all Ebola survivors, including providing clinical and livelihood support. PIH's social protection program aims to increase the socioeconomic mobility of Ebola survivors and other vulnerable populations in Port Loko, Kambia, Kono, and Western Area, and has a proven track record of implementing and facilitating successful financial, employment, and vocational training services. PIH-SL's programmatic results have included providing employment support to over 1,000 Ebola survivors, and providing adult literacy classes to 450 survivors and members of their households. PIH-SL has expanded its partnerships and advocacy with the MoHS by supporting development of the CPES Program Implementation Unit and reform of the national CHW policy.</Desc>
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        <GrantsOrScholarshipsAmt>0</GrantsOrScholarshipsAmt>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part IV, Line 2b</FormAndLineReferenceDesc>
        <ExplanationTxt>Partners In Health served 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 provided services included 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 longer term funding for both general operations and specific initiatives.</ExplanationTxt>
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      <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, as amended (the "Code"), and is generally exempt from income taxes pursuant to Section 501(a) of the Code. Socios En Salud (Peru), Partners In Health Russia, Partners In Health Kazakhstan, Partners In Health Liberia, Partners In Health Sierra Leone, Inshuti Mu Buzima (Rwanda), Bo Mphato Litsebeletsong tsa Bophelo (Lesotho), Abwensi Pa Za Umoyo (Malawi), Companeros En Salud (Mexico), Partners in Health Ethiopia, The University of Global Health Equity (Rwanda), and Partners In Health Canada were established and are governed under the laws of their respective countries. PIH is required to assess uncertain tax positions and has determined that there were no such positions that are material to the financial statements.</ExplanationTxt>
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      <SolicitationOfGovtGrantsInd>X</SolicitationOfGovtGrantsInd>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
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      <FundraiserActivityInfoGrp>
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          <AddressLine2Txt>Third Floor</AddressLine2Txt>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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          <CityNm>BOSTON</CityNm>
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        <PurposeOfGrantTxt>UNITAID sub-grantee on the EndTB project which aims to bring new TB drugs to 2,600 patients in 16 countries.</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Last Mile Health (FKA Tiyatien Health)</BusinessNameLine1Txt>
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        <USAddress>
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          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02114</ZIPCd>
        </USAddress>
        <RecipientEIN>261401736</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>47669</CashGrantAmt>
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        <NonCashAssistanceDesc>0</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>CDC sub-grantee for Global Health Security Partners Engagement in Liberia.</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Farm to Table Inc</BusinessNameLine1Txt>
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          <CityNm>Santa Fe</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
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          <CityNm>Middlebury</CityNm>
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          <CityNm>Palo Alto</CityNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>PIH counted security contributions by the number of donations made to PIH. PIH received 207 security donations in FY16.</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 40 drug and medical supply donations in FY16.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I, Lines 25-28</FormAndLineReferenceDesc>
        <ExplanationTxt>PIH counted construction supply contributions by the number of donations made to PIH. PIH received 4 construction donations in FY16 including 2 generators.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="R000012" softwareId="15000352" softwareVersionNum="v1.00">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Board of Directors members Albert Kaneb and Diane E. Kaneb are married to each other.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is prepared by the Finance staff and is reviewed carefully by the PIH Chief Financial Officer and General Counsel. The Form 990 is then reviewed by CBIZ Tofias, PIH's tax adviser. A complete draft of the Form 990 is then reviewed by the PIH Chief Executive Officer and Chief Operating Officer. This draft is then provided to the Audit and Investment Committee for their review. Finally, the Form 990 is provided to the full Board of 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 Tofias 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 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 transactions, 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.</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 Executive Director. Comparability data for similarly qualified persons in functionally comparable positions at similarly situated organizations is prepared by the organization and reviewed by the Compensation Committee before forming its conclusions. The deliberation and decision are documented in the minutes contemporaneously.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Partners In Health posts a copy of its annual report, audited financial statements, and 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 party to view.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="R000013" softwareId="15000352" softwareVersionNum="v1.00">
      <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>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <TotalIncomeAmt>335531</TotalIncomeAmt>
        <EndOfYearAssetsAmt>617344</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Partners In Health A Nonprofit Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PIH Universities of Global Health Equity LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <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>64968</TotalIncomeAmt>
        <EndOfYearAssetsAmt>225966</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Partners In Health A Nonprofit Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Abwenzi Pa Zaumoyo</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>24606</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Partners In Health a Nonprofit Corporation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bo Mphato Lisebeletsong 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>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>The River Street Development Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>800 Boylston Street Suite 1400</AddressLine1Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02199</ZIPCd>
        </USAddress>
        <EIN>522117495</EIN>
        <PrimaryActivitiesTxt>Support PIH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11 Type II</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Bo Mphato Lisebeletsong tsa Bophelo (Lesotho)</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>b</TransactionTypeTxt>
        <InvolvedAmt>5377203</InvolvedAmt>
        <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 Lisebeletsong tsa Bophelo (Lesotho)</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>163717</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 Lisebeletsong tsa Bophelo (Lesotho)</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>127183</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>This amount represents payments processed by PIH in Boston to contractors performing their jobs at the country sites</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Bo Mphato Lisebeletsong tsa Bophelo (Lesotho)</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>2788936</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>This amount represents HR costs (excluding consultant) paid by PIH in Boston to employees performing their jobs for the sites.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule R, Part I</FormAndLineReferenceDesc>
        <ExplanationTxt>Development staff at Partners In Health in Boston raise funds for all country sites. For purposes of Schedule R, these expenses have been allocated based on the proportion that the site expenses bear to the total program expenses across all sites.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>