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        <ProgramServices>1975945</ProgramServices>
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      <FeesForServicesManagement>
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        <ManagementAndGeneral>14876</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ManagementAndGeneral>12058</ManagementAndGeneral>
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        <ManagementAndGeneral>19870</ManagementAndGeneral>
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        <ManagementAndGeneral>2868</ManagementAndGeneral>
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        <ManagementAndGeneral>814</ManagementAndGeneral>
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        <ManagementAndGeneral>8362</ManagementAndGeneral>
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        <ProgramServices>38660</ProgramServices>
        <ManagementAndGeneral>12887</ManagementAndGeneral>
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        <ManagementAndGeneral>3584</ManagementAndGeneral>
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        <ProgramServices>1389</ProgramServices>
        <ManagementAndGeneral>463</ManagementAndGeneral>
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        <ManagementAndGeneral>398</ManagementAndGeneral>
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        <ManagementAndGeneral>2</ManagementAndGeneral>
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        <EOY>51292</EOY>
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        <EOY>1151763</EOY>
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        <EOY>442112</EOY>
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        <EOY>505590</EOY>
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      <TotalLiabNetAssetsFundBalances>
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        <EOY>7120166</EOY>
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        <BookValue>57767</BookValue>
      </LeaseholdImprovements>
      <Equipment>
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        <Depreciation>863937</Depreciation>
        <BookValue>187135</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>244902</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>Investments to Fund Deferred Compensation</Description>
        <BookValue>353310</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
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      <OtherSecurities>
        <Description>Premier Inc. Investment</Description>
        <BookValue>717669</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>1070979</TotalOfBookValueSecurities>
      <OtherAssets>
        <Description>CSV of Life Insurance</Description>
        <BookValue>883069</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Due from Affiliates</Description>
        <BookValue>268694</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>1151763</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Due To Affiliates</Description>
        <Amount>88802</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Deferred Compensation</Description>
        <Amount>353310</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>442112</TotalOfAmounts>
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    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Glens Falls Hospital</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>100 Park Street</AddressLine1>
          <City>Glens Falls</City>
          <State>NY</State>
          <ZIPCode>12801</ZIPCode>
        </AddressUS>
        <EINOfRecipient>141338413</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>343367</AmountOfCashGrant>
        <PurposeOfGrant>A grant to fund an Air Handler refurbishment project. The goal is to extend the life of the Air Handlers by 10 to 15 years. Amount of grant: $147,200.A grant to hire Executive Health Resources or a suitable vendor alternative, to help the improvement the Care Management team. Amount of grant: $35,000.A grant to fund the Care Setting Inititative, the goals are to reduce inappropriate admissions, develop performance plans and education effectiveness. Amount of grant: $161,167.</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>Berkshire Medical Center Inc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>725 North Street</AddressLine1>
          <City>Pittsfield</City>
          <State>MA</State>
          <ZIPCode>01201</ZIPCode>
        </AddressUS>
        <EINOfRecipient>042791396</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>263341</AmountOfCashGrant>
        <PurposeOfGrant>A grant was made to fund a physician Scribe program within the Emergency Department. To build efficiencies that will offset the increasing productivity losses associated with the ever increasing documentation requirements.</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Covenant Health Systems Inc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>100 Ames Pond Drive Suite 102</AddressLine1>
          <City>Tewksbury</City>
          <State>MA</State>
          <ZIPCode>018761293</ZIPCode>
        </AddressUS>
        <EINOfRecipient>222484505</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>420707</AmountOfCashGrant>
        <PurposeOfGrant>A grant was made to fund IT and Supply Chain Integration.</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Southcoast Hospitals Group Inc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>101 Page Street</AddressLine1>
          <City>New Bedford</City>
          <State>MA</State>
          <ZIPCode>02740</ZIPCode>
        </AddressUS>
        <EINOfRecipient>222592333</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>433637</AmountOfCashGrant>
        <PurposeOfGrant>A grant was made to continue efforts to reduce the incidence of hospital-acquired C-Diff infections.C-Diff funding is a combination of additional environmental improvements combined with a pharmacist-led, formalized and multidisciplinary antibiotic stewardship program. Device-related funding includes advanced training and educational materials.Additionally, grants were made to reduce the rate of catheter-associated urinary tract infections, to continue use of the Premier Quality Advisor database subscription services, to continue participation in QUEST and Partnership for Patients which are aimed to reduce harm, readmissions, mortality and other goals, explore new data warehouse membership, analysis tools and access to best-practice services, and to fund the cost of hiring co-op students from Northeastern University.</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Winchester Hospital</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>41 Highland Avenue</AddressLine1>
          <City>Winchester</City>
          <State>MA</State>
          <ZIPCode>01890</ZIPCode>
        </AddressUS>
        <EINOfRecipient>012104434</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>234494</AmountOfCashGrant>
        <PurposeOfGrant>A grant to fund services to incorporate hyperbaric oxygen therapy (HBOT). HBOT facilitates wound healing through increasing levels of oxygen in tissues, enhancing growth of reparative tissue and new blood vessels, destruction of harmful bacteria and enhancing cell activity to fight infection.</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Lowell General Hospital</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>295 Varnum Avenue</AddressLine1>
          <City>Lowell</City>
          <State>MA</State>
          <ZIPCode>018542193</ZIPCode>
        </AddressUS>
        <EINOfRecipient>042103590</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>280399</AmountOfCashGrant>
        <PurposeOfGrant>A grant was made to fund a mattress replacement project aimed to reduce the development of hospital acquired pressure sores for inpatients. Amount of grant: $244,399.Additionally, a grant was made to support the Yankee Alliance Supply View Program. To improve supply chain management through a data analytics software utilized to reduce costs, improve quality and streamline operations. Amount of Grant: $36,000.</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>6</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
        <ReturnReference>Part I, Line 2:</ReturnReference>
        <Explanation>Schedule I, Part I, Line 2: For Grants that are awarded to member Hospitals, Yankee Alliance, Inc. requires the submission of a quarterly report as well as a presentation of the results of the project or program that the grant funded.</Explanation>
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        <NamePerson>Charles Manning</NamePerson>
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        <NamePerson>Richard Berkman</NamePerson>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <NamePerson>Jody Daniels</NamePerson>
        <Title>Senior VP of Corp. Svcs.</Title>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <NamePerson>James Mahan</NamePerson>
        <Title>VP Education Services</Title>
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        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>The Organization has no employees, and does not pay compensation to its officers and directors. The Organization's president is the CEO of Yankee Alliance, LLC and is compensated by Yankee Alliance, LLC for services performed as an employee of that organization. Yankee Alliance, Inc. reimburses Yankee Alliance, LLC for compensation expenses allocable to the services performed by the Yankee Alliance, LLC CEO as President of Yankee Alliance, Inc. The CEO's salary is reviewed annually and also compared to a market survey performed by an outside firm, and is geared toward the 50th percentile. The CEO's salary is determined by the compensation committee of the board of directors of Yankee Alliance, LLC.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 6</ReturnReference>
        <Explanation>Membership consists of hospitals, medical centers, multi-corporate health care delivery systems and other health-related organizations which are described in Section 501(c)(3) of the Internal Revenue Code and which are exempt from taxation under 501(a) of the Internal Revenue Code.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7a</ReturnReference>
        <Explanation>The Board of Directors consists of one representative designated and appointed by each member institution, who shall be the chief executive officer of such member institution or such other senior executive officer of such member institution as the Board of Directors may approve.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>Form 990 is reviewed internally by the Organization's Director of Finance, Chief Financial Officer and CEO. The return is compared to the current year audited financial statements, internal data and prior year tax return to insure that the information to be filed is complete and accurate. After the internal review is complete the return is forwarded to legal counsel for their review. Once the internal and legal review is complete the tax return is provided to all board members with the final review and approval resting with the Board Officers. Once the tax return is approved the Treasurer will sign and have the return filed electronically by the Organization's tax preparer.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>Yankee Alliance, Inc. monitors and enforces compliance with the Organization's conflict of interest policy by providing board members with a conflict of interest statement for their review and signature. If a conflict does exist the board member is required to disclose that conflict in the disclosure section of the document. Conflict of interest statements are presented to the board members at the Organization's annual meeting in October. The Organization monitors and enforces the conflict of interest policy by including a standing agenda item asking board members to self-disclose any conflicts of interest that may have arisen since the last disclosure document was signed.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>The Organization has no employees, and does not pay compensation to its officers and directors. The Organization's CEO, officers and key employees are the CEO, officers and key employees of Yankee Alliance, LLC and are compensated by Yankee Alliance, LLC for services performed as employees of that organization. Yankee Alliance, Inc. reimburses Yankee Alliance, LLC for compensation expenses allocable to the services performed by the Yankee Alliance, LLC as the CEO, officers and key employees of Yankee Alliance Inc. The compensation of all employees, with the exception of the CEO, is based on comparisons to an annual market survey which is performed by an outside firm, and in which the organization gears such salaries toward the 50th percentile of the survey. These salaries are managed through the Human Resources Department. The CEO's salary is reviewed annually and also compared to a market survey performed by an outside firm, and is geared toward the 50th percentile. The CEO's salary is determined by the compensation committee of the board of directors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The conflict of interest policy is available to the public on the Organization's website and upon request. Financial statements and governing documents are available to the public upon request and through the Massachusetts Attorney General's office.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other Fees</Identifier>
        <ReturnReference>Form 990, Part IX, line 11g</ReturnReference>
        <Explanation>Other Fees: Program service expenses 103,270. Management and general expenses 34,423. Fundraising expenses 0. Total expenses 137,693. Reimbursement to Affiliate: Program service expenses 524,712. Management and general expenses 174,904. Fundraising expenses 0. Total expenses 699,616.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Relation to Yankee Alliance, LLC</Identifier>
        <ReturnReference>Schedule R Part III</ReturnReference>
        <Explanation>Six of the nine founding members of Yankee Alliance, Inc. are all, and the only, partners of Yankee Alliance, LLC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Allocation of Hours Worked</Identifier>
        <ReturnReference>990, Part VII, Section A:</ReturnReference>
        <Explanation>The employees listed on Form 990, Part VII, Section A are paid by Yankee Alliance, LLC. However, their time is allocated between Yankee Alliance, Yankee Alliance Supply Chain Cooperative Inc., and Yankee Alliance, LLC. In addition, the employing entity is reimbursed for the services performed. All employees work 40 hours per week, allocated as follows: James Oliver: Yankee Alliance: 4 hours/week Yankee Alliance Supply Chain Cooperative Inc.: 24 hours/week Yankee Alliance, LLC: 12 hours/week Charles Manning: Yankee Alliance: 2 hours/week Yankee Alliance Supply Chain Cooperative Inc.: 32 hours/week Yankee Alliance, LLC: 6 hours/week Richard Berkman: Yankee Alliance: 40 hours/week Jody Daniels: Yankee Alliance: 2 hours/week Yankee Alliance Supply Chain Cooperative Inc.: 32 hours/week Yankee Alliance, LLC: 6 hours/week Barry Mackinnon: Yankee Alliance: 40 hours/week James Mahan: Yankee Alliance: 40 hours/week</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Yankee Alliance Supply Chain Cooperative Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>138 River Road</AddressLine1>
          <City>Andover</City>
          <State>MA</State>
          <ZIPCode>018101083</ZIPCode>
        </AddressUS>
        <EIN>043027064</EIN>
        <PrimaryActivities>Group Purchasing Services</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>1</ControlledOrg>
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          <AddressLine1>138 River Road</AddressLine1>
          <City>Andover</City>
          <State>MA</State>
          <ZIPCode>018101083</ZIPCode>
        </AddressUS>
        <EIN>300486661</EIN>
        <PrimaryActivity>Group Purchasing Services</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <AddressUS>
          <AddressLine1>138 River Road</AddressLine1>
          <City>Andover</City>
          <State>MA</State>
          <ZIPCode>018101083</ZIPCode>
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        <EIN>462047077</EIN>
        <PrimaryActivity>Group Purchasing Services</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>1</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>0</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
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