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      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 1a</ReturnReference>
        <Explanation>The housing allowances are paid to employees who undertake overseas assignments and are in line with U.S. Government policy.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>A copy of the Form 990 was reviewed by the Audit Committee, which is comprised of 4 Board members. Subsequent to Audit Committee review the Form is provided to the remaining Board members for their review.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>The Organization requires all employees to sign its Code of Business Ethics and Conduct (which includes its conflict of interest policy) each year to acknowledge compliance. Employees are obliged to report illegal or unethical behavior to the Organization and whistleblowers are protected. The Organization's rigorous internal audit process includes monitoring of compliance. In addition, each member of the Organization's Board of Directors is required to disclose any conflict of interest annually.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>The Organization has a comprehensive compensation policy which is approved annually by the Compensation Committee, which reports to the Board of Directors. The compensation of the CEO is set by the Board of Directors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The Organization's governing documents are available from the Secretary of the Commonwealth of Massachusetts. The Organization's conflict of interest policy is set out on the Organization's intranet site but is not currently available to the public. A summary of the financial statements is made available in the Organization's annual report. The detailed financial statements are available on the web (GuideStar, Single Audit Database).</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Partnership for Supply Chain Management</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1616 North Fort Myer Drive</AddressLine1>
          <City>Arlington</City>
          <State>VA</State>
          <ZIPCode>22209</ZIPCode>
        </AddressUS>
        <EIN>203258654</EIN>
        <PrimaryActivities>Provide sustainable supply chains to meet the needs of health care</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)(VI)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MSH Development Services Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>784 Memorial Drive</AddressLine1>
          <City>Boston</City>
          <State>MA</State>
          <ZIPCode>02139</ZIPCode>
        </AddressUS>
        <EIN>042679727</EIN>
        <PrimaryActivity>Inactive</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>-581</ShareOfTotalIncome>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
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      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
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      <SharingOfFacilities>0</SharingOfFacilities>
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      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
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      <Form990ScheduleRPartVII>
        <ReturnReference>Schedule R Part V Numbers 1p and 1q</ReturnReference>
        <Explanation>Certain MSH officers are directors on the board of Partnership for Supply Chain Management (PFSCM). MSH does not directly control PFSCM but because there is a significant relationship between the two organizations MSH has chosen to disclose the relationship in this Schedule. No compensation information from this related organization is reported on MSH's form 990 because PFSCM has no employees.</Explanation>
      </Form990ScheduleRPartVII>
    </IRS990ScheduleR>
  </ReturnData>
</Return>