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      <OtherExpenses>
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      <FollowSFAS117>X</FollowSFAS117>
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      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementBoth>X</FinancialStatementBoth>
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        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>Charles Manning</NamePerson>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <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, Inc. and is compensated by Yankee Alliance, Inc. for services performed as an employee of that organization. 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, Inc.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>Membership consists of certain hospitals which are described in Section 501(c)(3) of the Internal Revenue Code which are exempt from taxation under Section 501(a) of the Internal Revenue Code; a hospital which is a constituent part of an organization described in Section 501(c)(3) of the Internal Revenue Code which is exempt from taxation under Section 501(a) of the Internal Revenue Code and which, if organized and operated as a separate entity, would constitute an organization described in Section 501(c)(3) of the Internal Revenue Code; and hospitals that are owned and operated by the United States, a State, or a political subdivision or an agency or instrumentality of any of the foregoing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>Class A members have the right to designate and appoint one individual to serve as a director.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>Form 990 is reviewed internally by the Organization's Financial Analyst, Senior Vice President of Finance 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 Supply Chain Cooperative, 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 president is the CEO of Yankee Alliance, Inc. and is compensated by Yankee Alliance, Inc. for services performed as an employee of that organization. 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, Inc.</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 Office of the Attorney General of Massachusetts.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 5:</ReturnReference>
        <Explanation>Distributions to Members -4,320,000. Total to Form 990, Part XI, Line 5: -4,320,000.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Oversight of Audit</Identifier>
        <ReturnReference>Form 990: Part XI, Line 2c:</ReturnReference>
        <Explanation>The process of overseeing the financial statement audit and selection of the independent accounting firm has not changed from the prior year.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part IX</ReturnReference>
        <Explanation>Yankee Alliance Supply Chain Cooperative Inc. pays a management fee to Yankee Alliance Inc. for services rendered as well as occupancy, office and other administrative costs. The management fee is determined by Yankee Alliance, Inc's actual costs. In addition Yankee Alliance Supply Chain Cooperative Inc. pays a membership fee to Yankee Alliance Inc. for services such as educational, networking, benchmarking and collaborative activities that foster sharing best practices and learning innovative approaches to hospital operations and performance improvement, leading to transformative changes in understanding and actions. The membership fee is determined by Yankee Alliance, Inc's actual other costs related to membership services.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Schedule A, Page 1 Line 3:</ReturnReference>
        <Explanation>The entity is not licensed by the state as a hospital; therefore Schedule H is not applicable.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Relation to Yankee Alliance, LLC</Identifier>
        <ReturnReference>Schedule R, Page 2, Part III:</ReturnReference>
        <Explanation>The founding members of Yankee Alliance Supply Chain Cooperative, Inc. are all, and the only, partners in 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, Inc. However, their time is allocated between Yankee Alliance, Yankee Alliance Supply Chain Cooperative Inc., and Yankee Alliance, LLC. 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.: 36 hours/week Yankee Alliance, LLC: 2 hours/week John Evans: Yankee Alliance Supply Chain Cooperative Inc.: 40 hours/week Cathy Spinney: Yankee Alliance Supply Chain Cooperative Inc.: 24 hours/week Yankee Alliance, LLC: 16 hours/week Thomas Wright: Yankee Alliance Supply Chain Cooperative Inc.: 40 hours/week Jody Daniels: Yankee Alliance: 2 hours/week Yankee Alliance Supply Chain Cooperative Inc.: 36 hours/week Yankee Alliance, LLC: 2 hours/week</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Yankee Alliance Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>138 River Road</AddressLine1>
          <City>Andover</City>
          <State>MA</State>
          <ZIPCode>018101083</ZIPCode>
        </AddressUS>
        <EIN>222561879</EIN>
        <PrimaryActivities>Knowledge Transfer</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        </AddressUS>
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        <PrimaryActivity>Group Purchasing Services</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
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      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
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      <SharingOfFacilities>1</SharingOfFacilities>
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        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>88474</AmountInvolved>
        <MethodOfAmtDetermination>Year End Balance Due</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
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  </ReturnData>
</Return>