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        <PurposeOfGrant>Grant funding to provide access to a supply chain analytics tool to enable hospitals to reduce operating expenses ($20,000). Grant funding to fund clinical and quality breakthrough programs ($38,891).</PurposeOfGrant>
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          <City>Glens Falls</City>
          <State>NY</State>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>343367</AmountOfCashGrant>
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          <State>MA</State>
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          <City>Boston</City>
          <State>MA</State>
          <ZIPCode>02118</ZIPCode>
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          <City>Lexington</City>
          <State>MA</State>
          <ZIPCode>02420</ZIPCode>
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        <EINOfRecipient>222484505</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
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        <PurposeOfGrant>A grant to fund a health care reform software implementation to install an electronic medical record software system, to upgrade the current cost accounting systems (ECS project) and maintenance/IT costs for Eclipsys decision support system.</PurposeOfGrant>
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          <City>Troy</City>
          <State>NY</State>
          <ZIPCode>12180</ZIPCode>
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          <City>New Haven</City>
          <State>CT</State>
          <ZIPCode>06511</ZIPCode>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <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>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <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>
        <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, 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 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>Oversight of Audit</Identifier>
        <ReturnReference>Form 990, Part XI, Line 2c:</ReturnReference>
        <Explanation>The process of overseeing the financial statement audit and selecting an independent accounting firm has not changed from the prior year.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Relation to Yankee Alliance, LLC</Identifier>
        <ReturnReference>Schedule R Part III</ReturnReference>
        <Explanation>The 9 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, 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 Richard Berkman: Yankee Alliance: 40 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">
      <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>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Yankee Alliance LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <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>
      </Form990ScheduleRPartIII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>1</LoansOrGuaranteesFromOtherOrg>
      <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>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Yankee Alliance LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>1249751</AmountInvolved>
        <MethodOfAmtDetermination>Year End Balance</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>