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        <TitleTxt>CHIEF OF STAFF</TitleTxt>
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            <StateAbbreviationCd>VT</StateAbbreviationCd>
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      <ContractorCompensationGrp>
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          <ForeignAddress>
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            <CountryCd>FR</CountryCd>
            <ForeignPostalCd>51000</ForeignPostalCd>
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      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>21567118</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>26962344</TotExpnsEtcAuditedFinclStmtAmt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>26962344</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>0</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>LAST MILE HEALTH IS A NOT-FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("IRC"). THE ORGANIZATION IS CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS OTHER THAN A PRIVATE ORGANIZATION. THERE ARE CURRENTLY NO FEDERAL OR STATE INCOME TAX AUDITS IN PROGRESS. UNDER ASC 740, AN ORGANIZATION MUST RECOGNIZE THE FINANCIAL STATEMENT EFFECTS OF A TAX POSITION TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. THE ORGANIZATION DOES NOT BELIEVE IT HAS TAKEN ANY MATERIAL UNCERTAIN TAX POSITIONS, AND ACCORDINGLY, IT HAS NOT RECORDED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION HAS FILED FOR AND RECEIVED INCOME TAX EXEMPTIONS IN THE JURISDICTIONS WHERE IT IS REQUIRED TO DO SO. ADDITIONALLY, THE ORGANIZATION HAS FILED IRS FORM 990 INFORMATION RETURNS, AS REQUIRED, AND ALL OTHER APPLICABLE RETURNS IN JURISDICTIONS WHERE SO REQUIRED. FOR THE YEARS ENDED JUNE 30, 2025 AND 2024, THERE WERE NO INTEREST OR PENALTIES RECORDED OR INCLUDED IN THE STATEMENTS OF ACTIVITIES.</ExplanationTxt>
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        <ExplanationTxt>CUMULATIVE TRANSLATION ADJUSTMENT - 229672</ExplanationTxt>
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        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <OfficesCnt>5</OfficesCnt>
        <EmployeeCnt>125</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>HEALTHCARE</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>20969017</RegionTotalExpendituresAmt>
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      <SubtotalOfficesCnt>5</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>125</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>5</TotalOfficeCnt>
      <TotalEmployeeCnt>125</TotalEmployeeCnt>
      <SubtotalSpentAmt>20969017</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
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      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>false</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
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        <FormAndLineReferenceDesc>Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>SUB-SAHARAN AFRICA-Accrual</ExplanationTxt>
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      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
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      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
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      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>LISHA MCCORMICK</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES NARDELLA</PersonNm>
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        <TotalCompensationFilingOrgAmt>246691</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>MEGGAN IRELAND</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>7294</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5969</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2211</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>204946</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DIVYA NAIR</PersonNm>
        <TitleTxt>CHIEF TECHNICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>194445</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8407</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>202852</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NAN CHEN</PersonNm>
        <TitleTxt>CO-EXECUTIVE DIRECTOR, AFRICA FRONTLINE FIRST</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>COURTNEY EVANS HENKE</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>BARBARA WILLETT</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DELIA BURNETT</PersonNm>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Travel for companions</FormAndLineReferenceDesc>
        <ExplanationTxt>LAST MILE HEALTH PROVIDES CERTAIN BENEFITS TO EMPLOYEES BASED OUTSIDE OF THEIR COUNTRIES OF CITIZENSHIP. THESE EMPLOYEES ARE ELIGIBLE FOR A HOME LEAVE TRAVEL ALLOWANCE (INCLUDING COMPANIONS) AND A HOUSING ALLOWANCE. THESE BENEFITS ARE TREATED AS TAXABLE COMPENSATION FOR US PURPOSES AND REPORTED ON FORM W-2 IF THE EMPLOYEE HAS A US TAX FILING REQUIREMENT. THESE BENEFITS HAVE BOTH TAXABLE AND NONTAXABLE TREATMENT IN THE COUNTRIES WHERE STAFF ARE BASED AND IN OTHER COUNTRIES OF CITIZENSHIP. LAST MILE HEALTH DETERMINES TAXABILITY AND REPORTING REQUIREMENTS ON A COUNTRY BY COUNTRY BASIS AND ENSURES COMPLIANCE WITH LOCAL STATUTES REGARDING ALL COMPENSATION AND BENEFITS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S COMPENSATION IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF LAST MILE HEALTH, ALL OF WHOM ARE INDEPENDENT OF THE CEO. THE EXECUTIVE COMMITTEE USES COMPARABLE MARKET DATA AS AN INPUT TO ANNUAL COMPENSATION REVIEWS, ALL CEO COMPENSATION ADJUSTMENTS ARE SUBJECT TO THE REVIEW AND APPROVAL OF LAST MILE HEALTH'S BOARD OF DIRECTORS. THE ORGANIZATION MAINTAINS CONTEMPORANEOUS DOCUMENTATION OF THE DELIBERATIONS AND DECISIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION SPONSORS A SIMPLE IRA RETIREMENT PLAN, AS DEFINED UNDER SECTION 403(B) OF THE INTERNAL REVENUE CODE, COVERING SUBSTANTIALLY ALL EMPLOYEES OF THE UNITED STATES. PARTICIPANTS MAY ELECT TO CONTRIBUTE A PORTION OF THEIR ELIGIBLE COMPENSATION, AS DEFINED, SUBJECT TO IRA LIMITATIONS. THE ORGANIZATION WILL MATCH UP TO 3% OF THE EMPLOYEES ANNUAL CONTRIBUTION TO THE PLAN.</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION MAKES ITS 990 AVAILABLE FOR PUBLIC INSPECTION VIA THE ORGANIZATION'S WEBSITE AND ALSO UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL FINANCIAL STATEMENTS AND TAX RETURNS ARE PREPARED BY AN INDEPENDENT OUTSIDE ACCOUNTING FIRM AND REVIEWED BY THE AUDIT, RISK, AND COMPLIANCE COMMITTEE. THE FORM 990 IS ELECTRONICALLY TRANSMITTED TO THE ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO FINALIZATION AND FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>LAST MILE HEALTH, REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY WHICH COVERS ALL STAFF, AND BOARD OF DIRECTORS. IN DOING SO, ALL DECISIONS (FINANCIAL AND NON-FINANCIAL) ARE SCRUTINIZED TO ENSURE THAT THEY ARE NOT SELF-SERVING WITH RESPECT TO LMH PERSONNEL OR MEMBERS OF THE BOARD OF DIRECTORS. HUMAN RESOURCES DECIDES IF A CONFLICT OF INTEREST EXISTS FOR LMH PERSONNEL AND ELEVATES THE MATTER TO THE CEO OR THE CHAIRMAN OF THE BOARD OF DIRECTORS AS APPROPRIATE. EACH BOARD MEMBER COMPLETES A CONFLICT OF INTEREST FORM ANNUALLY WHICH IS THEN SHARED WITH THE AUDIT, RISK, AND COMPLIANCE COMMITTEE. ANY CONFLICTED INDIVIDUAL IS PROHIBITED FROM VOTING OR MAKING ANY DECISIONS RELATED TO THE MATTER.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S COMPENSATION IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF LAST MILE HEALTH, ALL OF WHOM ARE INDEPENDENT OF THE CEO. THE EXECUTIVE COMMITTEE USES COMPARABLE MARKET DATA AS AN INPUT TO ANNUAL COMPENSATION REVIEWS, ALL CEO COMPENSATION ADJUSTMENTS ARE SUBJECT TO THE REVIEW AND APPROVAL OF LAST MILE HEALTH'S BOARD OF DIRECTORS. THE ORGANIZATION MAINTAINS CONTEMPORANEOUS DOCUMENTATION OF THE DELIBERATIONS AND DECISIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR OTHER OFFICERS IS DETERMINED BY THE CEO. SUCH COMPENSATION IS SIMILARLY DETERMINED BY REFERENCE TO COMPARABILITY DATA.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROFESSIONAL FEES - Total Expense: 6395248, Program Service Expense: 6326431, Management and General Expenses: 0, Fundraising Expenses: 68817;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>CUMULATIVE TRANSLATION ADJUSTMENT - 229672; Total - 229672;</ExplanationTxt>
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          <CountryCd>SL</CountryCd>
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        <LegalDomicileForeignCountryCd>SL</LegalDomicileForeignCountryCd>
        <TotalIncomeAmt>1111446</TotalIncomeAmt>
        <EndOfYearAssetsAmt>220787</EndOfYearAssetsAmt>
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