We are all rightly excited about the development of Global Digital Health Goods that can support developing countries improve their health systems. We can also be excited about new efforts like the Principles of Donor Alignment for Digital Health to support the development of these Global Goods. However, what does it really cost to develop a Global Good? And what are the ongoing maintenance and support efforts needed to ensure these Global Goods sustain their impact over time? New research from USAID and the Boston Consulting Group analyzed the development costs and maintenance needs of three major Global Goods: OpenMRS, Commcare, and iHRIS. In this session, we’ll learn about the processes that USAID and BCG took in analyzing these systems and the results they found. In addition, leads from the three systems will discuss their reactions to the findings and how they intend to use the findings to drive future decisions about their systems.