﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2023v5.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-11-12T10:46:43-06:00</ReturnTs>
    <TaxPeriodEndDt>2023-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>521392008</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>GELMAN ROSENBERG &amp; FREEDMAN</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>4550 MONTGOMERY AVE SUITE 800N</AddressLine1Txt>
        <CityNm>BETHESDA</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>208142930</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>521800436</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>ASSOCIATION OF PUBLIC HEALTH</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>LABORATORIES INC</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>ASSO</BusinessNameControlTxt>
      <PhoneNum>2404852745</PhoneNum>
      <USAddress>
        <AddressLine1Txt>7700 WISCONSIN AVENUE 1000</AddressLine1Txt>
        <CityNm>BETHESDA</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>20814</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>CAROL CLARK</PersonNm>
      <PersonTitleTxt>CHIEF OPERATING OFFICER</PersonTitleTxt>
      <PhoneNum>2404852745</PhoneNum>
      <SignatureDt>2024-11-12</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>0</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>RICHARD J LOCASTRO CPA</PreparerPersonNm>
      <PTIN>P00288314</PTIN>
      <PhoneNum>3019519090</PhoneNum>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2024-10-15 13:58:12Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="10">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>SCOTT BECKER</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>7700 WISCONSIN AVENUE 1000</AddressLine1Txt>
        <CityNm>BETHESDA</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>20814</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>113219928</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.APHL.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1991</FormationYr>
      <LegalDomicileStateCd>DC</LegalDomicileStateCd>
      <ActivityOrMissionDesc>SEE PART III, LINE 1.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>10</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>10</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>261</TotalEmployeeCnt>
      <TotalVolunteersCnt>315</TotalVolunteersCnt>
      <TotalGrossUBIAmt>48426</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>2013</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>90153650</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>105003072</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>11019774</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>7762807</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>125947</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>312491</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>156686</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>141558</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>101456057</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>113219928</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>8554789</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>11803704</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>25427578</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>31430015</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>65114399</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>71724384</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>99096766</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>114958103</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>2359291</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-1738175</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>31575838</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>29422327</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>20403998</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>19518162</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>11171840</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>9904165</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>SHAPE NATIONAL AND GLOBAL HEALTH OUTCOMES BY PROMOTING THE VALUE AND CONTRIBUTIONS OF PUBLIC HEALTH LABORATORIES AND CONTINUOUSLY IMPROVING THE PUBLIC HEALTH LABORATORY SYSTEM AND PRACTICE.</MissionDesc>
      <SignificantNewProgramSrvcInd>1</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>1</SignificantChangeInd>
      <ExpenseAmt>73892938</ExpenseAmt>
      <GrantAmt>8756482</GrantAmt>
      <RevenueAmt>23650</RevenueAmt>
      <Desc>ENHANCING PUBLIC HEALTH LABORATORY CAPABILITIES &amp; INCREASING CAPACITY (ECIC) FROM JULY 1, 2020 THROUGH JUNE 30, 2025 FUNDED THROUGH THE CENTERS FOR DISEASE CONTROL &amp; PREVENTION. THE ASSOCIATION OF PUBLIC HEALTH LABORATORIES, INC. (APHL) STRENGTHENS THE PUBLIC HEALTH LABORATORY SYSTEM BY PROMOTING QUALITY PUBLIC HEALTH PRACTICE, IMPROVING THE PUBLIC HEALTH INFRASTRUCTURE, AND STRENGTHENING THE PUBLIC HEALTH LABORATORY SYSTEM IN DEVELOPING A WELL-TRAINED WORKFORCE. APHL ALSO WORKS TO ADDRESS LEADERSHIP AND OTHER ISSUES AS IT RELATES TO STAFFING IN THE HIGHEST LEVELS OF PUBLIC HEALTH LABORATORIES. THIS PROGRAM ALSO ENSURES THAT APHL CAN SERVE AS THE CLEARINGHOUSE OF INFORMATION BY, ABOUT, AND FOR THE PUBLIC HEALTH LABORATORIES.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>11448560</ExpenseAmt>
        <GrantAmt>20820</GrantAmt>
        <Desc>GLOBAL HEALTH:IN 2016 APHL RECEIVED THE STRENGTHENING PUBLIC HEALTH LABORATORIES INTERNATIONALLY (SPHLI) COOPERATIVE AGREEMENT TO ADVOCATE FOR, SHAPE THE DEVELOPMENT OF, AND PROVIDE TECHNICAL AND MANAGEMENT ASSISTANCE TO FOSTER NATIONAL PUBLIC HEALTH LABORATORY SYSTEMS HELD TO INTERNATIONAL STANDARDS, LED BY A STRONG NATIONAL PUBLIC HEALTH REFERENCE LABORATORY AND SUPPORTED BY TIERED LABORATORY SERVICES. IN SEPT 2020 APHL RECEIVED THE GLOBAL HEALTH SECURITY PARTNERSHIPS: EXPANDING AND IMPROVING PUBLIC HEALTH LABORATORY STRATEGIES AND SYSTEMS COOPERATIVE AGREEMENT FOR PROTECTING AND IMPROVING HEALTH GLOBALLY: BUILDING AND STRENGTHENING PUBLIC HEALTH IMPACT, SYSTEMS, CAPACITY AND SECURITY. APHL ALSO HAS A COOPERATIVE AGREEMENT TO SUPPORT THE ACHIEVEMENT OF THE GLOBAL HEALTH SECURITY (GHS) TARGETS IN KENYA THAT FOCUS ON PROTECTING AND IMPROVING HEALTH GLOBALLY THROUGH REGIONAL, NATIONAL, AND LOCAL PARTNERSHIPS. ALSO, WE CONTINUE TO RECEIVE PEPFAR FUNDING FOR ONLY SELECT COUNTRIES: MOZAMBIQUE &amp; GHANA. IN SEPTEMBER OF 2023 APHL RECEIVED THE GRANT FOR SUPPORTING CONTINUOUS QUALITY IMPROVEMENT, PARTNERSHIPS, AND INNOVATION FOR SUSTAINED AND RESPONSIVE LABORATORY SYSTEMS, TIERED DIAGNOSTIC NETWORKS, AND LABORATORY DATA MANAGEMENT UNDER PEPFAR. THIS COOPERATIVE AGREEMENT IS TO BUILD UPON ACTIVITIES TO ENSURE ACCESS TO QUALITY-ASSURED CONVENTIONAL AND POC HIV-RELATED LABORATORY AND DIAGNOSTIC SERVICES, EMPHASIZING LABORATORY INFORMATICS/DATA SYSTEMS AND CQI APPROACHES FOR POC TESTING SITES, LABORATORIES, THE CLINIC-LABORATORY INTERFACE, AND ACROSS INTEGRATED NATIONAL DIAGNOSTIC NETWORKS.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>7285276</ExpenseAmt>
        <GrantAmt>3023352</GrantAmt>
        <RevenueAmt>5300</RevenueAmt>
        <Desc>OTHER FEDERAL AWARDS:THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) COOPERATIVE AGREEMENTS TO APHL SUPPORTS THE NEWBORN SCREENING TECHNICAL ASSISTANCE AND EVALUATION PROGRAM, A NATIONAL NEWBORN SCREENING RESOURCE CENTER DESIGNED TO PROVIDE DATA, TECHNICAL ASSISTANCE, AND TRAINING TO NEWBORN SCREENING PROGRAMS AND ASSIST STATES WITH QUALITY IMPROVEMENT INITIATIVES. IT FUNCTIONS WITH THE GOAL OF IMPROVING OUTCOMES FOR NEWBORNS BY FACILITATING NEWBORN SCREENING INITIATIVES AND PROGRAMMATIC OUTCOMES TO IMPROVE THE OVERALL QUALITY OF THE NEWBORN SCREENING SYSTEM.THE FOOD AND DRUG ADMINISTRATION (FDA) COOPERATIVE AGREEMENTS TO APHL WORKS TO CONTINUE BUILDING COMPETENCY-BASED INTEGRATED TRAINING FOR REGULATORY LABORATORY SCIENTISTS, WORKSHOPS, AND EDUCATIONAL RESOURCES TO LABORATORIES SEEKING ISO/IEC 17025 ACCREDITATION, SUPPORT FDA'S GENOMETRAKR NETWORK, AND IMPROVE THE SHARING OF FOOD TESTING DATA VIA FDA'S ELEXNET PLATFORM.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>1682138</ExpenseAmt>
        <RevenueAmt>2128059</RevenueAmt>
        <Desc>CONFERENCES AND TRAINING</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>503062</ExpenseAmt>
        <RevenueAmt>1168798</RevenueAmt>
        <Desc>MEMBERSHIP AND CORPORATE SPONSORSHIP</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>90959</ExpenseAmt>
        <Desc>PUBLIC INFORMATION</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>7836130</ExpenseAmt>
        <GrantAmt>3050</GrantAmt>
        <RevenueAmt>4437000</RevenueAmt>
        <Desc>OTHER PROGRAMS</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>10112289</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcGrantAmt>3050</TotalOtherProgSrvcGrantAmt>
      <TotalOtherProgSrvcRevenueAmt>7733857</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>102739063</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc1039600001">0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc1039600001">1</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc1039600001">0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>0</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">0</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>1</ForeignOfficeInd>
      <ForeignActivitiesInd referenceDocumentId="RetDoc1040500001">1</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd referenceDocumentId="RetDoc1040500001">1</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd referenceDocumentId="RetDoc1040500001">0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc1041900001">1</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc1041900001">1</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">1</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>1</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="RetDoc1043400001">1</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>120</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>261</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>1</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>1</Form990TFiledInd>
      <ForeignFinancialAccountInd>1</ForeignFinancialAccountInd>
      <ForeignCountryCd>MZ</ForeignCountryCd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>10</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>10</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>1</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>1</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>0</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>CA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>IL</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MD</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MA</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>CAROL CLARK</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>2404852745</PhoneNum>
        <USAddress>
          <AddressLine1Txt>7700 WISCONSIN AVE SUITE 1000</AddressLine1Txt>
          <CityNm>BETHESDA</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20814</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <InfoInScheduleOPartVIIInd>X</InfoInScheduleOPartVIIInd>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIM SOUTHERN</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAPHNE WARE</PersonNm>
        <TitleTxt>PAST PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MEGAN CRUMPLER</PersonNm>
        <TitleTxt>PRESIDENT - ELECT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GODFRED MASINDE</PersonNm>
        <TitleTxt>SECRETARY TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL PANTELLA</PersonNm>
        <TitleTxt>PUBLIC HEALTH INSTITUTIONAL STATE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEBORAH SEVERSON</PersonNm>
        <TitleTxt>PUBLIC HEALTH INSTITUTIONAL LOCAL</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT SHONE</PersonNm>
        <TitleTxt>PUBLIC HEALTH INSTITUTIONAL STATE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>12938</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LESLIE WOLF</PersonNm>
        <TitleTxt>PUBLIC HEALTH INSTITUTIONAL LOCAL</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON MASSINGALE</PersonNm>
        <TitleTxt>PUBLIC HEALTH INSTITUTIONAL STATE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAMELA HIGGINS</PersonNm>
        <TitleTxt>PHAI</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT BECKER</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>654180</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>83612</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAROL CLARK</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>386682</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>57550</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EWA KING</PersonNm>
        <TitleTxt>CHIEF PROGRAM OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>254980</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>53625</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PETER KYRIACOPOULOS</PersonNm>
        <TitleTxt>CHIEF POLICY OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>244085</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>52405</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRIS BEAN</PersonNm>
        <TitleTxt>CHIEF LEARNING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>233224</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>51472</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TROY WILLITT</PersonNm>
        <TitleTxt>GENERAL COUNSEL</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>225619</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50343</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE MEIGS</PersonNm>
        <TitleTxt>DIRECTOR II, INFORMATICS PROGRAM</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>216234</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>57296</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATINA GAGNE</PersonNm>
        <TitleTxt>DIRECTOR, DATAPULT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>216147</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>57198</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LISA CHILCOTE</PersonNm>
        <TitleTxt>SENIOR DIRECTOR, PEOPLE &amp; CULTURE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>231568</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38777</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>IMRAN BABAYEV</PersonNm>
        <TitleTxt>DIRECTOR, FINANCE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>214268</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>53239</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2889925</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>555517</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>83</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RUVOS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2252 KILLEARN CENTER BLVD STE 300</AddressLine1Txt>
            <CityNm>TALLAHASSEE</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32309</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INFORMATICS CONSULTING</ServicesDesc>
        <CompensationAmt>11021980</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>J MICHAEL CONSULTING LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>885 WOODSTOCK RD STE 430-151</AddressLine1Txt>
            <CityNm>ROSWELL</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30075</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INFORMATICS CONSULTING</ServicesDesc>
        <CompensationAmt>4682560</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DELOITTE CONSULTING LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1919 NORTH LYNN ST SUITE 1500</AddressLine1Txt>
            <CityNm>ARLINGTON</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>22209</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INFORMATICS CONSULTING</ServicesDesc>
        <CompensationAmt>3572517</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CARRADORA HEALTH INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>155 GIBBS ST SUITE 419</AddressLine1Txt>
            <CityNm>ROCKVILLE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>20850</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INFORMATICS CONSULTING</ServicesDesc>
        <CompensationAmt>2807917</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HLN CONSULTING LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9 PEMBERLY MISSION</AddressLine1Txt>
            <CityNm>VIEJO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92692</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INFORMATICS CONSULTING</ServicesDesc>
        <CompensationAmt>2368674</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>42</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>104832227</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>170845</AllOtherContributionsAmt>
      <TotalContributionsAmt>105003072</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4365455</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4365455</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONFERENCE &amp; EXHIBITS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2157008</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2157008</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1168798</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1168798</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PUBLICATIONS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>55546</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7120</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>48426</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PROGRAM INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>16000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>7762807</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>312491</TotalRevenueColumnAmt>
        <ExclusionAmt>312491</ExclusionAmt>
      </InvestmentIncomeGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>122916</TotalRevenueColumnAmt>
        <ExclusionAmt>122916</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>18642</TotalRevenueColumnAmt>
        <ExclusionAmt>18642</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>18642</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>113219928</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7714381</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>48426</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>454049</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>3940605</TotalAmt>
        <ProgramServicesAmt>3940605</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>7842279</TotalAmt>
        <ProgramServicesAmt>7842279</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>20820</TotalAmt>
        <ProgramServicesAmt>20820</ProgramServicesAmt>
      </ForeignGrantsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2084753</TotalAmt>
        <ProgramServicesAmt>612640</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1472113</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>20371470</TotalAmt>
        <ProgramServicesAmt>16344612</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4026858</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>1997515</TotalAmt>
        <ProgramServicesAmt>1562355</ProgramServicesAmt>
        <ManagementAndGeneralAmt>435160</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>5274136</TotalAmt>
        <ProgramServicesAmt>4036706</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1237430</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1702141</TotalAmt>
        <ProgramServicesAmt>1282996</ProgramServicesAmt>
        <ManagementAndGeneralAmt>419145</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>104286</TotalAmt>
        <ProgramServicesAmt>97518</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6768</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>285847</TotalAmt>
        <ProgramServicesAmt>147640</ProgramServicesAmt>
        <ManagementAndGeneralAmt>138207</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>45512</TotalAmt>
        <ProgramServicesAmt>45512</ProgramServicesAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>53652161</TotalAmt>
        <ProgramServicesAmt>52226425</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1425736</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>955844</TotalAmt>
        <ProgramServicesAmt>676469</ProgramServicesAmt>
        <ManagementAndGeneralAmt>279375</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>106020</TotalAmt>
        <ProgramServicesAmt>30610</ProgramServicesAmt>
        <ManagementAndGeneralAmt>75410</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1166928</TotalAmt>
        <ProgramServicesAmt>82601</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1084327</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>6795963</TotalAmt>
        <ProgramServicesAmt>6585442</ProgramServicesAmt>
        <ManagementAndGeneralAmt>210521</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>2963948</TotalAmt>
        <ProgramServicesAmt>2799758</ProgramServicesAmt>
        <ManagementAndGeneralAmt>164190</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>53218</TotalAmt>
        <ManagementAndGeneralAmt>53218</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1034442</TotalAmt>
        <ProgramServicesAmt>877577</ProgramServicesAmt>
        <ManagementAndGeneralAmt>156865</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>LABORATORY SUPPLIES</Desc>
        <TotalAmt>2151726</TotalAmt>
        <ProgramServicesAmt>2151726</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROVISION ADJ. FOR ICR</Desc>
        <TotalAmt>879228</TotalAmt>
        <ManagementAndGeneralAmt>879228</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>COMPUTERS AND EQUIPMENT</Desc>
        <TotalAmt>621169</TotalAmt>
        <ProgramServicesAmt>549309</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71860</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MAINTENANCE &amp; REPAIRS</Desc>
        <TotalAmt>68935</TotalAmt>
        <ProgramServicesAmt>66288</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2647</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>839157</TotalAmt>
        <ProgramServicesAmt>759175</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79982</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>114958103</TotalAmt>
        <ProgramServicesAmt>102739063</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12219040</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>12964489</BOYAmt>
        <EOYAmt>9224456</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>9819</BOYAmt>
        <EOYAmt>7841</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>10090303</BOYAmt>
        <EOYAmt>11386898</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>348043</BOYAmt>
        <EOYAmt>1649950</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>2349329</BOYAmt>
        <EOYAmt>1734324</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>272286</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>242536</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>53218</BOYAmt>
        <EOYAmt>29750</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>4445999</BOYAmt>
        <EOYAmt>5053780</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1314638</BOYAmt>
        <EOYAmt>335328</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>31575838</BOYAmt>
        <EOYAmt>29422327</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>16837684</BOYAmt>
        <EOYAmt>15816099</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>2208985</BOYAmt>
        <EOYAmt>2725347</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1357329</BOYAmt>
        <EOYAmt>976716</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>20403998</BOYAmt>
        <EOYAmt>19518162</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>11166211</BOYAmt>
        <EOYAmt>9904165</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>5629</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>11171840</BOYAmt>
        <EOYAmt>9904165</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>31575838</BOYAmt>
        <EOYAmt>29422327</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-1738175</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>470500</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>53338382</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>55829819</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>78480027</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>90153650</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>105003072</CurrentTaxYearAmt>
        <TotalAmt>382804950</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>53338382</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>55829819</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>78480027</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>90153650</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>105003072</CurrentTaxYearAmt>
        <TotalAmt>382804950</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>382804950</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>165127</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>194362</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>237968</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>263638</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>435407</CurrentTaxYearAmt>
        <TotalAmt>1296502</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>36512</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14903</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5330</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>18995</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18642</CurrentTaxYearAmt>
        <TotalAmt>94382</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>384195834</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>39320747</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99640</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99670</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039600001">
      <TotalGrassrootsLobbyingGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotalGrassrootsLobbyingGrp>
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>13505</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>13505</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>114899086</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>114912591</FilingOrganizationsTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>1000000</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>250000</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyngGrassrootMnsNonTxGrp>
      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyExpendMnsLbbyngNonTxGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus3Amt>1000000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>1000000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>4000000</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>6000000</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus3Amt>14218</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>9691</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>17680</CurrentYearMinus1Amt>
        <CurrentYearAmt>13505</CurrentYearAmt>
        <TotalAmt>55094</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>250000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>250000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>1000000</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>1500000</GrassrootsCeilingAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>272286</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>242536</DepreciationAmt>
        <BookValueAmt>29750</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>29750</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO APHL GHANA</Desc>
        <Amt>46485</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO APHL KENYA</Desc>
        <Amt>210432</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO APHL TANZANIA</Desc>
        <Amt>62721</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO APHL ZAMBIA</Desc>
        <Amt>657078</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>976716</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>117234412</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>470500</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>3589496</OtherRevenueAmt>
      <RevenueNotReportedAmt>4059996</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>113174416</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>45512</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>45512</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>113219928</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>118502087</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>3589496</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>3589496</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>114912591</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>45512</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>45512</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>114958103</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>REVENUE FROM APHL KENYA INCLUDED IN CONSOLIDATED FINANCIAL 2,300,758. STATEMENTS AND EXCLUDED FROM APHL FORM 990 REPORTING. REVENUE FROM APHL GHANA INCLUDED IN CONSOLIDATED 290,194. FINANCIAL STATEMENTS AND EXCLUDED FROM APHL FORM 990 REPORTING. REVENUE FROM APHL TANZANIA INCLUDED IN CONSOLIDATED 429,785. FINANCIAL STATEMENTS AND EXCLUDED FROM APHL FORM 990 REPORTING. REVENUE FROM APHL ZAMBIA INCLUDED IN CONSOLIDATED 568,759.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES FROM APHL KENYA INCLUDED IN CONSOLIDATED FINANCIAL 2,300,758. STATEMENTS AND EXCLUDED FROM APHL FORM 990 REPORTING. EXPENSES FROM APHL GHANA INCLUDED IN CONSOLIDATED 290,194. FINANCIAL STATEMENTS AND EXCLUDED FROM APHL FORM 990 REPORTING. EXPENSES FROM APHL TANZANIA INCLUDED IN CONSOLIDATED 429,785. FINANCIAL STATEMENTS AND EXCLUDED FROM APHL FORM 990 REPORTING. EXPENSES FROM APHL ZAMBIA INCLUDED IN CONSOLIDATED 568,759.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc1040500001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>EAST ASIA AND THE PACIFIC</RegionTxt>
        <OfficesCnt>1</OfficesCnt>
        <EmployeeCnt>19</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>LOCALIZED PUBLIC HEALTH LABORATORY STRENGTHENING.</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>1877463</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>MIDDLE EAST AND NORTH AFRICA</RegionTxt>
        <OfficesCnt>1</OfficesCnt>
        <EmployeeCnt>2</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>LOCALIZED PUBLIC HEALTH LABORATORY STRENGTHENING.</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>709677</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>RUSSIA AND NEIGHBORING STATES</RegionTxt>
        <OfficesCnt>1</OfficesCnt>
        <EmployeeCnt>2</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>LOCALIZED PUBLIC HEALTH LABORATORY STRENGTHENING.</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>626523</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>SOUTH AMERICA</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>3</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>LOCALIZED PUBLIC HEALTH LABORATORY STRENGTHENING.</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>98256</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>4</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>LOCALIZED PUBLIC HEALTH LABORATORY STRENGTHENING.</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>1072789</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>EUROPE (INCLUDING ICELAND &amp; GREENLAND)</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>3</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>LOCALIZED PUBLIC HEALTH LABORATORY STRENGTHENING.</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>48507</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <OfficesCnt>3</OfficesCnt>
        <EmployeeCnt>52</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>LOCALIZED PUBLIC HEALTH LABORATORY STRENGTHENING.</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>3373883</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>EAST ASIA AND THE PACIFIC</RegionTxt>
        <TypeOfActivitiesConductedTxt>GRANTS TO RECIPEINTS LOCATED IN REGION</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>20820</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>6</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>85</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>6</TotalOfficeCnt>
      <TotalEmployeeCnt>85</TotalEmployeeCnt>
      <SubtotalSpentAmt>7827918</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>7827918</TotalSpentAmt>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>EAST ASIA AND THE PACIFIC</RegionTxt>
        <PurposeOfGrantTxt>THE NPPHO, CDC-THAILAND AND APHL ARE DEVELOPING AND IMPLEMENTING THE WEB-BASED SEPSIS ALERT SYSTEM.</PurposeOfGrantTxt>
        <CashGrantAmt>20820</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <Total501c3OrgCnt>0</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <TransferToForeignCorpInd>1</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>0</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>APHL IS REQUIRED BY 2 CFR 200 TO ACCURATELY CLASSIFY ANY PROJECT FUNDED BY A COOPERATIVE AGREEMENT (OR ANY OTHER FEDERAL GRANT MONEY). APHL'S LEGAL DEPARTMENT WILL OBTAIN FROM APHL'S GRANTS DEPARTMENT A COPY OF ANY APPLICATION SUBMITTED TO A FEDERAL AGENCY FOR COOPERATIVE AGREEMENT OR OTHER FEDERAL GRANT FUNDING. PROGRAM STAFF WILL COMPLETE A SUBAWARD OR CONTRACT CHECKLIST PRIOR TO BEGINNING WORK ON ANY NEW PROJECT OR PROGRAM. AFTER MAKING THEIR INITIAL CLASSIFICATION, THE STAFF PREPARER AND THEIR PROGRAM DIRECTOR WILL NEED TO E-SIGN THE CHECKLIST. ONCE E-SIGNED, THE CHECKLIST WILL BE MOVED TO LEGAL FOR A FINAL DETERMINATION OF THE SUBRECIPIENT OR CONTRACTOR CLASSIFICATION. THE LEGAL DEPARTMENT WILL CONSIDER THE OVERALL LEGAL AND REGULATORY FRAMEWORK, OTHER FEDERAL OR FUNDING AGENCY REQUIREMENTS AND THE NATURE OF THE RELATIONSHIP BETWEEN APHL AND EACH OF THE OTHER PARTIES WHO MIGHT RECEIVE COOPERATIVE AGREEMENT OR GRANT FUNDING FROM APHL ON A PROJECT WHEN MAKING THE SUBAWARD/CONTRACT DETERMINATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TENNESSEE DEPARTMENT OF HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>710 JAMES ROBERTSON PKWY</AddressLine1Txt>
          <CityNm>NASHVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37243</ZIPCd>
        </USAddress>
        <RecipientEIN>626001445</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>367812</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO FACILITATE A SECOND-TIER SCREEN FOR CAH TO DECREASE THE NUMBER OF FALSE POSITIVE RESULTS REPORTED AND IMPROVE OUR POSITIVE PREDICTIVE VALUE. OUR CURRENT OVERALL PPV IS LESS THAN 1%. THIS SECOND-TIER SCREEN WILL BE ACCOMPLISHED INITIALLY THROUGH OUTSOURCING AND ONCE OUR METHOD IS VALIDATED IN-HOUSE, TDH NBS LABORATORY WILL PERFORM THE SCREEN.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TRUSTEES OF INDIANA UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>509 E 3RD STREET</AddressLine1Txt>
          <CityNm>BLOOMINGTON</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47401</ZIPCd>
        </USAddress>
        <RecipientEIN>356001673</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>340826</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DEVELOP A PLAN AND A CURRICULUM FOR A GRADUATE CERTIFICATE IN ADVANCED PRACTICES FOR PUBLIC HEALTH LABORATORIES. THE CURRICULUM WILL BE DEVELOPED AFTER A THOROUGH SCOPING REVIEW OF EXISTING TRAINING PROGRAMS FOR THE PUBLIC HEALTH LABORATORY WORKFORCE, INSIGHTS FROM SUBJECT MATTER EXPERTS, AND CURRENT PUBLIC HEALTH WORKFORCE DATA.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEALTH RESEARCH INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>150 BROADWAY SUITE 280</AddressLine1Txt>
          <CityNm>MENANDS</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12204</ZIPCd>
        </USAddress>
        <RecipientEIN>141402155</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>340077</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE INTERN WILL WORK PRIMARILY IN THE TRACE ELEMENTS LABORATORY, PART OF THE DIVISION OF ENVIRONMENTAL HEALTH SCIENCES. THE SPECIFIC PROJECT CONCEPT IS TO MEASURE TOTAL SILVER IN INFANT/TODDLER FOOD PRODUCTS PURCHASED IN THE ALBANY, NY AREAS AS A PROXY FOR SILVER NANOPARTICLES.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF SOUTH FLORIDA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4202 E FOWLER AVE</AddressLine1Txt>
          <CityNm>TAMPA</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33620</ZIPCd>
        </USAddress>
        <RecipientEIN>593102112</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>278988</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>LEVERAGING THE ADMINISTRATIVE INFRASTRUCTURE OF THE UNIVERSITY OF SOUTH FLORIDA, THE SUBRECIPIENT WILL ESTABLISH AND IMPLEMENT A SCHOLARSHIP PROGRAM UNIQUELY TARGETED TO DRPH CANDIDATE CURRENTLY EMPLOYED IN A PUBLIC HEALTH LABORATORY AND ACCEPTED INTO THIS ONLINE DRPH DEGREE PROGRAM TO OBTAIN THEIR DOCTORAL DEGREE AS ONE PREREQUISITE TO LEAD A MODERATE OR HIGHLY COMPLEX PUBLIC HEALTH LABORATORY. FURTHER, THIS EFFORT WILL CONTRIBUTE TO THE STRENGTHENING OF A PUBLIC HEALTH LABORATORY WORKFORCE PIPELINE AND ADDRESS NEED FOR SHORTAGES IN THESE LEADERSHIP POSITIONS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PUBLIC HLTH FOUNDATION ENT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>13300 CROSSROADS PARKWAY NORTH</AddressLine1Txt>
          <AddressLine2Txt>SUITE 450</AddressLine2Txt>
          <CityNm>CITY OF INDUSTRY</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>91746</ZIPCd>
        </USAddress>
        <RecipientEIN>952557063</RecipientEIN>
        <IRCSectionDesc>C-CORPORATION</IRCSectionDesc>
        <CashGrantAmt>275197</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PUBLIC HLTH.FOUNDATION ENT: IMPROVE TIMELINESS OF NEWBORN SCREENING SPECIMENS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2600 BULL STREET</AddressLine1Txt>
          <CityNm>COLUMBIA</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29201</ZIPCd>
        </USAddress>
        <RecipientEIN>576000286</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>252315</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE SUBRECIPIENT WILL IMPLEMENT ELECTRONIC LABORATORY REPORTING (ELR) CAPABILITIES TO BE ABLE TO REPORT RESULTS FOR ALL LABORATORY RESPONSE NETWORK FOR BIOLOGICAL THREATS (LRN-B) THREAT AGENTS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UTAH STATE UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2400 OLD MAIN HILL</AddressLine1Txt>
          <CityNm>LOGAN</CityNm>
          <StateAbbreviationCd>UT</StateAbbreviationCd>
          <ZIPCd>84322</ZIPCd>
        </USAddress>
        <RecipientEIN>876000528</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>221531</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>UTAH STATE UNIVERSITY WILL USE THE FUNDS AWARDED TO IMPLEMENT THE NEWBORN HEARING SCREENING AND DRIED BLOOD SPOT NEWBORN SCREENING QUALITY IMPROVEMENT LEARNING COLLABORATIVE. THE PROJECT WILL INCLUDE PLANNING AND HOLDING A KICK-OFF MEETING FOR TEAMS TO CREATE PLAN-DO-STUDY-ACT (PDSA) CYCLES IN ORDER TO DEVELOP A PROMISING PRACTICE GUIDE TO BE SHARED WITH VARIOUS AUDIENCES.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UTAH PUBLIC HEALTH LABORATORY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4431 SOUTH 2700 WEST</AddressLine1Txt>
          <CityNm>TAYLORSVILLE</CityNm>
          <StateAbbreviationCd>UT</StateAbbreviationCd>
          <ZIPCd>84129</ZIPCd>
        </USAddress>
        <RecipientEIN>876000545</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>200255</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE SUBRECIPIENT WILL IMPLEMENT ELECTRONIC LABORATORY REPORTING (ELR) CAPABILITIES TO BE ABLE TO REPORT RESULTS FOR ALL LABORATORY RESPONSE NETWORK FOR BIOLOGICAL (LRN-B) AND CHEMICAL (LRN-C) THREAT AGENTS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF PUERTO RICO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 3656067</AddressLine1Txt>
          <CityNm>SAN JUAN</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00936</ZIPCd>
        </USAddress>
        <RecipientEIN>660433762</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>189475</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE PUERTO RICO (PR) NEWBORN SCREENING (NBS) PROGRAM WILL:(1) VALIDATE AND IMPLEMENT A SECOND-TIER TESTING FOR ADRENOLEUKODYSTROPHY (ALD) USING THE NEW MS SYSTEM TO MONITOR ALD IN 100% OF THE POPULATION.(2) INCREASE AND SUSTAIN THE PERCENTAGE OF SAMPLES REPORTED TO FOLLOW-UP IN 3 DAYS OR LESS FROM THE WORKLIST DATE FROM 91% TO 95% BY USING THE NEW MS SYSTEM.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REGENTS OF THE UNIV OF MN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>P O BOX 1450</AddressLine1Txt>
          <CityNm>MINNEAPOLIS</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55485</ZIPCd>
        </USAddress>
        <RecipientEIN>416007513</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>188551</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO SUPPORT THE OPERATION OF THE ADRENOLEUKODYSTROPHY (ALD) NATIONAL REGISTRY. TO PARTNER WITH STATE NEWBORN SCREENING PROGRAMS TO PROVIDE ALD DATA FOR THE INDIVIDUALS IDENTIFIED BY THE NEWBORN SCREENING PROGRAM.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GENETIC ALLIANCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>26400 WOODFILED ROAD</AddressLine1Txt>
          <CityNm>DAMASCUS</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20872</ZIPCd>
        </USAddress>
        <RecipientEIN>521571905</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>184500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE SUBRECIPIENT WILL WORK WITH THE APHL NEWBORN SCREENING (NBS) PROGRAM TO SERVE AS THE SUBJECT MATTER EXPERT ON FAMILY ENGAGEMENT IN NEWBORN SCREENING. SPECIFICALLY, THE SUBRECIPIENT WILL LEAD ALL ACTIVITIES PERTAINING TO PROVIDING EDUCATION AND TRAINING TO DIVERSE FAMILIES AND PROVIDERS AND TO DEVELOP FAMILY LEADERS IN NATIONAL NEWBORN SCREENING.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ICONNECT CONSULTING CORP</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>715 32ND AVE</AddressLine1Txt>
          <CityNm>SAN FRANCISCO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94121</ZIPCd>
        </USAddress>
        <RecipientEIN>260852678</RecipientEIN>
        <IRCSectionDesc>S-CORPORATION</IRCSectionDesc>
        <CashGrantAmt>146376</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE VIRGINIA NEWBORN SCREENING (NBS) PROGRAM WILL INCREASE THE NUMBER OF NEWBORN SCREENING RESULTS REPORTED WITHIN 7 DAYS OF LIFE AND REDUCE THE NUMBER OF SAMPLES RECEIVED WITH MISSING OR ILLEGIBLE DEMOGRAPHIC DATA BY 1) PARTNERING WITH ICONNECT CONSULTING TO IMPLEMENT NEWLY DEVELOPED ELECTRONIC MESSAGING SOLUTIONS AT NO INITIAL COST TO THE THREE OR MORE HOSPITALS SERVING AS BETA SITES.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE UNIVERSITY OF ALABAMA AT BIRMINGHAM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>703 19TH STREET SOUTH ZRB 242</AddressLine1Txt>
          <CityNm>BIRMINGHAM</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>35294</ZIPCd>
        </USAddress>
        <RecipientEIN>636005396</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>126266</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE SUBRECIPIENT WILL IDENTIFY STATE-SPECIFIC DIFFERENCES IN ACUTE CARE USE AND INITIAL AND FOLLOW-UP HEMATOLOGY APPOINTMENTS FOR CHILDREN DIAGNOSED WITH SICKLE CELL DISEASE (SCD) THROUGH NEWBORN SCREENING (NBS) IN FOUR STATES BY USING THE SICKLE CELL DATA COLLECTION (SCDC) PROGRAM.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STATE OF MICHIGAN - DEPARTMENT OF HEALTH &amp; HUMAN SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 30437</AddressLine1Txt>
          <CityNm>LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48909</ZIPCd>
        </USAddress>
        <RecipientEIN>386000134</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>106518</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE OVERARCHING GOAL OF THIS PROJECT IS TO IMPROVE THE NEWBORN SCREENING (NBS) PRENATAL EDUCATION EXPERIENCE IN MICHIGAN, SO THAT PARENTS ARE MORE ACTIVE PARTICIPANTS IN THE NBS PROCESS. MDHHS WILL CREATE AND IMPLEMENT A NEW EDUCATIONAL CHECKLIST DURING THE PRENATAL PERIOD THROUGH A PARTNERSHIP WITH THREE BIRTHING HOSPITALS WITH THE GOAL OF IMPROVING PARENTAL KNOWLEDGE AND PARTICIPATION IN THE NBS AND BIOTRUST PROGRAMS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NJ DEPT OF HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 360</AddressLine1Txt>
          <CityNm>TRENTON</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08625</ZIPCd>
        </USAddress>
        <RecipientEIN>216000928</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>91719</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>REDUCE THE TIME FROM SPECIMEN COLLECTION TO ARRIVAL IN THE NJ NBS LABORATORY TO 2 DAYS OR LESS, WITH THE SPECIMENS SPENDING LESS THAN 24 HOURS IN TRANSIT, FOR 95% OF THE SPECIMENS RECEIVED DURING THE PILOT PERIOD IN 3-5 HOSPITALS FROM DIFFERENT GEOGRAPHIC REGIONS OF THE STATE THROUGH THE UTILIZATION OF A MEDICAL COURIER AND THROUGH COMMUNICATION WITH HOSPITALS ABOUT OPTIMAL TIMING.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ALABAMA DEPARTMENT OF PUBLIC HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>201 MONROE STREET</AddressLine1Txt>
          <CityNm>MONTGOMERY</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36104</ZIPCd>
        </USAddress>
        <RecipientEIN>631106545</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>82225</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO SUPPORT THE IMPLEMENTATION OF NEWBORN SCREENING FOR POMPE DISEASE AND MUCOPOLYSACCHARIDOSIS TYPE I.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KANSAS DEPT OF HEALTH AND ENVIRONMENT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6810 SE DWIGHT STREET</AddressLine1Txt>
          <CityNm>TOPEKA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66620</ZIPCd>
        </USAddress>
        <RecipientEIN>481124839</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>71783</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO SUPPORT THE IMPLEMENTATION OF X-LINKED ADRENOLEUKODYSTROPHY NEWBORN SCREENING IN THE STATE OF KANSAS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF IOWA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>118 S CLINTON STREET</AddressLine1Txt>
          <CityNm>IOWA CITY</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52242</ZIPCd>
        </USAddress>
        <RecipientEIN>426004813</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>67287</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PRIMARY ACTIVITIES INCLUDE PERFORMING SARS-COV-2 SURVEILLANCE IN WASTEWATER. THIS ACTIVITY WILL INCLUDE SAMPLE PREPARATION, DROPLET DIGITAL PCR TESTING, AND RESULTS ANALYSIS. TESTING MAY ALSO INCLUDE SARS-COV-2 TESTING USING QPCR AND RESULTS ANALYSIS. LEARN BASICS OF QUALITY CONTROL FOR TESTING AND DOCUMENTATION. SAMPLE AND RESULTS TRACKING, AND REPORT GENERATION WILL DEVELOP BEST PRACTICE DATA MANAGEMENT SKILLS. DEVELOPING AND COMMUNICATING REPORTS WILL IMPROVE COMMUNICATION SKILLS. ASSIST WITH LABORATORY DOCUMENTATION AND QUALITY CONTROL. WORK WITH KEY LABORATORY PERSONNEL TO DEVELOP NECESSARY DOCUMENTATION FOR PROJECT. BECOME FAMILIAR WITH DOCUMENT CONTROL AND CLINICAL LAB PROCESSES. HELP TO RESEARCH AND PREPARE MANUSCRIPTS FOR PUBLICATION. WORK ONE-ON-ONE TO BRING A BACKLOG OF PUBLICATIONS FORWARD. ASSIST WITH LITERATURE SEARCHES AND SUMMARIES. ASSIST WITH DATA ANALYSIS AND FIGURE PREPARATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TEXAS DEPT OF STATE HEALTH SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1100 WEST 49TH ST PO BOX 149347</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78714</ZIPCd>
        </USAddress>
        <RecipientEIN>320113643</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>59508</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE SUBRECIPIENT WILL IMPROVE THE TIME TO RESULTS REPORTING BY ADDRESSING WORKFLOWS EFFICIENCIES WITHIN THE NBS PROGRAM SUCH AS SAME-DAY DATA ENTRY COMPLETION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CITY OF MILWAUKEE HEALTH DEPARTMENT LABORATORY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>200 E WELLS ST</AddressLine1Txt>
          <CityNm>MILWAUKEE</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53202</ZIPCd>
        </USAddress>
        <RecipientEIN>396005532</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>59379</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE SUBRECIPIENT WILL IMPLEMENT ELECTRONIC LABORATORY REPORTING (ELR) CAPABILITIES TO BE ABLE TO REPORT RESULTS FOR ALL LABORATORY RESPONSE NETWORK FOR BIOLOGICAL THREATS (LRN-B) THREAT AGENTS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CINCINNATI CHILDREN'S HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3333 BURNET AVENUE</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45229</ZIPCd>
        </USAddress>
        <RecipientEIN>310833936</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>55722</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE SUBRECIPIENT WILL IMPLEMENT GENETIC TESTING AS A STANDARD COMPONENT OF NEWBORN SCREENING FOR HEMOGLOBINOPATHIES FOR BABIES WITH SUSPECTED SICKLE CELL ANEMIA (HB SS AND SICKLE BETA-ZERO-THALASSEMIA), SICKLE-BETA-PLUS-THALASSEMIA, AND ALPHA THALASSEMIA.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>IOWA DEPARTMENT OF HEALTH &amp; HUMAN SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>321 EAST 12TH STREET</AddressLine1Txt>
          <CityNm>DES MOINES</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50319</ZIPCd>
        </USAddress>
        <RecipientEIN>426004523</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>49179</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE SUBRECIPIENT WILL CULTIVATE AN ENHANCED CONTINUITY OF OPERATIONS PLAN (COOP) FOR EMERGENCY OPERATIONS THAT INCLUDES LABORATORY, SHORT-TERM FOLLOW-UP AND LONG-TERM FOLLOW-UP PROCEDURES AND ACCOUNTS FOR EMERGENCIES, INCLUDING NON-WEATHER EMERGENCIES THAT MAY BE LONGER TERM.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VIRGINIA DEPARTMENT OF HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>109 GOVERNOR STREET</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23219</ZIPCd>
        </USAddress>
        <RecipientEIN>566001775</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>35522</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE SUBRECIPIENT WILL REVISE THE EXISTING VIRGINIA DEPARTMENT OF HEALTH CONTINUITY OF OPERATIONS PLAN (COOP) AND IMPLEMENT A PROTECTED HEALTH INFORMATION (PHI) SECURE REMOTE FAX COMMUNICATION TOOL FOR PROVIDING TIMELY COMMUNICATION TO ALL STAKEHOLDERS FOR REPORTING CRITICAL NEWBORN SCREENING RESULTS AND REQUESTING FOLLOW-UP DOCUMENTATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LOUISIANA DEPARTMENT OF HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1209 LEESVILLE AVENUE</AddressLine1Txt>
          <CityNm>BATON ROUGE</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70802</ZIPCd>
        </USAddress>
        <RecipientEIN>726000821</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>24965</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>NEWBORN SCREENING (NBS) SAMPLE DATA ENTRY CQI SUB AWARD INCLUDED THE BELOW AS ONE OF THE PROJECT DELIVERABLES: IMPLEMENT ELECTRONIC SCANNING OF THE NBS SAMPLE LAB 10 FORMS FOR PERMANENT STORAGE.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MINNESOTA DEPARTMENT OF HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>601 ROBERT ST NORTH</AddressLine1Txt>
          <CityNm>ST PAUL</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55155</ZIPCd>
        </USAddress>
        <RecipientEIN>416007162</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>14053</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE MINNESOTA DEPARTMENT OF HEALTH (MDH) WILL IMPROVE THE MINNESOTA NEWBORN SCREENING SYSTEM BY EXPANDING &amp; ALIGNING LONGITUDINAL FOLLOW-UP (LTFU) DATA COLLECTION ACROSS MDH BLOOD SPOT, CCHD, &amp; EHDI LTFU BY DEVELOPING STANDARDIZED, EFFICIENT, AND EFFECTIVE PROCESSES FOR COLLECTING AND REPORTING THE FOLLOWING COMMON DATA ELEMENTS FOR A DEFINED COHORT OF CHILDREN BETWEEN 3.0 AND 4.0 YEARS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>920 WILDWOOD DRIVE</AddressLine1Txt>
          <CityNm>JEFFERSON CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65102</ZIPCd>
        </USAddress>
        <RecipientEIN>446000987</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>13928</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PEER NETWORK RESOURCE CENTER, PROVIDING TECHNICAL ASSISTANCE AND TRAINING ON AN AS NEEDED BASIS TO NEWBORN SCREENING PROGRAMS REGARDING IMPLEMENTATION OF NEWBORN SCREENING DISORDERS THROUGH THE NEWBORN SCREENING TECHNICAL ASSISTANCE AND EVALUATION PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LOUISVILLE-JEFFERSON COUNTY METRO GOVERMENT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>611 WEST JEFFERSON STREET</AddressLine1Txt>
          <CityNm>LOUISVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40202</ZIPCd>
        </USAddress>
        <RecipientEIN>320049006</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>7647</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE INTERN WILL OBSERVE ENVIRONMENTAL TESTING PROCEDURES (RECREATIONAL WATER/POOL/SPA TESTING;MOSQUITO AND TICK TESTING) AND LEARN THE SCIENCE BEHIND METHODS ANDPURPOSE; LEARN METHODS AND PERFORM DATA ANALYSIS OF POSITIVE RESULTS OBTAINED.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COUNTY OF SANTA CLARA HHS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 103328</AddressLine1Txt>
          <CityNm>PASADENA</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>91189</ZIPCd>
        </USAddress>
        <RecipientEIN>946000533</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE SUBRECIPIENT WILL IMPLEMENT ELECTRONIC LABORATORY REPORTING (ELR) CAPABILITIES TO BE ABLE TO REPORT RESULTS FOR ALL LABORATORY RESPONSE NETWORK FOR BIOLOGICAL THREATS (LRN-B) THREAT AGENTS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VIRGINIA DIVISION OF CONSOLIDATED LABORATORY SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>600 NORTH 5TH STREET</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23219</ZIPCd>
        </USAddress>
        <RecipientEIN>541056975</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>5320</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE VIRGINIA NEWBORN SCREENING (NBS) PROGRAM WILL INCREASE THE NUMBER OF NEWBORN SCREENING RESULTS REPORTED WITHIN 7 DAYS OF LIFE AND REDUCE THE NUMBER OF SAMPLES RECEIVED WITH MISSING OR ILLEGIBLE DEMOGRAPHIC DATA BY 1) PARTNERING WITH ICONNECT CONSULTING TO IMPLEMENT NEWLY DEVELOPED ELECTRONIC MESSAGING SOLUTIONS AT NO INITIAL COST TO THE THREE OR MORE HOSPITALS SERVING AS BETA SITES; AND BY 2) EXPANDING THE FUNCTIONALITY OF THE EXISTING DCLS WEB PORTAL (DCLSCONNECT) TO FACILITATE THE ELECTRONIC SUBMISSION OF NBS ORDERS AND RETRIEVAL OF NBS RESULTS IN ORDER TO MAKE ELECTRONIC DATA EXCHANGE AVAILABLE TO SMALLER, LOW-VOLUME SUBMITTERS SUCH AS RURAL COMMUNITY HOSPITALS, MIDWIVES AND PRIMARY CARE PROVIDERS.</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>27</Total501c3OrgCnt>
      <TotalOtherOrgCnt>2</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>FELLOWS SUPPORT</GrantTypeTxt>
        <RecipientCnt>253</RecipientCnt>
        <CashGrantAmt>7842279</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>APHL IS REQUIRED BY 2 CFR 200 TO ACCURATELY CLASSIFY ANY PROJECT FUNDED BY A COOPERATIVE AGREEMENT (OR ANY OTHER FEDERAL GRANT MONEY). PROGRAM STAFF WILL COMPLETE A SUBAWARD OR CONTRACT CHECKLIST PRIOR TO BEGINNING WORK ON ANY NEW PROJECT OR PROGRAM. AFTER MAKING THEIR INITIAL CLASSIFICATION, THE STAFF PREPARER AND THEIR PROGRAM DIRECTOR WILL NEED TO E-SIGN THE CHECKLIST. ONCE E-SIGNED, THE CHECKLIST WILL BE MOVED TO LEGAL FOR A FINAL DETERMINATION OF THE SUBRECIPIENT OR CONTRACTOR CLASSIFICATION. THE LEGAL DEPARTMENT WILL CONSIDER THE OVERALL LEGAL AND REGULATORY FRAMEWORK, OTHER FEDERAL OR FUNDING AGENCY REQUIREMENTS AND THE NATURE OF THE RELATIONSHIP BETWEEN APHL AND EACH OF THE OTHER PARTIES WHO MIGHT RECEIVE COOPERATIVE AGREEMENT OR GRANT FUNDING FROM APHL ON A PROJECT WHEN MAKING THE SUBAWARD/CONTRACT DETERMINATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SCOTT BECKER</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>654180</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>33680</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>49932</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>737792</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CAROL CLARK</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>386682</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>33334</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24216</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>444232</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EWA KING</PersonNm>
        <TitleTxt>CHIEF PROGRAM OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>254980</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>26771</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26854</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>308605</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PETER KYRIACOPOULOS</PersonNm>
        <TitleTxt>CHIEF POLICY OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>244085</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>25595</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26810</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>296490</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRIS BEAN</PersonNm>
        <TitleTxt>CHIEF LEARNING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>233224</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24618</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26854</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>284696</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TROY WILLITT</PersonNm>
        <TitleTxt>GENERAL COUNSEL</TitleTxt>
        <BaseCompensationFilingOrgAmt>225619</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>23489</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26854</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>275962</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE MEIGS</PersonNm>
        <TitleTxt>DIRECTOR II, INFORMATICS PROGRAM</TitleTxt>
        <BaseCompensationFilingOrgAmt>216234</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>23112</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>34184</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>273530</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATINA GAGNE</PersonNm>
        <TitleTxt>DIRECTOR, DATAPULT</TitleTxt>
        <BaseCompensationFilingOrgAmt>215272</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>875</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>23014</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>34184</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>273345</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LISA CHILCOTE</PersonNm>
        <TitleTxt>SENIOR DIRECTOR, PEOPLE &amp; CULTURE</TitleTxt>
        <BaseCompensationFilingOrgAmt>231568</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>23308</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15469</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>270345</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>IMRAN BABAYEV</PersonNm>
        <TitleTxt>DIRECTOR, FINANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>213768</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>22632</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>30607</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>267507</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>MERIT-BASED BONUS COMPENSATION HAS BEEN REPORTED IN PART II, COLUMN (II).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>IN SEPTEMBER OF 2023 APHL RECEIVED THE GRANT FOR SUPPORTING CONTINUOUS QUALITY IMPROVEMENT, PARTNERSHIPS, AND INNOVATION FOR SUSTAINED AND RESPONSIVE LABORATORY SYSTEMS, TIERED DIAGNOSTIC NETWORKS, AND LABORATORY DATA MANAGEMENT UNDER PEPFAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>IN MARCH OF 2023 THE STRENGTHENING PUBLIC HEALTH LABORATORIES INTERNATIONALLY (SPHLI) COOPERATIVE AGREEMENT ENDED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S MEMBERSHIP CATEGORIES ARE AS FOLLOWS: 1: PUBLIC HEALTH INSTITUTIONAL/STATE MEMBERS (PHI/STATE): ANY OF THE PUBLIC HEALTH LABORATORIES OF THE STATES, TERRITORIES, AND COMMONWEALTHS OF THE UNITED STATES, INCLUDING THE DISTRICT OF COLUMBIA, ARE ELIGIBLE TO BECOME PHI/STATE MEMBERS. 2. PUBLIC HEALTH INSTITUTIONAL/LOCAL MEMBERS (PHI/LOCAL): ANY OF THE PUBLIC HEALTH LABORATORIES OF THE COUNTIES, PARISHES, MUNICIPALITIES, CITIES, TOWNSHIPS, BOROUGHS OR OTHER LOCALITIES WITHIN THE UNITED STATES ARE ELIGIBLE TO BECOME PHI/LOCAL MEMBERS. 3. PUBLIC HEALTH ASSOCIATE INSTITUTIONAL MEMBERS: ENVIRONMENTAL LABORATORIES, AGRICULTURAL LABORATORIES AND OTHER LABORATORIES OF THE STATES, TERRITORIES, AND COMMONWEALTHS OF THE UNITED STATES, INCLUDING THE DISTRICT OF COLUMBIA, WHO ARE INTERESTED IN PUBLIC HEALTH ISSUES BUT ARE NOT ELIGIBLE AS PHI/STATE MEMBERS ARE ELIGIBLE TO BECOME PUBLIC HEALTH ASSOCIATE INSTITUTIONAL MEMBERS. 4. EMERITUS MEMBERS: RETIRED INDIVIDUALS WHO HAVE SERVED AS A MEMBER-REPRESENTATIVE OF THE CORPORATION FOR AT LEAST FIVE (5) YEARS IN ANY VOTING-MEMBER CLASS ARE ELIGIBLE TO BECOME EMERITUS MEMBERS. 5. RETIRED MEMBERS: INDIVIDUALS WHO ARE 55 YEARS OF AGE OR OLDER, HAVE BEEN A MEMBER-REPRESENTATIVE OF THE CORPORATION FOR FIVE (5) CONSECUTIVE YEARS OR MORE, AND ARE FULLY RETIRED FROM THE FIELD OF LABORATORY SCIENCE ARE ELIGIBLE TO BECOME RETIRED MEMBERS. "RETIRED" IS DEFINED AS AN INDIVIDUAL WHO HAS CEASED ALL COMPENSATED WORK IN THE FIELD OF LABORATORY SCIENCE. 6. HONORARY MEMBERS, INDIVIDUALS BESTOWED BY THE CORPORATION FOR HAVING MADE OUTSTANDING CONTRIBUTIONS TO PUBLIC HEALTH LABORATORIES OR WHO HAVE SERVED THE CORPORATION WITH DISTINCTION WILL BE RECOGNIZED AS HONORARY MEMBERS. ALL APHL LIFETIME ACHIEVEMENT AWARD RECIPIENTS WILL BE MADE HONORARY MEMBERS. 7. STUDENT/FELLOWSHIP MEMBERS: INDIVIDUALS CURRENTLY ENROLLED IN AN UNDERGRADUATE OR GRADUATE PROGRAM RELATED TO PUBLIC HEALTH LABORATORY SCIENCE (E.G. MICROBIOLOGY, CHEMISTRY, PUBLIC HEALTH, ENVIRONMENTAL HEALTH, ETC.) ARE ELIGIBLE TO BECOME STUDENT/FELLOWSHIP MEMBERS. 8. INDIVIDUAL MEMBERS: INDIVIDUALS WHO HAVE AN INTEREST IN PUBLIC HEALTH OR ENVIRONMENTAL HEALTH AND ARE NOT OTHERWISE ELIGIBLE FOR OTHER MEMBERSHIP CLASSES ARE ELIGIBLE TO BECOME INDIVIDUAL MEMBERS. 9. SUSTAINING MEMBERS: INDUSTRY OR CORPORATE ENTITIES THAT HAVE AN INTEREST IN PUBLIC HEALTH OR ENVIRONMENTAL LABORATORIES ARE ELIGIBLE TO BECOME SUSTAINING MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>PUBLIC HEALTH INSTITUTIONAL STATE MEMBERS, PUBLIC HEALTH INSTITUTIONAL/LOCAL MEMBERS, AND PUBLIC HEALTH ASSOCIATE INSTITUTIONAL MEMBERS HAVE THE RIGHT TO APPOINT MEMBERS OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS PREPARED BY THE OUTSIDE ACCOUNTANTS AND REVIEWED BY THE DIRECTOR OF FINANCE. IT WAS THEN PROVIDED TO THE APHL FINANCE COMMITTEE AND BOARD OF DIRECTORS FOR REVIEW AND APPROVAL BEFORE FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THE BEGINNING OF EACH FISCAL YEAR, BOARD MEMBERS REVIEW AND SIGN A CONFLICT OF INTEREST STATEMENT. THE POLICY COVERED ALL BOARD MEMBERS AND OFFICERS OF THE ORGANIZATION. ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ARE DISCLOSED TO THE GENERAL COUNSEL SO THAT SAFEGUARDS CAN BE ESTABLISHED TO PROTECT ALL PARTIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS BASED ON RESULTS OF AN INDEPENDENT MARKET EVALUATION BY A THIRD PARTY AND PERFORMANCE FACTORS. THE EXECUTIVE COMMITTEE OF THE BOARD MEETS ANNUALLY TO APPROVE THE CHIEF EXECUTIVE OFFICER'S RAISE. THE COMMITTEE'S DELIBERATION AND DECISION FROM THEIR REVIEW IS DOCUMENTED IN A LETTER SENT TO HUMAN RESOURCES. THE SALARY RANGES FOR ALL OTHER STAFF ARE APPROVED BY THE BOARD AFTER AN INDEPENDENT MARKET EVALUATION HAS TAKEN PLACE. THE CHIEF EXECUTIVE OFFICER IS ALLOWED TO SET SALARY FOR OTHER KEY STAFF WITHIN PRE-APPROVED RANGES. THIS PROCESS LAST TOOK PLACE IN JULY 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VII, SECTION A</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VII, SECTION A OF THE FORM 990 IS REPORTING COMPENSATION TO A BOARD MEMBER. THIS COMPENSATION WAS FOR CONSULTING SERVICES PROVIDED TO THE ORGANIZATION, AND NOT FOR HIS SERVICES AS A BOARD MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSTED SYSTEM SOLUTIONS: PROGRAM SERVICE EXPENSES 6,375,037. MANAGEMENT AND GENERAL EXPENSES 599,908. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,974,945. COMPUTER CONSULTING: PROGRAM SERVICE EXPENSES 3,871. MANAGEMENT AND GENERAL EXPENSES 75,927. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 79,798. TEMPORARY LABOR: PROGRAM SERVICE EXPENSES 370,123. MANAGEMENT AND GENERAL EXPENSES 154,846. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 524,969. SERVICE FEES: PROGRAM SERVICE EXPENSES 141,629. MANAGEMENT AND GENERAL EXPENSES 62,515. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 204,144. INFORMATICS CONSULTING: PROGRAM SERVICE EXPENSES 24,453,648. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,453,648. CONSULTANT AND CONTRACTOR: PROGRAM SERVICE EXPENSES 20,851,334. MANAGEMENT AND GENERAL EXPENSES 532,540. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,383,874. SAMPLING EXPENSES: PROGRAM SERVICE EXPENSES 30,783. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,783.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DATAPULT LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>7700 WISCONSIN AVENUE STE 1000</AddressLine1Txt>
          <CityNm>BETHESDA</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20814</ZIPCd>
        </USAddress>
        <EIN>521800436</EIN>
        <PrimaryActivitiesTxt>INFORMATICS WORK</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <TotalIncomeAmt>3913473</TotalIncomeAmt>
        <EndOfYearAssetsAmt>360349</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>APHL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASSOCIATION OF PUBLIC HEALTH LABORATORIES TANZANIA</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <ForeignAddress>
          <AddressLine1Txt>PO BOX 38568</AddressLine1Txt>
          <CityNm>DAR ES SALAAM</CityNm>
          <CountryCd>TZ</CountryCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>EDUCATIONAL AND SCIENTIFIC PURPOSE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>TZ</LegalDomicileForeignCountryCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>APHL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASSOCIATION OF PUBLIC HEALTH LABORATORIES GHANA</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <ForeignAddress>
          <AddressLine1Txt>HOUSE NUMBER 06 CHARITY STREET</AddressLine1Txt>
          <CityNm>ACCRA</CityNm>
          <CountryCd>GH</CountryCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>EDUCATIONAL AND SCIENTIFIC PURPOSE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>GH</LegalDomicileForeignCountryCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>APHL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASSOCIATION OF PUBLIC HEALTH LABORATORIES KENYA</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <ForeignAddress>
          <AddressLine1Txt>SILKWOOD OFFICE SUITES 5TH FL</AddressLine1Txt>
          <CityNm>NAIROBI</CityNm>
          <CountryCd>KE</CountryCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>EDUCATIONAL AND SCIENTIFIC PURPOSE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>KE</LegalDomicileForeignCountryCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>APHL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASSOCIATION OF PUBLIC HEALTH LABORATORIES ZAMBIA</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <ForeignAddress>
          <AddressLine1Txt>52 PASELI ROAD</AddressLine1Txt>
          <CityNm>LUSAKA</CityNm>
          <CountryCd>ZA</CountryCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>EDUCATIONAL AND SCIENTIFIC PURPOSE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>ZA</LegalDomicileForeignCountryCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>APHL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>APHL GHANA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>44985</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>APHL KENYA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>210432</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>APHL TANZANIA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>62721</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>APHL ZAMBIA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>657077</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>