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          <AddressLine1>RESTRICTED</AddressLine1>
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          <City>RESTRICTED</City>
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        <Desc>DUE TO APHL KENYA</Desc>
        <Amt>154942</Amt>
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        <Desc>DUE TO APHL TANZANIA</Desc>
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        <Desc>OPERATING LEASE LIABILITY</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>2832630</RevenueNotReportedAmt>
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      <RevenueNotReportedFinclStmtAmt>45427</RevenueNotReportedFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021, THE ASSOCIATION HAS DOCUMENTED ITS CONSIDERATION OF FASB ASC 740-10, INCOME TAXES, THAT PROVIDES GUIDANCE FOR REPORTING UNCERTAINTY IN INCOME TAXES AND HAS DETERMINED THAT NO MATERIAL UNCERTAIN TAX POSITIONS QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>REVENUE FROM APHL KENYA INCLUDED IN CONSOLIDATED FINANCIAL 2,874,036. STATEMENTS AND EXCLUDED FROM APHL FORM 990 REPORTING. REVENUE FROM APHL GHANA INCLUDED IN CONSOLIDATED 455,292. FINANCIAL STATEMENTS AND EXCLUDED FROM APHL FORM 990 REPORTING. REVENUE FROM APHL TANZANIA INCLUDED IN CONSOLIDATED 343,028. FINANCIAL STATEMENTS AND EXCLUDED FROM APHL FORM 990 REPORTING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES FROM APHL KENYA INCLUDED IN CONSOLIDATED FINANCIAL 2,874,036. STATEMENTS AND EXCLUDED FROM APHL FORM 990 REPORTING. EXPENSES FROM APHL GHANA INCLUDED IN CONSOLIDATED 455,292. FINANCIAL STATEMENTS AND EXCLUDED FROM APHL FORM 990 REPORTING. EXPENSES FROM APHL TANZANIA INCLUDED IN CONSOLIDATED 343,028. FINANCIAL STATEMENTS AND EXCLUDED FROM APHL FORM 990 REPORTING.</ExplanationTxt>
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        <SpecificServicesProvidedTxt>LOCALIZED PUBLIC HEALTH LABORATORY STRENGTHENING.</SpecificServicesProvidedTxt>
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        <FormAndLineReferenceDesc>PART III ACCOUNTING METHOD:</FormAndLineReferenceDesc>
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    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
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          <BusinessNameLine1Txt>CHILDREN'S RESEARCH INSTITUTE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1 INVENTA PLACE WEST TOWER FLOOR 3</AddressLine1Txt>
          <CityNm>SILVER SPRING</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20910</ZIPCd>
        </USAddress>
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        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>63534</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE RARE DISEASE INSTITUTE NEWBORN SCREENING PROGRAM AT CHILDREN'S NATIONAL MEDICAL CENTER WILL IMPROVE THEIR KNOWLEDGE OF COMMUNITY NEEDS FOR PATIENTS WITH POSITIVE METABOLIC SCREENS, INCLUDING THOSE POPULATIONS MOST UNDERSERVED, AND WORK WITH REGIONAL AND LOCAL GROUPS TO IMPLEMENT A PROGRAM THAT TARGETS THOSE IDENTIFIED AREAS. IN ADDITION, THE NBS PROGRAM WILL IMPROVE CONVENIENCE AND ACCESS TO CARE AND EDUCATION FOR FAMILIES, PARTICULARLY THOSE WHO ARE UNDERSERVED, DURING THE COVID-19 PANDEMIC.</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER</BusinessNameLine1Txt>
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          <AddressLine1Txt>3333 BURNET AVENUE</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45229</ZIPCd>
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        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>11774</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>
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          <BusinessNameLine1Txt>COLORADO DEPARTMENT OF PUBLIC HEALTH &amp; ENVIRONMENT</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>4300 CHERRY CREEK DRIVE SOUTH</AddressLine1Txt>
          <CityNm>DENVER</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80246</ZIPCd>
        </USAddress>
        <RecipientEIN>840644739</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>29064</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 CHEMICAL THREATS (LRN-C) THREAT AGENTS.</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>S-CORPORATION</IRCSectionDesc>
        <CashGrantAmt>494409</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SEE PART IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
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          <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>285180</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>BY AUGUST 31, 2022, THE VIRGINIA NEWBORN SCREENING (NBS) PROGRAM WILL HAVE AN INITIATIVE WELL UNDERWAY THAT 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 &amp; 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;) THESE TWO AGREEMENTS ARE WITH VIRGINIA, DCLS AND THEY CONTRACT WITH ICONNECT.</PurposeOfGrantTxt>
      </RecipientTable>
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          <BusinessNameLine1Txt>KANSAS DEPT OF HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6810 SE DWIGHT STREET</AddressLine1Txt>
          <CityNm>TOPEKA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66620</ZIPCd>
        </USAddress>
        <RecipientEIN>451124839</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>113105</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE SUBRECIPIENT WILL DETERMINE IF COURIER PICK UP ON SUNDAY IMPROVES TRANSIT TIME OF DELIVERY AND REDUCE THE NUMBER OF SPECIMENS RECEIVED GREATER THAN FOUR DAYS FROM COLLECTION TO RECEIPT. THIS PILOT WILL BE DONE WITH 29 FACILITIES WITH GREATER THAN 20 MONTHLY SPECIMENS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MINNESOTA DEPARTMENT OF HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>601 ROBERT STREET NORTH</AddressLine1Txt>
          <CityNm>ST PAUL</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55155</ZIPCd>
        </USAddress>
        <RecipientEIN>416007162</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>156223</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE SUBRECIPIENT WILL IMPROVE THE NEWBORN SCREENING SYSTEM BY EXPANDING AND ALIGNING LONG-TERM FOLLOW-UP DATA COLLECTION ACROSS BLOOD SPOT, CRITICAL CONGENITAL HEART DISEASE (CCHD), AND EARLY HEARING DETECTION AND INTERVENTION (EHDI).</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MISSISSIPPI STATE UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 RESEARCH BLVD</AddressLine1Txt>
          <CityNm>STARKVILLE</CityNm>
          <StateAbbreviationCd>MS</StateAbbreviationCd>
          <ZIPCd>39759</ZIPCd>
        </USAddress>
        <RecipientEIN>646000819</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>14768</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THIS PROGRAM IS AIMED TO PROVIDE THE INTERN WITH HANDS-ON EXPERIENCES ON VETERINARY LABORATORY DIAGNOSTIC AND RESEARCH METHODOLOGIES. THIS WILL BE ACCOMPLISHED THROUGH THE PARTICIPATION IN SPECIFIC PROJECTS AND ALSO ON TRAINING AND SHADOWING OF THE ROUTINE DIAGNOSTIC ACTIVITIES. THE INTERN WILL HAVE OPPORTUNITY TO OBSERVE PROJECTS WITH ANIMALS SPECIFICALLY WITH CHICKENS. THE MVRDL ALSO OFFERS A POST-DVM MASTER PROGRAM IN POULTRY MEDICINE AND HEALTH, THEREFORE THE INTERN WILL HAVE OPPORTUNITY TO AUDIT SOME LECTURES ON VETERINARY AND POULTRY MEDICINE.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MISSOURI DEPT OF HEALTH AND SS</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>7787</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>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>MONTANA DPHHS LABORATORY SERVICES BUREAU</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1400 BROADWAY ROOM B206</AddressLine1Txt>
          <CityNm>HELENA</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59604</ZIPCd>
        </USAddress>
        <RecipientEIN>810302402</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>76329</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>IMPLEMENTATION OF NEWBORN SCREENING FOR SPINAL MUSCULAR ATROPHY (SMA) THROUGH THE NEWBORN SCREENING TECHNICAL ASSISTANCE AND EVALUATION PROGRAM</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>94257</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE SUBRECIPIENT WILL REDUCE THE TIME FROM SPECIMEN COLLECTION TO ARRIVAL IN THE NBS LABORATORY TO 2 DAYS OR LESS FOR 95% OF THE SPECIMENS RECEIVED DURING THE PILOT PERIOD THROUGH THE UTILIZATION OF A MEDICAL COURIER AND COMMUNICATION WITH HOSPITALS ABOUT OPTIMAL TIMING PROTOCOLS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTH DAKOTA DEPARTMENT OF HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>600 EAST BLVD AVE DEPT 301</AddressLine1Txt>
          <CityNm>BISMARCK</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58505</ZIPCd>
        </USAddress>
        <RecipientEIN>450309764</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>26274</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROJECT RELATED TO BUILDING OUT A LONG TERM FOLLOW UP (LTFU) PROGRAM CASE MANAGEMENT SYSTEM BY BUILDING AN INFORMATION TECHNOLOGY (IT) CARE COORDINATION SYSTEM, BUILDING A SYSTEM TO REDUCE LOST TO FOLLOW-UP FOR PATIENTS WITH A POSITIVE NEWBORN SCREEN, AND REVISING EDUCATIONAL MATERIALS TO INCLUDE ALL OF THE COMPONENTS OF NEWBORN SCREENING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OREGON STATE PUBLIC HEALTH LAB</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>500 SUMMER STREET NE E82</AddressLine1Txt>
          <CityNm>SALEM</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97301</ZIPCd>
        </USAddress>
        <RecipientEIN>936001752</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>9975</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE SUBRECIPIENT WILL AIM TO SEE A REDUCTION IN THE AVERAGE TRANSIT TIME FOR NEWBORN SCREENING SPECIMENS FROM 5.4 DAYS TO 3 OR FEWER DAYS FOR OUT OF HOSPITAL / COMMUNITY PROVIDER ASSISTED BIRTHS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PA DEPARTMENT OF HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>555 WALNUT STREET - 9TH FL</AddressLine1Txt>
          <CityNm>HARRISBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17120</ZIPCd>
        </USAddress>
        <RecipientEIN>236003104</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>39025</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO IMPROVING BIRTH TO REPORT TIMELINESS (LESS THAN OR EQUAL TO 120 HOURS) BY 10% BY IMPLEMENTING A HEALTH LEVEL SEVEN (HL7) INTERFACE IN SIX PARTNERING HOSPITALS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PUBLIC HEALTH FOUNDATION ENTERPRISE</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>294672</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>IMPROVE TIMELINESS OF NEWBORN SCREENING SPECIMENS. 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. LAUNCHING AND EVALUATING A COMPREHENSIVE AND INTERACTIVE NEWBORN SCREENING (NBS) VIRTUAL SITE VISIT (VSV) MODEL THAT WILL ALLOW CONTINUED TITLE 17 (NBS REGULATIONS) COMPLIANCE ASSESSMENT, EDUCATION AND SUPPORT FOR CALIFORNIA'S 246 BIRTH FACILITIES WHICH ARE DUE OR OVERDUE FOR NBS SITE VISITS DUE TO THE COVID-19 PANDEMIC, PROJECT RELATED TO SEEING A 25% DECREASE IN TRANSIT TIME OF DRIED BLOOD SPOT (DBS) SAMPLES RECEIVED BY THE NEWBORN AND PRENATAL (NAPS) LABORATORIES FROM 2.73 TO 2.05 AVERAGE TRANSIT DAYS BY INCREASING COURIER OPTIONS AND EDUCATING RURAL HOSPITAL STAFF ON PREPARING SPECIMENS FOR TIMELY COURIER PICK UP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REGENTS OF THE UNIVERSITY OF MINNESOTA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1450</AddressLine1Txt>
          <CityNm>MINNEAPOLIS</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55485</ZIPCd>
        </USAddress>
        <RecipientEIN>416007513</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>98880</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROJECT RELATED TO SUPPORTING THE ESTABLISHMENT OF A MECHANISM TO SHARE NATIONAL ADRENOLEUKODYSTROPHY (ALD) REGISTRY DATA SETS WITH STATE NEWBORN SCREENING PROGRAMS THROUGH THE NEWBORN SCREENING TECHNICAL ASSISTANCE AND EVALUATION PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>351 N MOUNTAIN VIEW AVENUE</AddressLine1Txt>
          <CityNm>SAN BERNARDINO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92415</ZIPCd>
        </USAddress>
        <RecipientEIN>956002748</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>33158</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE OBJECTIVE OF THE SAN BERNARDINO WASTEWATER BASED EPIDEMIOLOGY (WBE) TESTING AT THE SAN BERNARDINO COUNTY PUBLIC HEALTH LABORATORY (SBCPHL) IS TO SERVE THE POPULATION THROUGH AN EFFECTIVE SURVEILLANCE METHOD FOR DISEASE AND POPULATION MONITORING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTH CAROLINA DEPARTMENT OF HEALTH &amp; 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>204555</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO SUPPORT THE IMPLEMENTATION OF SCREENING FOR SPINAL MUSCULAR ATROPHY THROUGH THE NEWBORN SCREENING TECHNICAL ASSISTANCE AND EVALUATION PROGRAM. PROJECT RELATED TO IMPROVING WEEKEND NEWBORN SCREENING SPECIMEN TRANSIT TIME AND DECREASE THE AVERAGE TURNAROUND TIME FOR CERTAIN BIRTHING FACILITIES WHICH WILL PARTICIPATE IN A TWELVE-MONTH PILOT STUDY</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>114021</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROJECT RELATED TO DEVELOP NEW EDUCATIONAL HANDOUTS TO BE DISSEMINATED BY THREE PARTICIPATING HOSPITALS TO HELP IMPROVE THE NEWBORN SCREENING (NBS) PRENATAL EXPERIENCE IN MICHIGAN &amp; THE SUBRECIPIENT WILL IMPROVE EQUITABLE ACCESS TO CRITICAL CONGENITAL HEART DISEASE (CCHD) SCREENING FOR ALL BABIES BORN IN MICHIGAN, REGARDLESS OF BIRTH SETTING BY OFFERING ONLINE TRAINING ON CCHD SCREENING FOR OUT-OF-HOSPITAL BIRTHS, INCREASING AWARENESS OF THE PULSE OXIMETRY LOAN PROGRAM, AND INCREASING THE NUMBER OF HOME BIRTHING ATTENDANTS WHO HAVE REGISTERED FOR EREPORTS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TARRANT COUNTY PUBLIC HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 E WETHERFORD SUITE 506</AddressLine1Txt>
          <CityNm>FORT WORTH</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76196</ZIPCd>
        </USAddress>
        <RecipientEIN>786001170</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>9408</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>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>228409</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROJECT RELATED TO INCREASING THE PERCENTAGE OF TIME CRITICAL ABNORMAL SCREEN RESULTS REPORTED OUT BY IMPLEMENTING A SPECIMEN TRACKING SYSTEM, THE SUBRECIPIENT WILL IMPLEMENT A SECOND-TIER ASSAY FOR CONGENITAL ADRENAL HYPERPLASIA (CAH) TO DECREASE THE NUMBER OF FALSE POSITIVE RESULTS REPORTED AND IMPROVE THE POSITIVE PREDICTIVE VALUE &amp; WITHIN THE NEXT YEAR OZ PLANS TO HAVE IMPLEMENTED THE OZ NEWBORN SCREENING SUITE IN 50% OF TENNESSEE'S SIXTY-ONE BIRTHING FACILITIES.</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>47261</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE SUBRECIPIENT WILL SUPPORT THE IMPLEMENTATION OF NBS FOR SPINAL MUSCULAR ATROPHY THROUGH NEWBORN SCREENING TECHNICAL ASSISTANCE AND EVALUATION PROGRAM. 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>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>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>105527</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>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>63232</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>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>57720</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, 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.</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>164467</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO IMPLEMENTING A NEW NON-DERIVATIZED TANDEM MASS SPECTROMETRY (MS/MS) METHOD AND VALIDATE IT USING A NEW MS/MS SYSTEM TO MONITOR METABOLIC CONDITIONS INCLUDING ADRENOLEUKODYSTROPHY (ALD) IN 100% OF THE POPULATION</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>25201</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>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>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>125946</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE SUBRECIPIENT WILL DEVELOP AND TEST MACHINE LEARNING CLASSIFICATION SUPPORT ALGORITHMS FOR AMINO ACID AND ACYLCARNITINE DISORDERS</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>10037</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>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>207259</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE PROJECT TEAM WILL BE RESPONSIBLE FOR ENSURING CONTINUITY OF SCID NEWBORN SCREENING TESTING.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WISCONSIN STATE LAB OF HYGIENE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 78770</AddressLine1Txt>
          <CityNm>MILWAUKEE</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53728</ZIPCd>
        </USAddress>
        <RecipientEIN>391805963</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>222788</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE WISCONSIN STATE LABORATORY OF HYGIENE (WSLH) PROVIDES A VARIETY OF MATERIALS PRODUCTION AND VERIFICATION SERVICES FOR THE CENTERS FOR DISEASE CONTROL &amp; PREVENTION (CDC), FOR THE PURPOSE OF SUPPORTING THE LRN-C, TO SUPPORT THE IMPLEMENTATION OF NEWBORN SCREENING FOR POMPE DISEASE FOR A PERIOD OF TWO MONTHS. DEVELOP A DIGITAL PCR ASSAY TO ASSESS COPY NUMBERS OF TREC IN NBS FOR SCID USING DIGITAL PCR (DPCR) TECHNOLOGY. DEVELOP A MULTIPLEX DPCR ASSAY TO SIMULTANEOUSLY ASSESS THE COPY NUMBERS OF TREC AND CYTOMEGALOVIRUS (CMV) DNA)</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>28</Total501c3OrgCnt>
      <TotalOtherOrgCnt>3</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>FELLOWS SUPPORT</GrantTypeTxt>
        <RecipientCnt>184</RecipientCnt>
        <CashGrantAmt>5114849</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). 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 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>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART II, COLUMN (H)</FormAndLineReferenceDesc>
        <ExplanationTxt>NAME OF ORGANIZATION OR GOVERNMENT: HEALTH RESEARCH INC. (H) BY AUGUST 31, 2022, THE NEW YORK STATE (NYS) NEWBORN SCREENING PROGRAM (NBSP) WILL IMPROVE THE PROPORTION OF DRIED BLOOD SPOT (DBS) SPECIMENS RECEIVED WITHIN 48 HOURS OF COLLECTION BY 10% FROM BASELINE (2019 DATA) AT 10 SELECTED HOSPITALS INCLUDING GOOD SAMARITAN HOSPITAL, WEST ISLIP, HIGHLAND HOSPITAL OF ROCHESTER, RICHMOND UNIVERSITY MEDICAL CENTER, ROCHESTER GENERAL HOSPITAL, STATEN ISLAND UNIVERSITY HOSPITAL, ETC. BY EDUCATING HOSPITAL STAFF AND PROVIDING HOSPITAL PERFORMANCE SUMMARY REPORTS. THE OVERALL GOAL OF THE PROJECT WILL BE TO ACHIEVE STATEWIDE IMPROVEMENT FOR ALL 121 BIRTH HOSPITALS BY 10% FROM BASELINE, 61% IN 2019 (QUALITY INDICATOR 5B), OF SPECIMENS RECEIVED 48 HOURS AFTER COLLECTION BY AUGUST 31, 2023 BY EDUCATING HOSPITAL STAFF, PROVIDING PERFORMANCE SUMMARY REPORTS USING TABLEAU, AND IMPLEMENTING AN ONLINE HOSPITAL COMMUNICATION PORTAL/APP. HEALTH RESEARCH, INC., WITH THE ADDITION OF NEXT GENERATION SEQUENCING (NGS) INFRASTRUCTURE IN THE NEWBORN SCREENING (NBS) LAB, WILL SUBSTANTIALLY INCREASE THEIR ABILITY TO ASSESS AND IMPLEMENT NGS TO ELUCIDATE VARIANTS INDICATIVE OF IDIOPATHIC T CELL LYMPHOPENIA (ITCL). MOVING FORWARD, NGS FOR ADDITIONAL CONDITIONS CAN BE INCORPORATED INTO THE ROUTINE WORKFLOW, WITHOUT THE LIMITATIONS OF CAPACITY DUE TO OTHER EQUALLY IMPORTANT PUBLIC HEALTH PRIORITIES AT THE CENTER. ADDITIONALLY, FUNDING THROUGH THIS PROGRAM WILL ALLOW HEALTH RESEARCH, INC. TO INVESTIGATE OTHER FACTORS THAT CAN INFLUENCE THE INTERPRETATION OF SCID SCREENING RESULTS BY PARTICIPATING IN THE NATIONAL STUDY ON PREMATURITY).</ExplanationTxt>
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        <PersonNm>SCOTT BECKER</PersonNm>
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        <PersonNm>MICHELLE MEIGS</PersonNm>
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        <PersonNm>CHRIS BEAN</PersonNm>
        <TitleTxt>CHIEF LEARNING OFFICER</TitleTxt>
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        <PersonNm>TROY WILLITT</PersonNm>
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        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
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      <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>
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      <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>
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      <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>
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      <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 COVERS ALL BOARD MEMBERS AND OFFICERS OF THE ORGANIZATION. ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ARE DISCLOSED TO THE CHIEF EXECUTIVE OFFICER SO THAT SAFEGUARDS CAN BE ESTABLISHED TO PROTECT ALL PARTIES.</ExplanationTxt>
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      <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 2022.</ExplanationTxt>
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      <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>
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        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSTED SYSTEM SOLUTIONS: PROGRAM SERVICE EXPENSES 8,864,244. MANAGEMENT AND GENERAL EXPENSES 406,842. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,271,086. COMPUTER CONSULTING: PROGRAM SERVICE EXPENSES 5,885. MANAGEMENT AND GENERAL EXPENSES 57,543. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 63,428. TEMPORARY LABOR: PROGRAM SERVICE EXPENSES 508,340. MANAGEMENT AND GENERAL EXPENSES 676,267. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,184,607. SERVICE FEES: PROGRAM SERVICE EXPENSES 220,140. MANAGEMENT AND GENERAL EXPENSES 58,303. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 278,443. INFORMATICS CONSULTING: PROGRAM SERVICE EXPENSES 21,062,844. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,062,844. CONSULTANT AND CONTRACTOR: PROGRAM SERVICE EXPENSES 19,625,001. MANAGEMENT AND GENERAL EXPENSES 210,536. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,835,537. REVENUE SHARE: PROGRAM SERVICE EXPENSES -321,300. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -321,300.</ExplanationTxt>
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          <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>
      <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>77647</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>APHL KENYA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>154942</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>APHL TANZANIA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>62496</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
