2022-08-12T15:46:12-05:00 2021-09-30 560574444 CHERRY BEKAERT LLP 6116 EXECUTIVE BLVD STE 600 ROCKVILLE MD 20852 990 2020-10-01 351044487 ASSOCIATION OF STATE AND TERRITORIAL HEALTH OFFICIALS ASSO 2023719090 2231 CRYSTAL DRIVE NO 450 ARLINGTON VA 22202 ZARNAAZ BASHIR DEPUTY CEO 2023719090 2022-08-12 1 ZARNAAZ BASHIR 999009999 RAYMOND BARBAGALLO P00173692 3015899000 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z MICHAEL FRASER 2231 CRYSTAL DRIVE NO 450 ARLINGTON VA 22202 45237067 0 X WWW.ASTHO.ORG X 1942 DC TRANSFORM PUBLIC HEALTH WITHIN STATES AND TERRITORIES THROUGH THE FORMULATION AND IMPLEMENTATION OF POLICY AND EXCELLENCE IN STATE AND TERRITORY-BASED PUBLIC HEALTH PRACTICE TO HELP MEMBERS DRAMATICALLY IMPROVE HEALTH AND WELLNESS. 15 15 204 16 0 0 33701085 43978741 550660 1133025 10527 30163 22944 95138 34285216 45237067 7109748 6425215 0 0 18831253 23456043 0 0 0 8735942 12266660 34676943 42147918 -391727 3089149 13072553 17826781 7215635 8895784 5856918 8930997 X TRANSFORM PUBLIC HEALTH WITHIN STATES AND TERRITORIES THROUGH THE FORMULATION AND IMPLEMENTATION OF POLICY AND EXCELLENCE IN STATE AND TERRITORY-BASED PUBLIC HEALTH PRACTICE TO HELP MEMBERS DRAMATICALLY IMPROVE HEALTH AND WELLNESS. 0 0 13743858 2177148 8755 COMMUNITY HEALTH AND DISEASE PREVENTION (INCLUDING SOCIAL & BEHAVIORAL HEALTH): THE COMMUNITY HEALTH AND DISEASE PREVENTION AREA PROVIDES LEADERSHIP SUPPORT AND CAPACITY BUILDING TO STATE AND TERRITORIAL HEALTH OFFICIALS.SEE SCHEDULE O FOR COMPLETE DESCRIPTION 13113186 2933451 HEALTH SECURITY: THIS PROGRAM TEAM FOCUSES ON HEALTH EMERGENCIES SUCH AS NATURAL DISASTERS, PANDEMICS, DELIBERATE ATTACKS, ENVIRONMENTAL CATASTROPHES AND OTHER HEALTH THREATS. SEE SCHEDULE O FOR COMPLETE DESCRIPTION 2416592 961704 CARIBBEAN OPERATIONS IN TERRITORIAL SUPPORT:TERRITORIAL SUPPORT COORDINATES PROJECTS AND ACTIVITIES ACROSS ASTHO TO MEET THE SPECIALIZED NEEDS OF MEMBER ISLAND JURISDICTIONS IN THE PACIFIC AND THE ATLANTIC. SEE SCHEDULE O FOR COMPLETE DESCRIPTION 7988494 352912 1124270 7988494 352912 1124270 37262130 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 1 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 73 0 1 204 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X KOUDEDIA SISSOKO 2023719090 2231 CRYSTAL DRIVE NO 450 ARLINGTON VA 22202 NIRAV D SHAH PRESIDENT 2.50 X X 0 0 0 ANNE ZINK PRESIDENT-ELECT 1.50 X X 0 0 0 NICOLE ALEXANDER-SCOTT PAST PRESIDENT 1.50 X X 0 0 0 STEVEN STACK SECRETARY-TREASURER 1.00 X X 0 0 0 MARK LEVINE REGION I REPRESENTATIVE 1.00 X 0 0 0 HOWARD ZUCKER REGION II REPRESENTATIVE 1.00 X 0 0 0 NORM OLIVER REGION III REPRESENTATIVE 1.00 X 0 0 0 SCOTT HARRIS REGION IV REPRESENTATIVE/IMMEDIATE PAST PRESIDENT 1.00 X X 0 0 0 JOHN HELLERSTEDT REGION VI REPRESENTATIVE 1.00 X 0 0 0 LEE NORMAN REGION VII REPRESENTATIVE 1.00 X 0 0 0 ALEXIA HARRIST REGION VIII REPRESENTATIVE 1.00 X 0 0 0 IHSAN AZZAM REGION IX REPRESENTATIVE 1.00 X 0 0 0 ELKE SHAW-TULLOCH REGION X REPRESENTATIVE 1.00 X 0 0 0 ESTHER L MUNA TERRITORY REPRESENTATIVE 1.00 X 0 0 0 JUSTA ENCARNACION TERRITORY REPRESENTATIVE 1.00 X 0 0 0 MICHAEL ROBERT FRASER CHIEF EXECUTIVE OFFICER 37.50 X 440134 0 59705 ZARNAAZ BASHIR DEPUTY CEO 37.50 X 225176 0 41046 JAMES S BLUMENSTOCK CHIEF PROGRAM OFFICER 37.50 X 290637 0 40587 MARCUS G PLESCIA CHIEF MEDICAL OFFICER 37.50 X 292757 0 46326 AMBER N WILLIAMS SENIOR VICE PRESIDENT 37.50 X 229998 0 33064 CAROLYN MULLEN SENIOR VICE PRESIDENT 37.50 X 231759 0 28077 ADAM D STALEY SENIOR VICE PRESIDENT 37.50 X 218451 0 27079 JOHN LANE CHIEF PROGRAM OFFICER 37.50 X 176969 0 8236 MARY ANN COONEY CHIEF PROGRAM OFFICER 37.50 X 216666 0 30385 CHRISTINE MACKIE CHIEF PROGRAM OFFICER 37.50 X 193525 0 33789 KARL ENSIGN CHIEF PROGRAM OFFICER 37.50 X 188185 0 36875 DAWN RICHARDSON SENIOR DIRECTOR 37.50 X 194087 0 34629 2898344 0 419798 56 0 1 0 ORION HEALTHCARE SVCS INC DBA WANDERL ONE WORLD TRADE CENTER 8TH FLOOR LONG BEACH CA 90831 STAFFING SERVICES 1186721 AXIELL ALM INC 2014 S THUNDERBIRD DR STE 47 WOODS CROSS UT 840872351 GRANT PROG SOFTWARE SUPPORT 569549 AMERICAN TECHNOLOGY SERVICES 2751 PROSPERITY AVENUE 6TH FLOOR FAIRFAX VA 22031 SYSTEMS SUPPORT 559830 PUBLIC HEALTH PARTNERS LLC 26 ANTHONY AVE TOPSHAM ME 04086 CONSULTING WITH MAINE CDC 544718 GUIDEHOUSE INC 2941 FAIRVIEW PARK DR SUITE 501 FALLS CHURCH VA 22042 QUANTITATIVE ANALYSIS SUPPORT 431106 5 1655595 37487722 4835424 43978741 CROSS CUTTING PROGRAM 900099 1124270 1124270 MEETING REGISTRATIONS 900099 8755 8755 1133025 30163 30163 INSURANCE PROCEEDS 900099 79270 79270 TAX REFUNDS 900099 13868 13868 SPEAKER HONORARIUMS 900099 2000 2000 95138 45237067 1133025 0 125301 X 6327215 6327215 98000 98000 2527458 2164397 363061 15377934 13168942 2208992 1760577 1507676 252901 2499210 2153888 345322 1290864 1105435 185429 19641 19641 49063 49063 8874650 8140304 734346 1548239 1111192 437047 212701 176028 36673 1073753 885362 188391 90656 53610 37046 343397 325094 18303 54560 44987 9573 42147918 37262130 4885788 0 8910314 9797018 3135977 5902022 547292 622106 78345 305663 3521326 2597721 184965 923605 215660 276367 13072553 17826781 2728678 4405744 1032594 1110866 2709877 2747190 744486 631984 7215635 8895784 X 3733882 4662978 2123036 4268019 5856918 8930997 13072553 17826781 3089149 -15070 0 X 0 1 X 1 1 1 X 27189804 27042772 34783501 33701085 43978741 166695903 27189804 27042772 34783501 33701085 43978741 166695903 5291257 161404646 7020 8585 14447 10526 30163 70741 2456 32546 7559 22945 2000 67506 166834150 2283274 0.96750 0.96430 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 30728 248617 279345 41868573 42147918 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 314184 273588 280424 279345 1147541 250000 250000 250000 250000 1000000 1500000 34906 30396 30847 30728 126877 SCHEDULE C, SUPPLEMENTAL INFORMATION ASTHO'S GOVERNMENT RELATIONS (GR) TEAM ADVOCATES ON BEHALF OF STATE AND TERRITORIAL HEALTH OFFICIALS BEFORE THE U.S. CONGRESS AND THE ADMINISTRATION. THE GR TEAM ACTIVELY ENGAGES THE CONGRESS ON MATTERS OF SPENDING AND AUTHORIZING LEGISLATION. A MAIN FUNCTION OF THE GR TEAM IS TO INFLUENCE THE APPROPRIATIONS PROCESS BY ADVOCATING FOR THE HIGHEST AMOUNT POSSIBLE FOR PUBLIC HEALTH PROGRAMS FOR STATES. THE GR TEAM ALSO SUPPORTS ASTHO'S AFFILIATES THROUGH SIGN ON LETTERS AND/OR ACTIVELY SUPPORTING THEM IN MEETINGS ON CAPITOL HILL OR WITH THE ADMINISTRATION. THE TEAM ALSO HELPS PREPARE STATE HEALTH OFFICIALS FOR CONGRESSIONAL VISITS AND BRIEFINGS, WHICH ALSO INFLUENCES ASTHO'S LOBBYING EFFORTS. 992990 463342 529648 1603164 1210333 392831 925172 924046 1126 923605 CAPITAL LEASE OBLIGATIONS 72561 DEFERRED RENT LIABILITY 559423 631984 X 45221997 -15070 -15070 45237067 0 45237067 42147918 0 42147918 0 42147918 PART X, LINE 2: FOR THE YEARS ENDED SEPTEMBER 30, 2021 AND 2020, ASTHO 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 FINANCIAL STATEMENTS. THE FEDERAL FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, IS SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE, GENERALLY FOR THREE YEARS AFTER IT IS FILED. 1 EAST ASIA AND THE PACIFIC 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION 98000 0 0 0 0 0 0 98000 0 98000 EAST ASIA AND THE PACIFIC HEALTH INFORMATION SYSTEMS (HIS) STRENGTHENING IN THE USAPI TERRITORIES AND FREELY ASSOCIATED STATES 50000 CHECK EAST ASIA AND THE PACIFIC SUPPORTING STATE HEALTH AGENCIES TO ADDRESS EMERGING ENVIRONMENTAL HEALTH ISSUES 48000 CHECK 2 0 0 0 0 0 0 PART I, LINE 2: PROGRAM STAFF IDENTIFY SUB-RECIPIENTS THROUGH AN RFP PROCESS. PAYMENT OF FUNDS IS TIED TO PERFORMANCE BY INVOKING SPECIFIC MILESTONES WHICH TRIGGER THE DISBURSEMENT OF FUNDS. ALL INVOICES ARE REVIEWED AND APPROVED BY A GRANTS MANAGER PRIOR TO PAYMENT TO INSURE COMPLIANCE WITH TERMS. THE PROGRAM LEAD MAINTAINS CONTACT WITH THE CONTRACTORS THROUGH REGULAR "CHECK-INS," PROGRESS REPORTS, ETC., AS APPLICABLE. PART I, LINE 3: THE ACCRUAL BASIS OF ACCOUNTING IS USED TO ACCOUNT FOR EXPENDITURES FOR GRANTS/ASSISTANCE GIVEN TO ORGANIZATIONS OUTSIDE OF THE U.S.. PART III ACCOUNTING METHOD: 1 GEORGIA DEPT OF PUBLIC HEALTH 2 PEACHTREE ST NW 15TH FLOOR ATLANTA GA 303033142 900676388 170(C)(1) 100552 BUILDING STATE HEALTH AGENCY CAPACITY FOR BREASTFEEDING PROMOTION AND SUPPORT ASSOCIATION OF STATE DRINKING WATER ADMINISTRATION 1401 WILSON BLVD SUITE 1225 ARLINGTON VA 22209 870416731 501(C)(3) 7500 STRENGTHENING LEGIONNAIRE'S DISEASE DIAGNOSIS, SURVEILLANCE, AND PREVENTION COLORADO DEPT OF PUBLIC HEALTH & ENVIRONMENT 4300 CHERRY CREEK DRIVE SOUTH DENVER CO 80246 840644739 170(C)(1) 462020 DEVELOPING AND IMPLEMENTING MOU'S BETWEEN PUBLIC HEALTH AND PHARMACIES FOR PANDEMIC PREPAREDNESS MINNESOTA DEPARTMENT OF HEALTH 658 CEDAR STREET ST PAUL MN 55155 416007162 170(C)(1) 5000 BUILDING STATE HEALTH DEPARTMENT CAPACITY TO DEVELOP AND UTILIZE VIRAL HEPATITIS EPIDEMIOLOGICAL PROFILE PUERTO RICO SCIENCE TECHNOLOGY AND RESEARCH PO BOX 363437 SAN JUAN RQ 00936-3475 660675963 501(C)(3) 843738 CAPACITY BUILDING FOR JURISDICTIONAL HURRICANE RECOVERY - US VIRGIN ISLANDS STAFFING CAPACITY ENHANCEMENTS RHODE ISLAND DEPARTMENT OF PUBLIC HEALTH ONE CAPITAL HILL PROVIDENCE RI 02908 056000522 170(C)(1) 33298 PLANNING FOR STATE VIRAL HEPATITIS ELIMINATION PROGRAM THE REGENTS OF THE UNIVERSITY OF CALIFORNIA 1855 FOLSOM STREET SUITE 425 SAN FRANCISCO CA 94143 946002123 501(C)(3) 217336 OPIOID PROJECT JURISDICTIONAL SUPORT - FAMILY HEALTH OUTCOMES PROJECT (FHOP) WASHINGTON STATE DEPARTMENT OF HEALTH PO BOX 47840 OLYMPIA WA 985057825 911444603 170(C)(1) 18527 PLANNING FOR NATIONAL AND STATE VIRAL HEPATITIS ELIMINATION PROGRAMS PRESIDENT AND FELLOWS OF HARVARD COLLEGE 1033 MASSACHUSETTS AVENUE 2ND FLOOR FLOOR BOSTON MA 02138 042103580 501(C)(3) 1600460 TECHNICAL ASSISTANCE FOR STATE, TERRITORIAL AND FEDERAL RISK COMMUNICATION DURING PUBLIC HEALTH EMERGENCIES: COVID-19 IDAHO DEPARTMENT OF HEALTH AND WELFARE 450 WEST STATE STREET BOISE ID 837200036 826000995 170(C)(1) 30000 ENVIRONMENTAL HIAP STATE INCUBATOR PROJECT- TECHNICAL ASSISTANCE AND CAPACITY BUILDING FOR SHA'S EFFORT ILLINOIS PUBLIC HEALTH INSTITUTE 310 S PEIRIA STREET SUITE 404 CHICAGO IL 60607 262757523 501(C)(3) 3000 BUILDING STATE PUBLIC HEALTH DEPARTMENT CAPACITY TO SUPPORT BREASTFEEDING NATIONAL COALITION OF STD DIRECTORS 1029 VERMONT AVENUE NW SUITE 500 WASHINGTON DC 20005 522065422 501(C)(3) 849638 NATIONAL COVID-19 CONTACT TRACING E-LEARNING TRAINING NATIONAL PUBLIC HEALTH INFORMATION COALITION 1353 RIVERSTONE PARKWAY SUITE 120-309 CANTON GA 30114 581883255 501(C)(3) 87500 TECHNICAL ASSISTANCE FOR STATE, TERRITORIAL, AND FEDERAL RISK COMMUNICATION DURING PUBLIC HEALTH EMERGENCIES: COVID-19 PA CHAPTER AMERICAN ACADEMY OF PEDIATRICS 1500 MARKET STREET LM500 PHILADELPHIA PA 19102 237221025 501(C)(3) 6750 BUILDING STATE PUBLIC HEALTH DEPARTMENT CAPACITY TO SUPPORT BREASTFEEDING PENNSYLVANIA DEPARTMENT OF HEALTH 555 WALNUT STREET 9TH FLOOR HARRISBURG PA 17101 236003104 170(C)(1) 15055 SUPPORTING STATE HEALTH AGENCIES TO ADDRESS EMERGING ENVIRONMENTAL HEALTH ISSUES THE AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS 409 12TH STREET SW WASHINGTON DC 20024 362217981 501(C)(3) 100948 VULNERABLE POPULATIONS PLANNING: MITIGATING THE IMPACT OF SEASONAL & PANDEMIC INFLUENZA ON OUR MOST VULNERABLE POPULATIONS THE CENTER FOR AFRICAN AMERICAN HEALTH 3350 HUDSON STREET DENVER CO 80207 841477546 501(C)(3) 6254 BUILDING STATE PUBLIC HEALTH DEPARTMENT CAPACITY TO SUPPORT BREASTFEEDING UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES 4301 WEST MARKHAM ST LITTLE ROCK AR 72205 716046242 501(C)(3) 5500 BUILDING STATE PUBLIC HEALTH DEPARTMENT CAPACITY TO SUPPORT BREASTFEEDING UZAZI VILLAGE 4232 TROOST AVE KANSAS CITY MO 64110 460589830 501(C)(3) 6248 BUILDING STATE HEALTH AGENCY CAPACITY FOR BREASTFEEDING PROMOTION AND SUPPORT COMMONWEALTH HEALTHCARE CORPORATION (CNMI) PO BOX 500409 SAIPAN MP 96950 660774364 170(C)(1) 54000 PUBLIC HEALTH COLLABORATIVE TO IMPROVE CARDIOVASCULAR HEALTH OUTCOMES GUAM'S ALTERNATIVE LIFESTYLE ASSOCIATION PO BOX 128 HAGATNA GQ 96932 660716699 501(C)(3) 18000 PUBLIC HEALTH COLLABORATIVE TO IMPROVE CARDIOVASCULAR HEALTH OUTCOMES AMERICAN IMMUNIZATION REGISTRY ASSOCIATION 1717 PENNSYLVANIA AVE NW STE 1025 WASHINGTON DC 20006 271130269 501(C)(3) 166664 ONC IMMUNICATION DATA EXCHANGE, ADVANCEMENT AND SHARING (IDEAS) ARKANSAS DEPT OF HEALTH 4815 WEST MARKHAM ST LITTLE ROCK AK 72205 710847443 501(C)(3) 60000 SUPPORTING CAPACITY BUILDING AND COLLABORATION ASSOCIATION OF IMMUNIZATION MANAGERS 620 HUNGERFORD DR STE 29 ROCKVILLE MD 20850 522346043 501(C)(3) 166664 ONC IMMUNICATION DATA EXCHANGE, ADVANCEMENT AND SHARING (IDEAS) CI INTERNATIONAL INC 7852 S ELATI STREET SUITE 201 LITTLETON CO 80120 841364821 14475 OPIOID USE, MATERNAL OUTCOMES, AND NEONATAL ABSTINENCE SYNDROME INITIATIVE (OMNI) LEARNING COMMUNITY COMMONWEALTH OF PENNSYLVANIA 1310 ELMERTON AVENUE HARRISBURG PA 17110 236003104 501(C)(3) 8800 IMPLEMENTING MOU'S BETWEEN STATE HEALTH DEPARTMENTS AND PHARMACIES FOR PANDEMIC INFLUENZA VACCINE PLANNING EXECUSOURCE LLC 3575 PIEDMONT RD NE SUITE 350 ATLANTA GA 30305 810853090 74717 MILLION HEARTS-STATE AND LOCAL HYPERTENSION FOCUSED MODEL DEVELOPMENT INDIANA STATE DEPT OF HEALTH 2 NORTH MERIDIAN ST INDIANAPOLIS IN 46204 356000158 501(C)(3) 60000 STATE ENVIRONMENTAL HEALTH DIRECTORS PEER NETWORK - SUPPORTING CAPACITY BUILDING AND COLLABORATION INFORMED GREEN SOLUTIONS INC PO BOX 60 658 MAD BROOK RD EAST CHARLESTON VT 05833 264427379 501(C)(3) 60000 SUPPORTING CAPACITY BUILDING AND COLLABORATION KENTUCKY DEPT OF PUBLIC HEALTH 275 EAST MAIN ST 4E-C FRANKFORT KY 40601 610600439 501(C)(3) 60000 SHARE IDEAS ON DESIGN AND DEVELOPMENT OF MODULES TO UPDATE THE CARDIFF MODEL MEDICAL COLLEGE OF WISCONSIN 8701 WATERTOWN PLANK RD MILWAUKEE WI 53226 390806261 501(C)(3) 9000 ADVANCING GEORGIA PUBLIC HEALTH SYSTEM VIOLENCE SURVEILLANCE & PARTNERSHIP ACTIVITIES BASED ON THE CARDIFF MODEL NAT'L ASSOC OF COUNTY & CITY HEALTH OFFICIALS 1100 17TH STREET NW 7TH FL WASHINGTON DC 20036 521426663 501(C)(3) 286748 NATIONAL ORGANIZATIONS FOR STATE AND LOCAL OFFICIALS (NOSLO) NATIONAL INSTITUTE FOR ANIMAL AGRICULTURE 13570 MEADOWGRASS DR STE 201 COLORADO SPRINGS CO 80921 611360046 501(C)(3) 10000 FOOD SAFETY ACTIVITIES FOR STATE HEALTH DEPARTMENTS AND OFFICIALS UNIVERSITY OF ILLINOIS GRANTS & CONTRACTS 1603 W TAYLOR OFFICE 657 CHICAGO IL 60613 376000511 501(C)(3) 11765 OPIOID USE, MATERNAL OUTCOMES, AND NEONATAL ABSTINENCE SYNDROME INITIATIVE (OMNI) RTI INTERNATIONAL PO BOX 12194 RESEARCH TRIANGLE PARK NC 27709 560686338 501(C)(3) 629228 PUBLIC HEALTH COMMUNITY PLATFORM SKY LAKES MEDICAL CENTER FOUNDATION 2865 DAGGETT AVE KLAMATH FALLS OR 97601 930946020 501(C)(3) 25000 IMPROVING SOCIAL DETERMINANTS OF HEALTH (SDOH) - GETTING FURTHER FASTER STRATEGIC HEALTH INFORMATION EXCHANGE COLLABORATIVE 700 12TH STREET SW SUITE 700 WASHINGTON DC 20005 471803207 501(C)(6) 145830 ONE COVID-19 IDEAS PROGRAM VA DEPARTMENT OF HEALTH 109 GOVERNOR ST 13TH FLOOR RICHMOND VA 23219 546001775 170(C)(1) 60000 ENVIRONMENTAL PUBLIC HEALTH TRACKING: PEER-TO-PEER FELLOWSHIP PROGRAM, PHASE 1 26 3 PART I, LINE 2: PROGRAM STAFF IDENTIFY APPROPRIATE SUB-RECIPIENTS THROUGH AN RFP PROCESS. PAYMENT OF FUNDS IS TIED TO PERFORMANCE BY INVOKING SPECIFIC MILESTONES WHICH TRIGGER THE DISBURSEMENT OF FUNDS. ALL INVOICES ARE REVIEWED AND APPROVED BY A GRANTS MANAGER PRIOR TO PAYMENT TO INSURE COMPLIANCE WITH TERMS. X X X X X 0 0 0 0 0 0 0 1 0 MICHAEL ROBERT FRASER CHIEF EXECUTIVE OFFICER 384761 0 55373 0 0 0 51901 0 7804 0 499839 0 0 0 MARCUS G PLESCIA CHIEF MEDICAL OFFICER 278864 0 13893 0 0 0 34804 0 11522 0 339083 0 0 0 JAMES S BLUMENSTOCK CHIEF PROGRAM OFFICER 270078 0 20559 0 0 0 33598 0 6989 0 331224 0 0 0 ZARNAAZ BASHIR DEPUTY CEO 214258 0 10918 0 0 0 27168 0 13878 0 266222 0 0 0 AMBER N WILLIAMS SENIOR VICE PRESIDENT 216624 0 13374 0 0 0 27536 0 5528 0 263062 0 0 0 CAROLYN MULLEN SENIOR VICE PRESIDENT 220911 0 10848 0 0 0 27177 0 900 0 259836 0 0 0 MARY ANN COONEY CHIEF PROGRAM OFFICER 206549 0 10117 0 0 0 25344 0 5041 0 247051 0 0 0 ADAM D STALEY SENIOR VICE PRESIDENT 208151 0 10300 0 0 0 25579 0 1500 0 245530 0 0 0 DAWN RICHARDSON SENIOR DIRECTOR 184781 0 9306 0 0 0 23315 0 11314 0 228716 0 0 0 CHRISTINE MACKIE CHIEF PROGRAM OFFICER 184189 0 9336 0 0 0 23390 0 10399 0 227314 0 0 0 KARL ENSIGN CHIEF PROGRAM OFFICER 179005 0 9180 0 0 0 22997 0 13878 0 225060 0 0 0 JOHN LANE CHIEF PROGRAM OFFICER 148669 0 28300 0 0 0 2933 0 5303 0 185205 0 0 0 PART I, LINE 7 ASTHO HAS AN ACHIEVEMENT AWARD PROGRAM THAT IS OPEN TO ALL FULL-TIME AND PART-TIME EMPLOYEES. ACHIEVEMENT AWARD RECOMMENDATIONS MUST BE MADE BY THE EMPLOYEE'S IMMEDIATE SUPERVISOR AND APPROVED BY THE SUPERVISOR'S CHIEF. THE ACHIEVEMENT AWARD, A ONE-TIME CASH AWARD, IS TO PROVIDE IMMEDIATE RECOGNITION FOR A SPECIFIC ACTION OR ACHIEVEMENT BEYOND WHAT IS NORMALLY EXPECTED OF AN EMPLOYEE. ADDITIONALLY, ASTHO MAY PERIODICALLY PROVIDE A PERFORMANCE OR ACHIEVEMENT BONUS TO INDIVIDUALS AS DEEMED APPROPRIATE. BONUS AMOUNTS ARE DISCUSSED WITH SENIOR DIRECTORS AND/OR THE EXECUTIVE LEADERSHIP TEAM, WITH EXECUTIVE LEADERSHIP TEAM, SENIOR DIRECTOR AND OPSD (HR) APPROVAL REQUIRED. THE BONUS FOR THE CEO IS PART OF HIS CONTRACT AND UP TO THE CAP OF 10% IS DETERMINED AND APPROVED ANNUALLY BY THE BOARD. FORM 990, PART III, LINE 4A: COMMUNITY HEALTH AND DISEASE PREVENTION (INCLUDING SOCIAL & BEHAVIORAL HEALTH): THE COMMUNITY HEALTH AND DISEASE PREVENTION PROGRAM AREA PROVIDES LEADERSHIP SUPPORT AND CAPACITY BUILDING TO POSITION STATE AND TERRITORIAL HEALTH OFFICIALS AS CHIEF HEALTH STRATEGISTS IN THEIR JURISDICTIONS TO IMPROVE POPULATION HEALTH IN THREE DISTINCT BUT COORDINATED AREAS OR POPULATIONS: FAMILY AND CHILD HEALTH; MATERNAL AND INFANT HEALTH; AND CHRONIC DISEASE. IN 2020 AND 2021, ASTHO MOBILIZED TO SUPPORT OUR MEMBERS ACROSS THE COUNTRY THROUGH CAPACITY BUILDING, TECHNICAL ASSISTANCE, AND THOUGHT LEADERSHIP. THE TEAM EXCELS IN PROVIDING A ROBUST CONTINUUM OF TECHNICAL ASSISTANCE DESIGNED TO SUPPORT STATE AND TERRITORIAL HEALTH AGENCIES WITH THE DEVELOPMENT, IMPLEMENTATION, AND EVALUATION OF PROGRAMMATIC OR PERFORMANCE AREAS AND EXEMPLIFIES THIS THROUGH THE FOLLOWING MULTI-SECTOR LEARNING COMMUNITIES: - OPIOID USE DISORDER, MATERNAL OUTCOMES, AND NEONATAL ABSTINENCE SYNDROME INITIATIVE (OMNI) LEARNING COMMUNITY BUILT CAPACITY IN 15 STATES TO IMPLEMENT SYSTEMS-LEVEL PROGRAM AND POLICY IMPLEMENTATION RELATED TO PREGNANT AND POSTPARTUM WOMEN WITH OPIOID USE, MISUSE, AND DEPENDENCE AND PROVIDED LOCAL ENHANCEMENTS TO PROVIDE FIVE STATES (FL, KY, NV, OH, WA) WITH FIELD-BASED SUPPORT TO ENHANCE THEIR CAPACITY TO DEVELOP AND IMPLEMENT GOALS. - ASTHO ESTABLISHED A COORDINATING CENTER TO SUPPORT A 9-12 MULTI-STATE LEARNING COMMUNITY ON PREGNANCY RISK ASSESSMENT MONITORING SYSTEM (PRAMS) DATA LINKAGE WITH CLINICAL OUTCOMES DATA. FOCUS ON PROVIDING TECHNICAL ASSISTANCE TO STATES TO USE STANDARDIZED METHODOLOGY TO LINK DATA; SUPPORT PRIORITY PATIENT-CENTERED OUTCOMES RESEARCH FOR MATERNAL AND CHILD HEALTH; AND SUPPORT A PROCESS FOR RECEIVING DE-IDENTIFIED DATA FROM MULTIPLE STATES, HOSTING AND ACCESSING LINKED DATA FOR CDC AND EXTERNAL RESEARCHERS, AND DOCUMENTATION FOR SUSTAINABILITY AND REPLICATION OF PROJECT. - THE 16-STATE BREASTFEEDING LEARNING COMMUNITY ENHANCED BREASTFEEDING INITIATION AND DURATION BY IMPROVING POLICIES AND PROVIDED NINE STATES WITH INNOVATION GRANTS TO IMPROVE AND FORM COHESIVE COLLABORATIVE NETWORKS WITH STATE AND LOCAL CROSS-SECTORAL PARTNERS TO ADDRESS BREASTFEEDING DISPARITIES THROUGH TRANSFORMATIVE HEALTH EQUITY APPROACHES. - ASTHO, IN COLLABORATION WITH OTHER NATIONAL PARTNERS ARE WORKING WITH STATES AND COMMUNITIES ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH (SDOH) TO IMPACT HEALTH OUTCOMES IN THEIR COMMUNITIES. DEMONSTRATED IMPACT ON CHRONIC DISEASE PREVENTION IN ONE OF FIVE AREAS OF SOCIAL DETERMINANTS OF HEALTH (SDOH): A) BUILT ENVIRONMENT, B) COMMUNITY-CLINICAL LINKAGES, C) FOOD AND NUTRITION SECURITY, D) SOCIAL CONNECTEDNESS, AND E) TOBACCO-FREE POLICY. ASTHO IS ALSO WORKING WITH AN EVALUATOR ON RETROSPECTIVE EVALUATION. THEIR FINAL REPORT WILL BUILD THE EVIDENCE FOR SUCCESSFUL EXAMPLES OF USING COMMUNITY BENEFIT TO ADDRESS SDOH AND IMPACT HEALTH OUTCOMES. - ASTHO'S TOBACCO PREVENTION AND CONTROL PROGRAM EXISTS TO BUILD CAPACITY FOR COMPREHENSIVE TOBACCO PROGRAMS WITHIN STATE AND TERRITORIAL PUBLIC HEALTH DEPARTMENTS BY (1) GUIDING EXECUTIVE LEADERSHIP IN DRAFTING AND INTERPRETING TOBACCO POLICY LANGUAGE, (2) TRANSLATING EVIDENCE-BASED STRATEGIES INTO PRACTICE, (3) INTERPRETING THE IMPACT OF TOBACCO CONTROL POLICIES ACROSS INTERSECTING PUBLIC HEALTH AREAS (I.E. OTHER CHRONIC DISEASES, SOCIAL DETERMINANTS OF HEALTH, ETC.), AND (4) PROVIDING EDUCATION ON POLICY AND SYSTEMS CHANGES IMPACTING HEALTH DISPARITIES. THE SOCIAL AND BEHAVIORAL HEALTH PROVIDES LEADERSHIP SUPPORT AND CAPACITY BUILDING TO POSITION STATE AND TERRITORIAL HEALTH OFFICIALS AND THEIR AGENCIES TO ADDRESS OVERDOSE PREVENTION, SUICIDE PREVENTION, THE PREVENTION OF ADVERSE CHILDHOOD EXPERIENCES, INJURY PREVENTION, VIOLENCE PREVENTION, AND MENTAL HEALTH PROMOTION. THE TEAM IS ORGANIZED FOUR DISTINCT BUT COORDINATED PROJECT TEAMS: BEHAVIORAL HEALTH STATES AND TERRITORIES; OVERDOSE DATA TO ACTION; OPIOID PREPAREDNESS, RESPONSE AND SURVEILLANCE; AND PUBLIC AND BEHAVIORAL HEALTH INTEGRATION. IN 2020/2021, ASTHO MOBILIZED TO SUPPORT OUR MEMBERS ACROSS THE COUNTRY THROUGH CAPACITY BUILDING, TECHNICAL ASSISTANCE, AND THOUGHT LEADERSHIP. THE TEAM EXCELS IN PROVIDING A ROBUST CONTINUUM OF TECHNICAL ASSISTANCE DESIGNED TO SUPPORT STATE AND TERRITORIAL HEALTH AGENCIES WITH THE DEVELOPMENT, IMPLEMENTATION, AND EVALUATION OF PROGRAMMATIC OR PERFORMANCE AREAS AS DEMONSTRATED IN THE FOLLOWING ACCOMPLISHMENTS. - ASTHO CONVENED MULTIPLE IN-PERSON AND VIRTUAL CAPACITY-BUILDING EVENTS RELATED TO OVERDOSE, SUICIDE, AND ADVERSE CHILDHOOD EXPERIENCE (ACE) PREVENTION: CDC'S OVERDOSE DATA TO ACTION ANNUAL MEETING FOR OVER 1200 ATTENDEES (47 STATES,TWO TERRITORIES, AND 17 CITIES/COUNTIES), PILOT LEADERSHIP TRAINING FOR PRINCIPAL INVESTIGATORS (NY, MD, PR, AND CUYAHOGA COUNTY OH), ACESLEARNING COMMUNITY (MI, CT,GA, AND MA), AND THE SUICIDE AND OPIOID OVERDOSE PREVENTION PUBLIC HEALTH INITIATIVE (CO AND ME). - ASTHO SUPPORTED THE FEDERAL STATES OF MICRONESIA (FSM) AND PUERTO RICO (PR) IN BUILDING THEIR CAPACITY TO RESPOND TO THE OPIOID EPIDEMIC. FOR FSM, ASTHO FOCUSED ON EDUCATING PROVIDERS ON THE CDC GUIDELINE FOR PRESCRIBING OPIOIDS FOR CHRONIC PAIN AND TRAINING FIRST RESPONDERS AND COMMUNITY MEMBERS ON OVERDOSE RECOGNITION AND NALOXONE ADMINISTRATION. THEN FOR PR, ASTHO PROVIDED RESOURCES AND WEBINARS ON NEONATAL ABSTINENCE SYNDROME, MANDATORY REPORTING OF OVERDOSES, LAW ENFORCEMENT ENGAGEMENT, AND PARTNERSHIP BUILDING. - ASTHO SUPPORTED 10 STATES (AK, CT, DE, KS, MD, NJ, OH, PA, UT, WV) TO ENHANCE THEIR CAPACITY TO RESPOND TO DISRUPTIONS IN ACCESS TO OPIOID PRESCRIPTIONS, SUCH AS THOSE THAT OCCUR WHEN A LAW ENFORCEMENT ACTION IS TAKEN AGAINST A HEALTHCARE PROVIDER. THIS CAPACITY-BUILDING SUPPORT RESULTED IN INCREASED STATE READINESS AND PREPAREDNESS TO PROVIDE CONTINUITY OF CARE FOR PATIENTS AFFECTED BY A DISRUPTION. - ASTHO IMPLEMENTED THE PROJECT ECHO ON OVERDOSE FATALITY INVESTIGATION TECHNIQUES (OD-FIT) TO IMPROVE MEDICAL EXAMINER AND CORONER REPORTING OF OVERDOSE MORTALITY DATA. THE MONTHLY VIRTUAL OD-FIT SESSIONS INCLUDE DIDACTIC TRAINING ON SCENE INVESTIGATION, AUTOPSY, TOXICOLOGY TESTING, PARTNERING WITH PUBLIC HEALTH, AND OTHER TOPICS, FOLLOWED BY CASE REVIEW DISCUSSIONS. SESSIONS ENGAGE AN AVERAGE OF 80 PARTICIPANTS AND PROVIDE IMPORTANT OPPORTUNITIES FOR PEER ENGAGEMENT AND ACCESS TO MENTORSHIP FOR MEDICOLEGAL DEATH INVESTIGATORS. - ASTHO COLLABORATED WITH NACCHO AND CDC-DASH TO HOST A PUBLIC HEALTH AND EDUCATION: SEXUAL HEALTH SERVICES WORKSHOP. THE WORKSHOP WAS WELL ATTENDED WITH 60 PARTICIPANTS FROM LOCAL EDUCATION AGENCIES, LOCAL HEALTH DEPARTMENTS, AND STATE HEALTH DEPARTMENTS. IT FEATURED PRESENTATIONS FROM LOCAL, STATE, AND NATIONAL EXPERTS AND OFFERED OPPORTUNITIES FOR ENGAGEMENT TO ENHANCE EDUCATION AND PUBLIC HEALTH COLLABORATIONS. FORM 990, PART III, LINE 4B: HEALTH SECURITY: THE HEALTH SECURITY UNIT (HSU) FOCUSES ON HEALTH EMERGENCIES SUCH AS NATURAL DISASTERS, DISEASE OUTBREAKS AND PANDEMICS, DELIBERATE ATTACKS, ENVIRONMENTAL CATASTROPHES, AND OTHER HEALTH THREATS AND IS COMPRISED OF FOUR SEPARATE BUT INTEGRATED TEAMS: PREPAREDNESS, INFECTIOUS DISEASES INFRASTRUCTURE AND POLICY, EMERGING INFECTIOUS DISEASES, AND ENVIRONMENTAL HEALTH. IN 2021, ASTHO'S HSU LARGELY FOCUSED ON CONTINUING TO SUPPORT ITS MEMBERS ACROSS THE COUNTRY BY PROVIDING SITUATIONAL AWARENESS, CONNECTIVITY WITH KEY FEDERAL AGENCIES AND PARTNER ASSOCIATIONS, AND NEEDED INFORMATION AND TECHNICAL ASSISTANCE PLATFORM ASSOCIATED WITH THE COVID-19 PANDEMIC, WHICH CAUSED US TO PAUSE SEVERAL OF THE UNIT'S LONGSTANDING PROJECT ACTIVITIES. ASTHO RESPONDED TO OVER 277 COVID-19 SPECIFIC TECHNICAL ASSISTANCE REQUESTS BETWEEN JANUARY AND SEPTEMBER 2021, ON TOPICS INCLUDING VACCINATION, FUNDING REQUESTS AND USAGE, DATA MANAGEMENT AND COLLECTION, AND EMERGENCY DECLARATIONS. IN RESPONSE TO SEVERAL OF THE TECHNICAL ASSISTANCE REQUESTS, ASTHO CREATED SEVERAL PRODUCTS AND RESOURCES, INCLUDING THE FREQUENTLY ACCESSED COVID-19 VACCINE COMPARISON ISSUE BRIEF, INFORMATION ON THE EMERGENCY SUPPLEMENTAL FUNDING TO STATE, LOCAL, TERRITORIAL, AND TRIBAL GOVERNMENTS, AND INFORMATION INFORM THE DEVELOPMENT OF COMMUNICATION STRATEGIES FOR STATE HEALTH AGENCIES TITLED "BACK TO SCHOOL: PARENT VIEWS OF COVID PROTECTION". ASTHO ALSO LAUNCHED THE "MAKING CONTACT: A TRAINING FOR COVID-19 CONTACT TRACERS", WHICH HAS TRAINED OVER 100,000 STAFF ACROSS THE COUNTRY. THROUGHOUT THE COVID-19 RESPONSE, ASTHO HAS STRENGTHENED EXISTING PARTNERSHIPS AND FORMED NEW PARTNERSHIPS WITH ORGANIZATIONS TO ASSIST STATE HEALTH AGENCIES IN MAKING CONNECTIONS, INCLUDING BUT NOT LIMITED TO: ASTHO'S AFFILIATES NATIONAL GOVERNORS ASSOCIATION COUNCIL OF CHIEF STATE SCHOOL OFFICERS ASTHO, IN CONJUNCTION WITH THE AMERICAN PHARMACISTS ASSOCIATION, FORMED THE NATIONAL ASSOCIATIONS' COVID VACCINE LEADERSHIP COUNCIL. THE COUNCIL IS A COLLABORATION OF 19 HEALTHCARE AND PUBLIC HEALTH ORGANIZATIONS WHICH SUPPORT AND IMPLEMENT THE NATION'S COVDID-19 VACCINATION PLAN. IN ADDITION TO THE RESPONSE TO COVID-19, ASTHO'S HSU DEVELOPED AND LAUNCHED THE ENVIRONMENTAL HEALTH PROGRAMS AND SERVICES PORTAL WHICH INCLUDES A DASHBOARD WITH THE DATA AS WELL AS FACTSHEETS WITH KEY FINDINGS ON SEVERAL KEY ENVIRONMENTAL HEALTH TOPICS. HSU HAS ALSO WORKED TO LEAD STATES THROUGH A PROCESS TO RESHAPE THE EXISTING PUBLIC HEALTH EMERGENCY PREPAREDNESS (PHEP) FRAMEWORK INTO A MORE RESILIENT, ADAPTABLE, AND INCLUSIVELY COMPETENT SYSTEM. WE ARE OPTIMISTIC THAT THIS PROJECT WILL RESULT IN IMPROVED PUBLIC HEALTH PREPAREDNESS AND CLARITY OF THE ROLES AND RESPONSIBILITIES OF LOCAL, STATE, TERRITORIAL, AND FEDERAL AGENCIES IN RESPONSE TO PUBLIC HEALTH THREATS. THE HSU HOSTED THE NATIONAL HEPATITIS MEETING 2021 - MOVING TOWARD VIRAL HEPATITIS ELIMINATION IN THE UNITED STATES, CONVENING MORE THAN 200 HEALTH DEPARTMENT STAFF AND PARTNERS TO DISCUSS PROGRESS ON VIRAL HEPATITIS ELIMINATION, STRATEGIES FOR SUPPORTING HIGH-IMPACT PREVENTION, TO CONNECT LEADERS AND PROGRAM STAFF ACROSS JURISDICTIONS, AND TO SHARE LESSONS FROM THE COVID-19 RESPONSE FOR FUTURE ELIMINATION EFFORTS. THE HSU ALSO CONTINUES TO CO-LEAD THE COUNCIL OF OUTBREAK RESPONSE: HEALTHCARE-ASSOCIATED INFECTIONS AND ANTIMICROBIAL-RESISTANT PATHOGENS (CORHA) WHICH AIMS TO IMPROVE PRACTICES AND POLICIES AT THE LOCAL, STATE, AND NATIONAL LEVELS FOR DETECTION, INVESTIGATION, CONTROL, AND PREVENTION OF HAI/AR OUTBREAKS ACROSS THE HEALTHCARE CONTINUUM. FORM 990, PART III, LINE 4C: CARIBBEAN OPERATIONS IN TERRITORIAL SUPPORT: TERRITORIAL SUPPORT COORDINATES PROJECTS AND ACTIVITIES ACROSS ASTHO TO MEET THE SPECIALIZED NEEDS OF MEMBER ISLAND JURISDICTIONS IN THE PACIFIC AND THE ATLANTIC. THROUGH JUNE 2021, THE UNIT SUPPORTED 10 DISTINCT PROJECTS AT THE PUERTO RICO DEPARTMENT OF HEALTH AND TWO PROJECTS AT THE U.S. VIRGIN ISLANDS DEPARTMENT OF HEALTH. PROJECT ACTIVITIES AIMED TO ASSIST HURRICANE RECOVERY IN PUERTO RICO AND THE U.S. VIRGIN ISLANDS FOLLOWING HURRICANES IRMA AND MARIA AND FOCUSED ON THE TOPICS OF ENVIRONMENTAL HEALTH SERVICES AND IT INFRASTRUCTURE; COMMUNITY RISK MITIGATION; DISASTER-RELATED DEATH REGISTRY PROCESSES; POST-DISASTER CARBON MONOXIDE POISONING SURVEILLANCE; POST-HURRICANE BURDEN AND RISK FACTORS FOR CHILDREN WITH ASTHMA; HEALTHCARE INFECTION CONTROL SURVEILLANCE AND PREVENTION; VECTOR-BORNE DISEASES; STD LABORATORY, PREVENTION AND CONTROL; AND GRANTS MANAGEMENT. THE 10 PROJECTS WITH THE PUERTO RICO DEPARTMENT OF HEALTH FOCUSED ON STAFFING, EQUIPMENT AND SOFTWARE PROCUREMENT, AND CONTRACTING SERVICES TO COMPLETE ASSESSMENTS, IMPLEMENT AN ELECTRONIC VITAL RECORDS SYSTEM AND AN ELECTRONIC GRANTS MANAGEMENT SYSTEM, AS WELL AS PROVIDE PROFESSIONAL DEVELOPMENT TRAININGS TO HEALTH DEPARTMENT STAFF AND KEY PARTNERS. THE TWO PROJECTS WITH THE U.S. VIRGIN ISLANDS FOCUSED MAINLY ON DEVELOPING STANDARD OPERATING PROCEDURES (SOPS); STREAMLINING BUSINESS PROCESSES RELATED TO FINANCIAL MANAGEMENT, PROCUREMENT, AND GRANTS MANAGEMENT, INCLUDING THE JURISDICTION'S EXISTING ENTERPRISE-WIDE RESOURCE PLANNING (ERP) SYSTEM; AND PROVIDING TRAININGS TO HEALTH DEPARTMENT STAFF ON THEIR ERP SYSTEM AND DEVELOPED SOPS. TO SUPPORT THE U.S. VIRGIN ISLANDS DEPARTMENT OF HEALTH'S (USVI DOH) INTERNAL PROCUREMENT PROCESS, ASTHO HAS COACHED ITS STAFF TO USE AND POPULATE SCORECARDS ON KEY BUSINESS PROCESSES FOR MANAGING PERFORMANCE AND CONTINUOUS IMPROVEMENT. RECENT SCORECARD DATA SHOW A 69% IMPROVEMENT IN THE TIME FOR INTERNAL REVIEW AND APPROVAL AND A 92% IMPROVEMENT IN THE NUMBER OF ERRORS AND REJECTS COMPARED TO THE PRIOR YEAR. IN COLLABORATION WITH USVI DOH, ASTHO LAUNCHED A COMMUNITY SURVEY ON HEALTH PRIORITIES THAT WILL INFORM THE DEVELOPMENT OF THE HEALTHY USVI 2030 COMMUNITY HEALTH IMPROVEMENT PLAN. ASTHO RECEIVED OVER 400 RESPONSES REPRESENTING ALL USVI ISLANDS. ASTHO PREPARED RECOMMENDATIONS FOR IMPROVING HEALTH DATA SYSTEM GAPS USING FINDINGS FROM THE DEVELOPMENT OF USVI'S COMMUNITY HEALTH ASSESSMENT (CHA). FORM 990, PART III, LINE 4D: CENTER FOR POPULATION HEALTH STRATEGIES: CENTER FOR POPULATION HEALTH STRATEGIES PROGRAM AREA PROVIDES LEADERSHIP SUPPORT AND CAPACITY BUILDING TO POSITION STATE AND TERRITORIAL HEALTH OFFICIALS AS CHIEF HEALTH STRATEGISTS IN THEIR JURISDICTIONS. THE CENTER ALSO PROVIDES LEADERSHIP ON BUILDING STATE CAPACITY TO ADDRESS HEALTH EQUITY BY CREATING AND SUPPORTING TOOLS AND RESOURCES FOR THE INCLUSION OF HEALTH EQUITY LANGUAGE IN PROPOSALS AND CONTRACTS. CROSS CUTTING PROGRAMS: THIS WORK ADDRESSES THE HIGHEST PRIORITIES OF THE SELECTED TARGET POPULATION - STATE AND TERRITORIAL HEALTH OFFICIALS (S/THOS) AND OTHER STATE AND TERRITORIAL HEALTH AGENCY (S/THA) LEADERS, WITH AN EMPHASIS ON SENIOR DEPUTIES AND STATE LEGISLATIVE LIAISONS. ASTHO'S AFFILIATE COUNCIL IS ENGAGEED IN CAPACITY BUILDING ASSISTANCE PROVIDED IN A NUMBER OF AREAS INCLUDING WORKFORCE DEVELOPMENT, HEALTH EQUITY, AND THE INTEGRATION OF PUBLIC HEALTH AND CLINICAL MEDICINE. THE FOLLOWING WILL BENEFIT - PUBLIC HEALTH NURSES, EPIDEMIOLOGISTS, LABORATORIANS, PUBLIC INFORMATION OFFICERS, SOCIAL WORKERS, HEALTH EDUCATORS, HEALTH FACILITY SURVEYORS, AND DIRECTORS OF MATERNAL AND CHILD HEALTH, CHRONIC DISEASE, INJURY PREVENTION, MINORITY HEALTH, VITAL STATISTICS, HIV/AIDS, STD, DENTAL, NUTRITION, VECTOR CONTROL, AND EMERGENCY MEDICAL SERVICE PROGRAMS. PERFORMANCE IMPROVEMENT, RESEARCH AND EVALUATION: THE PERFORMANCE IMPROVEMENT, RESEARCH AND EVALUATION TEAM STRENGTHENS THE PUBLIC HEALTH INFRASTRUCTURE BY UNDERTAKING RESEARCY AND EVALUATION NECESSARY TO INFORM AND SUPPORT DATA-DRIVEN DECISION-MAKING, PROVIDING TECHNICAL ASSISTANCE AND SUPPORTING PEER-TO-PEER NETWORKING TO BUILD INTERNAL CAPACITY, AND COMMUNICATING THE IMPACT AND VALUE OF PUBLIC HEALTH. MEMBER ENGAGEMENT: THROUGH THE FORMATION AND CONVENING OF PEER NETWORKS, ATHSO SUPPORTS ALL LEVELS OF STATE AND TERRITORIAL LEADERSHIP TEAMS, INCLUDING SENIOR DEPUTIES. ASTHO'S LEADERSHIP INSTITUTE PROVIDES LEADERSHIP DEVELOPMENT TO NEW HEALTH OFFICIALS AND THEIR TEAMS AS WELL AS ONGOING SUPPORT AND TRAINING. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THE ASSOCIATION SHALL BE THE CHIEF HEALTH OFFICIAL OF THE PUBLIC HEALTH AGENCY OF EACH STATE, TERRITORY, OR POSSESSION OF THE UNITED STATES, AS SPECIFIED BY LAW, OR AS DESIGNATED BY THE CHIEF EXECUTIVE OF EACH STATE, TERRITORY, OR POSSESSION. THE CHIEF HEALTH OFFICIAL MAY DELEGATE ANOTHER FULL-TIME EMPLOYEE OF THE OFFICIAL HEALTH AGENCY TO REPRESENT THAT AGENCY IN ASTHO ACTIVITIES IN HIS OR HER ABSENCE. SUCH A DELEGATED OFFICIAL SHALL HAVE ALL THE RIGHTS AND PRIVILEGES OF MEMBERSHIP VESTED IN THE CHIEF HEALTH OFFICIAL. THE ASSEMBLY OF MEMBERS SHALL SERVE AS THE POLICY MAKING BODY OF THE ASSOCIATION, AND SHALL CONSIST OF ALL ELIGIBLE VOTING MEMBERS OF THE ASSOCIATION, AS PROVIDED BY THE BYLAWS. ELIGIBLE VOTING MEMBERS OF THE ASSOCIATION SHALL BE THE CURRENTLY SERVING CHIEF HEALTH OFFICIAL OF THE PUBLIC HEALTH AGENCY OF EACH STATE, TERRITORY, POSSESSION OR FREELY ASSOCIATED STATE OF THE THE UNITED STATES, AS SPECIFIED BY LAW, OR AS DESIGNATED BY THE CHIEF EXECUTIVE OF EACH STATE, TERRITORY, POSSESSION, OR FREELY ASSOCIATED STATE OF THE UNITED STATES. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERSHIP ELECTS THE VOTING MEMBERS OF THE GOVERNING BODY ANNUALLY. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERSHIP ASSEMBLY REVIEWS THE ACTIONS AND RECOMMENDATIONS OF THE BOARD OF DIRECTORS AT LEAST ANNUALLY. THE MEMBERSHIP APPROVES ALL ASSOCIATION POLICY STATEMENTS AND REVIEWS THE ASSOCIATION'S PRIORITIES AND STRATEGIC PLAN. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD, AUDIT COMMITTEE, AND FINANCE COMMITTEE ARE PROVIDED A COPY OF THE IRS FORM 990 FOR REVIEW AND APPROVAL PRIOR TO FILING THE FORM WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE WRITTEN CONFLICT OF INTEREST POLICY IS ANNUALLY DISTRIBUTED AND SIGNED BY THE DIRECTORS, OFFICERS, AND SENIOR STAFF MEMBERS. ANY CONFLICTS OF INTEREST ARE INVENTORIED BY THE CHIEF OPERATING OFFICER AND DISCLOSED TO THE FULL BOARD. THE AUDIT COMMITTEE IS TASKED WITH MONITORING AND ADMINISTERING COMPLIANCE. THE AUDIT COMMITTEE CAN REFER MATTERS TO THE BOARD WHO HAS FINAL AUTHORITY ON RESOLUTION OF CONFLICTS OF INTEREST FOR ITS MEMBERS, INCLUDING EXPULSION. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS OF DETERMINING CEO COMPENSATION INCLUDED REVIEW OF FORM 990 OF OTHER ORGANIZATIONS, A WRITTEN EMPLOYMENT CONTRACT, COMPENSATION STUDIES/SURVEYS AS WELL AS APPROVAL BY THE BOARD. ASTHO'S INTERNAL COMPENSATION PLAN, WHICH IS BASED ON PUBLISHED SALARY SURVEYS, WAS USED TO DETERMINE SALARIES FOR TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ASSOCIATION'S AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL SERVICES AND CONTRACTORS: PROGRAM SERVICE EXPENSES 8,140,304. MANAGEMENT AND GENERAL EXPENSES 734,346. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,874,650.