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      </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>267212</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>314184</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>273588</CurrentYearMinus1Amt>
        <CurrentYearAmt>280424</CurrentYearAmt>
        <TotalAmt>1135408</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>250000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>250000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>1000000</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>1500000</GrassrootsCeilingAmt>
      <AvgGrassrootsLobbyingExpendGrp>
        <CurrentYearMinus3Amt>29687</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>34906</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>30396</CurrentYearMinus1Amt>
        <CurrentYearAmt>30847</CurrentYearAmt>
        <TotalAmt>125836</TotalAmt>
      </AvgGrassrootsLobbyingExpendGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, SUPPLEMENTAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>480486</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>458522</DepreciationAmt>
        <BookValueAmt>21964</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1322468</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1163930</DepreciationAmt>
        <BookValueAmt>158538</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>925172</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>920709</DepreciationAmt>
        <BookValueAmt>4463</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>184965</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE OBLIGATIONS</Desc>
        <Amt>105808</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED RENT LIABILITY</Desc>
        <Amt>638678</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>744486</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>34302228</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>17012</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>17012</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>34285216</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>34285216</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>34676943</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>34676943</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>34676943</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE YEARS ENDED SEPTEMBER 30, 2020 AND 2019, 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc1040500001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>EAST ASIA AND THE PACIFIC</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>GRANTS TO RECIPIENTS LOCATED IN THE REGION</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>44000</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>0</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>0</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>0</TotalOfficeCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <SubtotalSpentAmt>44000</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>44000</TotalSpentAmt>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>EAST ASIA AND THE PACIFIC</RegionTxt>
        <PurposeOfGrantTxt>HEALTH INFORMATION SYSTEMS (HIS) STRENGTHENING IN THE USAPI TERRITORIES AND FREELY ASSOCIATED STATES</PurposeOfGrantTxt>
        <CashGrantAmt>22000</CashGrantAmt>
        <MannerOfCashDisbursementTxt>CHECK</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>EAST ASIA AND THE PACIFIC</RegionTxt>
        <PurposeOfGrantTxt>SUPPORTING STATE HEALTH AGENCIES TO ADDRESS EMERGING ENVIRONMENTAL HEALTH ISSUES</PurposeOfGrantTxt>
        <CashGrantAmt>22000</CashGrantAmt>
        <MannerOfCashDisbursementTxt>CHECK</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <Total501c3OrgCnt>2</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <TransferToForeignCorpInd>0</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>0</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ACCRUAL BASIS OF ACCOUNTING IS USED TO ACCOUNT FOR EXPENDITURES FOR GRANTS/ASSISTANCE GIVEN TO ORGANIZATIONS OUTSIDE OF THE U.S..</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III ACCOUNTING METHOD:</FormAndLineReferenceDesc>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GEORGIA DEPT OF PUBLIC HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2 PEACHTREE ST NW 15TH FLOOR</AddressLine1Txt>
          <CityNm>ATLANTA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>303033142</ZIPCd>
        </USAddress>
        <RecipientEIN>900676388</RecipientEIN>
        <IRCSectionDesc>170(C)(1)</IRCSectionDesc>
        <CashGrantAmt>113074</CashGrantAmt>
        <PurposeOfGrantTxt>NATIONAL COVID-19 CONTACT TRACING E-LEARNING TRAINING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEALTHY SCHOOLS CAMPAIGN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>175 N FRANKLIN STREET SUITE 300</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60606</ZIPCd>
        </USAddress>
        <RecipientEIN>364308068</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>150000</CashGrantAmt>
        <PurposeOfGrantTxt>PLANNING FOR STATE VIRAL HEPATITIS ELIMINATION PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VIRGINIA DEPARTMENT OF HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>109 GOVERNOR ST 13TH FLOOR</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23219</ZIPCd>
        </USAddress>
        <RecipientEIN>546001775</RecipientEIN>
        <IRCSectionDesc>170(C)(1)</IRCSectionDesc>
        <CashGrantAmt>19520</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE FOR STATE, TERRITORIAL, AND FEDERAL RISK COMMUNICATION DURING PUBLIC HEALTH EMERGENCIES: COVID-19</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ASSOCIATION OF STATE DRINKING WATER ADMINISTRATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1401 WILSON BLVD SUITE 1225</AddressLine1Txt>
          <CityNm>ARLINGTON</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22209</ZIPCd>
        </USAddress>
        <RecipientEIN>870416731</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>BUILDING STATE PUBLIC HEALTH DEPARTMEN CAPACITY TO SUPPORT BREASTFEEDING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COLORADO DEPT OF PUBLIC HEALTH &amp; ENVIRONMENT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4300 CHERRY CREEK DRIVE SOUTH</AddressLine1Txt>
          <CityNm>DENVER</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80246</ZIPCd>
        </USAddress>
        <RecipientEIN>840644739</RecipientEIN>
        <IRCSectionDesc>170(C)(1)</IRCSectionDesc>
        <CashGrantAmt>117665</CashGrantAmt>
        <PurposeOfGrantTxt>BUILDING CLIMATE AND HEALTH CAPACITY IN STATE HEALTH DEPARTMENTS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PUERTO RICO DEPT OF HEALTH (EXECUSOURCE LLC)</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <ForeignAddress>
          <AddressLine1Txt>PO BOX 70184</AddressLine1Txt>
          <CityNm>SAN JUAN</CityNm>
          <CountryCd>RQ</CountryCd>
          <ForeignPostalCd>00936-3475</ForeignPostalCd>
        </ForeignAddress>
        <RecipientEIN>330437470</RecipientEIN>
        <CashGrantAmt>214367</CashGrantAmt>
        <PurposeOfGrantTxt>STRENGTHENING LEGIONNAIRE'S DISEASE DIAGNOSIS, SURVEILLANCE AND PREVENTION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LOUISIANA DEPARTMENT OF HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 61979</AddressLine1Txt>
          <CityNm>NEW ORLEANS</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>701611979</ZIPCd>
        </USAddress>
        <RecipientEIN>726000821</RecipientEIN>
        <IRCSectionDesc>170(C)(1)</IRCSectionDesc>
        <CashGrantAmt>11990</CashGrantAmt>
        <PurposeOfGrantTxt>BUILDING STATE PUBLIC HEALTH DEPARTMENT CAPACITY TO SUPPORT BREASTFEEDING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MINNESOTA DEPARTMENT OF HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>658 CEDAR STREET</AddressLine1Txt>
          <CityNm>ST PAUL</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55155</ZIPCd>
        </USAddress>
        <RecipientEIN>416007162</RecipientEIN>
        <IRCSectionDesc>170(C)(1)</IRCSectionDesc>
        <CashGrantAmt>28267</CashGrantAmt>
        <PurposeOfGrantTxt>BUILDING STATE PUBLIC HEALTH DEPARTMENT CAPACITY TO SUPPORT BREASTFEEDING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PUERTO RICO SCIENCE TECHNOLOGY AND RESEARCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <ForeignAddress>
          <AddressLine1Txt>PO BOX 363437</AddressLine1Txt>
          <CityNm>SAN JUAN</CityNm>
          <CountryCd>RQ</CountryCd>
          <ForeignPostalCd>00936-3475</ForeignPostalCd>
        </ForeignAddress>
        <RecipientEIN>660675963</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>4389023</CashGrantAmt>
        <PurposeOfGrantTxt>BUILDING STATE HEALTH DEPARTMENT CAPACITY TO DEVELOP AND UTILIZE VIRAL HEPATITIS EPIDEMIOLOGIC PROFILES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RHODE ISLAND DEPARTMENT OF PUBLIC HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>ONE CAPITAL HILL</AddressLine1Txt>
          <CityNm>PROVIDENCE</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02908</ZIPCd>
        </USAddress>
        <RecipientEIN>056000522</RecipientEIN>
        <IRCSectionDesc>170(C)(1)</IRCSectionDesc>
        <CashGrantAmt>15365</CashGrantAmt>
        <PurposeOfGrantTxt>PRESIDENT'S CHALLENGE - INCREASING ASTHO'S CAPACITY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TALUS ANALYTICS LLC (CDC)</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1855 S 57TH COURT SUITE 200</AddressLine1Txt>
          <CityNm>BOULDER</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80301</ZIPCd>
        </USAddress>
        <RecipientEIN>474653610</RecipientEIN>
        <CashGrantAmt>649530</CashGrantAmt>
        <PurposeOfGrantTxt>VULNERABLE POPULATIONS PLANNING: MITIGATING THE IMPACT OF SEASONAL &amp; PANDEMIC INFLUENZA ON OUR MOST VULNERABLE POPULATIONS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE REGENTS OF THE UNIVERSITY OF CALIFORNIA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1855 FOLSOM STREET SUITE 425</AddressLine1Txt>
          <CityNm>SAN FRANCISCO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94143</ZIPCd>
        </USAddress>
        <RecipientEIN>946002123</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>76507</CashGrantAmt>
        <PurposeOfGrantTxt>BUILDING STATE HEALTH AGENCY CAPACITY FOR BREASTFEEDING PROMOTION AND SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF KENTUCKY RESEARCH FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>CE CENTRAL 138 LEADER AVE SUITE 9</AddressLine1Txt>
          <CityNm>LEXINGTON</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40536</ZIPCd>
        </USAddress>
        <RecipientEIN>616033693</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>17939</CashGrantAmt>
        <PurposeOfGrantTxt>WISE WOMAN FAMILIAL SUPPORT PROJECT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WASHINGTON STATE DEPARTMENT OF HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 47840</AddressLine1Txt>
          <CityNm>OLYMPIA</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>985057825</ZIPCd>
        </USAddress>
        <RecipientEIN>911444603</RecipientEIN>
        <IRCSectionDesc>170(C)(1)</IRCSectionDesc>
        <CashGrantAmt>15627</CashGrantAmt>
        <PurposeOfGrantTxt>CAPACITY BUILDING FOR JURISDICTIONAL HURRICANE RECOVERY - US VIRGIN ISLANDS STAFFING CAPACITY ENHANCEMENTS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FAIRBANKS MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1650 COWLES STREET</AddressLine1Txt>
          <CityNm>FAIRBANKS</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99701</ZIPCd>
        </USAddress>
        <RecipientEIN>350811197</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5624</CashGrantAmt>
        <PurposeOfGrantTxt>DIABETES DEMONSTRATION PROJECT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PRESIDENT AND FELLOWS OF HARVARD COLLEGE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1033 MASSACHUSETTS AVENUE 2ND FLOOR</AddressLine1Txt>
          <AddressLine2Txt>FLOOR</AddressLine2Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02138</ZIPCd>
        </USAddress>
        <RecipientEIN>042103580</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>749540</CashGrantAmt>
        <PurposeOfGrantTxt>ENVIRONMENTAL HIAP STATE INCUBATOR PROJECT- TECHNICAL ASSISTANCE AND CAPACITY BUILDING EFFORT FOR SHAS EFFORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HUMAN IMPACT PARTNERS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>304 12TH STREET SUITE 2B</AddressLine1Txt>
          <CityNm>OAKLAND</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94607</ZIPCd>
        </USAddress>
        <RecipientEIN>270193587</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>35000</CashGrantAmt>
        <PurposeOfGrantTxt>PLANNING FOR NATIONAL AND STATE VIRAL HEPATITIS ELIMINATION PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>IDAHO DEPARTMENT OF HEALTH AND WELFARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>450 WEST STATE STREET</AddressLine1Txt>
          <CityNm>BOISE</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>837200036</ZIPCd>
        </USAddress>
        <RecipientEIN>826000995</RecipientEIN>
        <IRCSectionDesc>170(C)(1)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>BUILDING STATE PUBLIC HEALTH DEPARTMENT CAPACITY TO SUPPORT BREASTFEEDING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ILLINOIS PUBLIC HEALTH INSTITUTE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>310 S PEIRIA STREET SUITE 404</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60607</ZIPCd>
        </USAddress>
        <RecipientEIN>262757523</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>22000</CashGrantAmt>
        <PurposeOfGrantTxt>DEVELOPING AND EXPANDING VIRAL HEPATITIS EPIDEMIOLOGY PROFILES IN STATE/TERRITORIAL HEALTH DEPARTMENTS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>IOWA DEPARTMENT OF PUBLIC HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>321 EAST 12TH STREET</AddressLine1Txt>
          <CityNm>DES MOINES</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50319</ZIPCd>
        </USAddress>
        <RecipientEIN>426004523</RecipientEIN>
        <IRCSectionDesc>170(C)(1)</IRCSectionDesc>
        <CashGrantAmt>78848</CashGrantAmt>
        <PurposeOfGrantTxt>BUILDING STATE HEALTH AGENCY CAPACITY FOR BREASTFEEDING PROMOTION AND SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIONAL COALITION OF STD DIRECTORS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1029 VERMONT AVENUE NW SUITE 500</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20005</ZIPCd>
        </USAddress>
        <RecipientEIN>522065422</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>11870</CashGrantAmt>
        <PurposeOfGrantTxt>ENVIRONMENTAL PUBLIC HEALTH TRACKING: PEER-TO-PEER FELLOWSHIP PROGRAM, PHASE 1</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIONAL PUBLIC HEALTH INFORMATION COALITION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1353 RIVERSTONE PARKWAY SUITE</AddressLine1Txt>
          <AddressLine2Txt>120-309</AddressLine2Txt>
          <CityNm>CANTON</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30114</ZIPCd>
        </USAddress>
        <RecipientEIN>581883255</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>43750</CashGrantAmt>
        <PurposeOfGrantTxt>PUBLIC HEALTH COLLABORATIVE TO IMPROVE CARDIOVASCULAR HEALTH OUTCOMES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEVADA PUBLIC HEALTH FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3476 EXECUTIVE POINTE WAY SUITE 10</AddressLine1Txt>
          <CityNm>CARSON CITY</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89706</ZIPCd>
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        <RecipientEIN>880359697</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>39997</CashGrantAmt>
        <PurposeOfGrantTxt>PUBLIC HEALTH COLLABORATIVE TO IMPROVE CARDIOVASCULAR HEALTH OUTCOMES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OKLAHOMA DEPARTMENT OF HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1000 NE 10TH STREET</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73117</ZIPCd>
        </USAddress>
        <RecipientEIN>736017987</RecipientEIN>
        <IRCSectionDesc>170(C)(1)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <PurposeOfGrantTxt>PUBLIC HEALTH COLLABORATIVE TO IMPROVE CARDIOVASCULAR HEALTH OUTCOMES</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PA CHAPTER AMERICAN ACADEMY OF PEDIATRICS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1500 MARKET STREET LM500</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
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      <RecipientTable>
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          <CityNm>HARRISBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17101</ZIPCd>
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      <RecipientTable>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
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        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE FOR STATE, TERRITORIAL, AND FEDERAL RISK COMMUNICATION DURING PUBLIC HEALTH EMERGENCIES: COVID 19</PurposeOfGrantTxt>
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      <RecipientTable>
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          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
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      <RecipientTable>
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          <CityNm>DENVER</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80207</ZIPCd>
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        <RecipientEIN>841477546</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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          <CityNm>SEATTLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
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          <StateAbbreviationCd>AR</StateAbbreviationCd>
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        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
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    </IRS990ScheduleI>
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        <PersonNm>CHRISTINE MACKIE</PersonNm>
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        <PersonNm>MARCUS G PLESCIA</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KARL ENSIGN</PersonNm>
        <TitleTxt>CHIEF PROGRAM OFFICER</TitleTxt>
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        <TotalCompensationFilingOrgAmt>213187</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAWN RICHARDSON</PersonNm>
        <TitleTxt>SENIOR DIRECTOR</TitleTxt>
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        <BonusFilingOrganizationAmount>1500</BonusFilingOrganizationAmount>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAN TAYLOR</PersonNm>
        <TitleTxt>SENIOR DIRECTOR</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GERRIT T BAKKER</PersonNm>
        <TitleTxt>SENIOR DIRECTOR</TitleTxt>
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        <PersonNm>MARTHA K YEIDE</PersonNm>
        <TitleTxt>SENIOR DIRECTOR</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>JOHN MERICSKO, THE CHIEF OPERATING OFFICER, LEFT THE ORGANIZATION 3/6/20 AND RECEIVED $121,165 IN SEVERANCE PAY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING RECEIVED BONUS PAYMENTS DURING THE FISCAL YEAR: MICHAEL ROBERT FRASER, CHIEF EXECUTIVE OFFICER - $27,315 MARCUS G PLESCIA, CHIEF MEDICAL OFFICER - $2,500 CAROLYN MULLEN, SENIOR VICE PRESIDENT - $2,500</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY HEALTH AND DISEASE PREVENTION: 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 FOUR DISTINCT BUT COORDINATED AREAS OR POPULATIONS: POPULATION HEALTH AND INNOVATION; MATERNAL AND CHILD HEALTH; SOCIAL AND BEHAVIORAL HEALTH; AND CHRONIC DISEASE. IN 2019/2020, 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. 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 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 (47 STATES, TWO TERRITORIES, AND 17 CITIES/COUNTIES), ACES LEARNING COMMUNITY (AK, VA, OK, UT, TN, WI, AND WA), OPIOID TECHNICAL ASSISTANCE TO THE TERRITORIES (PRAND FSM), AND THE SUICIDE AND OPIOID OVERDOSE PREVENTION PUBLIC HEALTH INITIATIVE (CO, ME, AND WV). ASTHO PUBLISHED TWO GUIDEBOOKS TO HELP STATE HEALTH OFFICIALS AND STAFF DEVELOP PROTOCOLS TO FACILITATE A RAPID RESPONSE TO PAIN CLINIC CLOSURES AND OPIOID OVERDOSE SPIKE EVENTS, THREE OPIOID-RELATED TOOL KITS, AND TWO TRAINING CURRICULA ON NALOXONE ADMINISTRATION AND PRESCRIBING PRACTICES FOR CHRONIC PAIN. LEARNING COMMUNITIES ON HEALTHY AGING SUPPORTED 12 STATES TO DEVELOP AND DISSEMINATE CAPACITY BUILDING RESOURCES INCLUDING A 3-PART BRAIN HEALTH VIRTUAL LEARNING SERIES, A SKETCH VIDEO ON ALZHEIMER'S AND OTHER DEMENTIAS, AND A HEALTHY AGING LEARNING LAB. THREE LEARNING COMMUNITIES ON CARE DELIVERY FOCUSED ON COMMUNITY HEALTH WORKER (CHW) WORKFORCE DEVELOPMENT (KY, NH, SC, WA), TELEHEALTH POLICY (FL, HI, MT, PA), AND PRIMARY CARE TRANSFORMATION (FL, MD, ND). THE HEART DISEASE AND STROKE PREVENTION LEARNING COLLABORATIVE WORKED WITH FOUR TERRITORIES (CNMI, RMI, PALAU, AND GUAM) TO DEVELOP AND IMPLEMENT ACTION PLANS TO ADDRESS HYPERTENSION THROUGH POLICY AND SYSTEMS CHANGE INTERVENTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4B:</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTH SECURITY: THE HEALTH SECURITY UNIT FOCUSES ON HEALTH EMERGENCIES SUCH AS NATURAL DISASTERS, DISEASE OUTBREAKS AND PANDEMICS, DELIBERATE ATTACKS, ENVIRONMENTAL CATASTROPHES, AND OTHER HEALTH THREATS AND IS COMPRISED OF THREE SEPARATE BUT INTEGRATED TEAMS: PREPAREDNESS, INFECTIOUS DISEASES AND IMMUNIZATION SERVICES, AND ENVIRONMENTAL HEALTH. IN 2020, ASTHO MOBILIZED 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 ASSOCIATED WITH MYRIAD NATURAL DISASTERS, INFECTIOUS DISEASE OUTBREAKS, ENVIRONMENTAL CONTAMINANT INCIDENTS, AND OTHER HEALTH SECURITY THREATS. THIS INCLUDED SUPPORTING THE RESPONSE TO THE NATIONAL OUTBREAK OF E-CIGARETTE, OR VAPING, PRODUCTUSE ASSOCIATED LUNG INJURY (EVALI), AN INCREASE IN MALICIOUS CYBER ACTIVITIES AS RESULT OF HEIGHTENED TENSIONS BETWEEN THE UNITED STATES AND IRAN, THE SURGE OF CROSSINGS ALONG THE SOUTHWEST BORDER, AND THE EARTHQUAKE IN PUERTO RICO. INFECTIOUS DISEASES, BOTH OLD AND NEW, WAS ALSO ONE OF OUR PRIORITIES. THE HEALTH SECURITY UNIT WORKED TO SUPPORT RESPONSE EFFORTS IN THE US AFFILIATE PACIFIC ISLANDS ASSOCIATED WITH THE MEASLES AND DENGUE OUTBREAKS, THE DEVELOPMENT OF A CROSS-JURISDICTIONAL FRAMEWORK FOR THE PREVENTION AND RESPONSE TO HIV AND VIRAL HEPATITIS CLUSTERS ASSOCIATED WITH DRUG USE, AND CONTINUED ITS AGGRESSIVE WORK TO ADDRESS PUBLIC EFFORTS TO REDUCE VACCINE PREVENTABLE DISEASES AND THE RELATED CONCERNS AROUND VACCINE HESITANCY AND CONFIDENCE. OTHER KEY LINES OF EFFORT INCLUDED SERVING AS THE SECRETARIAT TO THE NATIONAL ALLIANCE FOR RADIATION READINESS, RATIFYING THE CLIMATE AND EXTREMELY WEATHER EVENTS HEALTH POLICY STATEMENT, AND PROVIDED A PORTFOLIO OF SERVICES TARGETED TO HEALTHCARE ASSOCIATED INFECTIONS AND ANTIMICROBIAL RESISTANCE INCLUDING PREVENTION STRATEGIES AND COMMUNICATIONS TOOLKITS AND CO-ADMINISTERING THE COUNCIL FOR OUTBREAK RESPONSE: HEALTHCARE ASSOCIATED INFECTIONS AND ANTIMICROBIAL RESISTANT PATHOGENS (CORHA). IN ADDITION, BEGINNING IN LATE JANUARY 2020 AND CONTINUING THROUGHOUT THE REPORTING PERIOD, THE HEALTH SECURITY UNIT MOBILIZED AND COORDINATED A RESPONSE EFFORT OF UNPRECEDENTED SCALE TO THE NOVEL CORONAVIRUS, NOW KNOWN AS THE COVID-19 PANDEMIC. THIS INCLUDED STANDING UP AND MANAGING THE ASSOCIATION'S INCIDENT MANAGEMENT STRUCTURE AND EMERGENCY OPERATIONS CENTER CONSISTENT WITH ITS EMERGENCY OPERATIONS PLAN, EMBEDDING DESIGNATED LIAISON OFFICERS (LNOS) IN THE CDC EMERGENCY OPERATIONS CENTER AND THE HHS SECRETARY'S OPERATIONS CENTER, PLANNING AND FACILITATING SEMIWEEKLY BRIEFINGS AND COORDINATION CALLS FOR THE STATE AND TERRITORIAL HEALTH OFFICIALS WHICH OFTEN INCLUDED PARTICIPATION BY KEY FEDERAL AGENCY LEADERSHIP, AND MAINTAINING AN EXTENSIVE COMMUNICATIONS AND TECHNICAL ASSISTANCE PLATFORM TO ADVANCE PUBLIC HEALTH PRACTICE IN THE EXTRAORDINARY EFFORT TO CONTAIN AND CONTROL THE RAPIDLY SPREADING VIRAL PANDEMIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4C:</FormAndLineReferenceDesc>
        <ExplanationTxt>CARIBBEAN OPERATIONS: THE CARIBBEAN OPERATIONS COORDINATE PROJECTS AND ACTIVITIES ACROSS ASTHO TO MEET THE SPECIALIZED NEEDS OF MEMBER JURISDICTIONS IN THE INSULAR AREAS. IN 2019, 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4D:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERSHIP ELECTS THE VOTING MEMBERS OF THE GOVERNING BODY ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION'S AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL SERVICES AND CONTRACTORS: PROGRAM SERVICE EXPENSES 3,640,472. MANAGEMENT AND GENERAL EXPENSES 287,627. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,928,099.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR PERIOD ADJUSTMENT RELATED TO RECOGNITION OF GRANT REVENUE 3,117,051.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>