2020-08-17T04:02:51-05:00 2019-09-30 560574444 CHERRY BEKAERT LLP 6116 EXECUTIVE BLVD STE 600 ROCKVILLE MD 20852 990 2018-10-01 351044487 ASSOCIATION OF STATE AND TERRITORIAL HEALTH OFFICIALS ASSO 2023719090 2231 CRYSTAL DRIVE NO 450 ARLINGTON VA 22202 ZARNAAZ BASHIR MPH DEPUTY CHIEF EXECUTIVE OFFICER 2023719090 2020-08-13 1 RAYMOND BARBAGALLO P00173692 3015899000 98.183.164.227 2020-08-13 12:41:33 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 88D7A88AFC1BC15DCE619246A085D52B39BEAA6C 2018 2020-09-23 17:36:50Z MICHAEL FRASER 2231 CRYSTAL DRIVE NO 450 ARLINGTON VA 22202 34974755 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. 13 13 172 15 0 0 27042772 34783501 237516 169248 8585 14447 32546 7559 27321419 34974755 2638053 4890028 0 0 14393725 15720407 0 0 0 10379236 12037740 27411014 32648175 -89595 2326580 5937616 10514416 5149614 7399834 788002 3114582 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 6721332 607345 COMMUNITY HEALTH AND DISEASE PREVENTION: 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 6658900 1160059 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 6861873 3112624 CARIBBEAN OPERATIONS:SEE SCHEDULE O FOR COMPLETE DESCRIPTION 6274468 10000 169248 6274468 10000 169248 26516573 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 46 0 1 172 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 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 NATHANIEL SMITH PRESIDENT 2.50 X X 0 0 0 RACHEL LEVINE PRESIDENT - ELECT 1.50 X X 0 0 0 NICOLE ALEXANDER-SCOTT IMMEDIATE PAST PRESIDENT 1.50 X 0 0 0 JOHN WIESMAN PAST PRESIDENT 1.50 X 0 0 0 NIRAV SHAH SECRETARY-TREASURER 1.50 X X 0 0 0 MARK LEVIN REGION I REPRESENTATIVE 1.00 X 0 0 0 HOWARD A ZUCKER REGION II REPRESENTATIVE 1.00 X 0 0 0 NORM OLIVER REGION III REPRESENTATIVE 1.00 X 0 0 0 SCOTT HARRIS REGIONAL IV REPRESENTATIVE 1.00 X 0 0 0 AMY ACTON REGION V REPRESENTATIVE 1.00 X 0 0 0 JOHN W HELLERSTEDT REGION VI REPRESENTATIVE 1.00 X 0 0 0 RANDALL W WILLIAMS REGION VII REPRESENTATIVE 1.00 X 0 0 0 MYLYNN TUFTE REGION VIII REPRESENTATIVE 1.00 X 0 0 0 BRUCE S ANDERSON REGION IX REPRESENTATIVE 1.00 X 0 0 0 ELKE SHAW-TULLOCH REGION X REPRESENTATIVE 1.00 X 0 0 0 MICHAEL ROBERT FRASER CHIEF EXECUTIVE OFFICER 37.50 X 360866 0 54600 JOHN MERICSKO CHIEF OPERATING OFFICER 37.50 X 228892 0 52618 JAMES S BLUMENSTOCK CHIEF PROGRAM OFFICER 37.50 X 253753 0 41783 MARCUS G PLESCIA CHIEF MEDICAL OFFICER 37.50 X 249655 0 34753 CAROLYN MULLEN CHIEF PROGRAM OFFICER 37.50 X 199449 0 21365 AMBER N WILLIAMS CHIEF PROGRAM OFFICER 37.50 X 190134 0 10238 MARY ANN COONEY CHIEF PROGRAM OFFICER 37.50 X 184813 0 30538 DIANE COONTZ CHIEF PROGRAM OFFICER 37.50 X 179360 0 38719 DAWN RICHARDSON SENIOR DIRECTOR 37.50 X 167944 0 41308 ELIZABETH HARPER GOULD SENIOR DIRECTOR 37.50 X 166263 0 20261 CHRISTINE MACKIE CHIEF PROGRAM OFFICER 37.50 X 162728 0 34945 ZARNAAZ BASHIR CHIEF PROGRAM OFFICER 37.50 X 159976 0 34834 KARL ENSIGN CHIEF PROGRAM OFFICER 37.50 X 158730 0 45085 JAN TAYLOR SENIOR DIRECTOR 37.50 X 153742 0 36300 2816305 0 497347 29 0 1 0 TALUS ANALYTICS LLC PO BOX 1487 LYONS CO 80540 ANALYSIS 660509 AMERICAN TECHNOLOGY SERVICES 2751 PROSPERITY AVENUE 6TH FLOOR FAIRFAX VA 22031 SYSTEMS SUPPORT 428906 CENTER FOR CREATIVE LEADERSHIP ONE LEADERSHIP PLACE GREENSBORO NC 27410 TRAINING 275625 DISASTERDOC LLC 141 CHANTILLY LANE LAWRENCEVILLE GA 30043 RISK ASSESSMENTS 254433 QUANTUMMARK 639 ISBELL ROAD SUITE 350 REN NV 89509 PROCUREMENT DEVELOPMENT 250000 7 1399565 29029433 4354503 34783501 MEETING REGISTRATIONS 900099 169248 169248 169248 14447 14447 SPEAKER HONORARIUMS 900099 5741 5741 1818 1818 7559 34974755 169248 0 22006 X 4860028 4860028 30000 30000 2140042 1526387 613655 10196411 7272600 2923811 987658 704448 283210 1511828 1067713 444115 884468 630848 253620 40776 40776 44419 44419 4185179 3522971 662208 1535057 1370711 164346 972843 939862 32981 1119301 798342 320959 2573786 2482210 91576 1369203 1169817 199386 197176 140636 56540 32648175 26516573 6131602 0 1769344 3410982 3040730 5807699 495215 707209 60509 209837 2632196 2373243 456129 258953 115689 119736 5937616 10514416 2232464 3190971 1810677 3256943 198070 39591 908403 912329 5149614 7399834 X 788002 3114582 788002 3114582 5937616 10514416 2326580 0 X 0 1 X 1 1 1 X 24099812 23851216 27189804 27042772 34783501 136967105 24099812 23851216 27189804 27042772 34783501 136967105 5874313 131092792 5323 4070 7020 8585 14447 39445 58195 19091 2456 32546 7559 119847 137126397 878398 0.95600 0.96420 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 30396 243192 273588 32374587 32648175 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 211411 267212 314184 273588 1066395 250000 250000 250000 250000 1000000 1500000 23488 29687 34906 30396 118477 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. 480486 453500 26986 1226538 1059378 167160 925172 860365 64807 258953 CAPITAL LEASE OBLIGATIONS 138070 DEFERRED RENT LIABILITY 774259 912329 X 34974755 0 34974755 0 34974755 32648175 0 32648175 0 32648175 PART X, LINE 2: FOR THE YEARS ENDED SEPTEMBER 30, 2019 AND 2018, 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 30000 0 0 0 0 0 0 30000 0 30000 EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, STATE PUBLIC HEALTH COLLABORATIVE TO IMPROVE CARDIOVASCULAR HEALTH OUTCOMES 30000 CHECK 1 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.. 1 ALABAMA DEPARTMENT OF PUBLIC HEALTH PO BOX 303017 MONTGOMERY AL 361303017 630937081 170(C)(1) 30000 WISE WOMAN FAMILIAL SUPPORT PROJECT AMERICAN COLLEGE OBSTETRICIANS GYNECOLOGISTS 409 12TH STREET SW WASHINGTON DC 20024 362217981 501(C)(3) 90215 VULNERABLE POPULATIONS PLANNING: MITIGATING THE IMPACT OF SEASONAL & PANDEMIC INFLUENZA ON OUR MOST VULNERABLE POPULATIONS. COMMONWEALTH HEALTHCARE CORP 1 LOWER NAVY HILL ROAD SAIPAN MP 96950 660774364 170(C)(1) 23000 CLIMATE READY TERRITORIES GEORGIA DEPT OF PUBLIC HEALTH 2 PEACHTREE ST NW 15TH FLOOR ATLANTA GA 303033142 900676388 170(C)(1) 5099 BUILDING STATE HEALTH DEPARTMENT CAPACITY TO DEVELOP AND UTILIZE VIRAL HEPATITIS EPIDEMIOLOGIC PROFILES GUAM'S ALTERNATIVE LIFESTYLE ASSOCIATION PO BOX 128 HAGATNA GQ 96932 660716699 501(C)(3) 36143 STATE PUBLIC HEALTH COLLABORATIVE TO IMPROVE CARDIOVASCULAR HEALTH OUTCOMES HEALTH RESEARCH INC 150 BROADWAY SUITE 560 MENANDS NY 12204 141402155 501(C)(3) 93371 MILLION HEARTS-STATE AND LOCAL HYPERTENSION FOCUSED MODEL DEVELOPMENT HEALTHY SCHOOLS CAMPAIGN 175 N FRANKLIN STREET SUITE 300 CHICAGO IL 60606 364308068 501(C)(3) 234000 PROVIDING PUBLIC HEALTH SME IN STATE INNOVATION MODEL INITIATIVE INDIANA STATE DEPT OF HEALTH 2 N MERIDIAN STREET INDIANAPOLIS IN 46204 356000158 170(C)(1) 77696 BUILDING STATE HEALTH DEPARTMENT CAPACITY TO DEVELOP AND UTILIZE VIRAL HEPATITIS EPIDEMIOLOGIC PROFILES PENNSYLVANIA DEPARTMENT OF HEALTH DIVISION OF CANCER PREVENTION 625 FORSTER STREET ROOM 1101 HARRISBURG PA 17120 236003104 170(C)(1) 137915 USING DATA TO ADDRESS DISPARITIES IN BREAST CANCER MORTALITY AT THE STATE LEVEL ST THOMAS EAST END MEDICAL CORP 4605 TUTU PARK MALL SUITE 207 ST THOMAS VQ 00802 660585077 170(C)(1) 50000 WISE WOMAN FAMILIAL SUPPORT PROJECT UNIVERSITY OF THE VIRGIN ISLANDS 2 JOHN BREWERS BAY ST THOMAS VQ 00802-9990 660432514 501(C)(3) 15556 CLIMATE READY TERRITORIES VIRGINIA DEPARTMENT OF HEALTH 109 GOVERNOR ST 13TH FLOOR RICHMOND VA 23219 546001775 170(C)(1) -7960 DEVELOPING AND IMPLEMENTING MOU'S BETWEEN PUBLIC HEALTH AND PHARMACIES FOR PANDEMIC PREPAREDNESS ASSOCIATION OF STATE DRINKING WATER ADMINISTRATION 1401 WILSON BLVD SUITE 1225 ARLINGTON VA 22209 870416731 501(C)(3) 15000 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) 9000 A PILOT TO BUILD CAPACITY FOR COMPREHENSIVE STATE SUICIDE AND OPIOID OVERDOSE PREVENTION EXECUSOURCE LLC 3575 PIEDMONT RD NE SUITE 350 ATLANTA GA 30305 810853090 31156 USVI: GRANTS MANAGEMENT SYSTEM LOUISIANA DEPARTMENT OF HEALTH PO BOX 61979 NEW ORLEANS LA 701611979 726000821 170(C)(1) 53918 BUILDING STATE HEALTH AGENCY CAPACITY FOR BREASTFEEDING PROMOTION AND SUPPORT MINNESOTA DEPARTMENT OF HEALTH 658 CEDAR STREET ST PAUL MN 55155 416007162 170(C)(1) 28377 MILLION HEARTS PUERTO RICO SCIENCE TECHNOLOGY AND RESEARCH PO BOX 363437 SAN JUAN RQ 00936-3475 660675963 501(C)(3) 3081468 CAPACITY BUILDING FOR JURISDICTIONAL HURRICANE RECOVERY - U.S. VIRGIN ISLANDS STAFFING, CAPACITY ENHANCEMENTS RHODE ISLAND DEPARTMENT OF PUBLIC HEALTH ONE CAPITAL HILL PROVIDENCE RI 02908 056000522 170(C)(1) 56428 CRISIS OPIOIDS TALUS ANALYTICS LLC 1855 S 57TH COURT SUITE 200 BOULDER CO 80301 474653610 597502 MEDICAL COUNTERMEASURE DISTRIBUTION - STATE LEVEL THE REGENTS OF THE UNIVERSITY OF CALIFORNIA 1855 FOLSOM STREET SUITE 425 SAN FRANCISCO CA 94143 946002123 501(C)(3) 129891 OPIOID PROJECT JURISDICTIONAL SUPPORT - FAMILY HEALTH OUTCOMES PORJECT (FHOP) UNIVERSITY OF KENTUCKY CE CENTRAL 138 LEADER AVE SUITE 9 LEXINGTON KY 40536 616033693 501(C)(3) 13736 BUILDING STATE HEALTH DEPARTMENT CAPACITY TO DEVELOP AND UTILIZE VIRAL HEPATITIS EPIDEMIOLOGICAL PROFILE WASHINGTON STATE DEPARTMENT OF HEALTH PO BOX 47840 OLYMPIA WA 985057825 911444603 170(C)(1) 30517 BUILDING CLIMATE AND HEALTH CAPACITY US VIRGIN ISLAND DEPARTMENT OF HEALTH 3500 RICHMOND ST CROIX VQ 00802-9990 660431678 170(C)(1) 28000 USVI-HIE AND CDC SURVEILLANCE REPORTING SYSTEMS INTEGRATION 22 2 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 0 0 MICHAEL ROBERT FRASER CHIEF EXECUTIVE OFFICER 309124 0 51742 0 0 0 42694 0 11906 0 415466 0 0 0 JOHN MERICSKO CHIEF OPERATING OFFICER 208892 0 20000 0 0 0 27283 0 25335 0 281510 0 0 0 JAMES S BLUMENSTOCK CHIEF PROGRAM OFFICER 251253 0 2500 0 0 0 29381 0 12402 0 295536 0 0 0 MARCUS G PLESCIA CHIEF MEDICAL OFFICER 249655 0 0 0 0 0 14438 0 20315 0 284408 0 0 0 CAROLYN MULLEN CHIEF PROGRAM OFFICER 197949 0 1500 0 0 0 19590 0 1775 0 220814 0 0 0 AMBER N WILLIAMS CHIEF PROGRAM OFFICER 190134 0 0 0 0 0 9338 0 900 0 200372 0 0 0 MARY ANN COONEY CHIEF PROGRAM OFFICER 184813 0 0 0 0 0 21648 0 8890 0 215351 0 0 0 DIANE COONTZ CHIEF PROGRAM OFFICER 179360 0 0 0 0 0 17502 0 21217 0 218079 0 0 0 DAWN RICHARDSON SENIOR DIRECTOR 164944 0 3000 0 0 0 20267 0 21041 0 209252 0 0 0 ELIZABETH HARPER GOULD SENIOR DIRECTOR 166263 0 0 0 0 0 11785 0 8476 0 186524 0 0 0 CHRISTINE MACKIE CHIEF PROGRAM OFFICER 162728 0 0 0 0 0 19643 0 15302 0 197673 0 0 0 ZARNAAZ BASHIR CHIEF PROGRAM OFFICER 156976 0 3000 0 0 0 18591 0 16243 0 194810 0 0 0 KARL ENSIGN CHIEF PROGRAM OFFICER 155730 0 3000 0 0 0 19540 0 25545 0 203815 0 0 0 JAN TAYLOR SENIOR DIRECTOR 152242 0 1500 0 0 0 17018 0 19282 0 190042 0 0 0 FORM 990, PART III, LINE 4A 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, 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 SUBJECT MATTER EXPERTS IN LEADERSHIP, DATA/EPIDEMIOLOGY, ACE'S SME, AND SUBSTANCE MISUSE FROM 5 STATES (AR, OK, VA, WA, WI) TO DISCUSS STRATEGIES AROUND USING ACE'S BRFSS DATA TO INFORM THEIR PRIMARY PREVENTION WORK FOR SUICIDE, SUBSTANCE USE, AND VIOLENCE; MULTI-STAKEHOLDER GROUPS IN PA, IN, AND AL AND REGIONAL CORONER TRAININGS IN INDIANA EDUCATED CORONERS ABOUT THE NUANCES OF COMPLETING THE DEATH CERTIFICATE FOR DRUG OVERDOSE DEATHS AND THE IMPORTANCE OF THIS INFORMATION FOR PUBLIC HEALTH DECISION-MAKING; 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; AND 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). FORM 990, PART III, LINE 4B HEALTH SECURITY THE HEALTH SECURITY TEAM FOCUSES ON HEALTH EMERGENCIES SUCH AS NATURAL DISASTERS, DISEASE OUTBREAKS, 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 2019, ASTHO MOBILIZED TO SUPPORT OUR MEMBERS ACROSS THE COUNTRY BY PROVIDING INFORMATIVE SITUATIONAL AWARENESS, CONNECTIVITY WITH KEY FEDERAL AGENCIES AND PARTNER ASSOCIATIONS, AND NEEDED TECHNICAL ASSISTANCE; AND HELPED FACILITATE THE PROVISION OF NEEDED RESOURCES BEING REQUESTED THROUGH THE EMERGENCY MANAGEMENT ASSISTANCE COMPACT (EMAC) DURING SUCH MAJOR EVENTS AS HURRICANE DORIAN, MULTISTATE OUTBREAKS OF MEASLES AND HEPATITIS A, THE "MIGRANT CARAVAN AND SURGE RESPONSE ALONG THE SOUTHWEST BORDER, AND THE EARTHQUAKE IN PUERTO RICO. INFECTIOUS DISEASES, BOTH OLD AND NEW, WERE ALSO ONE OF OUR PRIORITIES. THE HEALTH SECURITY UNIT WORKED TO HELP DEFINE THE ROLE FOR STATE HEALTH AGENCIES IN ADDRESSING VIRAL HEPATITIS AND TO DEMONSTRATE THE VALUE OF INFRASTRUCTURE AND FUNDING AT THE STATE PUBLIC HEALTH LEVEL AND REDOUBLED ITS EFFORTS TO INCREASE AWARENESS OF THE ALARMING RISE IN STD'S. ASTHO ALSO CONTINUED ITS AGGRESSIVE WORKTO ADDRESS PUBLIC CONCERNS AROUND VACCINE HESITANCY AND CONFIDENCE. UTILIZING OUR BIWEEKLY ALL STATE AND TERRITORIAL HEALTH OFFICIALS CALLS AND THROUGH THE CONVENING OF THREE POLICY COMMITTIES (ENVIRONMENTAL HEALTH, INFECTIOUS DISEASES, AND PREPAREDNESS), AND IN PARTNERSHIP WITH FEDERAL LEADERSHIP AND SUBJECT MATTER EXPERTS FROM HHS/ASPR, CDC, FDA, EPA AND DHS, WE ALSO DISCUSSED AND ADVANCED POLICY AND PRACTICE IN SUCH PRESSING AREAS AS LEGIONELLA OUTBREAK RESPONSE, ACUTE FLACCIS MYELITIS, SEPSIS, PUBLIC HEALTH IMPLICATIONS OF CLIMATE CHANGE, VECTOR-BORNE DISEASE CONTROL, FOOD SAFETY, THE STRATEGIC NATIONAL STOCKPILE AND MEDICAL COUNTERMEASURES DISTRIBUTION, AND GLOBAL THREATS SUCH AS THE EBOLA OUTBREAK IN THE DEMOCRATIC REPUBLIC OF THE CONGO, TO NAME A FEW. OTHER KEY LINES OF EFFORT INCLUDED SERVING AS SECRETARIAT TO THE NATIONAL ALLIANCE FOR RADIATION READINESS, DEVELOPING AND PROVIDING USEFUL RESOURCES ON DRINKING WATER SAFETY WITH EMPHASIS ON PER-AND POLYFLUOROALKYL SUBSTANCES (PFAS) CONTAMINATION, 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). FORM 990, PART III, LINE 4C 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 IN THE U.S. VIRGIN ISLANDS DEPARTMENT OF HEALTH. PROJECT ACTIVITIES AIMED TO ASSIST HURRICAN RECOVERY IN PUERTO RICO AND THE U.S. VIRGIN ISLANDS FOLLOWING HURRICANS 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, IMIPLEMENT 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 (SOP'S); 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 SOP'S. FORM 990, PART III, LINE 4D CROSS CUTTING PROGRAMS THIS WORK WILL ADDRESS THE HIGHEST PRIORITIES OF THE SELECTED TARGET POPULATION STATE HEALTH OFFICIALS (SHOS) AND OTHER STATE HEALTH AGENCY (SHA) LEADERS, WITH A PARTICULAR EMPHASIS ON SENIOR DEPUTIES AND STATE LEGISLATIVE LIAISONS. THROUGH PROPOSED WORK WITH THE ASTHO AFFILIATE COUNCIL, CBA PARTICULARLY IN WORKFORCE DEVELOPMENT, HEALTH EQUITY, AND INTEGRATING PUBLIC HEALTH AND CLINICAL MEDICINE 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 SERVICES PROGRAMS. IN THE US TERRITORIES AND FREELY ASSOCIATED STATES, NUMEROUS CHALLENGES EXIST IN HEALTHCARE SERVICES DELIVERY. HEALTH AGENCY STAFF ARE FEW IN NUMBER, AND CURRENT STAFF ARE OFTEN UNDER-TRAINED IN THE AREAS OF PROGRAM ADMINISTRATION, FINANCIAL MANAGEMENT, AND SYSTEMS-THINKING. UNLOCKING THE POTENTIAL OF PUBLIC HEALTH PREVENTION, CONTROL AND PROGRAM MANAGEMENT THROUGH PLANNING AND CAPACITY-BUILDING ASSISTANCE HAS A STRONG LIKELIHOOD OF IMPROVING THE EFFICIENCY AND EFFECTIVENESS OF HEALTH AGENCIES, RESULTING IN IMPROVED HEALTH STATUS FOR THE POPULATIONS THAT THOSE HEALTH AGENCIES SERVE. THIS PROJECT WILL BUILD STATE, TERRITORIAL, AND LOCAL PUBLIC HEALTH AGENCY CAPACITY TO COMMUNICATE PUBLIC HEALTH ASPECTS OF EMERGENCIES AND DISASTERS TO THE PUBLIC AND ACROSS THE PUBLIC HEALTH ENTERPRISE. THIS PROJECT WOULD LAY THE GROUNDWORK TO ENSURE CDC'S NATIONAL COMMUNICATION WORK AND PLATFORMS ARE LINKED TO STATE, LOCAL AND TERRITORIAL COMMUNICATION WORK AND PLATFORMS. THE EFFORT WOULD ALLOW CDC TO CROSS-PROMOTE STATE AND TERRITORIAL WORK ALONGSIDE CDC'S WORK WITH THE GOAL OF RAISING THE PROFILE OF AND THE UNDERSTANDING OF THE IMPORTANCE OF EMERGENCY PREPAREDNESS AND RESPONSE WORK ACROSS THE NATION. 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 3,522,971. MANAGEMENT AND GENERAL EXPENSES 662,208. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,185,179.