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        <CurrentTaxYearMinus4YearsAmt>194362</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>237968</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>263638</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>435407</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>533434</CurrentTaxYearAmt>
        <TotalAmt>1664809</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>14903</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5330</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>18995</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>18642</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>21102</CurrentTaxYearAmt>
        <TotalAmt>78972</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>464716651</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>42479889</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99620</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99640</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039600001">
      <TotalGrassrootsLobbyingGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotalGrassrootsLobbyingGrp>
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>10874</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>10874</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>141046118</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>141056992</FilingOrganizationsTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>1000000</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>250000</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyngGrassrootMnsNonTxGrp>
      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyExpendMnsLbbyngNonTxGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus3Amt>1000000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>1000000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>4000000</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>6000000</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus3Amt>9691</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>17680</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>13505</CurrentYearMinus1Amt>
        <CurrentYearAmt>10874</CurrentYearAmt>
        <TotalAmt>51750</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>250000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>250000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>1000000</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>1500000</GrassrootsCeilingAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1481963</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>128898</DepreciationAmt>
        <BookValueAmt>1353065</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>500193</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>77403</DepreciationAmt>
        <BookValueAmt>422790</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>302036</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>244189</DepreciationAmt>
        <BookValueAmt>57847</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1833702</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DEPOSITS</Desc>
        <BookValueAmt>296320</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT-OF-USE ASSETS</Desc>
        <BookValueAmt>3015547</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>3311867</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO APHL GHANA</Desc>
        <Amt>42326</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO APHL KENYA</Desc>
        <Amt>127981</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO APHL TANZANIA</Desc>
        <Amt>85968</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO APHL ZAMBIA</Desc>
        <Amt>512202</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>4851232</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE ADVANCE</Desc>
        <Amt>22106</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>5641815</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>148005605</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>215584</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>5646278</OtherRevenueAmt>
      <RevenueNotReportedAmt>5861862</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>142143743</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>51749</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>51749</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>142195492</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>146703270</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>5646278</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>5646278</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>141056992</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>51749</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>51749</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>141108741</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>REVENUE FROM APHL KENYA INCLUDED IN CONSOLIDATED FINANCIAL 3,525,903. STATEMENTS AND EXCLUDED FROM APHL FORM 990 REPORTING. REVENUE FROM APHL GHANA INCLUDED IN CONSOLIDATED 509,535. FINANCIAL STATEMENTS AND EXCLUDED FROM APHL FORM 990 REPORTING. REVENUE FROM APHL TANZANIA INCLUDED IN CONSOLIDATED 513,733. FINANCIAL STATEMENTS AND EXCLUDED FROM APHL FORM 990 REPORTING. REVENUE FROM APHL ZAMBIA INCLUDED IN CONSOLIDATED 1,097,107.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES FROM APHL KENYA INCLUDED IN CONSOLIDATED FINANCIAL 3,525,903. STATEMENTS AND EXCLUDED FROM APHL FORM 990 REPORTING. EXPENSES FROM APHL GHANA INCLUDED IN CONSOLIDATED 509,535. FINANCIAL STATEMENTS AND EXCLUDED FROM APHL FORM 990 REPORTING. EXPENSES FROM APHL TANZANIA INCLUDED IN CONSOLIDATED 513,733. FINANCIAL STATEMENTS AND EXCLUDED FROM APHL FORM 990 REPORTING. EXPENSES FROM APHL ZAMBIA INCLUDED IN CONSOLIDATED 1,097,107. FINANCIAL STATEMENTS AND EXCLUDED FROM APHL FORM 990 REPORTING.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc1040500001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>1</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>LOCALIZED PUBLIC HEALTH LABORATORY STRENGTHENING.</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>85036</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>EAST ASIA AND THE PACIFIC</RegionTxt>
        <OfficesCnt>1</OfficesCnt>
        <EmployeeCnt>18</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>LOCALIZED PUBLIC HEALTH LABORATORY STRENGTHENING.</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>2472517</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>EUROPE</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>3</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>LOCALIZED PUBLIC HEALTH LABORATORY STRENGTHENING.</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>40531</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>MIDDLE EAST AND NORTH AFRICA</RegionTxt>
        <OfficesCnt>1</OfficesCnt>
        <EmployeeCnt>2</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>LOCALIZED PUBLIC HEALTH LABORATORY STRENGTHENING.</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>350188</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>RUSSIA AND NEIGHBORING STATES</RegionTxt>
        <OfficesCnt>1</OfficesCnt>
        <EmployeeCnt>4</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>LOCALIZED PUBLIC HEALTH LABORATORY STRENGTHENING.</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>290073</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>SOUTH AMERICA</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>3</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>LOCALIZED PUBLIC HEALTH LABORATORY STRENGTHENING.</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>217527</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>5</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>LOCALIZED PUBLIC HEALTH LABORATORY STRENGTHENING.</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>721625</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <OfficesCnt>4</OfficesCnt>
        <EmployeeCnt>51</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>LOCALIZED PUBLIC HEALTH LABORATORY STRENGTHENING.</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>3007074</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>EAST ASIA AND THE PACIFIC</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>GRANTS TO RECIPEINTS LOCATED IN REGION</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>63510</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>7</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>87</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>7</TotalOfficeCnt>
      <TotalEmployeeCnt>87</TotalEmployeeCnt>
      <SubtotalSpentAmt>7184571</SubtotalSpentAmt>
      <ContinuationSpentAmt>63510</ContinuationSpentAmt>
      <TotalSpentAmt>7248081</TotalSpentAmt>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>EAST ASIA AND THE PACIFIC</RegionTxt>
        <PurposeOfGrantTxt>THE NPPHO, CDC-THAILAND AND APHL ARE DEVELOPING AND IMPLEMENTING THE WEB-BASED SEPSIS ALERT SYSTEM.</PurposeOfGrantTxt>
        <CashGrantAmt>63510</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <Total501c3OrgCnt>0</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <TransferToForeignCorpInd>1</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>0</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>APHL IS REQUIRED BY 2 CFR 200 TO ACCURATELY CLASSIFY ANY PROJECT FUNDED BY A COOPERATIVE AGREEMENT (OR ANY OTHER FEDERAL GRANT MONEY). APHL'S LEGAL DEPARTMENT WILL OBTAIN FROM APHL'S GRANTS DEPARTMENT A COPY OF ANY APPLICATION SUBMITTED TO A FEDERAL AGENCY FOR COOPERATIVE AGREEMENT OR OTHER FEDERAL GRANT FUNDING. PROGRAM STAFF WILL COMPLETE A SUBAWARD OR CONTRACT CHECKLIST PRIOR TO BEGINNING WORK ON ANY NEW PROJECT OR PROGRAM. AFTER MAKING THEIR INITIAL CLASSIFICATION, THE STAFF PREPARER AND THEIR PROGRAM DIRECTOR WILL NEED TO E-SIGN THE CHECKLIST. ONCE E-SIGNED, THE CHECKLIST WILL BE MOVED TO LEGAL FOR A FINAL DETERMINATION OF THE SUBRECIPIENT OR CONTRACTOR CLASSIFICATION. THE LEGAL DEPARTMENT WILL CONSIDER THE OVERALL LEGAL AND REGULATORY FRAMEWORK, OTHER FEDERAL OR FUNDING AGENCY REQUIREMENTS AND THE NATURE OF THE RELATIONSHIP BETWEEN APHL AND EACH OF THE OTHER PARTIES WHO MIGHT RECEIVE COOPERATIVE AGREEMENT OR GRANT FUNDING FROM APHL ON A PROJECT WHEN MAKING THE SUBAWARD/CONTRACT DETERMINATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIONAL FOUNDATION FOR THE CENTERS FOR DISEASE CONTROL AND PREVENTION INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>600 PEACHTREE STREET NE SUITE 1000</AddressLine1Txt>
          <CityNm>ATLANTA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30308</ZIPCd>
        </USAddress>
        <RecipientEIN>582106707</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7839040</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PUBLIC HEALTH DATA STRATEGY (PHDS) WORKFORCE ACCELERATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF IOWA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>118 S CLINTON STREET</AddressLine1Txt>
          <CityNm>IOWA CITY</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52242</ZIPCd>
        </USAddress>
        <RecipientEIN>426004813</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>878347</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>APHL IS PILOTING A REGIONAL ACADEMIC INSTITUTION HUB MODEL FOR RECRUITING AND HOSTING FELLOWS AND INTERNS IN PUBLIC HEALTH LABORATORY SCIENCE. THE GOAL OF THIS APPROACH IS TO ACHIEVE A SUSTAINABLE REGIONAL MODEL WHERE FELLOWS AND INTERNS ARE PLACED IN PUBLIC HEALTH LABORATORIES AS WELL AS IN ACADEMIC LABORATORIES WHERE FELLOW PROJECTS SERVE A PUBLIC HEALTH FUNCTION. A POSITION WILL BE FUNDED BY APHL AT EACH HUB LABORATORY AS PART OF THIS PILOT.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF SOUTH FLORIDA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4202 E FOWLER AVE</AddressLine1Txt>
          <CityNm>TAMPA</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33620</ZIPCd>
        </USAddress>
        <RecipientEIN>593102112</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>395310</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>LEVERAGING THE ADMINISTRATIVE INFRASTRUCTURE OF THE UNIVERSITY OF SOUTH FLORIDA, THE SUBRECIPIENT, WILL ESTABLISH AND IMPLEMENT A SCHOLARSHIP PROGRAM UNIQUELY TARGETED TO DRPH CANDIDATE CURRENTLY EMPLOYED IN A PUBLIC HEALTH LABORATORY AND ACCEPTED INTO THIS ONLINE DRPH DEGREE PROGRAM TO OBTAIN THEIR DOCTORAL DEGREE AS ONE PREREQUISITE TO LEAD A MODERATE OR HIGHLY COMPLEX PUBLIC HEALTH LABORATORY. FURTHER, THIS EFFORT WILL CONTRIBUTE TO THE STRENGTHENING OF A PUBLIC HEALTH LABORATORY WORKFORCE PIPELINE AND ADDRESS NEED FOR SHORTAGES IN THESE LEADERSHIP POSITIONS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GENETIC ALLIANCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>26400 WOODFIELD ROAD 189</AddressLine1Txt>
          <CityNm>DAMASCUS</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20872</ZIPCd>
        </USAddress>
        <RecipientEIN>521571905</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>219667</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE SUBRECIPIENT WILL WORK WITH THE APHL NEWBORN SCREENING (NBS) PROGRAM TO SERVE AS THE SUBJECT MATTER EXPERT ON FAMILY ENGAGEMENT IN NEWBORN SCREENING. SPECIFICALLY, THE SUBRECIPIENT WILL LEAD ALL ACTIVITIES PERTAINING TO PROVIDING EDUCATION AND TRAINING TO DIVERSE FAMILIES AND PROVIDERS AND TO DEVELOP FAMILY LEADERS IN NATIONAL NEWBORN SCREENING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UTAH STATE UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2400 OLD MAIN HILL</AddressLine1Txt>
          <CityNm>LOGAN</CityNm>
          <StateAbbreviationCd>UT</StateAbbreviationCd>
          <ZIPCd>84322</ZIPCd>
        </USAddress>
        <RecipientEIN>546001758</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>177951</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>UTAH STATE UNIVERSITY WILL USE THE FUNDS AWARDED TO IMPLEMENT THENEWBORN HEARING SCREENING AND DRIED BLOOD SPOT NEWBORN SCREENINGQUALITY IMPROVEMENT LEARNING COLLABORATIVE. THE PROJECT WILL INCLUDEPLANNING AND HOLDING A KICK-OFF MEETING FOR TEAMS TO CREATE PLAN-DO-STUDY-ACT (PDSA) CYCLES IN ORDER TO DEVELOP A PROMISING PRACTICE GUIDE TO BESHARED WITH VARIOUS AUDIENCES.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEALTH RESEARCH INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>150 BROADWAY SUITE 280</AddressLine1Txt>
          <CityNm>MENANDS</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12204</ZIPCd>
        </USAddress>
        <RecipientEIN>141402155</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>109498</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE INTERN WILL WORK PRIMARILY IN THE TRACE ELEMENTS LABORATORY, PART OF THE DIVISION OF ENVIRONMENTAL HEALTH SCIENCES. THE SPECIFIC PROJECT CONCEPT IS TO MEASURE TOTAL SILVER IN INFANT/TODDLER FOOD PRODUCTS PURCHASED IN THE ALBANY, NY AREAS AS A PROXY FOR SILVER NANOPARTICLES.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ICONNECT CONSULTING CORP</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>715 32ND AVE</AddressLine1Txt>
          <CityNm>SAN FRANCISCO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94121</ZIPCd>
        </USAddress>
        <RecipientEIN>260852678</RecipientEIN>
        <IRCSectionDesc>S-CORPORATION</IRCSectionDesc>
        <CashGrantAmt>78300</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE VIRGINIA NEWBORN SCREENING (NBS) PROGRAM WILL INCREASE THE NUMBER OF NEWBORN SCREENING RESULTS REPORTED WITHIN 7 DAYS OF LIFE AND REDUCE THE NUMBER OF SAMPLES RECEIVED WITH MISSING OR ILLEGIBLE DEMOGRAPHIC DATA BY 1) PARTNERING WITH ICONNECT CONSULTING TO IMPLEMENT NEWLY DEVELOPED ELECTRONIC MESSAGING SOLUTIONS AT NO INITIAL COST TO THE THREE OR MORE HOSPITALS SERVING AS BETA SITES; AND BY 2) EXPANDING THE FUNCTIONALITY OF THE EXISTING DCLS WEB PORTAL (DCLSCONNECT) TO FACILITATE THE ELECTRONIC SUBMISSION OF NBS ORDERS AND RETRIEVAL OF NBS RESULTS IN ORDER TO MAKE ELECTRONIC DATA EXCHANGE AVAILABLE TO SMALLER, LOW-VOLUME SUBMITTERS SUCH AS RURAL COMMUNITY HOSPITALS, MIDWIVES AND PRIMARY CARE PROVIDERS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2600 BULL STREET</AddressLine1Txt>
          <CityNm>COLUMBIA</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29201</ZIPCd>
        </USAddress>
        <RecipientEIN>576000286</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>50700</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE SUBRECIPIENT WILL IMPLEMENT ELECTRONIC LABORATORY REPORTING (ELR) CAPABILITIES TO BE ABLE TO REPORT RESULTS FOR ALL LABORATORY RESPONSE NETWORK FOR BIOLOGICAL THREATS (LRN-B) THREAT AGENTS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ARIZONA DEPT OF HEALTH SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>150 N 18TH AVE</AddressLine1Txt>
          <CityNm>PHOENIX</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85007</ZIPCd>
        </USAddress>
        <RecipientEIN>866004791</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>47272</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>APHL IS PILOTING A REGIONAL ACADEMIC INSTITUTION HUB MODEL FOR RECRUITING AND HOSTING FELLOWS AND INTERNS IN PUBLIC HEALTH LABORATORY SCIENCE. THE GOAL OF THIS APPROACH IS TO ACHIEVE A SUSTAINABLE REGIONAL MODEL WHERE FELLOWS AND INTERNS ARE PLACED IN PUBLIC HEALTH LABORATORIES AS WELL AS IN ACADEMIC LABORATORIES WHERE FELLOW PROJECTS SERVE A PUBLIC HEALTH FUNCTION. POSITIONS WILL BE FUNDED BY APHL AT EACH HUB LABORATORY AS PART OF THIS PILOT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REGENTS OF THE UNIV OF MN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>P O BOX 1450</AddressLine1Txt>
          <CityNm>MINNEAPOLIS</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55485</ZIPCd>
        </USAddress>
        <RecipientEIN>416007513</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>43093</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO SUPPORT THE OPERATION OF THE ADRENOLEUKODYSTROPHY (ALD) NATIONAL REGISTRY. TO PARTNER WITH STATE NEWBORN SCREENING PROGRAMS TO PROVIDE ALD DATA FOR THE INDIVIDUALS IDENTIFIED BY THE NEWBORN SCREENING PROGRAM. THE SUBRECIPIENT WILL HOST A MULTI-DAY MUCOPOLYSACCHARIDOSIS NEWBORN SCREENING MEETING.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF PUERTO RICO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 3656067</AddressLine1Txt>
          <CityNm>SAN JUAN</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00936</ZIPCd>
        </USAddress>
        <RecipientEIN>660433762</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>37967</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE PUERTO RICO (PR) NEWBORN SCREENING (NBS) PROGRAM WILL:(1) VALIDATE AND IMPLEMENT A SECOND-TIER TESTING FOR ADRENOLEUKODYSTROPHY (ALD) USING THE NEWMS SYSTEM TO MONITOR ALD IN 100% OF THE POPULATION.(2) INCREASE AND SUSTAIN THE PERCENTAGE OF SAMPLES REPORTED TO FOLLOW-UP IN 3 DAYS OR LESS FROM THEWORKLIST DATE FROM 91% TO 95% BY USING THE NEW MS SYSTEM.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STATE OF MICHIGAN - DEPARTMENT OF HEALTH &amp; HUMAN SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 30437</AddressLine1Txt>
          <CityNm>LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48909</ZIPCd>
        </USAddress>
        <RecipientEIN>386000134</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>26558</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE OVERARCHING GOAL OF THIS PROJECT IS TO IMPROVE THE NEWBORN SCREENING (NBS) PRENATAL EDUCATION EXPERIENCE IN MICHIGAN, SO THAT PARENTS ARE MORE ACTIVE PARTICIPANTS IN THE NBS PROCESS. MDHHS WILL CREATE AND IMPLEMENT A NEW EDUCATIONAL CHECKLIST DURING THE PRENATAL PERIOD THROUGH A PARTNERSHIP WITH THREE BIRTHING HOSPITALS WITH THE GOAL OF IMPROVING PARENTAL KNOWLEDGE AND PARTICIPATION IN THE NBS AND BIOTRUST PROGRAMS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UTAH PUBLIC HEALTH LABORATORY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4431 SOUTH 2700 WEST</AddressLine1Txt>
          <CityNm>TAYLORSVILLE</CityNm>
          <StateAbbreviationCd>UT</StateAbbreviationCd>
          <ZIPCd>84129</ZIPCd>
        </USAddress>
        <RecipientEIN>876000528</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>21948</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE SUBRECIPIENT WILL IMPLEMENT ELECTRONIC LABORATORY REPORTING (ELR) CAPABILITIES TO BE ABLE TO REPORT RESULTS FOR ALL LABORATORY RESPONSE NETWORK FOR BIOLOGICAL (LRN-B) AND CHEMICAL (LRN-C) THREAT AGENTS. THE SUBRECIPIENT WILL DEVELOP AND TEST MACHINE LEARNING CLASSIFICATION SUPPORT ALGORITHMS FOR AMINO ACID AND ACYLCARNITINE DISORDERS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE UNIVERSITY OF ALABAMA AT BIRMINGHAM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>703 19TH STREET SOUTH ZRB 242</AddressLine1Txt>
          <CityNm>BIRMINGHAM</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>35294</ZIPCd>
        </USAddress>
        <RecipientEIN>636005396</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>21652</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE UNIVERSITY OF ALABAMA AT BIRMINGHAM WILL IDENTIFY STATE-SPECIFIC DIFFERENCES IN ACUTE CARE USE AND INITIAL AND FOLLOW-UP HEMATOLOGY APPOINTMENTS FOR CHILDREN DIAGNOSED WITH SICKLE CELL DISEASE (SCD) THROUGH NEWBORN SCREENING (NBS) IN FOUR STATES BY USING THE SICKLE CELL DATA COLLECTION (SCDC) PROGRAM. THE PROGRAM TEAM WILL ALSO USE QUALITATIVE METHODS TO EXPLORE THE EXPERIENCES WITHIN STATE NBS PROGRAMS FOLLOW-UP PRACTICES FOR SCD AND VALIDATE HOW SCDC DATA CAN BE USED TO INFORM CONTINUOUS QUALITY IMPROVEMENT IN NBS FOLLOW-UP.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CINCINNATI CHILDREN'S HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3333 BURNET AVENUE</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45229</ZIPCd>
        </USAddress>
        <RecipientEIN>310833936</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20143</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE SUBRECIPIENT WILL IMPLEMENT GENETIC TESTING AS A STANDARD COMPONENT OF NEWBORN SCREENING FOR HEMOGLOBINOPATHIES FOR BABIES WITH SUSPECTED SICKLE CELL ANEMIA (HB SS AND SICKLE BETA- ZERO-THALASSEMIA), SICKLE-BETA-PLUS-THALASSEMIA, AND ALPHA THALASSEMIA.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VIRGINIA DIVISION OF CONSOLIDATED LABORATORY SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>600 NORTH 5TH STREET</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23219</ZIPCd>
        </USAddress>
        <RecipientEIN>541056975</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE SUBRECIPIENT WILL INCREASE EFFICIENCY BY STREAMLINING THE DATA ENTRY AND REVIEW PROCESS FOR TREATMENT SAMPLES BY IMPLEMENTING AN AUTOMATED DATA ENTRY SOFTWARE AS WELL AS CREATING SAMPLE COLLECTION CARDS SPECIFIC TO TREATMENT SAMPLES TO IMPROVE THE DATA FIELDS AND ENSURE ACCURACY OF ACCESSIONING AND HANDLING.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COUNTY OF SANTA CLARA HHS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 103328</AddressLine1Txt>
          <CityNm>PASADENA</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>91189</ZIPCd>
        </USAddress>
        <RecipientEIN>946000533</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>14000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE SUBRECIPIENT WILL IMPLEMENT ELECTRONIC LABORATORY REPORTING (ELR)CAPABILITIES TO BE ABLE TO REPORT RESULTS FOR ALL LABORATORY RESPONSENETWORK FOR BIOLOGICAL THREATS (LRN-B) THREAT AGENTS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TRUSTEES OF INDIANA UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>509 E 3RD STREET</AddressLine1Txt>
          <CityNm>BLOOMINGTON</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47401</ZIPCd>
        </USAddress>
        <RecipientEIN>356001673</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>13285</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DEVELOP A PLAN AND A CURRICULUM FOR A GRADUATE CERTIFICATE IN ADVANCED PRACTICES FOR PUBLIC HEALTH LABORATORIES. THE CURRICULUM WILL BE DEVELOPED AFTER A THOROUGH SCOPING REVIEW OF EXISTING TRAINING PROGRAMS FOR THE PUBLIC HEALTH LABORATORY WORKFORCE, INSIGHTS FROM SUBJECT MATTER EXPERTS, AND CURRENT PUBLIC HEALTH WORKFORCE DATA.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VIRGINIA COMMONWEALTH UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>800 E LEIGH ST SUITE 3100</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23284</ZIPCd>
        </USAddress>
        <RecipientEIN>546001758</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>THE CONTRACTOR WILL WORK WITH APHL TWD STAFF TO DISTRIBUTE SCHOLARSHIP FUNDS TO SELECTED STUDENTS IN THE MEDICAL LABORATORY SCIENCE GRADUATE PROGRAM.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>920 WILDWOOD DRIVE</AddressLine1Txt>
          <CityNm>JEFFERSON CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65102</ZIPCd>
        </USAddress>
        <RecipientEIN>446000987</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>8901</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PEER NETWORK RESOURCE CENTER, PROVIDING TECHNICAL ASSISTANCE AND TRAINING ON AN AS NEEDED BASIS TO NEWBORN SCREENING PROGRAMS REGARDING IMPLEMENTATION OF NEWBORN SCREENING DISORDERS THROUGH THE NEWBORN SCREENING TECHNICAL ASSISTANCE AND EVALUATION PROGRAM.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VARIOUS GRANT REVERSAL ADJUSTMENTS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <CashGrantAmt>-33333</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>VARIOUS GRANT REVERSAL ADJUSTMENTS</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>19</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>FELLOWS SUPPORT</GrantTypeTxt>
        <RecipientCnt>316</RecipientCnt>
        <CashGrantAmt>10583215</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>APHL IS REQUIRED BY 2 CFR 200 TO ACCURATELY CLASSIFY ANY PROJECT FUNDED BY A COOPERATIVE AGREEMENT (OR ANY OTHER FEDERAL GRANT MONEY). PROGRAM STAFF WILL COMPLETE A SUBAWARD OR CONTRACT CHECKLIST PRIOR TO BEGINNING WORK ON ANY NEW PROJECT OR PROGRAM. AFTER MAKING THEIR INITIAL CLASSIFICATION, THE STAFF PREPARER AND THEIR PROGRAM DIRECTOR WILL NEED E-SIGN THE CHECKLIST. ONCE E-SIGNED, THE CHECKLIST WILL BE MOVED TO LEGAL FOR A FINAL DETERMINATION OF THE SUBRECIPIENT OR CONTRACTOR CLASSIFICATION. THE LEGAL DEPARTMENT WILL CONSIDER THE OVERALL LEGAL AND REGULATORY FRAMEWORK, OTHER FEDERAL OR FUNDING AGENCY REQUIREMENTS AND THE NATURE OF THE RELATIONSHIP BETWEEN APHL AND EACH OF THE OTHER PARTIES WHO MIGHT RECEIVE COOPERATIVE AGREEMENT OR GRANT FUNDING FROM APHL ON A PROJECT WHEN MAKING THE SUBAWARD/CONTRACT DETERMINATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SCOTT BECKER</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>59060</DeferredCompensationFlngOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CAROL CLARK</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>48877</DeferredCompensationFlngOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATINA GAGNE</PersonNm>
        <TitleTxt>DIR. DATAPULT (UNTIL 10/2024)</TitleTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>112135</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20763</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29509</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>368070</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EWA KING</PersonNm>
        <TitleTxt>CHIEF PROGRAM OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>286920</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>30212</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>27987</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PETER KYRIACOPOULOS</PersonNm>
        <TitleTxt>CHIEF POLICY OFFICER</TitleTxt>
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        <TotalCompensationFilingOrgAmt>326310</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTINE BEAN</PersonNm>
        <TitleTxt>CHIEF LEARNING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>257740</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>27286</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27987</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>313013</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TROY WILLITT</PersonNm>
        <TitleTxt>GENERAL COUNSEL</TitleTxt>
        <BaseCompensationFilingOrgAmt>240169</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>25351</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27987</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>293507</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>IMRAN BABAYEV</PersonNm>
        <TitleTxt>DIRECTOR, FINANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>231374</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24555</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>35643</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>291572</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE MEIGS</PersonNm>
        <TitleTxt>DIRECTOR II, INFORMATICS PROGRAM</TitleTxt>
        <BaseCompensationFilingOrgAmt>229077</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24543</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>35643</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>289263</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LISA CHILCOTE</PersonNm>
        <TitleTxt>SENIOR DIRECTOR, PEOPLE &amp; CULTURE</TitleTxt>
        <BaseCompensationFilingOrgAmt>245477</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24853</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15888</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>286218</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>PATINA GAGNE RECEIVED A SEVERANCE PAYMENT OF $112,135.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>MERIT-BASED BONUS COMPENSATION IS REPORTED IN PART II, COLUMN (II).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>IN AUGUST OF 2024 ONE OF APHL'S HRSA COOPERATIVE AGREEMENTS FOR IMPROVING TIMELINESS OF NEWBORN SCREENING DIAGNOSIS (QUALITY IMPROVEMENT) ENDED. ALSO, THE MOZAMBIQUE PEPFAR COOPERATIVE AGREEMENT ENDED IN SEPTEMBER 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S MEMBERSHIP CATEGORIES ARE AS FOLLOWS: 1: PUBLIC HEALTH INSTITUTIONAL/STATE MEMBERS (PHI/STATE): ANY OF THE PUBLIC HEALTH LABORATORIES OF THE STATES, TERRITORIES, AND COMMONWEALTHS OF THE UNITED STATES, INCLUDING THE DISTRICT OF COLUMBIA, ARE ELIGIBLE TO BECOME PHI/STATE MEMBERS. 2. PUBLIC HEALTH INSTITUTIONAL/LOCAL MEMBERS (PHI/LOCAL): ANY OF THE PUBLIC HEALTH LABORATORIES OF THE COUNTIES, PARISHES, MUNICIPALITIES, CITIES, TOWNSHIPS, BOROUGHS OR OTHER LOCALITIES WITHIN THE UNITED STATES ARE ELIGIBLE TO BECOME PHI/LOCAL MEMBERS. 3. PUBLIC HEALTH ASSOCIATE INSTITUTIONAL MEMBERS: ENVIRONMENTAL LABORATORIES, AGRICULTURAL LABORATORIES AND OTHER LABORATORIES OF THE STATES, TERRITORIES, AND COMMONWEALTHS OF THE UNITED STATES, INCLUDING THE DISTRICT OF COLUMBIA, WHO ARE INTERESTED IN PUBLIC HEALTH ISSUES BUT ARE NOT ELIGIBLE AS PHI/STATE MEMBERS ARE ELIGIBLE TO BECOME PUBLIC HEALTH ASSOCIATE INSTITUTIONAL MEMBERS. 4. EMERITUS MEMBERS: RETIRED INDIVIDUALS WHO HAVE SERVED AS A MEMBER-REPRESENTATIVE OF THE CORPORATION FOR AT LEAST FIVE (5) YEARS IN ANY VOTING-MEMBER CLASS ARE ELIGIBLE TO BECOME EMERITUS MEMBERS. 5. RETIRED MEMBERS: INDIVIDUALS WHO ARE 55 YEARS OF AGE OR OLDER, HAVE BEEN A MEMBER-REPRESENTATIVE OF THE CORPORATION FOR FIVE (5) CONSECUTIVE YEARS OR MORE, AND ARE FULLY RETIRED FROM THE FIELD OF LABORATORY SCIENCE ARE ELIGIBLE TO BECOME RETIRED MEMBERS. "RETIRED" IS DEFINED AS AN INDIVIDUAL WHO HAS CEASED ALL COMPENSATED WORK IN THE FIELD OF LABORATORY SCIENCE. 6. HONORARY MEMBERS, INDIVIDUALS BESTOWED BY THE CORPORATION FOR HAVING MADE OUTSTANDING CONTRIBUTIONS TO PUBLIC HEALTH LABORATORIES OR WHO HAVE SERVED THE CORPORATION WITH DISTINCTION WILL BE RECOGNIZED AS HONORARY MEMBERS. ALL APHL LIFETIME ACHIEVEMENT AWARD RECIPIENTS WILL BE MADE HONORARY MEMBERS. 7. STUDENT/FELLOWSHIP MEMBERS: INDIVIDUALS CURRENTLY ENROLLED IN AN UNDERGRADUATE OR GRADUATE PROGRAM RELATED TO PUBLIC HEALTH LABORATORY SCIENCE (E.G. MICROBIOLOGY, CHEMISTRY, PUBLIC HEALTH, ENVIRONMENTAL HEALTH, ETC.) ARE ELIGIBLE TO BECOME STUDENT/FELLOWSHIP MEMBERS. 8. INDIVIDUAL MEMBERS: INDIVIDUALS WHO HAVE AN INTEREST IN PUBLIC HEALTH OR ENVIRONMENTAL HEALTH AND ARE NOT OTHERWISE ELIGIBLE FOR OTHER MEMBERSHIP CLASSES ARE ELIGIBLE TO BECOME INDIVIDUAL MEMBERS. 9. SUSTAINING MEMBERS: INDUSTRY OR CORPORATE ENTITIES THAT HAVE AN INTEREST IN PUBLIC HEALTH OR ENVIRONMENTAL LABORATORIES ARE ELIGIBLE TO BECOME SUSTAINING MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>PUBLIC HEALTH INSTITUTIONAL STATE MEMBERS, PUBLIC HEALTH INSTITUTIONAL/LOCAL MEMBERS, AND PUBLIC HEALTH ASSOCIATE INSTITUTIONAL MEMBERS HAVE THE RIGHT TO APPOINT MEMBERS OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS PREPARED BY THE OUTSIDE ACCOUNTANTS AND REVIEWED BY THE DIRECTOR OF FINANCE. IT WAS THEN PROVIDED TO THE APHL FINANCE COMMITTEE AND BOARD OF DIRECTORS FOR REVIEW AND APPROVAL BEFORE FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THE BEGINNING OF EACH FISCAL YEAR, BOARD MEMBERS REVIEW AND SIGN A CONFLICT OF INTEREST STATEMENT. THE POLICY COVERED ALL BOARD MEMBERS AND OFFICERS OF THE ORGANIZATION. ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ARE DISCLOSED TO THE GENERAL COUNSEL SO THAT SAFEGUARDS CAN BE ESTABLISHED TO PROTECT ALL PARTIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS BASED ON RESULTS OF AN INDEPENDENT MARKET EVALUATION BY A THIRD PARTY AND PERFORMANCE FACTORS. THE EXECUTIVE COMMITTEE OF THE BOARD MEETS ANNUALLY TO APPROVE THE CHIEF EXECUTIVE OFFICER'S RAISE. THE COMMITTEE'S DELIBERATION AND DECISION FROM THEIR REVIEW IS DOCUMENTED IN A LETTER SENT TO HUMAN RESOURCES. THE SALARY RANGES FOR ALL OTHER STAFF ARE APPROVED BY THE BOARD AFTER AN INDEPENDENT MARKET EVALUATION HAS TAKEN PLACE. THE CHIEF EXECUTIVE OFFICER IS ALLOWED TO SET SALARY FOR OTHER KEY STAFF WITHIN PRE-APPROVED RANGES. THIS PROCESS LAST TOOK PLACE IN JULY 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSTED SYSTEM SOLUTIONS: PROGRAM SERVICE EXPENSES 10,056,033. MANAGEMENT AND GENERAL EXPENSES 1,056,168. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,112,201. COMPUTER CONSULTING: PROGRAM SERVICE EXPENSES 2,114. MANAGEMENT AND GENERAL EXPENSES 53,507. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,621. TEMPORARY LABOR: PROGRAM SERVICE EXPENSES 29,716. MANAGEMENT AND GENERAL EXPENSES 7,916. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,632. SERVICE FEES: PROGRAM SERVICE EXPENSES 116,703. MANAGEMENT AND GENERAL EXPENSES 35,802. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 152,505. INFORMATICS CONSULTING: PROGRAM SERVICE EXPENSES 27,658,161. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,658,161. CONSULTANT AND CONTRACTOR: PROGRAM SERVICE EXPENSES 24,001,061. MANAGEMENT AND GENERAL EXPENSES 282,697. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,283,758.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>DATAPULT LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>7700 WISCONSIN AVENUE STE 1000</AddressLine1Txt>
          <CityNm>BETHESDA</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20814</ZIPCd>
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        <PrimaryActivitiesTxt>INFORMATICS WORK</PrimaryActivitiesTxt>
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        <TotalIncomeAmt>1807544</TotalIncomeAmt>
        <EndOfYearAssetsAmt>365344</EndOfYearAssetsAmt>
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          <AddressLine1Txt>PO BOX 38568</AddressLine1Txt>
          <CityNm>DAR ES SALAAM</CityNm>
          <CountryCd>TZ</CountryCd>
        </ForeignAddress>
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        <LegalDomicileForeignCountryCd>TZ</LegalDomicileForeignCountryCd>
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          <AddressLine1Txt>HOUSE NUMBER 06 CHARITY STREET</AddressLine1Txt>
          <CityNm>ACCRA</CityNm>
          <CountryCd>GH</CountryCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>EDUCATIONAL AND SCIENTIFIC PURPOSE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>GH</LegalDomicileForeignCountryCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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          <CountryCd>KE</CountryCd>
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          <AddressLine1Txt>52 PASELI ROAD</AddressLine1Txt>
          <CityNm>LUSAKA</CityNm>
          <CountryCd>ZA</CountryCd>
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        <LegalDomicileForeignCountryCd>ZA</LegalDomicileForeignCountryCd>
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          <BusinessNameLine1Txt>APHL</BusinessNameLine1Txt>
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      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>APHL GHANA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>40714</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>APHL KENYA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>129593</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>APHL TANZANIA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>85968</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>APHL ZAMBIA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>512202</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>