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      <Desc>COMMUNITY HEALTH AND DISEASE PREVENTION (INCLUDING SOCIAL &amp; BEHAVIORAL HEALTH):THE COMMUNITY HEALTH AND DISEASE PREVENTION PROGRAM AREA PROVIDES LEADERSHIP SUPPORT AND CAPACITY BUILDING TO POSITION STATE AND TERRITORIAL HEALTH OFFICIALS AS CHIEF HEALTH STRATEGISTS IN THEIR JURISDICTIONS TO IMPROVE POPULATION HEALTH IN THREE DISTINCT BUT COORDINATED AREAS OR POPULATIONS: FAMILY AND CHILD HEALTH; MATERNAL AND INFANT HEALTH; AND CHRONIC DISEASE. CONTINUED ON SCHEDULE O.DURING FY2023, ASTHO MOBILIZED TO SUPPORT OUR MEMBERS ACROSS THE COUNTRY THROUGH CAPACITY BUILDING, TECHNICAL ASSISTANCE, POLICY AND INNOVATION. 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:- RISK APPROPRIATE CARE (RAC). IN 2023, ASTHO AND CDC'S DRH LAUNCHED THE RISK APPROPRIATE CARE LEARNING COMMUNITY TO IMPROVE EQUITABLE PRACTICES RELATED TO RAC BY TRANSLATING LOCATE DATA INTO PROGRAMMATIC AND POLICY ACTION. ASTHO BRINGS TOGETHER EXPERTS IN THE FIELD TO ADDRESS GAPS IN KNOWLEDGE AND ADVANCE BOTH NEONATAL AND MATERNAL LEVELS OF APPROPRIATE CARE. STAKEHOLDERS INCLUDE STATE HEALTH AGENCY LEADERSHIP AND STAFF, PHYSICIAN CHAMPIONS, PEC, PAYORS, EPI, AND OTHERS. AS PART OF THE LEARNING COMMUNITY, WE ENGAGED FOUR STATES AND PROVIDED NATIONAL REACH VIA LEARNINGS AND RESOURCES DEVELOPED. - PRAMS - ASTHO ESTABLISHED A COORDINATING CENTER TO SUPPORT A 12 MULTI-STATE LEARNING COMMUNITY ON PREGNANCY RISK ASSESSMENT MONITORING SYSTEM (PRAMS) DATA LINKAGE WITH CLINICAL OUTCOMES DATA. FOCUS ON PROVIDING TECHNICAL ASSISTANCE TO STATES TO USE STANDARDIZED METHODOLOGY TO LINK DATA, RESEARCH FOR MATERNAL AND CHILD HEALTH, AND SUSTAINABILITY AND REPLICATION OF PROJECT.- THE 16-STATE BREASTFEEDING LEARNING COMMUNITY ENHANCED BREASTFEEDING INITIATION AND DURATION BY IMPROVING POLICIES AND PROVIDED NINE STATES WITH INNOVATION GRANTS TO IMPROVE AND FORM COHESIVE COLLABORATIVE NETWORKS WITH STATE AND LOCAL CROSS-SECTORAL PARTNERS TO ADDRESS BREASTFEEDING DISPARITIES THROUGH TRANSFORMATIVE HEALTH EQUITY APPROACHES.- ASTHO, IN COLLABORATION WITH CDC AND OTHER NATIONAL PARTNERS ARE WORKING WITH STATES AND COMMUNITIES ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH (SDOH) TO IMPACT HEALTH OUTCOMES IN THEIR COMMUNITIES. IMPACTS EXPECTED ON CHRONIC DISEASE PREVENTION IN ONE OF FIVE AREAS OF SDOH: A) BUILT ENVIRONMENT, B) COMMUNITY-CLINICAL LINKAGES, C) FOOD AND NUTRITION SECURITY, D) SOCIAL CONNECTEDNESS, AND E) TOBACCO-FREE POLICY. ASTHO IS ALSO WORKING WITH AN EVALUATOR ON RETROSPECTIVE EVALUATION. THEIR FINAL REPORT WILL BUILD EVIDENCE FOR SUCCESSFUL EXAMPLES OF USING COMMUNITY BENEFIT TO ADDRESS SDOH AND IMPACT HEALTH OUTCOMES.- ASTHO'S TOBACCO PREVENTION AND CONTROL PROGRAM EXISTS TO BUILD CAPACITY FOR COMPREHENSIVE TOBACCO PROGRAMS WITHIN STATE AND TERRITORIAL PUBLIC HEALTH DEPARTMENTS BY (1) GUIDING EXECUTIVE LEADERSHIP IN DRAFTING AND INTERPRETING TOBACCO POLICY LANGUAGE, (2) TRANSLATING EVIDENCE-BASED STRATEGIES INTO PRACTICE, (3) INTERPRETING THE IMPACT OF TOBACCO CONTROL POLICIES ACROSS INTERSECTING PUBLIC HEALTH AREAS (I.E. OTHER CHRONIC DISEASES, SOCIAL DETERMINANTS OF HEALTH, ETC.), AND (4) PROVIDING EDUCATION ON POLICY AND SYSTEMS CHANGES IMPACTING HEALTH DISPARITIES.- PROGRAMMATIC HEALTH EQUITY INITIATIVES ADDRESSING COVID DISPARITIES- LAUNCHING A PORTFOLIO OF RESOURCES TO DISSEMINATE AND PROMOTE LESSONS LEARNED, STRATEGIES, AND PUBLIC HEALTH/COMMUNITY ENGAGEMENT ACTIVITIES. RESOURCES WILL INCLUDE A COMBINATION OF PODCASTS, CASE STUDIES, VIDEO TESTIMONIALS, AUDIO BLOGS, FILED GUIDES AND BRIEFS ON WAY IN WHICH PUBLIC HEALTH CAN LEVERAGE THEIR EFFORTS TO ACTIVATE AND INTEGRATE EQUITY INTO THEIR PROGRAMMING AND PARTNERSHIP WITH COMMUNITY MEMBERS.</Desc>
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        <Desc>HEALTH SECURITY:ASTHO'S HEALTH SECURITY UNIT (HSU) FOCUSES ON HEALTH EMERGENCIES CAUSED BY NATURAL DISASTERS, OUTBREAKS AND PANDEMICS, DELIBERATE ATTACKS, AND ENVIRONMENTAL CATASTROPHES. THE UNIT IS COMPRISED OF 4 SEPARATE BUT INTEGRATED TEAMS: EMERGING INFECTIOUS DISEASE TEAM, PREPAREDNESS TEAM, INFECTIOUS DISEASE POLICY AND INFRASTRUCTURE TEAM, AND THE ENVIRONMENTAL HEALTH TEAM. THE HSU MISSION IS TO SUPPORT AND PROACTIVELY EMPOWER HEALTH AGENCIES TO ADDRESS HEALTH SECURITY CHALLENGES THROUGH EVIDENCE-BASED RESOURCES, KNOWLEDGE, PARTNERSHIPS, AND INNOVATION. CONTINUED ON SCHEDULE O.HSU IS ACTIVELY ENGAGED IN ALL ASPECTS OF EMERGENCY RESPONSE, IN CONJUNCTION WITH THE EXECUTIVE OFFICE, PROVIDING LEADERSHIP AND SME INPUT FOR ALL RESPONSES RANGING IN SIZE FROM ANNUAL WILDFIRE AND HURRICANE RESPONSE TO LARGER NATIONAL OUTBREAKS SUCH AS EBOLA, MPOX, AND COVID-19. THE HSU HAD OVER 35 ACTIVE PROJECTS FUNDED THROUGH CDC IN THE LAST YEAR TOTALING OVER $12 MILLION. IN ADDITION TO CDC, OUR OTHER FEDERAL FUNDERS INCLUDE FDA, EPA, AND ASPR. THE HSU IS FUNDED TO PROVIDE PEER TO PEER SUPPORT TO OUR MEMBERS BY SUPPORTING 3 POLICY COMMITTEES (ENVIRONMENTAL HEALTH, INFECTIOUS DISEASE, AND PREPAREDNESS) AND SEVERAL PEER GROUPS SUCH AS THE STATE ENVIRONMENTAL HEALTH DIRECTORS, THE DIRECTORS OF PUBLIC HEALTH PREPAREDNESS, THE MEDICAL COUNTERMEASURE COORDINATORS, AND THE STATE TRIBAL HEALTH LIAISONS. THESE GROUPS SERVE AS A FORUM AND SPACE TO ALLOW FOR MEMBERS TO PROVIDE: FEEDBACK ON PRE-DECISIONAL FEDERAL GUIDANCE AND GRANTS SHARE BEST/PROMISING PRACTICES PROBLEM SOLVING DEVELOPMENT OF ASTHO POLICY STATEMENTS FEEDBACK FOR FEDERAL POLICY SUCH AS THE REAUTHORIZATION OF THE PANDEMIC AND ALL HAZARDS PREPAREDNESS ACT (PAHPA) AND NATIONAL HEALTH SECURITY STRATEGY.HSU ALSO MANAGES SEVERAL OTHER LEADERSHIP COUNCILS OR ASSOCIATIONS OF ASSOCIATIONS THAT HAVE COME TOGETHER TO PROVIDE GUIDANCE AND THE BEST PUBLIC HEALTH THOUGHT AROUND A TOPIC OR ISSUE. THESE GROUPS INCLUDE: THE COUNCIL FOR OUTBREAK RESPONSE: HEALTHCARE ASSOCIATED INFECTIONS AND ANTIMICROBIAL PATHOGENS (CORHA). CORHA CONSISTS OF 9 PARTNER ORGANIZATIONS/FEDERAL AGENCIES ALL ALIGNED TO IMPROVE PRACTICES AND POLICIES AT THE LOCAL, STATE, AND NATIONAL LEVELS FOR DETECTION, INVESTIGATION, CONTROL, AND PREVENTION OF HAI/AR OUTBREAKS ACROSS THE HEALTHCARE CONTINUUM, INCLUDING EMERGING INFECTIONS AND OTHER RISKS WITH POTENTIAL FOR HEALTHCARE TRANSMISSION. THE NATIONAL ALLIANCE FOR RADIATION READINESS (NARR). THE NARR IS A COALITION OF PUBLIC HEALTH, HEALTHCARE, AND EMERGENCY MANAGEMENT ORGANIZATIONS THAT SERVE AS THE COLLECTIVE "VOICE OF HEALTH" IN RADIOLOGICAL PREPAREDNESS. HSU STAFF ALSO PROVIDE SUPPORT TO OUR MEMBERS BY REPRESENTING ASTHO AND STAFFING MEMBERS ON THE FOLLOWING NATIONAL BOARDS AND COMMITTEES: THE NATIONAL HOMELAND SECURITY CONSORTIUM CDC'S BOARD OF SCIENTIFIC COUNSELORS NATIONAL ACADEMIES OF SCIENCES MED PREP FORUM HEALTHCARE INFECTION CONTROL PRACTICES ADVISORY COMMITTEE ADVISORY COUNCIL FOR THE ELIMINATION ON TB ASTHO/NEMA/GOVERNOR'S HOMELAND SECURITY ADVISORS COUNCIL NATIONAL ASSOCIATION LEADERSHIP COUNCIL NATIONAL COUNCIL FOR ENVIRONMENTAL HEALTH &amp; EQUITY LEADERSHIP HSU MANAGES TWO PROJECTS THAT PROVIDE DIRECT STAFF SUPPORT TO PUBLIC HEALTH AGENCIES. WE ARE IN THE FINAL STAGES OF OUR DISABILITY AND PREPAREDNESS SPECIALISTS PROJECT IN WHICH ASTHO PLACED SPECIALISTS IN 18 JURISDICTIONS TO WORK TO CLOSE THE INCLUSIVITY GAPS FOR PEOPLE LIVING WITH DISABILITIES DURING EMERGENCY PREPAREDNESS AND RESPONSE EFFORTS, INCLUDING THOSE FOR COVID-19. MORE RECENTLY WE ARE MANAGING A PROJECT WHICH PROVIDES STATE ENVIRONMENTAL HEALTH STAFF SUPPORT IN 14 JURISDICTIONS.THE HSU ALSO MANAGES SEVERAL IMMUNIZATION-RELATED PROJECTS INCLUDING THE PARTNERING FOR VACCINE EQUITY GRANT WHICH ALLOWS ASTHO TO PARTNER WITH THE NATIONAL COMMUNITY ACTION PARTNERSHIP TO SUPPORT 5 COMMUNITY ACTION TEAMS TO PROVIDE TARGETED EDUCATION AND ADDRESS BARRIERS TO ACCESSING COVID-19 AND OTHER ADULT VACCINES IN AN EFFORT TO IMPROVE HEALTH EQUITY. THIS PARTNERSHIP HAS LED TO THE DEVELOPMENT OF SEVERAL EVIDENCE-BASED AND EVIDENCE-INFORMED PRACTICES ALONG WITH BLOGS, BRIEFS, AND PODCASTS. ADDITIONALLY, WE HAVE PROVIDED SUPPORT TO 2 VIRTUAL POLICY ACADEMIES FOR STATE AND TERRITORIAL LEADERS THAT WILL HELP THEM IMPROVED THEIR CAPACITY TO IDENTIFY, DEVELOP, AND IMPLEMENT POLICIES TO ADDRESS VACCINE HESITANCY. HSU IS DEVELOPING AN INTERACTIVE AND COLLABORATIVE PLATFORM TO FACILITATE JURISDICTIONAL SHARING OF SUCCESS STORIES, NEW METHODS AND INNOVATIVE SOLUTIONS FOR PUBLIC HEALTH PREPAREDNESS AND COMMUNICABLE DISEASE OUTBREAKS. THIS NEW PLATFORM, INSPIRE: READINESS, WILL SHARE STORIES IN 4 SPECIFIC AREAS:- DATA SYSTEMS AND MANAGEMENT- WORKFORCE- EQUITY - TRAINING AND RESOURCES HSU HAS ALSO DEVELOPED SEVERAL TECHNICAL PACKAGES WHICH PRESENT EVIDENCE-BASED STRATEGIES TO INFORM S/THA ACTIVITIES TO INCREASE NATIONWIDE IMMUNIZATION, TO MITIGATE THE CLIMATE-RELATED IMPACTS ON HEALTH, AND TO REDUCE CONGENITAL SYPHILIS (ALL SUBMITTED IN THE JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE).</Desc>
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        <Desc>CENTER FOR POPULATION HEALTH STRATEGIES/POPULATION HEALTH AND INNOVATION: CENTER FOR POPULATION HEALTH STRATEGIES PROGRAM AREA PROVIDES LEADERSHIP SUPPORT AND CAPACITY BUILDING TO POSITION STATE AND TERRITORIAL HEALTH OFFICIALS AS CHIEF HEALTH STRATEGISTS IN THEIR JURISDICTIONS. THE CENTER ALSO PROVIDES LEADERSHIP ON BUILDING STATE CAPACITY TO ADDRESS HEALTH EQUITY BY CREATING AND SUPPORTING TOOLS AND RESOURCES FOR THE INCLUSION OF HEALTH EQUITY LANGUAGE IN PROPOSALS AND CONTRACTS. CONTINUED ON SCHEDULE O.THIS PROGRAM BECAME A MAJOR PROGRAM AS OF FY2022. 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 ENGAGED 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.</Desc>
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          <BusinessNameLine1Txt>JERROD MCFARLAND</BusinessNameLine1Txt>
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        <PersonNm>SCOTT HARRIS</PersonNm>
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        <PersonNm>ALEXIA HARRIST</PersonNm>
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        <PersonNm>PAULA NICKELSON PAST</PersonNm>
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        <PersonNm>MARK LEVINE</PersonNm>
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        <PersonNm>CARLOS MELLADO LOPEZ</PersonNm>
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        <PersonNm>DEBRA BOGEN</PersonNm>
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        <PersonNm>SUSAN KANSAGRA</PersonNm>
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        <PersonNm>ELIZABETH HERTEL</PersonNm>
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        <PersonNm>JENNIFER SHUFORD</PersonNm>
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        <PersonNm>IHSAN AZZAM</PersonNm>
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        <PersonNm>UMAIR A SHAH</PersonNm>
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        <PersonNm>ESTHER L MUNA CNMI</PersonNm>
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        <PersonNm>PAMELA PONTONES</PersonNm>
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        <PersonNm>RICHARD HAMBURG SAFE STATES</PersonNm>
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        <PersonNm>MYLYNN TUFTE</PersonNm>
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        <PersonNm>MICHAEL ROBERT FRASER</PersonNm>
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        <PersonNm>ZARNAAZ BASHIR</PersonNm>
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        <PersonNm>JOHN T LANE</PersonNm>
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        <PersonNm>AMBER N WILLIAMS</PersonNm>
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        <PersonNm>ADAM D STALEY</PersonNm>
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        <PersonNm>KIMBERLEE WYCHE ETHERIDGE</PersonNm>
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        <PersonNm>LINDSEY MYERS</PersonNm>
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        <PersonNm>MARCUS G PLESCIA</PersonNm>
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        <PersonNm>KARL ENSIGN</PersonNm>
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        <PersonNm>CHRISTINE MACKIE</PersonNm>
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        <PersonNm>JAMIE PINA</PersonNm>
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        <PersonNm>JAN TAYLOR</PersonNm>
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        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
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        <CurrentYearAmt>1000000</CurrentYearAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE YEARS ENDED SEPTEMBER 30, 2024 AND 2023, ASTHO HAS DETERMINED THAT NO MATERIAL UNCERTAIN TAX POSITIONS QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
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        <ExplanationTxt>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 GRANTS MANAGER PRIOR TO PAYMENT TO ENSURE COMPLIANCE WITH TERMS.</ExplanationTxt>
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      <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>
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        <PurposeOfGrantTxt>NATIONAL INFRASTRUCTURE FOR MITIGATING THE IMPACT OF COVID-19 WITHIN RACIAL AND ETHNIC MINORITY COMMUNITIES</PurposeOfGrantTxt>
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      <RecipientTable>
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          <AddressLine1Txt>ONE ASHBURTON PLACE 9TH FLOOR</AddressLine1Txt>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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        <USAddress>
          <AddressLine1Txt>P O BOX 500409</AddressLine1Txt>
          <CityNm>SAIPAN</CityNm>
          <StateAbbreviationCd>MP</StateAbbreviationCd>
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      <RecipientTable>
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          <BusinessNameLine1Txt>GUAM'S ALTERNATIVE LIFESTYLE ASSOCIATION</BusinessNameLine1Txt>
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          <CityNm>HAGATNA</CityNm>
          <StateAbbreviationCd>GU</StateAbbreviationCd>
          <ZIPCd>96932</ZIPCd>
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        <PurposeOfGrantTxt>PUBLIC HEALTH COLLABORATIVE TO IMPROVE CARDIOVASCULAR HEALTH OUTCOMES</PurposeOfGrantTxt>
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          <AddressLine1Txt>ELM CARLTON STREETS</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14263</ZIPCd>
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          <CityNm>GRANDS RAPIDS</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49503</ZIPCd>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
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        <PurposeOfGrantTxt>BUILDING CAPACITY TO REDUCE MENTHOL AND FLAVORED COMMERCIAL TOBACCO PRODUCTS</PurposeOfGrantTxt>
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          <StateAbbreviationCd>MD</StateAbbreviationCd>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>315762</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ADAM D STALEY</PersonNm>
        <TitleTxt>SENIOR VICE PRESIDENT</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>3329</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>306248</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CAROLYN MULLEN</PersonNm>
        <TitleTxt>SENIOR VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>256739</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>31666</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2112</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>303814</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KIMBERLEE WYCHE ETHERIDGE</PersonNm>
        <TitleTxt>SENIOR VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>243568</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>12617</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>30046</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3655</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>289886</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTINE MACKIE</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>208626</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>16131</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>27095</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>30383</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>282235</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KARL ENSIGN</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>203924</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>10944</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>26063</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>37113</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>278044</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAN TAYLOR</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>215391</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>11235</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>26755</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24301</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>277682</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMIE PINA</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>170469</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17734</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16662</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>204865</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>ASTHO HAS AN ACHIEVEMENT AWARD PROGRAM THAT IS OPEN TO ALL FULL-TIME AND PART-TIME EMPLOYEES. ACHIEVEMENT AWARD RECOMMENDATIONS MUST BE MADE BY THE EMPLOYEE'S IMMEDIATE SUPERVISOR AND APPROVED BY THE SUPERVISOR'S CHIEF. THE ACHIEVEMENT AWARD, A ONE-TIME CASH AWARD IS TO PROVIDE IMMEDIATE RECOGNITION FOR A SPECIFIC ACTION OR ACHIEVEMENT BEYOND WHAT IS NORMALLY EXPECTED OF AN EMPLOYEE. ADDITIONALLY, ASTHO MAY PERIODICALLY PROVIDE A PERFORMANCE OR ACHIEVEMENT BONUS TO INDIVIDUALS AS DEEMED APPROPRIATE. BONUS AMOUNTS ARE DISCUSSED WITH SENIOR DIRECTORS AND/OR THE EXECUTIVE LEADERSHIP TEAM, SENIOR DIRECTOR AND OPSD (HR) APPROVAL REQUIRED. THE BONUS FOR THE CEO IS PART OF HIS CONTRACT AND UP TO THE CAP OF 10% IS DETERMINED AND APPROVED ANNUALLY BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <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 THE MEMBERS OF MEMBERS SHALL SERVE AS THE POLICY MAKING BODY OF THE ASSOCIATION, AND SHALL CONSIST OF ALL ELIGIBLE VOTING MEMBERS OF THE ASSOCIATION, AS APPROVED 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 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'S 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 THE 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 OR SURVEYS, AS WELL AS APPROVAL BY THE BOARD. ASTHO'S INTERNAL COMPENSATION PLAN, WHICH IS BASED ON PUBLISHED SALARY SERVICE 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 AND CONSULTING FEES: PROGRAM SERVICE EXPENSES 15,884,409. MANAGEMENT AND GENERAL EXPENSES 1,522,666. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,407,075. OTHER FEES: PROGRAM SERVICE EXPENSES 82,587. MANAGEMENT AND GENERAL EXPENSES 317,964. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 400,551.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>