TY 2017 Form 990

- TIN:

Form990

Department of the TreasuryInternal Revenue Service

Return of Organization Exempt From Income Tax

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Do not enter social security numbers on this form as it may be made public.

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

A For the 2019 calendar year, or tax year beginning 10-01-2017 , and ending 09-30-2018

BCheck if applicable: Address change Name change Initial return Final return/terminated Amended return Application pending

CName of organization
COUNCIL OF STATE AND TERRITORIAL
EPIDEMIOLOGISTS INC

Doing business as

Number and street (or P.O. box if mail is not delivered to street address)
2635 CENTURY PARKWAY NE NO 700

Room/suite

City or town, state or province, country, and ZIP or foreign postal code
ATLANTA, GA30345

D Employer identification number

23-7410799

E Telephone number

G Gross receipts $ 21,882,598

F Name and address of principal officer:
JEFFREY P ENGEL MD
2635 CENTURY PARKWAY NE NO 700
ATLANTA,GA30345

Tax-exempt status: 501(c)(3) 501(c) ( 6 ) LeftBullet

(insert no.) 4947(a)(1) or 527

Website:

WWW.CSTE.ORG

H(a)

Is this a group return for
subordinates? Yes No

H(b)

Are all subordinates
included?

Yes No

If "No," attach a list. (see instructions)

H(c)

Group exemption number MediumBullet

K Form of organization: Corporation Trust Association Other MediumBullet

L Year of formation: 1992

M State of legal domicile: GA

Part I

Summary

1	Briefly describe the organization’s mission or most significant activities: DEVELOPMENT OF STATE SURVEILLANCE AND EPIDEMIOLOGIST TRAININGVISION STATEMENTTHE COUNCIL OF STATE AND TERRITORIAL EPIDEMIOLOGISTS IS COMMITTED TO IMPROVING THE PUBLIC'S HEALTH BY SUPPORTING THE EFFORTS OF EPIDEMIOLOGISTS WORKING AT THE STATE AND LOCAL LEVEL TO INFLUENCE PUBLIC HEALTH PROGRAMS AND POLICY BASED ON SCIENCE AND DATA.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	10
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	58
6	Total number of volunteers (estimate if necessary) .............	6	975
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	278
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	17,071,097	20,508,715
9	Program service revenue (Part VIII, line 2g) .........	1,062,815	1,350,157
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	8,450	-79,966
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	13,896	10,491
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	18,156,258	21,789,397
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	5,481,098	6,984,047
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	4,441,674	5,407,819
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	7,900,151	8,851,310
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	17,822,923	21,243,176
19	Revenue less expenses. Subtract line 18 from line 12.......	333,335	546,221
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	4,314,631	5,934,263
21	Total liabilities (Part X, line 26).............	2,146,919	3,220,330
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,167,712	2,713,933

Part II

Signature Block

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

Sign Here

	Signature of officer	Date

	Type or print name and title

Paid Preparer Use Only

Print/Type preparer's name

Preparer's signature

Date

Check if
self-employed

PTIN

Firm's name MediumBullet

Firm's EIN MediumBullet

Firm's address MediumBullet

Phone no.

May the IRS discuss this return with the preparer shown above? (see instructions) ..........YesNo

For Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 11282Y Form 990 (2019)

Form 990 (2019)

Page 2

Part III

Statement of Program Service Accomplishments

Check if Schedule O contains a response or note to any line in this Part III..............

Briefly describe the organization’s mission: SEE SCHEDULE OCSTE PROMOTES THE EFFECTIVE USE OF EPIDEMIOLOGIC DATA TO GUIDE PUBLIC HEALTH PRACTICE AND IMPROVE HEALTH. CSTE ACCOMPLISHES THIS BY SUPPORTING THE USE OF EFFECTIVE PUBLIC HEALTH SURVEILLANCE AND GOOD EPIDEMIOLOGIC PRACTICE THROUGH TRAINING, CAPACITY DEVELOPMENT, PEER CONSULTATION, DEVELOPING STANDARDS FOR PRACTICE, AND ADVOCATING FOR RESOURCES AND SCIENTIFICALLY BASED POLICY.

Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ..................... Yes No

If "Yes," describe these new services on Schedule O.

Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ........................... Yes No

If "Yes," describe these changes on Schedule O.

Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	SEE SCHEDULE OCDC/CSTE APPLIED EPIDEMIOLOGY FELLOWSHIP PROGRAM:CREATED IN 2003, THE APPLIED EPIDEMIOLOGY FELLOWSHIP (AEF) IS DESIGNED FOR RECENT MASTER'S OR DOCTORAL-LEVEL GRADUATES IN EPIDEMIOLOGY OR A RELATED FIELD WHO ARE INTERESTED IN PUBLIC HEALTH PRACTICE AT THE STATE OR LOCAL LEVEL. THE PROGRAM PROVIDES RIGOROUS TRAINING AND MENTORSHIP FOR ITS PARTICIPANTS WHILE ALSO BEING FLEXIBLE TO MEET THE SUBJECT AREA INTERESTS OF THE FELLOW. FELLOWS DEVELOP A SET OF CORE SKILLS THROUGH COMPETENCY-BASED TRAINING.BASED ON THE EPIDEMIC INTELLIGENCE SERVICE (EIS) PROGRAM AND USING A MENTORSHIP MODEL, THE FELLOWSHIP OFFERS A UNIQUE OPPORTUNITY FOR GRADUATES TO DEVELOP EPIDEMIOLOGIC SKILLS WITH HIGH QUALITY, ON-THE-JOB TRAINING. FELLOWS WORK CLOSELY WITH HIGHLY TRAINED AND EXPERIENCED EPIDEMIOLOGISTS AT THE STATE AND LOCAL LEVEL, AS WELL AS THOSE WORKING AT THE FEDERAL LEVEL WITH CDC. OVERALL, 88% OF FELLOWSHIP GRADUATES WORKED IN STATE, LOCAL, OR FEDERAL PUBLIC HEALTH AGENCIES FOR A LEAST A YEAR FOLLOWING THE FELLOWSHIP.AEF HIGHLIGHTS:1) STEPHANIE JOHNSON, MPH, A CLASS XV FELLOW AT THE MINNESOTA DEPARTMENT OF HEALTH WAS DEPLOYED TO AMERICAN SAMOA IN SEPTEMBER 2017 TO ASSIST WITH A DENGUE OUTBREAK THAT BEGAN IN NOVEMBER 2016. FOR THREE WEEKS, SHE WORKED TO ORGANIZE AND MAINTAIN FIELD MATERIALS, AS WELL AS MANAGED THE DIFFERENT INTERVIEWER AND PHLEBOTOMIST TEAMS FORMED. STEPHANIE ALSO ASSISTED IN A HOUSEHOLD CLUSTER INVESTIGATION TO IDENTIFY PEOPLE WITH RECENT DENGUE VIRUS INFECTION AND IDENTIFY BEHAVIORAL OR ENVIRONMENTAL FACTORS ASSOCIATED WITH INFECTION. HER TEAM'S WORK WAS PUBLISHED IN THE NOVEMBER 2018 MORBIDITY AND MORTALITY WEEKLY REPORT (MMWR) AND HIGHLIGHTED IN CSTE'S BLOG.2) KAITLYN SYKES, MPH, A CLASS XIV FELLOW AT THE MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH, USED CSTE'S ALCOHOL AND OTHER DRUGS SUBCOMMITTEE RECOMMENDED 18 INDICATORS TO QUANTIFY INDICATORS OF MENTAL HEALTH AND SUBSTANCE USE FOR THE FIRST TIME AT THAT JURISDICTION. SHE ANALYZED THE MENTAL HEALTH AND SUBSTANCE ABUSE INDICATORS FOR 2010-2014, AS WELL AS CREATED A FIVE-YEAR REPORT FOR ALL MENTAL HEALTH AND SUBSTANCE ABUSE INDICATORS. 3) KELLY WALBLAY, MPH, A CLASS XV INFECTIOUS DISEASE FELLOW AT THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH PARTICIPATED IN THE INVESTIGATION AND RESPONSE EFFORTS TO IDENTIFY COAGULOPATHY CASES LINKED TO SYNTHETIC CANNABINOID USE MARCH-APRIL 2018. DURING THE INVESTIGATION, KELLY ASSISTED WITH COLLECTION OF KEY EXPOSURE AND MEDICAL OUTCOMES DATA BY DEVELOPING A PATIENT QUESTIONNAIRE TO COLLECT DATA ON PATIENT DEMOGRAPHICS, POTENTIAL EXPOSURES AND OUTCOMES. SHE ALSO WORKED WITH LAB STAFF TO COLLECT LONG-ACTING ANTICOAGULANT PANEL TESTING RESULTS OF EACH CASE. FROM HER EXPERIENCE, SHE CO-AUTHORED A CENTERS FOR DISEASE CONTROL AND PREVENTION'S MORBIDITY AND MORTALITY WEEKLY REPORT PUBLISHED IN MAY 2018.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	SEE SCHEDULE OTRAININGS AND RESOURCES: 1) RELEASED THE 2017 EPIDEMIOLOGY CAPACITY ASSESSMENT REPORT DESCRIBING THE FUNCTION AND NUMBER OF EPIDEMIOLOGISTS IN STATE HEALTH DEPARTMENTS.2) TRAINED 74 INDIVIDUALS ACROSS 15 HEALTH DEPARTMENTS ON PUBLIC HEALTH INFORMATICS USING A TEAM- AND PROJECT-BASED APPROACH THROUGH THE APPLIED INFORMATICS TEAM TRAINING (AITT) PROGRAM.3) PROMOTED PROFESSIONAL DEVELOPMENT AMONG APPLIED EPIDEMIOLOGISTS ON TOPICS OF PUBLIC HEALTH INFORMATICS, EVALUATION, GRANT WRITING, DATA ANALYSIS AND SCIENTIFIC WRITING THROUGH WEBINARS AND TRAININGS.4) PROVIDED VIRTUAL TRAININGS TO 27 JURISDICTIONS ON HOW TO AUTHOR REPORTING SPECIFICATIONS IN THE REPORTABLE CONDITIONS KNOWLEDGE MANAGEMENT SYSTEM (RCKMS) AUTHORING INTERFACE.5) PROVIDED SAS E-LEARNING COURSES TO 15 HIV SURVEILLANCE STAFF ACROSS VARIOUS JURISDICTIONS TO BUILD EPIDEMIOLOGIC CAPACITY.6) RELEASED THE "BEST PRACTICES FOR SURVEILLANCE OF ANTIMICROBIAL RESISTANCE VIA ELECTRONIC LABORATORY REPORTING (ELR)" GUIDANCE DOCUMENT, WHICH SUMMARIZES EXPERIENCES WITH RECEIVING AND PROCESSING CARBAPENEM-RESISTANT ENTEROBACTERIACEAE (CRE) ELR FROM LABORATORIES AND RECOMMENDED RELATED BEST PRACTICES FOR WORKING WITH LABORATORIES AND CRE ELR MESSAGES.7) RELEASED THE ZIKA VIRUS PREPAREDNESS RESOURCES TOOLKIT AND ONLINE REPOSITORY TO ENHANCE PUBLIC HEALTH PROFESSIONALS' CAPACITY TO DEVELOP AND IMPLEMENT EVIDENCE-BASED PREVENTION AND CONTROL STRATEGIES FOR ZIKA AND OTHER MOSQUITO-BORNE DISEASES.8) REVIEWED AND REVISED THE CSTE CLIMATE & HEALTH INDICATORS USING INFORMATION GATHERED IN PREVIOUS PILOT STUDIES, FEEDBACK FROM MEMBERS, AND RESEARCH OF AVAILABLE DATA SOURCES.9) DEVELOPED NEW CSTE CLIMATE & HEALTH INDICATORS TO ADDRESS EMERGING CLIMATE AND HEALTH CONCERNS.10) RELEASED A GUIDANCE DOCUMENT FROM THE OH SURVEILLANCE SUBCOMMITTEE TO PROVIDE STATES WITH IMPLEMENTATION STRATEGIES FOR OH INTEGRATION INTO OTHER AREAS OF PUBLIC HEALTH.11) UPDATED THE CSTE SURVEILLANCE INDICATORS FOR SUBSTANCE ABUSE AND MENTAL HEALTH TO VERSION 2 WITH FEEDBACK FROM PILOTS CONDUCTED IN 2017. PILOTED THE UPDATED VERSION WITH 10 STATES AND FIVE COUNTIES IN SPRING 2018.12) PUBLISHED THE ARTICLE "PREVALENCE OF GABAPENTIN IN DRUG OVERDOSE POSTMORTEM TOXICOLOGY TESTING RESULTS," CO-AUTHORED BY MEMBERS OF THE CSTE OVERDOSE SUBCOMMITTEE, IN THE JOURNAL DRUG AND ALCOHOL DEPENDENCE.13) RELEASED THE SYPHILIS OUTBREAK DETECTION DOCUMENT TO GIVE STD PROGRAMS A FRAMEWORK FOR UNDERSTANDING THEIR EPIDEMIOLOGY, DETERMINING IF AND WHEN AN OUTBREAK MIGHT BE OCCURRING, AND DETERMINING WHEN ADDITIONAL RESOURCES AND ACTIVITIES COULD BE NEEDED TO PREVENT FURTHER TRANSMISSION OF DISEASE.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	SEE SCHEDULE OBUILDING STLT CAPACITY:1) FOSTERED SHARED LEARNING AND NETWORKING WITH 70 MENTEES AND 54 MENTORS AS PART OF THE CSTE EARLY CAREER PROFESSIONALS MENTORSHIP PROGRAM.2) IN PARTNERSHIP WITH CDC, HOSTED A FOUR-PART WEBINAR SERIES TO BUILD EVALUATION CAPACITY AMONG EPIDEMIOLOGISTS.3) CONTINUED TO SUPPORT INITIAL ECR IMPLEMENTATION SITES UTILIZING RCKMS THROUGH THE DIGITAL BRIDGE INITIATIVE. 4) CONDUCTED THE 2017 STATE REPORTABLE CONDITIONS ASSESSMENT (SRCA) TO CAPTURE REPORTABLE CONDITIONS AND REQUIREMENTS BY STATE.5) FUNDED NINE JURISDICTIONS TO IMPLEMENT NOVEL SURVEILLANCE PROJECTS TO ADDRESS EMERGING ISSUES IN SUBSTANCE USE AND MENTAL HEALTH.6) FUNDED FIVE JURISDICTIONS TO PILOT THE EXPANSION OF EXISTING INFLUENZA SURVEILLANCE SYSTEMS AND INFORMATICS TO FACILITATE THE EXCHANGE OF DATA NECESSARY TO DETERMINE THE WEEKLY PROPORTION OF ILI DUE TO INFLUENZA AND ESTIMATE THE OUTPATIENT DISEASE BURDEN OF INFLUENZA.7) CONTINUED FUNDING FOR THREE HEALTH DEPARTMENTS TO PARTICIPATE IN LABORATORY-CONFIRMED, POPULATION-BASED, ALL AGES, INFLUENZA HOSPITALIZATION SURVEILLANCE FOR THE 2017-18 INFLUENZA SEASON.8) PROVIDED SUPPORT TO SEVEN JURISDICTIONS TO FURTHER INTERSTATE PARTNERSHIPS THROUGH WORK AROUND ZOONOTIC DISEASE BETWEEN HUMAN, ANIMAL HEALTH, AND YOUTH IN AGRICULTURE ORGANIZATIONS AT THE STATE AND LOCAL LEVEL. 9) DEVELOPED A PEER-TO-PEER TECHNICAL ASSISTANCE MENTORSHIP PROGRAM FOR HAI COORDINATORS TO PROMOTE COLLABORATION, KNOWLEDGE SHARING, AND PROVIDE PEER SUPPORT TO NEWER HAI COORDINATORS.10) CONDUCTED ASSESSMENT OF INFECTION PREVENTION AND CONTROL RESOURCES AND CAPACITY TO ASSESS STATE HAI PROGRAMS' INFECTION PREVENTION AND CONTROL RESOURCES, CAPACITY, AND ACTIVITIES FOLLOWING 2014 EBOLA FUNDING.11) THE MCH SUBCOMMITTEE FORMED A NEONATAL ABSTINENCE SYNDROME (NAS) WORKGROUP AND DEVELOPED AN ASSESSMENT OF STATE SURVEILLANCE PRACTICES AND DATA SOURCES FOR NAS.12) FORMED THE DATA STANDARDIZATION WORKGROUP TO ADDRESS JURISDICTIONAL REPORTING VARIATION BY DEVELOPING CONSENSUS IN THE INTERPRETATION OF DATA ELEMENTS USED IN STATE REPORTING TO CDC, INFORMATION EXCHANGE BETWEEN STATES, AND ANALYSIS.13) FORMED THE DATA RELEASE WORKGROUP DEVELOP GUIDANCE AND SUGGESTED LANGUAGE FOR PUBLIC HEALTH AGENCIES TO DEVELOP RELEASE AND SUPPRESSION POLICIES FOR AGGREGATE DATA.14) SIX STATES (ALASKA, MAINE, NEW YORK, NEW MEXICO, WEST VIRGINIA, PENNSYLVANIA) IMPLEMENTED THE 12-QUESTION MARIJUANA AND PRESCRIPTION DRUG SUPPLEMENT IN THE PREGNANCY RISK ASSESSMENT MONITORING SYSTEM (PRAMS)15) THE MARIJUANA SUBCOMMITTEE COMPLETED AN ENVIRONMENTAL SCAN OF STATE MARIJUANA SURVEILLANCE WITH RESPONSES FROM 35 STATES. CONVENINGS & MEETINGS:1) HOSTED FOUR VECTOR-BORNE DISEASES (VBD) REGIONAL MEETINGS TO INCREASE STATE, TRIBAL, LOCAL, AND TERRITORIAL VBD EPIDEMIOLOGY AND SURVEILLANCE CAPACITY.2) HOSTED THE 9TH ANNUAL CSTE DISASTER EPIDEMIOLOGY (DE) WORKSHOP IN ATLANTA, GA TO IMPROVE ALL-HAZARD DISASTER PREPAREDNESS AND RESPONSE EPIDEMIOLOGY CAPACITY AT ALL LEVELS OF PUBLIC HEALTH PRACTICE.3) HOSTED THE ICD-10-CM TRANSITION WORKGROUP AND THE ICD-10-CM DRUG POISONING INDICATORS WORKGROUP MEETINGS IN ATLANTA, GA IN FALL 2017.4) HELD THE FIRST CSTE SUBSTANCE USE AND MENTAL HEALTH STRATEGIC PLANNING MEETING IN ATLANTA, GA WITH LEADERSHIP FROM SEVEN OF CSTE'S SUBCOMMITTEES.5) HOSTED A TECHNICAL REVIEW OF THE U.S. INFLUENZA SURVEILLANCE SYSTEM WHICH CONVENED REPRESENTATIVES FROM CDC, STLT HEALTH DEPARTMENTS/LABORATORIES, AND SEVERAL ACADEMIC, FEDERAL AND INTERNATIONAL PARTNERS TO EVALUATE THE U.S. INFLUENZA SURVEILLANCE SYSTEM AND IDENTIFY IMPROVEMENTS FOR A MORE EFFICIENT, ROBUST, AND USEFUL SYSTEM.6) HOSTED A TRAVEL HISTORY DATA HARMONIZATION WORKSHOP IN OCTOBER 2017 TO SHARE HOW JURISDICTIONS COLLECT TRAVEL HISTORY INFORMATION AND VET CDC'S TRAVEL HISTORY HARMONIZATION EFFORTS THROUGH CDC'S SURVEILLANCE DATA PLATFORM (SDP).7) CONTINUED SERVING AS CO-CHAIR FOR THE COUNCIL TO IMPROVE FOODBORNE OUTBREAK RESPONSE (CIFOR) WITH TWO IN-PERSON COUNCIL MEETINGS IN DENVER IN FALL 2017 AND NEW ORLEANS IN SPRING 2018, AND THE COUNCIL FOR OUTBREAK RESPONSE: HEALTHCARE-ASSOCIATED INFECTIONS AND ANTIMICROBIAL RESISTANT PATHOGENS (CORHA) WITH A MEETING IN FALL 2017 IN ATLANTA, GA.8) CONVENED TWO IN-PERSON MEETINGS OF THE CSTE/CDC/APHL ANTIMICROBIAL RESISTANCE SURVEILLANCE TASK FORCE (ARSTF), FOCUSED ON DEVELOPING RECOMMENDATIONS TO IMPROVE AR SURVEILLANCE CAPACITY IN THE UNITED STATES.9) CO-HOSTED THE FORUM ON CULTURE-INDEPENDENT DIAGNOSTICS WITH CDC, APHL, THE PEW CHARITABLE TRUSTS, AND OHIO STATE UNIVERSITY. THE FORUM, HELD PREVIOUSLY IN 2012, ADDRESSED CIDT IMPACTS ON PUBLIC HEALTH PRACTICE, ISOLATE-BASED SURVEILLANCE, AND TECHNOLOGICAL SOLUTIONS.10) CO-HOSTED THE 2017 INTEGRATED FOODBORNE OUTBREAK RESPONSE AND MANAGEMENT CONFERENCE (INFORM). THIS BIENNIAL CONFERENCE HIGHLIGHTED THE WAYS NEXT GENERATION SEQUENCING TECHNOLOGY IS ADVANCING THE ACCURACY AND SENSITIVITY OF PUBLIC HEALTH FOODBORNE INVESTIGATIONS. POLICY - CO-SIGNED SEVERAL LETTERS TO CONGRESS IN 2017-18, INCLUDING A LETTER WITH APHL IN SUPPORT OF CDC BUDGET PRIORITIES. OTHER ADVOCACY LETTERS CSTE CO-SIGNED INCLUDE:1) IN SUPPORT OF PAPHA REAUTHORIZATION2) IN OPPOSITION TO A CONGRESSIONAL REVIEW ACT RESOLUTION OF DISAPPROVAL TO REPEAL AN OSHA REGULATION ABOUT MAINTAIN RECORDS OF WORK-RELATED INJURIES AND ILLNESSES3)IN SUPPORT OF MATERNAL & CHILD HEALTH FUNDING4)IN SUPPORT OF NIOSH FUNDING5)IN SUPPORT OF TB FUNDING6)JOINING MEDICAL AND PUBLIC HEALTH ORGANIZATIONS TO URGE ACTION ON COMMON-SENSE COMPREHENSIVE GUN VIOLENCE PREVENTION LEGISLATION7)SUSPEND THE IMPENDING CUTS TO THE CLINICAL LABORATORY FEE SCHEDULE (CLFS)8)IN SUPPORT OF THE AMR CHALLENGEPOLICY - SUBMITTED COMMENTS ON THE CMS PROPOSED RULE FOR THE INPATIENT PROSPECTIVE PAYMENT SYSTEM (IPPS) AND PROMOTING INTEROPERABILITY PROGRAM.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses

Form 990 (2019)

Page 3

Part IV

Checklist of Required Schedules

Yes

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A.....................

Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment

...

Yes

Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I Click to see attachment

.............

Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II.........

Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III Click to see attachment

Yes

Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I Click to see attachment

.........................

Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II Click to see attachment

....

Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part III Click to see attachment

..............

Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV Click to see attachment

..............

Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......

If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.

Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment

...................

11a

Yes

Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII Click to see attachment

.......

11b

Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII Click to see attachment

.......

11c

Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX Click to see attachment

............

11d

Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X Click to see attachment

11e

Yes

Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X Click to see attachment

11f

Yes

12a

Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII Click to see attachment

......................

12a

Yes

Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment

12b

Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E

14a

Did the organization maintain an office, employees, or agents outside of the United States? .....

14a

Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV......... Click to see attachment

14b

Yes

Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV..... Click to see attachment

Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment

Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....

Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............

Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................

20a

Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....

20a

If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?

20b

Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..... Click to see attachment

Yes

Form 990 (2019)

Page 4

Part IV

Checklist of Required Schedules (continued)

Yes

Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment

Yes

Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment

Yes

24a

Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............

24a

Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...

24b

Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............

24c

Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...

24d

25a

Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....

25a

Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................

25b

Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........

Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?

If "Yes," complete

Schedule L, Part III.........................

Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):

A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................

28a

A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....

28b

A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV.....................

28c

Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..

Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................

Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I

Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................

Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............

Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................

35a

Did the organization have a controlled entity within the meaning of section 512(b)(13)?

35a

If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...

35b

Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............

Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI

Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............

Yes

Part V

Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........

Yes

Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ..

Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .

Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................

Yes

Form 990 (2019)

Page 5

Part V

Statements Regarding Other IRS Filings and Tax Compliance (continued)

Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................

If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)

Yes

Did the organization have unrelated business gross income of $1,000 or more during the year?...

If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...

At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..

If "Yes," enter the name of the foreign country: MediumBullet

See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).

Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..

Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............

Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...

Yes

If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................

Yes

Organizations that may receive deductible contributions under section 170(c).

Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................

If "Yes," did the organization notify the donor of the value of the goods or services provided? .....

Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................

If "Yes," indicate the number of Forms 8282 filed during the year ....

Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?

Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..

If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................

If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................

Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........

Sponsoring organizations maintaining donor advised funds.

Did the sponsoring organization make any taxable distributions under section 4966?........

Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...

Section 501(c)(7) organizations. Enter:

Initiation fees and capital contributions included on Part VIII, line 12 ...

10a

Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities

10b

Section 501(c)(12) organizations. Enter:

Gross income from members or shareholders .........

11a

Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........

11b

12a

Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?

12a

If "Yes," enter the amount of tax-exempt interest received or accrued during the year.

12b

Section 501(c)(29) qualified nonprofit health insurance issuers.

Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.

13a

Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....

13b

Enter the amount of reserves on hand ............

13c

14a

Did the organization receive any payments for indoor tanning services during the tax year?.....

14a

If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..

14b

Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.

Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.

Form 990 (2019)

Page 6

Part VI

Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.

Check if Schedule O contains a response or note to any line in this Part VI..............

Section A. Governing Body and Management

Yes

Enter the number of voting members of the governing body at the end of the tax year

If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.

Enter the number of voting members included in line 1a, above, who are independent

Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................

Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .

Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .

Did the organization become aware during the year of a significant diversion of the organization’s assets? .

Did the organization have members or stockholders? ................

Yes

Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................

Yes

Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................

Yes

Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:

The governing body? .......................

Yes

Each committee with authority to act on behalf of the governing body? ............

Yes

Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......

Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)

Yes

10a

Did the organization have local chapters, branches, or affiliates? ............

10a

If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?

10b

11a

Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................

11a

Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....

12a

Did the organization have a written conflict of interest policy? If "No," go to line 13.......

12a

Yes

Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................

12b

Yes

Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................

12c

Yes

Did the organization have a written whistleblower policy? ...............

Yes

Did the organization have a written document retention and destruction policy? .........

Yes

Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?

The organization’s CEO, Executive Director, or top management official ...........

15a

Yes

Other officers or key employees of the organization ................

15b

Yes

If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).

16a

Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................

16a

If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............

16b

Section C. Disclosure

List the states with which a copy of this Form 990 is required to be filed MediumBullet

Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.

Own website Another's website Upon request Other (explain in Schedule O)

Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.

State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBullet

JEFFREY P ENGEL MD2635 CENTURY PARKWAY NE SUITE 700 ATLANTA,GA30345 (770) 458-3811

Form 990 (2019)

Page 7

Part VII

Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors

Check if Schedule O contains a response or note to any line in this Part VII..............

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet

List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

List all of the organization’s current key employees, if any. See instructions for definition of "key employee."

List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See instructions for the order in which to list the persons above.

Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)			(D) Reportable compensation from the organization (W-2/1099-MISC)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) JOSEPH MCLAUGHLIN...................................................................... VICE PRESIDENT	2.00 .................	X	X		0	0	0
(2) BARBARA GABELLA...................................................................... CROSS CUTTING I	3.00 .................	X			0	0	0
(3) SHARON WATKINS PHD...................................................................... ENVIRONMENTAL/OCCUPATIONAL	7.00 .................	X			0	0	0
(4) SARAH PARK MD...................................................................... PRESIDENT-ELECT	2.00 .................	X	X		0	0	0
(5) RICHARD DANILA PHD MPH...................................................................... INFECTIOUS DISEASE	5.00 .................	X			0	0	0
(6) AARON FLEISCHAUER...................................................................... CROSS CUTTING II	3.00 .................	X			0	0	0
(7) JANET HAMILTON...................................................................... PRESIDENT	6.00 .................	X	X		0	0	0
(8) MARCELLE LAYTON...................................................................... SECRETARY-TREAS.	4.00 .................	X	X		0	0	0
(9) ROBERT GRAFF PHD...................................................................... CHRONIC DISEASE/MATERNAL & CHILD HEALTH	3.00 .................	X			0	0	0
(10) KATHRYN TURNER...................................................................... SURVEILLANCE/INFORMATICS	3.00 .................	X			0	0	0
(11) JEFFREY P ENGEL MD...................................................................... EXECUTIVE DIRECTOR	40.00 .................		X		244,864	0	34,644
(12) JOHN LISCO...................................................................... SENIOR DIRECTOR OF FINANCE	40.00 .................		X		160,082	0	20,088
(13) BEVERLY CHRISTNER...................................................................... DIRECTOR OF OPERATIONS	40.00 .................			X	143,645	0	27,493
(14) LAKESHA ROBINSON...................................................................... SENIOR DEPUTY DIRECTOR	24.30 .................			X	118,973	0	38,422
(15) JENNIFER LEMMINGS...................................................................... SENIOR DIRECTOR OF PROGRAMS	40.00 .................			X	106,722	0	39,783

Form 990 (2019)

Page 8

Part VII

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)						(D) Reportable compensation from the organization (W-2/1099-MISC)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	774,286	0	160,430

Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet

Yes

Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............

For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................

Yes

Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........

Section B. Independent Contractors

Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.

(A) Name and business address	(B) Description of services	(C) Compensation
NORTHROP GRUMMAN PO BOX 88830 CHICAGO,IL60695	MARKETING	1,449,801
HLN 72810 HEDGEHOG ST PALM DESERT,CA92260	CONSULTING	1,171,351
CASTLETON UNIVERSITY 62 ALUMNI DR CASTLETON,VT05735	CONSULTING	568,697
ATPA UOP INVESTMENTS PO BOX 654187 DALLAS,TX75265	PROPERTY RENTAL	274,019
CATHERINE STAES, 4335 S PIN OAK STREET SALT LAKE CITY,UT84124	CONSULTING	149,976
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 5

Form 990 (2019)

Page 9

Part VIII

Statement of Revenue

Check if Schedule O contains a response or note to any line in this Part VIII.............

(A)
Total revenue

(B)
Related or
exempt
function
revenue

(D)
Revenue
excluded from
tax under sections
512 - 514

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	20,508,715

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		20,508,715

		Business Code
2a	ANNUAL MEETINGS	611430	1,101,036	1,097,149	3,887
b	MEMBER FEES	611430	249,121	249,121
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,350,157

3 Investment income (including dividends, interest, and othersimilar amounts) ......			13,235			13,235
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses	93,201		7b
c	Gain or (loss)	-93,201		7c
d	Net gain or (loss).........			-93,201			-93,201
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	JOB POSTINGS		541800	10,213			10,213
b	COMMISSIONS		511130	278		278
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			10,491
12	Total revenue. See instructions.....			21,789,397	1,346,270	278	-65,866

Form 990 (2019)

Page 10

Part IX

Statement of Functional Expenses

Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.		(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	5,021,885
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	1,962,162
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	468,712
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	3,599,089
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	182,729
9	Other employee benefits .......	882,668
10	Payroll taxes ...........	274,621
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	31,585
c	Accounting ...........	22,210
d	Lobbying ...........	17,555
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	1,744,229
12	Advertising and promotion ....
13	Office expenses .......	290,367
14	Information technology ......	473,851
15	Royalties ..
16	Occupancy ...........	351,717
17	Travel ............	2,753,129
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	540,437
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	92,820
23	Insurance ...	34,815
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	DEVELOPMENT AND IMPLEME	1,466,281
b	BH MOBILE APP FOR PUBLI	500,000
c	TELEPHONE/WEBEX	164,251
d	COMMUNITY FOCUSED RAPID	149,993
e	All other expenses	218,070
25	Total functional expenses. Add lines 1 through 24e	21,243,176
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Form 990 (2019)

Page 11

Part X

Balance Sheet

Check if Schedule O contains a response or note to any line in this Part IX..............

				(A) Beginning of year		(B) End of year

1	Cash–non-interest-bearing ........			100	1	815
2	Savings and temporary cash investments .........			2,344,791	2	3,364,658
3	Pledges and grants receivable, net ......			1,393,261	3	1,534,448
4	Accounts receivable, net .............			14,199	4	187,156
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			898	7
8	Inventories for sale or use ............				8
9	Prepaid expenses and deferred charges ......			401,666	9	169,916
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	826,040
b	Less: accumulated depreciation	10b	214,673	143,531	10c	611,367
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			16,185	15	65,903
16	Total assets. Add lines 1 through 15 (must equal line 33)...			4,314,631	16	5,934,263

17	Accounts payable and accrued expenses .....	2,068,138	17	2,987,672
18	Grants payable ...		18
19	Deferred revenue .........	62,718	19	86,968
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	16,063	25	145,690
26	Total liabilities. Add lines 17 through 25..	2,146,919	26	3,220,330

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	2,167,712	32	2,713,933
33	Total liabilities and net assets/fund balances ........	4,314,631	33	5,934,263

Form 990 (2019)

Page 12

Part XI

Reconcilliation of Net Assets

Check if Schedule O contains a response or note to any line in this Part XI..............

Total revenue (must equal Part VIII, column (A), line 12) ............

21,789,397

Total expenses (must equal Part IX, column (A), line 25) ............

21,243,176

Revenue less expenses. Subtract line 2 from line 1 ..............

546,221

Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..

2,167,712

Net unrealized gains (losses) on investments ...............

Donated services and use of facilities .................

Investment expenses .....................

Prior period adjustments .....................

Other changes in net assets or fund balances (explain in Schedule O) ........

Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))

2,713,933

Part XII

Financial Statements and Reporting

Check if Schedule O contains a response or note to any line in this Part XII.............

Yes

Accounting method used to prepare the Form 990: Cash Accrual Other
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.

Were the organization’s financial statements compiled or reviewed by an independent accountant?

If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

Were the organization’s financial statements audited by an independent accountant?

Yes

If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?

If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.

As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?

Yes

If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.

Yes

Form 990 (2019)

Additional Data

Software ID:
Software Version:

Form 990, Special Condition Description:

Special Condition Description

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

COUNCIL OF STATE AND TERRITORIAL
EPIDEMIOLOGISTS INC

Employer identification number

23-7410799

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization COUNCIL OF STATE AND TERRITORIAL EPIDEMIOLOGISTS INC

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization COUNCIL OF STATE AND TERRITORIAL EPIDEMIOLOGISTS INC		Employer identification number 23-7410799

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization COUNCIL OF STATE AND TERRITORIAL EPIDEMIOLOGISTS INC			Employer identification number 23-7410799
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

COUNCIL OF STATE AND TERRITORIAL
EPIDEMIOLOGISTS INC

Employer identification number

23-7410799

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2019

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2019

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

97,946

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

17,555

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

17,555

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

63,665

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

-46,110

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

COUNCIL OF STATE AND TERRITORIAL
EPIDEMIOLOGISTS INC

Employer identification number

23-7410799

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2019

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....
b	Buildings ....
c	Leasehold improvements	43,963	1,099	42,864
d	Equipment ....	782,077	213,574	568,503
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				611,367

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	145,690
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	21,882,598
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	93,201
e	Add lines 2a through 2d .....................			2e	93,201
3	Subtract line 2e from line 1..................			3	21,789,397
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	21,789,397

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	21,336,377
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	93,201
e	Add lines 2a through 2d....................			2e	93,201
3	Subtract line 2e from line 1...................			3	21,243,176
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	21,243,176

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ACCOUNTING STANDARDS THAT PROVIDE GUIDANCE ON WHEN UNCERTAIN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. NO LIABILITY HAS BEEN RECORDED AS OF SEPTEMBER 30, 2018 OR 2017 DUE TO UNCERTAIN TAX POSITIONS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RECLASSIFY LOSS ON DISPOSAL OF FIXED ASSETS 93,201.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RECLASSIFY LOSS ON DISPOSAL OF FIXED ASSETS 93,201.

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization
COUNCIL OF STATE AND TERRITORIAL
EPIDEMIOLOGISTS INC

Employer identification number

23-7410799

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region	(f) Total expenditures for and investments in the region
	EAST ASIA AND THE PACIFIC	0	0	PROGRAM SERVICES	FLU SURVEILLANCE	9,046
	EUROPE (INCLUDING ICELAND & GREENLAND)	0	0	PROGRAM SERVICES	FLU SURVEILLANCE	19,370
	SUB-SAHARAN AFRICA	0	0	PROGRAM SERVICES	FLU SURVEILLANCE	3,893
	SUB-SAHARAN AFRICA	0	0	PROGRAM SERVICES	EBOLA	15,757













3a	Sub-total ....	0	0			48,066
b	Total from continuation sheets to Part I ...	0	0			0
c	Totals (add lines 3a and 3b)	0	0			48,066

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2019

Schedule F (Form 990) 2019

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2019

Schedule F (Form 990) 2019Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2019

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2019

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation
PART I, LINE 2:	EXPENSES WERE DOCUMENTED WITH INVOICES, RECEIPTS & SIGNATURES.

Schedule F (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
COUNCIL OF STATE AND TERRITORIAL
EPIDEMIOLOGISTS INC

Employer identification number
23-7410799

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) URBAN INDIAN HEALTH INSTITUTE 611 12TH AVENUE SOUTH SEATTLE,WA98144	550,000	TRIBAL EVALUATION
(2) MICHIGAN DEPT OF HEALTH AND HUMAN SERV PO BOX 30437 LANSING,MI48909	415,455	INFLUENZA HOSPITAL SP YR 8
(3) GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD 2611 ELDERBERRY BLVD RAPID CITY,SD57703	227,729	TRIBAL EVALUATION
(4) UTAH DEPT OF HEALTH PO BOX 144003 SALT LAKE CITY,UT84114	212,000	INFLUENZA HOSPITAL SP YR 8
(5) GREAT LAKES INTER-TRIBAL EPIDEM 2932 HIGHWAY 47 N PO BOX 9 LAC DU FLAMBEAU,WI54538	191,400	TRIBAL EVALUATION
(6) OHIO DEPARTMENT OF HEALTH PO BOX 15278 COLUMBUS,OH43215	180,000	INFLUENZA HOSPITAL SP YR 8
(7) NORTHWEST PORTLAND AREA INDIAN 2121 SW BROADWAY 300 PORTLAND,OR97201	176,677	TRIBAL EVALUATION
(8) OHIO DEPARTMENT OF HEALTH PO BOX 15278 COLUMBUS,OH43215	143,350	INFORMATICS FIELD ASSIGNEE PILO
(9) ROCKY MOUNTAIN TRIBAL EPI 711 CENTRAL AVENUE SUITE 220 BILLINGS,MT59102	127,600	BEHAVIORAL HEALTH SURV
(10) INTER-TRIBAL COUNCIL OF ARIZONA 2214 NORTH CENTRAL AVE STE100 PHOENIX,AZ85004	127,600	TRIBAL EVALUATION
(11) ALBUQUERQUE AREA INDIAN HEALTH 7001 PROSPECT AVE NE ALBUQURQUE,NM87110	124,717	TRIBAL EVALUATION
(12) JSI RESEARCH & TRAINING INSTITUTE 44 FARNSWORTH STREET BOSTON,MA022101214	117,293	AR CONTAINMENT
(13) UNITED SOUTH & EASTERN TRIBES 711 STEWARTS FERRY PIKE SUITE 100 NASHVILLE,TN37214	116,967	TRIBAL EVALUATION
(14) CALIFORNIA RURAL INDIAN HEALTH 4400 AUBURN BLVD 2ND FLOOR SACRAMENTO,CA95841	116,967	TRIBAL EVALUATION
(15) KENTUCKY DEPT PUBLIC HEALTH 275 E MAIN ST FRANKFORT,KY40621	109,778	INFORMATICS FIELD ASSIGNEE PILO
(16) SOUTHERN PLAINS TRIBAL HEALTH B 9705 N BROADWAY ETENSION SUITE 200 OKLAHOMA CITY,OK73114	102,080	TRIBAL EVALUATION
(17) NAVAJO EPIDEMIOLOGY CENTER PO BOX 3150 WINDOW ROCK,AZ86515	100,000	TRIBAL EVALUATION
(18) ALASKA NATIVE TRIBAL HEALTH 4000 AMBASSADOR DR ANCHORAGE,AK99508	100,000	TRIBAL EVALUATION
(19) IOWA DEPT OF PUBLIC HEALTH 321 E 12TH STREET DES MOINES,IA50319	81,046	FLU
(20) CANCER PATIENTS ALLIANCE 312 FOUNTAIN AVE PACIFIC GROVE,CA93950	80,000	MOBILE APP
(21) INDIANA STATE DEPT OF HEALTH 2 NORTH MERIDIAN STREET INDIANAPOLIS,IN46204	70,820	AR CONTAINMENT
(22) INDIANA STATE DEPT OF HEALTH 2 NORTH MERIDIAN STREET INDIANAPOLIS,IN46204	69,941	FLU
(23) MINNESOTA DEPT OF HEALTH PO BOX 64975 ST PAUL,MN55164	65,360	ONE HEALTH FLU ED YOUTH YR3
(24) SEATTLE-KING COUNTY DEPT OF PUBLIC HEALTH 401 5TH AVE STE 1300 SEATTLE,WA98104	65,324	SCALE PH3 EPI ANALYSES
(25) UNIVERSITY OF CENTRAL FLORIDA PO BOX 160118 ORLANDO,FL328160118	62,000	BEHAVIORAL HEALTH SURV-1
(26) MICHIGAN DEPT OF HEALTH AND HUMAN SERV PO BOX 30437 LANSING,MI48909	61,071	ONE HEALTH FLU ED YOUTH YR3
(27) OHIO DEPARTMENT OF HEALTH PO BOX 15278 COLUMBUS,OH43215	59,538	OPTIONAL INFLUENZA SURV ENH
(28) HEALTH RESEARCH INC RIVERVIEW CENTER 150 BROADWAY STE 560 MENANDS,NY12204	54,584	AR CONTAINMENT PROJECT
(29) OHIO DEPARTMENT OF HEALTH PO BOX 15278 COLUMBUS,OH43215	53,036	ONE HEALTH FLU ED YOUTH YR3
(30) PHILADELPHIA DEPT OF PUBLIC HEALTH 1101 MARKET STREET SUITE 1320 PHILADELPHIA,PA191072934	50,000	OPIOD OVERDOSE (SOON)
(31) MULTNOMAH COUNTY OREGON 421 SW OAK ST SUITE 210 PORTLAND,OR97204	50,000	SES DISPARITIES PILOT PROJECT
(32) MINNESOTA DEPT OF HEALTH PO BOX 64975 ST PAUL,MN55164	50,000	DRUG OVERDOSE AND SUBSTANCE ABUSE
(33) BALTIMORE CITY OF HEALTH DEPARTMENT 200 N HOLIDAY STREET BALTIMORE,MD21202	41,667	OPIOD OVERDOSE (SOON)
(34) SAN MATEO COUNTY PUBLIC HEALTH 225 37TH AVENUE SAN MATEA,CA94403	41,539	COMMUNITY-BASED SOCIAL MEDIA PI
(35) RESEARCH ANALYSIS GROUP LLC PO BOX 941521 ATLANTA,GA31141	41,299	OPIOD USE
(36) KENTUCKY DEPT PUBLIC HEALTH 275 E MAIN ST FRANKFORT,KY40621	37,493	ONE HEALTH FLU ED YOUTH YR3
(37) MINNESOTA DEPT OF HEALTH PO BOX 64975 ST PAUL,MN55164	35,000	ILINET EXPANSION PROJECT
(38) MAINE DEPT OF HEALTH 220 CAPITAL ST AUGUSTA,ME04333	35,000	ILINET EXPANSION PROJECT
(39) WISCONSIN DEPT OF HEALTH SERV PO BOX 1668 MADISON,WI53701	34,999	ILINET EXPANSION PROJECT
(40) PENNSYLVANIA DEPT OF HEALTH 625 FORSTER STREET HARRISBURY,PA17120	34,994	ILINET EXPANSION PROJECT
(41) FLORIDA STATE DEPARTMENT OF HEALTH 4052 BALD CYPRESS WAY TALLAHASSEE,FL323991729	34,099	EXPANSION PROJECT
(42) NORTH DAKOTA DEPT OF HEALTH 600 E BOULEVARD AVE BISMARCK,ND58505	31,572	ONE HEALTH FLU ED YOUTH YR3
(43) INFORMATICS FIELD ASSIGN-YR 2 225 NORTH MCDOWELL ST RALEIGH,NC27603	30,311	INFORMATICS FIELD ASSIGN-YR 2
(44) MAINE DEPT OF HEALTH 220 CAPITAL ST AUGUSTA,ME04333	30,000	ONE HEALTH FLU ED YOUTH YR3
(45) MINNESOTA DEPT OF HEALTH PO BOX 64975 ST PAUL,MN55164	28,500	FLU NEAR YOU
(46) ROSS STRATEGIC 1218 3RD AVENUE SUITE 1207 SEATTLE,WA98101	28,000	TRIBAL SUICIDE INDICATORS
(47) CMT CONSULTING 106 GENEVA STREET DECATUR,GA30030	23,250	TRIBAL SITE VISIT
(48) ALASKA DEPT OF HEALTH 3601 C STREET SUITE 358 ANCHORAGE,AK99503	21,881	MARIJUANA
(49) SOUTHERN NEVADA PO BOX 3902 LAS VEGAS,NV89127	20,000	RCKMS
(50) NEW MEXICO DEPT OF HEALTH PO BOX 25307 ALBUQUERQUE,NM87125	20,000	INDICATOR PILOT PROJECT
(51) CHILDREN'S HOSPITAL CORPORATION PO BOX 414413 BOSTON,MA022414413	20,000	FLU
(52) BOULDER COUNTY PUBLIC HEALTH 3450 BROADWAY BOULDER,CO80304	20,000	SUBSTANCE ABUSE
(53) MINNESOTA DEPT OF HEALTH PO BOX 64975 ST PAUL,MN55164	19,994	INDICATOR PILOT PROJECT
(54) MONTANA DEPT OF PUBLIC HEALTH 1400 BROADWAY RM B102 HELENA,MT59620	19,968	PILOT SUMH INDICATORS
(55) TOTAL INFORMATICS FIELD ASSIGNEE PILO 225 NORTH MCDOWELL ST RALEIGH,NC27603	19,835	INFORMATICS FIELD ASSIGNEE PILO
(56) GEORGIA DEPARTMENT OF PUBLIC HEALTH 2 PEACHTREE ST NW STE 25-455 ATLANTA,GA30303	19,000	PILOT SUMH
(57) OREGON HEALTH DIVISION PO BOX 4325 PORTLAND,OR972089992	18,897	INDICATOR PILOT PROJECT
(58) SAN MATEO COUNTY PUBLIC HEALTH 225 37TH AVENUE SAN MATEA,CA94403	18,766	INDICATOR PILOT PROJECT
(59) MISSISSIPPI DEPT OF HEALTH 570 E WOODROW WILSON JACKSON,MS392151700	18,686	SES DISPARITIES PILOT PROJECT
(60) HEALTH RESEARCH INC 150 BROADWAY STE 560 MENANDS,NY12204	14,354	12 QUESTION MARIJUANA
(61) SONOMA COUNTY DEPT OF HEALTH S 490 MENDOCINO AVE SUITE 101 SANTA ROSA,CA95401	13,954	PILOT SUMH INDICATORS
(62) ST LOUIS COUNTY DEPT OF PUBLIC HEALTH 6121 NORTH HANLEY RD BERKELEY,MO63134	13,682	NALOXONE
(63) NEW MEXICO DEPT OF HEALTH PO BOX 25307 ALBUQUERQUE,NM87125	13,285	12 QUESTION PHASE II MARIJUANA
(64) NORTH DAKOTA DEPT OF HEALTH 600 E BOULEVARD AVE BISMARCK,ND58505	12,500	INFLUENZA INCIDENCE SURV YR 8
(65) MISSISSIPPI DEPT OF HEALTH 570 E WOODROW WILSON JACKSON,MS392151700	11,300	PILOT SUMH INDICATORS
(66) WEST VIRGINIA DEPT OF HEALTH & HUMAN SERV 350 CAPITOL STREET CHARLESTON,WV25301	10,082	12 QUESTION PHASE II MARIJUANA
(67) LOUISIANA DEPT OF HEALTH 1450 POYDRAS STREET NEW ORLEANS,LA70112	8,809	INFORMATICS FIELD ASSIGNEE PILO
(68) PENNSYLVANIA DEPT OF HEALTH 625 FORSTER STREET HARRISBURY,PA17120	8,254	12 QUESTION PHASE II MARIJUANA
(69) MAINE DEPT OF HEALTH 220 CAPITAL ST AUGUSTA,ME04333	7,091	12 QUESTION PHASE II MARIJUANA
(70) WASHIGTON STATE DEPARTMENT OF HEALTH PO BOX 47901 OLYMPIA,WA98504	7,000	APPLIED INFORMATICS TEAM AIT
(71) STATE OF CONNECTICUT DEPT OF PUBLIC HEALTH PO BOX 340308 410 CAPITAL AVENUE HARTFORD,CT061340308	7,000	APPLIED INFORMATICS
(72) NORTH DAKOTA DEPT OF HEALTH 600 E BOULEVARD AVE BISMARCK,ND58505	7,000	APPLIED INFORMATICS TEAM AIT
(73) HELUNA HEALTH 13300 CROSSROADS PKWY N STE 450 CITY OF INDUSTRY,CA91746	7,000	APPLIED INFORMATICS
(74) COLORADO DEPT OF PUBLIC HLTH & ENVIRONMENT 4300 CHERRY CREEK DRIVE SOUTH DENVER,CO802461530	7,000	APPLIED INFORMATICS
(75) TENNESSEE DEPT OF HEALTH 710 JAMES ROBERTSON PARKWAY 6TH FL NASHVILLE,TN37243	5,966	APPLIED INFORMATICS TEAM AIT
(76) OREGON HEALTH DIVISION PO BOX 4325 PORTLAND,OR972089992	5,425	APPLIED INFORMATICS TEAM AIT
(77) ARKANSAS DEPT OF HEALTH 4815 WEST MARKHAM LITTLE ROCK,AR72205	5,100	SUMH INDICATORS

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2019

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) CSTE/CDC APPLIED EPIDEMIOLOGY FELLOWSHIP		1,547,906
(2) OTHER		207,167
(3) CONTRACT PROGRAM SERVICES		180,582
(4) APH INFORMATICS FELLOWSHIP		19,295
(5) HEALTH SYSTEMS INTEGRATION PROGRAM FELLOWSHIP		7,212
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

CSTE EXECUTES A LEGALLY BINDING AGREEMENT WITH ALL GRANTEES. THIS AGREEMENT DESCRIBES THE DETAILED TERMS AND PERMISSIBLE USES OF GRANT FUNDS. FUNDED ENTITIES ARE REQUIRED TO SUBMIT REGULAR PROGRESS REPORTS DETAILING THE USE OF FUNDS 2 - 4 TIMES PER YEAR. PROGRESS REPORTS ARE REVIEWED INTERNALLY AND SHARED WITH STAKEHOLDERS IF NEEDED AND/OR REQUESTED. FUNDED ENTITIES ARE REQUIRED TO SUBMIT BUDGETS DETAILING ESTIMATED COSTS AND EXPENDITURES OF THE AWARD BEFORE ANY FUNDS ARE DISBURSED. ANY CHANGES MADE BY THE GRANTEE FROM THE APPROVED BUDGET MUST BE PREAPPROVED BY CSTE. A FINAL REPORT IS DUE AT THE END OF THE PROJECT.

Schedule I (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

COUNCIL OF STATE AND TERRITORIAL
EPIDEMIOLOGISTS INC

Employer identification number

23-7410799

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2019

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JEFFREY P ENGEL MD EXECUTIVE DIRECTOR	(i) (ii)	233,472 ------------- 0	11,392 ------------- 0	0 ------------- 0	14,008 ------------- 0	20,636 ------------- 0	279,508 ------------- 0	0 ------------- 0
2JOHN LISCO SENIOR DIRECTOR OF FINANCE	(i) (ii)	160,082 ------------- 0	0 ------------- 0	0 ------------- 0	9,605 ------------- 0	10,483 ------------- 0	180,170 ------------- 0	0 ------------- 0
3BEVERLY CHRISTNER DIRECTOR OF OPERATIONS	(i) (ii)	135,145 ------------- 0	8,500 ------------- 0	0 ------------- 0	8,109 ------------- 0	19,384 ------------- 0	171,138 ------------- 0	0 ------------- 0
4LAKESHA ROBINSON SENIOR DEPUTY DIRECTOR	(i) (ii)	110,473 ------------- 0	8,500 ------------- 0	0 ------------- 0	6,628 ------------- 0	31,794 ------------- 0	157,395 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	EMPLOYEES HAVE A WELLNESS BENEFIT OF UP TO $25 PER MONTH.

Schedule J (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

COUNCIL OF STATE AND TERRITORIAL
EPIDEMIOLOGISTS INC

Employer identification number

23-7410799

Return Reference	Explanation
FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED):	POSITION STATEMENTS - THE FOLLOWING POSITION STATEMENTS WERE APPROVED BY THE COUNCIL AT THE 2018 CSTE ANNUAL CONFERENCE: 18-EH-01 - "STANDARDIZED SURVEILLANCE FOR CARBON MONOXIDE POISONING" 18-ID-01 "STANDARDIZED CASE DEFINITION FOR SURVEILLANCE OF RSV-ASSOCIATED MORTALITY" 18-ID-02 "CASE DEFINITION FOR NON-PESTIS YERSINIOSIS" 18-ID-03 "REVISION TO THE CASE DEFINITION FOR NATIONAL DIPHTHERIA SURVEILLANCE" 18-ID-04 "UPDATE TO YELLOW FEVER CASE DEFINITION" 18-ID-05 "STANDARDIZED CASE DEFINITION FOR CANDIDA AURIS CLINICAL AND COLONIZATION/SCREENING CASES AND NATIONAL NOTIFICATION OF C. AURIS CASE, CLINICAL - UPDATED DECEMBER 2018" 18-ID-06 "REVISIONS TO THE SURVEILLANCE CASE DEFINITION, CASE CLASSIFICATION, PUBLIC HEALTH REPORTING, AND NATIONAL NOTIFICATION FOR LISTERIOSIS" 18-ID-07 "PUBLIC HEALTH REPORTING AND NATIONAL NOTIFICATION FOR HEPATITIS A" 18-ID-08 "PUBLIC HEALTH REPORTING AND NATIONAL NOTIFICATION FOR SALMONELLA ENTERICA SEROTYPE TYPHI (S. TYPHI), AND SALMONELLA ENTERICA SEROTYPES PARATYPHI A, B (TARTRATE NEGATIVE), AND C (S PARATYPHI) INFECTIONS" (NNC)
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION HAS ACTIVE MEMBERSHIPS AND ASSOCIATE MEMBERSHIPS FOR PERSONS ENGAGED IN THE PRACTICE OF EPIDEMIOLOGY. PERSONS CURRENTLY ENROLLED FULL TIME IN AN UNDERGRADUATE OR GRADUATE PROGRAM WHO ARE ACTIVELY PURSUING A DEGREE IN PUBLIC HEALTH OR RELATED FIELD ARE ELIGIBLE FOR STUDENT MEMBERSHIP.
FORM 990, PART VI, SECTION A, LINE 7A	THE ELECTION OF THE EXECUTIVE BOARD, POSITION STATEMENTS THAT DO NOT AFFECT STATE OR TERRITORIAL PUBLIC HEALTH LAW, AND OTHER SIMILAR MATTERS AS SPECIFIED IN THE BYLAWS OR DESIGNATED BY THE EXECUTIVE BOARD SHALL BE DETERMINED BY A VOTE OF THE ACTIVE MEMBERS BY ELECTRONIC BALLOT AT A TIME BEFORE THE ANNUAL MEETING OR AS DESIGNATED BY THE EXECUTIVE BOARD.
FORM 990, PART VI, SECTION A, LINE 7B	OFFICIAL COUNCIL DECISIONS, SUCH AS POSITION STATEMENTS THAT AFFECT PUBLIC HEALTH LAW, ARE MADE BY VOTE WITH ONLY ONE VOTE PER STATE OR TERRITORY CAST BY THE STATE EPIDEMIOLOGIST OR AN OFFICIAL ACTIVE MEMBER REPRESENTATIVE FROM THE STATE OR TERRITORY DESIGNATED BY THE STATE EPIDEMIOLOGIST.
FORM 990, PART VI, SECTION B, LINE 11B	THE FINAL 990 WITH ALL SCHEDULES IS MAILED TO THE SECRETARY/TREASURER EIGHT DAYS BEFORE IT IS FILED. THE SECRETARY/TREASURER HAS A FULL WEEK TO REVIEW.
FORM 990, PART VI, SECTION B, LINE 12C	POLICY REQUIRES IMMEDIATE NOTIFICATION OF CONFLICTS AND WE HAVE ANNUAL ACKNOWLEDGEMENT THAT ALL HAS BEEN DISCLOSED.
FORM 990, PART VI, SECTION B, LINE 15	EVERY THREE TO FIVE YEARS AN INDEPENDENT CONTRACTOR IS HIRED TO DO A SALARY AND WAGE REVIEW. COPIES OF THE REPORT ARE GIVEN TO THE EXECUTIVE BOARD TO USE AS A TOOL FOR SETTING THE EXECUTIVE DIRECTOR'S SALARY, AND A COPY IS GIVEN TO THE EXECUTIVE DIRECTOR FOR SETTING THE EMPLOYEES' SALARIES.
FORM 990, PART VI, SECTION C, LINE 19	SOME INFORMATION IS POSTED ON THE CSTE WEBSITE FOR THE GENERAL PUBLIC TO ACCESS. SOME INFORMATION IS POSTED ON THE CSTE WEBSITE FOR MEMBER ACCESS ONLY. ANY INFORMATION THAT A REQUESTOR COULD NOT ACCESS THEMSELVES, UPON REQUEST, IS PROVIDED EITHER BY FAX OR EMAIL.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No