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)
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OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 10-01-2022 , and ending 09-30-2023
BCheck if applicable:
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 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 $ 36,595,836
F Name and address of principal officer:
JANET HAMILTON
2635 CENTURY PARKWAY NE 700
ATLANTA,GA30345
I
Tax-exempt status: ( 6 ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.CSTE.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1992
M State of legal domicile: GA
Part I
Summary
Activities & Governance 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 MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 13
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 13
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 94
6 Total number of volunteers (estimate if necessary) ............. 6 1,000
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 27,322,164 34,207,706
9 Program service revenue (Part VIII, line 2g) ......... 1,660,750 2,358,068
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 2,124 9,718
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 27,686 20,344
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 29,012,724 36,595,836
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 12,217,881 13,116,643
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) 9,072,054 11,647,621
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 7,528,592 10,708,237
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 28,818,527 35,472,501
19 Revenue less expenses. Subtract line 18 from line 12....... 194,197 1,123,335
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 7,885,631 12,492,068
21 Total liabilities (Part X, line 26)............. 3,912,127 7,395,229
22 Net assets or fund balances. Subtract line 21 from line 20..... 3,973,504 5,096,839
Part II
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May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
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..............
1
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, AND PEER CONSULTATION, DEVELOPING STANDARDS FOR PRACTICE, AND ADVOCATING FOR RESOURCES AND SCIENTIFICALLY BASED POLICY.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
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 OINFECTIOUS DISEASE:CSTE HELPS SUPPORT CDC'S RESPIRATORY VIRUS HOSPITALIZATION SURVEILLANCE NETWORKS FOR INFLUENZA, COVID-19, AND RESPIRATORY SYNCYTIAL VIRUS (RSV), COLLECTIVELY REFERRED TO AS RESP-NET. WE PROVIDE CDC FUNDING TO SELECTED STATE AND LOCAL HEALTH DEPARTMENTS TO COLLECT DATA ON LABORATORY-CONFIRMED RESPIRATORY VIRUS-ASSOCIATED HOSPITALIZATIONS AMONG CHILDREN AND ADULTS. FOR THE 2022-2023 RESPIRATORY VIRUS SEASON, CSTE FUNDED SEVEN SITES TO CONDUCT INFLUENZA HOSPITALIZATION SURVEILLANCE, FOUR SITES TO CONDUCT COVID-19 HOSPITALIZATION SURVEILLANCE, AND TWO SITES TO CONDUCT RSV HOSPITALIZATION SURVEILLANCE. DATA GATHERED FROM THE CSTE-SUPPORTED SITES ARE COMBINED WITH DATA FROM CDC'S EMERGING INFECTIONS PROGRAM. THIS FORMS A ROBUST NETWORK THAT PROVIDES KEY DATA FOR UNDERSTANDING THE BURDEN AND CHARACTERISTICS OF THESE VIRUSES IN THE POPULATION, WHICH HELPS PUBLIC HEALTH BETTER RESPOND TO AND PREVENT THESE SERIOUS INFECTIONS THAT CAUSE SUBSTANTIAL IMPACTS ON THE U.S. POPULATION EACH YEAR.DATA ARE SUBMITTED TO CDC WITH HOSPITALIZATION RATES PRESENTED ON THE RESP-NET INTERACTIVE DASHBOARD, WHICH CAN BE USED TO FOLLOW TRENDS AND COMPARE COVID-19, INFLUENZA, AND RSV-ASSOCIATED HOSPITALIZATION RATES IN DIFFERENT DEMOGRAPHIC GROUPS INCLUDING BY AGE, SEX, RACE AND ETHNICITY, AND ACROSS SEASONS. RESP-NET PROVIDES CRITICAL INFORMATION ON RESPIRATORY VIRUS-ASSOCIATED HOSPITALIZATIONS TO HELP PUBLIC HEALTH PROFESSIONALS UNDERSTAND TRENDS IN VIRUS CIRCULATION, ESTIMATE DISEASE BURDEN, AND RESPOND TO OUTBREAKS. COLLECTING DEMOGRAPHIC AND CLINICAL INFORMATION FOR HOSPITALIZATIONS ALLOWS CDC AND HEALTH DEPARTMENTS TO BETTER UNDERSTAND HOW WELL VACCINES ARE WORKING, WHICH PEOPLE ARE AT HIGH RISK, AND WHETHER A CERTAIN STRAIN OF A VIRUS IS RESULTING IN MORE SEVERE ILLNESS OR DEATHS. THESE FINDINGS CAN BE USED TO COMMUNICATE IMPORTANT PREVENTION INFORMATION TO THE PUBLIC TO HELP PEOPLE STAY HEALTHY AND SAFE.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
SEE SCHEDULE OENVIRONMENTAL HEALTH / OCCUPATIONAL HEALTH:EVERY YEAR, OVER 3.5 MILLION OF THE 167 MILLION WORKERS IN THE U.S. ARE INJURED ON THE JOB OR BECOME ILL AS A RESULT OF EXPOSURE TO HEALTH HAZARDS AT WORK. THESE WORK-RELATED INJURIES AND ILLNESSES RESULT IN SUBSTANTIAL HUMAN AND ECONOMIC COSTS FOR WORKERS AND EMPLOYERS AND FOR SOCIETY AT LARGE; IT HAS BEEN ESTIMATED THAT THE DIRECT AND INDIRECT COSTS OF WORK-RELATED INJURIES AND ILLNESSES EXCEED $170 BILLION ANNUALLY.IN PARTNERSHIP WITH CDC'S NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND HEALTH (NIOSH) AND STATE OCCUPATIONAL HEALTH PROGRAMS, THE CSTE OCCUPATIONAL HEALTH SUBCOMMITTEE HELP TO QUANTIFY THE BURDEN OF SUCH INJURIES AND ILLNESSES THROUGH THE OCCUPATIONAL HEALTH INDICATORS (OHIS). OHIS ARE 25 MEASURES OF HEALTH (WORK-RELATED DISEASE OR INJURY) OR FACTORS ASSOCIATED WITH HEALTH (WORKPLACE EXPOSURES, HAZARDS, OR INTERVENTIONS) THAT ALLOW A STATE TO COMPARE ITS HEALTH OR RISK STATUS WITH THAT OF OTHER STATES AND EVALUATE TRENDS OVER TIME. THE CSTE OCCUPATIONAL HEALTH SUBCOMMITTEE PROVIDES ONGOING REVIEW, GUIDANCE AND COLLABORATION FOR ANNUAL STATE REPORTING OF OHIS. DATA FROM THE 29 STATES THAT CALCULATE OHIS FOR THEIR STATE ARE POSTED ON THE CSTE WEBSITE AT HTTPS://WWW.CSTE.ORG/PAGE/OHINDICATORSTABLE. THIS YEAR'S REVIEW INCLUDED A NEW, UPDATED DOCUMENT, "OCCUPATIONAL HEALTH INDICATORS: A GUIDE FOR OBTAINING AND TRACKING OCCUPATIONAL HEALTH CONDITIONS AND THEIR DETERMINANTS, AN ANALYSIS OF 2020 OHI DATA," TO HELP STATES CONTINUE TO DEVELOP PRIORITIES FOR WORKPLACE INJURY AND ILLNESS PREVENTION. THIS "HOW-TO" GUIDE ASSISTS STATES IN BUILDING CAPACITY FOR OCCUPATIONAL HEALTH SURVEILLANCE."THE HOW-TO GUIDE PROVIDES DETAIL OF HOW TO COLLECT AND ANALYZE THE DATA, AND THE REQUIRED INTERACTION WITH OTHER STATE/FEDERAL PARTNERS SHOWS THE HEALTH DEPARTMENT THE PARTNERS IT NEEDS TO ASSURE THE SUSTAINABILITY OF THE EFFORT," SAID KEN ROSENMAN, MD, CHIEF, DIVISION OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE AT MICHIGAN STATE UNIVERSITY, AND CO-CHAIR OF THE CSTE OCCUPATIONAL HEALTH SUBCOMMITTEE.THE INDICATORS COMPLEMENT OTHER STATE AND NATIONAL GOALS TO IMPROVE POPULATION HEALTH AND ARE INTENDED TO BE USED IN CONJUNCTION WITH OTHER GUIDELINES FOR STATE-BASED SURVEILLANCE OF OCCUPATIONAL INJURIES AND ILLNESSES, SUCH AS THE GUIDELINES FOR MINIMUM AND COMPREHENSIVE STATE-BASED PUBLIC HEALTH ACTIVITIES IN OCCUPATIONAL SAFETY AND HEALTH (HTTPS://WWW.CDC.GOV/NIOSH/DOCS/2008-148/PDFS/2008-148.PDF).THE PROCESS OF OBTAINING THE DATA FOR THESE INDICATORS IS INTENDED TO RAISE AWARENESS AND BUILD CAPACITY FOR USING AVAILABLE DATA AND TO OPEN DIALOGUE AMONG OCCUPATIONAL HEALTH PARTNERS WITHIN THE STATE."THE OCCUPATIONAL HEALTH INDICATORS ARE A GREAT WAY FOR A STATE HEALTH DEPARTMENT TO BEGIN TO ASSESS THE BURDEN OF OCCUPATIONAL INJURIES AND ILLNESSES IN THEIR STATES," SAID ROSENMAN.
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
SEE SCHEDULE OSURVEILLANCE / INFORMATICS:THIS YEAR SAW THE LAUNCH OF CSTE STORIES FROM THE FIELD, A MULTIMEDIA PROJECT HIGHLIGHTING THE GREAT WORK OF CSTE MEMBERS AND OTHER EPIDEMIOLOGISTS ACROSS THE COUNTRY WHO'VE EFFICIENTLY LEVERAGED DATA MODERNIZATION FUNDING AND PRINCIPLES TO IMPROVE PUBLIC HEALTH AT THE JURISDICTIONAL LEVEL THROUGH MEANINGFUL AND INNOVATIVE USE OF DATA.CSTE LAUNCHED THE WEBSITE, STORIES.CSTE.ORG, IN MARCH AS A ONE-STOP SHOP TO VIEW AND READ NEARLY 180 TALES OF EPI INNOVATION. THE STORIES SHOWCASE INNOVATIVE WAYS PUBLIC HEALTH DEPARTMENTS ARE WORKING TO GET BETTER, FASTER, ACTIONABLE INSIGHTS FOR DECISION-MAKING AT ALL LEVELS OF PUBLIC HEALTH. THE PROJECT HIGHLIGHTS NOT ONLY TECHNOLOGICAL INNOVATIONS BUT ALSO THE EPIDEMIOLOGISTS WHO HAVE RESEARCHED AND IMPLEMENTED DATA MODERNIZATION SOLUTIONS IN AREAS SUCH AS ELECTRONIC CASE REPORTING (ECR), INTEROPERABLE DATA SYSTEMS, SYNDROMIC SURVEILLANCE, AND MORE.MUCH OF THIS WORK WAS DONE UNDER GREAT STRESS AND PROVIDES EXAMPLES OF "TRIUMPH IN THE FACE OF ADVERSITY" DURING THE GLOBAL RESPONSE TO THE COVID-19 PANDEMIC, WHILE THE U.S. PUBLIC HEALTH INFRASTRUCTURE AND WORKFORCE WERE STRETCHED TO THE LIMIT.THE INITIATIVE WAS FUNDED BY CDC'S OFFICE OF PUBLIC HEALTH DATA, SURVEILLANCE, AND TECHNOLOGY (OPHDST). CDC DIRECTOR DR. MANDY COHEN PRAISED THE PROJECT AND FEATURED EPIDEMIOLOGISTS, SAYING "PUBLIC HEALTH IS A TEAM SPORT AND THIS IS A GREAT EXAMPLE OF US WORKING TOGETHER TO PROTECT HEALTH AND IMPROVE LIVES. THESE STORIES HIGHLIGHT CRITICAL COMPONENTS OF HOW COMMUNITIES ARE IMPROVING THEIR READINESS TO INVESTIGATE AND RESPOND TO DISEASE THREATS. CDC AND PUBLIC HEALTH PARTNERS SUCH AS OUR STATE EPIDEMIOLOGISTS ARE PUTTING DATA AND EVIDENCE INTO ACTION TO HELP PEOPLE AND COMMUNITIES STAY HEALTHY."ADDITIONAL THEMES OF THE STORIES INCLUDE LABORATORY DATA EXCHANGE, PUBLIC HEALTH DATA SCIENCE WORKFORCE, PARTNERSHIP AND INNOVATION, INTEROPERABLE DATA SYSTEMS, AND ENTERPRISE APPROACH TO DATA SYSTEMS MODERNIZATION. THESE DATA MODERNIZATION EFFORTS REPRESENT A SIGNIFICANT RETURN ON THE INVESTMENT OF FUNDING, STAFF, TIME AND RESOURCES INTO DATA MODERNIZATION TO IMPROVE PUBLIC HEALTH IN JURISDICTIONS ACROSS THE COUNTRY. AND THAT IMPACT IS NOT OVER; MANY OF THE INITIATIVES FEATURED IN CSTE STORIES FROM THE FIELD WILL CONTINUE, BE EXPANDED OR GENERATE OTHER EFFORTS GOING FORWARD AND IN PREPARATION FOR FUTURE THREATS.
(Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
WORKFORCE:THIS YEAR, CSTE'S DATA SCIENCE TEAM TRAINING (DSTT) PROGRAM HELPED GIVE THE MADISON & DANE COUNTY HEALTH DEPARTMENT IN WISCONSIN A MAJOR "UPGRADE" IN DATA COLLECTION SKILLS. DSTT IS A TEAM-BASED, ON-THE JOB TRAINING PROGRAM TO PROMOTE DATA SCIENCE UPSKILLING AT STLT PUBLIC HEALTH AGENCIES AND PARTICIPANTS WORK COLLABORATIVELY ON A PROJECT THAT ADDRESSES A CURRENT AGENCY NEED RELATED TO DATA MODERNIZATION. WHEN KAT GRANDE, PUBLIC HEALTH SUPERVISOR AT PUBLIC HEALTH MADISON AND DANE COUNTY, SAW AN EMAIL PROMOTING THE DSTT PROGRAM, SHE IMMEDIATELY THOUGHT OF A PROJECT THAT WOULD MAKE A GREAT FIT. AT THE HEIGHT OF THE COVID-19 PANDEMIC, GRANDE AND HER TEAM BUILT A COVID DATA DASHBOARD THAT WAS WELL RECEIVED BY THE PUBLIC AND WAS VIEWED OVER HALF A MILLION TIMES. "WE FRAMED A DSTT PROJECT ON HOW TO EXPAND [THE DASHBOARD] TO INCLUDE THE BREADTH OF RESPIRATORY ILLNESSES AND MAKE IT EASY TO UNDERSTAND," SHE SAID. "YOU DID NOT NEED EXTENSIVE TRAINING IN EPIDEMIOLOGY TO INTERPRET IT. WE USED PLAIN LANGUAGE, SIMPLE VISUALIZATIONS STRATEGIES FOR COMMUNICATING TO THE POPULATIONS MOST IMPACTED." TO HELP WITH BUILDING THIS NEW DASHBOARD, THE DSTT PROGRAM ALLOWED GRANDE AND HER TEAM TO TAKE COURSES IN SOFTWARE LIKE R AND SAAS. INSTEAD OF GOOGLING AND WATCHING YOUTUBE VIDEOS, THE TEAM ATTENDED A FORMAL CLASS WITH LIVE INSTRUCTORS. THE COMPREHENSIVE TRAINING ALLOWED GRANDE'S TEAM TO BUILD NOT JUST A STANDARD DASHBOARD, BUT AN INNOVATIVE ONE THAT PULLS IN MULTIPLE DATA STREAMS. "ONE THING THAT SETS OURS APART IS THAT WE USED THE TRADITIONAL PUBLIC HEALTH DATA THAT YOU SEE ON THE CDC AND OTHER HEALTH DEPARTMENT DASHBOARDS," SHE SAID. "BUT ALSO MADE SOME REALLY DELIBERATE PARTNERSHIPS WITH OUR UNIVERSITY RESEARCHER PARTNERS AND TRIED TO APPLY SOME OF THE RESEARCH THAT THEY WERE DOING ON THINGS LIKE AIR SURVEILLANCE."IN ADDITION TO AIR SURVEILLANCE, ANOTHER INNOVATIVE FEATURE OF THEIR DASHBOARD WAS TO INCORPORATE SCHOOL ABSENTEEISM INTO FLU SURVEILLANCE. "THE ABILITY TO HAVE THE TIME, THE SPACE, AND THE CREATIVE ENCOURAGEMENT FROM THE DSTT STRUCTURE SO THAT WE COULD MAKE SOME OF THOSE INNOVATIONS, ON TOP OF A TRADITIONAL DISEASE-RELATED DASHBOARD, WAS REALLY ADDITIVE," GRANDE SAID.
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PUBLIC HEALTH LAW:DURING THE COVID-19 PANDEMIC, CSTE'S LEADERSHIP IN SOME AREAS WAS QUITE VISIBLE, FROM UPDATING EPIDEMIOLOGISTS NATIONWIDE ON THE LATEST INFORMATION FROM CDC SOMETIMES MULTIPLE TIMES A DAY TO SUPPORTING VIRTUAL GATHERINGS FOR BEST PRACTICE SHARING WHILE MANY AREAS WERE STILL IN LOCKDOWN. HOWEVER, ANOTHER AREA IN WHICH WE ALSO OFFERED GUIDANCE AND SUPPORT WAS LESS VISIBLE AND IS PERHAPS LESS WELL RECOGNIZED AS PART OF CSTE'S EXPERTISE: PUBLIC HEALTH LAW.CREATED IN 2021, THE CSTE PUBLIC HEALTH LAW SUBCOMMITTEE PROVIDES A FORUM FOR EPIDEMIOLOGISTS, PUBLIC HEALTH ATTORNEYS, AND OTHER HEALTH AND LEGAL EXPERTS TO COLLABORATE ON LEGAL ISSUES RELATED TO SURVEILLANCE, EPIDEMIOLOGY, AND PUBLIC HEALTH PRACTICE.THE SUBCOMMITTEE OFFERED MUCH NEEDED EXPERTISE TO PUBLIC HEALTH OFFICIALS AND EPIDEMIOLOGISTS IN RESPONSE TO LEGAL QUESTIONS AND CHALLENGES ON ASPECTS OF THE COVID-19 PANDEMIC, INCLUDING VACCINES, QUARANTINE, AND OTHER ISSUES. THE CONTROVERSIES SURROUNDING THESE ISSUES, AS WELL AS RAPIDLY CHANGING PUBLIC HEALTH NEEDS, MEANT THAT APPLYING RELATED LAWS WAS NOT ALWAYS CLEAR.TO PROVIDE INFORMATION AND GUIDANCE, THE SUBCOMMITTEE PRESENTED A THREE-PART WEBINAR SERIES ON LEGAL ISSUES RELATED TO THE PANDEMIC, HELPING ADVISE PUBLIC HEALTH OFFICIALS OF THEIR LEGAL STANDING IN THESE AREAS. THE FIRST DISCUSSED STUDENTS RETURNING TO SCHOOL AFTER WIDESPREAD SCHOOL CLOSURES, QUARANTINE AND OTHER K-12 LEGAL ISSUES, INCLUDING WHETHER SCHOOLS COULD REQUIRE QUARANTINE OF INFECTED STUDENTS. THE SECOND FOCUSED ON THREATS TO THE AUTHORITY OF PUBLIC HEALTH AND THE LEGAL AVENUES AVAILABLE TO ENSURE THAT SOUND PUBLIC HEALTH GUIDANCE WAS PROVIDED IN RESPONSE TO THE PANDEMIC. THE THIRD WEBINAR PROVIDED A LEGAL ANALYSIS OF INDOOR AIR QUALITY AND THE MEASURES BEING TAKEN TO MANAGE THAT TO PREVENT THE SPREAD OF COVID-19.IN ADDITION TO THIS SERIES, THE SUBCOMMITTEE IS WORKING TO PRESENT QUARTERLY WEBINARS GOING FORWARD, TO CONTINUE ADVISING AND SUPPORTING CSTE MEMBERS AND PUBLIC HEALTH ORGANIZATIONS ON PERTINENT LEGAL ISSUES. THE SUBCOMMITTEE WILL CONTINUE IN ITS MISSION TO DESIGN AND IMPLEMENT PRACTICAL LEGAL SOLUTIONS TO COMPLEX PUBLIC HEALTH CHALLENGES AND USE THE TOOLS OF LAW AND POLICY TO ADVANCE PUBLIC HEALTH EFFORTS.
(Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
CHRONIC DISEASE / MATERNAL AND CHILD HEALTH:FACILITATING THE CREATION, APPROVAL, AND IMPLEMENTATION OF STANDARDIZED CASE DEFINITIONS AND RECOMMENDING WHICH CONDITIONS SHOULD BE ON THE NATIONALLY NOTIFIABLE CONDITION LIST ARE CORE FUNCTIONS OF CST. EACH YEAR AT OUR ANNUAL CONFERENCE, THE CSTE MEMBERSHIP VOTES ON POSITION STATEMENTS DESCRIBING THESE DEFINITIONS AND RECOMMENDATIONS. THIS PROCESS IS ESSENTIAL FOR IMPACTING STANDARD PRACTICES AND POLICY TO IMPROVE PUBLIC HEALTH NATIONWIDE.IN JUNE 2023, THE POSITION STATEMENT "UPDATE TO THE NEONATAL ABSTINENCE SYNDROME (NAS) STANDARDIZED CASE DEFINITION" WAS APPROVED, ADDRESSING A GROWING ISSUE IN MATERNAL AND CHILD HEALTH. THE OPIOID CRISIS IN THE UNITED STATES HAS CONTINUED TO INTENSIFY IN PAST YEARS, INCLUDING INCREASED OPIOID AND POLYSUBSTANCE USE DURING PREGNANCY, WHICH CAN RESULT IN WITHDRAWAL SIGNS IN NEWBORNS, KNOWN AS NAS. THIS CRITICAL POSITION STATEMENT UPDATE IS BUILT FROM YEARS OF COLLABORATIVE WORK TO IMPROVE THE ORIGINAL 2019 NAS DEFINITION, CLARIFYING INTERPRETATION AND CONSISTENCY IN REPORTING ACROSS JURISDICTIONS AND ADDRESSING CONCERNS IDENTIFIED BY PUBLIC HEALTH ORGANIZATIONS.AFTER THE ORIGINAL DEFINITION WAS ADOPTED, CSTE FUNDED SIX JURISDICTIONS TO PILOT IMPLEMENTATION FROM 2020-2023 AND PROVIDE DATA AND FEEDBACK ARIZONA, FLORIDA, GEORGIA, MASSACHUSETTS, TENNESSEE, AND PHILADELPHIA. THEY FOUND THAT THE ORIGINAL DEFINITION WAS SOMETIMES DIFFICULT TO IMPLEMENT IN A STANDARDIZED MANNER AND SIMPLIFICATION WAS NEEDED IN THE CASE CLASSIFICATION STRUCTURE."TO HAVE A COMMON SURVEILLANCE CASE DEFINITION FOR NEONATAL ABSTINENCE SYNDROME ALLOWS FOR MEASURES THAT CAN BE COMPARED MORE ACCURATELY AND TO EVALUATE THE IMPACT OF SURVEILLANCE AND INTERVENTION PROGRAMS," SAID LUIGI GARCIA SAAVEDRA, MPH, BIRTH DEFECTS EPIDEMIOLOGIST SUPERVISOR FOR THE NEW MEXICO DEPARTMENT OF HEALTH AND CO-CHAIR OF THE CSTE MATERNAL AND CHILD HEALTH SUBCOMMITTEE. "I THINK THE REVISIONS WERE VERY USEFUL TO IMPROVE THE CASE DEFINITION."TO ADDRESS THE LESSONS LEARNED AND RECOMMENDATIONS FROM THE PILOT, CSTE CONVENED A LEADERSHIP GROUP TO SPEARHEAD REVISIONS, WHICH INCLUDED PILOT PROJECT TEAMS, OTHER JURISDICTIONS THAT HAVE BEEN CONDUCTING NAS SURVEILLANCE, SUBJECT MATTER EXPERTS FROM CDC'S NATIONAL CENTER FOR BIRTH DEFECTS AND DEVELOPMENTAL DELAYS, THE CSTE MATERNAL AND CHILD HEALTH SUBCOMMITTEE, AND THE CSTE NAS WORKGROUP.CSTE HAS NOW FUNDED FOUR OF THE PILOT SITES TO CONTINUE, USING PILOT DATA TO CONDUCT ANALYSIS PROJECTS TO EXPLORE THE FEASIBILITY OF LONGITUDINAL SURVEILLANCE AMONG INFANTS BORN WITH NAS AND SUPPORT REFERRAL SERVICES TO FAMILIES IMPACTED BY THE CONDITION. THE NAS WORKGROUP IS ALSO DEVELOPING AN IMPLEMENTATION GUIDE TO SUPPORT JURISDICTIONS THAT ARE BEGINNING NAS SURVEILLANCE AND WILL CONTINUE TO ASSESS RESPONSES NEEDED TO IMPROVE THE HEALTH OF MOTHERS AND CHILDREN IN COMMUNITIES NATIONWIDE.
(Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
INJURY, SUBSTANCE USE, AND MENTAL HEALTH:IN THE LAST TWO DECADES, THE NUMBER OF DRUG OVERDOSE DEATHS IN THE U.S. HAS QUADRUPLED, RISING FROM 16,849 IN 1999 TO OVER 70,000 IN 2019 MORE THAN 840,000 IN TOTAL. TO ADDRESS THIS CRISIS, PUBLIC HEALTH MUST COORDINATE WITH FIRST RESPONDERS, COMMUNITY HARM REDUCTION PROGRAMS AND TREATMENT PROVIDERS. HOWEVER, DEFINING AN UNUSUAL INCREASE IN OVERDOSE DEATHS SUCH AS AN OUTBREAK OR CLUSTER CAN VARY AND DEPENDS ON CIRCUMSTANCES IN THE LOCAL COMMUNITY. THIS CAN MAKE IT DIFFICULT TO DETERMINE AND MOUNT A PUBLIC HEALTH RESPONSE.IN AUGUST 2022, THE CSTE OVERDOSE SPIKE ALERT ADVISORY WORKGROUP LAUNCHED THE CSTE OVERDOSE ANOMALY TOOLKIT TO HELP COMMUNITIES MEET THESE COMPLEX AND EVER-GROWING CHALLENGES. WITH FUNDING THROUGH CDC'S OVERDOSE DATA TO ACTION (OD2A) COOPERATIVE AGREEMENT, WORKGROUP MEMBERS FROM CDC, STATE AND LOCAL HEALTH DEPARTMENTS, CSTE STAFF AND CONSULTANTS CREATED THE TOOLKIT TO PROVIDE PUBLIC HEALTH RESPONSE TEAMS WITH A COMPREHENSIVE APPROACH TO CONDUCTING A TIMELY AND EFFECTIVE INVESTIGATION INTO NOTABLE INCREASES IN A CITY, COUNTY OR REGION.THE TOOLKIT HELPS COMMUNITIES IMPROVE THE USE OF THEIR OVERDOSE SURVEILLANCE DATA TO EMPOWER PREVENTION AND RESPONSE. WITH GUIDANCE, TOOLS AND TECHNIQUES FROM THE TOOLKIT, THEY CAN DETERMINE AND DEFINE WHAT NEEDS A RESPONSE AND AT WHAT LEVEL THAT SHOULD BE MADE TO DELIBERATELY REACT TO CHANGES IN THE COMMUNITY. THIS HELPS COMMUNITIES PLAN AND UTILIZE THEIR RESOURCES MORE EFFECTIVELY.THE TOOLKIT IS ORGANIZED AROUND THREE ACTIVITY AREAS IN AN ITERATIVE MODEL: PLAN, ACT AND EVALUATE. THESE FEATURE REAL EXAMPLES OF JURISDICTION-BASED ACTIVITIES THAT CAN BE USED TO HELP PUBLIC HEALTH RESPONDERS BETTER PREPARE FOR, DETECT AND RESPOND TO DRUG OVERDOSE OUTBREAKS.AT THIS STAGE IN THE OVERDOSE EPIDEMIC, COMMUNITIES UNDERSTAND THERE IS A BASELINE OF EVENTS IN THEIR JURISDICTIONS AND HAVE IMPLEMENTED PREVENTION PROGRAMS. BUT THEY OFTEN NEED TOOLS TO UNDERSTAND WHAT CHANGES IN OVERDOSE LEVELS WARRANT ADDITIONAL ACTION AND WHAT STEPS CAN BE TAKEN WHEN THAT ACTION IS REQUIRED. THE CSTE OVERDOSE ANOMALY TOOLKIT PROVIDES GUIDANCE FOR COMMUNITIES THAT MAY NOT HAVE THE EXPERIENCE, RESOURCES OR TIME TO CREATE THE NEEDED RESPONSE WHEN AN OVERDOSE SPIKE OR CLUSTER OCCURS.
(Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
TRIBAL EPIDEMIOLOGYWHAT BEGAN AS A WORKGROUP PROJECT IN 2020 TO UNDERSTAND THE CHALLENGES MANY NATIVE AMERICANS FACED IN ACCESSING COVID-19 VACCINATIONS, TESTING AND PERSONAL PROTECTIVE EQUIPMENT (PPE) ULTIMATELY EVOLVED INTO A 2023 MANUSCRIPT PUBLICATION IN THE JOURNAL OF HEALTH DISPARITIES RESEARCH AND PRACTICE. ALONG THE WAY, THE EFFORT ILLUSTRATED HOW COMMUNITIES ARE BETTER SERVED WHEN BETTER QUALITY DATA IS USED, AS WELL AS HOW CSTE, OUR SUBCOMMITTEES AND OUR WORKGROUPSUSE THE POWER OF EPIDEMIOLOGY TO FOSTER THOSE TYPES OF IMPROVEMENTS.THE MANUSCRIPT, "COVID-19 SEVERITY AMONG AMERICAN INDIANS AND ALASKA NATIVES IN 16 STATES - JANUARY 1, 2020, TO MARCH 31, 2021," IS THE SECOND ARTICLE TO BE PUBLISHED BY THE CSTE TRIBAL SUBCOMMITTEE. THE COLLABORATIVE GROUP OF OVER 20 TRIBAL EPIDEMIOLOGY CENTER (TEC) AND STATE PUBLIC HEALTH STAFF MEMBERS INITIALLY PUBLISHED FINDINGS IN A CDC MORBIDITY AND MORTALITY WEEKLY REPORT IN 2020 AND FOLLOWED THAT UP WITH ADDITIONAL DATA COLLECTION IN 2021."WE KNEW THE LIMITATIONS OF THE MMWR, WHICH FOCUSED ON THE BURDEN OF DISEASE, AND WE WANTED TO DO SOMETHING DEEPER," SAID JESSICA ARRAZOLA, CSTE DIRECTOR OF EDUCATIONAL STRATEGY AND ONE OF THE MANUSCRIPT'S AUTHORS. "SO, WE LOOKED MORE AT SEVERITY OF DISEASE, CO-MORBIDITY, HOSPITALIZATIONS AND DEATHS. THE DISPARITIES WERE NOT RELATED JUST TO HAVING THE DISEASE, BUT THE OUTCOMES WERE MUCH WORSE FOR THE NATIVE AMERICAN POPULATION."MANY STATES WERE COLLECTING DATA ON NATIVE AMERICAN COMMUNITIES DIFFERENTLY, AND SOME DIDN'T HAVE SEPARATE DATA FOR THIS COMMUNITY OR INCLUDED THOSE IDENTIFYING THEMSELVES AS MULTIRACIAL ONLY AS HISPANIC. THROUGH COLLABORATION WITH TECS, THE CSTE SUBCOMMITTEE HAD MORE COMMONALITY IN CASE REPORTING DEFINITIONS AND DATA, ALLOWING FOR BETTER AND MORE RIGOROUS ANALYSIS. BEING ABLE TO UTILIZE IMPROVED DATA HELPED LEAD TO ONE OF THE MAIN CONCLUSIONS OF THE ARTICLE, THAT "COVID-19-RELATED HEALTH BURDENS AMONG AI/AN PERSONS WARRANT IMPROVED ACCESS FOR AI/AN COMMUNITIES TO MEDICAL COUNTERMEASURES AND HEALTHCARE RESOURCES."SINCE PUBLICATION, THE MANUSCRIPT HAS BEEN DOWNLOADED MORE THAN 110 TIMES, ILLUSTRATING THE IMPORTANCE OF THE RESEARCH AND FINDINGS. "THIS COLLABORATION IS A GREAT EXAMPLE OF PEOPLE WHO TRULY CARE ABOUT THEIR COMMUNITIES USING DATA TO INFORM ACTION THAT WILL PROTECT AND CARE FOR THOSE COMMUNITIES," SAID ARRAZOLA.
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet  
Form 990 (2021)
Form 990 (2021)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A.....................
1
 
No
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
2
Yes
 
3
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 IClick to see attachment
List of Attached Documents:
// Content
.............
3
 
No
4
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.........
4
 
 
5
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 Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment
List of Attached Documents:
// Content
..
5
Yes
 
6
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 IClick to see attachment
List of Attached Documents:
// Content
.........................
6
 
No
7
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 IIClick to see attachment
List of Attached Documents:
// Content
....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
8
 
No
9
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 IVClick to see attachment
List of Attached Documents:
// Content
..............
9
 
No
10
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......
10
 
No
11
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.
a
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
List of Attached Documents:
// Content
...................
11a
Yes
 
b
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 VIIClick to see attachment
List of Attached Documents:
// Content
.......
11b
 
No
c
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 VIIIClick to see attachment
List of Attached Documents:
// Content
.......
11c
 
No
d
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 IXClick to see attachment
List of Attached Documents:
// Content
............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
Yes
 
f
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 XClick to see attachment
List of Attached Documents:
// Content
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment
List of Attached Documents:
// Content
......................
12a
 
No
b
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
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
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
List of Attached Documents:
// Content
14b
Yes
 
15
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
List of Attached Documents:
// Content
15
 
No
16
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
List of Attached Documents:
// Content
16
 
No
17
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. ....
17
 
No
18
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............
18
 
No
19
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...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
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
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
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
List of Attached Documents:
// Content
22
Yes
 
23
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
List of Attached Documents:
// Content
23
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
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
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
 
 
d
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
 
 
b
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
 
 
26
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...........
26
 
No
27
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.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
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............Click to see attachment
List of Attached Documents:
// Content
33
 
No
34
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.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
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
 
 
36
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.............
36
 
 
37
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 VIClick to see attachment
List of Attached Documents:
// Content
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
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
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
52
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
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 ..................
2a
94
b
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.
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
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)? ..
4a
 
No
b
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).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
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? ...
6a
Yes
 
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
Yes
 
7
Organizations that may receive deductible contributions under section 170(c).
a
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? ....................
7a
 
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
 
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
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? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
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
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
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
 
 
b
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
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
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 the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
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
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
13
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.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
13
2
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? .................
2
 
No
3
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? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
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? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
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.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
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
Yes
 
b
Describe on 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
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
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?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on 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
 
No
b
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
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
GA
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
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.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletJANET HAMILTON2635 CENTURY PARKWAY NE SUITE 700   ATLANTA,GA30345 (770) 458-3811
Form 990 (2021)
Form 990 (2021)
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.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet 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, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.

RoundBullet 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.

RoundBullet 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 the 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/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) ANGELA DUNN MD MPH......................................................................
PRESIDENT (OUTGOING)
 5.00
.................
  		X   X       0 0 0
(2) SARAH LYON-CALLO MA MS PHD......................................................................
PRESIDENT (INCOMING)
 10.00
.................
  		X   X       0 0 0
(3) CATHERINE BROWN DVM MSC MPH......................................................................
PRESIDENT - ELECT
 5.00
.................
  		X   X       0 0 0
(4) KATHRYN TURNER PHD MPH......................................................................
VICE PRESIDENT
 2.00
.................
  		X   X       0 0 0
(5) RUTH LYNFIELD MD......................................................................
SECRETARY/TREASURER
 4.00
.................
  		X   X       0 0 0
(6) BENJAMIN CHAN MD MPH......................................................................
MEMBER-AT-LARGE
 5.00
.................
  		X           0 0 0
(7) SHERRI L DAVIDSON PHD MPH......................................................................
MEMBER-AT-LARGE
 8.00
.................
  		X           0 0 0
(8) MARY-MARGARET A FILL MD MPH......................................................................
MEMBER-AT-LARGE
 1.00
.................
  		X           0 0 0
(9) KATE GOODIN MS MPH......................................................................
MEMBER-AT-LARGE
 2.00
.................
  		X           0 0 0
(10) MELISSA JORDAN MS MPH......................................................................
MEMBER-AT-LARGE
 5.00
.................
  		X           0 0 0
(11) SARAH KEMBLE MD......................................................................
MEMBER-AT-LARGE
 2.00
.................
  		X           0 0 0
(12) KEN KOMATSU MPH......................................................................
MEMBER-AT-LARGE
 2.00
.................
  		X           0 0 0
(13) ERICA PAN MD MPH......................................................................
MEMBER-AT-LARGE
 2.00
.................
  		X           0 0 0
(14) JANET HAMILTON......................................................................
EXECUTIVE DIRECTOR
 48.00
.................
1.00 		    X       290,153 0 42,468
(15) SHELIA SCOTT......................................................................
SENIOR DIRECTOR OF FINANCE
 42.00
.................
3.00 		    X       169,543 0 20,853
(16) MARCELLE LAYTON......................................................................
CHIEF MEDICAL OFFICER
 41.00
.................
  		        X   264,282 0 25,424
(17) ANNIE FINE......................................................................
CHIEF SCIENCE/SURVEILLANCE OFFICER
 43.00
.................
  		        X   259,981 0 38,173
Form 990 (2021)
Form 990 (2021)
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/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) BEVERLY CHRISTNER........................................................................
SENIOR DIRECTOR OF OPERATIONS
 44.00
.......................   		        X   212,317 0 31,038
(19) JENNIFER LEMMINGS........................................................................
SENIOR DIRECTOR OF GSS
 42.00
.......................   		        X   195,700 0 42,035
(20) DHARA SHAH........................................................................
SENIOR DIRECTOR OF PROGRAMS
 44.00
.......................   		        X   185,254 0 33,539




















1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 1,577,230 0 233,530
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet19
Yes
No
3
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 ..............
3
 
No
4
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...........................
4
Yes
 
5
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 ........
5
 
No
Section B. Independent Contractors
1
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
HIGHWOODS REALTY LIMITED PARTNERSHIP

3100 SMOKETREE COURT STE 600
RALEIGH,NC27604 		PROPERTY RENTAL 650,564
HLN CONSULTING LLC

9 PEMBERLY
MISSION VIEJO,CA92692 		CONSULTING 332,000
CAVAROCCHI RUSCIO DENNIS ASSOCIATES LLC

600 MARYLAND AVE SW SUITE 220 EAST
WASHINGTON,DC20024 		EDUCATION/ADVOCACY 208,046
MELISSA KAY IVEY,
80 WALKER LOOP
SPRINGVILLE,TN38256 		CONSULTING 186,250
KAHUINA CONSULTING LLC

40 CONISTON ROAD
ROSLINDALE,MA02131 		CONSULTING 150,644
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet6
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 94,822
e Government grants (contributions)1e 33,883,656
f All other contributions, gifts, grants, and similar amounts not included above1f 229,228
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 34,207,706
Program Service RevenueAmt Business Code
2a ANNUAL MEETINGS 611430 2,045,024 2,038,505   6,519
b MEMBER FEES 611430 313,044 313,044    
c
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 2,358,068
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 9,718     9,718
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet 20,254     20,254
(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).......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory     7a
b Less: cost or other basis and sales expenses     7b
c Gain or (loss)     7c
d Net gain or (loss).........MediumBullet        
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..MediumBullet      
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..MediumBullet        
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..MediumBullet        
Business Code Miscellaneous Revenue
11a FEES 900099 90     90
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 90
12 Total revenue. See instructions.....MediumBullet 36,595,836 2,351,549 0 36,581
Form 990 (2021)
Form 990 (2021)
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 .... 7,189,186  
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 5,927,457  
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 ........... 543,564      
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........ 8,653,530      
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 434,019      
9 Other employee benefits ....... 1,365,811      
10 Payroll taxes ........... 650,697      
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 82,372      
c Accounting ........... 23,400      
d Lobbying ........... 17,190      
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) 5,420,745      
12 Advertising and promotion .... 713      
13 Office expenses ....... 373,011      
14 Information technology ...... 745,676      
15 Royalties ..        
16 Occupancy ........... 602,407      
17 Travel ............ 2,429,022      
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 775,095      
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 64,408      
23 Insurance ... 30,376      
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 TELEPHONE 61,793      
b DUES AND SUBSCRIPTIONS 25,237      
c PRINTING AND REPRODUCTI 18,042      
d TRAINING 16,882      
e All other expenses 21,868      
25 Total functional expenses. Add lines 1 through 24e 35,472,501      
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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2021)
Form 990 (2021)
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
Assets 1 Cash–non-interest-bearing ........   1  
2 Savings and temporary cash investments ......... 4,436,511 2 6,941,494
3 Pledges and grants receivable, net ...... 2,938,262 3 2,122,988
4 Accounts receivable, net ............. 66,685 4 60,209
5 Loans and other receivables from 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 ...........   7  
8 Inventories for sale or use ............   8  
9 Prepaid expenses and deferred charges ...... 192,854 9 99,261
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 866,980
b Less: accumulated depreciation 10b 735,863 195,525 10c 131,117
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 ........... 55,794 15 3,136,999
16 Total assets. Add lines 1 through 15 (must equal line 33)... 7,885,631 16 12,492,068
Liabilities 17 Accounts payable and accrued expenses ..... 3,282,286 17 3,742,007
18 Grants payable ...   18  
19 Deferred revenue ......... 108,846 19 124,211
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 520,995 25 3,529,011
26 Total liabilities. Add lines 17 through 25.. 3,912,127 26 7,395,229
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 3,973,504 27 5,096,839
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here MediumBullet 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 ........... 3,973,504 32 5,096,839
33 Total liabilities and net assets/fund balances ........ 7,885,631 33 12,492,068
Form 990 (2021)
Form 990 (2021)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
36,595,836
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
35,472,501
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
1,123,335
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
3,973,504
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
5,096,839
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
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:
b
Were the organization’s financial statements audited by an independent accountant?
2b
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:
c
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?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
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?
3a
Yes
 
b
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.
3b
Yes
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
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






Form 990-PF




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
Special Rules
......... 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) (2022)
Schedule B (Form 990) (2022) Page 2
Name of organization
COUNCIL OF STATE AND TERRITORIAL
EPIDEMIOLOGISTS INC 		Employer identification number
23-7410799
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
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)
Schedule B (Form 990) (2022)
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) (2022)
Schedule B (Form 990) (2022)
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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use 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 (c) Use 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 (c) Use 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 (c) Use 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) (2022)
Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990)

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 BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
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.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
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.
Cat. No. 50084S
Schedule C (Form 990) 2021

Schedule C (Form 990) 2021
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 Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(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? ...................................................................................................................

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) 2018 (b) 2019 (c) 2020 (d) 2021 (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) 2021


Schedule C (Form 990) 2021
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
1
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:
a
Volunteers? ...........................................................................................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
 
c
Media advertisements? ...................................................................................................
 
 
 
d
Mailings to members, legislators, or the public? .............................................................................
 
 
 
e
Publications, or published or broadcast statements? ...........................................................
 
 
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
 
 
i
Other activities? ...................................................................................................................
 
 
 
j
Total. Add lines 1c through 1i ....................................................................................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
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
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
No
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
No
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
No
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."
1
Dues, assessments and similar amounts from members ......................................................................
1
162,545
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
17,190
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
17,190
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
105,654
4
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? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
-88,464
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) 2021


Additional Data


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SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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
2021
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 ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .............................
9
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.
1a
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.
b
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 $  
2
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:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2021

Schedule D (Form 990) 2021
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?...
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
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  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
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 ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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   50,094 34,089 16,005
d Equipment ....   816,886 701,774 115,112
e Other .....        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 131,117
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 3
Part VII
Investments - Other 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
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments - Program 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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
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
(1)SECURITY DEPOSITS 49,718
(2)INTERCOMPANY RECEIVABLE 25,094
(3)RIGHT OF USE ASSET 3,062,187
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 3,136,999
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.)Small Bullet 3,529,011
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) 2021

Schedule D (Form 990) 2021
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  
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  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
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  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
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  
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  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
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  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
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, 2023 OR 2022 DUE TO UNCERTAIN TAX POSITIONS.
Schedule D (Form 990) 2021


Additional Data


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Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image 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
2022
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.
1
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? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
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
EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 PROGRAM SERVICES FLU SURVEILLANCE 48,541
EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES FLU SURVEILLANCE 48,749
SOUTH AMERICA 0 0 PROGRAM SERVICES FLU SURVEILLANCE 54,639
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .... 0 0 151,929
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 151,929
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
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 .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022Page 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) 2022
Schedule F (Form 990) 2022
Page 4
Part IV
Foreign Forms
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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). . . . . . . . . . . . . . . . . . . . . . . .
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). . . . . . . . . . . . . . . . . . . . . . . . . . . .
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) .
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
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 III ACCOUNTING METHOD:  
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2022
Additional Data


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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
2022
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
1
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? ........................
2
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		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) ARIZONA DEPARTMENT OF HEALTH SERVICES
150 NORTH 18TH AVENUE SUITE 530
PHOENIX,AZ85007 		86-6004791   65,865 0     EPI & SURV BASE 1
(2) ARIZONA DEPARTMENT OF HEALTH SERVICES
150 NORTH 18TH AVENUE SUITE 530
PHOENIX,AZ85007 		86-6004791   90,289 0     FLU
(3) AUSTIN ANIMAL CENTER
7201 LEVANDER LOOP BLDG A
AUSTIN,TX78702 		74-6000085   64,000 0     FLU
(4) BROWN UNIVERSITY
BOX 1997 69 BROWN STREET 2ND FL
PROVIDENCE,RI02912 		05-0258809   37,499 0     FLU
(5) COBB & DOUGLAS PUBLIC HEALTH
ATTN JERE EAWLINGS 1650 COUNTY
SERVICES PKWY
MARIETTA,GA30008 		58-1517015   40,910 0     FLU
(6) COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
4300 CHERRY CREEK SOUTH
DENVER,CO80246 		84-0644739   87,148 0     FLU
(7) COLUMBIA UNIVERSITY
PO BOX 29789 GENERAL POST OFFICE
NEW YORK,NY10087 		13-5598093   83,936 0     FLU
(8) DALLAS COUNTY HEALTH AND HUMAN SERVICES
2377 N STEMMONS FRWY
DALLAS,TX75210 		75-6000905   138,159 0     FLU
(9) FRED HUTCHINSON CANCER RESEARCH CENTER
PO BOX 19024
SEATTLE,WA98109 		23-7156071   52,969 0     FLU
(10) GEORGIA DEPARTMENT OF PUBLIC HEALTH
2 PEACHTREE ST NW STE 25-455
ATLANTA,GA30303 		90-0676388   128,918 0     FLU
(11) HENNEPIN COUNTY HSPHD
300 S 6TH ST MC 129
MINNEAPOLIS,MN55487 		41-6005801   13,947 0     EPI & SURV BASE 1
(12) HENNEPIN COUNTY HSPHD
300 S 6TH ST MC 129
MINNEAPOLIS,MN55487 		41-6005801   757,011 0     FLU
(13) INDIANA STATE DEPARTMENT OF HEALTH
2 NORTH MERIDIAN STREET
INDIANAPOLIS,IN46204 		35-6000158   373,808 0     FLU
(14) INNOVATIVE ENERGY MANAGEMENT INC
2801 SLATER ROAD SUITE 200
MORRISVILLE,NC27560 		72-1045884   125,000 0     FLU
(15) IOWA DEPARTMENT OF HEALTH AND HUMAN SERVICES
LUCAS BLDG 6TH FLOOR 321 E 12TH
STREET
DES MOINES,IA50319 		42-6004523   374,802 0     FLU
(16) JOHNSON COUNTY DEPARTMENT OF HEALTH
11875 S SUNSET DR SUITE 300
OLATHE,KS66061 		48-6034760   125,000 0     FLU
(17) KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT
1000 SW JACKSON ST SUITE 10
TOPEKA,KS66612 		48-1124839   124,529 0     FLU
(18) LEHIGH UNIVERSITY
306 S NEW STREET SUITE 451
BETHLEHEM,PA18015 		24-0795445   792,457 0     FLU
(19) LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH
313 NORTH FIGUEROA STREET SUITE
1127
LOS ANGELES,CA90012 		95-6000927   15,736 0     NAS
(20) LOUISIANA DEPARTMENT OF HEALTH
PO BOX 629
BATON ROUGE,LA70821 		72-6000821   122,727 0     NAS
(21) MAINE DEPARTMENT OF HEALTH AND HUMAN SERVICES
286 WATER STREET 8TH FLOOR 11 STATE
HOUSE STATION
AUGUSTA,ME04333 		01-6000001   25,000 0     NAS
(22) MARYLAND DEPARTMENT OF HEALTH CENTER FOR ZOONOTIC AND VECTOR-BORNE DISEASE
300 W PRESTON ST SUITE 202
BALTIMORE,MD21201 		52-6002033   125,000 0     NAS
(23) MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES
PO BOX 30437
LANSING,MI48909 		38-6000134   266,667 0     NAS
(24) MINNESOTA DEPARTMENT OF HEALTH
PO BOX 64975
ST PAUL,MN55164 		41-6007162   34,327 0     INJ PARTNER
(25) MINNESOTA DEPARTMENT OF HEALTH
PO BOX 64975
ST PAUL,MN55164 		41-6007162   47,057 0     COVID-19 ISHSP
(26) MONTANA DEPARTMENT OF PUBLIC HEALTH AND HUMAN SERVICES
1625 11TH AVENUE PO BOX 4210
HELENA,MT59620 		81-0302402   242,313 0     COVID-19 ISHSP
(27) NEW JERSEY DEPARTMENT OF HEALTH
PO BOX 369
TRENTON,NJ08625 		21-6000928   34,933 0     COVID-19 ONE HEALTH
(28) NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES
1902 MAIL SERVICE CENTER
RALEIGH,NC27699 		56-2033116   27,000 0     COVID-19 ONE HEALTH
(29) NORTH CAROLINA STATE UNIVERSITY
CAMPUS BOX 7214
RALEIGH,NC27695 		56-6000756   10,978 0     COVID-19 ONE HEALTH
(30) NORTHEASTERN UNIVERSITY
360 HUNTINGTON AVE MAIL STOP
540-177 HU
BOSTON,MA02115 		04-1679980   28,333 0     COVID-19 ONE HEALTH
(31) NORTHWESTERN UNIVERSITY
633 CLARK STREET ROOM G-547
EVANSTON,IL60208 		36-2167817   208,351 0     COVID-19 RESP DEATHS
(32) OHIO DEPARTMENT OF HEALTH
PO BOX 15278
COLUMBUS,OH43215 		31-1334820   384,508 0     COVID-19 RESP DEATHS
(33) OHIO STATE UNIVERSITY
PO BOX 772398OFFICE OF SPONSORED
PROGRAMS
DETROIT,MI48277 		31-6025986   40,000 0     COVID-19 RESP DEATHS
(34) OKLAHOMA STATE DEPARTMENT OF HEALTH
123 ROBERT S KERR AVE STE 1702
OKLAHOMA CITY,OK73102 		73-6017987   40,000 0     COVID-19 RESP DEATHS
(35) PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH
1101 MARKET STREET SUITE 1320
PHILADELPHIA,PA19107 		23-6003047   40,000 0     COVID-19 RESP DEATHS
(36) PREDICTIVE SCIENCE INC
9990 MESA RIM ROAD STE 170
SAN DIEGO,CA92121 		26-3200502   40,000 0     COVID-19 RESP DEATHS
(37) PREDICTIVE SCIENCE INC
9990 MESA RIM ROAD STE 170
SAN DIEGO,CA92121 		26-3200502   32,463 0     COVID-19 PRAMS VAX
(38) SOUTH DAKOTA DEPARTMENT OF HEALTH
600 E CAPITOL AVE
PIERRE,SD57501 		46-6000364   18,000 0     SOCIAL DETERMINANTS
(39) STANFORD UNIVERSITY
PO BOX 884253
LOS ANGELES,CA90088 		94-1156365   10,000 0     SOCIAL DETERMINANTS
(40) STATE OF NEBRASKA DEPARTMENT OF HHS
301 CENTENNIAL MALL SOUTH PO BOX
95026
LINCOLN,NE68509 		47-0491233   518,661 0     COVID-19 ISHSP
(41) STATE OF NEVADA
4150 TECHNOLOGY WAY STE 300
CARSON CITY,NV89706 		88-6000022   34,933 0     COVID-19 ONE HEALTH
(42) STATE OF NEW HAMPSHIRE
129 PLEASANT ST BROWN BUILDING
CONCORD,NH03301 		02-6000618   33,995 0     COVID-19 ONE HEALTH
(43) TENNESSEE DEPARTMENT OF HEALTH
710 JAMES ROBERTSON PARKWAY 2ND
FLOOR
NASHVILLE,TN37243 		62-6001445   33,008 0     SOCIAL DETERMINANTS
(44) TEXAS A&M
400 HARVEY MITCHELL PARKWAY SUITE
300
COLLEGE STATION,TX77845 		74-2907553   9,000 0     SOCIAL DETERMINANTS
(45) THE UNIVERSITY OF TEXAS AT AUSTIN
PO BOX 7159
AUSTIN,TX78713 		74-6000203   40,000 0     SOCIAL DETERMINANTS
(46) UNIVERSITY OF COLORADO ANSCHUTZ
PO BOX 910238
DENVER,CO80291 		84-6000555   32,000 0     FLU
(47) UNIVERSITY OF GEORGIA
310 EAST CAMPUS ROAD TUCKER HALL
ROOM 411
ATHENS,GA30602 		58-1353149   125,000 0     FLU
(48) UNIVERSITY OF MINNESOTA
NW 5957 PO BOX 1450
MINNESOTA,MN55485 		41-6007513   465,015 0     COVID-19 ISHSP
(49) UNIVERSITY OF NEVADA LAS VEGAS
4505 S MARYLAND PARKWAY - BOX
451055
LAS VEGAS,NV89154 		88-6000024   18,823 0     COVID-19 ISHSP
(50) UNIVERSITY OF SOUTHERN CALIFORNIA
3500 S FIGUEROA STREET SUITE 102
LOS ANGELES,CA90089 		95-1642394   29,937 0     SOCIAL DETERMINANTS
(51) UNIVERSITY OF VIRGINIA
PO BOX 400195
CHARLOTTESVILLE,VA22904 		54-6001796   295,896 0     COVID-19 OUTBREAK TOOLS
(52) UTAH DEPARTMENT OF HEALTH AND HUMAN SERVICES
PO BOX 144003
SALT LAKE CITY,UT84114 		87-6000545   85,998 0     SOCIAL DETERMINANTS
(53) VERMONT DEPARTMENT OF HEALTH
108 CHERRY STREET PO BOX 70
BURLINGTON,VT05420 		03-6000264   12,043 0     COVID-19 OUTBREAK TOOLS
(54) VIRGINIA DEPARTMENT OF HEALTH
ATTEN 11TH FLOOR-S PETERSON 109
GOVERNOR ST 109 GOVERNOR ST
RICHMOND,VA23218 		54-6001775   116,237 0     COVID-19 OUTBREAK TOOLS
(55) STATE OF FLORIDA DEPARTMENT OF HEALTH
4052 BALD CYPRESS WAY BIN B-02
TALLAHASSEE,FL32339 		15-9350284   64,000 0     FLU
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
51
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2022

Schedule I (Form 990) 2022
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 123 5,927,457      
(1)
(2)
(3)
(4)
(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) 2022



Additional Data


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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
2022
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
No
1a
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.
b
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 .....
1b
Yes
 
2
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? ....
2
Yes
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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.
5
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:
a
The organization? ....................
5a
 
 
b
Any related organization? .......................
5b
 
 
If "Yes," on line 5a or 5b, describe in Part III.
6
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:
a
The organization? ..................
6a
 
 
b
Any related organization? ......................
6b
 
 
If "Yes," on line 6a or 6b, describe in Part III.
7
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 ............
7
 
 
8
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 ..........................
8
 
 
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
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, 1099-MISC compensation, and/or 1099-NEC (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
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1JANET HAMILTON
EXECUTIVE DIRECTOR 		(i)

(ii)		 289,853
-------------
0 		300
-------------
0 		0
-------------
0 		17,409
-------------
0 		25,059
-------------
0 		332,621
-------------
0 		0
-------------
0
2ANNIE FINE
CHIEF SCIENCE/SURVEILLANCE OFFICER 		(i)

(ii)		 259,681
-------------
0 		300
-------------
0 		0
-------------
0 		15,599
-------------
0 		22,574
-------------
0 		298,154
-------------
0 		0
-------------
0
3MARCELLE LAYTON
CHIEF MEDICAL OFFICER 		(i)

(ii)		 263,982
-------------
0 		300
-------------
0 		0
-------------
0 		15,857
-------------
0 		9,567
-------------
0 		289,706
-------------
0 		0
-------------
0
4BEVERLY CHRISTNER
SENIOR DIRECTOR OF OPERATIONS 		(i)

(ii)		 202,017
-------------
0 		10,300
-------------
0 		0
-------------
0 		12,739
-------------
0 		18,299
-------------
0 		243,355
-------------
0 		0
-------------
0
5JENNIFER LEMMINGS
SENIOR DIRECTOR OF GSS 		(i)

(ii)		 188,270
-------------
0 		7,430
-------------
0 		0
-------------
0 		11,742
-------------
0 		30,293
-------------
0 		237,735
-------------
0 		0
-------------
0
6DHARA SHAH
SENIOR DIRECTOR OF PROGRAMS 		(i)

(ii)		 170,704
-------------
0 		14,550
-------------
0 		0
-------------
0 		11,115
-------------
0 		22,424
-------------
0 		218,793
-------------
0 		0
-------------
0
7SHELIA SCOTT
SENIOR DIRECTOR OF FINANCE 		(i)

(ii)		 160,673
-------------
0 		8,870
-------------
0 		0
-------------
0 		10,173
-------------
0 		10,680
-------------
0 		190,396
-------------
0 		0
-------------
0
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
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) 2022

Additional Data


Software ID:  
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SCHEDULE O
(Form 990)

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
2021
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 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. IN FY23, THERE WERE 3,364 MEMBERS.
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 FORM 990 IS PREPARED BY MAULDIN & JENKINS, LLC, AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM. FORM 990 IS THEN PROVIDED TO THE ORGANIZATIONS'S BOARD FOR REVIEW PRIOR TO FILING.
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.
FORM 990, PART IX, LINE 11G OTHER CONSULTANTS & CONTRACTS 5,420,745.
FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
COUNCIL OF STATE AND TERRITORIAL
EPIDEMIOLOGISTS INC
Employer identification number

23-7410799
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)CSTE FOUNDATION INC
2635 CENTURY PARKWAY NE SUITE 700

ATLANTA,GA30345
47-4094953 		SUPPORT CSTE GA 501(C)(3) LINE 12A, I CSTE INC
 
 
No












For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No












Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) CSTE FOUNDATION INC

 C 94,822 COST





Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2021

Additional Data


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