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      <TotalSpentAmt>2506195</TotalSpentAmt>
      <TransferToForeignCorpInd>0</TransferToForeignCorpInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES AN ACCOUNTING SYSTEM THAT IDENTIFIES GRANT EXPENSES BY PROJECT AND COST CATEGORY. GRANT EXPENSES MUST FOLLOW THE ORGANIZATION APPROVAL PROCESS, BUDGETS ARE APPROVED BY THE FUNDING AGENCY AND BUDGET VERSUS ACTUAL REPORTS ARE MONITORED ON A REGULAR BASIS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III ACCOUNTING METHOD:</FormAndLineReferenceDesc>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE F, PART I, LINE 3, COLUMN (E)</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIFIC TYPES OF SERVICES IN REGION: THROUGH ITS GLOBAL HEALTH PARTNERSHIPS (GHP) PROGRAM, CLSI IS DEDICATED TO BUILDING INDIGENOUS LABORATORY CAPACITY AND IMPLEMENTING QUALITY IMPROVEMENTS IN RESOURCE-CONSTRAINED COUNTRIES THROUGH ASSESSMENTS, TRAINING, AND MENTORSHIPS BASED ON CRITICAL NEEDS AND LABORATORY BEST PRACTICES. ADDITIONALLY, CLSI SUPPORTS BROADER COUNTRY GOALS OF NHANCING THE ENTIRE NATIONAL LABORATORY SYSTEM, WHICH PLAYS A PIVOTAL ROLE IN THE FOUNDATION FOR A COUNTRY'S HEALTH CARE NETWORK. LABORATORY DATA ARE ESSENTIAL FOR CLINICIANS TO ACCURATELY ASSESS THE STATUS OF PATIENTS' HEALTH, MAKE ACCURATE DIAGNOSES, FORMULATE TREATMENT PLANS, AND SUBSEQUENTLY MONITOR THE EFFECTS OF TREATMENT. THE CLINICIAN MUST HAVE CONFIDENCE IN THE ACCURACY OF THE TEST RESULTS FROM THE LABORATORY TO USE THEM FRO CLINICAL DIAGNOSIS AND TREATMENT. SINCE 2005, THE U.S. PRESIDENT'S EMERGENCY PLAN FOR AIDS RELIEF (PEPFAR) HAS BEEN FUNDING LABORATORY CAPACITY BUILDING PROGRAMS IN RECOGNITION OF THE VITAL ROLE OF LABORATORIES IN COMBATING THE AIDS EPIDEMIC. CLSI HAS WORKED IN AFRICA, CENTRAL AND SOUTHEAST ASIA, AND EASTERN EUROPE FOR OVER FIFTEEN YEARS WITH FUNDING FROM PEPFAR TO HELP RESOURCE-CONSTRAINED COUNTRIES IMPROVE THE QUALITY OF THEIR LABORATORY NETWORKS, AND THE EFFICIENCY AND ACCURACY OF THEIR LABORATORY RESULTS. PEPFAR'S INVESTMENT IN IMPROVING LABORATORY CAPACITY HAS PAID OFF SIGNIFICANTLY. MORE PATIENTS ACCURATELY DIAGNOSED AS HIV-POSITIVE HAVE RESULTED IN MORE PEOPLE RECEIVING THE TREATMENT THEY NEED. THIS NOT ONLY HELPS THE PATIENTS LIVE LONGER, HEALTHIER LIVES, BUT ALSO CAN PROTECT THEIR HIV-NEGATIVE PARTNERS FROM CONTRACTING THE DISEASE. IN ADDITION, CORRECTLY DIAGNOSING A PREGNANT WOMAN AND STARTING HER ON ANTIRETROVIRAL TREATMENT CAN PREVENT HER CHILDREN FROM BEING BORN HIV-POSITIVE. IMPROVED LABORATORY SYSTEMS ALSO INCREASE ACCESS TO RELIABLE, QUALITY DIAGNOSTIC SERVICES FOR TUBERCULOSIS AND OTHER OPPORTUNISTIC INFECTIONS. FOR OVER FIFTEEN YEARS, CLSI'S GHP STAFF, CONTRACTORS AND VOLUNTEERS HAVE PROVIDED HUNDREDS OF WORKSHOPS IN 20 DIFFERENT COUNTRIES REACHING THOUSANDS OF LABORATORY PROFESSIONALS. THESE WORKSHOPS HAVE COVERED A BROAD RANGE OF TOPICS, INCLUDING QUALITY MANAGEMENT SYSTEMS, STRATEGIC PLANNING, QUALITY CONTROL AND QUALITY ASSURANCES, VERIFICATION AND VALIDATION, AND LABORATORY ASSESSOR AND MENTOR TRAINING. CLSI MENTORS HAVE PROVIDED OVER 5,000 HOURS OF SIDE BY SIDE MENTORING IN AFRICAN AND CENTRAL ASIAN LABORATORIES, ASSISTING OVER 60 LABORATORIES IN THEIR BID FOR ACCREDITATION TO INTERNATIONALLY RECOGNIZED STANDARDS. CLSI HAS COLLABORATED ON PROJECTS WITH A RANGE OF NONPROFIT PARTNERS.</ExplanationTxt>
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        <PersonNm>GLEN FINE</PersonNm>
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        <PersonNm>BARBARA J JONES</PersonNm>
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        <PersonNm>PATRICK MATETA</PersonNm>
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        <PersonNm>PATRICK MCGINN</PersonNm>
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        <PersonNm>JENNIFER ADAMS</PersonNm>
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        <PersonNm>CECILIA PORTO</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID STERRY</PersonNm>
        <TitleTxt>DIRECTOR, STANDARDS DEVELO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>PATRICK MCGINN, VICE PRESIDENT OF MARKETING, WAS TERMINATED ON SEPTEMEBER 1, 2022. A SEVERANCE OF $48,080 WAS PAID UPON EXECUTION OF THE SEVERANCE AGREEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>CLSI'S BONUS POLICY STATES THAT THE PAYMENT CALCULATION IS TO BE BASED ON ORGANIZATION, TEAM, AND INDIVIDUAL GOALS. ONE OF THE ORGANIZATION'S GOALS IS TO MEET BUDGET.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MISSION OF CLINICAL AND LABORATORY STANDARDS INSTITUTE (CLSI) IS TO "DEVELOP CLINICAL AND LABORATORY PRACTICES AND PROMOTE THEIR USE WORLDWIDE." WORKING TOGETHER, CLSI STAFF AND VOLUNTEER EXPERTS GUIDE THE DEVELOPMENT AND PROMOTE THE USE OF VOLUNTARY LABORATORY STANDARDS AND GUIDELINES WITHIN THE US AND INTERNATIONAL HEALTH CARE COMMUNITIES. CLSI FACILITATES A UNIQUE PROCESS OF DEVELOPING THESE TESTING STANDARDS BASED ON INPUT FROM AND CONSENSUS AMONG INDUSTRY, GOVERNMENT, AND HEALTH CARE PROFESSIONALS. IMPROVING THE QUALITY OF PATIENT CARE BY FOSTERING EXCELLENCE IN LABORATORY MEDICINE IS THE DRIVING FORCE BEHIND THE CREATION OF EVERY CLSI PRODUCT AND PROGRAM. FOUNDED IN 1968 AS A FOR-PROFIT STANDARDS DEVELOPMENT MEMBERSHIP ORGANIZATION, CLSI HAS EARNED THE CONFIDENCE AND RECOGNITION OF GOVERNMENT REGULATORY BODIES SUCH AS THE US FOOD AND DRUG ADMINISTRATION, CENTERS FOR DISEASE CONTROL AND PREVENTION, AND ORGANIZATIONS SUCH AS THE CENTERS FOR MEDICARE AND MEDICAID SERVICES THAT EITHER DIRECTLY ACCREDIT OR AUTHORIZE DEEMED STATUS ACCREDITATION STATUS. CLSI, ON BEHALF OF THE AMERICAN NATIONAL STANDARDS INSTITUTE, HAS SERVED FOR OVER 25 YEARS AS THE SECRETARIAT FOR THE INTERNATIONAL ORGANIZATION FOR STANDARDIZATION TECHNICAL COMMITTEE (TC 212) THAT AUTHORS GLOBAL STANDARDS FOR THE MEDICAL LABORATORY. CLSI IS FUNDED BY MEMBERSHIP DUES, THE SALES OF ITS PRODUCTS AND SERVICES, SPONSORSHIPS, AND GRANTS. CLSI STAFF, CONTRACTORS AND VOLUNTEERS PROVIDE SERVICES AND HANDS-ON SUPPORT TO LABORATORIES IN RESOURCE CONSTRAINED COUNTRIES, HELPING THEM ACHIEVE SUSTAINABLE QUALITY WITH SYSTEMS TO BETTER DIAGNOSE AND TREAT PATIENTS WITH INFECTIOUS DISEASES. THROUGH PARTNERSHIPS WITH THE US GOVERNMENT, UNIVERSITIES, AND OTHER NONPROFIT ORGANIZATIONS, CLSI HAS WORKED IN MORE THAN 20 COUNTRIES IN AFRICA, CENTRAL ASIA, SOUTH AMERICA, AND EASTERN EUROPE. FOR OVER 50 YEARS, OUR MEMBERS, VOLUNTEERS, AND CUSTOMERS HAVE MADE CLSI A RESPECTED, TRANSFORMATIVE LEADER IN THE DEVELOPMENT AND IMPLEMENTATION OF CLINICAL AND LABORATORY TESTING STANDARDS. THROUGH OUR UNIFIED EFFORTS, WE WILL CONTINUE TO SET AND UPHOLD THE STANDARDS THAT DRIVE QUALITY TEST RESULTS, ENHANCE PATIENTCARE DELIVERY, AND IMPROVE THE PUBLIC'S HEALTH AROUND THE WORLD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A, PROGRAM SERVICE DESCRIPTION:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DEVELOPMENT OF THE ORGANIZATION'S INTERNATIONAL OUTREACH INSTITUTE 23-7089361 CLINICAL AND LABORATORY STANDARDS INITIATIVE, THE GLOBAL HEALTH PARTNERSHIPS PROGRAM: CLSI STAFF AND VOLUNTEERS PROVIDE TRAINING AND EDUCATION SERVICES AND HANDS-ON SUPPORT OF LABORATORIES IN RESOURCE-CONSTRAINED COUNTRIES, HELPING THEM ACHIEVE SUSTAINABLE QUALITY WITH SYSTEMS TO BETTER DIAGNOSE AND TREAT PATIENTS WITH INFECTIOUS DISEASES. THROUGH PARTNERSHIPS WITH THE US GOVERNMENT, UNIVERSITIES, AND OTHER NONPROFIT ORGANIZATIONS, CLSI HAS WORKED IN MORE THAN 20 COUNTRIES IN AFRICA, CENTRAL ASIA, CENTRAL AMERICA AND EASTERN EUROPE FOR OVER 50 YEARS, OUR MEMBERS, VOLUNTEERS AND CUSTOMERS HAVE MADE CLSI A RESPECTED, TRANSFORMATIVE LEADER IN THE DEVELOPMENT AND IMPLEMENTATION OF CLINICAL AND LABORATORY TESTING STANDARDS. THROUGH OUR UNIFIED EFFORTS, WE WILL CONTINUE TO SET AND UPHOLD THE STANDARDS THAT DRIVE QUALITY TEST RESULTS, ENHANCE PATIENT CARE DELIVERY, AND IMPROVE THE PUBLIC'S HEALTH AROUND THE WORLD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>CLSI'S EXECUTIVE COMMITTEE IS COMPRISED OF THE OFFICERS OF THE BOARD OF DIRECTORS. THEY MEET ON A MONTHLY BASIS AND CAN MAKE DECISIONS ON BEHALF OF THE BOARD UNLESS WHERE IT IS EXPLICITLY NOTED THAT THE FULL BOARD MUST APPROVE/VOTE PER OUR BY-LAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL ORGANIZATIONS PAYING MEMBERSHIP DUES ARE CONSIDERED MEMBERS OF CLSI</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>INDEPENDENT AUDITORS PREPARE THE ANNUAL FORM 990 AND THE FORM IS SENT TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO SUBMISSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS AND MEMBERS OF THE BOARD ARE REQUIRED TO COMPLETE A DISCLOSURE OF INTEREST FORM AND IT IS A STANDING AGENDA ITEM AT ALL BOARD MEETINGS FOR UPDATES TO EACH MEMBER'S.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>INDUSTRY COMPARABILITY DATA AND OTHER ANALYSIS IS USED TO DETERMINE APPROPRIATE COMPENSATION FOR THE CEO AS WELL AS OTHER OFFICERS AND KEY EMPLOYEES. THE CEO'S SALARY IS APPROVED BY THE PRESIDENT OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GOVERNING DOCUMENTS, POLICIES AND PROCEDURES, FINANCIAL STATEMENTS AND COPIES OF FORM 990 ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 921,584. MANAGEMENT AND GENERAL EXPENSES 141,935. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,063,519.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>CLSI HAS A FINANCE COMMITTEE WHICH TAKES RESPONSIBLITY FOR OVERSIGHT OF THE ANNUAL FINANCIAL STATEMENT AUDIT. THERE WERE NO CHANGES TO THIS PROCESS FROM PRIOR YEARS.</ExplanationTxt>
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</Return>
