This project replicated the complete data system, including electronic health record (EHR) data, client screening, client satisfaction survey, and operations data for the statewide network of SBHCs. Through Apex’s partnership with the Massachusetts Department of Health (MDPH) SBHC Program, Apex developed customized data collection tools that reflect regional nuances in the client population and school-based health services. Twenty sponsor agencies and 42 SBHCs have made significant progress to onboard all four elements of the Apex data system. Apex developed and refined processes for onboarding and training SBHC staff; customized data collection tools and reports; translated client screening tools and surveys to Portuguese and Spanish; and piloted interoperability between the Apex data system and individual SBHC agency EHRs.