; and (B) the efforts of the department or agency to ensure that the activities and programs carried out pursuant to the strategy are designed to achieve maximum impact and long-term sustainability. (d) Report (1) In general Not later than 1 year after the date on which the strategy required under subsection (a) is submitted to the appropriate congressional committees under subsection (c), and not later than October 1 of each year thereafter, the President shall submit a report to the appropriate congressional committees that describes the status of the implementation of the strategy. (2) Content The report required under paragraph (1) shall— (A) contain a summary of the strategy as an appendix; (B) identify any substantial changes made in the strategy during the preceding calendar year; (C) describe the progress made in implementing the strategy; (D) identify the indicators used to establish benchmarks and measure results over time, as well as the mechanisms for reporting such results in an open and transparent manner; (E) contain a transparent, open, and detailed accounting of expenditures by relevant Federal departments and agencies to implement the strategy, including, for each Federal department and agency, the statutory source of expenditures, amounts expended, implementing partners, targeted beneficiaries, and activities supported; (F) describe how the strategy leverages other United States global health and development assistance programs; (G) assess efforts to coordinate United States global health security programs, activities, and initiatives with key stakeholders