The APHL Informatics Messaging Service (AIMS) platform was created in 2008 to help public health laboratories send influenza data to CDC, but has since expanded significantly. Moving AIMS to the cloud in 2014 simplified maintenance and security while lowering barriers to innovation. AIMS is now using cloud resources to facilitate electronic reporting between private laboratories, hospitals, clinics, and public health agencies. The goal is for AIMS to eventually connect all US healthcare providers to public health electronically without direct involvement of the AIMS team. Cloud computing has also allowed AIMS to begin international data exchange by connecting a laboratory in Chile.