Reinstalled Xcode, and started a fresh project. Issue persists

Thanks for your reply. I was using it as Physical Therapy as this is the closest use case. Unless I’m missing something though the only other option for keeping it running when the wrist is lowered or has no user action is as a workout. However, I do not want to run any of the sensors as if this is a workout so I was avoiding using the Health Kit API.

This is resolved. In case anybody is googling this issue here are the details. If I added the keys to the extension and the app file, it complained the app file was invalid. If I removed them from the app file, it complained they were missing. The correct solution is to have the keys in the Info.plist for the EXTENSION, then create a new plist for the [MyApp] target and add the keys to that also.