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      <MissionDesc>TO CONDUCT RESEARCH AND CREATE A CONTINUOUS LEARNING ENVIRONMENT FOR MEMBERS OF AMERICA'S ESSENTIAL HOSPITALS TO IMPROVE CARE FOR VULNERABLE POPULATIONS BY SHARING INNOVATIVE MODELS OF PATIENT CARE AND HOSPITAL OPERATIONS AND EDUCATING THE PUBLIC CONCERNING THE RESOURCES AND NEEDS OF PUBLIC AND NONPROFIT HOSPITALS.</MissionDesc>
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      <Desc>GRANTS AND HEALTHCARE:THE ESSENTIAL HOSPITAL INSTITUTE ("INSTITUTE") CONTINUED TO ADDRESS THE SIGNIFICANT ISSUES FACING PUBLIC HOSPITALS, SAFETY NET ORGANIZATIONS, UNDERSERVED COMMUNITIES, AND RELATED HEALTH POLICY ISSUES OF NATIONAL PRIORITY. THE INSTITUTE'S GRANT-SUPPORTED RESEARCH EXPANDS INSTITUTIONAL KNOWLEDGE ON POPULATION HEALTH, PATIENT-CENTERED CARE, DELIVERY SYSTEM TRANSFORMATION, QUALITY PERFORMANCE AND IMPROVEMENT, EQUITY, LEADERSHIP, AND HEALTH REFORM IMPLEMENTATION.MUCH OF THE INSTITUTE'S GRANT-FUNDED WORK WAS IN WORKFORCE EQUITY, CLIMATE RESILIENCE AND MITIGATION AND COMBATING STRUCTURAL RACISM. WITH FUNDING FROM THE ROBERT WOOD JOHNSON FOUNDATION, THE INSTITUTE CONTINUED TO FACILITATE COMBATING STRUCTURAL RACISM INTEREST GROUP MEETINGS OFFERING PEER NETWORKING AMONG LIKE-MINDED LEADERS FROM OUR MEMBERS, REVISED OUR ESSENTIAL COMMUNITIES WEBSITE TO REFLECT TOOLS, RESOURCES, AND PROGRAMS TO COMBAT STRUCTURAL RACISM, FACILITATED A 4-HOUR PRE-CONFERENCE ON COMBATING STRUCTURAL RACISM AT THE ANNUAL VITAL CONFERENCE, PARTICIPATED IN AN EQUITY LEARNING LAB TO DEVELOP AND CARRY OUT AN ACTION PLAN TO IMPROVE EQUITY FOCUSING ON OUR ORGANIZATIONAL POLICIES, AND BEGAN THE DEVELOPMENT OF A WORKFORCE EQUITY TOOLKIT AT ESSENTIAL HOSPITALS TO SUPPORT THE CREATION OF A RESILIENT, INCLUSIVE, AND EQUITABLE WORKFORCE.THROUGH A GRANT FROM THE HUMAN RESOURCES AND SERVICES AGENCY, GEORGE MASON UNIVERSITY FUNDED THE INSTITUTE TO DISSEMINATE GMU INTERACTIVE TRAININGS AND GAIN INSIGHTS FROM MEMBER HOSPITALS ABOUT NEEDS RELATING TO WORKFORCE AND RESILIENCE.RELATED TO COMBATING STRUCTURAL RACISM, THE CVS HEALTH FOUNDATION WITH THE INSTITUTE CONDUCTED A LEARNING COLLABORATIVE AMONG MEMBER HOSPITALS TO REDUCE BLACK OBSTETRIC MORTALITY RATES. THIS TWO-YEAR PROJECT SUPPORTED A LEARNING COLLABORATIVE OF 12 MEMBER HOSPITALS SEEKING TO REDUCE MORTALITY AMONG BLACK OBSTETRIC PATIENTS. A REPORT OF THE FINDINGS WAS RELEASED.THE CVS HEALTH FOUNDATION ALSO FUNDED THE INSTITUTE TO CONDUCT THREE ONE-YEAR LEARNING COLLABORATIVES AMONG MEMBER HOSPITALS TO IMPROVE ACCESS TO QUALITY CARE FOR PEOPLE WITH OPIOID USE DISORDER, PARTICULARLY PEOPLE WHO ARE MARGINALIZED OR DISCRIMINATED AGAINST. THIS FOUR-YEAR PROJECT SUPPORTS THREE LEARNING COLLABORATIVES BETWEEN 10 - 12 MEMBER HOSPITALS SEEKING TO IMPROVE CARE ACCESS AND ENHANCE PATIENT SOCIAL SUPPORT. WE STARTED PLANNING FOR THE SECOND LEARNING COLLABORATIVE AND ACTIVELY ACCEPTING APPLICATIONS FOR THE THIRD AND FINAL LEARNING COLLABORATIVE COHORT.THE INSTITUTE ALSO RECEIVED FUNDS FROM THE BRISTOL-MYERS SQUIBB FOUNDATION TO COMBAT RACIAL DISPARITIES IN DIAGNOSIS, TREATMENT, AND PROGNOSIS FOR CARDIOVASCULAR DISEASE THROUGH PEER-TO-PEER MENTORSHIP BETWEEN SELECTED MEMBER HOSPITALS AND A TECHNICAL PANEL OF CARDIOVASCULAR DISEASE EXPERTS FROM ESSENTIAL HOSPITALS.THE KRESGE FOUNDATION FUNDED A FOLLOW-ON GRANT TO IDENTIFY RESOURCES FOR MEMBER HOSPITALS RELATED TO DECARBONIZATION AND CLIMATE RESILIENCE, CONDUCT AN INTEREST GROUP ON CLIMATE RESILIENCE AND MITIGATION OF CLIMATE CHANGE, A LUNCHEON AT AMERICA'S ESSENTIAL HOSPITALS' ANNUAL CONFERENCE, VITAL; AND A C-SUITE CONVENING TO SUPPORT THE DEVELOPMENT OF ACTION PLANS AND ACCOUNTABILITY AT THE C-SUITE, AND TO SHARE INFORMATION ABOUT FINANCIAL SUPPORT AVAILABLE THROUGH THE INFLATION REDUCTION ACT FOR CLIMATE MITIGATION AND RESILIENCY PROJECTS.FINALLY, THE INSTITUTE WAS FUNDED BY THE LEON LOWENSTEIN FOUNDATION TO IMPROVE ACCESS TO PRIMARY CARE THROUGH MOBILE VAN HEALTH. THE FUNDING INCLUDED RECRUITING 5 MEMBER HOSPITALS TO PARTICIPATE IN AN 8-MONTH LEARNING COLLABORATIVE TO NAVIGATE THE CHALLENGES AND BARRIERS TO MOBILE VAN HEALTHCARE.</Desc>
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        <Desc>LEADERSHIP DEVELOPMENT AND EDUCATION:TO HELP SAFETY-NET HOSPITALS AND HEALTH SYSTEMS CONTINUE THEIR SUCCESS IN SERVING THEIR COMMUNITIES, THE INSTITUTE OFFERED AN ARRAY OF EDUCATIONAL AND MEMBER SERVICES. THESE INCLUDED INDIVIDUAL AND SERIES-BASED WEBINARS, CONFERENCE WORKSHOPS, AND PROFESSIONAL DEVELOPMENT PROGRAMS. THESE PROGRAMS PROVIDED FORUMS FOR MEMBERS TO LEARN AND EXCHANGE IDEAS ON HOW SAFETY-NET HOSPITALS AND HEALTH SYSTEMS CAN ADDRESS NEW ISSUES AND CHALLENGES, STRATEGIZE ON WAYS TO IMPROVE SOCIAL AND ENVIRONMENTAL DETERMINANTS OF HEALTH WITHIN THEIR COMMUNITIES, WHILE PROVIDING VITAL PROFESSIONAL CONNECTIONS AND LEADERSHIP EXPERTISE.THE FELLOWS PROGRAM IS A 12-MONTH LEADERSHIP DEVELOPMENT PROGRAM DESIGNED FOR RISING SENIOR LEADERS IN SIGNIFICANT CLINICAL OR ADMINISTRATIVE ROLES AT MEMBER HOSPITALS. THE FELLOWS PROGRAM AIMS TO EDUCATE PARTICIPANTS ON ISSUES THAT IMPACT ESSENTIAL HOSPITALS AND PROVIDE THE NECESSARY SKILLS TO LEAD STRATEGICALLY AND ADVOCATE FOR POLICIES AND RESOURCES THAT PROMOTE THE HEALTH OF VULNERABLE PATIENTS. EACH CLASS INCLUDES THREE HIGHLY INTERACTIVE SESSIONS (2.5-4 DAYS), A SELF-ASSESSMENT, PROJECT, MEMBER HOSPITAL SITE VISIT, DISTANCE LEARNING, NETWORKING, AND ATTENDANCE AT AMERICA'S ESSENTIAL HOSPITALS' CONFERENCES AND EVENTS.THE ESSENTIAL WOMEN'S LEADERSHIP ACADEMY IS A 10-MONTH LEADERSHIP DEVELOPMENT PROGRAM DESIGNED TO BUILD A COMMUNITY OF CONFIDENT AND EMPOWERED WOMEN EXECUTIVES. THE LATTER LEAD ESSENTIAL HOSPITALS IN MEETING THE CHALLENGES OF OUR NATION'S MOST VULNERABLE POPULATIONS. IT INCLUDES THREE HIGHLY INTERACTIVE SESSIONS, A SELF ASSESSMENT, EXECUTIVE COACHING, MONTHLY CHECK-IN CALLS WITH THEIR MENTOR, A SITE VISIT TO THEIR MENTOR'S ORGANIZATION, AND NETWORKING. ALL THE MENTORS ARE WOMEN CHIEF EXECUTIVES AT ESSENTIAL HOSPITALS.</Desc>
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        <Desc>RESEARCH:THE INSTITUTE PUBLISHED SIX REPORTS, BRIEFS, AND BLOGS IN 2023:- ESSENTIAL HOSPITAL INNOVATIONS TO REDUCE DISPARITIES IN CARDIOVASCULAR CARE, DEC 2023- ESSENTIAL DATA 2023: OUR HOSPITALS, OUR PATIENTS, OCT 2023- EXCELLENCE AND INNOVATION IN CARE: THE 2023 GAGE AWARDS, JUNE 2023IN ADDITION, THE INSTITUTE DISSEMINATED FINDINGS FROM RESEARCH AT NATIONAL CONFERENCES, INCLUDING PANEL AND POSTER PRESENTATIONS.INSTITUTE STAFF ACTIVELY SUPPORT THE DHHS ON TOPICS SUCH AS PATIENT SAFETY. FOR EXAMPLE, INSTITUTE STAFF WERE A MEMBER OF THE SPECIAL NATIONAL ADVISORY COMMITTEE ON PATIENT SAFETY APPOINTED BY THE DHHS SECRETARY.</Desc>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MELINDA ABRAMS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TIM CURTIN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LUKEJOHN DAY</PersonNm>
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        <PersonNm>MELANY GAVULIC</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER LOMBARDOZZI</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE O'KEEFE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHANNON SALE</PersonNm>
        <TitleTxt>MEMBER DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANAND SHAH</PersonNm>
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        <PersonNm>DALE SHALLER</PersonNm>
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        <PersonNm>DARRELL TERRY</PersonNm>
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        <PersonNm>DEBORAH VISCONI</PersonNm>
        <TitleTxt>MEMBER DIRECTOR</TitleTxt>
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        <PersonNm>KEVIN WEISS</PersonNm>
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        <PersonNm>WENDY WILCOX</PersonNm>
        <TitleTxt>MEMBER DIRECTOR (EFF. 7/1/23)</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RHONDA GOLD</PersonNm>
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        <PersonNm>KALPANA RAMIAH</PersonNm>
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        <PersonNm>JAMES ROBERTS</PersonNm>
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        <PersonNm>JENNIFER CHURCH</PersonNm>
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        <PersonNm>MARLENE KAUNAN</PersonNm>
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        <PersonNm>ELIZABETH FRENTZEL</PersonNm>
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        <PersonNm>TAMEKA PURVIS</PersonNm>
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          <BusinessName>
            <BusinessNameLine1Txt>AMERICA'S ESSENTIAL HOSPITALS</BusinessNameLine1Txt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>3043</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>3422</ProgramServicesAmt>
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        <EOYAmt>1489</EOYAmt>
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        <EOYAmt>16288</EOYAmt>
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        <EOYAmt>14209</EOYAmt>
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        <EOYAmt>144426</EOYAmt>
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        <EOYAmt>8955405</EOYAmt>
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        <EOYAmt>232000</EOYAmt>
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        <EOYAmt>397936</EOYAmt>
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        <EOYAmt>838375</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>2991377</EOYAmt>
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        <EOYAmt>8117030</EOYAmt>
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        <EOYAmt>8955405</EOYAmt>
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      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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        <RecipientEIN>530196932</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>24</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ESSENTIAL HOSPITALS INSTITUTE'S STAFF MAINTAINS RECORDS TO SUBSTANTIATE THE AMOUNT OF GRANTS AND AWARDS, THE GRANTEES' ELIGIBILITY FOR THE GRANTS AND AWARDS, AND THE SELECTION CRITERIA USED TO AWARD THE GRANT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRUCE SIEGEL</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO, RECORDING SECRETARY</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>1174100</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>702200</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>55539</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>43494</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>56700</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>2032033</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RHONDA GOLD</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>413800</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>98300</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>22636</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>43494</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>38518</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>616748</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KALPANA RAMIAH</PersonNm>
        <TitleTxt>VP, LEADERSHIP &amp; INNOVATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>262400</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>50200</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>5535</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>39921</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>19727</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>377783</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES ROBERTS</PersonNm>
        <TitleTxt>SENIOR DIRECTOR OF IT</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>196900</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>29500</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>-2953</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>18112</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>31131</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>272690</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER CHURCH</PersonNm>
        <TitleTxt>DIRECTOR OF HUMAN RESOURCES</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>176800</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>31800</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>-2291</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>16688</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>12448</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>235445</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARLENE KAUNAN</PersonNm>
        <TitleTxt>DIRECTOR OF FINANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>127850</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>15300</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>-3529</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>11452</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>27229</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>178302</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION RELIED ON A RELATED ORGANIZATION, AMERICA'S ESSENTIAL HOSPITALS, WHICH USED A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY/STUDY, AND AN APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ESSENTIAL HOSPITAL INSTITUTE'S FORM 990 WAS PREPARED BY THE OUTSIDE ACCOUNTANTS AND REVIEWED BY SENIOR MANAGEMENT AND THE AUDIT AND COMPLIANCE COMMITTEE. IT WAS THEN SENT TO THE BOARD OF DIRECTORS PRIOR TO BEING FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ESSENTIAL HOSPITALS INSTITUTE HAS A CONFLICT OF INTEREST POLICY, THE PURPOSE OF WHICH IS TO PROTECT THE INSTITUTE'S INTERESTS WHEN ITS SENIOR STAFF (DEFINED AS PRESIDENT &amp; CEO, CFO, VICE PRESIDENTS AND DIRECTORS) OR BOARD CONSIDERS A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF A MEMBER OF THE BOARD OR A SENIOR EXECUTIVE OF ESSENTIAL HOSPITALS INSTITUTE. IT APPLIES TO MATTERS BROUGHT FOR APPROVAL BY THE BOARD, OR ANY OF THEIR COMMITTEES, REGARDING WHICH A BOARD MEMBER OR A SENIOR EXECUTIVE HAS A FINANCIAL INTEREST. AT THE TIME AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST ARISES OR THE INTERESTED PERSON BECOMES AWARE OF IT, THE BOARD MEMBER MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST TO THE CHAIR, CHIEF FINANCIAL OFFICER (CFO), THE BOARD OR THE INSTITUTE'S COMPLIANCE OFFICER. THE BOARD DETERMINES WHETHER THE OPPORTUNITY FOR BENEFIT IS MATERIAL UNDER THE CIRCUMSTANCES AND, THUS, WHETHER A CONFLICT OF INTEREST EXISTS WITH RESPECT TO THE TRANSACTION IN QUESTION. THE BOARD MAY VOID ANY SUCH CONTRACT OR TRANSACTION THAT IT DETERMINES IS A CONFLICT OF INTEREST. ANNUALLY, EACH SENIOR STAFF MEMBER (INCLUDING DIRECTORS) MUST COMPLETE A WRITTEN CONFLICT OF INTEREST QUESTIONNAIRE DISCLOSING ANY NEW RELATIONSHIPS, CIRCUMSTANCES OR TRANSACTIONS THAT MIGHT CREATE A POTENTIAL CONFLICT OF INTEREST. THE QUESTIONNAIRES ARE REVIEWED BY THE INSTITUTE'S COMPLIANCE OFFICER TO DETERMINE IF THERE ARE ANY POTENTIAL CONFLICTS THAT SHOULD BE REVIEWED BY THE PRESIDENT &amp; CEO AND/OR THE BOARD. ANY CONFLICTS OF INTEREST ARE RESOLVED AS APPROPRIATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>AS A RESULT OF THE AFFILIATION OF AMERICA'S ESSENTIAL HOSPITALS WITH THE ESSENTIAL HOSPITAL INSTITUTE, AND BECAUSE EMPLOYEES ARE PAID BY AMERICA'S ESSENTIAL HOSPITALS, THE INSTITUTE'S BOARD OF DIRECTORS DELEGATES THE COMPENSATION REVIEW TO AMERICA'S ESSENTIAL HOSPITALS' COMPENSATION COMMITTEE. AMERICA'S ESSENTIAL HOSPITALS' PRESIDENT AND CEO'S COMPENSATION IS REVIEWED ANNUALLY BY AN OUTSIDE CONSULTANT WITH EXPERTISE IN THE NON-PROFIT AND HEALTH FIELD. AEH'S COMPENSATION CONSULTANT CONDUCTED A COMPENSATION STUDY IN DECEMBER 2021. THE STUDY WAS REVIEWED BY THE COMPENSATION COMMITTEE. FOR OTHER KEY EMPLOYEES, THE ASSOCIATION PERIODICALLY ENGAGES AN OUTSIDE CONSULTANT TO CONDUCT COMPENSATION STUDIES IN THE PEER MARKET. THE LAST FULL COMPENSATION REVIEW FOR THE PRESIDENT AND CEO TOOK PLACE IN JANUARY 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>AMERICA'S ESSENTIAL HOSPITALS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>401 NINTH STREET NW STE 900</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20004</ZIPCd>
        </USAddress>
        <EIN>521236600</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(6)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>AMERICA'S ESSENTIAL HOSPITALS POLITICAL ACTION COMMITTEE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>401 NINTH STREET NW STE 900</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20004</ZIPCd>
        </USAddress>
        <EIN>810983774</EIN>
        <PrimaryActivitiesTxt>POLITICAL INITIATIVES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>527</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AEH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
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      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AMERICA'S ESSENTIAL HOSPITALS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>702014</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOCATION FROM GENERAL LEDGER</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AMERICA'S ESSENTIAL HOSPITALS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>1980972</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOCATION FROM GENERAL LEDGER</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AMERICA'S ESSENTIAL HOSPITALS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>2462790</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>AMOUNTS PAID FROM CHECK REGISTER</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AMERICA'S ESSENTIAL HOSPITALS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>850000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL AMOUNT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS:</FormAndLineReferenceDesc>
        <ExplanationTxt>NAME OF RELATED ORGANIZATION: AMERICA'S ESSENTIAL HOSPITALS TO PROVIDE A FRAMEWORK FOR PUBLIC AND OTHER HOSPITALS THAT SHARE A COMMON MISSION TO COOPERATE WITH EACH OTHER ON A NATIONAL SCALE, AND TO PROVIDE ADVOCACY, POLICY AND EDUCATION SERVICES TO THE MEMBERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>