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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 TOPICS RELATED TO 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 THE AREA OF HEALTH EQUITY AND COMBATING STRUCTURAL RACISM. FUNDED BY ROBERT WOOD JOHNSON FOUNDATION, THE INSTITUTE FACILITATED "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, AND PARTICIPATED IN AN EQUITY LEARNING LAB TO DEVELOP AND CARRY OUT AN ACTION PLAN TO IMPROVE EQUITY FOCUSING ON OUR ORGANIZATIONAL POLICIES. THE CVS HEALTH FOUNDATION ALSO FUNDED THE INSTITUTE TO CONDUCT A LEARNING COLLABORATIVE AMONG MEMBER HOSPITALS TO REDUCE BLACK OBSTETRIC MORTALITY RATES. THIS TWO-YEAR PROJECT SUPPORTS A LEARNING COLLABORATIVE OF 12 MEMBER HOSPITALS SEEKING TO REDUCE MORTALITY AMONG BLACK OBSTETRIC PATIENTS. 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 EXPERT PANEL MADE OF CARDIOVASCULAR DISEASE EXPERTS FROM ESSENTIAL HOSPITALS. THE KRESGE FOUNDATION FUNDED THE INSTITUTE TO FACILITATE A 6-MONTH LEARNING NETWORK OF MEMBER HOSPITALS TO IMPROVE PERFORMANCE RELATING TO MITIGATING CLIMATE CHANGE. HOSPITALS ARE RECEIVING TECHNICAL ASSISTANCE AND DISSEMINATING FINDINGS. FINALLY, FUNDED BY THE HUMAN MILK BANKING ASSOCIATION OF NORTH AMERICA, WHICH WAS FUNDED BY THE W. K. KELLOGG FOUNDATION, THE INSTITUTE INTERVIEWED SELECT MEMBERS TO UNDERSTAND THE USE OF DONOR HUMAN MILK. THE TOPICS COVERED HOW MEMBERS USE DONOR MILK, FACILITATORS AND BARRIERS TO USING DONOR MILK, AND LESSONS LEARNED FROM DONOR MILK PROGRAMS.</Desc>
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        <Desc>RESEARCH:THE INSTITUTE PUBLISHED 35 REPORTS, BRIEFS, AND BLOGS IN 2021:- ESSENTIAL HOSPITALS: COVID-19 STATUS, JANUARY 2021- ESSENTIAL HOSPITALS AND COVID-19: A YEAR INTO THE PANDEMIC, APRIL 2021- ESSENTIAL DATA: OUR HOSPITALS, OUR PATIENTS, MAY 2021- EXCELLENCE AND INNOVATION IN CARE: THE 2021 GAGE AWARDS, AUGUST 2021- ESSENTIAL HOSPITALS HAVE PRIDE: IMPROVING LGBTQ CARE, JUNE 2021- WEEKLY NEWSLETTERS ON COVID-19, FROM JANUARY THROUGH THE END OF JULY (30 REPORTS)IN ADDITION, THE INSTITUTE DISSEMINATED FINDINGS FROM RESEARCH AT NATIONAL CONFERENCES, INCLUDING PANEL AND POSTER PRESENTATIONS.</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 WEBINARS, CONFERENCE WORKSHOPS, DISTANCE LEARNING EVENTS, PROFESSIONAL DEVELOPMENT PROGRAMS, AND TECHNICAL ASSISTANCE VIA CONFERENCE CALLS AND WEBINARS. 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, IN ADDITION TO 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 PURPOSE OF THE FELLOWS PROGRAM IS 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 DAYS EACH), A SELF-ASSESSMENT, PROJECT, SITE VISIT, DISTANCE LEARNING, NETWORKING, AND ATTENDANCE AT AMERICA'S ESSENTIAL HOSPITALS' CONFERENCES AND EVENTS. DUE TO COVID-19, THIS WAS VIRTUAL, AND THE TIMELINE WAS EXTENDED THROUGH 2022. 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. DUE TO COVID-19, THIS WAS VIRTUAL, AND THE TIMELINE WAS EXTENDED THROUGH 2022. THROUGH AN AMERICA'S ESSENTIAL HOSPITALS MEMBER BENEFIT, THE INSTITUTE MANAGED SCHOLARSHIPS FOR MEMBERS TO ATTEND VIRTUAL EDUCATION PROGRAMS. IN 2021, 24 STAFF FROM MEMBER HOSPITALS PARTICIPATED IN SEVEN VIRTUAL EDUCATION PROGRAMS FROM THE INSTITUTE FOR HEALTHCARE IMPROVEMENT:- 15 STAFF ATTENDED ADVANCED EDUCATIONAL PROGRAMS;- FIVE STAFF ATTENDED THE NATIONAL FORUM; AND- FOUR STAFF ENGAGED IN A QUALITY IMPROVEMENT PRACTICUM.AS PART OF A GRANT FROM RWJF, THE INSTITUTE CONDUCTED EIGHT WEBINARS ON COVID-19 AND/OR EQUITY, AND THE EXPERIENCES AND INNOVATIONS OF AMERICA'S ESSENTIAL HOSPITALS. THE SERIES INCLUDED THE FOLLOWING WEBINARS:- COVID-19 VACCINATIONS: UNIVERSITY HEALTH'S STRATEGY, FEBRUARY 2021- OVERCOMING COVID-19 VACCINE HESITANCY AND BARRIERS, FEBRUARY 2021- TREATING AN EVOLVING EPIDEMIC DURING THE COVID PANDEMIC, JULY 2021- COVID 19 TRANSITIONS CLINIC: REDUCING TRANSITIONS AND HOSPITALIZATIONS, AUGUST 2021- IMPROVING IDENTIFICATION OF MALNUTRITION IN HIGH-RISK PATIENTS, SEPTEMBER 2021- THE EVALUATIVE BIAS OF LANGUAGE IN HEALTHCARE, OCTOBER 2021- HEALTH EQUITY DURING A CRISIS: FLATTENING THE COVID-19 CURVE, NOVEMBER 2021- OPENING A VACCINATION CENTER IN A COVID-19 HOTSPOT: LESSONS FROM COOPER UNIVERSITY HEALTH CARE, NOVEMBER 2021</Desc>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRENDA BATTLE</PersonNm>
        <TitleTxt>MEMBER DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROHIT BHALLA</PersonNm>
        <TitleTxt>MEMBER DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EMILY BLOMBERG</PersonNm>
        <TitleTxt>MEMBER DIRECTOR (BEG. 07/21)</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MELANY GAVULIC</PersonNm>
        <TitleTxt>MEMBER DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIM HOLLON</PersonNm>
        <TitleTxt>MEMBER DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHANNON SALE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DARRELL TERRY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MELINDA ABRAMS</PersonNm>
        <TitleTxt>OUTSIDE DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANAND SHAH</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DALE SHALLER</PersonNm>
        <TitleTxt>OUTSIDE DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN WEISS</PersonNm>
        <TitleTxt>OUTSIDE DIRECTOR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RHONDA GOLD</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KALPANA RAMIAH</PersonNm>
        <TitleTxt>VP, LEADERSHIP AND INNOVATION</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>325509</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES ROBERTS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>OLAJUMOKE SIWAJUOLA</PersonNm>
        <TitleTxt>SR. DIR. OF ACCOUNTING AND FINANCE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH FRENTZEL</PersonNm>
        <TitleTxt>MANAGER, SPONSORED PROJECTS</TitleTxt>
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        <PersonNm>BETTY WILLIAMS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER CHURCH</PersonNm>
        <TitleTxt>DIRECTOR OF HUMAN RESOURCES</TitleTxt>
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      <TotalReportableCompFromOrgAmt>0</TotalReportableCompFromOrgAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AMERICA'S ESSENTIAL HOSPITALS</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>401 9TH ST NW 900</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20004</ZIPCd>
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        <ServicesDesc>SHARING OF PAID EMPLOYEES</ServicesDesc>
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        <Desc>TUITION INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
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      <GrantsToDomesticOrgsGrp>
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      <OtherEmployeeBenefitsGrp>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>4961</ProgramServicesAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>20794</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>27731</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>13760</ProgramServicesAmt>
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        <ProgramServicesAmt>9219</ProgramServicesAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>39547</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14768</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>286970</ProgramServicesAmt>
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      <TravelGrp>
        <TotalAmt>3841</TotalAmt>
        <ProgramServicesAmt>3185</ProgramServicesAmt>
        <ManagementAndGeneralAmt>656</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>2680</TotalAmt>
        <ProgramServicesAmt>2222</ProgramServicesAmt>
        <ManagementAndGeneralAmt>458</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>6000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2200</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>2761</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1032</ManagementAndGeneralAmt>
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        <Desc>LICENSES AND FEES</Desc>
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        <ProgramServicesAmt>14482</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7580</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>1218</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>5969</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1230</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>9594</ProgramServicesAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>103000</BOYAmt>
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        <EOYAmt>18101</EOYAmt>
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        <EOYAmt>4676297</EOYAmt>
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        <EOYAmt>85107</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>148133</EOYAmt>
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        <EOYAmt>952432</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <BOYAmt>10154164</BOYAmt>
        <EOYAmt>10798892</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>11751324</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>480744</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <SupportingOrgType1Ind>X</SupportingOrgType1Ind>
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      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>AEH</BusinessNameLine1Txt>
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        <OrganizationTypeCd>10</OrganizationTypeCd>
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        <ContributionFamilyInd>0</ContributionFamilyInd>
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      <Form990SchAType1SuprtOrgGrp>
        <PowerAppointMajorityDirTrstInd>1</PowerAppointMajorityDirTrstInd>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 3B:</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY, ESSENTIAL HOSPITALS INSTITUTE COMPLETES THE SECTION 509(A)(2) PUBLIC SUPPORT TEST FOR AMERICA'S ESSENTIAL HOSPITALS TO ENSURE IT SATISFIES THE PUBLIC SUPPORT REQUIREMENTS.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>ESSENTIAL HOSPITALS INSTITUTE DID NOT GRANT ANY FUNDS TO AMERICA'S ESSENTIAL HOSPITALS. RATHER, ESSENTIAL HOSPITALS INSTITUTE SPENT FUNDS IN SUPPORT OF AMERICA'S ESSENTIAL HOSPITALS. THEREFORE, ESSENTIAL HOSPITALS INSTITUTE WAS ABLE TO ENSURE THAT ALL SUPPORT WAS USED EXCLUSIVELY FOR SECTION 170(C)(2)(B) PURPOSES.</ExplanationTxt>
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    </IRS990ScheduleA>
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
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        <DepreciationAmt>11526</DepreciationAmt>
        <BookValueAmt>18169</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>364580</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>364648</DepreciationAmt>
        <BookValueAmt>-68</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>18101</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AEH</Desc>
        <Amt>516559</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED EXEC COMP PLAN LIABILITY</Desc>
        <Amt>85107</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>601666</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>2928912</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>163984</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>163984</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2764928</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>27731</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>27731</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2792659</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2284184</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2284184</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>27731</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>27731</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2311915</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020, THE INSTITUTE HAS DOCUMENTED ITS CONSIDERATION OF FASB ASC 740-10, INCOME TAXES, THAT PROVIDES GUIDANCE FOR REPORTING UNCERTAINTY IN INCOME TAXES AND HAS DETERMINED THAT NO MATERIAL UNCERTAIN TAX POSITIONS QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
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    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIONAL ACADEMY OF SCIENCES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>500 FIFTH ST NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20001</ZIPCd>
        </USAddress>
        <RecipientEIN>530196932</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>IN SUPPORT OF THE LEADERSHIP CONSORTIUM FOR A VALUE &amp; SCIENCE DRIVEN HEALTH SYSTEM 2021.</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</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>
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      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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        <PersonNm>BRUCE SIEGEL</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>1080300</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>590430</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>191863</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>441726</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>59941</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>2364260</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>130349</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RHONDA GOLD</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>376300</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>162556</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>21193</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>38500</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>40588</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>639137</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KALPANA RAMIAH</PersonNm>
        <TitleTxt>VP, LEADERSHIP AND INNOVATION</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>83130</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>2079</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>38500</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>15580</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>379589</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES ROBERTS</PersonNm>
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        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>181200</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>26400</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>-326</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>20760</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>29516</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>OLAJUMOKE SIWAJUOLA</PersonNm>
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        <BonusRelatedOrganizationsAmt>23400</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>-3645</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>18340</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>32006</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>230101</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELIZABETH FRENTZEL</PersonNm>
        <TitleTxt>MANAGER, SPONSORED PROJECTS</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>160300</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>12200</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>386</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>13800</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>22110</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>208796</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <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>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>A 2021 CONTRIBUTION OF $157,320 WAS MADE TO BRUCE SIEGEL'S 457(F) PLAN. IN ADDITION, MR. SIEGEL RECEIVED A 2021 457(F) DISTRIBUTION OF $130,349 THAT WAS REPORTED ON HIS W-2 AND THAT HAD BEEN REPORTED AS DEFERRED COMPENSATION ON A PRIOR YEAR RETURN.</ExplanationTxt>
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      <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. FORM 990, PART VI, SECTION B, LINE 14: THE ORGANIZATION HAS A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. MANAGEMENT IS CURRENTLY CONDUCTING A REVIEW OF THE POLICY AND EXPECTS TO IMPLEMENT THE REVISED POLICY UPON COMPLETION OF THE REVIEW.</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 DECEMBER 2021.</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>
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        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
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      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
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        <MethodOfAmountDeterminationTxt>ALLOCATION FROM GENERAL LEDGER</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>AMERICA'S ESSENTIAL HOSPITALS</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>ALLOCATION FROM GENERAL LEDGER</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>AMERICA'S ESSENTIAL HOSPITALS</BusinessNameLine1Txt>
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        <InvolvedAmt>1733270</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>AMOUNTS PAID FROM CHECK REGISTER</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>AMERICA'S ESSENTIAL HOSPITALS</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>ACTUAL AMOUNT</MethodOfAmountDeterminationTxt>
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      <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>
