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        <Desc>RESEARCH:THE INSTITUTE PUBLISHED SEVEN REPORTS IN 2020:- ESSENTIAL HOSPITALS: COVID-19 STATUS, MARCH 2020- ESSENTIAL HOSPITALS: COVID-19 STATUS, MAY 2020- ESSENTIAL DATA: OUR HOSPITALS, OUR PATIENTS, MAY 2020- PATIENT TRUST: A GUIDE FOR ESSENTIAL HOSPITALS, JULY 2020- ESSENTIAL HOSPITALS: COVID-19 STATUS, OCT. 2020- THE ROLE OF ESSENTIAL HOSPITALS IN COMBATING STRUCTURAL RACISM, OCT. 2020- ESSENTIAL HOSPITALS: COVID-19 STATUS, DEC. 2020 IN ADDITION, THE INSTITUTE DISSEMINATED FINDINGS FROM RESEARCH AT NATIONAL CONFERENCES, INCLUDING PANEL AND POSTER PRESENTATIONS.</Desc>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROHIT BHALLA</PersonNm>
        <TitleTxt>MEMBER DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN COOPER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MELANY GAVULIC</PersonNm>
        <TitleTxt>MEMBER DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KIM HOLLON</PersonNm>
        <TitleTxt>MEMBER DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHANNON SALE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MELINDA ABRAMS</PersonNm>
        <TitleTxt>OUTSIDE DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ERICA MURRAY</PersonNm>
        <TitleTxt>OUTSIDE DIRECTOR (THROUGH 06/20)</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANAND SHAH</PersonNm>
        <TitleTxt>OUTSIDE DIRECTOR (BEG. 07/20)</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DALE SHALLER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN WEISS</PersonNm>
        <TitleTxt>OUTSIDE DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RHONDA GOLD</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>522267</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KALPANA RAMIAH</PersonNm>
        <TitleTxt>VP, LEADERSHIP AND INNOVATION</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>315038</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES ROBERTS</PersonNm>
        <TitleTxt>SENIOR DIRECTOR, INFO TECH</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>26.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>OLAJUMOKE SIWAJUOLA</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH FRENTZEL</PersonNm>
        <TitleTxt>MANAGER, SPONSORED PROJECTS</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER STEPHENS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALAN BURK</PersonNm>
        <TitleTxt>SENIOR DIRECTOR, HUMAN RESOURCES</TitleTxt>
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      <TotalReportableCompFromOrgAmt>0</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>3233653</TotReportableCompRltdOrgAmt>
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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>
          </USAddress>
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        <ServicesDesc>SHARING OF PAID EMPLOYEES</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
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      <ProgramServiceRevenueGrp>
        <Desc>TUITION INCOME</Desc>
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      <ProgramServiceRevenueGrp>
        <Desc>HONORARIA &amp; OTHER INC.</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1000</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>217333</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <ExclusionAmt>85366</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>894109</ProgramServicesAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>42580</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12662</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>109066</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20761</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>76396</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22717</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>2605</ProgramServicesAmt>
        <ManagementAndGeneralAmt>214</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>23240</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1910</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>25141</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>108533</ProgramServicesAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>338</ProgramServicesAmt>
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        <ProgramServicesAmt>11169</ProgramServicesAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>58141</TotalAmt>
        <ProgramServicesAmt>46647</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11494</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>319489</ProgramServicesAmt>
        <ManagementAndGeneralAmt>65242</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>17416</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2171</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>44285</TotalAmt>
        <ProgramServicesAmt>39375</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4910</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>40800</ProgramServicesAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>2990</ProgramServicesAmt>
        <ManagementAndGeneralAmt>952</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>LICENSES AND FEES</Desc>
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        <ProgramServicesAmt>19640</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8754</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>FACILITIES MANAGEMENT</Desc>
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        <ManagementAndGeneralAmt>2808</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>3954</ProgramServicesAmt>
        <ManagementAndGeneralAmt>493</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>4204</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>6116</ProgramServicesAmt>
        <ManagementAndGeneralAmt>561</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2172777</ProgramServicesAmt>
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      <SavingsAndTempCashInvstGrp>
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      <AccountsReceivableGrp>
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        <EOYAmt>14780</EOYAmt>
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        <EOYAmt>26301</EOYAmt>
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        <BOYAmt>41283</BOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>814303</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>5246380</EOYAmt>
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        <EOYAmt>10154164</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>10968467</EOYAmt>
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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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      <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>
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      <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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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED EXEC COMP PLAN LIABILITY</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>313166</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>313166</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>6395367</RevenueSubtotalAmt>
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      <RevenueNotReportedFinclStmtAmt>25141</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>6420508</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2745870</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2745870</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>25141</InvestmentExpensesNotIncld2Amt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019, 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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        <PersonNm>BRUCE SIEGEL</PersonNm>
        <TitleTxt>PRESIDENT AND CEO/REC. SEC.</TitleTxt>
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        <BonusRelatedOrganizationsAmt>379180</BonusRelatedOrganizationsAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>2040677</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>99179</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RHONDA GOLD</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KALPANA RAMIAH</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>15545</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>392655</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES ROBERTS</PersonNm>
        <TitleTxt>SENIOR DIRECTOR, INFO TECH</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>175500</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>26300</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>27348</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>228740</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>OLAJUMOKE SIWAJUOLA</PersonNm>
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        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>14500</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>15400</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>30093</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>200178</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELIZABETH FRENTZEL</PersonNm>
        <TitleTxt>MANAGER, SPONSORED PROJECTS</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>154900</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>12400</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER STEPHENS</PersonNm>
        <TitleTxt>PRINCIPAL RESEARCHER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>146500</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>7300</BonusRelatedOrganizationsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>14990</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALAN BURK</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>3400</BonusRelatedOrganizationsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>24378</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>176833</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>BRUCE SIEGEL RECEIVED A 2020 457(F) PLAN CONTRIBUTION OF $152,368.</ExplanationTxt>
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        <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. THE CONSULTANT REVIEWED THE COMPENSATION OF OTHER COMPARABLE POSITIONS IN PEER ORGANIZATIONS, INCLUDING OTHER NATIONAL AND STATE ASSOCIATIONS, AND UPDATED THIS DATA FOR MARKET CHANGES IN 2020. 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 FEBRUARY 2020.</ExplanationTxt>
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      <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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        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>2228460</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>AMOUNTS PAID FROM CHECK REGISTER</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AMERICA'S ESSENTIAL HOSPITALS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>1100000</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>
