2020-10-02T09:23:59-05:00 2019-12-31 521392008 GELMAN ROSENBERG & FREEDMAN 4550 MONTGOMERY AVE SUITE 800N BETHESDA MD 208142930 990 2019-01-01 521535611 ESSENTIAL HOSPITALS INSTITUTE ESSE 2025850100 401 NINTH STREET NW NO 900 WASHINGTON DC 20004 BRUCE SIEGEL PRESIDENT & CEO 2025850100 2020-10-02 1 RICHARD J LOCASTRO CPA P00288314 3019519090 75.103.231.202 2020-10-02 10:23:54 ED P 3242370ACE0FDCD1644E50D607094B3FB533101C C19EF0D68A5937FEAD699DA53D747DFD7ABAFB6A 2019 2021-01-29 14:40:06Z BRUCE SIEGEL 401 NINTH STREET NW NO 900 WASHINGTON DC 20004 4219511 0 X WWW.ESSENTIALHOSPITALS.ORG X 1987 DC SEE PART III, LINE 1. 15 14 0 16 0 0 1884351 3332231 694829 638004 116456 114043 3147 247 2698783 4084525 7500 0 0 0 1858485 1953107 0 0 0 1336525 1248683 3202510 3201790 -503727 882735 5411662 6955000 468724 763499 4942938 6191501 X 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 EDUCATE THE PUBLIC CONCERNING THE RESOURCES AND NEEDS OF PUBLIC AND NONPROFIT HOSPITALS. 0 0 1495715 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 AND RESEARCH, QUALITY PERFORMANCE AND IMPROVEMENT, LEADERSHIP, AND HEALTH REFORM IMPLEMENTATION. THE INSTITUTE COMPLETED ITS GRANT PROJECT WITH THE ROBERT WOOD JOHNSON FOUNDATION (RWJF) TO HELP ESSENTIAL HOSPITALS MOVE BEYOND THEIR WALLS TO INFLUENCE THE SOCIAL AND ECONOMIC FACTORS THAT IMPACT HEALTH. IN 2019, THE INSTITUTE COMPLETED AND DISSEMINATED FINAL PRODUCTS, INCLUDING A BRIEF AND ACCOMPANYING WEBINAR SHOWCASING ESSENTIAL HOSPITAL EFFORTS TO ALLEVIATE TRANSPORTATION BARRIERS. THE INSTITUTE COMPLETED ITS GRANT PROJECT WITH RWJF TO DEVELOP A SEARCHABLE ONLINE LIBRARY OF RESOURCES FOR FACILITATING CONVERSATIONS BETWEEN PATIENTS AND CLINICIANS ABOUT THE COST OF CARE; HOST WEBINARS HIGHLIGHTING THE TOOLS; ADMINISTER MINI-GRANTS TO TEST OR EXPAND UPON THE RESOURCES, AND MARKET THE RESOURCES. IN 2019, THE INSTITUTE MANAGED THE COMPLETION OF THE MINI-GRANT PROJECTS AND DISSEMINATED THE MINI-GRANT FINAL PRODUCTS AND PRESENTED THEM AT VITAL. (MAY 1, 2018-SEPT 30, 2019) THE INSTITUTE COMPLETED ITS WORK WITH THE PATIENT-CENTERED OUTCOMES RESEARCH INSTITUTE (PCORI) UNDER SUBCONTRACT TO THE UNIVERSITY OF KENTUCKY, WHERE THE INSTITUTE SERVED AS A PROJECT ACHIEVE ENGAGEMENT PARTNER. IN 2019, INTERVIEWS WITH HOSPITAL LEADERS HELPED TO IDENTIFY CARE TRANSITION STRATEGIES MOST RELEVANT TO PROVIDERS, CAREGIVERS, AND PATIENTS. THE INSTITUTE CONTINUED ITS WORK WITH THE KRESGE FOUNDATION ON POPULATION HEALTH IMPROVEMENT AND ITS ADDITIONAL GRANT TO IDENTIFY RECOMMENDATIONS TO MITIGATE CLIMATE CHANGE AND BUILD CLIMATE RESILIENCE FOR HOSPITALS. AS PART OF THIS LATTER PROJECT, THE INSTITUTE CONDUCTED A SURVEY, INTERVIEWS WITH 17 HOSPITAL STAFF RESPONSIBLE FOR FACILITIES AND SUSTAINABILITY EFFORTS, AND A FORUM WITH HOSPITAL LEADERSHIP AT VITAL 2019. THE INSTITUTE CONTINUED ITS GRANT FROM THE RWJF TO GENERATE NEW INFORMATION FOR SAFETY-NET HOSPITAL LEADERS SEEKING TO BUILD AND MAINTAIN TRUST AMONG VULNERABLE POPULATIONS. IN 2019, THE INSTITUTE COMPLETED A PANEL SURVEY OF 1,000 PATIENTS AND CAREGIVERS SEEN AT ESSENTIAL HOSPITALS TO IDENTIFY THE MOST CRITICAL DIMENSIONS OF TRUST AND CONDUCTED THREE SITE VISITS AT MEMBER HOSPITALS TO ASCERTAIN POLICIES AND PRACTICES LEADERS CAN IMPLEMENT TO BUILD PATIENTS' INSTITUTIONAL TRUST. THE INSTITUTE BEGAN AND COMPLETED A PROJECT FUNDED BY RWJF TO EVALUATE THE INSTITUTE'S WORK TO HELP ESSENTIAL HOSPITALS ADVANCE POPULATION HEALTH BY ADDRESSING SOCIAL DETERMINANTS OF HEALTH. BASED ON THE RESULTS, THE INSTITUTE DEVELOPED A SUBSEQUENT ROUND OF PROGRAMMING AND CONTINUED EDUCATING AND DISSEMINATING RESOURCES TO MAINTAIN THE MOMENTUM GENERATED BY PRIOR WORK. THE CENTERS FOR MEDICARE & MEDICAID SERVICES SELECTED THE INSTITUTE AS A PRIME AWARDEE OF THE NETWORK OF QUALITY IMPROVEMENT AND INNOVATION CONTRACTOR (NQIIC). THIS DESIGNATION WILL ALLOW NQIIC AWARDEES TO BID ON OPPORTUNITIES OVER THE NEXT FIVE YEARS. THESE AWARDS WILL FOCUS ON QUALITY AND PERFORMANCE IMPROVEMENT, SUPPORT INNOVATIONS IN HEALTH CARE, AND SUPPORT HIGH-VALUE CARE. 545603 580668 RESEARCH: THE INSTITUTE PUBLISHED SIX REPORTS IN 2019:- THE STATE OF CLIMATE RESILIENCE AND CLIMATE MITIGATION EFFORTS AT ESSENTIAL HOSPITALS, NOV. 2019- POPULATION HEALTH LEADERSHIP AT ESSENTIAL HOSPITALS: A TOOLKIT FOR HIRING AND EVALUATING POPULATION HEALTH EXECUTIVES, MAR. 2019- RESEARCH BRIEF - PATIENT EXPERIENCE AND HCAHPS AT ESSENTIAL HOSPITALS, OCT. 2019- ESSENTIAL DATA: OUR HOSPITALS, OUR PATIENTS - RESULTS OF AMERICA'S ESSENTIAL HOSPITALS 2017 ANNUAL MEMBER CHARACTERISTICS SURVEY, APR. 2019 - OUTSIDE THE HOSPITAL WALLS: AN UPDATE ON ESSENTIAL HOSPITALS' EFFORTS TO IMPROVE THE HEALTH OF THEIR COMMUNITIES, DEC. 2019- MILESTONES FOR COMMUNITY-INTEGRATED CARE AT ESSENTIAL HOSPITALS, DEC. 2019 IN ADDITION, THE INSTITUTE DISSEMINATED FINDINGS FROM RESEARCH AT NATIONAL CONFERENCES, INCLUDING PANEL AND POSTER PRESENTATIONS. 408770 57533 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. 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. THROUGH AN AMERICA'S ESSENTIAL HOSPITALS MEMBER BENEFIT, THE INSTITUTE MANAGED SCHOLARSHIPS FOR MEMBERS TO ATTEND VIRTUAL EDUCATION PROGRAMS. IN 2019, 36 STAFF FROM MEMBER HOSPITALS PARTICIPATED IN FOUR VIRTUAL EDUCATION PROGRAMS FROM THE INSTITUTE FOR HEALTHCARE IMPROVEMENT: - 20 STAFF ATTENDED ADVANCED EDUCATIONAL PROGRAMS;- 13 STAFF ATTENDED THE NATIONAL FORUM; - TWO STAFF ATTENDED THE SUMMIT ON IMPROVING PATIENT CARE; AND - ONE STAFF ATTENDED THE PATIENT SAFETY CONGRESS. AS PART OF A GRANT FROM THE KRESGE FOUNDATION, THE INSTITUTE CONDUCTED TWO WEBINARS ON POPULATION HEALTH AND LEADERSHIP. AS PART OF A GRANT FROM RWJF, THE INSTITUTE CONDUCTED A WEBINAR ON DIMENSIONS OF PATIENT TRUST IN ESSENTIAL HOSPITALS. AS PART OF A SEPARATE RWJF GRANT, THE INSTITUTE DEVELOPED AND DELIVERED A NEW COMPONENT FOR THE LONGSTANDING FELLOWS LEADERSHIP DEVELOPMENT PROGRAM, FOCUSED ON POPULATION HEALTH. 2450088 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 12 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X RHONDA GOLD 2025850109 401 NINTH STREET NW NO 900 WASHINGTON DC 20004 BRUCE SIEGEL PRESIDENT & CEO/REC. SEC. 2.00 38.00 X X 0 1459905 474029 DELVECCHIO FINLEY CHAIR 1.00 X X 0 0 0 CHRISTINE NEUHOFF CHAIR-ELECT 1.00 X X 0 0 0 SUSAN MOFFATT-BRUCE PAST-CHAIR 1.00 X X 0 0 0 REUVEN PASTERNAK TREASURER (THROUGH 6/19) 1.00 X X 0 0 0 ROY GILBREATH MEM DIR, THEN TREASURER (BEG. 10/19) 1.00 X X 0 0 0 ROHIT BHALLA MEMBER DIRECTOR (THROUGH 6/19) 1.00 X 0 0 0 ERICKA BROWN MEMBER DIRECTOR (THROUGH 6/19) 1.00 X 0 0 0 PARVEEN CHAND MEMBER DIRECTOR (BEG. 7/19) 1.00 X 0 0 0 DAVE CHOKSHI MEMBER DIRECTOR (THROUGH 6/19) 1.00 X 0 0 0 SUSAN COOPER MEMBER DIRECTOR (BEG. 7/19) 1.00 X 0 0 0 MELANY GAVULIC MEMBER DIRECTOR (BEG. 7/19) 1.00 X 0 0 0 LEON HALEY MEMBER DIRECTOR (THROUGH 6/19) 1.00 X 0 0 0 KIM HOLLON MEMBER DIRECTOR (BEG. 7/19) 1.00 X 0 0 0 JON PRYOR MEMBER DIRECTOR (THROUGH 2/19) 1.00 X 0 0 0 JOHN JAY SHANNON MEMBER DIRECTOR 1.00 X 0 0 0 MELINDA ABRAMS OUTSIDE DIRECTOR (BEG. 7/19) 1.00 X 0 0 0 STUART GUTERMAN OUTSIDE DIRECTOR 1.00 X 0 0 0 ERICA MURRAY OUTSIDE DIRECTOR 1.00 X 0 0 0 JAMES SCHROEDER OUTSIDE DIRECTOR (THROUGH 3/19) 1.00 X 0 0 0 DALE SHALLER OUTSIDE DIRECTOR 1.00 X 0 0 0 KEVIN WEISS OUTSIDE DIRECTOR 1.00 X 0 0 0 RHONDA GOLD CHIEF FINANCIAL OFFICER 13.00 27.00 X 0 481269 124286 KALPANA RAMIAH VP LDRSHIP & INNOVATION/EHI DIRECTOR 39.00 1.00 X 0 276022 69637 ALAN BURK SENIOR DIRECTOR, HR 10.00 30.00 X 0 192696 53471 OLAJUMOKE SIWAJUOLA DIRECTOR, ACCOUNTING 11.00 29.00 X 0 147984 46150 JAMES ROBERTS SENIOR DIRECTOR, IT 11.00 29.00 X 0 156135 22707 JENNIFER STEPHENS PRINCIPAL RESEARCH ASSOCIATE 40.00 X 0 147623 28326 DEBORAH ROSEMAN PRINCIPAL PROJECT SPECIALIST 40.00 X 0 127592 32598 0 2989226 851204 0 0 1 0 AMERICA'S ESSENTIAL HOSPITALS 401 9TH ST NW 900 WASHINGTON DC 20004 SHARING OF PAID EMPLOYEES 1897942 1 1330000 2002231 3332231 TUITION INCOME 900099 580668 580668 CONTRACTS 900099 48793 48793 CONFERENCE INCOME 900099 4800 4800 HONORARIA & OTHER INCO 900099 3743 3743 638004 117029 117029 132000 134986 -2986 -2986 -2986 MISCELLANEOUS 900099 247 247 247 4084525 638004 0 114290 X 630520 299946 330574 1034674 891009 143665 58469 53568 4901 130700 109489 21211 98744 72101 26643 8817 8473 344 32100 30847 1253 24193 24193 322783 310188 12595 2643 2643 31892 27008 4884 60257 46503 13754 388523 307108 81415 98648 76379 22269 114298 88496 25802 54201 39234 14967 8550 6262 2288 LICENSES AND FEES 38790 28442 10348 PROFESSIONAL DEV'L 17223 13335 3888 FACILITIES MANAGEMENT 17186 13108 4078 DUES, SUBS. & PUBS. 16824 14724 2100 11755 11225 530 3201790 2450088 751702 0 1442061 2550226 168648 224801 66677 35014 394275 314189 132173 80086 3584779 4023590 17324 41283 5411662 6955000 197431 250676 271293 512823 468724 763499 X 4129499 4705958 813439 1485543 4942938 6191501 5411662 6955000 882735 365828 0 X 0 1 X 1 0 X X 1 AEH 521236600 10 1 3201790 0 1 3201790 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 2: ESSENTIAL HOSPITALS INSTITUTE'S SUPPORTED ORGANIZATION, AMERICA'S ESSENTIAL HOSPITALS, IS A 501(C)(6). PART IV, SECTION A, LINE 3B: 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. PART IV, SECTION A, LINE 3C: 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 29695 7567 22128 364580 306622 57958 80086 DUE TO AEH 471540 DEFERRED EXEC COMP PLAN LIABILITY 41283 512823 X 4426160 365828 365828 4060332 24193 24193 4084525 3177597 0 3177597 24193 24193 3201790 PART X, LINE 2: FOR THE YEARS ENDED DECEMBER 31, 2019 AND 2018, 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. 0 1 0 0 0 0 0 0 0 BRUCE SIEGEL PRESIDENT & CEO/REC. SEC. 0 1015786 0 323474 0 120645 0 270123 0 203906 0 1933934 0 70957 RHONDA GOLD CHIEF FINANCIAL OFFICER 0 351300 0 120256 0 9713 0 86169 0 38117 0 605555 0 0 KALPANA RAMIAH VP LDRSHIP & INNOVATION/EHI DIRECTOR 0 211100 0 57510 0 7412 0 54012 0 15625 0 345659 0 0 ALAN BURK SENIOR DIRECTOR, HR 0 171800 0 25800 0 -4904 0 22800 0 30671 0 246167 0 0 OLAJUMOKE SIWAJUOLA DIRECTOR, ACCOUNTING 0 140000 0 14000 0 -6016 0 16800 0 29350 0 194134 0 0 JAMES ROBERTS SENIOR DIRECTOR, IT 0 141023 0 19000 0 -3888 0 0 0 22707 0 178842 0 0 JENNIFER STEPHENS PRINCIPAL RESEARCH ASSOCIATE 0 141900 0 7100 0 -1377 0 13297 0 15029 0 175949 0 0 DEBORAH ROSEMAN PRINCIPAL PROJECT SPECIALIST 0 126500 0 10100 0 -9008 0 8441 0 24157 0 160190 0 0 PART I, LINE 3 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. PART I, LINE 4B BRUCE SIEGEL RECEIVED A 2019 457(F) PLAN CONTRIBUTION OF $152,400. FORM 990, PART VI, SECTION B, LINE 11B 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. FORM 990, PART VI, SECTION B, LINE 12C 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 & 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 & CEO AND/OR THE BOARD. ANY CONFLICTS OF INTEREST ARE RESOLVED AS APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 15 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 2019. 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 JULY 2019. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G AUDIO VISUAL CONSULTING: PROGRAM SERVICE EXPENSES 8,307. MANAGEMENT AND GENERAL EXPENSES 337. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,644. DESIGN & BRAND CONSULTANTS: PROGRAM SERVICE EXPENSES 7,058. MANAGEMENT AND GENERAL EXPENSES 287. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,345. EDITORIAL SUPPORT CONSULTANTS: PROGRAM SERVICE EXPENSES 651. MANAGEMENT AND GENERAL EXPENSES 26. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 677. PHOTOGRAPHERS: PROGRAM SERVICE EXPENSES 1,888. MANAGEMENT AND GENERAL EXPENSES 77. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,965. CONSULTANTS: PROGRAM SERVICE EXPENSES 292,284. MANAGEMENT AND GENERAL EXPENSES 11,868. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 304,152. AMERICA'S ESSENTIAL HOSPITALS 401 NINTH STREET NW STE 900 WASHINGTON DC 20004 521236600 SEE PART VII DC 501(C)(6) N/A N/A 0 AMERICA'S ESSENTIAL HOSPITALS POLITICAL ACTION COMMITTEE 401 NINTH STREET NW STE 900 WASHINGTON DC 20004 810983774 POLITICAL INITIATIVES DC 527 AEH 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 AMERICA'S ESSENTIAL HOSPITALS N 661816 ALLOCATION FROM GENERAL LEDGER AMERICA'S ESSENTIAL HOSPITALS O 1897942 ALLOCATION FROM GENERAL LEDGER AMERICA'S ESSENTIAL HOSPITALS P 2076031 AMOUNTS PAID FROM CHECK REGISTER AMERICA'S ESSENTIAL HOSPITALS C 1330000 ACTUAL AMOUNT PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS: 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.