﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2017v2.3">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2018-10-04T14:10:40-05:00</ReturnTs>
    <TaxPeriodEndDt>2017-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>521392008</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>GELMAN ROSENBERG &amp; FREEDMAN</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>4550 MONTGOMERY AVE SUITE 650N</AddressLine1Txt>
        <CityNm>BETHESDA</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>208142930</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2017-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>521535611</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>ESSENTIAL HOSPITALS INSTITUTE</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>ESSE</BusinessNameControlTxt>
      <PhoneNum>2025850100</PhoneNum>
      <USAddress>
        <AddressLine1Txt>401 NINTH STREET NW NO 900</AddressLine1Txt>
        <CityNm>WASHINGTON</CityNm>
        <StateAbbreviationCd>DC</StateAbbreviationCd>
        <ZIPCd>20004</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>BRUCE SIEGEL</PersonNm>
      <PersonTitleTxt>PRESIDENT &amp; CEO</PersonTitleTxt>
      <PhoneNum>2025850100</PhoneNum>
      <SignatureDt>2018-10-04</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PhoneNum>3019519090</PhoneNum>
    </PreparerPersonGrp>
    <TaxYr>2017</TaxYr>
    <BuildTS>2022-09-23 18:48:47Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="8">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>BRUCE SIEGEL</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>401 NINTH STREET NW NO 900</AddressLine1Txt>
        <CityNm>WASHINGTON</CityNm>
        <StateAbbreviationCd>DC</StateAbbreviationCd>
        <ZIPCd>20004</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>3924781</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.ESSENTIALHOSPITALS.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1987</FormationYr>
      <LegalDomicileStateCd>DC</LegalDomicileStateCd>
      <ActivityOrMissionDesc>SEE PART III, LINE 1.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>15</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>14</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <TotalVolunteersCnt>17</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>1971437</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>3344086</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>387500</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>484656</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>55051</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>89643</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>0</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>6396</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>2413988</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>3924781</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>12100</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>19600</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>1631175</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>1802754</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>1478997</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>1221370</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>3122272</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>3043724</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-708284</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>881057</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>5297381</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>6133611</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>725981</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>469244</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>4571400</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>5664367</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <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 EDUCATE THE PUBLIC CONCERNING THE RESOURCES AND NEEDS OF PUBLIC AND NONPROFIT HOSPITALS.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>1</SignificantChangeInd>
      <ExpenseAmt>1622576</ExpenseAmt>
      <Desc>GRANTS AND HEALTHCARE: THE ESSENTIAL HOSPITAL INSTITUTE ("INSTITUTE") CONTINUED TO ADDRESS THE MAJOR 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 TWO KAISER PERMANENTE FUNDED RESEARCH PROJECTS. THE FIRST PROJECT CONTINUED THE WORK OF THE NATIONAL PARTNERSHIP FOR THE HEALTH CARE SAFETY NET AND INCLUDED THE INVESTIGATION OF VALUE-BASED PAYMENT PARTNERSHIPS BETWEEN SAFETY NET HOSPITALS AND COMMUNITY HEALTH CENTERS. THE PROJECT CULMINATED IN TWO CASE STUDIES, A LESSONS-LEARNED REPORT, A COMPENDIUM OF VALUE-BASED PAYMENT TOOLS AND RESOURCES FOR SAFETY NET PROVIDERS, TWO WEBINARS AND THE DEVELOPMENT OF WEBINAR COMPANION BRIEFS. AS PART OF THE SECOND PROJECT, THE INSTITUTE WORKED TO POSITION ITSELF AS THE PREMIER RESOURCE FOR INFORMATION AND ENGAGEMENT ON HEALTH EQUITY ISSUES AS IT RELATES TO SAFETY NET PROVIDERS IN THE U.S. AND ENHANCE WORKFORCE AND LEADERSHIP CAPACITY WITHIN SAFETY NET HOSPITALS. IN 2017, THE PROJECT SUPPORTED THE LAUNCH OF AN ONLINE HUB FOR POPULATION HEALTH RESOURCES, EXAMPLES FROM THE FIELD, AND LEARNING OPPORTUNITIES; DEVELOPED A RESEARCH BRIEF ON OPIOID USE; FACILITATED SESSIONS ON EQUITY AT THE ASSOCIATION'S ANNUAL CONFERENCE; COLLABORATED WITH THE INSTITUTE FOR HEALTHCARE IMPROVEMENT TO REVIEW AND MAKE RECOMMENDATIONS FOR CHANGES IN CURRICULA. CONTINUING WORK WITH THE PATIENT-CENTERED OUTCOMES RESEARCH INSTITUTE (PCORI) UNDER SUBCONTRACTOR TO THE UNIVERSITY OF KENTUCKY, THE INSTITUTE SERVED AS A PROJECT ACHIEVE ENGAGEMENT PARTNER. ACTIVITIES INCLUDED RECRUITING SAFETY NET HOSPITALS TO PARTICIPATE IN THE STUDY, AS WELL AS PARTICIPATING IN ALL STUDY ACTIVITIES, INCLUDING SURVEY DEVELOPMENT, SYNTHESIS OF RESULTS, AND DEVELOPMENT OF REPORTS AND DISSEMINATION PLANS.THE INSTITUTE WAS AWARDED AN 18-MONTH GRANT FROM THE ROBERT WOOD JOHNSON FOUNDATION TO HELP ESSENTIAL HOSPITALS MOVE BEYOND THEIR WALLS TO INFLUENCE THE SOCIAL AND ECONOMIC FACTORS THAT IMPACT HEALTH. IN 2017, THE INSTITUTE CONVENED NATIONAL PARTNERS AND ALLIED GROUPS TO DEVISE STRATEGIES AND SHARE IDEAS FOR BUILDING A CULTURE OF HEALTH; HELD TWO CONGRESSIONAL BRIEFINGS TO SHOWCASE HOUSING AND POPULATION HEALTH PROGRAMS; EXPANDED AN ONLINE HUB FOR RESOURCES, EXAMPLES FROM THE FIELD, AND LEARNING OPPORTUNITIES; AND LAUNCHED TWO ONGOING DISTANCE-LEARNING NETWORKS-A SERIES OF MONTHLY WEBINARS, TOOLS AND RESOURCES, AND ONLINE DISCUSSION FORUM-TO HELP ESSENTIAL HOSPITALS BUILD CAPACITY TO IMPROVE POPULATION HEALTH. THE INSTITUTE INITIATED AN 18-MONTH CONTRACT FROM THE PATIENT-CENTERED OUTCOMES RESEARCH INSTITUTE (PCORI) TO STUDY HOW COMPARATIVE EFFECTIVENESS RESEARCH IS USED AND IMPLEMENTED BY ESSENTIAL HOSPITALS, AS WELL AS BY THEIR PATIENTS AND FAMILIES, TO IMPROVE HEALTH CARE DELIVERY AMONG VULNERABLE POPULATIONS. PROJECT WORK INCLUDED FORMATION OF THREE ADVISORY GROUPS TARGETING PATIENTS, CLINICIANS, AND CHIEF MEDICAL/CHIEF QUALITY OFFICERS; A LITERATURE REVIEW AND ENVIRONMENTAL SCAN; INTERVIEWS WITH HOSPITAL LEADERS; SMALL-GROUP INTERVIEWS WITH PATIENTS; AND DEVELOPMENT AND IMPLEMENTATION OF A SURVEY OF HOSPITAL LEADERS.THE INSTITUTE WAS AWARDED A TWO-YEAR GRANT FROM THE KRESGE FOUNDATION TO CREATE A BETTER UNDERSTANDING OF THE SKILLS REQUIRED TO LEAD AND CONDUCT SUCCESSFUL POPULATION HEALTH IMPROVEMENT AT ESSENTIAL HOSPITALS. AS PART OF THE PROJECT, THE INSTITUTE CONDUCTED A LITERATURE REVIEW, ANALYSIS OF JOB DESCRIPTIONS, INTERVIEWS WITH EXPERTS, AND CONDUCTED FOCUS GROUPS WITH HOSPITAL-BASED POPULATION HEALTH LEADERS. THIS INFORMATION WILL SERVE AS A BASELINE FOR BUILDING TOOLS, RESOURCES, AND TRAINING TO BE DEVELOPED IN 2018-2019.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>591242</ExpenseAmt>
        <RevenueAmt>346500</RevenueAmt>
        <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 WHICH 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 GIVES PROMISING LEADERS THE TOOLS THEY NEED TO TRANSFORM THEMSELVES, MARSHAL THE ENERGY OF OTHERS TO DRIVE IMPROVEMENT, AND CREATE AN ADAPTIVE AND EFFECTIVE CULTURE. TO PREPARE FOR THE INSTITUTE'S 2018 CLASS OF THE ESSENTIAL WOMEN'S LEADERSHIP ACADEMY, WORK WAS CONDUCTED TO RECRUIT NEW MENTEES FOR THE PROGRAM. THE GOAL OF THIS PROGRAM IS TO DEVELOP SUCCESSFUL WOMEN EXECUTIVES AND NARROW THE GENDER GAP IN ESSENTIAL HOSPITAL LEADERSHIP.THROUGH AN AMERICA'S ESSENTIAL HOSPITALS MEMBER BENEFIT, STAFF FROM MEMBER HOSPITALS RECEIVED SCHOLARSHIPS IN 2017 TO ATTEND ADVANCED EDUCATIONAL PROGRAMS FROM THE INSTITUTE FOR HEALTHCARE IMPROVEMENT (IHI).AS PART OF A GRANT RECEIVED FROM THE ROBERT WOOD JOHNSON FOUNDATION, THE INSTITUTE CONDUCTED WEBINARS AND LEARNING NETWORKS TO SUPPORT MEMBER HOSPITALS' WORK FOR ACHIEVING COMMUNITY-INTEGRATED CARE THROUGH A POPULATION HEALTH APPROACH. THE INSTITUTE HOSTED SEVEN WEBINARS ON POPULATION HEALTH, TOOLS, AND PROGRAMS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>329154</ExpenseAmt>
        <GrantAmt>19600</GrantAmt>
        <RevenueAmt>138156</RevenueAmt>
        <Desc>RESEARCH AND ANALYTICS: THE INSTITUTE PUBLISHED TWO REPORTS IN 2017- THE OPIOID CRISIS: HOSPITAL PREVENTION AND RESPONSE (JUNE 2017) AND ESSENTIAL HOSPITALS: COMMUNITY ANCHORS IN VIOLENCE PREVENTION (OCTOBER 2017). THE INSTITUTE ALSO PUBLISHED ITS ESSENTIAL DATA: OUR HOSPITALS, OUR PATIENTS REPORT (JUNE 2017) BASED ON DATA COLLECTED THROUGH AMERICA'S ESSENTIAL HOSPITALS' 2015 ANNUAL MEMBER CHARACTERISTICS SURVEY AND SUPPORTING INFORMATION FROM OTHER SOURCES. IN ADDITION, THE INSTITUTE SUBMITTED DETAILED REPORT SUMMARIES OF RESEARCH FINDINGS TO PCORI FOR THE ENGAGEMENT AWARD TO SUPPORT THE IMPLEMENTATION AND USE OF PCOR/CER RESEARCH BY ESSENTIAL HOSPITALS. THE INSTITUTE DISSEMINATED FINDINGS FROM RESEARCH AT NATIONAL CONFERENCES INCLUDING PANEL AND POSTER PRESENTATIONS.</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalProgramServiceExpensesAmt>2542972</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="RetDoc1040000001">0</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc1041900001">1</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc1041900001">0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd>0</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">0</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">1</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>7</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>0</EmployeeCnt>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>15</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>14</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>RHONDA GOLD</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>2025850109</PhoneNum>
        <USAddress>
          <AddressLine1Txt>401 NINTH STREET NW NO 900</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20004</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRUCE SIEGEL</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO/RECORDING</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1299418</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>314564</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN MOFFATT-BRUCE</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DELVECCHIO FINLEY</PersonNm>
        <TitleTxt>CHAIR-ELECT/SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHISTINE NEUHOFF</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNA ROTH</PersonNm>
        <TitleTxt>PAST CHAIR (THROUGH 06/17)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEON HALEY JR</PersonNm>
        <TitleTxt>PAST CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERICKA BROWN</PersonNm>
        <TitleTxt>MEMBER DIRECTOR (BEG. 07/17)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVE CHOKSKI</PersonNm>
        <TitleTxt>MEMBER DIRECTOR (BEG. 07/17)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REUVEN PASTERNAK</PersonNm>
        <TitleTxt>MEMBER DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANTHONY PATTERSON</PersonNm>
        <TitleTxt>MEMBER DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JON PRYOR</PersonNm>
        <TitleTxt>MEMBER DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN JAY SHANNON</PersonNm>
        <TitleTxt>MEMBER DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANN SCOTT BLOUIN</PersonNm>
        <TitleTxt>OUTSIDE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STUART GUTERMAN</PersonNm>
        <TitleTxt>OUTSIDE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERICA MURRAY</PersonNm>
        <TitleTxt>OUTSIDE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LOEL SOLOMON</PersonNm>
        <TitleTxt>OUTSIDE DIRECTOR (BEG. 07/17)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DONALD GOLDMANN</PersonNm>
        <TitleTxt>OUTSIDE DIRECTOR (THROUGH 06/17)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WINSTON WONG</PersonNm>
        <TitleTxt>OUTSIDE DIRECTOR (THROUGH 06/17)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RHONDA GOLD</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>30.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>444660</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>110768</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID ENGLER</PersonNm>
        <TitleTxt>SVP FOR LEADERSHIP &amp; INN./EHI DIR.</TitleTxt>
        <AverageHoursPerWeekRt>28.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>12.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>375365</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>113597</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALAN BURK</PersonNm>
        <TitleTxt>DIRECTOR, HR</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>30.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>166800</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>45872</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK CAMPELL</PersonNm>
        <TitleTxt>DIRECTOR, IT</TitleTxt>
        <AverageHoursPerWeekRt>9.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>31.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>161700</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33377</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIN O'MALLEY</PersonNm>
        <TitleTxt>DIRECTOR, POLICY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>171600</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31079</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KALPANA RAMIAH</PersonNm>
        <TitleTxt>DIRECTOR, RESEARCH</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>196483</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31339</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER STEPHENS</PersonNm>
        <TitleTxt>PRINCIPAL RESEARCH ASSOCIATE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>126250</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9907</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>0</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>2942276</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>690503</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>0</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AMERICA'S ESSENTIAL HOSPITALS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>401 9TH ST NW 900</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20004</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SHARING OF PAID EMPLOYEES</ServicesDesc>
        <CompensationAmt>1862120</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>1087500</RelatedOrganizationsAmt>
      <AllOtherContributionsAmt>2256586</AllOtherContributionsAmt>
      <TotalContributionsAmt>3344086</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>TUITION INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>346500</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>346500</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>138156</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>138156</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>484656</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>89643</TotalRevenueColumnAmt>
        <ExclusionAmt>89643</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>6396</TotalRevenueColumnAmt>
        <ExclusionAmt>6396</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>6396</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>3924781</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>484656</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>96039</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>19600</TotalAmt>
        <ProgramServicesAmt>19600</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>521487</TotalAmt>
        <ProgramServicesAmt>364702</ProgramServicesAmt>
        <ManagementAndGeneralAmt>156785</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>1026701</TotalAmt>
        <ProgramServicesAmt>870012</ProgramServicesAmt>
        <ManagementAndGeneralAmt>156689</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>56400</TotalAmt>
        <ProgramServicesAmt>53353</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3047</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>107081</TotalAmt>
        <ProgramServicesAmt>87217</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19864</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>91085</TotalAmt>
        <ProgramServicesAmt>73185</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17900</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>24140</TotalAmt>
        <ManagementAndGeneralAmt>24140</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>8266</TotalAmt>
        <ProgramServicesAmt>7508</ProgramServicesAmt>
        <ManagementAndGeneralAmt>758</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>21386</TotalAmt>
        <ManagementAndGeneralAmt>21386</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>312144</TotalAmt>
        <ProgramServicesAmt>283508</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28636</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>44337</TotalAmt>
        <ProgramServicesAmt>27468</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16869</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>64404</TotalAmt>
        <ProgramServicesAmt>38153</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26251</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>408481</TotalAmt>
        <ProgramServicesAmt>144540</ProgramServicesAmt>
        <ManagementAndGeneralAmt>263941</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>86104</TotalAmt>
        <ProgramServicesAmt>83022</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3082</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>105670</TotalAmt>
        <ProgramServicesAmt>101888</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3782</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>74592</TotalAmt>
        <ManagementAndGeneralAmt>74592</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>2765</TotalAmt>
        <ManagementAndGeneralAmt>2765</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>ALLOCATION OF OVERHEAD</Desc>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>344736</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-344736</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROFESSIONAL DEV'L</Desc>
        <TotalAmt>27217</TotalAmt>
        <ProgramServicesAmt>26243</ProgramServicesAmt>
        <ManagementAndGeneralAmt>974</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSES AND FEES</Desc>
        <TotalAmt>17563</TotalAmt>
        <ProgramServicesAmt>6957</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10606</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FACILITIES MANAGEMENT</Desc>
        <TotalAmt>14709</TotalAmt>
        <ProgramServicesAmt>2843</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11866</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>9592</TotalAmt>
        <ProgramServicesAmt>8037</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1555</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>3043724</TotalAmt>
        <ProgramServicesAmt>2542972</ProgramServicesAmt>
        <ManagementAndGeneralAmt>500752</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1592514</BOYAmt>
        <EOYAmt>656419</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>14385</BOYAmt>
        <EOYAmt>1564811</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>22250</BOYAmt>
        <EOYAmt>26502</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>377214</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>188780</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>263026</BOYAmt>
        <EOYAmt>188434</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>3405206</BOYAmt>
        <EOYAmt>3697445</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>5297381</BOYAmt>
        <EOYAmt>6133611</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>143905</BOYAmt>
        <EOYAmt>102420</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>582076</BOYAmt>
        <EOYAmt>366824</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>725981</BOYAmt>
        <EOYAmt>469244</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>4055385</BOYAmt>
        <EOYAmt>4276697</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>516015</BOYAmt>
        <EOYAmt>1387670</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4571400</BOYAmt>
        <EOYAmt>5664367</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>5297381</BOYAmt>
        <EOYAmt>6133611</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>881057</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>211910</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <SupportingOrganization509a3Ind>X</SupportingOrganization509a3Ind>
      <SupportingOrgType1Ind>X</SupportingOrgType1Ind>
      <SupportedOrganizationsCnt>1</SupportedOrganizationsCnt>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>AEH</BusinessNameLine1Txt>
        </SupportedOrganizationName>
        <EIN>521236600</EIN>
        <OrganizationTypeCd>10</OrganizationTypeCd>
        <GoverningDocumentListedInd>1</GoverningDocumentListedInd>
        <SupportAmt>3043724</SupportAmt>
        <OtherSupportAmt>0</OtherSupportAmt>
      </SupportedOrgInformationGrp>
      <SupportedOrganizationsTotalCnt>1</SupportedOrganizationsTotalCnt>
      <SupportSumAmt>3043724</SupportSumAmt>
      <OtherSupportSumAmt>0</OtherSupportSumAmt>
      <Form990SchASupportingOrgGrp>
        <ListedByNameGoverningDocInd>1</ListedByNameGoverningDocInd>
        <SuprtOrgNoIRSDeterminationInd>1</SuprtOrgNoIRSDeterminationInd>
        <SupportedOrgSectionC456Ind>1</SupportedOrgSectionC456Ind>
        <SupportedOrgQualifiedInd>1</SupportedOrgQualifiedInd>
        <SuprtExclusivelySec170c2BInd>1</SuprtExclusivelySec170c2BInd>
        <SupportedOrgNotOrganizedUSInd>0</SupportedOrgNotOrganizedUSInd>
        <OrganizationChangeSuprtOrgInd>0</OrganizationChangeSuprtOrgInd>
        <SupportNonSupportedOrgInd>0</SupportNonSupportedOrgInd>
        <PaymentSubstantialContribtrInd>0</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>0</LoanDisqualifiedPersonInd>
        <ControlledDisqualifiedPrsnInd>0</ControlledDisqualifiedPrsnInd>
        <DisqualifiedPrsnControllIntInd>0</DisqualifiedPrsnControllIntInd>
        <DisqualifiedPrsnOwnrIntInd>0</DisqualifiedPrsnOwnrIntInd>
        <ExcessBusinessHoldingsRulesInd>0</ExcessBusinessHoldingsRulesInd>
        <ContributionControllerInd>0</ContributionControllerInd>
        <ContributionFamilyInd>0</ContributionFamilyInd>
        <Contribution35ControlledInd>0</Contribution35ControlledInd>
      </Form990SchASupportingOrgGrp>
      <Form990SchAType1SuprtOrgGrp>
        <PowerAppointMajorityDirTrstInd>1</PowerAppointMajorityDirTrstInd>
        <OperateBenefitNonSuprtOrgInd>0</OperateBenefitNonSuprtOrgInd>
      </Form990SchAType1SuprtOrgGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ESSENTIAL HOSPITALS INSTITUTE'S SUPPORTED ORGANIZATION, AMERICA'S ESSENTIAL HOSPITALS, IS A 501(C)(6).</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <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>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <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>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>29695</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3608</DepreciationAmt>
        <BookValueAmt>26087</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>347519</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>185172</DepreciationAmt>
        <BookValueAmt>162347</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>188434</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AEH</Desc>
        <Amt>366824</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>366824</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>4112551</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>211910</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>211910</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>3900641</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>24140</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>24140</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>3924781</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3019584</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>3019584</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>24140</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>24140</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>3043724</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016, ESSENTIAL HOSPITALS 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>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIONAL QUALITY FORUM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1030 FIFTEENTH STREET NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20005</ZIPCd>
        </USAddress>
        <RecipientEIN>522175544</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>19600</CashGrantAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</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>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</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</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>900000</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>214500</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>184918</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>175356</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>139208</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1613982</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>67226</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RHONDA GOLD</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>322200</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>77600</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>44860</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>72765</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>38003</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>555428</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID ENGLER</PersonNm>
        <TitleTxt>SVP FOR LEADERSHIP &amp; INN./EHI DIR.</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>284200</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>49900</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>41265</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>56600</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>56997</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>488962</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALAN BURK</PersonNm>
        <TitleTxt>DIRECTOR, HR</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>151600</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>15200</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>20016</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>25856</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>212672</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK CAMPELL</PersonNm>
        <TitleTxt>DIRECTOR, IT</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>145700</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>16000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>19404</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>13973</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>195077</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIN O'MALLEY</PersonNm>
        <TitleTxt>DIRECTOR, POLICY</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>156000</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>15600</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>20592</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>10487</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>202679</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KALPANA RAMIAH</PersonNm>
        <TitleTxt>DIRECTOR, RESEARCH</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>178583</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>17900</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>23578</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>7761</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>227822</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>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>BRUCE SIEGEL RECEIVED A 2017 457(F) PLAN CONTRIBUTION OF $90,000 AND A DISTRIBUTION OF $67,226 FOR VESTED 457F PLAN FUNDS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION TERMINATED ITS QUALITY AND PATIENT SAFETY AND INNOVATION AND PARTNERSHIPS PROGRAM IN 2017.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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>ANNUALLY, EACH INSTITUTE BOARD MEMBER AND KEY EMPLOYEE IS REQUIRED TO FILE A CONFLICT OF INTEREST STATEMENT. THIS STATEMENT IS THEN REVIEWED BY AMERICA'S ESSENTIAL HOSPITALS' CFO (STAFF IS SHARED WITH THE ASSOCIATION). ANY POTENTIAL CONFLICTS ARE ADDRESSED WITH THE PRESIDENT AND CEO. IF THERE IS A POTENTIAL CONFLICT OF INTEREST, THE CONFLICT IS REVIEWED WITH THE INSTITUTE BOARD OF DIRECTORS. ALL COMPLETED CONFLICT OF INTEREST STATEMENTS ARE SCANNED AND HELD BY THE CFO.</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 2017. 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 TOOK PLACE IN 2013 AND THE DATA HAS BEEN UPDATED FOR 2017.</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>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTANTS AND SUBCONTRACTORS: PROGRAM SERVICE EXPENSES 283,508. MANAGEMENT AND GENERAL EXPENSES 28,636. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 312,144.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <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>
      </IdRelatedTaxExemptOrgGrp>
      <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>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <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>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <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>616424</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOCATION FROM GENERAL LEDGER</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AMERICA'S ESSENTIAL HOSPITALS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>1862120</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOCATION FROM GENERAL LEDGER</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AMERICA'S ESSENTIAL HOSPITALS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>2089971</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>AMOUNTS PAID FROM CHECK REGISTER</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AMERICA'S ESSENTIAL HOSPITALS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>1087500</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>