2018-10-04T14:10:18-05:00 2017-12-31 521392008 GELMAN ROSENBERG & FREEDMAN 4550 MONTGOMERY AVE SUITE 650N BETHESDA MD 208142930 990 2017-01-01 521236600 AMERICA'S ESSENTIAL HOSPITALS AMER 2025850100 401 NINTH STREET NW NO 900 WASHINGTON DC 20004 BRUCE SIEGEL PRESIDENT & CEO 2025850100 2018-10-04 1 3019519090 75.103.231.202 2018-10-04 15:10:12 ED P 4FA38BE9C690C82C721A5060F87FC7588CB81F81 C7EAF115EAD33465AEF7D66DF153EA591AC46C1A 2017 2018-06-14 16:35:46Z BRUCE SIEGEL 401 NINTH STREET NW NO 900 WASHINGTON DC 20004 13410203 0 X WWW.ESSENTIALHOSPITALS.ORG X 1980 DC SEE PART III, LINE 1. 18 18 55 18 0 0 259705 90000 11293790 12324405 159581 293285 219822 6445 11932898 12714135 758000 1141130 0 0 5321718 6475342 0 0 0 3844919 4437275 9924637 12053747 2008261 660388 22819387 26645927 9902064 12025350 12917323 14620577 X AMERICA'S ESSENTIAL HOSPITALS CHAMPIONS EXCELLENCE IN HEALTH CARE FOR ALL, REGARDLESS OF SOCIAL OR ECONOMIC CIRCUMSTANCE, AND ADVANCES THE WORK OF HOSPITALS AND HEALTH SYSTEMS COMMITTED TO ENSURING ACCESS TO CARE AND OPTIMAL HEALTH FOR AMERICA'S MOST VULNERABLE PEOPLE. 0 0 ADVOCACY: AS THE LEADING NATIONAL ORGANIZATION REPRESENTING ESSENTIAL HOSPITALS-THOSE WITH A SAFETY-NET ROLE IN THEIR COMMUNITIES-AMERICA'S ESSENTIAL HOSPITALS REPRESENTS OUR MEMBERS' PERSPECTIVE BEFORE CONGRESS AND THE ADMINISTRATION ON LEGISLATION AND REGULATIONS PIVOTAL TO ESSENTIAL HOSPITALS' FISCAL VIABILITY AND SUSTAINABILITY. MAJOR ACCOMPLISHMENTS IN 2017 INCLUDED PROTECTING HEALTH CARE COVERAGE FOR 30 MILLION AMERICANS WHO ARE ELIGIBLE FOR COVERAGE UNDER THE AFFORDABLE CARE ACT (ACA) AND KEEPING MEDICAID FUNDING INTACT, AS WELL AS WORKING TO STOP FUTURE CUTS TO MEDICAID DISPROPORTIONATE SHARE PAYMENTS. THE ASSOCIATION WORKED WITH ITS HOSPITALS TO SUPPORT THEIR EFFORTS TO SECURE STATE LEGISLATURES' APPROVAL OF MEDICAID EXPANSION AND EXPAND THE IMPLEMENTATION OF MEDICAID SYSTEM TRANSFORMATION WAIVERS. POLICY: AS PART OF AMERICA'S ESSENTIAL HOSPITALS' ONGOING EFFORTS TO MINIMIZE FUTURE CUTS TO KEY ESSENTIAL HOSPITAL FUNDING SOURCES, THE ASSOCIATION ADVOCATED ON BEHALF OF ITS MEMBERS REGARDING MEDICARE PAYMENT TO HOSPITALS FOR INPATIENT AND OUTPATIENT SERVICES, INCLUDING MEDICARE DISPROPORTIONATE SHARE HOSPITAL PAYMENTS; SOUNDNESS AND STANDARDIZATION OF QUALITY MEASURES; HOSPITAL PARTICIPATION IN THE 340B DRUG PRICING PROGRAM; AND CONTINUING THE PROVISION OF MEDICAID SUPPLEMENTAL PAYMENTS. AMERICA'S ESSENTIAL HOSPITALS ALSO ADVANCED ESSENTIAL HOSPITALS' INTERESTS AS ESSENTIAL COMMUNITY PROVIDERS IN HEALTH INSURANCE MARKETPLACES AND PUBLISHED EDUCATIONAL MATERIALS FOR MEMBERS AND OTHER STAKEHOLDERS ON DELIVERY SYSTEM TRANSFORMATION, TRENDS IN MEDICAID MANAGED CARE, AND ALTERNATIVE PAYMENT MODELS. COMMUNICATIONS: DURING 2017, AMERICA'S ESSENTIAL HOSPITALS CAMPAIGNED EXTENSIVELY THROUGH PRINT AND ONLINE ADVERTISING AND SOCIAL MEDIA TO PROTECT HOSPITALS FROM DAMAGING PLANS TO REPEAL AND REPLACE THE ACA. THESE LEGISLATIVE PROPOSALS WOULD HAVE DRAMATICALLY INCREASED THE NUMBER OF UNINSURED AND REDUCED MEDICAID FUNDING. THE ASSOCIATION ALSO MAINTAINED STRONG MEDIA RELATIONS IN 2017, AVERAGING MORE THAN ONE EARNED PLACEMENT A DAY, INCLUDING COMMENTARIES FROM THE ASSOCIATION AND ITS MEMBERS, IN A BROAD VARIETY OF TRADE AND MAINSTREAM PUBLICATIONS.THE ASSOCIATION SUPPORTED ITS COMMUNICATIONS WITH NEW AND UPDATED DIGITAL RESOURCES, INCLUDING A NEW WEBSITE DEDICATED TO MEMBER WORK ON SOCIAL DETERMINANTS OF HEALTH, A SIGNIFICANT REDESIGN OF THE ASSOCIATION WEBSITE ADVOCACY SECTION, AND IMPROVEMENTS OVERALL TO NAVIGATION AND OTHER WEBSITE ELEMENTS.COMMUNICATIONS TO MEMBERS AND OTHER AUDIENCES INCLUDED REGULAR ELECTRONIC NEWSLETTERS; EVENT MARKETING, INCLUDING PRINT AND ELECTRONIC PROMOTION OF IN-PERSON MEETINGS AND WEBINARS; AND PERIODIC ALERTS AND GOVERNANCE COMMUNICATIONS. AMERICA'S ESSENTIAL HOSPITALS' STAFF ALSO PROVIDED COMMUNICATIONS TRAINING FOR MEMBER GOVERNMENT RELATIONS AND COMMUNICATIONS PROFESSIONALS IN THE ASSOCIATION'S BIENNIAL GOVERNMENT RELATIONS ACADEMY. MEMBER SERVICES: TO HELP MEMBER HOSPITALS AND HEALTH SYSTEMS CONTINUE THEIR SUCCESS IN SERVING THEIR COMMUNITIES, AMERICA'S ESSENTIAL HOSPITALS OFFERED A WIDE VARIETY OF EDUCATIONAL PROGRAMS AND MEMBER SERVICES, INCLUDING WEBINARS, SPECIALTY MEETINGS, CONFERENCES, DISTANCE LEARNING EVENTS, PROFESSIONAL DEVELOPMENT PROGRAMS, TECHNICAL ASSISTANCE, AND SPECIAL REPORTS AND BRIEFS. THESE PROGRAMS PROVIDED FORUMS FOR MEMBERS TO LEARN AND EXCHANGE IDEAS ON HOW ESSENTIAL HOSPITALS AND HEALTH SYSTEMS CAN ADDRESS NEW ISSUES AND CHALLENGES, IN ADDITION TO PROVIDING IMPORTANT PROFESSIONAL CONNECTIONS AND LEADERSHIP EXPERTISE. IN 2017, AMERICA'S ESSENTIAL HOSPITALS COMPLETED ITS 36TH YEAR AS THE NATION'S LEADING VOICE FOR HOSPITALS AND HEALTH SYSTEMS COMMITTED TO PROVIDING ACCESS TO HIGH-QUALITY HEALTHCARE TO ALL, ESPECIALLY THE VULNERABLE. SPECIFIC ASSOCIATION ACTIVITIES IN 2017 INCLUDED THE CONTINUED PROTECTION OF FUNDING FOR ESSENTIAL HOSPITALS, THE DEVELOPMENT OF EXPERTISE AND LEADERSHIP IN POPULATION HEALTH, AND GROWTH IN LEADERSHIP DEVELOPMENT PROGRAMMING. IN SUPPORT OF MEMBERSHIP GROWTH, MORE THAN 50 MEMBER AND PROSPECT SITE VISITS WERE CONDUCTED. 0 1 0 1 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 50 0 1 55 1 0 0 0 0 1 1 0 X 18 18 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X RHONDA GOLD 2025850109 401 NINTH STREET NW SUITE 900 WASHINGTON DC 20004 DONNA SOLLENBERGER CHAIR 1.00 X X 0 0 0 JOHN HAUPERT PAST-CHAIR 1.00 X X 0 0 0 JOSEPH SCOTT CHAIR-ELECT 1.00 X X 0 0 0 WRIGHT LASSITER SECRETARY 1.00 X X 0 0 0 SHARON O'KEEFE TREASURER 1.00 X X 0 0 0 AKRAM BOUTROS MEMBER 1.00 X 0 0 0 PATRICK CAWLEY MEMBER 1.00 X 0 0 0 ERIC DICKSON MEMBER 1.00 X 0 0 0 SUSAN EHRLICH MEMBER 1.00 X 0 0 0 HOWARD FEDEROFF MEMBER (BEG. 11/1/17) 1.00 X 0 0 0 BARRY FREEDMAN MEMBER 1.00 X 0 0 0 DANIELLE LARAQUE-ARENA MEMBER (BEG. 11/1/17) 1.00 X 0 0 0 CARLOS MIGOYA MEMBER 1.00 X 0 0 0 STEVE PURVES MEMBER 1.00 X 0 0 0 SAMUEL ROSS MEMBER 1.00 X 0 0 0 CHARLIE SHIELDS MEMBER (BEG. 7/1/17) 1.00 X 0 0 0 KEVIN SPIEGEL MEMBER (BEG. 7/1/17) 1.00 X 0 0 0 PAMELA SUTTON-WALLACE MEMBER 1.00 X 0 0 0 JOHNESE SPISSO MEMBER (THROUGH 6/30/17) 1.00 X 0 0 0 MICHAEL KARPF MEMBER (THROUGH 10/31/17) 1.00 X 0 0 0 BRUCE SIEGEL PRESIDENT & CEO 39.00 1.00 X 1299418 0 314564 RHONDA GOLD CHIEF FINANCIAL OFFICER 30.00 10.00 X 444660 0 110768 DAVID ENGLER SVP, LEADERSHIP AND INNOVATION 12.00 28.00 X 375365 0 113597 BETH FELDPUSH SVP, ADVOCACY & POLICY 40.00 X 548332 0 99466 KRISTINE METTER VP, MEMBER SERVICES 40.00 X 253040 0 65393 SHAWN GREMMINGER DIR., LEG. AFF. (THROUGH 12/17) 40.00 X 195332 0 28743 CARL GRAZIANO DIRECTOR, COMMUNICATIONS 40.00 X 184100 0 44694 ERIN O'MALLEY DIRECTOR, POLICY 39.00 1.00 X 171600 0 31079 ALAN BURK DIRECTOR, HR 30.00 10.00 X 166800 0 45872 MARK CAMPBELL DIRECTOR, IT 30.00 10.00 X 161700 0 33377 3800347 0 887553 13 0 1 0 EYMAN ASSOCIATES 810 FIRST STREET NE 201 WASHINGTON DC 20002 LEGAL SERVICES 351445 MINTZ LEVIN COHN FERRIS GLOVSKY PO BOX 4539 BOSTON MA 02212 ADVOCACY SERVICES 211875 2 X 90000 90000 MEMBERSHIP DUES 900099 11076950 11076950 PREMIER CONTRACT PAYMT 900099 950000 950000 CONFERENCES & TUITION 900099 292455 292455 SPEAKING HONORARIUM 900099 5000 5000 12324405 301877 301877 687476 696068 -8592 -8592 -8592 MISCELLANEOUS 900099 6445 6445 6445 12714135 12324405 0 299730 1141130 3387323 2513153 43353 259608 271905 507006 26077 56525 818688 178723 162619 132036 1060152 336806 562204 282986 66901 LICENSES/DATABASES 68288 HONORARIA 64591 FACILITIES MANAGEMENT 39792 STAFF RECRUITMENT 38752 35129 12053747 6668610 6366181 259268 282494 110169 1317750 306227 145540 3345520 924516 2666062 2421004 11463395 14719794 13080 1345656 1380084 22819387 26645927 1574902 2054004 3543590 4725600 4783572 5245746 9902064 12025350 X 12917323 14620577 12917323 14620577 22819387 26645927 660388 1042866 0 X 0 1 X 1 0 0 0 1 11076950 1190000 -183345 1006655 775387 231268 2584432 343437 2240995 749505 579149 170356 11583 1930 9653 2421004 DUE FROM EHI 366824 DEFERRED COMPENSATION PLAN ASSETS 1013260 1380084 DEFERRED COMPENSATION PLAN PAYABLE 1013260 POST-RETIREMENT MEDICAL PLAN ANNUITY 81664 DEFERRED IMPROVEMENT ALLOWANCE 2148913 DEFERRED RENT 2001909 5245746 X 13946191 1042866 206615 39100 1288581 12657610 56525 56525 12714135 12217157 206615 13320 219935 11997222 56525 56525 12053747 PART X, LINE 2: FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016, THE ORGANIZATION 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 COMBINED FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: AEH PAC REVENUE INCLUDED IN FINANCIAL STATEMENTS 39,100. PART XII, LINE 2D - OTHER ADJUSTMENTS: AEH PAC EXPENSES INCLUDED IN FINANCIAL STATEMENTS 13,320. 1 CALIFORNIA ASSOCIATE OF PUBLIC HOSPITALS 70 WASHINGTON STREET 215 OAKLAND CA 94607 942932254 501(C)(6) 25000 CONFERENCE SPONSORSHIP DAVID A WINSTON HEALTH POLICY FELLOWSHIP 2000 14TH STREET NORTH SUITE 780 ARLINGTON VA 22201 521492039 501(C)(3) 5500 HEALTH BALL SPONSORSHIP ESSENTIAL HOSPITALS INSTITUTE 401 NINTH STREET NW 900 WASHINGTON DC 20004 521535611 501(C)(3) 1087500 SUPPORT RESEARCH AND PROGRAMMATIC WORK 2 1 PART I, LINE 2: SPONSORSHIPS ARE MADE TO ORGANIZATIONS THAT SHARE AMERICA'S ESSENTIAL HOSPITALS' GOALS AND PURPOSES. EXPENDITURES OF GRANTS TO RELATED PARTIES TO SUPPORT RESEARCH AND PROGRAMMATIC WORK IS TRACKED BY THEIR ACCOUNTING SYSTEM. X X X X X 1 1 0 BRUCE SIEGEL PRESIDENT & CEO 900000 0 214500 0 184918 0 175356 0 139208 0 1613982 0 67226 0 RHONDA GOLD CHIEF FINANCIAL OFFICER 322200 0 77600 0 44860 0 72765 0 38003 0 555428 0 0 0 DAVID ENGLER SVP, LEADERSHIP AND INNOVATION 284200 0 49900 0 41265 0 56601 0 56996 0 488962 0 0 0 BETH FELDPUSH SVP, ADVOCACY & POLICY 410400 0 89000 0 48932 0 78539 0 20927 0 647798 0 0 0 KRISTINE METTER VP, MEMBER SERVICES 187400 0 46900 0 18740 0 55311 0 10082 0 318433 0 0 0 SHAWN GREMMINGER DIR., LEG. AFF. (THROUGH 12/17) 195332 0 0 0 0 0 8790 0 19953 0 224075 0 0 0 CARL GRAZIANO DIRECTOR, COMMUNICATIONS 167400 0 16700 0 0 0 22092 0 22602 0 228794 0 0 0 ERIN O'MALLEY DIRECTOR, POLICY 156000 0 15600 0 0 0 20592 0 10487 0 202679 0 0 0 ALAN BURK DIRECTOR, HR 151600 0 15200 0 0 0 20016 0 25856 0 212672 0 0 0 MARK CAMPBELL DIRECTOR, IT 145700 0 16000 0 0 0 19404 0 13973 0 195077 0 0 0 PART I, LINES 4A-B SHAWN GREMMINGER RECEIVED A SEVERANCE PAYMENT OF $26,967. BRUCE SIEGEL RECEIVED A 2017 457(F) PLAN CONTRIBUTION OF $90,000 AND A DISTRIBUTION OF $67,226 OF VESTED 457(F) PLAN FUNDS. FORM 990, PART VI, SECTION A, LINE 6 AMERICA'S ESSENTIAL HOSPITALS REPRESENTS MORE THAN 300 HOSPITALS AND HEALTH SYSTEMS AND IS THE STRATEGIC LINK BETWEEN MEMBER HOSPITALS AND POLICYMAKERS. FULL MEMBERS ARE PUBLIC AND NON-PROFIT, ACUTE-CARE HOSPITALS AND MULTIHOSPITAL SYSTEMS WITH COMMON MISSIONS AND PURPOSES, WHICH INCLUDES PATIENT POPULATIONS OR OTHER SIGNIFICANT CHARACTERISTICS AND INTERESTS CONSISTENT WITH THE PURPOSES OF THE ASSOCIATION. FORM 990, PART VI, SECTION A, LINE 7A SENIOR-LEVEL STAFF OR TRUSTEES OF AN ACTIVE FULL MEMBER ARE ELIGIBLE FOR ELECTION TO THE BOARD. THE MEMBERS OF THE BOARD ARE ELECTED ANNUALLY BY THE FULL MEMBERS FROM A SLATE OF CANDIDATES RECOMMENDED BY THE NOMINATING COMMITTEE. THE SLATE IS APPROVED BY THE MAJORITY VOTE OF THE FULL MEMBERS. FULL MEMBERS ARE CONSIDERED VOTING MEMBERS WHO HAVE THE POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY. EACH FULL MEMBER HAS AT LEAST ONE VOTE ON EACH MATTER BROUGHT BEFORE THE MEMBERSHIP, WITH THE SPECIFIC NUMBER OF VOTES PROVIDED TO EACH FULL MEMBER TO BE DETERMINED BY THE BOARD OF DIRECTORS. NONVOTING MEMBERS DO NOT HAVE THE RIGHT TO VOTE ON ANY MATTER. AT ANY MEETING OF MEMBERS, EACH FULL MEMBER IS REPRESENTED BY AN INDIVIDUAL DESIGNATED BY THE FULL MEMBER TO EXERCISE VOTING RIGHTS ON BEHALF OF THE FULL MEMBER (THE "VOTING DELEGATE"). EACH FULL MEMBER DESIGNATES ONE VOTING DESIGNATE FOR EACH VOTE PROVIDED TO THE FULL MEMBER. FULL MEMBERS ARE SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS. THE PRESENCE OF MEMBERS WITH ONE-THIRD OF THE VOTING POWER CONSTITUTES A QUORUM. UNLESS OTHERWISE REQUIRED BY THE ASSOCIATION'S ARTICLES OF INCORPORATION OR BYLAWS, THE AFFIRMATIVE VOTE OF A MAJORITY OF THE VOTING POWER PRESENT AND VOTING AT A MEETING AT WHICH A QUORUM IS PRESENT REPRESENTS THE ACTION OF THE MEMBERSHIP. FORM 990, PART VI, SECTION B, LINE 11B AMERICA'S ESSENTIAL HOSPITAL'S FORM 990 WAS PREPARED BY THE OUTSIDE ACCOUNTANTS AND REVIEWED BY ITS SENIOR MANAGEMENT AND AUDIT & COMPLIANCE COMMITTEE. IT WAS THEN SENT TO THE FULL BOARD PRIOR TO BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C AMERICA'S ESSENTIAL HOSPITALS HAS A CONFLICT OF INTEREST POLICY, THE PURPOSE OF WHICH IS TO PROTECT THE ASSOCIATION'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 AMERICA'S ESSENTIAL HOSPITALS. 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), OR THE BOARD. 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 CFO TO DETERMINE IF THERE ARE ANY POTENTIAL CONFLICTS THAT SHOULD BE REVIEWED BY THE PRESIDENT & CEO. ANY CONFLICTS OF INTEREST ARE RESOLVED AS APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 15 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. FORM 990, PART VI, SECTION C, LINE 19 AMERICA'S ESSENTIAL HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VIII, LINE 2B, PREMIER CONTRACT PAYMENT REVENUE: AMERICA'S ESSENTIAL HOSPITALS SERVES THE ACADEMIC MEDICAL CENTER AND HOSPITAL/HEALTH SYSTEM INDUSTRY. MOST OF ITS MEMBERS ARE SECTION 501(C)(3) CHARITABLE ORGANIZATIONS. AMERICA'S ESSENTIAL HOSPITALS IS THE LEADING ASSOCIATION AND CHAMPION FOR HOSPITALS AND HEALTH SYSTEMS DEDICATED TO HIGH-QUALITY CARE FOR ALL, INCLUDING THE MOST VULNERABLE. SINCE 1981, AMERICA'S ESSENTIAL HOSPITALS HAS INITIATED, ADVANCED AND PRESERVED PROGRAMS AND POLICIES THAT HELP THESE HOSPITALS ENSURE ACCESS TO CARE. IT SUPPORTS ITS MEMBERS WITH ADVOCACY, POLICY DEVELOPMENT, RESEARCH, AND EDUCATION. MANAGEMENT OF COSTS IS AN ISSUE OF PARAMOUNT IMPORTANCE TO AMERICA'S ESSENTIAL HOSPITALS' MEMBERS AND THE HEALTH CARE INDUSTRY IN GENERAL. PREMIER HEALTHCARE ALLIANCE, L.P. ("PREMIER") IS A FOR-PROFIT HEALTHCARE PERFORMANCE IMPROVEMENT ALLIANCE OF HOSPITALS AND OTHER HEALTHCARE PROVIDERS WHOSE MISSION IS THE IMPROVEMENT OF THE HEALTH OF COMMUNITIES AND THE PERFORMANCE OF HEALTHCARE ORGANIZATIONS. AMERICA'S ESSENTIAL HOSPITALS HAS UNDERTAKEN TO WORK WITH PREMIER TO IDENTIFY COST MANAGEMENT OPPORTUNITIES FOR MEMBERS OF AMERICA'S ESSENTIAL HOSPITALS THAT IT BELIEVES MAY NOT BE ACHIEVABLE WITHOUT SUCH A COLLABORATION WITH PREMIER. A PORTION OF THE PAYMENTS THAT AMERICA'S ESSENTIAL HOSPITALS RECEIVES FROM PREMIER IS IN CONNECTION WITH THIS COLLABORATION IN SUPPORT OF AMERICA'S ESSENTIAL HOSPITALS' EFFORTS TO SUPPORT ITS MEMBERS. THIS AMOUNT IS REPORTED AS RELATED FEE-FOR-SERVICE REVENUE ON PART VIII, LINE 2B. IN ADDITION, AMERICA'S ESSENTIAL HOSPITALS HAS AGREED TO MAKE ITS MEMBER SERVICES AVAILABLE TO PREMIER AND PREMIER'S MEMBERS. THE REMAINING PORTION OF THE PREMIER PAYMENT RECEIVED BY AMERICA'S ESSENTIAL HOSPITALS IS INCLUDED AS DUES ON PART VIII, LINE 2A. ESSENTIAL HOSPITALS INSTITUTE 401 NINTH STREET NW STE 900 WASHINGTON DC 20004 521535611 CONDUCT EDUCATIONAL & OTHER RESEARCH ON ISSUES OF IMPORTANCE TO AEH DC 501(C)(3) 509(A)(3) AEH 1 AMERICA'S ESSENTIAL HOSPITALS POLITICAL ACTION COMMITTEE 401 NINTH STREET NW STE 900 WASHINGTON DC 20004 810983774 POLITICAL INITIATIVES DC 527 AEH 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 ESSENTIAL HOSPITALS INSTITUTE N 616424 ALLOCATION FROM GENERAL LEDGER ESSENTIAL HOSPITALS INSTITUTE O 1862120 ALLOCATION FROM GENERAL LEDGER ESSENTIAL HOSPITALS INSTITUTE Q 2089971 AMOUNTS PAID FROM CHECK REGISTER ESSENTIAL HOSPITALS INSTITUTE B 1087500 ACTUAL AMOUNT