2017-09-15T10:16:37-05:00 2016-12-31 521392008 GELMAN ROSENBERG & FREEDMAN 4550 MONTGOMERY AVE SUITE 650N BETHESDA MD 208142930 990 2016-01-01 521535611 ESSENTIAL HOSPITALS INSTITUTE ESSE 2025850100 401 NINTH STREET NW NO 900 WASHINGTON DC 20004 BRUCE SIEGEL PRESIDENT & CEO 2025850100 2017-09-15 1 3019519090 75.103.231.202 2017-09-15 11:15:29 ED P 24E2B1EDDFB7997E904F8C8AA54720A5F314F67A 801869F213EDBB70C97A2729B8F8B50E250EB47D 2016 2021-01-29 14:40:06Z BRUCE SIEGEL 401 NINTH STREET NW NO 900 WASHINGTON DC 20004 2414887 0 X WWW.ESSENTIALHOSPITALS.ORG X 1987 DC SEE PART III, LINE 1. 16 15 0 15 0 0 2014075 1971437 285000 387500 61486 55051 4679 0 2365240 2413988 20100 12100 0 0 3181934 1631175 0 0 0 1309309 1478997 4511343 3122272 -2146103 -708284 5694045 5297381 476459 725981 5217586 4571400 X TO CONDUCT RESEARCH AND EDUCATIONAL ACTIVITIES ON 501(C)(3) ISSUES OF IMPORTANCE TO AMERICA'S ESSENTIAL HOSPITALS' MEMBERS; TO FOSTER AND PROMOTE RESEARCH AND ANALYSIS RELATING TO THE MORE EFFICIENT AND EFFECTIVE ORGANIZATION, DELIVERY AND FINANCING OF PUBLIC AND NONPROFIT HOSPITALS AND PUBLIC HEALTH CARE; TO EDUCATE THE GENERAL PUBLIC CONCERNING THE NEED TO FINANCE AND PROVIDE ACCESS TO QUALITY CARE FOR ALL CITIZENS; TO SPONSOR PROGRAMS AND PROJECTS WHICH ARE IN FURTHERANCE OF THE CHARITABLE, SCIENTIFIC AND EDUCATIONAL GOALS OF THE ASSOCIATION, THE CORPORATION AND ITS MEMBERS; TO SERVE AS A SOURCE OF EXPERTISE AND KNOWLEDGE TO THE GENERAL PUBLIC ON MATTERS UNIQUELY AFFECTING PUBLIC AND NONPROFIT HOSPITALS; AND TO CONDUCT OTHER CHARITABLE, SCIENTIFIC, OR EDUCATIONAL ACTIVITIES. 0 0 1346984 GRANTS AND HEALTH CARE: 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 QUALITY PERFORMANCE AND IMPROVEMENT, LEADERSHIP, INTEGRATED DELIVERY SYSTEMS AND HEALTH REFORM IMPLEMENTATION. WE CONTINUED OUR WORK ON A KAISER PERMANENTE FUNDED RESEARCH PROJECT BUILDING A NATIONAL PARTNERSHIP FOR THE SAFETY NET IN FOUR COMMUNITIES, WITH THE GOAL TO BUILD COLLABORATION BETWEEN HEALTH CENTERS AND ESSENTIAL HOSPITALS. THE INSTITUTE WAS AWARDED A 9-MONTH PLANNING GRANT FROM THE ROBERT WOOD JOHNSON FOUNDATION TO DEVELOP A ROADMAP FOR POPULATION HEALTH ACROSS OUR MEMBERSHIP. THE INSTITUTE'S GRANT FROM THE PATIENT CENTERED OUTCOMES RESEARCH INSTITUTE (PCORI) SUPPORTS OUR COLLABORATION WITH A CONSORTIUM OF RESEARCHERS TO STUDY THE EFFECTIVENESS OF TRANSITIONAL CARE IN THE MEDICARE POPULATION; WHILE THE FUNDING FROM KAISER PERMANENTE CONTINUES TO SUPPORT OUR CORE WORK IN RESEARCH AND TRANSFORMATION. THE INSTITUTE BEGAN WORK ON A NEW 18-MONTH CONTRACT FROM 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. THE INSTITUTE WAS ALSO AWARDED A ONE-YEAR GRANT BY KAISER PERMANENTE'S FOUNDATION FOR THE SECOND PHASE OF ITS NATIONAL PARTNERSHIP FOR THE HEALTH CARE SAFETY NET PROJECT, IN CONJUNCTION WITH THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS TO FEATURE CASE STUDIES OF SUCCESSFUL COLLABORATIONS IN SELECTED COMMUNITIES. 645213 387500 LEADERSHIP DEVELOPMENT AND EDUCATION: TO HELP SAFETY NET HOSPITALS AND HEALTH SYSTEMS CONTINUE THEIR SUCCESS IN SERVING THEIR COMMUNITIES, THE INSTITUTE OFFERED A WIDE ARRAY OF EDUCATIONAL AND MEMBER SERVICES WHICH INCLUDED WEBINARS, SPECIALTY MEETINGS, CONFERENCES, DISTANCE LEARNING EVENTS, PROFESSIONAL DEVELOPMENT PROGRAMS AND TECHNICAL ASSISTANCE 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 INSTITUTE SUCCESSFULLY LAUNCHED THE FIRST CLASS OF THE ESSENTIAL WOMEN'S LEADERSHIP ACADEMY (EWLA). THE 2016 FELLOWS PROGRAM FOCUSED ON ADAPTIVE LEADERSHIP AND CONTINUED TO PROVIDE THE FOUNDATION TO HELP TRAIN FUTURE LEADERS OF ESSENTIAL HOSPITALS. 352346 12100 RESEARCH AND ANALYTICS: THE SCOPE OF WORK OF THE INSTITUTE IS DETERMINED BY AMERICA'S ESSENTIAL HOSPITALS' STRATEGIC PLAN, PARTICULARLY THE STRATEGIC PRIORITIES THAT SUPPORT TRANSFORMATION OF MEMBERS INTO INTEGRATED DELIVERY SYSTEMS AND INTO LEADERS IN ACCESS AND QUALITY OF CARE. THE INSTITUTE PUBLISHED THREE IMPORTANT REPORTS IN 2016--FOOD INSECURITY, HEALTH EQUITY, AND ESSENTIAL HOSPITALS (JUNE 2016); POPULATION HEALTH AT ESSENTIAL HOSPITALS: A ROAD MAP TO COMMUNITY-INTEGRATED CARE (NOVEMBER 2016); AND POPULATION HEALTH AT ESSENTIAL HOSPITALS: FINDINGS FROM MOVING TO ACTION FOR HOSPITALS AND POPULATION HEALTH. (NOVEMBER 2016). THE INSTITUTE COMPLETED A COLLECTION OF FISCAL YEAR 2014 DATA AND PUBLISHED THE FINDINGS IN ITS ESSENTIAL DATA 2016 REPORT. 51123 QUALITY AND PATIENT SAFETY: THE INSTITUTE HAS BEEN PROACTIVE IN AREAS OF QUALITY AND PATIENT SAFETY AS PART OF THE TRANSFORMATION CENTER. WORK HAS BEEN COMPLETED TO PLACE THE ASK EVERY PATIENT: REAL MODULE FOR THE COLLECTION OF REAL DATA IN THE JOINT COMMISSION RESOURCES STORE FOR NATIONAL DISTRIBUTION. 18184 INNOVATION AND PARTNERSHIPS: IN 2016, SIXTY-FIVE MEMBERS FROM 21 STATES ATTENDED OUR THIRD ANNUAL LEADERSHIP SUMMIT ON STATE MEDICAID WAIVERS. THIS YEAR'S PROGRAM WAS DESIGNED TO BENEFIT MEMBERS WHO ARE NEW TO THE WAIVER ENVIRONMENT, AS WELL AS THOSE WHO HAVE BEEN THROUGH CYCLES OF WAIVER RENEWALS. 69307 2413850 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 16 0 1 0 0 0 0 0 0 0 0 0 0 0 X 16 15 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/RECORDING SECRETARY 3.00 37.00 X X 0 859432 153150 LEON HALEY JR CHAIR 1.00 X X 0 0 0 ANNA ROTH PAST-CHAIR 1.00 X X 0 0 0 SUSAN MOFFATT-BRUCE CHAIR-ELECT/SECRETARY 1.00 X X 0 0 0 DELVECCHIO FINLEY TREASURER 1.00 X X 0 0 0 CHRISTINE NEUHOFF MEMBER DIRECTOR 1.00 X 0 0 0 REUVEN PASTERNAK MEMBER DIRECTOR 1.00 X 0 0 0 ANN SCOTT BLOUIN OUTSIDE DIRECTOR 1.00 X 0 0 0 DONALD GOLDMANN OUTSIDE DIRECTOR 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 WINSTON WONG OUTSIDE DIRECTOR 1.00 X 0 0 0 ANTHONY PATTERSON OUTSIDE DIRECTOR (FROM 07/16) 1.00 X 0 0 0 JON PRYOR OUTSIDE DIRECTOR (FROM 07/16) 1.00 X 0 0 0 JOHN JAY SHANNON OUTSIDE DIRECTOR (FROM 07/16) 1.00 X 0 0 0 JULIE CERESE OUTSIDE DIRECTOR 1.00 X 0 0 0 RHONDA GOLD CFO 10.00 30.00 X 0 456628 89403 DAVID ENGLER SVP FOR LEADERSHIP & INNOVATION 40.00 X 0 359155 83257 KALPANA RAMIAH DIRECTOR, RESEARCH 40.00 X 0 177646 13948 ALAN BURK DIRECTOR, HUMAN RESOURCES 10.00 30.00 X 0 150898 42227 MARK CAMPBELL DIRECTOR, IT 10.00 30.00 X 0 154329 34667 OLAJUMOKE SIWAJUOLA SENIOR ACCOUNTING MANAGER 10.00 30.00 X 0 105458 30621 0 2263546 447273 0 0 1 0 AMERICA'S ESSENTIAL HOSPITALS 401 9TH ST NW 900 WASHINGTON DC 20004 SHARING OF PAID EMPLOYEES 1633151 MULTIMEDIA IN HEALTH 412 LIBERTY HILL 1A CINCINNATI OH 45202 NETWORK SUPPORT & SOFTWARE DEV'L 178000 2 660000 1311437 1971437 TUITION INCOME 900099 387500 387500 387500 55950 55950 899 -899 -899 -899 2413988 387500 0 55051 X 12100 12100 649742 378368 271374 787306 612651 174655 -8255 1359 -9614 119973 86538 33435 82409 57409 25000 2930 2743 187 25985 24328 1657 5748 5748 483840 452990 30850 38569 27431 11138 15651 7233 8418 404489 186917 217572 167482 132839 34643 104529 82908 21621 78112 36096 42016 6920 6142 778 ALLOCATION OF OVERHEAD 0 186477 -186477 LICENSES/DATABASES 115112 102162 12950 EQUIPMENT 21389 9884 11505 HONORARIUM 3176 2973 203 5065 4302 763 3122272 2413850 708422 0 1439569 1592514 819900 14385 32095 22250 377214 114188 150170 263026 3252311 3405206 5694045 5297381 121101 143905 355358 582076 476459 725981 X 4203771 4055385 1013815 516015 5217586 4571400 5694045 5297381 X -708284 99598 -37500 X 0 1 X 1 0 X X 1 AEH 521236600 10 1 3122272 0 1 3122272 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 1628 28067 347519 112560 234959 263026 DUE TO AEH 582076 582076 X 2513586 99598 99598 2413988 0 2413988 3122272 0 3122272 0 3122272 PART X, LINE 2: FOR THE YEARS ENDED DECEMBER 31, 2016 AND 2015, 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. 1 NATIONAL QUALITY FORUM 1030 FIFTEENTH STREET NW WASHINGTON DC 20005 522175544 501(C)(3) 12100 SPONSORSHIP 1 0 PART I, LINE 2: 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. 0 1 0 0 0 0 0 0 0 BRUCE SIEGEL PRESIDENT & CEO/RECORDING SECRETARY 0 715000 0 71500 0 72932 0 137844 0 15306 0 1012582 0 0 RHONDA GOLD CFO 0 277300 0 116476 0 62852 0 60119 0 29284 0 546031 0 0 DAVID ENGLER SVP FOR LEADERSHIP & INNOVATION 0 277300 0 55909 0 25946 0 54487 0 28770 0 442412 0 0 KALPANA RAMIAH DIRECTOR, RESEARCH 0 160000 0 20800 0 -3154 0 5696 0 8252 0 191594 0 0 ALAN BURK DIRECTOR, HUMAN RESOURCES 0 137800 0 17900 0 -4802 0 18684 0 23543 0 193125 0 0 MARK CAMPBELL DIRECTOR, IT 0 136700 0 17800 0 -171 0 18540 0 16127 0 188996 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 2016 457(F) PLAN CONTRIBUTION OF $71,500. PART II(B)(III): ** THE NEGATIVE COMPENSATION AMOUNTS ARE DUE TO EMPLOYEE ELECTIONS FOR CERTAIN PRE-TAX DEDUCTIONS. THESE AMOUNTS ARE REQUIRED TO TIE BACK TO THE W-2 BOX 5 AMOUNTS. 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 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. 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 2016. 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 2016. 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 CONSULTANTS AND SUBCONTRACTORS: PROGRAM SERVICE EXPENSES 452,990. MANAGEMENT AND GENERAL EXPENSES 30,850. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 483,840. FORM 990, PART XI, LINE 9: GRANT FUNDS REDUCED BY FUNDER -37,500. AMERICA'S ESSENTIAL HOSPITALS 401 NINTH STREET NW STE 900 WASHINGTON DC 20004 521236600 ADVOCACY, POLICY DEVELOPMENT, RESEARCH & EDUCATION FOR HOSPITAL LEADERSHIP 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 657415 ALLOCATION FROM GENERAL LEDGER AMERICA'S ESSENTIAL HOSPITALS O 1633151 ALLOCATION FROM GENERAL LEDGER AMERICA'S ESSENTIAL HOSPITALS P 1708490 AMOUNTS PAID FROM CHECK REGISTER AMERICA'S ESSENTIAL HOSPITALS C 660000 ACTUAL AMOUNT