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      <Desc>GRANTS AND HEALTHCARE: THE ESSENTIAL HOSPITAL INSTITUTE CONTINUED TO ADDRESS THE MAJOR ISSUES FACING PUBLIC HOSPITALS, SAFETY NET ORGANIZATIONS, UNDERSERVED COMMUNITIES, AND RELATED HEALTH POLICY ISSUES OF NATIONAL PRIORITY. THE ESSENTIAL HOSPITAL 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: ATLANTA, RICHMOND, DENVER AND CLEVELAND, WITH THE GOAL TO BUILD COLLABORATION BETWEEN HEALTH CENTERS AND ESSENTIAL HOSPITALS. OUR GRANT FROM THE PATIENT CENTERED OUTCOMES RESEARCH INSTITUTE (PCORI) SUPPORTS OUR COLLABORATION WITH A LARGE CONSORTIUM OF RESEARCHERS TO STUDY THE EFFECTIVENESS OF TRANSITIONAL CARE IN THE MEDICARE POPULATION. THE INSTITUTE RECEIVED TWO YEARS OF FUNDING FROM KAISER PERMANENTE TO SUPPORT OUR CORE WORK IN RESEARCH AND TRANSFORMATION AND A NINE MONTH PLANNING GRANT FROM THE ROBERT WOOD JOHNSON FOUNDATION FOR "MOVING TO ACTION FOR HOSPITALS AND POPULATION HEALTH" TO DEVELOP A ROADMAP FOR POPULATION HEALTH ACROSS OUR MEMBERSHIP.</Desc>
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        <Desc>QUALITY AND PATIENT SAFETY: CONSISTENT WITH OUR CURRENT FIVE YEAR STRATEGIC PLAN, AMERICA'S ESSENTIAL HOSPITALS AND THE ESSENTIAL HOSPITAL INSTITUTE HAVE BEEN PROACTIVE IN AREAS OF QUALITY AND PATIENT SAFETY AS PART OF THE TRANSFORMATION CENTER. OUR PERFORMANCE IMPROVEMENT STRATEGIES YIELDED 4,000 FEWER HARM EVENTS IN OUR MEMBER HOSPITALS INCLUDING SUCH EVENTS AS FALLS, INFECTIONS, AND READMISSIONS WITH AN ESTIMATED HEALTHCARE COST SAVINGS OF 41 MILLION DOLLARS. WE CONTINUED OUR WORK ON THE HCAHPS LEARNING NETWORK. WE HAVE ENGAGED OVER 500 PROFESSIONALS ACROSS 59 OF OUR MEMBER HOSPITALS THROUGH STRUCTURED DISTANCE LEARNING AS WELL AS IN-PERSON MEETINGS. THE INSTITUTE'S ASK EVERY PATIENT RACE ETHNICITY AND LANGUAGE (REAL) MODULE SERVES HOSPITALS ACROSS THE COUNTRY IN EFFORTS TO COMMUNICATE EFFECTIVELY WITH PATIENTS. THIRTEEN MEMBER HOSPITALS HAVE UPLOADED THE TOOL TO THEIR SYSTEM AND WE ANTICIPATE MORE HOSPITALS TO FOLLOW SUIT IN 2016. THE INSTITUTE NOW SERVES AS A SUBCONTRACTOR TO VIZIENT INC.'S HOSPITAL ENGAGEMENT NETWORK TO PROVIDE TRAINING AND SUPPORT ON RACE, ETHNICITY, AND LANGUAGE DATA COLLECTION. WITH VIZIENT, WE ARE ALSO OFFERING THE REAL MODULE TO 26 PHYSICIAN PRACTICES ENROLLED IN THEIR TCPI-PTN PROGRAM.</Desc>
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        <Desc>RESEARCH: THE SCOPE OF WORK OF THE ESSENTIAL HOSPITAL 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 RESTRUCTURED THE ANNUAL HOSPITAL CHARACTERISTICS SURVEY IN ORDER TO INCORPORATE A MORE EFFICIENT APPROACH. THE SURVEY HAS EXPANDED TO ALL MEMBER HOSPITALS, INCLUDING NON-ACUTE FACILITIES. THE 2015 SURVEY WAS MADE AVAILABLE THROUGH MULTIPLE FORMATS TO MITIGATE SOFTWARE COMPATIBILITY ISSUES AND INCORPORATED QUESTIONS THAT REFLECT CHANGES UNDER THE AFFORDABLE CARE ACT (ACA) THAT TOOK PLACE IN FISCAL YEAR 2014.TWO ARTICLES AUTHORED BY ESSENTIAL HOSPITALS INSTITUTE STAFF WERE ACCEPTED BY PEER-REVIEWED JOURNALS IN 2015. "ADAPTING CHRONIC DISEASE CARE FOR THE UNDERSERVED: INNOVATIONS IN THE SAFETY NET" WAS PUBLISHED IN THE JOURNAL FOR HEALTHCARE FOR THE POOR AND UNDERSERVED IN FEBRUARY. "ADVANCING A CULTURE OF HEALTH, POPULATION HEALTH TO PROGRAMS IN PLACE OF ESSENTIAL HOSPITALS" HAS BEEN ACCEPTED BY THE JOURNAL FOR HEALTHCARE QUALITY FOR PUBLICATION IN 2016. INSTITUTE STAFF ALSO PRESENTED AT THE 2015 AMERICAN PUBLIC HEALTH ASSOCIATION CONFERENCE WITH A POSTER PRESENTATION ON PATIENT CENTERED MEDICAL HOMES AND A SESSION PRESENTATION ON STATE MEDICAID WAIVERS. RESEARCH AND QUALITY BRIEFS PUBLISHED IN 2015 FOCUSED ON MEDICARE'S HOSPITAL ACQUIRED CONDITIONS REDUCTION PROGRAM, CMS STAR RATINGS PROCESS, MEDICAID WAIVERS, BEHAVIORAL HEALTH INTEGRATION WITH PRIMARY CARE, HEALTH CARE FOR HOMELESS POPULATIONS, AND HOSPITAL READMISSIONS.</Desc>
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        <Desc>LEADERSHIP DEVELOPMENT AND EDUCATION: TO HELP SAFETY NET HOSPITALS AND HEALTH SYSTEMS CONTINUE THEIR SUCCESS IN SERVING THEIR COMMUNITIES, THE ESSENTIAL HOSPITAL 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. OUR EDUCATIONAL CALENDAR OF DISTANCE LEARNING PROGRAMS FEATURED OVER 50 PROGRAMS ON TOPICS RANGING FROM QUALITY IMPROVEMENT STRATEGIES TO THE LATEST FINDINGS IN HEALTHCARE REFORM COVERAGE AND ACCESS. THROUGH OUR PARTNERSHIP WITH THE INSTITUTE FOR HEALTHCARE IMPROVEMENT WE OFFERED SCHOLARSHIPS TO MEMBER HOSPITALS TO ATTEND THE IHI OPEN SCHOOL PROGRAM AND ANNUAL MEETING. THE 2015 FELLOWS PROGRAM, OFFERED BY THE INSTITUTE, CONTINUED TO PROVIDE THE FOUNDATION TO HELP TRAIN FUTURE LEADERS OF ESSENTIAL HOSPITALS. THIRTY-ONE FELLOWS GRADUATED IN 2015 AND 38 NEW FELLOWS ARE ENROLLED IN THE CURRENT CLASS. FELLOWS ATTENDED POLICY ASSEMBLIES, OUR ANNUAL MEETING, PARTICIPATED IN PEER TO PEER LEARNING, COACHING WEBINARS AND PRESENTED POSTER PRESENTATIONS TO PANELS OF JUDGES. THE INSTITUTE ALSO DEVELOPED A NEW ESSENTIAL WOMEN'S LEADERSHIP ACADEMY THIS YEAR, SET TO LAUNCH IN FEBRUARY 2016. THE PROGRAM WILL PAIR FEMALE MENTORS AND MENTEES FROM MEMBER HOSPITALS TO EMPOWER FUTURE ESSENTIAL HOSPITAL EXECUTIVES.IN 2015, THE INSTITUTE CONVENED A SECOND ANNUAL MEDICAID WAIVERS SUMMIT FOR 85 MEMBERS FROM 13 STATES. OUR ANNUAL INNOVATIONS SUMMIT FEATURED A COLLECTION OF PRESENTATIONS ON THE PRACTICE AND POLICY IMPLICATIONS OF BEHAVIORAL HEALTH INTEGRATION. WE ALSO HELD OUR FIRST EQUITY LEADERSHIP FORUM, BRINGING TOGETHER THOUGHT LEADERS IN THE FIELD OF DISPARITIES FROM AROUND THE COUNTRY TO HELP SHAPE NEW RECOMMENDED STANDARDS IN HEALTH EQUITY. OTHER EDUCATIONAL OFFERINGS INCLUDED A SIX INSTALLMENT WEB SERIES ON THE SOCIAL DETERMINANTS OF HEALTH AND A NUMBER OF TIMELY WEBINARS.</Desc>
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        <Desc>INNOVATION AND PARTNERSHIPS: IN 2015, THE INSTITUTE CONVENED A SECOND ANNUAL MEDICAID WAIVERS SUMMIT FOR 85 MEMBERS FROM 13 STATES. OUR ANNUAL INNOVATIONS SUMMIT FEATURED A COLLECTION OF PRESENTATIONS ON THE PRACTICE AND POLICY IMPLICATIONS OF BEHAVIORAL HEALTH INTEGRATION. WE ALSO HELD OUR FIRST EQUITY LEADERSHIP FORUM, BRINGING TOGETHER THOUGHT LEADERS IN THE FIELD OF DISPARITIES FROM AROUND THE COUNTRY TO HELP SHAPE NEW RECOMMENDED STANDARDS IN HEALTH EQUITY. OTHER EDUCATIONAL OFFERINGS INCLUDED A SIX INSTALLMENT WEB SERIES ON THE SOCIAL DETERMINANTS OF HEALTH AND A NUMBER OF TIMELY WEBINARS.</Desc>
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      <Form990PartVIISectionAGrp>
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        <PersonNm>L REUVEN PASTERNAK</PersonNm>
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        <PersonNm>ANN SCOTT BLOUIN</PersonNm>
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        <PersonNm>DONALD GOLDMANN</PersonNm>
        <TitleTxt>MEMBER DIRECTOR</TitleTxt>
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        <PersonNm>STUART GUTERMAN</PersonNm>
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        <PersonNm>ERICA MURRAY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WINSTON WONG</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RHONDA GOLD</PersonNm>
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        <PersonNm>DAVID ENGLER</PersonNm>
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        <PersonNm>SARAH CALLAHAN</PersonNm>
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        <PersonNm>ALAN BURK</PersonNm>
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        <PersonNm>MARK CAMPBELL</PersonNm>
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      <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>74550</OtherCostOrOtherBasisAmt>
        <BookValueAmt>74550</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>110797</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>37988</DepreciationAmt>
        <BookValueAmt>72809</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>14216</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>11405</DepreciationAmt>
        <BookValueAmt>2811</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>150170</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AEH</Desc>
        <Amt>355358</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>355358</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>2311073</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-54167</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-54167</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2365240</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2365240</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4511343</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>4511343</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>4511343</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014, 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 PATIENT SAFETY FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>268 SUMMER STREET 6TH FLOOR</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02210</ZIPCd>
        </USAddress>
        <RecipientEIN>367166993</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>6500</CashGrantAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <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>12100</CashGrantAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>2</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>1</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</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>715000</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>195000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>442933</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>125391</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>28670</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1506994</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>286631</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RHONDA GOLD</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>277300</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>61800</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>99577</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>51482</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>41250</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>531409</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>47512</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID ENGLER</PersonNm>
        <TitleTxt>SR. VP FOR LEADERSHIP &amp; INNOVATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>277300</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>58652</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>50805</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>39222</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>54069</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>480048</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>10665</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SARAH CALLAHAN</PersonNm>
        <TitleTxt>DIRECTOR, PERFORMANCE IMPROVEMENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>195157</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>-462</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>9736</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>8159</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>212590</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALAN BURK</PersonNm>
        <TitleTxt>DIRECTOR, HUMAN RESOURCES</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>137800</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>14426</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>-6475</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>16745</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>23564</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>186060</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK CAMPBELL</PersonNm>
        <TitleTxt>DIRECTOR, IT</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>136700</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>23250</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>800</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>17595</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>15438</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>193783</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VICKIE SEARS</PersonNm>
        <TitleTxt>IMPROVEMENT COACH</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>147039</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1369</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>8508</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2874</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>159790</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, LINES 4A-B</FormAndLineReferenceDesc>
        <ExplanationTxt>CARMEN HARRIS RECEIVED A 2015 SEVERANCE PAYMENT OF $42,628 BRUCE SIEGEL RECEIVED A 2015 457(F) PLAN CONTRIBUTION OF $71,500.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II(B)(III):</FormAndLineReferenceDesc>
        <ExplanationTxt>** 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</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 2015. 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 2015.</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>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>AMERICA'S ESSENTIAL HOSPITALS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>401 NINTH STREET NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20004</ZIPCd>
        </USAddress>
        <EIN>521236600</EIN>
        <PrimaryActivitiesTxt>ADVOCACY, POLICY DEVELOPMENT, RESEARCH &amp; EDUCATION FOR HOSPITAL LEADERSHIP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(6)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <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>23932</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOCATION FROM GENERAL LEDGER</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AMERICA'S ESSENTIAL HOSPITALS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>3146568</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOCATION FROM GENERAL LEDGER</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AMERICA'S ESSENTIAL HOSPITALS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>2767277</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>AMOUNTS PAID FROM CHECK REGISTER</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AMERICA'S ESSENTIAL HOSPITALS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>595000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL AMOUNT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>