2016-09-21T14:25:43-05:00 2015-12-31 521392008 GELMAN ROSENBERG & FREEDMAN 4550 MONTGOMERY AVE SUITE 650N BETHESDA MD 208142930 990 2015-01-01 521236600 AMERICA'S ESSENTIAL HOSPITALS AMER 2025850100 401 NINTH STREET NW NO 900 WASHINGTON DC 20004 BRUCE SIEGEL PRESIDENT & CEO 2025850100 2016-09-21 1 3019519090 2015 2017-02-10 21:41:12Z X BRUCE SIEGEL 401 NINTH STREET NW NO 900 WASHINGTON DC 20004 13003741 0 X WWW.ESSENTIALHOSPITALS.ORG X 1980 DC SEE PART III, LINE 1. 18 18 70 18 0 0 404995 235000 8544028 10082195 664541 127920 29948 245116 9643512 10690231 141546 730900 0 0 4096153 4444520 0 0 0 2987744 3440090 7225443 8615510 2418069 2074721 14476155 18506360 5742004 7826335 8734151 10680025 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 ALL LEGISLATION AND REGULATIONS PIVOTAL TO ESSENTIAL HOSPITALS' FISCAL VIABILITY AND SUSTAINABILITY. MAJOR ACCOMPLISHMENTS IN 2015 INCLUDED STOPPING SCHEDULED CUTS TO A CRITICAL SAFETY NET FUNDING SOURCE (MEDICAID DISPROPORTIONATE SHARE HOSPITAL PAYMENTS) AND PROTECTING HEALTH CARE COVERAGE FOR 30 MILLION AMERICANS WHO ARE ELIGIBLE FOR COVERAGE UNDER THE AFFORDABLE CARE ACT (ACA). WE ALSO FOUGHT LEGISLATIVE PROPOSALS TO CUT MEDICARE HOSPITAL OUTPATIENT DEPARTMENT PAYMENTS AND ADVANCED OUR ADVOCACY TO ENSURE THAT HOSPITAL QUALITY MEASURES RECOGNIZE THE IMPACT OF SOCIO-ECONOMIC FACTORS. THE ASSOCIATION WORKED WITH OUR 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 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, ALTERNATIVE PAYMENT MODELS, AND THE IMPACT OF PROPOSED AND UPCOMING REDUCTIONS IN MEDICARE PAYMENTS ON ESSENTIAL HOSPITALS. AMERICA'S ESSENTIAL HOSPITALS ALSO CONTINUED TO MITIGATE THE IMPACT ON ESSENTIAL HOSPITALS OF FEDERAL PROGRAMS TO REDUCE READMISSIONS AND HOSPITAL-ACQUIRED CONDITIONS, AND TO PROMOTE VALUE-BASED PURCHASING. COMMUNICATION: DURING 2015, AMERICA'S ESSENTIAL HOSPITALS CONDUCTED AND PARTICIPATED IN A VARIETY OF ADVOCACY AND POLICY COMMUNICATIONS CAMPAIGNS, INCLUDING ISSUE AWARENESS FOR THE 340B PROGRAM AND BRANDING AND MESSAGING SUPPORT FOR MEMBER HOSPITALS. THE ASSOCIATION ALSO PRODUCED ITS SECOND ISSUE OF ITS DIGITAL MAGAZINE, WALLS DOWN, AT WALLSDOWNMAG.ORG.MEDIA RELATIONS CONTINUED AS A KEY ACTIVITY IN 2015, WITH EARNED MEDIA IN NUMEROUS TRADE AND MAINSTREAM PUBLICATIONS; PLACEMENT OF COMMENTARIES IN JOURNALS AND OTHER MEDIA; AND SUPPORT FOR MEMBERS' MEDIA RELATIONS ACTIVITIES.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' COMMUNICATIONS STAFF ALSO DEVELOPED AND LAUNCHED SEVERAL DEDICATED WEBSITES FOR ASSOCIATION IN-PERSON EVENTS, INCLUDING THE 2015 ANNUAL MEETING. MEMBER SERVICES: TO HELP MEMBER HOSPITALS AND HEALTH SYSTEMS CONTINUE THEIR SUCCESS IN SERVING THEIR COMMUNITIES, AMERICA'S ESSENTIAL HOSPITALS OFFERED A WIDE ARRAY OF EDUCATIONAL PROGRAMS AND MEMBER SERVICES WHICH INCLUDED 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. SPECIFIC ASSOCIATION ACTIVITIES FOR 2015 YEAR 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 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 1 1 1 0 1 62 0 1 70 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 JOHNESE SPISSO CHAIR 1.00 0.00 X X 0 0 0 JOHN HAUPERT CHAIR-ELECT 1.00 0.00 X X 0 0 0 MICHAEL KARPF SECRETARY 1.00 0.00 X X 0 0 0 ROXANE TOWNSEND TREASURER 1.00 0.00 X X 0 0 0 WILLIAM WALKER PAST-CHAIR 1.00 0.00 X X 0 0 0 MICHAEL BELZER MEMBER 1.00 0.00 X 0 0 0 AKRAM BOUTROS MEMBER 1.00 0.00 X 0 0 0 SUSAN EHRLICH MEMBER 1.00 0.00 X 0 0 0 STAN HAMMOCK MEMBER 1.00 0.00 X 0 0 0 GEORGE HERNANDEZ MEMBER 1.00 0.00 X 0 0 0 WRIGHT LASSITER III MEMBER 1.00 0.00 X 0 0 0 CARLOS MIGOYA MEMBER 1.00 0.00 X 0 0 0 SHARON O'KEEFE MEMBER 1.00 0.00 X 0 0 0 RAMANATHAN RAJU MEMBER 1.00 0.00 X 0 0 0 SAMUEL ROSS MEMBER 1.00 0.00 X 0 0 0 JOSEPH SCOTT MEMBER 1.00 0.00 X 0 0 0 DONNA SOLLENBERGER MEMBER 1.00 0.00 X 0 0 0 IRENE THOMPSON EX-OFFICIO 1.00 0.00 X 0 0 0 BRUCE SIEGEL PRESIDENT & CEO 33.00 7.00 X 1352933 0 154061 RHONDA GOLD CHIEF FINANCIAL OFFICER 20.00 20.00 X 438677 0 92732 BETH FELDPUSH SENIOR VP, ADVOCACY & POLICY 40.00 0.00 X 469730 0 78169 KRISTINE METTER VP, MEMBER SERVICES 40.00 0.00 X 261872 0 57654 SHAWN GREMMINGER DIRECTOR OF LEGISLATIVE AFFAIRS 40.00 0.00 X 178466 0 41841 CARL GRAZIANO DIRECTOR OF COMMUNICATIONS 40.00 0.00 X 165491 0 45833 ALAN BURK DIRECTOR OF HR 20.00 20.00 X 145751 0 40309 MARK CAMPBELL DIRECTOR OF IT 20.00 20.00 X 160750 0 33033 AMANDA WALSH SENIOR MANAGER OF LEGISLATIVE AFFAIRS 40.00 0.00 X 107947 0 17524 3281617 0 561156 10 0 1 0 EYMAN ASSOCIATES 810 FIRST STREET NE 201 WASHINGTON DC 20002 LEGAL SERVICES 358164 HOLLAND & KNIGHT LLP PO BOX 864084 ORLANDO FL 32886 LEGAL SERVICES 156747 FOX ARCHITECTS LLC 8484 WESTPARK DRIVE 620 MCLEAN VA 22102 ARCHITECTURAL SERVICES 133124 3 235000 235000 MEMBERSHIP DUES 900099 9824545 9824545 CONFERENCES & TUITION 900099 257650 257650 10082195 128004 128004 2313426 2311158 2352 2268 -2352 -84 -84 REAL ESTATE COMMISSION 900099 203114 203114 MISCELLANEOUS 900099 42002 42002 245116 10690231 10082195 0 373036 730900 2368865 1396778 129821 346123 202933 350000 25032 26730 723834 67885 229311 83571 340516 312018 546276 168515 15573 OFFICE RELOCATION 269264 HONORARIA 79851 DUES/FEES/AND SUBS. 56624 EQUIPMENT RENTAL 51131 93959 8615510 6716635 8415166 135659 71158 199780 842917 111888 191653 3105695 402809 190054 2702886 5253294 5292489 1868845 990091 14476155 18506360 1689049 1316361 2698415 3125720 1354540 3384254 5742004 7826335 X 8734151 10680025 8734151 10680025 14476155 18506360 2074721 -128847 0 X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 1 9824545 1010000 56853 1066853 589473 477380 2546366 2546366 551025 396745 154280 8304 6064 2240 2702886 DEPOSITS 20503 DUE FROM EHI 355358 DEFERRED COMPENSATION PLAN ASSETS 614230 990091 DEFERRED COMPENSATION PLAN PAYABLE 815440 POST-RETIREMENT MEDICAL PLAN ANNUITY 89299 DEFERRED IMPROVEMENT ALLOWANCE 2479515 3384254 X 10842205 -128847 307551 178704 10663501 26730 26730 10690231 8896331 307551 307551 8588780 26730 26730 8615510 PART X, LINE 2: FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014, AMERICA'S ESSENTIAL HOSPITALS 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 DAVID A WINSTON HEALTH POLICY FELLOWSHIP 2000 14TH STREET NORTH 780 ARLINGTON VA 22201 521492039 501(C)(3) 11000 FELLOWSHIP COALITION TO PROTECT AMERICA'S HEALTH CARE 4600 EAST-WEST HIGHWAY 900 BETHESDA MD 20814 522253225 501(C)(4) 50000 CONTRIBUTION TO ADVERTISEMENT CAMPAIGN CALIFORNIA ASSOCIATE OF PUBLIC HOSPITALS 70 WASHINGTON STREET 215 OAKLAND CA 94607 942932254 501(C)(6) 50000 CONFERENCE SPONSORSHIP INSTITUTE FOR DIVERSITY & MANAGEMENT 1 NORTH FRANKLIN STREET 30TH FLOOR CHICAGO IL 60606 582094118 501(C)(3) 15000 CORPORATE SPONSORSHIP ESSENTIAL HOSPITALS INSTITUTE 401 NINTH STREET NW 900 WASHINGTON DC 20004 521535611 501(C)(3) 595000 SUPPORT RESEARCH AND PROGRAMMATIC WORK NATIONAL CENTER FOR HEALTHCARE LEADERSHIP 1700 W VAN BUREN ST 126B CHICAGO IL 60612 364483505 501(C)(3) 12500 PROGRAM ADVERTISING & TABLE SPONSORSHIP NATIONAL QUALITY FORUM 601 THIRTEENTH ST NW WASHINGTON DC 20005 522175544 501(C)(3) -12500 REVERSAL OF 2014 SPONSORSHIP 4 2 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 0 1 0 BRUCE SIEGEL PRESIDENT & CEO 715000 0 195000 0 442933 0 125391 0 28670 0 1506994 0 286631 0 RHONDA GOLD CHIEF FINANCIAL OFFICER 277300 0 61800 0 99577 0 51482 0 41250 0 531409 0 47512 0 BETH FELDPUSH SENIOR VP, ADVOCACY & POLICY 318000 0 81000 0 70730 0 53846 0 24323 0 547899 0 36481 0 KRISTINE METTER VP, MEMBER SERVICES 176800 0 38900 0 46172 0 44423 0 13231 0 319526 0 20085 0 SHAWN GREMMINGER DIRECTOR OF LEGISLATIVE AFFAIRS 160600 0 23600 0 -5734 0 20262 0 21579 0 220307 0 0 0 CARL GRAZIANO DIRECTOR OF COMMUNICATIONS 157900 0 14200 0 -6609 0 18931 0 26902 0 211324 0 0 0 ALAN BURK DIRECTOR OF HR 137800 0 14426 0 -6475 0 16745 0 23564 0 186060 0 0 0 MARK CAMPBELL DIRECTOR OF IT 136700 0 23250 0 800 0 17595 0 15438 0 193783 0 0 0 PART I, LINE 4B BRUCE SIEGEL RECEIVED A 2015 457(F) PLAN CONTRIBUTION OF $71,500. PART I, LINE 7 SCHEDULE J 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 A, LINE 6 AMERICA'S ESSENTIAL HOSPITALS REPRESENTS MORE THAN 275 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 MULTI-HOSPITAL SYSTEMS WITH COMMON MISSIONS AND PURPOSES, INCLUDING PATIENT POPULATIONS OR OTHER SIGNIFICANT CHARACTERISTICS AND INTERESTS CONSISTENT WITH THE PURPOSES OF THE ASSOCIATION. FORM 990, PART VI, SECTION A, LINE 7A FULL MEMBERS ARE PUBLIC AND NON-PROFIT ACUTE CARE HOSPITALS AND MULTI-HOSPITAL SYSTEMS WITH COMMON MISSIONS AND PURPOSES, INCLUDING PATIENT POPULATIONS OR OTHER SIGNIFICANT CHARACTERISTICS AND INTERESTS CONSISTENT WITH THE PURPOSES OF THE ASSOCIATION, AND ARE ELIGIBLE TO APPLY FOR MEMBERSHIP IN THE ASSOCIATION, SUBJECT TO THE BOARD OF DIRECTORS' APPROVAL. 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. THE BOARD OF DIRECTORS MAY APPROVE NONVOTING ASSOCIATE MEMBERS FROM AMONG HEALTH SYSTEMS NOT CONSIDERED FOR FULL MEMBERSHIP, WHICH SHARE COMMON CHARACTERISTICS WITH THE ASSOCIATION'S FULL MEMBERS. IT MAY ALSO APPROVE NONVOTING AFFILIATE MEMBERS FROM AMONG INDIVIDUALS OR ORGANIZATIONS OTHER THAN HEALTH SYSTEMS WISHING TO SUPPORT AND PARTICIPATE IN ASSOCIATION ACTIVTIES. NONVOTING MEMBERS DO NOT HAVE THE RIGHT TO VOTE ON ANY MATTER. FORM 990, PART VI, SECTION B, LINE 11 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 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 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. 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. ESSENTIAL HOSPITALS INSTITUTE 401 NINTH STREET NW WASHINGTON DC 20004 521535611 CONDUCT EDUCATIONAL & OTHER RESEARCH ON ISSUES OF IMPORTANCE TO AEH DC 501(C)(3) 509(A)(3) 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 23932 ALLOCATION FROM GENERAL LEDGER ESSENTIAL HOSPITALS INSTITUTE O 3146548 ALLOCATION FROM GENERAL LEDGER ESSENTIAL HOSPITALS INSTITUTE Q 2767277 AMOUNTS PAID FROM CHECK REGISTER ESSENTIAL HOSPITALS INSTITUTE B 595000 ACTUAL AMOUNT