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Last fall, hospital President John Sullivan blamed declining admissions in an email that foretold of more layoffs. The email was obtained and reported by the Washington Business Journal.

For the most part, there is little price differential in the cost of speeches that Mr. Clinton gave at nonprofits versus those at corporations such as Goldman Sachs, American Express and Fidelity Investments.

One exception was the Salvation Army of Tulsa, which in May 2009 paid Mr. Clinton $115,000 — significantly less than his typical price tag of $200,000 or more, according to Mrs. Clinton’s ethics filings.

Meanwhile, Mrs. Clinton has been following her husband into the lucrative speaking circuit. The New York Times reported last year that she is likely to earn about $200,000 per speech while being represented by the same firm that handles her husband’s speaking engagements.

But the speaking circuit doesn’t come without risk. In 2008, The Washington Times reported that Mr. Clinton had earned $700,000 by selling stock he was given for a speech in 2004 for a private Internet startup called Accoona Corp., which turned out to be co-founded by a convicted felon and backed by the Chinese government, records showed.