2023-08-15T14:14:24-05:00 2022-09-30 FORVIS LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2021-10-01 263075429 El Paso Children's Hospital Corporation % OMAR GARZA ELPA 9152428428 4845 Alameda Ave El Paso TX 79905 CINDY STOUT CFO 9152985444 2023-08-15 true Omar Garza 999009999 Jeanette Verrelli P00742631 9727028262 3 2021 2023-04-26 12:10:37Z EL PASO CHILDREN'S HOSPITAL CINDY STOUT 4845 ALAMEDA AVE EL PASO TX 79905 164319482 false X ELPASOCHILDRENS.ORG X 2007 TX TO PROVIDE COMPASSIONATE, COORDINATED, FAMILY-CENTERED CARE FOR CHILDREN WITH A DEDICATED COMMITMENT TO EXCELLENT PATIENT OUTCOMES, ... (CONTINUED ON SCH O) 9 9 918 8 0 0 24089330 5155488 123063377 159163994 0 0 0 0 147152707 164319482 4000 20000 0 0 45694767 60866813 0 0 0 77920203 96183373 123618970 157070186 23533737 7249296 72914355 79328858 57893109 57136849 15021246 22192009 X TO PROVIDE COMPASSIONATE, COORDINATED, FAMILY-CENTERED CARE FOR CHILDREN WITH A DEDICATED COMMITMENT TO EXCELLENT PATIENT OUTCOMES, INCLUSIVE LEADERSHIP AND INNOVATIVE PEDIATRIC RESEARCH AND EDUCATION. false false 145692599 20000 159163994 EL PASO CHILDREN'S HOSPITAL IS THE ONLY SEPARATELY LICENSED, NON-TAXING, INDEPENDENT, 501(C)(3) NOT-FOR-PROFIT CHILDRENS HOSPITAL IN THE EL PASO, TEXAS REGION AND THE ONLY DEDICATED PEDIATRIC HOSPITAL WITHIN A 200-MILE RADIUS. THE HOSPITAL PROVIDES PEDIATRIC INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO CHILDREN FROM BIRTH THROUGH ADOLESCENCE. IT OPENED FEBRUARY 14, 2012, RECEIVED THE JOINT COMMISSION ACCREDITATION ON MARCH 9, 2012, AND ITS MEDICAID PROVIDER NUMBER IN JUNE 2012. THROUGH THE HOSPITAL'S AFFILIATION WITH TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER, THE HOSPITAL CONDUCTS PEDIATRIC RESEARCH AND EDUCATION, AND SERVES AS A TEACHING HOSPITAL FOR THE TEXAS TECH RESIDENCY PROGRAM. THE HOSPITAL HAS FOUR FULL-TIME TEXAS MEDICAID HEALTHCARE PARTNERSHIP (TMHP) PERSONNEL LOCATED IN THE BUILDING TO ENSURE THAT EVERY ELIGIBLE PATIENT IS ENROLLED IN CHIP-TEXAS WHICH IS SPECIFICALLY LEGISLATED TO PROVIDE MEDICAID-LIKE COVERAGE TO CHILDREN EVEN IF THEIR PARENTS DO NOT QUALIFY. THE LARGE MAJORITY OF CHILDREN CAN BE ENROLLED IN SOME TYPE OF GOVERNMENT PROGRAM. AS A RESULT, ONLY A VERY FEW CASES REMAIN IN THE TRADITIONAL CATEGORY OF CHARITY. THOSE PATIENTS REMAINING IN A CHARITY CLASSIFICATION ARE PROVIDED FREE OR REDUCED CHARGES PER WRITTEN EL PASO CHILDREN'S HOSPITAL POLICY. MORE CHARITY CARE INFORMATION IS AVAILABLE ON PAGE 11 OF THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. SEE ATTACHED 145692599 true true false true false false false false false false true false false true true false false true false false false false false false false false true true false false true false false false false false false false false true false false false false true true true false false true 152 0 true 918 true false false false false false false false false false false false false X 9 9 false false true false true true true true true false false false true true true true true true true false X OMAR GARZA 9152985444 4845 ALAMEDA AVE EL PASO TX 79905 X William Spurbeck Physician 1.0 39.0 X 0 650429 9100 CINDY STOUT CHIEF EXECUTIVE OFFICER 39.0 1.0 X 452834 0 27034 Rini Sahewalla PHYSICIAN 1.0 39.0 X 0 335477 6825 JOHN RUNKLES CHIEF OPERATING OFFICER 39.0 1.0 X 274061 0 27034 ROXANNE WEISENDANGER CHIEF NURSING OFFICER 39.0 1.0 X 240597 0 9658 LAUREL HUSTON CHIEF LEGAL OFFICER 39.0 1.0 X 204033 0 17418 Mary Lacaze PHYSICIAN 1.0 39.0 X 0 182648 2584 ERIKA J ESTRADA PHARMACY DIRECTOR 40.0 0.0 X 162528 0 21206 JAVIER SAENZ GENERAL COUNSEL 39.0 1.0 X 173940 0 8614 AMANDA C FRENCH NURSE PRACTITIONER 38.0 0.0 X 165212 0 7735 ANA L MEDINA SUPERVISOR PHARMACY NIGHT 41.0 0.0 X 144779 0 11283 FLAVIA DIAZ-HAYS VP- QUALITY & PATIENT SAFETY 40.0 0.0 X 145110 0 10052 SERGIO E CARRILLO JR REGISTERED NURSE 13 WEEK 46.0 0.0 X 135876 0 0 OMAR GARZA CHIEF FINANCIAL OFFICER 39.0 1.0 X 58873 0 1467 JOSE CARDENAS DIRECTOR 1.15 0.0 X 0 0 0 STEVE DEGROAT CHAIRMAN 1.15 0.0 X X 0 0 0 MIGUEL FERNANDEZ DIRECTOR 1.0 0.0 X 0 0 0 STEVE ANDERSON VICE CHAIRMAN 1.0 0.0 X X 0 0 0 ELSA BORREGO DIRECTOR 1.0 0.0 X 0 0 0 CINDY LYONS FIELDS DIRECTOR 1.15 0.0 X 0 0 0 PAT GORDON DIRECTOR 1.0 0.0 X 0 0 0 DR ISELLA IBARRA DIRECTOR 1.0 0.0 X 0 0 0 Amy Ross Secretary 1.15 0.0 X X 0 0 0 2157843 1168554 160010 42 false true false TEXAS TECH UNIVERSITY HEALTH SCIENC 5001 EL PASO DRIVE EL PASO TX 79905 PHYSICIAN SERVICES 13609057 AYA HEALTHCARE INC PO BOX 123519 DALLAS TX 75312 NURSING SERVICES 959789 EL PASO COUNTY HOSPITAL DISTRICT 4815 ALAMEDA AVE EL PASO TX 79905 MEDICAL/NON-MEDICAL 1210937 QUANTUM PLUS LLC PO BOX 634850 CINCINNATI OH 452634850 PHYSICIAN SERVICES 2035033 EL PASO FIRST HEALTH PLANS INC PO BOX 971370 EL PASO TX 79997 ADMINISTRATIVE SVCS 867454 34 1599437 3457043 99008 103190 5155488 Patient Service Revenue 621110 160482637 160482637 SUPPLEMENTAL MEDICAID DEDUCTION 900099 -2128403 -2128403 EHR Incentive Revenue 900099 809760 809760 159163994 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 164319482 159163994 X 20000 20000 0 0 0 1495563 1495563 0 51560117 48543583 3016534 2233167 2070973 162194 2101522 1979403 122119 3476444 3181468 294976 0 292342 292342 144938 144938 0 0 0 39519266 37645977 1873289 656010 600348 55662 170060 155628 14432 257877 235996 21881 0 10273886 9402147 871739 159257 145744 13513 0 60085 54987 5098 1769355 140540 1628815 0 3110468 2879815 230653 1105582 1011773 93809 Dues & Subscriptions 863243 789997 73246 Medical/ Surgical Supplies 22491069 22491069 Bad Debts 3915889 3915889 LPPF Fees 11113598 10170610 942988 280448 256652 23796 157070186 145692599 11377587 0 20198196 24739927 0 0 46079 0 19233166 23641135 0 0 0 0 0 0 1685944 1884031 4021564 780410 23458482 10123952 12244307 13334530 0 0 0 0 0 0 4557000 4557000 10928099 10391825 72914355 79328858 15926027 16973092 0 0 0 0 0 0 0 0 0 0 3121227 1991473 0 0 38845855 38172284 57893109 57136849 X 7729047 14978343 7292199 7213666 15021246 22192009 72914355 79328858 X 7249296 -78533 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 42203 42203 false SCHEDULE C, PART II-B, LINE 1 OTHER ACTIVITIES: THE HOSPITAL PAYS DUES TO THE TEXAS HOSPITAL ASSOCIATION AND NACH, A PERCENTAGE OF WHICH ARE FOR LOBBYING PURPOSES. 1603492 300675 1302817 21854990 9823277 12031713 13334530 INTEREST IN N/A OF UMC FDN 7213666 Est Amount Due from 3rd Party 3178159 10391825 0 Due to UMC 35378172 Est Self-Insurance Costs 171784 Due to Related Party 1850973 Capital Lease Obligation 771355 38172284 Schedule D, Part X, Line 2 ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true X true X true X true false true true 201707 201707 0.00130 93299027 85919606 7379421 0.04820 17413562 32476656 110914296 118396262 7581128 0.04950 543321 543321 0.00350 123190 123190 0.00080 666511 666511 0.00430 111580807 118396262 8247639 0.05380 true 3915889 489486 39070 55231 -16161 X true true 1 1 El Paso Children's Hospital 4845 Alameda Ave El Paso TX 79905 elpasochildrens.org 100133 X X X El Paso Children's Hospital false false true X X X X X X X X 20 true false false true X SEE PART V, SECTION C X true 20 true SEE PART V, SECTION C false true X 200. 200. X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 CHNA INPUT FROM REPRESENTATIVES OF THE COMMUNITY: Both primary and secondary data were collected to identify health needs within the Community. Primary data was collected from in-depth interviews with Community leaders and stakeholders. EPCH commissioned in-depth interviews with representatives of the Community who represent medically underserved, low-income, minority populations and populations with chronic disease needs including; Director of El Paso Public Health Department, CEO of Paso Del Norte Health Foundation and CEO and Social Equality Manager of the YWCA - an organization representing both the broad interests and specific populations of the Community. The interviews measured perspectives on a range of issues that affect the population's health and well-being, e.g. Community resources, barriers to health care providers, the impact of such barriers on the Community's medically underserved, low income or minority populations, and the social determinates of health. SCHEDULE H, PART V, SECTION B, LINE 11 NEEDS ADDRESSED AND NOT ADDRESSED ON THE CHNA: EPCH is proud to note that it has made great strides in addressing the significant health needs of the Community. Specifically, EPCH outlined the following strategic imperatives to address the significant health needs of the Community: 1) Outreach; 2) Program Development; 3) Community Engagement; and 4) Access to Care. Outreach: EPCH'S APPROACH TO OUTREACH SINCE THE LAST CHNA HAS BEEN MULTI-FACETED. EPCH AUGMENTED ITS PHYSICIAN RELATIONS TEAM TO IMPROVE COMMUNICATION WITH COMMUNITY PHYSICIANS REGARDING THE BROAD SPECTRUM OF SERVICES AVAILABLE AT EPCH. SUCH OUTREACH INCLUDED EDUCATIONAL, PHILANTHROPIC, AND OTHER EVENTS THAT BROUGHT TOGETHER EPCH AND COMMUNITY PHYSICIANS TO STRENGTHEN RELATIONSHIPS AND IMPROVE THE COORDINATION OF CARE FOR THE CHILDREN OF THE COMMUNITY. KEY IN THIS EFFORT HAS BEEN THE PARTICIPATION OF EPCH PHYSICIANS IN THE EL PASO PHYSICIAN ON KCOS, A LOCAL TELEVISION SHOW HIGHLIGHTING HEALTHCARE ISSUES AND PHYSICIANS IN THE COMMUNITY. THE MARKETING TEAM AT EPCH WAS SIMILARLY IMPROVED AND BEGAN ORGANIZING MORE EVENTS IN THE COMMUNITY, TO INCLUDE THE ANNUAL ST. BALDRICK'S HEAD SHAVING EVENT BRINGING AWARENESS TO CHILDHOOD CANCER, AND NICU REUNIONS THAT BRING TOGETHER CHILDREN WHO WERE TREATED IN THE EPCH NICU WITH THE PHYSICIANS AND NURSES WHO WERE PART OF THEIR CARE TEAM. SUCH EVENTS HAVE HELPED EPCH MAKE GREAT STRIDES IN REACHING PARENTS AND OTHER COMMUNITY STAKEHOLDERS. Program Development: SINCE THE LAST CHNA, EPCH HAS CONTINUED TO RECRUIT SUBSPECIALISTS TO THE COMMUNITY AND GROW SERVICE LINES REQUIRED BY THE GROWING PEDIATRIC POPULATION. EPCH, FOR EXAMPLE, HAS EMPLOYED A PEDIATRIC OTOLARYNGOLOGIST, PEDIATRIC UROLOGIST AND PEDIATRIC PSYCHIATRIST. ADDITIONALLY, WORKING WITH UMC, EPCH HAS CONTINUED TO GROW ITS PEDIATRIC NEUROSURGEON SERVICE LINE - RECRUITING ANOTHER PEDIATRIC NEUROSURGEON TO THE HOSPITAL. THE HOSPITAL HAS ALSO CONTINUED TO GROW ITS CRANIOFACIAL SERVICE LINE, ALLOWING FOR MORE COMPREHENSIVE TREATMENT OF COMPLEX CRANIOFACIAL CONDITIONS RANGING FROM CLEFT LIP AND PALATE AND CRANIOSYNOSTOSIS, TO RARE SYNDROMES LIKE PARRY ROMBERG, PIERRE ROBIN, AND CRANIOFACIAL PATHOLOGY. ADDITIONALLY, EPCH IS NOW HOME TO 1 OF ONLY 10 CRANIOFACIAL FELLOWSHIP PROGRAMS IN THE WORLD. EPCH HAS MADE STEADY PROGRESS IN THE EXPANSION OF MEDICAL SERVICES AVAILABLE TO THE CHILDREN OF OUR COMMUNITY, FURTHER REDUCING THE NUMBER OF FAMILIES FORCED TO SEEK CARE OUTSIDE OF THE COMMUNITY, FAR FROM HOME. Community Engagement: ENGAGING THE COMMUNITY HAS ALWAYS BEEN AN IMPORTANT PART OF THE MISSION OF EPCH. SINCE THE LAST CHNA, EPCH HAS PARTICIPATED IN A NUMBER OF EVENTS WITH LOCAL SCHOOL DISTRICTS, INCLUDING, FOR EXAMPLE, PARTICIPATION IN VARIOUS HEALTH FAIRS. EPCH HAS ALSO CONTINUED TO ENGAGE THE COMMUNITY THROUGH ITS PHILANTHROPIC ENDEAVORS LIKE THE ANNUAL EL PASO CHILDREN'S HOSPITAL MILAGRO GALA. EPCH CONTINUES ITS EFFORTS TO ENGAGE THE COMMUNITY BY COLLABORATING WITH COMMUNITY NON-PROFIT AGENCIES, LOCAL COMMUNITY GROUPS, AND CHILDREN'S CHARITIES EACH YEAR. EPCH HAS SUPPORTED THE RONALD MCDONALD HOUSE, YMCA, YWCA, WALK A MILE IN HER SHOES, CANDLELIGHTERS OF EL PASO, ROYAL RUN FOR HOPE, THE EL PASO DIABETES ASSOCIATION, AND LEE & BEULAH MOOR CHILDREN'S HOME. THROUGH THIS WORK, EPCH CONTINUES TO CEMENT ITSELF AS A PILLAR OF HEALTHCARE IN THE COMMUNITY AND FURTHER ITS COMMITMENT TO IMPROVING THE LIVES AND OUTCOMES FOR COMMUNITY'S CHILDREN AND FAMILIES. Access to care: SINCE ITS LAST CHNA, EPCH HAS EXPANDED ITS FOOTPRINT IN THE COMMUNITY, TO INCLUDE EVOLVING ITS MULTISPECIALTY PEDIATRIC CLINIC IN THE CENTRAL PART OF EL PASO, EXPANSION OF ITS C.A.R.E.S. CLINIC NEAR DOWNTOWN EL PASO, AND OPENING A REHABILITATION AND WELLNESS CLINIC IN THE EAST PART OF EL PASO, WITH AN URGENT CARE CLINIC TO OPEN IN 2023. EPCH HAS ALSO MADE STRIDES IN MAKING SURE THAT ITS CARE MANAGEMENTS AND MEDICAID ELIGIBILITY TEAMS ARE ROBUST AND MAKING EVERY EFFORT TO HELP OUR PATIENTS OBTAIN INSURANCE COVERAGE TO MEET THEIR HEALTHCARE NEEDS. ADDITIONALLY, THE EPCH CARE MANAGEMENT'S TEAM HAS AUGMENTED ITS ABILITY TO PROVIDE TRANSPORTATION FOR OUR COMMUNITY'S MOST VULNERABLE POPULATIONS THAT LACK ACCESS TO A RELIABLE MODE OF TRANSPORTATION, AS WELL AS FOR THOSE THAT LIVE IN THE COMMUNITY'S RURAL AREAS WHERE ACCESS TO PUBLIC TRANSPORTATION IS LIMITED. AS IDENTIFIED ABOVE, EPCH HAS ALSO CONTINUED TO ENCOURAGE AND SUPPORT HEALTH INITIATIVES RELATED TO WOMAN AND CHILDREN'S HEALTH IN THE COMMUNITY. EPCH IS EXTREMELY PROUD OF ITS EFFORTS AND ACCOMPLISHMENTS SINCE ITS LAST CHNA, AND WILL CONTINUE TO WORK DILIGENTLY TO IMPROVE IN THE AREAS OF OUTREACH, PROGRAM DEVELOPMENT, COMMUNITY ENGAGEMENT, AND ACCESS TO CARE. WHILE THE HOSPITAL DID NOT RECEIVE FEEDBACK ON ITS PRIOR CHNA FROM THE COMMUNITY, IT WILL CONTINUE TO ENGAGE WITH COMMUNITY STAKEHOLDERS TO MORE FULLY UNDERSTAND THE IMPACT OF ITS WORK IN THE AFOREMENTIONED AREAS. SCHEDULE H, PART V, SECTION B, LINE 13H ELIGIBILITY CRITERIA EXPLAINED IN THE FAP: THE HOSPITAL ALSO USES MEDICAID AND MEDICARE TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. SCHEDULE H, PART V, SECTION B, LINE 7 & 10 chna and implementation strategy: the chna and implementation strategy can be found on the following website: HTTPS://elpasochildrens.org/about-us/#1541351930530-3ebe804a-c36e SCHEDULE H, PART V, SECTION B LINES 16A, 16B, & 16C FINANCIAL ASSISTANCE AVAILABILTY: THE FAP, THE FAP APPLICATION FORM, AND A PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE FOLLOWING WEBSITE: https://elpasochildrens.org/patient-resources/ SCHEDULE H, PART V, LINES 18, 19 & 20 billing and collections: neither el paso children's hospital, nor third parties authorized by el paso children's hospial, take any actions upon non-payment from a patient before making reasonable effort to determine if the patient is eligible for the facility's financial assistance policy. 4 EL PASO CHILDREN'S PHYSICIAN SPECIALISTS 5340 EL PASO DRIVE STE M EL PASO TX 79905 Various specialists/surgery CARES Clinic at El Paso Children'S 2211 E Missouri Ste 226 El Paso TX 79903 C.A.R.E.S El Paso Children's Behavioral Specialist 1400 N El Paso St Ste C El Paso TX 79902 Psychology/Psychiatry EPC Physician Specialists on Montana 6066 Montana Ave Ste A-1 El Paso TX 79925 immunology/urology SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: BAD DEBT EXPENSE IS THE DIFFERENCE BETWEEN STANDARD RATES, OR CONTRACTED RATES, AND THE AMOUNTS EXPECTED TO BE RECEIVED FROM A THIRD PARTY PAYOR, AFTER ALL REASONABLE EFFORTS TO COLLECT HAVE BEEN COMPLETED. BAD DEBT EXPENSE IS CALCULATED AS THE CHARGES WRITTEN OFF LESS ANY INDIRECT FUNDS RECEIVED TO OFFSET CHARGES WRITTEN OFF. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER FINANCIAL ASSISTANCE POLICY: THE ORGANIZATION HAS ESTIMATED THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE CHARITY CARE POLICY AT ABOUT 12.5%. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT FOOTNOTE: NOT APPLICABLE DUE TO THE ADOPTION OF ASU TOPIC 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. SCHEDULE H, PART III, SECTION B, LINE 8 COSTING METHODOLOGY: THE HOSPITAL USES COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICAID OR MEDICARE DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. THE ORGANIZATION HAD A MEDICARE SHORTFALL IN THE AMOUNT OF $16,161. THE STATE OF TEXAS TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTIONS PRACTICES: IF A PATIENT APPEARS TO BE INDIGENT, ACCOUNTS SHOULD BE REVIEWED, AT ANY TIME DURING THE COLLECTION PROCESS, FOR POSSIBLE CONSIDERATION AS A CHARITY CASE IN ACCORDANCE WITH THE ORGANIZATION'S CHARITY CARE POLICY. THE HOSPITAL WILL NOT TAKE ANY EXTRAORDINARY COLLECTIONS ACTIONS, INCLUDING SELLING THE DEBT TO A COLLECTION AGENCY, UNTIL REASONABLE EFFORTS ARE TAKEN TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. ONCE A PATIENT HAS BEEN DETERMINED ELIGIBLE FOR ASSISTANCE ALL COLLECTION ACTIONS ARE STOPPED. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: IN ADDITION TO THE CHNA, THE HOSPITAL OFTEN LEARNS ABOUT THE HEALTH NEEDS OF THE COMMUNITY THROUGH ITS AFFILIATIONS AND PARTNERSHIPS WITH SEVERAL PHYSICIAN PRACTICES, ACADEMIC PARTNERS, PEDIATRIC ORGANIZATIONS AND REPORTS AND FEEDBACK FROM STATE AND OTHER AGENCIES. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: ALL PATIENTS WITHOUT THIRD PARTY INSURANCE RECEIVE INFORMATION WHILE AT EPCH REGARDING GOVERNMENTAL ASSISTANCE AND ARE ADVISED TO MAKE AN APPOINTMENT WITH A CERTIFIED MEDICAID ENROLLMENT CENTER TO DETERMINE THEIR ELIGIBILITY FOR MEDICAID ASSISTANCE. THOSE PATIENTS ARE INFORMED THAT THEY MAY BE ELIGIBLE FOR THE HOSPITAL'S CHARITY CARE PROGRAM. ALSO, ALL INPATIENTS WITHOUT THIRD PARTY COVERAGE ARE VISITED DURING THEIR HOSPITAL STAY AND SENT INFORMATION. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: THE CITY OF EL PASO, TX IS LOCATED IN FAR WEST TEXAS IN AN AREA KNOWN AS THE BORDERPLEX. THE BORDERPLEX ENCOMPASSES THREE MAJOR CITIES; CIUDAD JUAREZ (MEXICO), LAS CRUCES (NEW MEXICO) AND EL PASO (TEXAS.) POPULATION OF THESE THREE CITIES IS APPROXIMATELY 2.1 MILLION INDIVIDUALS. 63% OF THE POPULATION RESIDES IN JUAREZ, 32% IN EL PASO AND 5% IN LAS CRUCES. EL PASO IS LESS RACIALLY DIVERSE THAN THE STATE OF TEXAS OVERALL, WITH AN 81% HISPANIC POPULATION IN COMPARISON TO 38% IN TEXAS. MEDIAN HOUSEHOLD INCOME FOR EL PASO IS $48,866 WHILE TEXAS IS $61,874. THE LOW MEDIAN HOUSEHOLD INCOME CONTRIBUTES TO A LARGE PERCENTAGE OF THE POPULATION REQUIRING GOVERNMENT ASSISTANCE, AND ATTRIBUTES TO 67% OF EL PASO CHILDREN'S HOSPITAL PATIENTS RECEIVING MEDICAID. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: EL PASO CHILDREN'S HOSPITAL, THROUGH ITS REGULAR EVALUATION OF ITS STRATEGIC GOALS, REVIEWS HEALTH TRENDS IN THE REGION TO ENSURE THAT IT ADDRESSES COMMUNITY HEALTH NEEDS AS OUTLINED BY VARIOUS HEALTH AGENCIES INCLUDING THE PASO DEL NORTE HEALTH FOUNDATION, THE CITY OF EL PASO DEPARTMENT OF PUBLIC HEALTH AND THE STATE OF TEXAS HEALTH AND HUMAN SERVICES. IN RESPONSE TO MEETING THE NEEDS OF THE PEDIATRIC COMMUNITY, SEVERAL PHYSICIANS WERE RECRUITED INTO THE HOSPITAL'S MEDICAL STAFF INCLUDING: A PEDIATRIC ENT SURGEON, AN AUDIOLOGIST, TWO PEDIATRIC HEM/ONC PHYSICIANS, A CHILD AND ADOLESCENT PSYCHIATRIST, A PEDIATRIC NEUROSURGEON AND A PEDIATRIC NEUROPSYCHOLOGIST. SOME OF THE STRATEGIC OBJECTIVES EPCH ACHIEVED INCLUDE: GROWING THE PEDIATRIC NEUROSURGERY CLINIC; LAUNCHING AN OUTPATIENT PEDIATRIC ENT AND AUDIOLOGY CLINIC; LAUNCHING A CYSTIC FIBROSIS CLINIC AND OPENING A BEHAVIORAL HEALTH CLINIC. IN RESPONSE TO THE REGION HAVING A HIGHER MATERNAL MORTALITY AND PEDIATRIC MORTALITY RATE THAN THE STATE AND THE NATION, EL PASO CHILDREN'S HOSPITAL REMAINS FOCUSED ON DELIVERING THE MOST ACUTE CARE IN THE REGION FOR THE SMALLEST OF BABIES BY MAINTAINING A LEVEL IV NICU DESIGNATION BY THE STATE OF TEXAS. EPCH OUTLINED SEVERAL TACTICS IT WOULD EMPLOY TO ENSURE THE COMMUNITY ULTIMATELY BENEFITS FROM ITS EFFORTS. THESE TACTICS INCLUDE; IMPROVED OUTREACH TO COMMUNITY PHYSICIANS, PROGRAM DEVELOPMENT, COMMUNITY ENGAGEMENT, AND ACCESS TO CARE. TO DATE, THERE HAVE BEEN OVER 1,000 MEANINGFUL ENCOUNTERS BETWEEN HOSPITAL PHYSICIANS AND LEADERS WITH COMMUNITY PHYSICIANS WE HAVE VETTED THROUGH 50 POTENTIAL SUBSPECIALTY PHYSICIAN RECRUITS. WITH THE RECRUITMENT OF PEDIATRIC SUBSPECIALISTS AND INVESTMENT IN KEY SERVICE LINES, EPCH REMAINS FOCUSED ON DEVELOPING PROGRAMS DESIGNED TO IMPROVE THE DEPTH OF PROGRAMS AVAILABLE FOR CHILDREN AND ACCESS TO RESOURCES FOR FAMILIES OF CHRONICALLY ILL CHILDREN. EPCH CONTINUED TO REDUCE THE NUMBER OF PATIENTS REQUIRED TO LEAVE THE REGION FOR TREATMENT OF CHILDHOOD CANCERS AND COMPLEX NEUROSURGICAL CARE. EPCH'S CERTIFIED CHILDREN'S ONCOLOGY GROUP PROVIDES THE HIGHEST LEVEL OF CARE FOR THOSE IN NEED OF CANCER TREATMENT BY PROVIDING ONCOLOGY PATIENTS ACCESS TO CLINICAL TRIALS AND TREATMENT PROTOCOLS FOUND AT OTHER TOP TIER CHILDREN'S HOSPITALS. ANOTHER COMMUNITY BENEFIT PROVIDED BY EL PASO CHILDREN'S HOSPITAL IS THE ELEVATED QUALITY AND SCOPE OF MEDICAL CARE IN THE REGION. EPCH SERVES AS TRAINING SITE FOR THE NEXT GENERATION OF PEDIATRIC PHYSICIANS, SKILLED NURSES AND ANCILLARY SUPPORT STAFF, AND PROVIDES RESEARCH OPPORTUNITIES LEADING TO ADVANCEMENTS IN TREATMENTS AND TECHNOLOGIES. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: EPCH COOPERATES WITH UNIVERSITY MEDICAL CENTER (UMC) IN PROVIDING HEALTH CARE SERVICES TO THE REGIONAL SERVICE AREA. WHILE UMC'S SCOPE PRIMARILY INCLUDES PROVIDING ACUTE CARE TO THE ADULT POPULATION, EPCH'S SCOPE INCLUDES PROVIDING ACUTE CARE TO THE PEDIATRIC POPULATION. THE COOPERATION EXTENDS TO PEDIATRIC TRAUMA AND NEONATAL PATIENTS WHO ORIGINATE AT UMC AND ARE THEN TRANSFERRED TO EPCH FOR CONTINUED CARE. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: TEXAS SCHEDULE H, PART 1, LINE 3C factors other than fpg determining free or discounted care: the hospital uses the following criteria to determine eligibility for free or discounted care: - medical indigency - insurance status - medicare/medicaid SCHEDULE H, PART I, LINE 7, COLUMN F bad debt excluded in calculation of patient care cost to charges: bad debt expense in the amount of $3,915,889 was included in form 990, part IX, line 25 in total expenses. however, this amount was excluded for purposes of calculating the percentage of patient care cost to charges. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. WORKSHEET 5 WAS COMPUTED USING THE TEXAS SUPPLEMENTAL SURVEY AND Worksheet 8 was completed using the hospital's internal accounting system for tracking donated time to public service and actual donations paid. X X X X false false false false false false false true false CINDY STOUT CHIEF EXECUTIVE OFFICER 387734 0 65100 0 0 0 9100 0 17934 0 479868 0 0 0 JOHN RUNKLES CHIEF OPERATING OFFICER 235561 0 38500 0 0 0 9100 0 17934 0 301095 0 0 0 LAUREL HUSTON CHIEF LEGAL OFFICER 204033 0 0 0 0 0 5441 0 11977 0 221451 0 0 0 ROXANNE WEISENDANGER CHIEF NURSING OFFICER 205597 0 35000 0 0 0 3402 0 6256 0 250255 0 0 0 AMANDA C FRENCH NURSE PRACTITIONER 132712 0 32500 0 0 0 2000 0 5735 0 172947 0 0 0 ERIKA J ESTRADA PHARMACY DIRECTOR 162528 0 0 0 0 0 3272 0 17934 0 183734 0 0 0 FLAVIA DIAZ-HAYS VP- QUALITY & PATIENT SAFETY 145110 0 0 0 0 0 2056 0 7996 0 155162 0 0 0 ANA L MEDINA SUPERVISOR PHARMACY NIGHT 144779 0 0 0 0 0 5548 0 5735 0 156062 0 0 0 JAVIER SAENZ GENERAL COUNSEL 173940 0 0 0 0 0 2358 0 6256 0 182554 0 0 0 Mary Lacaze PHYSICIAN 0 182648 0 0 0 0 0 2584 0 0 0 185232 0 0 Rini Sahewalla PHYSICIAN 0 335477 0 0 0 0 0 6825 0 0 0 342302 0 0 William Spurbeck Physician 0 593857 0 56572 0 0 0 9100 0 0 0 659529 0 0 SCHEDULE J, PART I, LINE 7 NONFIXED PAYMENTS: BONUSES ARE BASED ON PERFORMANCE IN ACCORDANCE WITH YEARLY STRATEGIC PLANS AND AT THE DISCRETION OF PRESIDENT AND CEO. X SKYLIGHT (GETWELL NETWORK) 1 103190 FMV false false false SCHEDULE M, PART I, COLUMN B NUMBER OF CONTRIBUTIONS: THE AMOUNT REPORTED IN THIS COLUMN IS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS: THE SOLE CORPORATE MEMBER OF THE HOSPITAL IS UNIVERSITY MEDICAL CENTER OF EL PASO (UMC). FORM 990, PART VI, SECTION A, LINE 7A MEMBERS WITH POWER TO ELECT MEMBERS OF THE GOVERNING BODY: UMC HAS THE POWER TO NOMINATE AND APPROVE FOUR PERSONS. THE MEDICAL EXECUTIVE COMMITTEE OF THE HOSPITAL HAS THE POWER TO NOMINATE ONE PHYSICIAN BOARD MEMBER. THREE PERSONS WILL BE NOMINATED BY THE MAJORITY VOTE OF THE INDEPENDENT BOARD OF MEMBERS AS COMMUNITY BOARD MEMBERS. THE COMMUNITY BOARD MEMBERS AND THE PHYSICIAN BOARD MEMBERS HAVE THE POWER COLLECTIVELY TO NOMINATE THE INDEPENDENT BOARD MEMBER. FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DECISIONS RESERVED TO THE MEMBER: UMC HAS THE POWER TO APPOINT FOUR MEMBERS TO THE BOARD AND HAS THE POWERS STATUTORILY REQUIRED TO BE MAINTAINED BY A MEMBER IN V.T.C.A, BUSINESS ORGANIZATIONS CODE SECTION 22.164. FORM 990, PART VI, SECTION B, LINE 11B PROCESS USED TO REVIEW FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. PRIOR TO FILING WITH THE IRS, THE ORGANIZATION'S ACCOUNTING STAFF AND CEO WILL REVIEW THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: EL PASO CHILDREN'S HOSPITAL (EPCH) LEADERS AND MEMBERS OF THE MEDICAL STAFF SIGN A CONFLICT OF INTEREST CERTIFICATION AND ACKNOWLEDGEMENT OF CONFLICT OF INTEREST POLICY ANNUALLY, CERTIFYING THAT THEY RECEIVED, READ, AND UNDERSTOOD THIS CONFLICT OF INTEREST POLICY AND AGREE TO COMPLY WITH IT. THE LEADERS OBTAIN THE CERTIFICATION FORM FROM THE COMPLIANCE OFFICE. MEMBERS OF THE MEDICAL STAFF OBTAIN THE CERTIFICATION FORM FROM MEDICAL STAFF SERVICES AT THE TIME OF INITIAL CREDENTIALING AND RECREDENTIALING. IT IS THE MEDICAL STAFF MEMBERS RESPONSIBILITY TO RETURN THE SIGNED FORM TO MEDICAL STAFF SERVICES IN A TIMELY MANNER. MEDICAL STAFF MEMBERS WILL NOT BE (RE)CREDENTIALED IN THE ABSENCE OF A SIGNED CONFLICT OF INTEREST CERTIFICATION AND ACKNOWLEDGEMENT OF CONFLICT OF INTEREST POLICY. EACH TIME A PROCUREMENT PROCESS IS INITIATED AND A COMMITTEE IS INVOLVED IN MAKING A DECISION OR RECOMMENDATION ON A BUSINESS RELATIONSHIP, A CONFLICT OF INTEREST CERTIFICATION STATEMENT MUST BE COMPLETED BY THOSE COMMITTEE MEMBERS WHO HAVE NOT PREVIOUSLY COMPLETED THE ANNUAL CERTIFICATION. THE COMPLIANCE OFFICER REVIEWS WITH THE CEO AND GENERAL COUNSEL ANY CONFLICT OF INTEREST CERTIFICATION FORMS THAT IDENTIFY POTENTIAL CONFLICTS. THE COMPLIANCE OFFICER MAY ASK THE INTERESTED PERSON TO DISCUSS THE TRANSACTION IN ORDER TO OBTAIN FURTHER DETAILS. THE COMPLIANCE OFFICER MAY, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO ANY TRANSACTION OR ARRANGEMENT AND DETERMINES WHETHER THE HOSPITAL CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A CONFLICT IS FOUND TO EXIST, THE CONFLICTED BOARD MEMBER IS PROHIBITED FROM PARTICIPATING IN GOVERNING BODY DELIBERATIONS AND DECISIONS IN THE TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15A & 15B PROCESS FOR DETERMINING COMPENSATION: EL PASO CHILDREN'S HOSPITAL DETERMINES COMPENSATION FOR ITS CEO AND OTHER OFFICERS AND KEY EMPLOYEES BY CONSIDERING SALARY RANGES, SALARY SURVEYS, AND MARKET ANALYSES FOR EACH POSITION. SPECIFICALLY, THE BOARD OF DIRECTORS COMPENSATION COMMITTEE REVIEWS AND RECOMMENDS SALARIES FOR THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE BOARD OF DIRECTORS APPROVES SALARIES FOR THE CEO AND OTHER OFFICERS. THE CEO APPROVES SALARIES FOR KEY EMPLOYEES (DIRECTOR LEVEL AND BELOW). THE MOST RECENT REVIEW WAS CONDUCTED BY PRUDENTIAL GLOBAL IN August 2022 AND DOCUMENTED IN THE HUMAN RESOURCE FILES. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS: THE ORGANIZATION FURNISHES COPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990, AND/OR FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. FORM 990, PART 1, LINE 1 ORGANIZATION'S MISSION: (CONTINUED FROM PAGE 1) ... INCLUSIVE LEADERSHIP AND INNOVATIVE PEDIATRIC RESEARCH AND EDUCATION. Form 990, Part XI, Line 9 OTHER CHANGES IN NET ASSETS: CHANGE IN INTEREST IN NET ASSETS OF EPC FOUNDATION ($20,994) NET ASSETS RELEASED FROM RESTRICTION ($57,539) ------------- TOTAL ($78,533) FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: THE BYLAWS WERE AMENDED APRIL 2022. THE AMENDED BYLAWS MODIFIED THE VARIOUS QUORUMS REQUIRED TO VOTE ON VARIOUS AGENDA ITEMS. IT ALSO UPDATED THE LANGUAGE REGARDING THE RIGHTS CONNECTED TO ABSENT MEMBERS AND REMOVAL. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT PERSONNEL TOTAL FEES:5375770 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:16701899 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:17441597 EL PASO CHILDREN'S PHYSICIAN GROUP 4845 ALAMEDA AVE EL PASO TX 79905 455465061 PHYSICIAN SVS TX 501(C)(3) 3 EPCH true UMC FOUNDATION 1400 HARDAWAY SUITE 220 EL PASO TX 79903 742540513 SUPPORT TX 501(C)(3) 7 UMC true UNIVERSITY MEDICAL CENTER OF EL PASO 4815 ALAMEDA AVE EL PASO TX 79905 746000756 HEALTHCARE TX 501(C)(3) 3 NA false EL PASO CHILDREN'S HOSPITAL FOUNDATION 1400 HARDAWAY SUITE 213 EL PASO TX 79903 812298318 SUPPORT TX 501(C)(3) 7 UMC FDN true EL PASO HEALTH 1145 WESTMORELAND EL PASO TX 79925 742930226 HMO TX 501(C)(4) N/A UMC true false false true true false false false false false false true false true true true true true true false El Paso Children's HOSPITAL Foundation C 1599437 FMV EL PASO HEALTH P 937410 FMV EL PASO HEALTH M 144099 FMV EL PASO CHILDREN'S PHYSICIAN GROUP R 711000 FMV