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      <Form990PartVIISectionAGrp>
        <PersonNm>ERIKA J ESTRADA</PersonNm>
        <TitleTxt>PHARMACY DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>183655</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15581</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAVIER SAENZ</PersonNm>
        <TitleTxt>GENERAL COUNSEL</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>206295</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>15070</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LIDIA CALDERA</PersonNm>
        <TitleTxt>SUPERVISORY RESPIRATORY</TitleTxt>
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        <PersonNm>RICK GRAY</PersonNm>
        <TitleTxt>ASSOCIATE ADMINISTRATOR</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>176257</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31441</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>275794</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>116</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>UMC OF EL PASO</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4815 ALAMEDA AVE</AddressLine1Txt>
            <CityNm>EL PASO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TTUHSC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>TX</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
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          <USAddress>
            <AddressLine1Txt>DEPT 3847 PO BOX 12384</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
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        </ContractorAddress>
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        <CompensationAmt>1953688</CompensationAmt>
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      <ContractorCompensationGrp>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
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          <BusinessName>
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      <GrantsToDomesticIndividualsGrp>
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      <FeesForServicesAccountingGrp>
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      <OtherExpensesGrp>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - EL PASO CHILDREN'S HOPSITAL. BOTH PRIMARY AND SECONDARY DATA WERE COLLECTED TO IDENTIFY HEALTH NEEDS WITHIN THE COMMUNITY. THE 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 THE DIRECTOR OF THE EL PASO PUBLIC HEALTH DEPARTMENT, THE CEO OF PASO DEL NORTE HEALTH FOUNDATION, AND THE CEO OF THE YWCA EL PASO DEL NORTE REGION. ALL ORGANIZATIONS REPRESENT 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. LACK OF 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. THE SECONDARY DATA SOURCE WAS COLLECTED FROM THE GENERAL AND SPECIALTY PEDIATRIC MEDICINE PROVIDERS IN THE COMMUNITY WITH AN ELECTRONIC SURVEY, AS WELL AS DATA COLLECTED USING DATABASES CREATED BY OTHER AGENCIES OR ORGANIZATIONS, TO IDENTIFY HEALTH NEEDS WITHIN THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - el paso children's Hospital. EPCH IS PROUD TO NOTE THAT IT MADE GREAT STRIDES IN ADDRESSING THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY. THE FOLLOWING AREAS REFLECT RECENT ACCOMPLISHMENTS TO MEET THE HEALTH NEEDS IDENTIFIED IN THE 2024 CHNA. AREAS ADDRESSED: 1) OUTREACH; 2) PROGRAM DEVELOPMENT; 3) COMMUNITY ENGAGEMENT; AND 4) ACCESS TO CARE. OUTREACH: EFFORTS TO COMMUNICATE WITH COMMUNITY PHYSICIANS WITHIN THE EL PASO CHILDREN'S HOSPITAL'S SERVICE AREA EXPANDED IN THE LAST YEAR. DEDICATED EFFORTS WERE MADE TO REACH ADDITIONAL PHYSICIANS, HOSPITAL LEADERS AND CLINICAL TEAMS IN THE SECONDARY SERVICE AREA TO SHARE INFORMATION ON SERVICE LINE GROWTH AND NEW PHYSICIANS. ADDITIONALLY, MONTHLY CME (CONTINUING MEDICAL EDUCATION), WERE PROVIDED TO PHYSICIANS AND CLINICIANS ACROSS THE REGION. THE CME PROGRAM IS AN INITIATIVE SPONSORED BY EPCH DESIGNED TO PROVIDE PHYSICIANS AND NURSES A FORUM TO LEARN ABOUT NEW SERVICES, PROCEDURES AND UPDATES IN TREATMENT PROTOCOLS. THERE WERE ALSO TWO SYMPOSIUMS SPONSORED IN 2024, INCLUDING AN ENDOSCOPIC CRANIOSYNOSTOSIS SYMPOSIUM AND CLEFT BONE GRAFTS &amp; CLEFT ORTHOGNATHIC SYMPOSIUM BOTH INCLUDED PARTICIPANTS FROM ACROSS THE COUNTRY AND GLOBE. PROGRAM DEVELOPMENT: EL PASO CHILDREN'S HOSPITAL'S RECRUITMENT EFFORTS CONTINUES TO EVOLVE. SINCE THE LAST CHNA, A PEDIATRIC CARDIOLOGIST, PEDIATRIC NEPHROLOGIST, PEDIATRIC NEUROLOGIST/EPILEPTOLOGIST, AND A PEDIATRIC NEUROLOGIST WERE RECRUITED. THE EL PASO CHILDREN'S HOSPITAL MULTISPECIALTY CENTER OPENED ITS DOORS IN FY2024. THIS NEW OUTPATIENT DEPARTMENT HAS CONTINUED TO GROW THE AVAILABILITY OF SERVICES AVAILABLE TO AREA FAMILIES THROUGH MULTIDISCIPLINARY CLINICS. THESE NEW MULTIDISCIPLINARY CLINICS ALLOW PATIENTS TO RECEIVE COMPREHENSIVE CARE FROM VARIOUS SPECIALIST IN ONE SETTING. THIS APPROACH HAS BEEN BENEFICIAL FOR ADDRESSING COMPLEX HEALTH ISSUES THAT REQUIRE INPUT FROM MULTIPLE HEALTHCARE PROFESSIONALS. THIS COMPREHENSIVE APPROACH HAS ALSO REDUCED PATIENT STRESS AND ANXIETY THAT COMES ALONG WITH HAVING TO SCHEDULE SEPARATE APPOINTMENTS, AT DIFFERENT LOCATIONS. COMMUNITY ENGAGEMENT: AS DESCRIBED IN SCHEDULE H, PART VI, LINE 5 OF THIS DOCUMENT, EL PASO CHILDREN'S HOSPITAL HAS REMAINED COMMITTED TO THE COMMUNITY IT SERVES. TRAINING WAS PROVIDED TO SEVERAL SCHOOL DISTRICTS FOR SCHOOL NURSES AND ATHLETIC DIRECTORS. THE EL PASO CHILDREN'S HOSPITAL CONTINUES TO PARTNER WITH NON-PROFIT AND OTHER COMMUNITY ORGANIZATIONS, INCLUDING SPONSORSHIP OF COMMUNITY EVENTS, WITH A PEDIATRIC FOCUS. THE HOSPITAL REMAINS THE ONLY CERTIFIED CHILDREN'S ONCOLOGY GROUP AFFILIATED CENTER IN THE REGION. ADDITIONALLY, EPCH CONTINUES TO SERVE AS A TRAINING SITE FOR THE NEXT GENERATION OF PEDIATRIC SPECIALISTS, SKILLED NURSES AND ANCILLARY SUPPORT STAFF, AND PROVIDES RESEARCH OPPORTUNITIES TO ADVANCE PEDIATRIC HEALTH OUTCOMES. INTERNATIONAL COLLABORATION CONTINUES WITH A HOSPITAL IN CUIDAD JUAREZ, MEXICO, AND ALSO EXPANDED WITH THE ENT AND PLASTICS TEAMS PROVIDING CARE FOR PATIENTS IN MEXICO. EPCH IS A RESOURCE FOR THE COMMUNITY IT SERVES AND REMAINS COMMITTED TO IMPROVING THE LIVES AND OUTCOMES FOR THE CHILDREN AND FAMILIES ACROSS THE REGION. ACCESS TO CARE: THE HOSPITAL WILL CONTINUE TO ENGAGE WITH COMMUNITY STAKEHOLDERS TO MORE FULLY UNDERSTAND THE IMPACT OF ITS WORK IN THE AFORMENTIONED AREAS AS DESCRIBED IN THE HOSPITALS 2024 CHNA.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - EL PASO CHILDREN'S HOSPITAL. IF A PATIENT PROVIDES DOCUMENTATION OF THE PATIENT'S CURRENT PARTICIPATION IN TANF, MEDICAID, WIC, OR THE CHILDREN'S HEALTH INSURANCE PROGRAM, EPCH WILL DEEM THE PATIENT'S ANNUAL HOUSEHOLD INCOME TO BE AT OR BELOW 200 PERCENT OF THE FEDERAL POVERTY GUIDELINES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: - MEDICAL INDIGENCY -MEDICARE/MEDICAID</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 18 BILLING AND COLLECTIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>NEITHER EL PASO CHILDREN'S HOSPITAL, NOR THIRD PARTIES AUTHORIZED BY EL PASO CHILDREN'S HOSPIAL, TAKE ANY EXTRAORDINARY COLLECTION ACTIONS AGAINST A PATIENT UNLESS AND UNTIL REASONABLE EFFORTS ARE TAKEN TO DETERMINE THE ELIGIBILITY OF THE PATIENT FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE PROGRAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation</FormAndLineReferenceDesc>
        <ExplanationTxt>14025810</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ESTIMATED THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE CHARITY CARE POLICY AT ABOUT 12.5%.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>NOT APPLICABLE DUE TO THE ADOPTION OF ASU TOPIC 606 REVENUE FROM CONTRACTS WITH CUSTOMERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>EPCH HAS A FORMAL WRITTEN COLLECTIONS POLICY. THIS POLICY OUTLINES THE HOSPITAL'S COLLECTION PRACTICES. IF EPCH IDENTIES THAT A PATIENT MAY BE INDIGENT, ACCOUNTS ARE REVIEWED FOR POSSIBLE CONSIDERATION AS A CHARITY CASE. THIS REVIEW MAY OCCUR AT ANY TIME DURING THE COLLECTION PROCESS. EPCH INFORMS PATIENTS THAT NONPAYMENT OF A BILL RESULTS IN THE REFERRAL OF THE PATIENT'S ACCOUNT TO BAD DEBT AT 120 DAYS FROM THE DATE EPCH PROVIDED THE FIRST POST-DISCHARGE BILLING STATEMENT FOR THE CARE. UNDER THE POLICY, PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE PROGRAM UP TO 270 DAYS FROM THE DATE EPCH PROVIDED THE FIRST POST-DISCHARGE BILLING STATEMENT FOR THE CARE, EVEN IF THE ACCOUNT IS IN BAD DEBT. 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. ANY EXTRAORDINARY COLLECTIONS ACTIONS WILL BE IMMEDIATELY SUSPENDED UPON RECEIVING A FINANCIAL ASSISTANCE APPLICATION, OR, IF THERE IS REASON TO BELIEVE A PATIENT IS ELIGBLE FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE PROGRAM WITHIN THE 270-DAY TME PERIOD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- El Paso Children's Hospital: Line 16a URL: https://elpasochildrens.org/patients-visitors/billing-financial-assistance/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- El Paso Children's Hospital: Line 16b URL: https://elpasochildrens.org/patients-visitors/billing-financial-assistance/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- El Paso Children's Hospital: Line 16c URL: https://elpasochildrens.org/patients-visitors/billing-financial-assistance/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>EL PASO CHILDREN'S HOSPITAL INFORMS AND NOTIFIES PATIENTS AND THE PUBLIC ABOUT THE FINANCIAL ASSISTANCE PROGRAM THROUGH CONSPICIOUS PUBLIC DISPLAYS AND SIGNAGE. SIGNAGE IS PROMINENTLY DISPLAYED IN ALL REGISTRATION AREAS SERVICED BY THE HOSPITAL, TO INCLUDE THE EMERGENCY DEPARTMENT AND ALL HOSPITAL-BASED OUTPATIENT LOCATIONS. THE SIGNAGE INFORMS PATIENTS AND THE PUBLIC HOW TO APPLY, AS WELL AS HOW TO SEEK OUT ADDITIONAL INFORMATION REGARDING THE PROGRAM. A VARIETY OF LANGUAGE SERVICES ARE AVAILABLE UPON PATIENTS' REQUEST. THE HOSPITAL'S FINANCIAL ASSISTANCE APPLICATION AND THE PLAIN LANGUAGE SUMMARY ARE AVAILABLE IN BOTH PROMINENT LANGUAGES FOR OUR SERVICE AREA (ENGLISH AND SPANISH). THE PROGRAM'S DOCUMENTS ARE MADE PUBLICALLY AVAILABLE ON THE HOSPITAL'S PUBLIC WEBSITE (https://elpasochildrens.org/patient-resources/). THE HOSPITAL ALSO MAKES PAPER COPIES OF THESE DOCUMENTS AVAILABLE UPON REQUEST AND WITHOUT CHARGE, BOTH AT THE HOSPITAL, AND BY MAIL. ADDITIONALLY, THE HOSPITAL PUBLISHES THIS INFORMATION ON PATIENT GUARANTOR STATEMENTS. THE POSTED POLICY, AS WELL AS THE POSTED PLAIN LANGUAGE SUMMARY, DIRECTS PATIENTS ON WHO TO CONTACT AND WHAT INFORMATION IS NEEDED TO APPLY FOR FINANCIAL ASSISTANCE. ADDITIONALLY, PATIENTS WITHOUT THIRD PARTY INSURANCE RECEIVE INFORMATION FROM THE PATIENT ACCESS ELIGIBILITY SPECIALISTS, DURING THEIR INPATIENT ADMISSION STAY, REGARDING THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CITY OF EL PASO, TEXAS 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). EL PASO IS LESS RACIALLY DIVERSE THAN THE STATE OF TEXAS OVERALL, WITH AN 83% HISPANIC POPULATION IN COMPARISON TO 39% IN TEXAS. MEDIAN HOUSEHOLD INCOME FOR EL PASO IS $55,417, WHILE TEXAS IS $73,035. THE LOW MEDIAN HOUSEHOLD INCOME CONTRIBUTES TO A LARGE PERCENTAGE OF THE POPULATION REQUIRING GOVERNMENT ASSISTANCE, AND ATTRIBUTES TO 61% OF EL PASO CHILDREN'S HOSPITAL PATIENTS RECEIVING MEDICAID in FY2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>El Paso Children's Hospital continues to further its mission to enhance the lives of children from the greater El Paso area and surrounding region by providing a place of hope and healing through unmatched excellence in pediatric patient care, research, and education. These efforts are evidenced by the engagement with the community in variety ways. In addition to the information supplied in other sections of this document, the following are examples of the hospital's ongoing commitment to its community. 1)Provider Engagement and Education: Efforts to communicate with community physicians within the EPCH's service area expanded throughout CY2024. Dedicated efforts were made to reach additional physicians, hospital leaders, and clinical teams in the secondary service areas to share information on service line growth and new pediatric subspecialists. Additionally, monthly CME (Continuing Medical Education) events were provided to physicians and clinicians across the region. The CME program is an initiative sponsored by EPCH designed to provide physicians and nurses with a forum to learn about new services, procedures, and updates in treatment protocols. In 2024, EPCH hosted the 2nd Annual Borderland Cerebral Palsy Symposium. Additionally, a symposium on Endoscopic Surgery for Treatment of Craniosynostosis was held, with participants from across the country and the globe. El Paso Children's Hospital also hosted the Symposium on Cleft Lip and Palate Deformities in Charlotte, NC. Additionally, with our affiliation with Texas Tech University Health Sciences Center at El Paso, EPCH serves as a training site for the next generation of pediatric physicians through Texas Tech's Residency Program. 2) School District Engagement: The Hospital also collaborated with several local school districts throughout CY2024 by offering education on a variety of pediatric and adolescent specific health risks and conditions to athletic directors, school nurses, and teachers. Athletic directors in the Ysleta Independent School District received education about vestibular concussions. Additionally, the Hospital provided education to school nurses and teachers at the Socorro Independent School District and to Region 19's Southwest School Nurse Association. Moreover, EPCH's Certified Diabetes Care and Education Specialist collaborated with several area schools, across different school districts, to provide Unlicensed Diabetes Care Assistant (UDCA) training educational classes. UDCAs equip school personnel in Texas with the skills and knowledge to assist students with diabetes, especially when a school nurse is not present. This training is a requirement for Texas public elementary and secondary schools under Texas House Bill 984. 3) Community-Wide Emergency Health Preparedness: To further our commitment to improving pediatric care in the Borderland, El Paso Children's Hospital actively participated in community outreach and regional preparedness initiatives through several advisory committees. Through a partnership with BorderRAC (Border Regional Advisory Council),the Hospital's efforts support the mission to deliver high-quality, specialized care to children while advancing public health and emergency readiness high-need areas. The Hospital participated in pediatric disaster preparedness efforts, regional emergency planning, and cross-agency coordination to strengthen care delivery and outcomes for vulnerable pediatric populations. This highlights the Hospital's dedication to serving the needs of its community beyond hospital walls. 4)Public Engagement and Awareness: The hospital made great strides in the promotion of public health awareness campaigns throughout CY2024 by way of health fairs, public announcements, and through various media outlets. Through social media posts and local media broadcasts, the Hospital highlighted segments to discuss signs, symptoms, and treatment options of various pediatric health conditions. These segments were hosted by EPCH-credentialed Medical Staff providers, as well as key EPCH staff, who are subject matter experts in their respective fields. In some cases, the Hospital collaborated with other non-profit groups to further its message, ensuring the information would reach those that would benefit most. Topics throughout the year included: hearing loss and cochlear implants, childhood cancer awareness, cerebral palsy, craniosynostosis, cystic fibrosis, malnutrition, measles, pediatric dermatological conditions, and pediatric sepsis. The Hospital also highlighted specific healthcare professions and disciplines in an effort to educate the public on how each individual role impacts a child's care. The intent is to make a child's healthcare journey less overwhelming for both patient and family. Examples of these professions included child life specialists, cardiologists, dieticians, occupational therapists, and oral surgeons. Moreover, the Hospital also provided educational information via online posts, as well as live events to promote healthy habits. Examples included the importance of breastfeeding, as presented by our NICU Lactation Team, to promote successful feeding techniques, and the importance of infant bonding. With collaboration from the Paso Del Norte Health Foundation, a non-profit organization, the EPCH EMPOWER Program hosted cooking classes that were open classes focused on healthy eating for children who are at risk for developing or have been diagnosed with type 2 diabetes. Other live, in-person community events included the Hospital's participation in the "Expo Familia Health Fair", "Univision Health Fair 2024", and the "El Paso Health- Health Fair". Many resources, to include flyers and in-person interviews, were offered in Spanish as well. 5) Community Representation: Another way the Hospital continues to promote health in the larger community is through the members of its governing board, the EPCH Board of Directors. The EPCH Board of Directors is comprised of individuals who reside in the greater El Paso community and are not employed by the Hospital. Three of the members are community members, one is a community pediatric physician, and four are appointed by the El Paso County Hospital District Board of Managers. The Hospital extends Medical Staff privileges to all qualified physicians in the community. Privileges are granted in accordance with Medical Staff bylaws. 6) Research: The Hospital furthers its commitment to research through its continued partnership with Children's Oncology Group (COG), as an active site for COG clinical trials for many types of childhood cancers. These studies are aimed at determining the underlying biology of these diseases, and trials involving new and emerging treatments, supportive care, and survivorship. This partnership has benefited many El Paso children to remain close to their family while receiving treatment.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>EL PASO CHILDREN'S HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. HOWEVER, THE HOSPITAL IS CO-LOCATED WITH THE EL PASO COUNTY HOSPITAL DISTRICT D/B/A UNIVERSITY MEDICAL CENTER OF EL PASO ("UMC"). ALTHOUGH THERE IS NO COMMON GOVERNANCE BETWEEN EL PASO CHILDREN'S HOSPITAL AND UMC, THE HOSPITAL COOPERATES WITH UMC IN PROVIDING HEALTH CARE SERVICES TO THE COMMUNITY. SPECIFICALLY, EL PASO CHILDREN'S HOSPITAL SERVES AS A HOSPITAL DISTRICT MANAGEMENT CONTRACTOR OF UMC, SERVING PEDIATRIC PATIENTS WITHIN EL PASO COUNTY ON BEHALF OF UMC. THIS PARTNERSHIP EXTENDS TO ALL PEDIATRIC SERVICES, INCLUDING PATIENTS THAT ARE ORIGINALLY TREATED AT UMC. FOR EXAMPLE, UMC HAS THE AREA'S ONLY LEVEL I TRAUMA DESIGNATION AND THE HOSPITAL ROUTINELY TREATS PEDIATRIC TRAUMA PATIENTS THAT ARE INITIALLY TAKEN TO UMC. SIMILARLY, THE HOSPITAL RECEIVES NEONATAL PATIENTS INITIALLY BORN AT UMC</ExplanationTxt>
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        <PersonNm>ERIKA J ESTRADA</PersonNm>
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        <PersonNm>ANA L MEDINA</PersonNm>
        <TitleTxt>SUPERVISOR PHARMACY NIGHT</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUSES ARE BASED ON PERFORMANCE IN ACCORDANCE WITH ANNUAL PERFORMANCE MEASURES SET BY THE BOARD OF DIRECTORS &amp; CEO AND/OR REFLECTED IN WRITTEN AGREEMENTS</ExplanationTxt>
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        <RelationshipDescriptionTxt>&gt;35% ownership by Spouse of Amy Ross (Board Member)</RelationshipDescriptionTxt>
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        <Desc>Medical Equipment</Desc>
        <ContributionCnt>6</ContributionCnt>
        <NoncashContributionsRptF990Amt>1056895</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Other - FMV</MethodOfDeterminingRevenuesTxt>
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        <ExplanationTxt>Other - Medical Equipment Number of contributions</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 2 New program services</FormAndLineReferenceDesc>
        <ExplanationTxt>Comprehensive Care Under One Roof - El Paso Children's Multispecialty Center: Opened in April 2024, the El Paso Children's Multispecialty Center unites over 30 specialties within a 35,000-square-foot facility. Featuring 52 exam rooms, imaging services, and a full-service laboratory, this center provides essential services in a more convenient and accessible location. It combines diagnostic testing facilities and specialized care through multidisciplinary clinics to address the comprehensive needs of every child. Children treated for conditions such as Spina Bifida, Cystic Fibrosis, Vascular Formations, Brachial Plexus injuries, or Cranial and Facial conditions require care from specialists across various disciplines. By housing these specialists under one roof, patients can swiftly move from one appointment to another, and physicians can easily collaborate by walking down the hall to discuss a patient's needs. We prioritize listening to concerns, answering questions, and involving parents in the decision-making process. The new Multi-Specialty Center enhances coordinated care among pediatric specialists, ensuring seamless transitions throughout the patient's care journey.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE CORPORATE MEMBER OF THE HOSPITAL IS UNIVERSITY MEDICAL CENTER OF EL PASO (UMC).</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>UMC HAS THE POWER TO NOMINATE AND APPROVE FOUR OF THE NINE BOARD MEMBERS</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. PRIOR TO FILING WITH THE IRS, THE ORGANIZATION'S ACCOUNTING STAFF AND CFO REVIEW THE RETURN. THE RETURN IS REVIEWED BY THE BOARD FINANCE COMMITTEE AND APPROVED BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS RECEIVE A FULL COPY OF THE FORM 990 PRIOR TO SUBMISSION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>EPCH ADDRESSES POTENTIAL CONFLICTS OF INTEREST THROUGH A WRITTEN HOSPITAL POLICY AND BOARD BYLAWS PROVISIONS ("GOVERNING DOCUMENTS"). THE HOSPITAL REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE IN ACCORDANCE WITH THESE GOVERNING DOCUMENTS. THE HOSPITAL'S COMPLIANCE OFFICER HAS IMPLEMENTED A PROCESS WHICH REQUIRES ALL EPCH OFFICERS, BOARD MEMBERS, DIRECTORS, KEY EMPLOYEES, AND MEMBERS OF MEDICAL STAFF (ALL COLLECTIVELY REFERRED TO AS "AFFECTED INDIVIDUALS") TO CERTIFY VIA AN ONLINE QUESTIONNAIRE ("CERTIFICATION FORMS") OF ALL CURRENT OR POTENTIAL SUBSTANITIAL FINANCIAL OR MATERIAL INTEREST IN ANY BUSINESS INVOLVING EPCH. THE PROCESS REQUIRES THE AFFECTED INDIVIDUALS TO ELECTRONICALLY ACKNOWLEDGE THE HOSPITAL POLICY. THE GOVERNING DOCUMENTS AND THE CERTIFICATION FORMS ALSO ADDRESSES OUTSIDE INTERESTS AND RELATIONSHIPS, GIFTS, RESEARCH, AND CONFIDENTIAL INFORMATION. EACH AFFECTED INDIVIDUAL COMPLETES THIS PROCESS 1) AT THE BEGINNING OF THE EMPLOYMENT RELATIONSHIP FOR DIRECTORS AND KEY EMPLOYEES, 2) AT THE BEGINNING OF APPOINTMENT FOR OFFICERS AND BOARD MEMBERS, 3) DURING CREDENTIALING AND RECREDENTIALING FOR MEDICAL STAFF MEMBERS, 4) AT ANY TIME A POTENTIAL OR APPARENT CONFLICT OF INTEREST ARISES FOR ANY IMPACTED INDIVIDUAL, AS WELL AS 5) ANNUALLY (CY) VIA THE ONLINE CERTIFICATION FORMS. THE COMPLIANCE OFFICER REVIEWS WITH THE CEO AND LEGAL 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 WITH A BOARD MEMBER, THE CONFLICTED BOARD MEMBER IS PROHIBITED FROM PARTICIPATING IN GOVERNING BODY DELIBERATIONS AND DECISIONS IN THE TRANSACTION.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>As a nonprofit organization, El Paso Children's Hospital recognizes the fiduciary responsibility entrusted to our leadership to ensure that compensation practices are transparent, justifiable, and aligned with our mission and public trust. The Board of Directors and the Chief Executive Officer are committed to maintaining compensation structures that reflect both stewardship of resources and the need to attract and retain qualified leadership and staff. To support this commitment, and in accordance with governance best practices, the Board of Directors engages Gallagher HHRC, a nationally recognized firm specializing in healthcare administration compensation valuation, to conduct an independent annual evaluation of the Chief Executive Officer's compensation. This annual independent assessment helps ensure that compensation is reasonable and consistent with comparable positions in similarly situated organizations. The Chief Executive Officer, using the same firm, conducts an annual review of compensation for all other executive officers. These evaluations are part of a structured process that reinforces objectivity, fairness, and market alignment. Consistent with its fiduciary duties, the Board of Directors is solely responsible for approving the compensation of the Chief Executive Officer. The Chief Executive Officer, in turn, supported by the Human Resources Department, exercises fiduciary oversight in reviewing and approving compensation for all other positions across the organization. In addition to executive compensation evaluations, the organization regularly conducts market analyses of compensation for other positions, including those held by key employees, to ensure ongoing competitiveness, equity, and alignment with the organization's mission-driven goals.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization has a board-approved policy for conducting annual compensation reviews, which applies to the CEO and other executive officers. In addition, an independent valuation firm provides annual compensation recommendations for the CEO and other officers, as more fully described in the disclosure above to Form 990, Part VI, Line 15a.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION FURNISHES COPIES OF ANY DOCUMENTS REQUIRING LEGAL DISCLOSURE UPON REQUEST.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT PERSONNEL - Total Expense: 845958, Program Service Expense: 779644, Management and General Expenses: 66314, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 20028863, Program Service Expense: 18458812, Management and General Expenses: 1570051, Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 22473583, Program Service Expense: 22473583, Management and General Expenses: , Fundraising Expenses: ;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN INTEREST IN NET ASSETS OF EPC FOUNDATION - 708363;</ExplanationTxt>
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