2020-08-17T14:22:31-05:00 2019-09-30 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2018-10-01 263075429 El Paso Children's Hospital Corporation % MELISSA CAMPA ELPA 9152985444 4845 Alameda Ave El Paso TX 79905 MELISSA CAMPA CFO 9152985444 2020-08-17 true Jeanette Verrelli P00742631 9727028262 167.68.126.162 75465920202305000010 2020-08-17 P 576C6BFC04AF3820B1464A1CF235145E2253C67F EB976710118F518B8933A72D91D1D85239D99EDA 2018 2020-11-06 18:47:13Z El Paso Children's Hospital CINDY STOUT 4845 ALAMEDA AVE EL PASO TX 79905 126894261 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 9 761 9 0 0 3518401 3201514 92016309 123692747 49213 0 0 0 95583923 126894261 15000 29000 0 0 35556758 39633447 0 0 0 70029752 84110838 105601510 123773285 -10017587 3120976 29757799 37727185 50948776 55314291 -21190977 -17587106 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 112458117 29000 123692747 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 10 OF THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. SEE ATTACHED 112458117 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 true false true false false false false false false false false true false false false false true true true false false true 1 0 761 true false false false false false false false false false false false false X 9 9 false false false false true true true true true false false false true true true true true true true false X MELISSA CAMPA 9152985444 4845 ALAMEDA AVE EL PASO TX 79905 X ALAN ABBOTT DIRECTOR 1.15 0.0 X 0 0 0 AMY ROSS DIRECTOR 1.15 0.0 X 0 0 0 CINDY LYONS - FIELDS SECRETARY/VICE CHAIR 1.15 0.0 X X 0 0 0 MICA SHORT DIRECTOR 1.15 0.0 X 0 0 0 MIGUEL FERNANDEZ DIRECTOR 1.15 0.0 X 0 0 0 PATRICK GORDON Chairman 1.15 0.0 X X 0 0 0 RICHARD FLEAGER DIRECTOR, END: 04/2019 1.15 0.0 X 0 0 0 STUART KAHN MD DIRECTOR, eND: 04/2019 1.15 0.0 X 0 0 0 JOSE CARDENAS DIRECTOR, bEG: 05/2019 1.15 0.0 X 0 0 0 dR ISELA IBARRA DIRECTOR, BEG: 05/2019 1.15 0.0 X 0 0 0 Ted Houghton director 1.15 0.0 X 0 0 0 CINDY STOUT CEO 39.0 1.0 X 307815 0 22734 RANAE THOMPSON CNO 39.0 1.0 X 232838 0 11770 JOHN RUNKLES COO 39.0 1.0 X 202558 0 20752 MELISSA CAMPA CFO 39.0 1.0 X 122316 0 13408 BERT JOHANSSON PHYSICIAN, End: 07/2019 1.0 39.0 X 0 314048 20073 ANGELICA CHAVEZ PHYSICIAN 1.0 39.0 X 0 379122 11685 WILLIAM SPURBECK PHYSICIAN 0.0 40.0 X 0 185683 6246 ERIKA ESTRADA DIRECTOR, PHARMACY 40.0 0.0 X 147951 0 8764 PAMELA WALKER RNII TRANSPORT 57.0 0.0 X 159544 0 16376 ANA MEDINA SUPERVISOR, PHARMACY 37.0 0.0 X 154233 0 9920 LAURA BARRON MANAGER, PHARMACY 40.0 0.0 X 143724 0 8681 NICHOLAS HOGUE SUPERVISOR, PHARMACY 37.0 0.0 X 140071 0 7768 STEPHEN ANDREW RYBOLT FORMER CFO 0.0 0.0 X 253310 0 5142 Mark amox former ceo 0.0 0.0 X 158806 0 0 2023166 878853 163319 27 true true false Texas Tech University 4801 alberta EL PASO TX 79905 physician services 8704703 nthrive solutions INC 75 REMITTANCE DR SUITE 1443 CHICAGO IL 60675 MEDICAL SERVICES 3146188 TTUHSCPLFSOM Admin 4801 ALBERTA EL PASO TX 79905 PHYSICIAN SERVICES 2125338 WEATHERBY HEALTHCARE PO BOX 972633 DALLAS TX 75397 PHYSICIAN SERVICES 1381819 QUESTCARE MEDICAL SERVICE PA 7032 COLLECTION CENTER DR CHICAGO IL 60693 PHYSICIAN SERVICES 1364031 46 1466917 1577431 157166 197644 3201514 Patient Service Revenue 621110 113363773 113363773 Supplemental Medicaid Revenue 900099 10289301 10289301 EHR Incentive Revenue 900099 39673 39673 123692747 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126894261 123692747 X 29000 29000 0 0 0 934190 820122 114068 0 33122955 29083385 4039570 459495 402538 56957 2675094 2343502 331592 2441713 2139050 302663 0 586288 586288 0 0 0 0 33918508 31617174 2301334 470711 412364 58347 195465 167641 27824 183527 160778 22749 0 10904015 9552405 1351610 63169 55339 7830 0 73695 64560 9135 1812051 1812051 0 838029 746713 91316 759934 665736 94198 Dues & Subscriptions 826978 724470 102508 Medical/ Surgical Supplies 17259460 17259460 Bad Debts 16177646 16177646 Recruitment Expense 27821 24372 3449 13541 11862 1679 123773285 112458117 11315168 0 792182 4452012 0 0 91729 94811 13280811 17234155 0 0 0 0 0 0 2181924 2066799 286059 351591 7753365 3688777 4169104 4064588 0 0 0 0 0 0 4557000 4557000 4398990 4906229 29757799 37727185 12835972 12618162 0 0 0 0 0 0 0 0 0 0 1156283 8070036 0 0 36956521 34626093 50948776 55314291 X -25614311 -22493335 2958735 2958614 1464599 1947615 -21190977 -17587106 29757799 37727185 X 3120976 482895 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 11819 11819 false Schedule C, Part II-B, Line 1I Other Activities: The hospital pays dues to the texas hospital association and NACH, A Percentage of which are for Lobbying purposes. 396300 123844 272456 7357065 3564933 3792132 4064588 Interest in Net Assets of UMC 4906229 4906229 0 DUE TO UMC 32592427 Est Self-Insurance Costs 347103 DUE TO RELATED PARTY 1686563 34626093 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 272467 272467 0.00250 68133779 55619899 12513880 0.11630 14260967 9265798 4995169 0.04640 82667213 64885697 17781516 0.16520 78825 78825 0.00070 212527 212527 0.00200 291352 291352 0.00270 82958565 64885697 18072868 0.16790 true 16177646 2022206 60250 75500 -15250 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 17 true false false true X SEE PART V, SECTION C X true 17 true SEE PART V, SECTION C false true X 100 200. 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 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: PRIMARY DATA WAS COLLECTED THROUGH FOCUS GROUPS TO HELP BETTER UNDERSTAND THE PERCEPTION OF PROGRAMS THAT HAVE ALREADY BEEN ADOPTED BY THE HOSPITAL, AND TO BETTER UNDERSTAND THE NEEDS THAT STILL NEED TO BE ADDRESSED. THE INDIVIDUALS WHO PARTICIPATED IN THESE FOCUS GROUPS WERE FROM THE FOLLOWING: COMMUNITY PEDIATRICIANS, PICU NURSES, EPCH SPECIALTY PHYSICIANS, NICU NURSES, HEM/ONC NURSES, ED NURSES, TTUHSC PEDIATRIC SPECIALISTS AND SURGEONS, RADIOLOGY TECHNICIANS, AND EPCH BOARD MEMBERS. 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, LINE 11 NEEDS ADDRESSED AND NOT ADDRESSED ON THE CHNA: THROUGH UTILIZING THE PRIORITIZED NEEDS LIST AND GROUP DISCUSSION, EL PASO CHILDREN'S HOSPITAL IDENTIFIED 4 NEW NEEDS TO ADDRESS OVER THE NEXT FEW YEARS. In response to meeting the needs of the pediatric community, several physicians were recruited into the Hospitals medical staff including a pediatric neurosurgeon, pediatric pulmonologist, pediatric surgeon and several pediatric hospitalists and intensivists. The impact to the community is significant, as a reduction of over 85% of patients having to leave their homes to receive treatment at larger institutions, can receive the same level of care since we opened in 2012. In addition, we are expanding services our community needs like our C.A.R.E.S. clinic. In August of 2019 we rebranded our child abuse service team to effectively communicate the mission and vision of this program. The C.A.R.E.S. Clinic at El Paso Childrens Hospital gives children a voice and empowers families to stop abuse and have a resource to turn to. When child abuse is uncovered, it can be a highly stressful time. You may wonder where to turn and how best to intercede on your childs behalf. Our C.A.R.E.S. Clinic (Child Abuse Research and Advocacy) is here to help you organize the right care and stand by your side as you face the journey ahead. Since opening in March 27th of 2018, the Zachary Bowling Pediatric Outpatient Diabetes Education Services at El Paso Childrens Hospital has provided Diabetes Self-Management Education & Support and Medical Nutrition Therapy to over 200 children with diabetes, many with multiple visits. The Zachary Bowling Pediatric Outpatient Diabetes Education Services at El Paso Childrens Hospital is the only pediatric outpatient diabetes education service in El Paso and the 250-mile surrounding area that is Recognized by the American Diabetes Association (ADA) for Quality Self-Management Education and Support. This recognition by ADA assures that the education provided is up-to-date, accurate, and meets excellent standards for quality. The Children with diabetes seen at the Zachary Bowling Pediatric Outpatient Diabetes Education Services at El Paso Childrens Hospital, on average have experienced a decrease in their HgbA1c by 2%. THE HOSPITAL'S CHNA DID NOT IDENTIFY ANY ADDITIONAL NEEDS WITHIN THE COMMUNITY THAT WERE NOT ADDRESSED THROUGH THE IMPLEMENTATION STRATEGY. 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, 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, section b, 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. 1 EL PASO CHILDREN'S PHYSICIAN SPECIALISTS 5340 EL PASO DRIVE STE M EL PASO TX 79905 SPECIALISTS/SURGERY SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: THE AMOUNT REPORTED ON LINE 2 IS BASED ON THE BAD DEBT PER THE ORGANIZATION'S FINANCIAL STATEMENTS. 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: Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Hospital records a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. 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 $15,250. 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 IS LOCATED IN FAR WEST TEXAS, ALONG THE US/MEXICO BORDER. ON THE MEXICAN SIDE OF THE BORDER, THE POPULATION OF THE CIUDAD JUAREZ EXCEEDS THAT OF EL PASO, TEXAS. MOST OF EL PASO COUNTY'S POPULATION IS CENTERED AROUND THE CITY OF EL PASO. THE EL PASO CITY AND COUNTY UNEMPLOYMENT RATES IN JUNE 2014 WERE SIGNIFICANTLY HIGHER THAN THE STATE OF TEXAS AND NATIONAL AVERAGE. THE MEDIAN AGE OF PEOPLE IN THE EL PASO CHILDREN'S HOSPITAL COMMUNITY IS VARIED, WITH SOME AREAS IN THE COMMUNITY BELOW 21.0 AND OTHER AREAS AS HIGH AS 40.7. THIS LIKELY TRANSLATES TO A BROAD VARIETY OF HEALTH NEEDS ACROSS THE COMMUNITY, BASED ON AGE POPULATION, AND PROPORTIONATELY MORE CHILDREN IN CERTAIN ZIP CODES OVER OTHERS. AS A COMPARISON, THE MEDIAN AGE IN TEXAS IS 33.6 YEARS, AND THE NATIONAL MEDIAN AGE IS 36.8 YEARS. THE RACIAL MAKEUP OF THE HOSPITAL COMMUNITY IS PREDOMINATELY WHITE, AND AFRICAN AMERICAN AS A VERY DISTANT SECOND. EL PASO COUNTY IS LESS RACIALLY DIVERSE THAN THE STATE OF TEXAS OVERALL. AT 81 PERCENT OF THE TOTAL POPULATION IN THE HOSPITAL COMMUNITY, THE HISPANIC POPULATION IN EL PASO COUNTY IS VERY LARGE, RELATIVE TO 38 PERCENT IN TEXAS. EL PASO COUNTY HAS A SIGNIFICANTLY LOWER MEDIAN HOUSEHOLD INCOME THAN THE STATE OF TEXAS. NOT SURPRISINGLY, THE POVERTY LEVEL IN EL PASO COUNTY IS ALSO SIGNIFICANTLY HIGHER THAN THAT OF TEXAS. THE CHILD POVERTY RATE IN EL PASO COUNTY IS ALSO HIGHER THAN THE TEXAS STATE AVERAGE. SEVERAL OF THE ZIP CODES IN THE HOSPITAL COMMUNITY HAVE PARTICULARLY HIGH CHILD POVERTY RATES. ZIP CODES 79901, 79916, AND 79838 ARE NEARLY TWICE THE RATE OF EL PASO COUNTY AND THREE TIMES THAT OF THE STATE OF TEXAS. IN THE 2010-2011 SCHOOL YEAR, 68.8% OF EL PASO COUNTY CHILDREN WERE ELIGIBLE FOR FREE OR REDUCED PRICE SCHOOL LUNCHES, COMPARED TO 50.1% OF CHILDREN IN TEXAS. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: EL PASO CHILDREN'S HOSPITAL ELEVATES THE QUALITY AND SCOPE OF MEDICAL CARE IN THE EL PASO REGION BY PROVIDING UNMATCHED EXCELLENCE IN SPECIALIZED PEDIATRIC PATIENT CARE AS WELL AS RESEARCH AND EDUCATION OPPORTUNITIES. EL PASO CHILDREN'S HOSPITAL IS ADVANCING PEDIATRIC HEALTHCARE THROUGH OUR EDUCATION AFFILIATIONS WITH (AMONG OTHERS) THE PAUL L. FOSTER SCHOOL OF MEDICINE AT TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER, UNIVERSITY MEDICAL CENTER OF EL PASO, UNIVERSITY OF TEXAS AT EL PASO, WILLIAM BEAUMONT ARMY MEDICAL CENTER, COLUMBIA UNIVERSITY, UNIVERSITY OF SOUTH ALABAMA, AND EL PASO COMMUNITY COLLEGE. ADDITIONALLY, EL PASO CHILDREN'S HOSPITAL IS AN ANCHOR FACILITY OF THE MEDICAL CENTER OF THE AMERICAS CAMPUS. EL PASO CHILDREN'S HOSPITAL ALSO BELIEVES IN GIVING BACK TO THE COMMUNITY IT SERVES. IN 2019, EL PASO CHILDREN'S HOSPITAL CONTRIBUTED $29,000 IN SPONSORSHIPS TO COMMUNITY ORGANIZATIONS THAT SHARE OUR COMMITMENT TO HELPING ALL CHILDREN, ALL THE TIME. THE RECIPIENT FOR THIS FISCAL YEAR WAS THE MARCH OF DIMES, candlelighters, splash & dash and many others. 2019 was a year that embarked on building on past successes and setting the stage for continued advancements in quality, patient-centered care and advanced technology. In response to meeting the needs of the pediatric community, several physicians were recruited into the Hospitals medical staff including a pediatric neurosurgeon, pediatric pulmonologist, pediatric surgeon and several pediatric hospitalists and intensivists. Some of the strategic objectives EPCH has achieved includes: launching an outpatient Cranial and Facial Clinic, achieving level IV NICU designation, opening the Zachary Bowling Pediatric Outpatient Diabetes Education Services at El Paso Childrens Hospital and the re-introduction of the Therapeutic Arts Program, designed to provide rehabilitation through art and holistic healing through art therapy. 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 i, 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 $16,177,646 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. true Candlelighters 1400 Hardaway St Ste 206 el paso TX 79903 742243283 501(c)(3) 10000 walk of hope USA Triathalon KidZone 1 olympic plaza colorado springs CO 80909 800939841 501(c)(3) 10000 splash & dash 2 SCHEDULE I, PART I, LINE 2 PROCEDURES TO MONITOR THE USE OF GRANT FUNDS IN THE US: THE GRANTS AND ASSISTANCE LISTED ARE GENERALLY SPONSORSHIPS FOR VARIOUS COMMUNITY EVENTS. DUE TO THE NATURE OF THE PAYMENT, IT IS UNNECESSARY TO MONITOR THE USE OF THE FUNDS. X X X true false false false false false false false false CINDY STOUT CEO 307815 0 0 0 6110 0 16624 0 330549 0 0 0 RANAE THOMPSON CNO 232838 0 0 0 5912 0 5858 0 244608 0 0 0 STEPHEN ANDREW RYBOLT FORMER CFO 129564 0 0 123746 0 2731 0 2411 0 258452 0 0 0 JOHN RUNKLES COO 202558 0 0 0 5495 0 15257 0 223310 0 0 0 BERT JOHANSSON PHYSICIAN, End: 07/2019 0 314048 0 0 0 3449 0 16624 0 334121 0 0 ERIKA ESTRADA DIRECTOR, PHARMACY 147951 0 0 0 1512 0 7252 0 156715 0 0 0 PAMELA WALKER RNII TRANSPORT 158044 0 1500 0 0 6394 0 9982 0 175920 0 0 0 ANA MEDINA SUPERVISOR, PHARMACY 154233 0 0 0 1010 0 8910 0 164153 0 0 0 LAURA BARRON MANAGER, PHARMACY 143724 0 0 0 2823 0 5858 0 152405 0 0 0 Mark amox former ceo 0 0 0 0 158806 0 0 0 0 0 158806 0 0 0 ANGELICA CHAVEZ PHYSICIAN 0 379122 0 0 0 0 0 5827 0 5858 0 390807 0 0 WILLIAM SPURBECK PHYSICIAN 0 185683 0 0 0 0 0 1929 0 4317 0 191929 0 0 Schedule J, Part I, Line 4A Severance Payments: Stephen Andrew Rybolt and mark amox received a severance as part of their termination prior to the start of the fiscal year. Mark Amox $154,806 Stephen Andrew Rybolt $123,746 In exchange for the severance payment, the Employee must also return all hospital property that is in his possesion, and he must also agree that during the term of the agreement or any time after he should not disclose or share confidential information regarding any matter affecting or relating to the business of the hospital. Additionally, He must also immediately notify the hospital in the event that he becomes employed within the thirteen month period following the termination of his employment with the hospital and disclose his new salary so that the hospital may appropriately calculate any additional severance pay that may be due to the employee. X Skylight (GETWELL NETWORK) 1 197644 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 CFO 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 IN DECEMBER 2015 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 I, 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 UMC Foundation $507,239 Net Assets released from restriction $(24,344) --------------- Total $482,895 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT PERSONNEL TOTAL FEES:2459269 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:16106581 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:15352658 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 false true true true true false false UMC FOUNDATION C 1466917 FMV