EL PASO CHILDRENS HOSPITAL CORPORATION: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- EL PASO CHILDRENS HOSPITAL CORPORATION (EIN 26-3075429)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-08-16
- IRS object ID
- 201742289349300244
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-16T13:23:19-05:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14241 DALLAS PARKWAY SUITE 1100 | AddressLine1Txt |
| City | DALLAS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75254 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 263075429 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | El Paso Children's Hospital Corporation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % ANDY RYBOLT | InCareOfNm |
| Business Name Control | ELPA | BusinessNameControlTxt |
| Phone | 9152985444 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4845 Alameda | AddressLine1Txt |
| City | El Paso | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 79905 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK AMOX | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9152985444 | PhoneNum |
| Signature | 2017-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeanette Verrelli | PreparerPersonNm |
| PTIN | P00742631 | PTIN |
| Phone | 9727028262 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EL PASO CHILDREN'S HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK AMOX | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4845 ALAMEDA | AddressLine1Txt |
| City | EL PASO | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 79905 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $120,876,261 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | ELPASOCHILDRENS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2007 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE COMPASSIONATE, COORDINATED,FAMILY-CENTERED CARE FOR CHILDREN WITH A DEDICATED COMMITMENT TO EXCELLENT PATIENT OUTCOMES, ... (CONTINUED ON SCH O) | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 798 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $4,022,902 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,350,189 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $99,505,000 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $111,504,689 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,531 | PYInvestmentIncomeAmt |
| CY Investment Income | $21,383 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $103,537,433 | PYTotalRevenueAmt |
| CY Total Revenue | $120,876,261 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $31,487,945 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $32,764,960 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $94,532,090 | PYOtherExpensesAmt |
| CY Other Expenses | $76,711,351 | CYOtherExpensesAmt |
| PY Total Expenses | $126,020,035 | PYTotalExpensesAmt |
| CY Total Expenses | $109,476,311 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$22,482,602 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $11,399,950 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $30,075,430 | TotalAssetsBOYAmt |
| Total Assets EOY | $38,968,947 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $130,118,332 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $35,350,839 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$100,042,902 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,618,108 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $94,959,541 | ExpenseAmt |
| Revenue | $111,504,689 | RevenueAmt |
| Desc | 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 RECEIVED THE JOINT COMMISSION ACCREDITATION ON MARCH 9, 2012, ITS MEDICAID PROVIDER NUMBER IN JUNE 2012, AND OPENED FEBRUARY 14, 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. AS A RESULT, THE FEDERALLY DEFINED AND REPORTED 1.8% OF TOTAL EXPENSE ON FORM 990 FOR TEXAS BASED PEDIATRIC HOSPITALS IS GENERALLY LOW. THIS INDICATES THAT 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 9 OF THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. SEE ATTACHED. | Desc |
| Total Program Service Expenses | $94,959,541 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 132 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 798 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANDY RYBOLT | PersonNm |
| Phone | 9152985444 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4845 ALAMEDA | AddressLine1Txt |
| City | EL PASO | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 79905 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ROSEMARY CASTILLO | |||||||||
| CHAIR/DIRECTOR TERM: MAR 2016 | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RON ACTON | |||||||||
| CHAIR START: JAN 2016 | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TED HOUGHTON | |||||||||
| VICE CHAIR START: JAN 2016 | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PATRICK GORDON | |||||||||
| SECRETARY START: JAN 2016 | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DR STUART W KAHN | |||||||||
| DIRECTOR START: MARCH 2016 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MIGUEL FERNANDEZ | |||||||||
| DIRECTOR START: JAN 2016 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD FLEAGER | |||||||||
| DIRECTOR START: FEB 2016 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| AMY ROSS | |||||||||
| DIRECTOR START: MARCH 2016 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MARY LOU CAMARENA | |||||||||
| VICE CHAIR TERM: DEC 2015 | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DR SADHANA CHHEDA | |||||||||
| SEC/DIRECTOR TERM: MAR 2016 | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KRISTEN COX | |||||||||
| DIRECTOR TERM: DEC 2015 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| GUILLERMO OCHOA | |||||||||
| DIRECTOR term: Dec 2015 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Elias M Armendariz | |||||||||
| CHIEF NURSING OFFICER | 39.0 | 1.0 | Yes (X) | $201,350 | $0 | $8,915 | |||
| MARK HERBERS | |||||||||
| INTERIM CEO term: Jan 2016 | 39.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE CARALIS | |||||||||
| INTERIM CEO START: JAN 2016 | 39.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Jorge Sainz | |||||||||
| PHYSICIAN | 1.0 | 39.0 | $0 | $607,757 | $2,572 | Yes (X) | |||
| ANGELICA CHAVEZ | |||||||||
| PHYSICIAN | 1.0 | 39.0 | $0 | $401,892 | $5,165 | Yes (X) | |||
| CLINTON R WOOSLEY | |||||||||
| PHYSICIAN | 1.0 | 39.0 | $0 | $379,558 | $5,054 | Yes (X) | |||
| BERT JOHANSSON | |||||||||
| PHYSICIAN | 1.0 | 39.0 | $0 | $251,717 | $2,274 | Yes (X) | |||
| Elisa L Garcia | |||||||||
| DIR. NURSING ADMIN SERVICES | 40.0 | 0.0 | $119,902 | $0 | $0 | Yes (X) | |||
| Sandra Aviles | |||||||||
| Nurse Practictioner | 0.0 | 40.0 | $0 | $128,592 | $0 | Yes (X) | |||
| ROGELIO LEDESMA | |||||||||
| RN II | 40.0 | 0.0 | $141,157 | $0 | $0 | Yes (X) | |||
| ANA L MEDINA | |||||||||
| SUPERVISOR-PHARMACY | 40.0 | 0.0 | $137,429 | $0 | $1,751 | Yes (X) | |||
| JAMES L COVERTY | |||||||||
| RN II | 40.0 | 0.0 | $133,712 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $733,550 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,769,516 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $25,731 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Deloitte Transactions B ANALYTICS | |||||
| PO Box 840728 | DALLAS | TX | 75284 | MANAGEMENT SERVICES | $1,547,320 |
| MEDASSETS INC | |||||
| 75 REMITTANCE DR STE 1443 | CHICAGO | IL | 60675 | MEDICAL SERVICES | $3,093,060 |
| Precyse Solutions LLC | |||||
| PO Box 11407 Dept 1736 | BIRMINGHAM | AL | 35246 | CODING/OUTSOURCING | $872,253 |
| QUESTCARE MEDICAL SERVICES PA | |||||
| 7032 COLLECTION CENTER DR | CHICAGO | IL | 60693 | MEDICAL SERVICES | $1,882,500 |
| TEXAS TECH UNIVERSITY | |||||
| 4801 ALBERTA | EL PASO | TX | 79905 | PHYSICIAN SERVICES | $11,869,610 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 17 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $7,644,011 | RelatedOrganizationsAmt |
| Government Grants | $1,706,178 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Noncash Contributions | $288,296 | NoncashContributionsAmt |
| Total Contributions | $9,350,189 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Care | 621110 | $87,365,295 | $87,365,295 |
| SUPPLEMENTAL MEDICAID REVENUE | 900099 | $24,139,394 | $24,139,394 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $111,504,689 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,383 | TotalRevenueColumnAmt |
| Exclusion | $21,383 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $120,876,261 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $111,504,689 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $21,383 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,266 | TotalAmt |
| Program Services | $174,013 | ProgramServicesAmt |
| Management And General | $36,253 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,927,485 | TotalAmt |
| Program Services | $23,112,330 | ProgramServicesAmt |
| Management And General | $4,815,155 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $383,281 | TotalAmt |
| Program Services | $317,197 | ProgramServicesAmt |
| Management And General | $66,084 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,169,756 | TotalAmt |
| Program Services | $1,795,655 | ProgramServicesAmt |
| Management And General | $374,101 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,074,172 | TotalAmt |
| Program Services | $1,716,551 | ProgramServicesAmt |
| Management And General | $357,621 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,171,490 | TotalAmt |
| Program Services | $1,171,490 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,144 | TotalAmt |
| Program Services | $109,144 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,240,629 | TotalAmt |
| Program Services | $31,218,711 | ProgramServicesAmt |
| Management And General | $3,021,918 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$7,726 | TotalAmt |
| Program Services | -$6,394 | ProgramServicesAmt |
| Management And General | -$1,332 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,912 | TotalAmt |
| Program Services | $134,823 | ProgramServicesAmt |
| Management And General | $28,089 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,605 | TotalAmt |
| Program Services | $10,432 | ProgramServicesAmt |
| Management And General | $2,173 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,299,818 | TotalAmt |
| Program Services | $10,179,128 | ProgramServicesAmt |
| Management And General | $2,120,690 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,837 | TotalAmt |
| Program Services | $52,830 | ProgramServicesAmt |
| Management And General | $11,007 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,978 | TotalAmt |
| Program Services | $61,223 | ProgramServicesAmt |
| Management And General | $12,755 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,339,355 | TotalAmt |
| Management And General | $1,339,355 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $823,835 | TotalAmt |
| Management And General | $823,835 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,175,616 | TotalAmt |
| Management And General | $1,175,616 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Dues & Subscriptions | $364,879 | $301,968 | $62,911 |
| Medical/ Surgical Supplies | $14,446,127 | $14,446,127 | |
| BAD DEBT EXPENSE | $8,865,749 | $8,865,749 | |
| . | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,569,103 | TotalAmt |
| Program Services | $1,298,564 | ProgramServicesAmt |
| Management And General | $270,539 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,476,311 | TotalAmt |
| Program Services | $94,959,541 | ProgramServicesAmt |
| Management And General | $14,516,770 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,479,953 | BOYAmt |
| EOY | $11,276,674 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,113,155 | BOYAmt |
| EOY | $3,112,567 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,509 | BOYAmt |
| EOY | $134,089 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,653,085 | BOYAmt |
| EOY | $9,464,497 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,807,983 | BOYAmt |
| EOY | $1,837,171 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $866,287 | BOYAmt |
| EOY | $493,928 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,996,488 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $638,369 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,116,458 | BOYAmt |
| EOY | $4,358,119 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $5,167,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $3,124,902 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,075,430 | BOYAmt |
| EOY | $38,968,947 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,535,411 | BOYAmt |
| EOY | $7,318,007 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $6,414,933 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,582,921 | BOYAmt |
| EOY | $21,617,899 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,118,332 | BOYAmt |
| EOY | $35,350,839 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$100,042,902 | BOYAmt |
| EOY | $493,206 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,146,765 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $978,137 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$100,042,902 | BOYAmt |
| EOY | $3,618,108 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,075,430 | BOYAmt |
| EOY | $38,968,947 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $11,399,950 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$15,932,058 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $108,193,118 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | false | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $2,275 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,275 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1I | FormAndLineReferenceDesc |
| Explanation | OTHER ACTIVITIES: THE HOSPITAL PAYS DUES TO THE TEXAS HOSPITAL ASSOCIATION, A PERCENTAGE OF WHICH ARE FOR LOBBYING PURPOSES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $466,072 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,303 | DepreciationAmt |
| Book Value | $442,769 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,530,416 | OtherCostOrOtherBasisAmt |
| Depreciation | $615,066 | DepreciationAmt |
| Book Value | $3,915,350 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $4,358,119 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTEREST IN UMC FOUNDATION | Desc |
| Book Value | $3,124,902 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,124,902 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliates | $20,408,671 |
| Est Self-Insurance Costs | $306,409 |
| EST DUE TO 3RD PARTY PAYERS | $902,819 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $21,617,899 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $104,612,960 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$9,016,915 | OtherRevenueAmt |
| Revenue Not Reported | -$9,016,915 | RevenueNotReportedAmt |
| Revenue Subtotal | $113,629,875 | RevenueSubtotalAmt |
| Other Revenues Not Included | $7,246,386 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $7,246,386 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $120,876,261 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $100,459,368 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$28 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$28 | ExpensesNotReportedAmt |
| Expenses Subtotal | $100,459,396 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $9,016,915 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $9,016,915 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $109,476,311 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART X, LINE 2 | LIABILITY FOR UNCERTAIN TAX POSITIONS: The Hospital has been recognized as exempt from income taxes under Section 501 of the Internal Revenue Code and a similar provision of state law. However, the Hospital is subject to federal income tax on any unrelated business taxable income. The Hospital files tax returns in the U.S. federal jurisdiction. |
| SCHEDULE D, PART XI, LINE 1 & Part XII, Line 1 | TOTAL REVENUE AND EXPENSES PER AUDITED FINANCIAL STATEMENTS: DUE TO THE NATURE OF THE AUDITED FINANCIAL STATEMENTS THE AMOUNTS REPORTED TO THESE LINES ARE THE PREDECESSOR AND SUCCESSOR ENTITY AMOUNTS COMBINED FOR THE TOTAL FISCAL YEAR 2016 ACTIVITY. SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS TO RETURN: BAD DEBT EXPENSE $(8,865,749) OTHER LOSS REPORTED AS AUDIT INCOME (151,166) -------------- TOTAL $(9,016,915) |
| SCHEDULE D, PART XI, LINE 4B | RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS TO RETURN: CONTRIBUTIONS FOR ACQUISITION OF PROPERTY $246,386 TRANSFER FROM UMC 7,000,000 ---------------- TOTAL $ 7,246,386 |
| SCHEDULE D, PART XII, LINE 2D | RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS TO RETURN: EL PASO CHILDREN'S PHYSICIAN GROUP ELIMINATION $(28) |
| SCHEDULE D, PART XII, LINE 4B | RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS TO RETURN: BAD DEBT EXPENSE $8,865,749 OTHER LOSS REPORTED AS AUDIT INCOME 151,166 ------------ TOTAL $9,016,915 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | false | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $242,251 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $242,251 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $62,131,216 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $40,128,087 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,003,129 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.21870 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,065,980 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $521,829 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $544,151 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00540 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $63,439,447 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $40,649,916 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,789,531 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.22650 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $63,439,447 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $40,649,916 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,789,531 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.22650 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,865,749 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,108,217 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $56,000 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $120,431 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$64,431 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | El Paso Children's Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4845 Alameda | AddressLine1Txt |
| City | El Paso | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 79905 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | elpasochildrens.org | WebsiteAddressTxt |
| State License | 100133 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | El Paso Children's Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Section C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, Section C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200. | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINEs 7 & 10 | CHNA AND IMPLEMENTATION STRATEGY: THE CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND ON THE FOLLOWING WEBSITE: http://elpasochildrens.org/wp-content/uploads/2014/09/EPCH-CHNA-Report-FIN AL-9-29-14-V3.pdf |
| SCHEDULE H, PART V, SECTION B, LINE 5 | CHNA INPUT FROM REPRESENTATIVES OF THE COMMUNITY: PRIMARY DATA WAS COLLECTED FROM INTERVIEWS WITH COMMUNITY LEADERS AND STAKEHOLDERS. EL PASO CHILDREN'S HOSPITAL COMMISSIONED 10 IN-DEPTH INTERVIEWS WITH COMMUNITY MEMBERS WHO REPRESENT THE BROAD INTERESTS AS WELL AS THE SPECIFIC POPULATIONS IN EL PASO COUNTY. COMMUNITY STAKEHOLDERS INTERVIEWED REPRESENTED THOSE WITH PERSPECTIVES ON THE HEALTH OF CHILDREN WITHIN THE HOSPITAL COMMUNITY, INCLUDING HEALTHCARE AND SOCIAL SERVICE PROVIDERS, COMMUNITY OFFICIALS, THE LOW-INCOME POPULATION, THE WORKING CLASS AND GENERAL POPULATION, AND THE LATINO POPULATION. SECONDARY DATA WAS COLLECTED USING DATABASES CREATED BY OTHER AGENCIES OR ORGANIZATIONS. TYPES OF DATA COLLECTED INCLUDED DEMOGRAPHIC INFORMATION, CHRONIC DISEASE AND MORBIDITY/MORTALITY INFORMATION, HEALTH STATUS INDICATORS AND HEALTH BEHAVIORS, FAMILY PLANNING AND BIRTHS, GENERAL COMMUNITY/ENVIRONMENT INFORMATION, AND LOCAL, STATE AND NATIONAL BENCHMARKS. EL PASO CHILDREN'S HOSPITAL ALSO REQUESTED THE COLLECTION OF SECONDARY DATA ON A BROAD ARRAY OF HEALTH INDICATORS AND DEMOGRAPHIC INFORMATION. |
| Schedule H, Part V, Section B, Line 11 | NEEDS ADDRESSED AND NOT ADDRESSED ON THE IMPLEMENTATION STRATEGY: Through utilizing the prioritized needs list and group discussion, El Paso Children's Hospital elected to address issues from all five need areas identified in the CHNA. 1. LIMITED HEALTH CARE PROVIDERS AND ACCESS POINTS - In El Paso County, it is difficult for many residents to find a primary care or specialty care provider. This challenge is particularly acute in specific regions and rural locations of the area. The Hospital is working to Retain existing pediatric subspecialists within the community, Increase the number of pediatric subspecialists in the hospital community, and Increase the variety of pediatric subspecialists in the hospital community. Historically, children have left the area for certain forms of cancer which has many negative consequences for the families as well as for the patients. In addition to utilizing FDA approved treatment protocols, the Hospital also participates in Phase II clinical trials of investigational drugs when appropriate. During the 2016 fiscal year, the hospital hired a diabetes educator to assist patients and their families in nutrition and blood sugar testing. The hospital also offers a Sexually abused nurse examiner program (SANE). El Paso Children's hospital is the only hospital in el paso that offers this program. Another program developed, was "Passport for Care" to assist cancer survivors. 2. PREVENTIONS AND WELLNESS - Issues related to disease prevention and maintaining health affect the overall wellness of children within the hospital community. The Hospital will Continue to provide kid-friendly health education within the community at various events. The number of community events and attendance will be tracked. The Hospital will Continue existing provider education, and investigate new opportunities, including a Diabetes Conference for School Nurses and a Non-Medical Conference designed for parents. There are also plans to Expand asthma outpatient class offerings by hospital respiratory team, and increase utilization. The number of classes and participants will be tracked. More diabetes educational event offerings by hospital endocrinology team will also be held. The number of events and participants will be tracked. During the 2016 fiscal year, the hospital developed a car seat program to educate new mothers on the importance of the use of car seats and how to utilize them. 3. POVERTY, LOW INCOME, NON-INSURANCE, LOW EDUCATIONAL STATUS - Poverty and non-insurance are large barriers to care within the El Paso Children's Hospital community. To combat this need, the Hospital will continue providing discounts for non-insured patients seeking care in the El Paso Children's Hospital system. The number of discounts given and the total monetary amount of the program will be tracked. Charity assistance will still be provided to those who qualify. The number of individuals given charity care assistance through the program will be tracked. The Hospital will also Work to create partnerships with local medical, nursing, and public health schools to develop resources for the low income and noninsured populations. Progress in the execution of this effort will be tracked. 4. CULTURAL BARRIERS - A family's culture can affect their health. The decision to or not to access health care services can be influenced by the cultural background of a family. Over 80 percent of the community residents are Hispanic, creating a vibrant and diverse culture in the area. In other areas of the United States where there is an emerging Hispanic community, the language barrier is the most significant issue in accessing appropriate health care for families. To combat this unmet need of the community, the Hospital will continue to provide translator services and employ bilingual providers. The hospital recognizes there are many factors that influence cultural barriers to healthcare outside of language. El Paso Children's Hospital will strive to work with strategic community partners to learn more about existing cultural barrier issues within the community in an effort to develop targeted strategies to address disparities in this area. Specifically, El Paso Children's Hospital will look into partnering with other community organizations in developing cultural competency training. 5. TRANSPORTATION - The ability to access health care in a physical sense represents a large barrier to care, especially for at-risk and vulnerable populations. The Hospital will meet this need by enhancing the initiative of offering subsidized transportation vouchers to low-income individuals and families for transportation to and from El Paso Children's Hospital facilities. The number of vouchers utilized and the monetary contribution to this initiative will be tracked. 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, LINE 18, 19 & 20 | BILLING AND COLLECTIONS: NEITHER EL PASO CHILDREN'S HOSPITAL, NOR THIRD PARTIES AUTHORIZED BY EL PASO CHILDREN'S HOSPITAL, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY. |
| 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: http://elpasochildrens.org/FINANCIAL-ASSISTANCE-PROGRAM/ |
| SCHEDULE H, PART V, SECTION B, LINE 22 | HOW HOSPITAL DETERMINES AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE HOSPITAL USED MEDICARE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART III, SECTION A, LINE 2 | BAD DEBT EXPENSE: THE AMOUNT REPORTED ON LINE 2 IS BASED ON THE BAD DEBTS 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 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 $64,431. 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: EL PASO CHILDREN'S HOSPITAL CONTRACTED WITH MCGLADREY TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR ITS HOSPITAL FACILITY, AS REQUIRED BY INTERNAL REVENUE CODE, SECTION 501(R). THE CHNA PROCESS IS DESIGNED TO ASSESS HEALTH ISSUES WITHIN THE HOSPITAL COMMUNITY THROUGH COLLECTING AND ANALYZING PRIMARY AND SECONDARY DATA RELATED TO DEMOGRAPHIC INFORMATION, HEALTH ACCESS, VULNERABLE POPULATIONS, HEALTH STATUS AND DISPARITY, AND HEALTH BEHAVIORS OF COMMUNITY RESIDENTS. |
| 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 2012, EL PASO CHILDREN'S HOSPITAL CONTRIBUTED $17,000 IN SPONSORSHIPS TO COMMUNITY ORGANIZATIONS THAT SHARE OUR COMMITMENT TO HELPING ALL CHILDREN, ALL THE TIME. THE RECIPIENTS INCLUDED: EL PASO YOUTH SYMPHONY ORCHESTRA AND THE MARCH OF DIMES. EL PASO CHILDREN'S HOSPITAL ALSO CONTRIBUTED IN KIND DONATION SERVICES TO THE TEXAS PERINATAL ASSOCIATION- EL PASO CHAPTER FOR THE FOURTH ANNUAL SPECTRUM OF HEALTHCARE FROM MOTHER TO BABY CONFERENCE IN 2012. EL PASO CHILDREN'S HOSPITAL CENTER FOR THE PREVENTION OF CHILD ABUSE IS A COOPERATIVE EFFORT BETWEEN EL PASO CHILDREN'S HOSPITAL, UNIVERSITY MEDICAL CENTER OF EL PASO, UMC FOUNDATION, AND TTUHSC PAUL L. FOSTER SCHOOL OF MEDICINE FUNDED THROUGH A MEDCARES GRANT. SERVICES AVAILABLE TO FAMILIES INCLUDE FORENSIC MEDICAL EXAMS FOR CHRONICALLY ABUSED CHILDREN, FOLLOWUP MEDICAL EXAMS FOR CHILD ABUSE VICTIMS OF ACUTE SEXUAL ABUSE, SHORT TERM COUNSELING, APPLICATIONS FOR CRIME VICTIM COMPENSATION, TESTING FOR STDS, REFERRALS FOR LONG TERM COUNSELING AND OTHER MEDICAL SERVICES. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: N/A |
| SCHEDULE H, PART VI, LINE 7 | STATE FILING OF COMMUNITY BENEFIT REPORT: N/A |
| SCHEDULE H, PART III, SECTION A, LINE 4 | BAD DEBT FOOTNOTE: Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectibility 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 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 $8,865,749 WAS INCLUDED ON FORM 990, PART IV, LINE 25 IN TOTAL EXPENSES. HOWEVER, THIS AMOUNT WAS EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF PATIENT CARE COST TO CHARGES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Elias M Armendariz | ||||||||||||
| CHIEF NURSING OFFICER | $159,370 | $0 | $0 | $0 | $41,980 | $0 | $8,915 | $0 | $0 | $0 | $210,265 | $0 |
| Jorge Sainz | ||||||||||||
| PHYSICIAN | $0 | $607,757 | $0 | $0 | $0 | $0 | $0 | $2,572 | $0 | $0 | $0 | $610,329 |
| ANGELICA CHAVEZ | ||||||||||||
| PHYSICIAN | $0 | $401,892 | $0 | $0 | $0 | $0 | $0 | $5,165 | $0 | $0 | $0 | $407,057 |
| CLINTON R WOOSLEY | ||||||||||||
| PHYSICIAN | $0 | $379,558 | $0 | $0 | $0 | $0 | $0 | $5,054 | $0 | $0 | $0 | $384,612 |
| BERT JOHANSSON | ||||||||||||
| PHYSICIAN | $0 | $251,717 | $0 | $0 | $0 | $0 | $0 | $2,274 | $0 | $0 | $0 | $253,991 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 4A | FormAndLineReferenceDesc |
| Explanation | SEVERANCE PAYMENT: ELIAS M. ARMENDARIZ $41,980 | ExplanationTxt |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 21 | ContributionCnt |
| Noncash Contributions Rpt F990 | $131,752 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | fmv | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp | |
| Securities Publicly Traded | SecuritiesPubliclyTradedGrp | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp | |
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp |
Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | COG, Oncology Translations | 4 | $12,746 | fmv |
| Yes (X) | wee fim sys, rehab | 7 | $14,579 | fmv |
| Yes (X) | skylight pat interactive sys | 12 | $129,219 | fmv |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE M, PART I, COLUMN B | FormAndLineReferenceDesc |
| Explanation | NUMBER OF CONTRIBUTIONS: THE AMOUNTS REPORTED IN THIS COLUMN ARE THE NUMBER OF CONTRIBUTIONS RECEIVED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | PROCESS USED TO REVIEW FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE FORM IS THEN REVIEWED BY THE FISCAL DEPARTMENT CONTROLLER AND CEO BEFORE FILING. |
| 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. ANNUALLY, THE COMPLIANCE OFFICER PROVIDES NOTIFICATION TO EPCH LEADERS TO COMPLETE THE FORM. IT IS THE EPCH LEADERS' RESPONSIBILITY TO RETURN THE SIGNED FORM TO THE COMPLIANCE OFFICE NO LATER THAN THE SEVENTH BUSINESS DAY UPON NOTIFICATION FROM THE COMPLIANCE OFFICER. AS STATED ABOVE, FAILURE TO RETURN THE FORM TO THE COMPLIANCE OFFICE SHALL CAUSE THE EPCH LEADER TO BE IN VIOLATION OF THIS POLICY. 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 OFFICE MAINTAINS THE FILE OF THE ANNUAL CERTIFICATION FORMS IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST. AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF, AND ALL MATERIAL FACTS CONCERNING HIS OR HER FINANCIAL/PERSONAL INTEREST TO THE COMPLIANCE OFFICER WITHIN SEVEN BUSINESS DAYS OF IDENTIFYING THE ACTUAL OR POTENTIAL CONFLICT. SUCH DISCLOSURE WILL BE MADE IN WRITING BY SUBMITTING A HOSPITAL CONFLICT OF INTEREST CERTIFICATION AND ACKNOWLEDGEMENT OF CONFLICT OF INTEREST POLICY FORM. OUTSIDE INTERESTS SHALL BE DISCLOSED AS A POTENTIAL CONFLICT OF INTEREST WHEN EPCH LEADERS RECEIVE MONIES FOR DUTIES PERFORMED AT ENTITIES WITH THE SAME OR SIMILAR SERVICE OFFERED AND IN A GEOGRAPHIC LOCATION SERVING THE SAME COMMUNITY. 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. THE COMPLIANCE OFFICER PROVIDES QUARTERLY REPORTS TO THE BOARD OF DIRECTORS DETAILING CONFLICTS OF INTEREST AND HOW THEY WERE ADDRESSED WITH RESPECT TO RESEARCH. EPCH REQUIRES THAT A RESEARCH INVESTIGATOR DISCLOSE TO EPCH OUTSIDE FINANCIAL INTERESTS ABOVE SPECIFIED THRESHOLDS WHEN RESEARCH WOULD LIKELY BE AFFECTED BY THOSE INTERESTS. EPCH REVIEWS THE DISCLOSURES, DETERMINES WHETHER THERE IS A CONFLICT AND, IF SO, MANAGES, REDUCES, OR ELIMINATES IT, BEFORE ALLOWING PARTICIPATION IN THE PROPOSED RESEARCH PROJECT. UPON DISCOVERY OF A POTENTIAL CONFLICT OF INTEREST THAT HAS NOT BEEN DISCLOSED, THE EPCH LEADERS' MEDICAL STAFF MEMBER IS NOTIFIED BY THE COMPLIANCE OFFICER AND AFFORDED THE OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE IF, AFTER REVIEWING THE RESPONSE AND MAKING SUCH FURTHER INVESTIGATION AS APPROPRIATE THE COMPLIANCE OFFICER SHALL INFORM THE CEO OF THE DETERMINATION WHETHER THE EPCH LEADER/MEDICAL STAFF MEMBER FAILED TO DISCLOSE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST. ANY VIOLATIONS OF THIS POLICY MAY BE GROUNDS FOR DISCIPLINARY ACTION INCLUDING TERMINATION OF EMPLOYMENT OR HOSPITAL CREDENTIALS, AND FOR CIVIL OR CRIMINAL PROSECUTION. |
| FORM 990, PART VI, SECTION B, LINES 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 | HOW DOCUMENTS ARE MADE AVAILABLE: 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 VI, SECTION A, LINE 3 DELEGATE MANAGEMENT THROUGH MANAGEMENT CONTRACT: THE MANAGEMENT OF EL PASO CHILDREN'S HOSPITAL CORPORATION WAS PERFORMED BY AN INTERIM CEO AS PART OF THE SERVICES INCLUDED IN THE CONTRACT WITH ALIXPARTNERS HOLDINGS, LLP UNTIL JANUARY 2016. FROM JANUARY 2016 THROUGH THE END OF THE FISCAL YEAR, THE MANAGEMENT OF EL PASO CHILDREN'S HOSPITAL CORPORATION WAS PERFORMED BY AN INTERIM CEO AS PART OF THE SERVICES INCLUDED IN THE CONTRACT WITH DELOITTE TRANSACTIONS & BUSINESS ANAlYTICS, LLP. PER IRS GUIDANCE, NO COMPENSATION IS SHOWN ON FORM 990, PART VII FOR THE CALENDAR YEAR FOR THESE INDIVIDUALS: MARK HERBERS $ 749,431 GEORGE CARALIS $ NONE |
| Form 990, Part VI, Section A, Line 4 | Significant Changes to Governing Documents: The bylaws were amended January 8, 2016 to make El Paso County Hospital District d/b/a University Medical Center (UMC) of El Paso sole member of the Hospital. Changes included giving the sole member power to approve various matters and appoint the board. |
| Form 990, Part VI, Section A, Line 6 | Members or Stockholders: UMC became the sole member of the Hospital during the tax year. |
| Form 990, Part VI, Section A, Line 7a | Members with power to elect members of the governing body: UMC, the sole member of the Hospital, has the power to nominate and approve new members of the board of directors. |
| Form 990, Part VI, Section A, Line 7b | Governance decisions reserved to the member: The following matters require approval of UMC, the sole member of the Hospital. a. Approval of the Hospital annual operating and capital budgets; b. Approval of any material changes to the Hospital budgets; c. Approval of Hospital strategic and business plans; d. Selection and removal of the Hospital CEO; e. Merger, reorganization, or consolidation of the Hospital; f. Sale of all or substantially all of the assets of the Hospital; g. Incurrence of any debt outside the normal course of business; h. Approval of any arrangement, contract or transaction with a value in excess of $250,000; i. Any amendments to the Hospital Certificate of Formation or Bylaws; J. Any action relating to bankruptcy, dissolution or receivership involving the Hospital; k. Conveyance or transfer of any real estate; I. Change in tax-exempt status; m. Change in the name of the organization; n. Any decreases to Hospital services or programs; and o. Any material change to the Hospital Medical Staff Bylaws |
| Form 990, part xi, line 9 | other changes to net assets: reorganization items $115,244,951 Transfer from UMC of El Paso (7,000,000) Change in interest in Net Assets of UMC Foundation (51,833) ---------------------- total $108,193,118 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT PERSONNEL TOTAL FEES:3835554 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES TOTAL FEES:13691314 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:16713761 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| EL PASO CHILDREN'S PHYSICIAN GROUP | ||||||||||
| 4845 ALAMEDA | EL PASO | TX | 79905 | 455465061 | PHYSICIAN SVS | TX | 501(C)(3) | 3 | EPCH | Yes (true) |
| UMC FOUNDATION | ||||||||||
| 1400 HARDAWAY SUITE 220 | EL PASO | TX | 79903 | 742540513 | Support | TX | 501(c)(3) | 9 | UMC | Yes (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 | Yes (true) |
| EL PASO FIRST HEALTH PLAN | ||||||||||
| 1145 westmoreland | el paso | TX | 79925 | 742930226 | hmo | TX | 501(c)(4) | n/a | umc | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| umc foundation | ||
| c | $644,011 | fmv |
| el paso first health plan | ||
| m | $85,000 | fmv |