2017-08-16T13:23:19-05:00 2016-09-30 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2015-10-01 263075429 El Paso Children's Hospital Corporation % ANDY RYBOLT ELPA 9152985444 4845 Alameda El Paso TX 79905 MARK AMOX CEO 9152985444 2017-08-15 true Jeanette Verrelli P00742631 9727028262 2015 2021-01-29 14:40:06Z EL PASO CHILDREN'S HOSPITAL MARK AMOX 4845 ALAMEDA EL PASO TX 79905 120876261 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) 7 7 798 9 0 4022902 9350189 99505000 111504689 9531 21383 0 0 103537433 120876261 0 0 0 0 31487945 32764960 0 0 0 94532090 76711351 126020035 109476311 -22482602 11399950 30075430 38968947 130118332 35350839 -100042902 3618108 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 94959541 111504689 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. 94959541 true true false true false false false false false false true false false true true false false true false false false false false false false false true true false false true false false false false false false false false true false false false false true true true false false true 132 0 798 true false false false false false false false false false false X 7 7 false true true false true true true true true false false false true true true true true true true false X ANDY RYBOLT 9152985444 4845 ALAMEDA EL PASO TX 79905 X ROSEMARY CASTILLO CHAIR/DIRECTOR TERM: MAR 2016 1.0 0.0 X X 0 0 0 RON ACTON CHAIR START: JAN 2016 1.0 0.0 X X 0 0 0 TED HOUGHTON VICE CHAIR START: JAN 2016 1.0 0.0 X X 0 0 0 PATRICK GORDON SECRETARY START: JAN 2016 1.0 0.0 X X 0 0 0 DR STUART W KAHN DIRECTOR START: MARCH 2016 1.0 0.0 X 0 0 0 MIGUEL FERNANDEZ DIRECTOR START: JAN 2016 1.0 0.0 X 0 0 0 RICHARD FLEAGER DIRECTOR START: FEB 2016 1.0 0.0 X 0 0 0 AMY ROSS DIRECTOR START: MARCH 2016 1.0 0.0 X 0 0 0 MARY LOU CAMARENA VICE CHAIR TERM: DEC 2015 1.0 0.0 X X 0 0 0 DR SADHANA CHHEDA SEC/DIRECTOR TERM: MAR 2016 1.0 1.0 X X 0 0 0 KRISTEN COX DIRECTOR TERM: DEC 2015 1.0 0.0 X 0 0 0 GUILLERMO OCHOA DIRECTOR term: Dec 2015 1.0 0.0 X 0 0 0 Elias M Armendariz CHIEF NURSING OFFICER 39.0 1.0 X 201350 0 8915 MARK HERBERS INTERIM CEO term: Jan 2016 39.0 1.0 X 0 0 0 GEORGE CARALIS INTERIM CEO START: JAN 2016 39.0 1.0 X 0 0 0 Jorge Sainz PHYSICIAN 1.0 39.0 X 0 607757 2572 ANGELICA CHAVEZ PHYSICIAN 1.0 39.0 X 0 401892 5165 CLINTON R WOOSLEY PHYSICIAN 1.0 39.0 X 0 379558 5054 BERT JOHANSSON PHYSICIAN 1.0 39.0 X 0 251717 2274 Elisa L Garcia DIR. NURSING ADMIN SERVICES 40.0 0.0 X 119902 0 0 Sandra Aviles Nurse Practictioner 0.0 40.0 X 0 128592 0 ROGELIO LEDESMA RN II 40.0 0.0 X 141157 0 0 ANA L MEDINA SUPERVISOR-PHARMACY 40.0 0.0 X 137429 0 1751 JAMES L COVERTY RN II 40.0 0.0 X 133712 0 0 733550 1769516 25731 10 false true false Deloitte Transactions B ANALYTICS PO Box 840728 DALLAS TX 75284 MANAGEMENT SERVICES 1547320 MEDASSETS INC 75 REMITTANCE DR STE 1443 CHICAGO IL 60675 MEDICAL SERVICES 3093060 Precyse Solutions LLC PO Box 11407 Dept 1736 BIRMINGHAM AL 35246 CODING/OUTSOURCING 872253 QUESTCARE MEDICAL SERVICES PA 7032 COLLECTION CENTER DR CHICAGO IL 60693 MEDICAL SERVICES 1882500 TEXAS TECH UNIVERSITY 4801 ALBERTA EL PASO TX 79905 PHYSICIAN SERVICES 11869610 17 7644011 1706178 0 288296 9350189 Patient Care 621110 87365295 87365295 SUPPLEMENTAL MEDICAID REVENUE 900099 24139394 24139394 111504689 21383 21383 0 0 0 0 0 0 0 0 0 0 120876261 111504689 21383 X 0 0 0 0 210266 174013 36253 0 27927485 23112330 4815155 383281 317197 66084 2169756 1795655 374101 2074172 1716551 357621 0 1171490 1171490 109144 109144 0 0 0 34240629 31218711 3021918 -7726 -6394 -1332 162912 134823 28089 12605 10432 2173 0 12299818 10179128 2120690 63837 52830 11007 0 73978 61223 12755 1339355 1339355 0 823835 823835 1175616 1175616 Dues & Subscriptions 364879 301968 62911 Medical/ Surgical Supplies 14446127 14446127 BAD DEBT EXPENSE 8865749 8865749 . 0 1569103 1298564 270539 109476311 94959541 14516770 0 3479953 11276674 7113155 3112567 38509 134089 13653085 9464497 0 0 0 0 0 0 1807983 1837171 866287 493928 4996488 638369 3116458 4358119 0 0 0 0 0 0 0 5167000 0 3124902 30075430 38968947 21535411 7318007 0 0 0 0 0 0 0 0 0 0 0 6414933 0 0 108582921 21617899 130118332 35350839 X -100042902 493206 0 2146765 0 978137 -100042902 3618108 30075430 38968947 X 11399950 -15932058 108193118 X false true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2275 2275 false SCHEDULE C, PART II-B, LINE 1I OTHER ACTIVITIES: THE HOSPITAL PAYS DUES TO THE TEXAS HOSPITAL ASSOCIATION, A PERCENTAGE OF WHICH ARE FOR LOBBYING PURPOSES. 466072 23303 442769 4530416 615066 3915350 4358119 INTEREST IN UMC FOUNDATION 3124902 3124902 0 Due to Affiliates 20408671 Est Self-Insurance Costs 306409 EST DUE TO 3RD PARTY PAYERS 902819 21617899 X 104612960 -9016915 -9016915 113629875 7246386 7246386 120876261 100459368 -28 -28 100459396 9016915 9016915 109476311 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 true true X true X true X true false false 242251 242251 0.00240 62131216 40128087 22003129 0.21870 1065980 521829 544151 0.00540 63439447 40649916 22789531 0.22650 63439447 40649916 22789531 0.22650 true 8865749 1108217 56000 120431 -64431 X true true 1 1 El Paso Children's Hospital 4845 Alameda El Paso TX 79905 elpasochildrens.org 100133 X X X El Paso Children's Hospital 1 false false true X X X X X X X X X 13 true false false true X See Part V, Section C X true 13 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 true X false X X X X true X false false 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. 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. X X X X true false false false false false false false false Elias M Armendariz CHIEF NURSING OFFICER 159370 0 0 0 41980 0 8915 0 0 0 210265 0 Jorge Sainz PHYSICIAN 0 607757 0 0 0 0 0 2572 0 0 0 610329 ANGELICA CHAVEZ PHYSICIAN 0 401892 0 0 0 0 0 5165 0 0 0 407057 CLINTON R WOOSLEY PHYSICIAN 0 379558 0 0 0 0 0 5054 0 0 0 384612 BERT JOHANSSON PHYSICIAN 0 251717 0 0 0 0 0 2274 0 0 0 253991 SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENT: ELIAS M. ARMENDARIZ $41,980 X 21 131752 fmv X COG, Oncology Translations 4 12746 fmv X wee fim sys, rehab 7 14579 fmv X skylight pat interactive sys 12 129219 fmv false false false SCHEDULE M, PART I, COLUMN B NUMBER OF CONTRIBUTIONS: THE AMOUNTS REPORTED IN THIS COLUMN ARE THE NUMBER OF CONTRIBUTIONS RECEIVED. 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 EL PASO CHILDREN'S PHYSICIAN GROUP 4845 ALAMEDA 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) 9 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 true EL PASO FIRST HEALTH PLAN 1145 westmoreland el paso TX 79925 742930226 hmo TX 501(c)(4) n/a umc true false false true false false false false false false false true false true true true false false false true umc foundation c 644011 fmv el paso first health plan m 85000 fmv