2018-08-15T17:22:27-05:00 2017-09-30 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2016-10-01 263075429 El Paso Children's Hospital Corporation % MELISSA CAMPA ELPA 9152985444 4845 Alameda Ave El Paso TX 79905 CINDY STOUT CEO 9152985444 2018-02-15 true Jeanette Verrelli P00742631 9727028262 2016 2022-09-23 18:48:47Z X El Paso Children's Hospital CINDY STOUT 4845 Alameda Ave EL PASO TX 79905 98990411 false X ELPASOCHILDRENS.ORG X 2007 TX TO PROVIDE COMPASSIONATE, COORDINATED, FAMILY-CENTERED CARE FOR CHILDREN WITH A DEDICATED COMMITMENT TO EXCELLENT PATIENT OUTCOMES, ... (CONTINUED ON SCH O) 9 9 782 9 0 9350189 2455030 111504689 96518655 21383 16726 0 0 120876261 98990411 0 1500 0 0 32764960 36957189 0 0 0 76711351 78097308 109476311 115055997 11399950 -16065586 38968947 25766746 35350839 38177006 3618108 -12410260 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. true false 102412816 1500 96518655 EL PASO CHILDREN'S HOSPITAL IS THE ONLY SEPARATELY LICENSED, NON-TAXING, INDEPENDENT, 501(C)(3) NOT-FOR-PROFIT CHILDRENS HOSPITAL IN THE EL PASO, TEXAS REGION AND THE ONLY DEDICATED PEDIATRIC HOSPITAL WITHIN A 200-MILE RADIUS. THE HOSPITAL PROVIDES PEDIATRIC INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO CHILDREN FROM BIRTH THROUGH ADOLESCENCE. IT OPENED FEBRUARY 14, 2012, RECEIVED THE JOINT COMMISSION ACCREDITATION ON MARCH 9, 2012, AND ITS MEDICAID PROVIDER NUMBER IN JUNE 2012. THROUGH THE HOSPITAL'S AFFILIATION WITH TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER, THE HOSPITAL CONDUCTS PEDIATRIC RESEARCH AND EDUCATION, AND SERVES AS A TEACHING HOSPITAL FOR THE TEXAS TECH RESIDENCY PROGRAM. THE HOSPITAL HAS FOUR FULL-TIME TEXAS MEDICAID HEALTHCARE PARTNERSHIP (TMHP) PERSONNEL LOCATED IN THE BUILDING TO ENSURE THAT EVERY ELIGIBLE PATIENT IS ENROLLED IN CHIP-TEXAS WHICH IS SPECIFICALLY LEGISLATED TO PROVIDE MEDICAID-LIKE COVERAGE TO CHILDREN EVEN IF THEIR PARENTS DO NOT QUALIFY. 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 PAGES 10-11 OF THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. SEE ATTACHED. 102412816 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 true false false false true true true false false true 119 0 782 true false false false false false false false false false false X 9 9 false true true false true true true true true false false false true true true true true true true false X MELISSA CAMPA 9152985444 4845 ALAMEDA AVE EL PASO TX 79905 X RICHARD FLEAGER DIRECTOR 1.15 0.0 X 0 0 0 MICA SHORT DIRECTOR 1.15 0.0 X 0 0 0 AMY ROSS DIRECTOR 1.15 0.0 X 0 0 0 STUART KAHN MD DIRECTOR 1.15 0.0 X 0 0 0 CINDY LIONS-FIELDS secretary 1.15 0.0 X 0 0 0 RON ACTON CHAIRMAN End: 4/2017 1.15 0.0 X 0 0 0 TED HOUGHTON chairman start: 4/2017 1.15 0.0 X 0 0 0 PATRICK GORDON vice chair 1.15 0.0 X 0 0 0 MIGUEL FERNANDEZ DIRECTOR 1.15 0.0 X 0 0 0 ALAN ABBOTT DIRECTOR 1.15 0.0 X 0 0 0 MARK AMOX CEO END: 9/2017 39.0 1.0 X 49644 0 2311 CINDY STOUT CEO start: 9/2017 39.0 1.0 X 0 0 0 STEPHEN ANDREW RYBOLT CFO start: 7/2017 35.33 1.0 X 0 0 0 RANAE THOMPSON CNO start: 9/2017 40.0 0.0 X 0 0 0 JUAN CHAVEZ CCO 40.67 0.0 X 0 0 0 George Caralis CEO End: 10/2016 39.0 1.0 X 0 0 0 Angelica Chavez MD physician 1.0 39.0 X 0 436360 6278 Bert E Johansson MD Physician 1.0 39.0 X 0 284087 3387 Joel Reyes MD Physician 1.0 39.0 X 0 289144 0 Jorge Sainz MD physician 1.0 39.0 X 0 332439 4842 Clinton R Woosley MD Physician 1.0 39.0 X 0 400995 6167 ANA MEDINA SUPERVISOR-PHARMACY 51.6 0.0 X 172669 0 13507 PAMELA WALKER RN II - Transport Team 120.51 0.0 X 144458 0 18616 ERIKA ESTRADA DIRECTOR OF PHARMACY 40.0 0.0 X 141114 0 7132 Chau Nguyen pediatric hema/onco phramacist 40.0 0.0 X 115920 0 10897 Rogelio Ledesma Registered Nurse 40.0 0.0 X 120902 0 9006 744707 1743025 82143 24 false true false TEXAS TECH UNIVERSITY 4801 Alberta EL PASO TX 79905 PHYSICIAN Services 11183733 NTHRIVE SOLUTIONS INC 75 Remittance Dr Ste 1443 CHICAGO IL 60675 medical services 3553183 QUESTCARE MEDICAL SERVICES 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 Medical Services 1358333 Deloitte Transactions Bus Analyti PO Box 840728 DALLAS TX 75284 Management Services 864681 Weatherby Healthcare PO Box 972633 DALLAS TX 75397 physician services 909761 16 828689 1501495 124846 44283 2455030 Patient Care 621110 83919132 83919132 Supplemental Medicaid Revenue 900099 11081478 11081478 EHR INCENTIVE REVENUE 900099 1518045 1518045 96518655 16726 16726 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98990411 96518655 16726 X 1500 1500 0 0 0 51955 45255 6700 0 31461594 27409896 4051698 481491 417645 63846 2728602 2366784 361818 2233547 1937374 296173 864681 864681 318833 318833 278252 278252 0 0 0 34547633 32906865 1640768 87189 75628 11561 146456 127036 19420 0 0 10813014 9379188 1433826 151716 131598 20118 0 51670 44818 6852 1771798 1771798 0 1042039 1042039 226312 226312 Dues & Subscriptions 535428 464429 70999 MEDICAL/SURGICAL SUPPLIES 14643256 14643256 BAD DEBT EXPENSE 11432865 11432865 . 0 1186166 1028679 157487 115055997 102412816 12643181 0 11276674 0 3112567 48543 134089 169540 9464497 10414717 0 0 0 0 0 0 1837171 1670245 493928 351918 5516122 1676266 4358119 3839856 0 0 0 0 0 0 5167000 4557000 3124902 4714927 38968947 25766746 7318007 10986936 0 0 0 0 0 0 0 0 0 0 6414933 3844648 0 0 21617899 23345422 35350839 38177006 X 493206 -15572380 2146765 2129630 978137 1032490 3618108 -12410260 38968947 25766746 X -16065586 37218 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 46675 46675 false SCHEDULE C, PART II-B, LINE 1I OTHER ACTIVITIES: THE HOSPITAL PAYS DUES TO THE TEXAS HOSPITAL ASSOCIATION AND NACH, A PERCENTAGE OF WHICH ARE FOR LOBBYING PURPOSES. 396300 57794 338506 5119822 1618472 3501350 0 0 0 3839856 Interest in UMC Foundation 3162120 EST AMOUNT DUE FROM 3RD PARTY 1552807 4714927 0 Due to Affiliates 22981737 Est Self-Insurance Costs 242704 CASH OVERDRAFT 120981 23345422 SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true X true X true X true false true true 433292 433292 0.00420 64306565 40832951 23473614 0.22650 1115526 631875 483651 0.00470 65855383 41464826 24390557 0.23540 158613 158613 0.00150 158613 158613 0.00150 66013996 41464826 24549170 0.23690 true 11432865 1429108 79581 90622 -11041 X true true 1 1 EL PASO CHILDREN'S HOSPITAL 4845 ALAMEDA Ave EL PASO TX 79905 ELPASOCHILDRENS.ORG 100133 X X X EL PASO CHILDREN'S HOSPITAL 1 false true false false true X 100 200. X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 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 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 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 2 HOSPITAL FACILITY ACQUISITION: EL PASO CHILDRENS HOSPITAL (EPCH) WAS FORMED IN 2008 AS A NON-MEMBER ENTITY EXEMPT UNDER IRC SECTION 501(C(3) AS A HOSPITAL. THE HOSPITAL OPERATED AS A SINGLE ENTITY UNTIL IT NEEDED TO FILE FOR BANKRUPTCY IN MAY 2015. AFTER FILING FOR BANKRUPTCY, THE HOSPITAL WENT THROUGH A REORGANIZATION WHERE UNIVERSITY MEDICAL CENTER (UMC) BECAME THE HOSPITALS SOLE CORPORATE MEMBER ON JANUARY 1, 2016. THIS REORGANIZATION INCLUDED THE APPOINTMENT OF A BRAND NEW BOARD OF DIRECTORS AND THE APPLICATION OF FRESH-START ACCOUNTING. UMC, A DUAL STATUS GOVERNMENTAL HOSPITAL, BEGAN CONSOLIDATING EPCH INTO ITS FINANCIALS AND OPERATIONS AT THE TIME OF ACQUISITION. DUE TO THE ACQUISITION, UNDER THE FINAL REGULATION SECTION 1.501(R)-3(D)(1), EPCH WAS NOT REQUIRED TO CONDUCT A NEW COMMUNITY HEALTH NEEDS ASSESSMENT UNTIL THE LAST DAY OF ITS SECOND TAX YEAR AFTER THE ACQUISITION, SEPTEMBER 30, 2018. BEFORE THE ACQUISITION OCCURRED, EPCH WAS COMPLIANT WITH THE REQUIREMENTS UNDER 1.501(R)-3 FOR COMPLETING THE COMMUNITY HEALTH NEEDS ASSESSMENTS. CURRENTLY, EPCH HAS COMPLETED THE MOST RECENT CHNA AND PLANS TO HAVE IT APPROVED BY THE BOARD IN AUGUST 2018. IT WILL BE ADDED TO THE EPCH WEBSITE SHORTLY AFTER APPROVAL. SCHEDULE H, PART V, SECTION B 501R COMPLIANCE: EL PASO CHILDRENS HOSPITAL IDENTIFIED THAT THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY WERE NOT COMPLIANT WITH THE FINAL 501R REGULATIONS AND THE CURRENT DOCUMENTS WERE NOT ON THE WEBSITE. THE HOSPITAL MADE ALL CHANGES NEEDED TO BE COMPLIANT WITH THE FINAL 501R REGULATIONS. THE UPDATED DOCUMENTS WERE REVIEWED JANUARY OF 2017 AND HAVE BEEN PLACED ON THE WEBSITE. EL PASO CHILDRENS HOSPITAL PERSONNEL ARE WORKING DILIGENTLY TO MAINTAIN COMPLIANCE AND WILL CORRECT ANY ADDITIONAL FAILURES TO COMPLY AS THEY ARE IDENTIFIED. TOP MANAGEMENT WILL MONITOR THE WEBSITE ANNUALLY TO CONFIRM THE HOSPITAL CONTINUES TO STAY COMPLIANT WITH THE WIDELY PUBLICIZED REQUIREMENTS UNDER 501R. 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 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 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 $11,041. THE STATE OF TEXAS TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTIONS PRACTICES: IF A PATIENT APPEARS TO BE INDIGENT, ACCOUNTS SHOULD BE REVIEWED, AT ANY TIME DURING THE COLLECTION PROCESS, FOR POSSIBLE CONSIDERATION AS A CHARITY CASE IN ACCORDANCE WITH THE ORGANIZATION'S CHARITY CARE POLICY. THE HOSPITAL WILL NOT TAKE ANY EXTRAORDINARY COLLECTIONS ACTIONS, INCLUDING SELLING THE DEBT TO A COLLECTION AGENCY, UNTIL REASONABLE EFFORTS ARE TAKEN TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. ONCE A PATIENT HAS BEEN DETERMINED ELIGIBLE FOR ASSISTANCE ALL COLLECTION ACTIONS ARE STOPPED. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: In addition to the CHNA, the hospital often learns about the health needs of the community through its affiliations and partnerships with several physician practices, academic partners, pediatric organizations and reports and feedback from State and other agencies. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: ALL PATIENTS WITHOUT THIRD PARTY INSURANCE RECEIVE INFORMATION WHILE AT EPCH REGARDING GOVERNMENTAL ASSISTANCE AND ARE ADVISED TO MAKE AN APPOINTMENT WITH A CERTIFIED MEDICAID ENROLLMENT CENTER TO DETERMINE THEIR ELIGIBILITY FOR MEDICAID ASSISTANCE. THOSE PATIENTS ARE INFORMED THAT THEY MAY BE ELIGIBLE FOR THE HOSPITAL'S CHARITY CARE PROGRAM. ALSO, ALL INPATIENTS WITHOUT THIRD PARTY COVERAGE ARE VISITED DURING THEIR HOSPITAL STAY AND SENT INFORMATION. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: THE CITY OF EL PASO IS LOCATED IN FAR WEST TEXAS, ALONG THE US/MEXICO BORDER. ON THE MEXICAN SIDE OF THE BORDER, THE POPULATION OF THE CIUDAD JUAREZ EXCEEDS THAT OF EL PASO, TEXAS. MOST OF EL PASO COUNTY'S POPULATION IS CENTERED AROUND THE CITY OF EL PASO. THE EL PASO CITY AND COUNTY UNEMPLOYMENT RATES IN JUNE 2014 WERE SIGNIFICANTLY HIGHER THAN THE STATE OF TEXAS AND NATIONAL AVERAGE. THE MEDIAN AGE OF PEOPLE IN THE EL PASO CHILDREN'S HOSPITAL COMMUNITY IS VARIED, WITH SOME AREAS IN THE COMMUNITY BELOW 21.0 AND OTHER AREAS AS HIGH AS 40.7. THIS LIKELY TRANSLATES TO A BROAD VARIETY OF HEALTH NEEDS ACROSS THE COMMUNITY, BASED ON AGE POPULATION, AND PROPORTIONATELY MORE CHILDREN IN CERTAIN ZIP CODES OVER OTHERS. AS A COMPARISON, THE MEDIAN AGE IN TEXAS IS 33.6 YEARS, AND THE NATIONAL MEDIAN AGE IS 36.8 YEARS. THE RACIAL MAKEUP OF THE HOSPITAL COMMUNITY IS PREDOMINATELY WHITE, AND AFRICAN AMERICAN AS A VERY DISTANT SECOND. EL PASO COUNTY IS LESS RACIALLY DIVERSE THAN THE STATE OF TEXAS OVERALL. AT 81 PERCENT OF THE TOTAL POPULATION IN THE HOSPITAL COMMUNITY, THE HISPANIC POPULATION IN EL PASO COUNTY IS VERY LARGE, RELATIVE TO 38 PERCENT IN TEXAS. EL PASO COUNTY HAS A SIGNIFICANTLY LOWER MEDIAN HOUSEHOLD INCOME THAN THE STATE OF TEXAS. NOT SURPRISINGLY, THE POVERTY LEVEL IN EL PASO COUNTY IS ALSO SIGNIFICANTLY HIGHER THAN THAT OF TEXAS. THE CHILD POVERTY RATE IN EL PASO COUNTY IS ALSO HIGHER THAN THE TEXAS STATE AVERAGE. SEVERAL OF THE ZIP CODES IN THE HOSPITAL COMMUNITY HAVE PARTICULARLY HIGH CHILD POVERTY RATES. ZIP CODES 79901, 79916, AND 79838 ARE NEARLY TWICE THE RATE OF EL PASO COUNTY AND THREE TIMES THAT OF THE STATE OF TEXAS. IN THE 2010-2011 SCHOOL YEAR, 68.8% OF EL PASO COUNTY CHILDREN WERE ELIGIBLE FOR FREE OR REDUCED PRICE SCHOOL LUNCHES, COMPARED TO 50.1% OF CHILDREN IN TEXAS. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: EL PASO CHILDREN'S HOSPITAL ELEVATES THE QUALITY AND SCOPE OF MEDICAL CARE IN THE EL PASO REGION BY PROVIDING UNMATCHED EXCELLENCE IN SPECIALIZED PEDIATRIC PATIENT CARE AS WELL AS RESEARCH AND EDUCATION OPPORTUNITIES. EL PASO CHILDREN'S HOSPITAL IS ADVANCING PEDIATRIC HEALTHCARE THROUGH OUR EDUCATION AFFILIATIONS WITH (AMONG OTHERS) THE PAUL L. FOSTER SCHOOL OF MEDICINE AT TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER, UNIVERSITY MEDICAL CENTER OF EL PASO, UNIVERSITY OF TEXAS AT EL PASO, WILLIAM BEAUMONT ARMY MEDICAL CENTER, COLUMBIA UNIVERSITY, UNIVERSITY OF SOUTH ALABAMA, AND EL PASO COMMUNITY COLLEGE. ADDITIONALLY, EL PASO CHILDREN'S HOSPITAL IS AN ANCHOR FACILITY OF THE MEDICAL CENTER OF THE AMERICAS CAMPUS. EL PASO CHILDREN'S HOSPITAL ALSO BELIEVES IN GIVING BACK TO THE COMMUNITY IT SERVES. IN 2017, EL PASO CHILDREN'S HOSPITAL CONTRIBUTED $1,500 IN SPONSORSHIPS TO COMMUNITY ORGANIZATIONS THAT SHARE OUR COMMITMENT TO HELPING ALL CHILDREN, ALL THE TIME. THE RECIPIENT FOR THIS FISCAL YEAR WAS THE MARCH OF DIMES. 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: EPCH cooperates with University Medical Center (UMC) in providing health care services to the regional service area. While UMCs scope primarily includes providing acute care to the adult population, EPCHs scope includes providing acute care to the pediatric population. The cooperation extends to Pediatric trauma and neonatal patients who originate at UMC and are then transferred to EPCH for continued care. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: Texas SCHEDULE H, PART I, LINE 3C FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: - MEDICAL INDIGENCY - INSURANCE STATUS - MEDICARE/MEDICAID SCHEDULE H, PART I, LINE 7, COLUMN F BAD DEBT EXCLUDED IN CALCULATION OF PATIENT CARE COST TO CHARGES: BAD DEBT EXPENSE IN THE AMOUNT OF $11,432,865 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 false false false false false false false false false ANA MEDINA SUPERVISOR-PHARMACY 172669 0 0 0 0 0 6025 0 7482 0 186176 0 0 0 PAMELA WALKER RN II - Transport Team 140558 0 3900 0 0 0 10455 0 8161 0 163074 0 0 0 Angelica Chavez MD physician 0 436360 0 0 0 0 0 5165 0 1113 0 442638 0 0 Bert E Johansson MD Physician 0 284087 0 0 0 0 0 2274 0 1113 0 287474 0 0 Joel Reyes MD Physician 0 289144 0 0 0 0 0 0 0 0 0 289144 0 0 Jorge Sainz MD physician 0 332439 0 0 0 0 0 2572 0 2270 0 337281 0 0 Clinton R Woosley MD Physician 0 400995 0 0 0 0 0 5054 0 1113 0 407162 0 0 X 15 44283 FMV false false false SCHEDULE M, PART I, COLUMN B NUMBER OF CONTRIBUTIONS OR ITEMS CONTRIBUTED: THE AMOUNTS REPORTED IN THIS COLUMN ARE THE NUMBER OF ITEMS CONTRIBUTED. FORM 990, PART III, LINE 2 New Significant Program Services: The Cranial and Facial Clinic at El Paso Childrens Hospital in conjunction with the El Paso Cleft and Craniofacial Team is the first and only comprehensive pediatric craniofacial program in the region that provides children in the greater El Paso area access to a dedicated multidisciplinary team of physicians skilled in correcting facial, jaw, and skull abnormalities. It is no longer necessary for families to bear the burden of traveling outside of the region to access this service, and our team provides family-centered, compassionate care that youve come to expect from a dedicated childrens hospital. FORM 990, PART VI, SECTION A, LINE 3 DELEGATE CONTROL OVER MANAGEMENT DUTIES 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 DELOITTE TRANSACTIONS AND BUSINESS ANALYTICS, LLP FROM 10/01/16 UNTIL 10/17/16. ON 10/17/16, A PERMANENT CEO WAS HIRED: MARK AMOX PER IRS GUIDANCE, NO COMPENSATION IS SHOWN ON FORM 990, PART VII FOR THE CALENDAR YEAR FOR THIS INDIVIDUAL: GEORGE CARALIS $902,000 FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS: THE SOLE CORPORATE MEMBER OF THE HOSPITAL IS UNIVERSITY MEDICAL CENTER of EL PASO (UMC). FORM 990, PART VI, SECTION A, LINE 7A MEMBERS WITH POWER TO ELECT MEMBERS OF THE GOVERNING BODY: UMC HAS THE POWER TO NOMINATE AND APPROVE FOUR PERSONS. THE MEDICAL EXECUTIVE COMMITTEE OF THE HOSPITAL HAS THE POWER TO NOMINATE ONE PHYSICIAN BOARD MEMBER. THREE PERSONS WILL BE NOMINATED BY THE MAJORITY VOTE OF THE INDEPENDENT BOARD OF MEMBERS AS COMMUNITY BOARD MEMBERS. The community board members and the physician board members have the power collectively to nominate the independent board member. FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DECISIONS RESERVED TO THE MEMBER: UMC HAS THE POWER TO APPOINT FOUR MEMBERS TO THE BOARD AND HAS THE POWERS STATUTORILY REQUIRED TO BE MAINTAINED BY A MEMBER IN V.T.C.A, BUSINESS ORGANIZATIONS CODE SECTION 22.164. FORM 990, PART VI, SECTION B, LINE 11B PROCESS USED TO REVIEW FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. PRIOR TO FILING WITH THE IRS, THE ORGANIZATION'S CONTROLLER AND CEO WILL REVIEW THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: EL PASO CHILDREN'S HOSPITAL (EPCH) LEADERS AND MEMBERS OF THE MEDICAL STAFF SIGN A CONFLICT OF INTEREST CERTIFICATION AND ACKNOWLEDGEMENT OF CONFLICT OF INTEREST POLICY ANNUALLY, CERTIFYING THAT THEY RECEIVED, READ, AND UNDERSTOOD THIS CONFLICT OF INTEREST POLICY AND AGREE TO COMPLY WITH IT. THE LEADERS OBTAIN THE CERTIFICATION FORM FROM THE COMPLIANCE OFFICE. 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, LINE 15A & 15B PROCESS FOR DETERMINING COMPENSATION: EL PASO CHILDREN'S HOSPITAL DETERMINES COMPENSATION FOR ITS CEO AND OTHER OFFICERS AND KEY EMPLOYEES BY CONSIDERING SALARY RANGES, SALARY SURVEYS, AND MARKET ANALYSES FOR EACH POSITION. SPECIFICALLY, THE BOARD OF DIRECTORS COMPENSATION COMMITTEE REVIEWS AND RECOMMENDS SALARIES FOR THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE BOARD OF DIRECTORS APPROVES SALARIES FOR THE CEO AND OTHER OFFICERS. THE CEO APPROVES SALARIES FOR KEY EMPLOYEES (DIRECTOR LEVEL AND BELOW). THE MOST RECENT REVIEW WAS CONDUCTED IN DECEMBER 2015 AND DOCUMENTED IN THE HUMAN RESOURCE FILES. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS: THE ORGANIZATION FURNISHES COPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990, AND/OR FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. FORM 990, PART I, LINE 1 ORGANIZATION'S MISSION: (CONTINUED FROM PAGE 1) ... INCLUSIVE LEADERSHIP AND INNOVATIVE PEDIATRIC RESEARCH AND EDUCATION. FORM 990, PART XI, LINE 9 OTHER CHANGES TO NET ASSETS: CHANGE IN INTEREST IN NET ASSETS OF UMC FOUNDATION $ 37,218 FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: THE BYLAWS WERE AMENDED OCTOBER 1, 2016 TO CHANGE THE POWERS GRANTED TO THE HOSPITAL'S SOLE MEMBER, UNIVERSITY MEDICAL CENTER of El Paso. IT ALSO DECREASED THE NUMBER OF BOARD DIRECTORS THE MEMBER COULD APPOINT TO THE BOARD TO FOUR. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT PERSONNEL TOTAL FEES:5530881 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:12498956 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:16517796 EL PASO CHILDREN'S PHYSICIAN GROUP 4845 ALAMEDA Ave EL PASO TX 79905 455465061 PHYSICIAN SVS TX 501(C)(3) 3 EPCH true UMC FOUNDATION 1400 HARDAWAY SUITE 220 EL PASO TX 79903 742540513 SUPPORT TX 501(C)(3) 10 UMC true UNIVERSITY MEDICAL CENTER OF EL PASO 4815 ALAMEDA AVE EL PASO TX 79905 746000756 HEALTHCARE TX 501(C)(3) 3 NA false EL PASO CHILDREN'S HOSPITAL FOUNDATION 1400 HARDAWAY SUITE 213 EL PASO TX 79903 812298318 SUPPORT TX 501(C)(3) 7 UMC FDN true EL PASO FIRST HEALTH PLAN 1145 WESTMORELAND EL PASO TX 79925 742930226 HMO TX 501(C)(4) N/A UMC true false false true true false false false false false false true false true true true false false false true UMC FOUNDATION C 828689 FMV