2016-08-15T18:16:07-05:00 2015-09-30 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2014-10-01 263075429 El Paso Children's Hospital Corporation % OMAR BERNAL ELPA 9152985444 4845 Alameda El Paso TX 79905 GEORGE CARALIS Chief Executive Officer 9152985444 2016-08-15 true Jeanette Verrelli P00742631 9727028262 2014 2016-09-27 15:27:22Z El Paso Children's Hospital GEORGE CARALIS 4845 ALAMEDA EL PASO TX 79905 103537433 false X ELPASOCHILDRENSHOSPITAL.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) 5 5 786 5 0 881430 4022902 65290173 99505000 3707 9531 0 0 66175310 103537433 0 0 0 0 30962322 31487945 0 0 0 76541455 94532090 107503777 126020035 -41328467 -22482602 28992210 30075430 106552510 130118332 -77560300 -100042902 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 109614126 99505000 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 17 OF THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. See ATTACHED. 109614126 true true false true false false false false false false true false false false true true false false false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 118 0 true 786 true false false false false false false false false false false X 5 5 false false false false false false false true true false false false true true true true true true true false X X OMAR BERNAL 9152985444 4845 ALAMEDA EL PASO TX 79905 Sadhanna Chheda Secretary 1.0 1.0 X X 0 0 0 Guillermo Ochoa Director 1.0 0.0 X 0 0 0 Mary Lou Camarena Director 1.0 0.0 X 0 0 0 Kristen Cox Director 1.0 0.0 X 0 0 0 Rosemary Castillo Chair 1.0 0.0 X X 0 0 0 Jill S Vogel Chief Legal Officer 39.0 1.0 X 69562 0 1125 LAWRENCE DUNCAN CHIEF EXECUTIVE OFFICER 39.0 1.0 X 390841 0 1863 ELIAS ARMENDARIZ CHIEF NURSING OFFICER 39.0 1.0 X 176899 0 7212 DAVID MIER CHIEF FINANCIAL OFFICER 39.0 1.0 X 84816 0 787 Jorge Sainz Physician 1.0 39.0 X 0 506735 4849 Bruce Storrs Physician 1.0 39.0 X 0 395654 0 Angelica Chavez Physician 1.0 39.0 X 0 364303 4920 Clinton Woosley Physician 1.0 39.0 X 0 375919 4905 Bert Johansson Physician 1.0 39.0 X 0 252295 2188 Thomas Cassidy Pharmacy Director 40.0 0.0 X 136863 0 1780 Rogelio Ledesma RN II 40.0 0.0 X 158748 0 0 Christopher F Cochrane Supervisor-Pharmacy 40.0 0.0 X 116936 0 0 Erika J Estrada Pharmacy Director 40.0 0.0 X 112890 0 839 Julie A McIndoo PICU Clinical Pharmacist 40.0 0.0 X 111537 0 1634 1359092 1894906 32102 11 false true false Jackson Walker LLP 901 Main St STE 6000 DALLAS TX 75202 LEGAL SERVICES 1998964 Quest Diagnostics 12436 Collection Center Dr CHICAGO IL 606932436 LAB MEDICAL SERVICES 789505 EP SW Cardiovascular Assoc 1600 Medical Center Dr 212 EL PASO TX 79902 MEDICAL SERVICES 146000 3 3427267 595635 4022902 NET PATIENT REVENUE 621110 99505000 99505000 99505000 9531 9531 0 0 0 0 0 0 0 0 0 0 103537433 99505000 9531 X 0 0 0 0 709334 582502 126832 0 26107448 21439320 4668128 91395 75053 16342 2615093 2147502 467591 1964675 1613382 351293 0 865448 865448 102636 102636 0 0 0 41635715 38117510 3518205 1798 1477 321 176139 144645 31494 300 246 54 0 16208379 13310249 2898130 65247 53581 11666 0 64864 53266 11598 3254150 3254150 0 706296 706296 421496 421496 Dues & Subscriptions 88700 72840 15860 MEDICAL/SURGICAL SUPPLIES 13045361 13045361 Bad Debts 18418739 18418739 . -523178 -429631 -93547 126020035 109614126 16405909 0 1963978 3479953 0 7113155 16601 38509 21710037 13653085 0 0 0 0 0 0 1555562 1807983 157560 866287 5392916 2276458 3588472 3116458 0 0 0 0 0 0 0 0 0 0 28992210 30075430 106552510 21535411 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108582921 106552510 130118332 X -77560300 -100042902 0 0 0 0 -77560300 -100042902 28992210 30075430 -22482602 X X false false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 271 271 false SCHEDULE C, PART II-B, LINE 1I OTHER ACTIVITIES: THE HOSPITAL PAYS DUES TO THE TEXAS HOSPITAL ASSOCIATION, 12.31% OF WHICH ARE FOR LOBBYING PURPOSES. 466072 113929 352143 4926844 2162529 2764315 3116458 0 Due to Affiliates 108060921 Est Self-Insurance Costs 522000 108582921 X Schedule D, Part X, Line 2 Liability for uncertain tax positions: The El Paso Childrens Hospital and Physician Group are nonprofit corporations, exempt from Federal income tax under Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision has been made for income taxes in the financial statements. The Hospital recognizes the tax benefit from uncertain tax positions only if it is more likely than not that the tax positions will be sustained on examination by the tax authorities, based on the technical merits of the position. The tax benefit is measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. The Hospital had no unrecognized tax benefits at September 30, 2014 and 2013. The Hospital files exempt organization returns and applicable unrelated business income tax returns in the U.S. Federal jurisdiction and Texas Department of Revenue. The Hospital is no longer subject to income tax examinations by taxing authorities for years before fiscal year 2008 for its federal and state filings. true true X true X true X true false false 270613 270613 0.00250 25576434 27961695 827386 721856 105530 0.00100 26674433 28683551 376143 0.00350 26674433 28683551 376143 0.00350 true 18418739 15655928 109091 117650 -8559 X true true 1 1 El Paso Children's Hospital 4845 Alameda El paso TX 79905 elpasochildrens.org 100133 X X X El Paso Childrens 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 false true X 200. 200. X X X true true X X X true X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 CHNA INPUT FROM REPRESENTATIVES OF THE COMMUNITY: PRIMARY DATA WAS COLLECTED 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, LINEs 7 & 10 CHNA AND IMPLEMENTATION STRATEGY: THE CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND ON THE FOLLOWING WEBSITE: HTTP://ELPASOCHILDRENS.ORG/COMMUNITY-HEALTH-NEEDS/ 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. 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. 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 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 85%. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT FOOTNOTE: The Hospital's allowance for doubtful accounts for self-pay patients was 95% and 93% of self-pay accounts receivable at September 30, 2014 and 2013, respectively. During the years ended September 30, 2014 and 2013, the Hospital wrote off $3,836,000 and $4,054,000, respectively of self-pay receivables, and did not change its charity care or uninsured discount policies. The Hospital does not maintain a material allowance for doubtful accounts from third-party payors, nor did it have significant write-offs from third-party payors. 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 $8,559. 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. 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 Childrens 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 Childrens 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 Childrens Hospital is an anchor facility of the Medical Center of the Americas campus. El Paso Childrens Hospital also believes in giving back to the community it serves. In 2012, El Paso Childrens 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 Childrens 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 Childrens Hospital Center for the prevention of Child Abuse is a cooperative effort between El Paso Childrens 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: 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 $18,418,739 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 false false false false false false false false false LAWRENCE DUNCAN CHIEF EXECUTIVE OFFICER 355392 0 30588 0 4861 0 1863 0 0 0 392704 0 0 0 ELIAS ARMENDARIZ CHIEF NURSING OFFICER 158062 0 7135 0 11702 0 7212 0 0 0 184111 0 0 0 Rogelio Ledesma RN II 158697 0 0 0 51 0 0 0 0 0 158748 0 0 0 Jorge Sainz Physician 0 500292 0 0 0 6443 0 4849 0 0 0 511584 0 0 Bruce Storrs Physician 0 395654 0 0 0 0 0 0 0 0 0 395654 0 0 Angelica Chavez Physician 0 358453 0 0 0 5850 0 4920 0 0 0 369223 0 0 Clinton Woosley Physician 0 369072 0 0 0 6847 0 4905 0 0 0 380824 0 0 Bert Johansson Physician 0 248562 0 0 0 3733 0 2188 0 0 0 254483 0 0 FORM 990, PART I, LINE 1 (CONTINUED FROM PAGE 1) ... INCLUSIVE LEADERSHIP AND INNOVATIVE PEDIATRIC RESEARCH AND EDUCATION. FORM 990, PART IV, LINE 12 & PART XII, LINE 2 AUDITED FINANCIAL STATEMENTS: THE ORGANIZATION HAS ANSWERED "NO" TO THE QUESTIONS REGARDING AN AUDIT IN PART XII AND PART IV, LINE 12B. THE ORGANIZATION IS IN THE PROCESS OF AN AUDIT OF THE FINANCIAL STATEMENTS FOR THE YEAR ENDED September 30, 2015. HOWEVER, AT THE TIME OF FILING THIS RETURN, THE AUDIT IS NOT YET COMPLETE. THE ORGANIZATION HAS ATTACHED A COPY OF ITS MOST RECENT FINANCIAL STATEMENTS FOR THE YEAR ENDED September 30, 2014 TO THE FORM 990 AND ANSWERED YES TO PART IV, LINE 20B. 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. ADDITIONALLY, FORMS 990 WILL BE PUBLISHED ON THE ORGANIZATION'S WEBSITE. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT PERSONNEL TOTAL FEES:3444982 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:16231291 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:21959442 El Paso Children's Physician Group 4845 Alameda El Paso TX 79905 455465061 Physician SVS TX 501(C)(3) 3 EPCH true false false false false false false false false false false true false false true false false true true true El Paso children's Physician Group R 1074200 fmv