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        <ExplanationTxt>FACILITY , 1 - EL PASO CHILDREN'S HOSPITAL. BOTH PRIMARY AND SECONDARY DATA WERE COLLECTED TO IDENTIFY HEALTH NEEDS WITHIN THE COMMUNITY. PRIMARY DATA WAS COLLECTED FROM IN-DEPTH INTERVIEWS WITH COMMUNITY LEADERS AND STAKEHOLDERS. EPCH COMMISSIONED IN-DEPTH INTERVIEWS WITH REPRESENTATIVES OF THE COMMUNITY WHO REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS INCLUDING THE DIRECTOR OF THE EL PASO PUBLIC HEALTH DEPARTMENT, THE CEO OF PASO DEL NORTE HEALTH FOUNDATION, AND THE CEO OF THE YWCA EL PASO DEL NORTE REGION. ALL ORGANIZATIONS REPRESENT BOTH THE BROAD INTERESTS AND SPECIFIC POPULATIONS OF THE COMMUNITY. THE INTERVIEWS MEASURED PERSPECTIVES ON A RANGE OF ISSUES THAT AFFECT THE POPULATION'S HEALTH AND WELL-BEING, E.G. LACK OF COMMUNITY RESOURCES, BARRIERS TO HEALTH CARE PROVIDERS, THE IMPACT OF SUCH BARRIERS ON THE COMMUNITY'S MEDICALLY UNDERSERVED, LOW INCOME OR MINORITY POPULATIONS, AND THE SOCIAL DETERMINATES OF HEALTH. THE SECONDARY DATA SOURCE WAS COLLECTED FROM THE GENERAL AND SPECIALTY PEDIATRIC MEDICINE PROVIDERS IN THE COMMUNITY WITH AN ELECTRONIC SURVEY, AS WELL AS DATA COLLECTED USING DATABASES CREATED BY OTHER AGENCIES OR ORGANIZATIONS, TO IDENTIFY HEALTH NEEDS WITHIN THE COMMUNITY.</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>FACILITY , 1 - EL PASO CHILDREN'S HOSPITAL. EPCH IS PROUD TO NOTE THAT IT HAS MADE GREAT STRIDES IN ADDRESSING THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY. THE FOLLOWING AREAS REFLECT RECENT ACCOMPLISHMENTS TO MEET THE HEALTH NEEDS IDENTIFIED IN THE 2024 CHNA. AREAS ADDRESSED: 1) OUTREACH; 2) PROGRAM DEVELOPMENT; 3) COMMUNITY ENGAGEMENT; AND 4) ACCESS TO CARE. OUTREACH: WE CONTINUE TO GROW OUR IMPACT IN THE COMMUNITY ALONGSIDE OUR KEY PARTNERS. EPCH IS CO-LOCATED ON A SHARED CAMPUS WITH UNIVERSITY MEDICAL CENTER OF EL PASO (UMC) AND TEXAS TECH HEALTH EL PASO (TTHEP). EPCH SERVES AS A HOSPITAL DISTRICT MANAGEMENT CONTRACTOR OF UMC, AND PLAYS A KEY ROLE IN THE REGIONAL HEALTHCARE SAFETY NET, PROVIDING PEDIATRIC SPECIALTY CARE TO UNINSURED, UNDERAGED AND MEDICALLY VULNERABLE CHILDREN ON BEHALF OF UMC. TTHEP IS OUR ACADEMIC PARTNER WHO PROVIDE RESEARCH AND EDUCATION FOR FUTURE PEDIATRIC SPECIALISTS THROUGH THEIR MEDICAL SCHOOL AND PHYSICIAN RESIDENCY PROGRAM. EPCH HOSTED 19 CONTINUING MEDICAL EDUCATION (CME) EVENTS AND TWO HEALTH SYMPOSIUMS IN 2024. THE 3RD SYMPOSIUM ON ENDOSCOPIC CRANIOSYNOSTOSIS WAS WELL ATTENDED BY CLINICIANS FROM ALL AROUND THE WORLD, AND INCLUDING SPEAKER EXPERTS FROM ACROSS THE COUNTRY. THE FIRST CARDIAC CONFERENCE TOOK PLACE IN THE SUMMER AND WAS WELL ATTENDING BY LOCAL AND REGIONAL PRACTITIONERS. THREE SCHOOL NURSE FOCUSED CONFERENCES WERE ALSO SPONSORED IN 2025, INCLUDING THE SOUTHWEST SCHOOL NURSE CONFERENCE, THE LAS CRUCES SCHOOL NURSE CONFERENCE AND THE ANNUAL DIABETES CONFERENCE. ALL WERE WELL ATTENDED AND CONTINUE TO GROW IN POPULARITY FOR THE CONTENT PROVIDED BY EPCH SPECIALISTS AND SURGEONS. PROGRAM DEVELOPMENT: EL PASO CHILDREN'S HOSPITAL IS THE FIRST HOSPITAL IN THE REGION TO PROVIDE MULTIDISCIPLINARY CLINICS FOR CHILDREN WITH CHRONIC DISEASES, WHERE PATIENTS CAN SEE SEVERAL SPECIALISTS DURING A SINGULAR VISIT. SOME OF THE MULTIDISCIPLINARY CLINICS HELD IN 2025 INCLUDE: AERODIGESTIVE, ASTHMA, BRACHIAL PLEXUS, CONCUSSION, CRANIAL AND FACIAL, CYSTIC FIBROSIS, HEARING LOSS, KETOGENIC, LIPID, PLAGIOCEPHALY, SCOLIOSIS, SPINA BIFIDA, VASCULAR ANOMALIES. EARLY IN 2025, THE HOSPITAL WAS AWARDED THE PATHWAY TO EXCELLENCE DESIGNATION, ONLY THE SECOND CHILDREN'S HOSPITAL IN TEXAS TO RECEIVE THIS RECOGNITION. ADDITIONALLY, THE PICU COMPLETED THE HEALTHY WORK ENVIRONMENT ASSESSMENT AND WERE GRANTED THE PRESTIGIOUS BEACON AWARD. COMMUNITY ENGAGEMENT: EL PASO CHILDREN'S HOSPITAL IS COMMITTED TO THE COMMUNITY IT SERVES. TRAINING WAS PROVIDED TO SEVERAL SCHOOL DISTRICTS FOR SCHOOL NURSES AND ATHLETIC DIRECTORS. EL PASO CHILDREN'S HOSPITAL PARTNERS WITH NON-PROFIT AND OTHER COMMUNITY ORGANIZATIONS INCLUDING SPONSORSHIP OF COMMUNITY EVENTS WITH A PEDIATRIC FOCUS. EPCH PROVIDED OVER $100,000 IN SPONSORSHIPS AND COMMUNITY OUTREACH BY OUR HOSPITAL TEAM, BRINGING AWARENESS TO OUR RESPONSIBILITY OF CARING FOR THE CHILDREN IN THIS REGION. EPCH FOCUSED HEAVILY ON INFORMING THE COMMUNITY OF OUR NEWEST SERVICES AND LOCATIONS. SOME OF THE ORGANIZATIONS (AND EPCH SPONSORED $)'S INCLUDED, BUT NOT LIMITED TO: A&amp;A ALL THE WAY FOUNDATION ($3,500), BORDER RAC ($2,250), CANDLELIGHTERS ($1,500), CASA ($3,000), EL PASO CENTER FOR CHILDREN ($1,000), EL PASO COMMUNITY FOUNDATION ($1,000), EL PASO PUBLIC LIBRARY ($10,000), LEE &amp; BEULAH MOOR CHILDREN'S HOME ($2,000), MAKE-A-WISH ($15,000), RONALD MCDONALD HOUSE ($3,000), YMCA ($6,500).EL PASO CHILDREN'S HOSPITAL REMAINS A CERTIFIED MEMBER OF THE CHILDREN'S ONCOLOGY GROUP (COG), PROVIDING ACCESS TO LEADING CANCER TREATMENT AND PROTOCOLS. THIS DESIGNATION IMPROVES PATIENT OUTCOMES, REDUCES THE NEED FOR PATIENTS TO SEEK CARE OUT OF TOWN AND PROVIDES ACCESS TO CUTTING EDGE TECHNOLOGIES AND MEDICATIONS FOUND AT LEADING RESEARCH FACILITIES AROUND THE WORLD AND COMPARABLE TO TOP-TIER PEDIATRIC HOSPITALS NATIONALLY. EPCH ALSO REMAINS ONE OF SEVEN HOSPITALS IN TEXAS TO HOLD A LEVEL IV NEONATAL INTENSIVE CARE UNIT (NICU) DESIGNATION. THIS IS THE HIGHEST CLASSIFICATION AVAILABLE, AND ENABLES THE HOSPITAL TO PROVIDE LIFESAVING CARE TO THE MOST CRITICALLY ILL AND PREMATURE INFANTS. ACCESS TO CARE: THE HOSPITAL PROVIDES COMPREHENSIVE PEDIATRIC SERVICES INCLUDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE. THERE ARE OVER 27 PEDIATRIC SUBSPECIALTIES PROVIDING SPECIALIZED SERVICES TO IMPROVE PATIENT OUTCOMES AND ACCESS TO CARE CLOSE TO HOME. WITH THE HELP OF NEUROLOGISTS WHO WERE ONBOARDED IN 2024, THE HOSPITAL HAS GROWN THE SERVICE LINE AND PROVIDED EPILEPSY MONITORING TO OVER 200 PATIENTS. THE EIGHTH FLOOR OF THE HOSPITAL, EXPANDED ITS OFFERINGS AND OPENED AS AN INTERMEDIATE CARE UNIT INCLUDING TWO ROOMS DESIGNED AS AN EPILEPSY MONITORING UNIT (EMU). FOR THE FIRST TIME SINCE THE HOSPITAL OPENED IN 2012, CHILDREN WITH EPILEPSY DID NOT HAVE TO LEAVE EL PASO TO BE ADMITTED INTO AN EMU FOR EVALUATION AND TREATMENT. THE HOSPITAL IS COMMITTED TO THE CONTINUAL GROWTH AND EXPANSION OF THE NEUROSCIENCE PROGRAM TO TREAT PATIENTS WITH VARIOUS NEUROLOGICAL CONDITIONS. OUR NEUROSCIENCE TEAM PARTICIPATES IN VARIOUS MULTIDISCIPLINARY CLINICS INCLUDING THE CRANIAL AND FACIAL CLINIC, WHERE CHILDREN WITH A VARIETY OF CRANIAL AND FACIAL MALFORMATIONS COME FROM AROUND THE WORLD TO RECEIVE SURGICAL REPAIR FOR VARIOUS CONDITIONS INCLUDING A MINIMALLY INVASIVE PROCEDURE FOR CRANIOSYNOSTOSIS. THEY ALSO PROVIDE CARE IN OTHER MULTIDISCIPLINARY CLINICS INCLUDING THE BRACHIAL PLEXUS, SPINA BIFIDA AND SCOLIOSIS CLINICS. IN 2025, THE FIRST STEREO ELECTROENCEPHALOGRAPHY IN THE REGION WAS CONDUCTED. AN ADDITIONAL URGENT CARE CENTER LOCATION WAS ADDED IN EASTLAKE IN JUNE 2025 TO ACCOMMODATE THE GROWTH IN THE EASTSIDE OF EL PASO. THE HOSPITAL WILL CONTINUE TO ENGAGE WITH COMMUNITY STAKEHOLDERS TO FULLY UNDERSTAND THE IMPACT OF ITS WORK IN THE AFOREMENTIONED AREAS AS DESCRIBED IN THE HOSPITAL'S 2024 CHNA. ALL SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2024 CHNA WERE ADDRESSED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>FACILITY , 1 - EL PASO CHILDREN'S HOSPITAL. IF A PATIENT PROVIDES DOCUMENTATION OF THE PATIENT'S CURRENT PARTICIPATION IN TANF, MEDICAID, WIC, OR THE CHILDREN'S HEALTH INSURANCE PROGRAM, EPCH WILL DEEM THE PATIENT'S ANNUAL HOUSEHOLD INCOME TO BE AT OR BELOW 200 PERCENT OF THE FEDERAL POVERTY GUIDELINES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>5</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EL PASO CHILDREN'S MULTISPECIALTY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5400 ALAMEDA AVE</AddressLine1Txt>
            <CityNm>EL PASO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>79905</ZIPCd>
          </USAddress>
          <FacilityTxt>MULTISPECIALTY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EL PASO CHILDREN'S HOSPITAL REHABILITATION SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1223 LEE TREVINO DR</AddressLine1Txt>
            <CityNm>EL PASO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>79907</ZIPCd>
          </USAddress>
          <FacilityTxt>REHABILITATION OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>URGENT CARE CLINIC ZARAGOZA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3260 NORTH ZARAGOZA ROAD</AddressLine1Txt>
            <CityNm>EL PASO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>79938</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE CLINIC (NON EMERGENT)</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>URGENT CARE CLINIC EASTLAKE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>13647 EASTLAKE BOULEVARD</AddressLine1Txt>
            <CityNm>EL PASO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>79928</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE CLINIC (NON EMERGENT)</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EL PASO CHILDREN'S BEHAVIORAL SPECIALISTS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5340 EL PASO DR</AddressLine1Txt>
            <CityNm>EL PASO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>79905</ZIPCd>
          </USAddress>
          <FacilityTxt>BEHAVIORAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 3C FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE</FormAndLineReferenceDesc>
        <ExplanationTxt>-MEDICALLY INDIGENCY -MEDICARE/MEDICAID ENROLLMENT</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 18 BILLING AND COLLECTIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>NEITHER EL PASO CHILDREN'S HOSPITAL, NOR THIRD PARTIES AUTHORIZED BY EL PASO CHILDREN'S HOSPITAL, TAKE ANY EXTRAORDINARY COLLECTION ACTIONS AGAINST A PATIENT UNLESS UNTIL REASONABLE EFFORTS ARE TAKEN TO DETERMINE THE ELIGIBILITY OF THE PATIENT FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE PROGRAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7 BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION</FormAndLineReferenceDesc>
        <ExplanationTxt>6451569</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. WORKSHEET 5 WAS COMPUTED USING THE TEXAS SUPPLEMENTAL SURVEY AND WORKSHEET 8 WAS COMPLETED USING THE HOSPITAL'S INTERNAL ACCOUNTING SYSTEM FOR TRACKING DONATED TIME TO PUBLIC SERVICE AND ACTUAL DONATIONS PAID.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE IS THE DIFFERENCE BETWEEN STANDARD RATES, OR CONTRACTED RATES, AND THE AMOUNTS EXPECTED TO BE RECEIVED FROM A THIRD PARTY PAYOR, AFTER ALL REASONABLE EFFORTS TO COLLECT HAVE BEEN COMPLETED. BAD DEBT EXPENSE IS CALCULATED AS THE CHARGES WRITTEN OFF LESS ANY INDIRECT FUNDS RECEIVED TO OFFSET CHARGES WRITTEN OFF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ESTIMATED THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE CHARITY CARE POLICY AT ABOUT 12.5%.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE</FormAndLineReferenceDesc>
        <ExplanationTxt>NOT APPLICABLE DUE TO THE ADOPTION OF ASU TOPIC 606 REVENUE FROM CONTRACTS WITH CUSTOMERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT &amp; METHODOLOGY FOR DETERMINING MEDICARE COSTS</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>EPCH HAS A FORMAL WRITTEN COLLECTIONS POLICY. THIS POLICY OUTLINES THE HOSPITAL'S COLLECTION PRACTICES. IF EPCH IDENTIFIES THAT A PATIENT MAY BE INDIGENT, ACCOUNTS ARE REVIEWED FOR POSSIBLE CONSIDERATION AS A CHARITY CASE. THIS REVIEW MAY OCCUR AT ANY TIME DURING THE COLLECTION PROCESS. EPCH INFORMS PATIENTS THAT NONPAYMENT OF A BILL RESULTS IN THE REFERRAL OF THE PATIENT'S ACCOUNT TO BAD DEBT AT 120 DAYS FROM THE DATE EPCH PROVIDED THE FIRST POST-DISCHARGE BILLING STATEMENT FOR THE CARE. UNDER THE POLICY, PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE PROGRAM UP TO 270 DAYS FROM THE DATE EPCH PROVIDED THE FIRST POST-DISCHARGE BILLING STATEMENT FOR THE CARE, EVEN IF THE ACCOUNT IS IN BAD DEBT. 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. ANY EXTRAORDINARY COLLECTIONS ACTIONS WILL BE IMMEDIATELY SUSPENDED UPON RECEIVING A FINANCIAL ASSISTANCE APPLICATION, OR, IF THERE IS REASON TO BELIEVE A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE PROGRAM WITHIN THE 270-DAY TIME PERIOD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE</FormAndLineReferenceDesc>
        <ExplanationTxt>- EL PASO CHILDREN'S HOSPITAL: LINE 16A URL: HTTPS://ELPASOCHILDRENS.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCE/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE</FormAndLineReferenceDesc>
        <ExplanationTxt>- EL PASO CHILDREN'S HOSPITAL: LINE 16B URL: HTTPS://ELPASOCHILDRENS.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCE/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE</FormAndLineReferenceDesc>
        <ExplanationTxt>- EL PASO CHILDREN'S HOSPITAL: LINE 16C URL: HTTPS://ELPASOCHILDRENS.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCE/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>EL PASO CHILDREN'S HOSPITAL INFORMS AND NOTIFIES PATIENTS AND THE PUBLIC ABOUT THE FINANCIAL ASSISTANCE PROGRAM THROUGH CONSPICUOUS PUBLIC DISPLAYS AND SIGNAGE. SIGNAGE IS PROMINENTLY DISPLAYED IN ALL REGISTRATION AREAS SERVICED BY THE HOSPITAL, TO INCLUDE THE EMERGENCY DEPARTMENT AND ALL HOSPITAL-BASED OUTPATIENT LOCATIONS. THE SIGNAGE INFORMS PATIENTS AND THE PUBLIC HOW TO APPLY, AS WELL AS HOW TO SEEK OUT ADDITIONAL INFORMATION REGARDING THE PROGRAM. A VARIETY OF LANGUAGE SERVICES ARE AVAILABLE UPON PATIENTS' REQUEST. THE HOSPITAL'S FINANCIAL ASSISTANCE APPLICATION AND THE PLAIN LANGUAGE SUMMARY ARE AVAILABLE IN BOTH PROMINENT LANGUAGES FOR OUR SERVICE AREA (ENGLISH AND SPANISH). THE PROGRAM'S DOCUMENTS ARE MADE PUBLICALY AVAILABLE ON THE HOSPITAL'S PUBLIC WEBSITE (HTTPS://ELPASOCHILDRENS.ORG/PATIENT-RESOURCES/). THE HOSPITAL ALSO MAKES PAPER COPIES OF THESE DOCUMENTS AVAILABLE UPON REQUEST AND WITHOUT CHARGE, BOTH AT THE HOSPITAL, AND BY MAIL. ADDITIONALLY, THE HOSPITAL PUBLISHES THIS INFORMATION ON PATIENT GUARANTOR STATEMENTS. THE POSTED POLICY, AS WELL AS THE POSTED PLAIN LANGUAGE SUMMARY, DIRECTS PATIENTS ON WHO TO CONTACT AND WHAT INFORMATION IS NEEDED TO APPLY FOR FINANCIAL ASSISTANCE. ADDITIONALLY, PATIENTS WITHOUT THIRD PARTY INSURANCE RECEIVE INFORMATION FROM THE PATIENT ACCESS ELIGIBILITY SPECIALISTS, DURING THEIR INPATIENT ADMISSION STAY, REGARDING THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CITY OF EL PASO, TEXAS IS LOCATED IN FAR WEST TEXAS IN AN AREA KNOWN AS THE "BORDERPLEX." THE BORDERPLEX ENCOMPASSES THREE MAJOR CITIES: CIUDAD JUAREZ (MEXICO), LAS CRUCES (NEW MEXICO) AND EL PASO (TEXAS). EL PASO IS LESS RACIALLY DIVERSE THAN THE STATE OF TEXAS OVERALL, WITH AN 83% HISPANIC POPULATION IN COMPARISON TO 39% IN TEXAS. MEDIAN HOUSEHOLD INCOME FOR EL PASO IS $55,417, WHILE TEXAS IS $73,035. THE LOW MEDIAN HOUSEHOLD INCOME CONTRIBUTES TO A LARGE PERCENTAGE OF THE POPULATION REQUIRING GOVERNMENT ASSISTANCE, AND ATTRIBUTES TO 61% OF EL PASO CHILDREN'S HOSPITAL PATIENTS RECEIVING MEDICAID IN FY2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>EL PASO CHILDREN'S HOSPITAL CONTINUES TO FURTHER ITS MISSION TO ENHANCE THE LIVES OF CHILDREN FROM THE GREATER EL PASO AREA AND SURROUNDING REGION BY PROVIDING A PLACE OF HOPE AND HEALING THROUGH UNMATCHED EXCELLENCE IN PEDIATRIC PATIENT CARE, RESEARCH, AND EDUCATION. THESE EFFORTS ARE EVIDENCED BY THE ENGAGEMENT WITH THE COMMUNITY IN VARIETY WAYS. IN ADDITION TO THE INFORMATION SUPPLIED IN OTHER SECTIONS OF THIS DOCUMENT, THE FOLLOWING ARE EXAMPLES OF THE HOSPITAL'S ONGOING COMMITMENT TO ITS COMMUNITY. PROVIDER ENGAGEMENT AND EDUCATION: EFFORTS TO COMMUNICATE WITH COMMUNITY PHYSICIANS WITHIN THE EPCH'S SERVICE AREA EXPANDED THROUGHOUT THE CALENDAR YEAR. DEDICATED EFFORTS WERE MADE TO REACH ADDITIONAL PHYSICIANS, HOSPITAL LEADERS, AND CLINICAL TEAMS IN THE SECONDARY SERVICE AREAS TO SHARE INFORMATION ON SERVICE LINE GROWTH AND NEW PEDIATRIC SUBSPECIALISTS. EPCH HOSTED 19 CONTINUING MEDICAL EDUCATION (CME) EVENTS AND TWO HEALTH SYMPOSIUMS IN 2024. THE 3RD SYMPOSIUM ON ENDOSCOPIC CRANIOSYNOSTOSIS WAS WELL ATTENDED BY CLINICIANS FROM ALL AROUND THE WORLD, AND INCLUDING SPEAKER EXPERTS FROM ACROSS THE COUNTRY. THE FIRST CARDIAC CONFERENCE TOOK PLACE IN THE SUMMER AND WAS WELL ATTENDING BY LOCAL AND REGIONAL PRACTITIONERS. ALL WERE WELL ATTENDED AND CONTINUE TO GROW IN POPULARITY FOR THE CONTENT PROVIDED BY EPCH SPECIALISTS AND SURGEONS. 2) SCHOOL DISTRICT ENGAGEMENT: THE HOSPITAL ALSO COLLABORATED WITH SEVERAL LOCAL SCHOOL DISTRICTS THROUGHOUT CY2025 BY OFFERING EDUCATION ON A VARIETY OF PEDIATRIC AND ADOLESCENT SPECIFIC HEALTH RISKS AND CONDITIONS TO ATHLETIC DIRECTORS, SCHOOL NURSES, AND TEACHERS. THREE SCHOOL NURSE FOCUSED CONFERENCES WERE ALSO SPONSORED IN 2025, INCLUDING THE SOUTHWEST SCHOOL NURSE CONFERENCE, THE LAS CRUCES SCHOOL NURSE CONFERENCE AND THE ANNUAL DIABETES CONFERENCE. EXPANDING OUR FOOTPRINT IN THE BORDERLAND WOULDN'T BE POSSIBLE WITHOUT DEEPENING KEY RELATIONSHIPS WITH THE COUNTY OF EL PASO, CITY OF EL PASO AND ALL AREA SCHOOL DISTRICTS. EPCH IS COMMITTED TO EXPANDING PARTNERSHIPS, EDUCATION OPPORTUNITIES, RECRUITMENT OF SPECIALISTS AND SURGEONS, AND GROWING AND DEVELOPING PROGRAMS AND SERVICES TO IMPROVE HEALTH OUTCOMES FOR CHILDREN. EPCH IS ALSO DEDICATED TO SERVING THE GREATER EL PASO REGION BY SERVING AS A RESOURCE FOR COMMUNITY PARTNERS, GOVERNMENTAL ENTITIES, ACADEMIC PARTNERS, PHYSICIANS AND PROVIDERS AND RURAL HOSPITALS TO ENSURE ALL CHILDREN HAVE ACCESS TO STATE OF THE ART CARE. 3) PUBLIC ENGAGEMENT AND AWARENESS: THE HOSPITAL MADE GREAT STRIDES IN THE PROMOTION OF PUBLIC HEALTH AWARENESS CAMPAIGNS THROUGHOUT CY2025 BY WAY OF HEALTH FAIRS, PUBLIC ANNOUNCEMENTS, AND THROUGH VARIOUS MEDIA OUTLETS. THROUGH SOCIAL MEDIA POSTS AND LOCAL MEDIA BROADCASTS, THE HOSPITAL HIGHLIGHTED SEGMENTS TO DISCUSS SIGNS, SYMPTOMS, AND TREATMENT OPTIONS OF VARIOUS PEDIATRIC HEALTH CONDITIONS. THESE SEGMENTS WERE HOSTED BY EPCH-CREDENTIALED MEDICAL STAFF PROVIDERS, AS WELL AS KEY EPCH STAFF, WHO ARE SUBJECT MATTER EXPERTS IN THEIR RESPECTIVE FIELDS. IN SOME CASES, THE HOSPITAL COLLABORATED WITH OTHER NON-PROFIT GROUPS TO FURTHER ITS MESSAGE, ENSURING THE INFORMATION WOULD REACH THOSE THAT WOULD BENEFIT MOST. IN THE 2021 EPCH CHNA, THE EPCH EMPOWER PROGRAM WAS LAUNCHED TO SUPPORT CHILDREN IN OUR COMMUNITY STRUGGLING WITH OBESITY, PRE-DIABETES, AND TYPE 2 DIABETES. IN 2022, THE PROGRAM GREW AND STARTED THE AREA'S FIRST TEACHING KITCHEN, WHERE LIVE, IN-PERSON AND VIRTUAL COOKING CLASSES, DESIGNED TO HELP FAMILIES WITH OBESE, PRE-DIABETIC AND DIABETIC CHILDREN BENEFITED FROM LEARNING FUN WAYS TO COOK HEALTHY FOOD. THE TEACHING KITCHEN WAS OPENED IN PARTNERSHIP WITH DOWNTOWN EL PASO LIONS CLUB AND THE EL PASO COMMUNITY COLLEGE CULINARY ARTS PROGRAM. OUR PARTNERS PROVIDE THE INGREDIENTS FOR EACH CLASS, INCLUDING PARTICIPANTS ATTENDING CLASSES REMOTELY, THROUGH THE KELLY FOOD BANK. THE PROGRAM PROVIDES FAMILIES HANDS-ON TRAINING AND NORMALIZES HEALTHY EATING FOR AT-RISK PATIENTS. IN 2025, THE EMPOWER PROGRAM HAS ASSISTED MORE THAN 1,000 CHILDREN AND THEIR FAMILIES, AND ITS IMPACT ON CHILDHOOD OBESITY, PRE-DIABETES, AND TYPE 2 DIABETES CONTINUES TO GROW. ADDITIONALLY, EPCH CONTINUED ITS PARTNERSHIP WITH THE EL PASOANS FIGHTING HUNGER FOOD BANK TO PROVIDE EMPOWER PROGRAM PATIENTS EXPERIENCING FOOD INSECURITY ACCESS TO THE EL PASOANS FIGHTING HUNGER FOOD FARMACY, WHERE THEY RECEIVE FRESH PRODUCE AND HEALTHY DRY FOODS WEEKLY. 4) COMMUNITY REPRESENTATION: ANOTHER WAY THE HOSPITAL CONTINUES TO PROMOTE HEALTH IN THE LARGER COMMUNITY IS THROUGH THE MEMBERS OF ITS GOVERNING BOARD, THE EPCH BOARD OF DIRECTORS. THE EPCH BOARD OF DIRECTORS IS COMPRISED OF INDIVIDUALS WHO RESIDE IN THE GREATER EL PASO COMMUNITY AND ARE NOT EMPLOYED BY THE HOSPITAL. THREE OF THE MEMBERS ARE COMMUNITY MEMBERS, ONE IS A COMMUNITY PEDIATRIC PHYSICIAN, AND FOUR ARE APPOINTED BY THE EL PASO COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. PRIVILEGES ARE GRANTED IN ACCORDANCE WITH MEDICAL STAFF BYLAWS. MOREOVER, EPCH PROVIDED OVER $100,000 IN SPONSORSHIPS AND COMMUNITY OUTREACH BY OUR HOSPITAL TEAM, BRINGING AWARENESS TO OUR RESPONSIBILITY OF CARING FOR THE CHILDREN IN THIS REGION. EPCH FOCUSED HEAVILY ON INFORMING THE COMMUNITY OF OUR NEWEST SERVICES AND LOCATIONS. SOME OF THE ORGANIZATIONS EPCH PARTNERED WITH AND SPONSORED INCLUDE SEVERAL NON-PROFIT AGENCIES THROUGHOUT THE YEAR, INCLUDING THE MAKE A WISH FOUNDATION, THE CANDLELIGHTERS, THE LEE &amp; BEULAH MOOR CHILDREN'S HOME, THE EL PASO COUNTY MEDICAL SOCIETY, THE EL PASO PUBLIC LIBRARIES, AND THE JUNIOR LEAGUE OF EL PASO. 5) RESEARCH: THE HOSPITAL FURTHERS ITS COMMITMENT TO RESEARCH THROUGH ITS CONTINUED PARTNERSHIP WITH CHILDREN'S ONCOLOGY GROUP (COG), AS AN ACTIVE SITE FOR COG CLINICAL TRIALS FOR MANY TYPES OF CHILDHOOD CANCERS. THESE STUDIES ARE AIMED AT DETERMINING THE UNDERLYING BIOLOGY OF THESE DISEASES, AND TRIALS INVOLVING NEW AND EMERGING TREATMENTS, SUPPORTIVE CARE, AND SURVIVORSHIP. THIS PARTNERSHIP HAS BENEFITED MANY EL PASO CHILDREN TO REMAIN CLOSE TO THEIR FAMILY WHILE RECEIVING TREATMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM</FormAndLineReferenceDesc>
        <ExplanationTxt>EL PASO CHILDREN'S HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. HOWEVER, THE HOSPITAL IS CO-LOCATED WITH THE EL PASO COUNTY HOSPITAL DISTRICT D/B/A UNIVERSITY MEDICAL CENTER OF EL PASO ("UMC"). ALTHOUGH THERE IS NO COMMON GOVERNANCE BETWEEN EL PASO CHILDREN'S HOSPITAL AND UMC, THE HOSPITAL COOPERATES WITH UMC IN PROVIDING HEALTH CARE SERVICES TO THE COMMUNITY. SPECIFICALLY, EL PASO CHILDREN'S HOSPITAL SERVES AS A HOSPITAL DISTRICT MANAGEMENT CONTRACTOR OF UMC, SERVING PEDIATRIC PATIENTS WITHIN EL PASO COUNTY ON BEHALF OF UMC. THIS PARTNERSHIP EXTENDS TO ALL PEDIATRIC SERVICES, INCLUDING PATIENTS THAT ARE ORIGINALLY TREATED AT UMC. FOR EXAMPLE, UMC HAS THE AREA'S ONLY LEVEL I TRAUMA DESIGNATION AND THE HOSPITAL ROUTINELY TREATS PEDIATRIC TRAUMA PATIENTS THAT ARE INITIALLY TAKEN TO UMC. SIMILARLY, THE HOSPITAL RECEIVES NEONATAL PATIENTS INITIALLY BORN AT UMC</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>TX</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <GrantRecordsMaintainedInd>false</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YSLETA INDEPENDENT SCHOOL DISTRICT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9600 SIMS DR</AddressLine1Txt>
          <CityNm>EL PASO</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>79925</ZIPCd>
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        <RecipientEIN>746002473</RecipientEIN>
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        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2 NEW PROGRAM SERVICES</FormAndLineReferenceDesc>
        <ExplanationTxt>ON JUNE 30, 2025, EL PASO CHILDREN'S HOSPITAL OPENED ITS SECOND URGENT CARE CENTER IN THE EASTLAKE COMMUNITY. WITHIN THE FIRST MONTH OF OPERATION, THE CENTER WAS SERVING MORE THAN TEN PATIENTS PER DAY, GIVING FAMILIES GREATER ACCESS THAN EVER TO TIMELY PEDIATRIC CARE. WITH TWO URGENT CARE CENTERS NOW IN OPERATION, EACH LOCATION IS THOUGHTFULLY DESIGNED WITH THE SAME WELCOMING LAYOUT AND FAMILIAR FEATURES, ENSURING CHILDREN AND THEIR FAMILIES FEEL COMFORTABLE AND AT EASE REGARDLESS OF WHICH CENTER THEY VISIT. OUR URGENT CARE CENTERS SERVE AS ENTRY POINTS TO THE FULL CONTINUUM OF CARE AT EL PASO CHILDREN'S HOSPITAL. THROUGH INTEGRATED MEDICAL RECORDS, PROVIDERS CAN COORDINATE SEAMLESSLY WITH SPECIALISTS ACROSS THE ORGANIZATION. FOR EXAMPLE, A CHILD TREATED FOR A FRACTURE IN ONE OF OUR URGENT CARE CENTERS CAN BE DIRECTLY CONNECTED TO OUR ORTHOPEDIC SURGEONS AND OTHER SPECIALTY SERVICES WITHOUT DELAY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE CORPORATE MEMBER OF THE HOSPITAL IS UNIVERSITY MEDICAL CENTER OF EL PASO (UMC).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY</FormAndLineReferenceDesc>
        <ExplanationTxt>UMC HAS THE POWER TO NOMINATE AND APPROVE FOUR OF THE NINE BOARD MEMBERS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS</FormAndLineReferenceDesc>
        <ExplanationTxt>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. ANY AMENDMENT OF THE BYLAWS REQUIRES APPROVAL OF UMC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. PRIOR TO FILING WITH THE IRS, THE ORGANIZATION'S ACCOUNTING STAFF AND CFO REVIEW THE RETURN. THE RETURN IS REVIEWED BY THE BOARD FINANCE COMMITTEE AND APPROVED BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS RECEIVE A FULL COPY OF THE FORM 990 PRIOR TO SUBMISSION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>EPCH ADDRESSES POTENTIAL CONFLICTS OF INTEREST THROUGH A WRITTEN HOSPITAL POLICY AND BOARD BYLAWS PROVISIONS ("GOVERNING DOCUMENTS"). THE HOSPITAL REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE IN ACCORDANCE WITH THESE GOVERNING DOCUMENTS. THE HOSPITAL'S COMPLIANCE OFFICER HAS IMPLEMENTED A PROCESS WHICH REQUIRES ALL EPCH OFFICERS, BOARD MEMBERS, DIRECTORS, KEY EMPLOYEES, AND MEMBERS OF MEDICAL STAFF (ALL COLLECTIVELY REFERRED TO AS "AFFECTED INDIVIDUALS") TO CERTIFY VIA AN ONLINE QUESTIONNAIRE ("CERTIFICATION FORMS") OF ALL CURRENT OR POTENTIAL SUBSTANTIAL FINANCIAL OR MATERIAL INTEREST IN ANY BUSINESS INVOLVING EPCH. THE PROCESS REQUIRES THE AFFECTED INDIVIDUALS TO ELECTRONICALLY ACKNOWLEDGE THE HOSPITAL POLICY. THE GOVERNING DOCUMENTS AND THE CERTIFICATION FORMS ALSO ADDRESSES OUTSIDE INTERESTS AND RELATIONSHIPS, GIFTS, RESEARCH, AND CONFIDENTIAL INFORMATION. EACH AFFECTED INDIVIDUAL COMPLETES THIS PROCESS 1) AT THE BEGINNING OF THE EMPLOYMENT RELATIONSHIP FOR DIRECTORS AND KEY EMPLOYEES, 2) AT THE BEGINNING OF APPOINTMENT FOR OFFICERS AND BOARD MEMBERS, 3) DURING CREDENTIALING AND RECREDENTIALING FOR MEDICAL STAFF MEMBERS, 4) AT ANY TIME A POTENTIAL OR APPARENT CONFLICT OF INTEREST ARISES FOR ANY IMPACTED INDIVIDUAL, AS WELL AS 5) ANNUALLY (CY) VIA THE ONLINE CERTIFICATION FORMS. THE COMPLIANCE OFFICER REVIEWS WITH THE CEO AND LEGAL COUNSEL ANY CONFLICT OF INTEREST CERTIFICATION FORMS THAT IDENTIFY POTENTIAL CONFLICTS. THE COMPLIANCE OFFICER MAY ASK THE INTERESTED PERSON TO DISCUSS THE TRANSACTION IN ORDER TO OBTAIN FURTHER DETAILS. THE COMPLIANCE OFFICER MAY, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO ANY TRANSACTION OR ARRANGEMENT AND DETERMINES WHETHER THE HOSPITAL CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A CONFLICT IS FOUND TO EXIST WITH A BOARD MEMBER, THE CONFLICTED BOARD MEMBER IS PROHIBITED FROM PARTICIPATING IN GOVERNING BODY DELIBERATIONS AND DECISIONS IN THE TRANSACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL</FormAndLineReferenceDesc>
        <ExplanationTxt>AS A NONPROFIT ORGANIZATION, EL PASO CHILDREN'S HOSPITAL RECOGNIZES THE FIDUCIARY RESPONSIBILITY ENTRUSTED TO OUR LEADERSHIP TO ENSURE THAT COMPENSATION PRACTICES ARE TRANSPARENT, JUSTIFIABLE, AND ALIGNED WITH OUR MISSION AND PUBLIC TRUST. THE BOARD OF DIRECTORS AND THE CHIEF EXECUTIVE OFFICER ARE COMMITTED TO MAINTAINING COMPENSATION STRUCTURES THAT REFLECT BOTH STEWARDSHIP OF RESOURCES AND THE NEED TO ATTRACT AND RETAIN QUALIFIED LEADERSHIP AND STAFF. TO SUPPORT THIS COMMITMENT, AND IN ACCORDANCE WITH GOVERNANCE BEST PRACTICES, THE BOARD OF DIRECTORS ENGAGES GALLAGHER HHRC, A NATIONALLY RECOGNIZED FIRM SPECIALIZING IN HEALTHCARE ADMINISTRATION COMPENSATION VALUATION, TO CONDUCT AN INDEPENDENT ANNUAL EVALUATION OF THE CHIEF EXECUTIVE OFFICER'S COMPENSATION. THIS ANNUAL INDEPENDENT ASSESSMENT HELPS ENSURE THAT COMPENSATION IS REASONABLE AND CONSISTENT WITH COMPARABLE POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THE CHIEF EXECUTIVE OFFICER, USING THE SAME FIRM, CONDUCTS AN ANNUAL REVIEW OF COMPENSATION FOR ALL OTHER EXECUTIVE OFFICERS. THESE EVALUATIONS ARE PART OF A STRUCTURED PROCESS THAT REINFORCES OBJECTIVITY, FAIRNESS, AND MARKET ALIGNMENT. CONSISTENT WITH ITS FIDUCIARY DUTIES, THE BOARD OF DIRECTORS IS SOLELY RESPONSIBLE FOR APPROVING THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER. THE CHIEF EXECUTIVE OFFICER, IN TURN, SUPPORTED BY THE HUMAN RESOURCES DEPARTMENT, EXERCISES FIDUCIARY OVERSIGHT IN REVIEWING AND APPROVING COMPENSATION FOR ALL OTHER POSITIONS ACROSS THE ORGANIZATION. IN ADDITION TO EXECUTIVE COMPENSATION EVALUATIONS, THE ORGANIZATION REGULARLY CONDUCTS MARKET ANALYSES OF COMPENSATION FOR OTHER POSITIONS, INCLUDING THOSE HELD BY KEY EMPLOYEES, TO ENSURE ONGOING COMPETITIVENESS, EQUITY, AND ALIGNMENT WITH THE ORGANIZATION'S MISSION-DRIVEN GOALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A BOARD-APPROVED POLICY FOR CONDUCTING ANNUAL COMPENSATION REVIEWS, WHICH APPLIES TO THE CEO AND OTHER EXECUTIVE OFFICERS. IN ADDITION, AN INDEPENDENT VALUATION FIRM PROVIDES ANNUAL COMPENSATION RECOMMENDATIONS FOR THE CEO AND OTHER OFFICERS, AS MORE FULLY DESCRIBED IN THE DISCLOSURE ABOVE TO FORM 990, PART VI, LINE 15A.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION FURNISHES COPIES OF ANY DOCUMENTS REQUIRING LEGAL DISCLOSURE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G OTHER FEES</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT PERSONNEL - TOTAL EXPENSE: 1232358, PROGRAM SERVICE EXPENSE: 1135055, MANAGEMENT AND GENERAL EXPENSES: 97303, FUNDRAISING EXPENSES: ; PURCHASED SERVICES - TOTAL EXPENSE: 25471536, PROGRAM SERVICE EXPENSE: 23460393, MANAGEMENT AND GENERAL EXPENSES: 2011143, FUNDRAISING EXPENSES: ; PROFESSIONAL FEES - TOTAL EXPENSE: 29397699, PROGRAM SERVICE EXPENSE: 29397699, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN INTEREST IN NET ASSETS OF EPC FOUNDATION - 443428; PRIOR PERIOD ADJUSTMENT - -385861; TOTAL - 57567;</ExplanationTxt>
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