2024-08-15T12:54:18-05:00 2023-09-30 Forvis Mazars LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2022-10-01 263075429 El Paso Children's Hospital Corporation % OMAR GARZA ELPA 9152428428 4845 Alameda Ave El Paso TX 79905 Omar Garza CFO 9152985444 2024-08-15 true Jeanette Verrelli P00742631 9727028262 2022 2024-08-08 14:25:15Z EL PASO CHILDREN'S HOSPITAL CINDY STOUT 4845 ALAMEDA AVE EL PASO TX 79905 207416360 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 8 1025 9 0 0 5155488 2887471 159163994 204382571 0 146318 0 0 164319482 207416360 20000 134740 0 0 60866813 73365942 0 0 0 96183373 103376939 157070186 176877621 7249296 30538739 79328858 204290550 57136849 149562570 22192009 54727980 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 165019566 134740 204382571 EL PASO CHILDREN'S HOSPITAL IS THE ONLY NOT-FOR-PROFIT CHILDREN'S HOSPITAL TO SERVICE OVER 350 MILES OF THE SOUTHWEST REGION. OUR PROGRAMS NOT ONLY HELP IMPROVE CHILDREN'S HEALTH OUTCOMES, BUT GIVE PHYSICIANS AND PROVIDERS THE RESOURCES TO CARE FOR THE GROWING NUMBER OF CHILDREN IN EL PASO COUNTY WHO ARE 17 YEARS OLD AND UNDER - 230,000 AT LAST COUNT. THE HOSPITAL PROVIDES PEDIATRIC INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. WE ARE CERTIFIED BY THE CHILDREN'S ONCOLOGY GROUP. THIS MEMBERSHIP MAKES IT POSSIBLE FOR US TO PROVIDE THE SAME TREATMENTS AS ANY OF THE MOST PRESTIGIOUS CHILDREN'S HOSPITALS IN THE NATION. WE ARE ALSO ONE OF ONLY SEVEN TEXAS HOSPITALS WITH A LEVEL IV NEONATAL INTENSIVE CARE UNIT ("NICU") DESIGNATION. THIS STATE DESIGNATION RECOGNIZES AND ALLOWS THE HOSPITAL TO PROVIDE THE HIGHEST LEVEL OF NICU SERVICES TO OUR PATIENTS. 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. EL PASO CHILDREN'S HOSPITAL ALSO WORKS IN CLOSE PARTNERSHIP WITH THE EL PASO COUNTY HOSPITAL DISTRICT D/B/A UNIVERSITY MEDICAL CENTER OF EL PASO ("UMC"). THE TWO HOSPITALS ARE CO-LOCATED AND ON THE SAME LARGER CAMPUS WITH TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER. EL PASO CHILDREN'S HOSPITAL SERVES AS A HOSPITAL DISTRICT MANAGEMENT CONTRACTOR OF UMC, PLAYING A VITAL ROLE IN THE HEALTHCARE SAFETY NET THROUGH THE PROVISION OF PEDIATRIC SPECIALTY HEALTH CARE SERVICES THAT BENEFIT THE INDIGENT, UNINSURED, AND UNDERINSURED PEDIATRIC POPULATION IN EL PASO COUNTY ON BEHALF OF UMC. THE HOSPITAL IS COMMITTED TO PROVIDING SERVICES TO LOW-INCOME INDIVIDUALS WHO ARE NEITHER ENTITLED TO BENEFITS UNDER MEDICARE NOR ELIGIBLE FOR ASSISTANCE UNDER MEDICAID. THE HOSPITAL HAS 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. 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. THE HOSPITAL'S DEVELOPMENT APPROACH WAS REEVALUATED IN 2022 AS PEOPLE RETURNED TO THEIR OFFICES. IT WAS A YEAR OF RECOVERY FOR ALL OF US. THIS MEANT RECONNECTING WITH PHYSICIANS AND OTHER PARTNERS. THE HOSPITAL BROUGHT IN SIX NEW, HIGHLY SPECIALIZED PROVIDERS. THIS WAS A BIG WIN FOR BOTH THE HOSPITAL AND OUR PATIENTS. THE HOSPITAL INVESTED OVER TEN MILLION DOLLARS IN 2022 IN CAPITAL INVESTMENTS FOR NEW EQUIPMENT. SOME OF THE KEY STATISTICS FOR 2022 INCLUDE: -759 EMPLOYEES -450 CREDENTIAL MEDICAL STAFF -4,357 ADMISSIONS -AVERAGE DAILY CENSUS OF 66.6 -24,294 PATIENT DAYS -27,347 EMERGENCY DEPARTMENT VISITS -5,068 OPERATIONS AND PROCEDURES (SURGICAL AND ENDOSCOPY) -60,010 OUTPATIENT VISITS 165019566 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 true false true false false false false false false false true true false false false false true true true false false true 94 0 true 1025 true false false false false false false false false false false false false X 9 8 false false false false true true true true true false false true true true true true true true true false X OMAR GARZA 9152985444 4845 ALAMEDA AVE EL PASO TX 79905 X Cindy Stout CHIEF EXECUTIVE OFFICER 39.0 1.0 X 489439 0 31444 JOHN RUNKLES CHIEF OPERATING OFFICER 39.0 1.0 X 313089 0 22965 OMAR GARZA CHIEF FINANCIAL OFFICER 39.0 1.0 X 302035 0 22824 ROXANNE WEISENDANGER CHIEF NURSING OFFICER 39.0 1.0 X 265521 0 19534 LAUREL HUSTON CHIEF LEGAL OFFICER 39.0 1.0 X 267670 0 16226 SERGIO E CARRILLO JR REGISTERED NURSE 48.0 0.0 X 264296 0 5816 Charlene D Applegate Charge RN Medsurg 36.0 0.0 X 209475 0 13573 Luis Veloz Registered Nurse 49.0 0.0 X 194599 0 3953 Javier Saenz GENERAL COUNSEL 39.0 1.0 X 173831 0 8192 Zulema S Gomez Registered Nurse Medsurg 36.0 0.0 X 171257 0 2235 DR ISELA IBARRA DIRECTOR 2.0 0.0 X 0 0 0 STEVE ANDERSON Vice-Chair 4.0 0.0 X X 0 0 0 Steve Degroat Board Chair 2.0 0.0 X X 0 0 0 Elsa Borrego Secretary 0.5 0.0 X X 0 0 0 Jose F Cardenas Director 2.0 0.0 X 0 0 0 Cindy Lyons Fields Director 1.0 0.0 X 0 0 0 Pat Gordon Director 1.0 0.0 X 0 0 0 Amy Ross Director 2.0 0.0 X 0 0 0 Miguel Fernandez DIRECTOR END: 3/23 1.0 0.0 X 0 0 0 F James Volk Director Start: 3/23 1.0 0.0 X 0 0 0 2651212 0 146762 101 false true false UMC of El Paso 4815 Alameda Avenue EL PASO TX 79905 ADMINISTRATIVE SVCS 32015875 TTUHSC 5001 EL PASO DR EL PASO TX 79905 CLINICAL SERVICES 11583088 AYA HEALTHCARE INC PO BOX 123519 DALLAS TX 753123519 CONTRACT LABOR 1608857 QUANTUM PLUS LLC PO BOX 634850 CINCINNATI OH 452634850 CLINICAL SERVICES 1346358 ROBERTO CANALES MD PA 1733 CURIE DR STE 103 EL PASO TX 79902 CLINICAL SERVICES 1309959 38 1290094 1597377 1072943 2887471 Patient Service Revenue 621110 174059662 174059662 Supplemental Medicaid Revenue 900099 2346354 2346354 EHR Incentive Revenue 900099 27976555 27976555 204382571 146318 146318 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207416360 204382571 146318 X 134740 134740 0 0 0 1927857 1927857 0 58827274 55813872 3013402 3039650 2843911 195739 4937665 4604214 333451 4633496 4263975 369521 0 658223 658223 190210 190210 0 0 0 44083019 42238983 1844036 928620 854563 74057 141855 130542 11313 201448 185383 16065 0 8867230 8160070 707160 312015 287132 24883 0 66993 61650 5343 1392859 1392859 0 3863658 3583789 279869 1345963 1238623 107340 MEDICAL/SURGICAL SUPPLIES 29111761 29111761 LPPF FEES 7490942 6893541 597401 BAD DEBTS 3351274 3351274 DUES & SUBSCRIPTIONS 1096258 1008832 87426 274611 252711 21900 176877621 165019566 11858055 0 24739927 33538523 0 4199628 0 0 23641135 24932530 0 0 0 0 0 0 1884031 1610925 780410 1651765 32617279 12365711 13334530 20251568 0 0 0 0 0 0 4557000 4557000 10391825 113548611 79328858 204290550 16973092 20633338 0 0 0 0 0 0 0 0 0 0 1991473 1387495 0 0 38172284 127541737 57136849 149562570 X 14978343 45517078 7213666 9210902 22192009 54727980 79328858 204290550 X 30538739 1997232 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 27969 27969 false SCHEDULE C, PART II-B, LINE 1 OTHER ACTIVITIES: THE HOSPITAL PAYS DUES TO THE TEXAS HOSPITAL ASSOCIATION AND NACH, A PERCENTAGE OF WHICH ARE FOR LOBBYING PURPOSES. 2521022 492609 2028413 25600070 11873102 13726968 4496187 4496187 20251568 Interest in Net Assets of UMC 9210902 Est Amount Due from 3rd Party 11141637 ROU ASSETS 92667824 DUE FROM RELATED PARTY 528248 113548611 0 Due to UMC 29928589 Est Self-Insurance Costs 485864 Capital Lease Obligation 230102 ST LEASE LIAB. - OPERATING LEASE 5228356 LT LEASE LIAB. - OPERATING LEASE 91668826 127541737 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 268522 268522 0.00150 97851837 98363222 34542714 49452627 132663073 147815849 268522 0.00150 22709211 22709211 0.13090 134700 134700 0.00080 22843911 22843911 0.13170 155506984 147815849 23112433 0.13320 true 3351274 418909 17107 104991 -87884 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 false false true X X X X X X X X X 21 true false false true X SEE PART V, SECTION C X true 21 true SEE PART V, SECTION C false true X 200. 200. X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 CHNA INPUT FROM REPRESENTATIVES OF THE COMMUNITY: 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 BOTH THE CEO AND THE SOCIAL EQUALITY MANAGER OF THE YWCA. 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. 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. 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 7 & 10 chna and implementation strategy: the chna and implementation strategy can be found on the following website: https://elpasochildrens.org/wp-content/uploads/2021/09/epch_chna_2021_web. pdf 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: https://elpasochildrens.org/patient-resources/ SCHEDULE H, PART V, LINES 18, 19 & 20 billing and collections: neither el paso children's hospital, nor third parties authorized by el paso children's hospial, take any actions upon non-payment from a patient before making reasonable effort to determine if the patient is eligible for the facility's financial assistance policy. SCHEDULE H, PART V, SECTION B, LINE 11 DESCRIPTION OF HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE 2021 CHNA: EPCH IS PROUD TO NOTE THAT IT 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 2021 CHNA. AREAS ADDRESSED: 1) OUTREACH; 2) PROGRAM DEVELOPMENT; 3) COMMUNITY ENGAGEMENT; AND 4) ACCESS TO CARE. OUTREACH: EFFORTS TO COMMUNICATE WITH COMMUNITY PHYSICIANS WITHIN THE EL PASO CHILDREN'S HOSPITAL'S SERVICE AREA EXPANDED IN THE LAST YEAR. DEDICATED EFFORTS WERE MADE TO REACH ADDITIONAL PHYSICIANS, HOSPITAL LEADERS AND CLINICAL TEAMS IN THE SECONDARY SERVICE AREA TO SHARE INFORMATION ON SERIVCE LINE GROWTH AND NEW PHYSICIANS. ADDITIONALLY, MONTHLY CME (CONTINUING MEDICAL EDUCATION), WERE PROVIDED MONTHLY TO PHYSICIANS AND CLINICIANS ACROSS THE REGION. THE CME PROGRAM IS AN INITIATIVE SPONSORED BY EPCH DESIGNED TO PROVIDE PHYSICIANS AND NURSES A FORUM TO LEARN ABOUT NEW SERVICES, PROCEDURES AND UPDATES IN TRERATMENT PROTOCOLS. THERE WERE ALSO TWO SYMPOSIUMS SPONSORED IN 2023, INCLUDING A CRANIOSYNOSTOSIS SYMPOSIUM AND CLEFT SYMPOSIUM BOTH INCLUDED PARTICIPANTS FROM ACROSS THE COUNTRY AND GLOBE. PROGRAM DEVELOPMENT: EL PASO CHILDREN'S HOSPITAL'S RECRUITMENT EFFORTS CONTINUES TO EVOLVE. SINCE THE LAST CHNA, A PEDIATRIC ALLERGIST/IMMUNOLOGIST, PEDIATRIC NEUROPSYCHOLOGIST AND SEVERAL PEDIATRIC INTENSIVISTS WERE RECRUITED. IN COLLABORATION WITH UNIVERSITY MEDICAL CENTER, A NEUROSURGEON WITH A FOCUS ON EPILEPSY SURGERY WAS RECRUITED. ADDITIONALLY, EPCH RECEIVED A NEW NATIONAL ACCREDITATION WITH CODA (COMMISSION ON DENTAL ACCREDITATION). A VESTIBULAR CONCUSSION CLINIC AND A HEARING AID CLINIC WERE LAUNCHED SINCE THE LAST REPORT. ACCESS POINTS WERE ALSO ESTABLISHED WITH THE OPENING OF A NEW OUTPATIENT REHAB CENTER AND URGENT CARE CENTER. COMMUNITY ENGAGEMENT: EL PASO CHILDREN'S HOSPITAL IS COMMITTED TO THE COMMUNITY IT SERVES. TRAINING WAS PROVIDED TO SEVERAL SCHOOL DISTRICTS FOR SCHOOL NUNRSES AN ATHLETIC DIRECTORS. THE EL PASO CHILDREN'S HOSPITAL PARTNERS WITH NON-PROFIT AND OTHER COMMUNITY ORGANIZATIONS INCLUDING SPONSORSHIP OF COMMUNITY EVENTS WITH A PEDIATRIC FOCUS INCLUDING: 1, EXPO FAMILIA- $10,000 2. GREATER EK PASO SHOWCASE- $25,000 3. DIA DE LOS NINOS (EL PASO LIBRARY)- $5,000 4. YMCA WALK A MILE- $2,500 5. RONALD MCDONALD HOUSE- $1,500 6. ROTARY CLUB PAR-TEE FOR KIDS- $ 10,000 7. PASO DEL NORT CHILDREN'S FOUNDATION- $1,000 8. OPERATION PUMPKIN- $1,000 9. SHAC (SISD WINTER WELLNESSLAND)- $10,000 10. EPISD (UNIDOS GAMES)- $2,400 11. JUNIOR LAGUE CHRISTMAS FAIR- $10,000 THE HOSPITAL REMAINS THE ONL CERTIFIED CHILDREN'S ONCOLOGY GROUP AFFILIATED CENTER IN THE REGION. ADDITIONALLY, EPCH CONTINUES TO SERVE AS A TRAINING SITE FOR THE NEXT GENERATION OF PEDIATRIC SPECIALISTS, SKILLED NURSES AND ANCILLARY SUPPORT STAFF, AND PROVIDES RESEARCH OPPORTUNITIES TO ADVANCE PEDIATRIC HEALTH OUTCOMES. INTERNATIONAL COLLABORATION WITH A HOSPITAL IN JUAREZ ALSO EXPANDED WITH THE ENT AND PLASTICS TEAMS PROVIDING CARE FOR PATIENTS IN MEXICO. EPCH IS A RECOURCE FOR THE COMMUNITY IT SERVES AND REMAINS COMMITTED TO IMPROVING THE LIVES AND OUTCOMES FOR THE CHILDREN AND FAMILIES ACROSS THE REGION. ACCESS TO CARE: SINCE THE LAST CHNA, EPCH HAS GROWN AND EXPANDED ACCESS TO CARE. IN FEBRUARY 2023, THE FIRST PEDIATRIC FOCUSED OUTPATIENT REHAB CENTER WAS OPENED. THE NEW REHAB CENTER ALSO INCLUDDED A BREAND NEW TEACHING KITHCEN DESIGNED TO PROVID COOKING DEMONSTRATIONS TO PARENTS OF DIABETIC AND FAILURE TO THRIVE PATIENTS. IN JUNE 2023, THE FIRST PEDIATRIC URGENT CARE CENTER WAS OPENED IN A HIGHLY UNDERSERVED AREA OF TOWN. A GRANT IN SUPPORT OF A MOBILE CLINIC WAS RECEIVED IN 2023, AND THE MOBILE CLINIC WILL BE READY IN 2024. THE HOSPITAL WILL CONTINUE TO ENGAGE WITH COMMUNITY STAKEHOLDERS TO MORE FULLY UNDERSTAND THE IMPACT OF ITS WORK IN THE AFORMENTIONED AREAS AS DESCRIBED IN THE HOSPITALS 2021 CHNA. ALL SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2021 CHNA WERE ADDRESSED. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: 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. 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: NOT APPLICABLE DUE TO THE ADOPTION OF ASU TOPIC 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. 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 $87,884. 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, TX 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.) Population of these three cities is approximately 2.1 million individuals. 63% of the population resides in Juarez, 32% in El Paso and 5% in Las Cruces. El Paso is less racially diverse than the State of Texas overall, with an 81% Hispanic population in comparison to 38% in Texas. Median household income for El Paso is $48,866 while Texas is $61,874. The low median household income contributes to a large percentage of the population requiring government assistance, and attributes to 67% of El Paso Children's Hospital patients receiving Medicaid. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: EL PASO CHILDREN'S HOSPITAL, THROUGH ITS REGULAR EVALUATION OF ITS STRATEGIC GOALS, REVIEWS HEALTH TRENDS IN THE REGION TO ENSURE THAT IT ADDRESSES COMMUNITY HEALTH NEEDS AS OUTLINED BY VARIOUS HEALTH AGENCIES INCLUDING THE PASO DEL NORTE HEALTH FOUNDATION, THE CITY OF EL PASO DEPARTMENT OF PUBLIC HEALTH AND THE STATE OF TEXAS HEALTH AND HUMAN SERVICES. IN RESPONSE TO MEETING THE NEEDS OF THE PEDIATRIC COMMUNITY, SEVERAL PHYSICIANS WERE RECRUITED INTO THE HOSPITAL'S MEDICAL STAFF INCLUDING: A PEDIATRIC ENT SURGEON, AN AUDIOLOGIST, TWO PEDIATRIC HEM/ONC PHYSICIANS, A CHILD AND ADOLESCENT PSYCHIATRIST, A PEDIATRIC NEUROSURGEON AND A PEDIATRIC NEUROPSYCHOLOGIST. SOME OF THE STRATEGIC OBJECTIVES EPCH ACHIEVED INCLUDE: GROWING THE PEDIATRIC NEUROSURGERY CLINIC; LAUNCHING AN OUTPATIENT PEDIATRIC ENT AND AUDIOLOGY CLINIC; LAUNCHING A CYSTIC FIBROSIS CLINIC AND OPENING A BEHAVIORAL HEALTH CLINIC. IN RESPONSE TO THE REGION HAVING A HIGHER MATERNAL MORTALITY AND PEDIATRIC MORTALITY RATE THAN THE STATE AND THE NATION, EL PASO CHILDREN'S HOSPITAL REMAINS FOCUSED ON DELIVERING THE MOST ACUTE CARE IN THE REGION FOR THE SMALLEST OF BABIES BY MAINTAINING A LEVEL IV NICU DESIGNATION BY THE STATE OF TEXAS. EPCH OUTLINED SEVERAL TACTICS IT WOULD EMPLOY TO ENSURE THE COMMUNITY ULTIMATELY BENEFITS FROM ITS EFFORTS. THESE TACTICS INCLUDE; IMPROVED OUTREACH TO COMMUNITY PHYSICIANS, PROGRAM DEVELOPMENT, COMMUNITY ENGAGEMENT, AND ACCESS TO CARE. TO DATE, THERE HAVE BEEN OVER 1,000 MEANINGFUL ENCOUNTERS BETWEEN HOSPITAL PHYSICIANS AND LEADERS WITH COMMUNITY PHYSICIANS WE HAVE VETTED THROUGH 50 POTENTIAL SUBSPECIALTY PHYSICIAN RECRUITS. WITH THE RECRUITMENT OF PEDIATRIC SUBSPECIALISTS AND INVESTMENT IN KEY SERVICE LINES, EPCH REMAINS FOCUSED ON DEVELOPING PROGRAMS DESIGNED TO IMPROVE THE DEPTH OF PROGRAMS AVAILABLE FOR CHILDREN AND ACCESS TO RESOURCES FOR FAMILIES OF CHRONICALLY ILL CHILDREN. EPCH CONTINUED TO REDUCE THE NUMBER OF PATIENTS REQUIRED TO LEAVE THE REGION FOR TREATMENT OF CHILDHOOD CANCERS AND COMPLEX NEUROSURGICAL CARE. EPCH'S CERTIFIED CHILDREN'S ONCOLOGY GROUP PROVIDES THE HIGHEST LEVEL OF CARE FOR THOSE IN NEED OF CANCER TREATMENT BY PROVIDING ONCOLOGY PATIENTS ACCESS TO CLINICAL TRIALS AND TREATMENT PROTOCOLS FOUND AT OTHER TOP TIER CHILDREN'S HOSPITALS. ANOTHER COMMUNITY BENEFIT PROVIDED BY EL PASO CHILDREN'S HOSPITAL IS THE ELEVATED QUALITY AND SCOPE OF MEDICAL CARE IN THE REGION. EPCH SERVES AS TRAINING SITE FOR THE NEXT GENERATION OF PEDIATRIC PHYSICIANS, SKILLED NURSES AND ANCILLARY SUPPORT STAFF, AND PROVIDES RESEARCH OPPORTUNITIES LEADING TO ADVANCEMENTS IN TREATMENTS AND TECHNOLOGIES. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: 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. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: TEXAS SCHEDULE H, PART 1, 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 $3,351,274 was included in form 990, part IX, line 25 in total expenses. however, this amount was excluded for purposes of calculating the percentage of patient care cost to charges. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY: 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. false EPCH FOUNDATION 303 N OREGON SUITE 1200 EL PASO TX 79901 812298318 501(C)(3) 10000 PARTEE FOR A PURPOSE BAT SPONSORSHIP EL PASO INC 209 N NOBLE ST EL PASO TX 79901 742751034 CORP 6900 WOMEN OF IMPACT 2023 SPONSORSHIP KTSM NEXSTAR INC PO BOX 840185 DALLAS TX 75284 233063152 CORP 10500 EXPO SPONSORSHIP CITY OF EL PASO PO BOX 2037 EL PASO TX 79950 746000749 GOVT 15500 VARIOUS SPONSORSHIPS THE UNIVERSITY OF TEXAS AT EL PASO 1900 N OREGON STE 200 EL PASO TX 79950 746000813 115 10000 PETE'S PLAYGROUND SPONSORSHIP JUNIOR LEAGUE OF EL PASO INC 6100 DEW DRIVE EL PASO TX 79912 741469506 501(C)(3) 20000 A CHRISTMAS FAIR SPONSORSHIP ROTARY CLUB OF EL PASO INC 100 S ALTO MESA DR EL PASO TX 79912 740871805 501(C)(3) 10000 KICK OFF PAR TEE SPONSORSHIP 3 4 SCHEDULE I, PART I, LINE 2 PROCEDURES TO MONITOR THE USE OF FUNDS IN THE US: THE ASSISTANCE LISTED IS GENERALLY SPONSORSHIPS FOR VARIOUS COMMUNITY EVENTS. DUE TO THE NATURE OF THE PAYMENT, IT IS UNNECESSARY TO MONITOR THE USE OF THE FUNDS. X X X X X false false false false false false false true false Cindy Stout CHIEF EXECUTIVE OFFICER 405231 0 84208 0 0 0 27000 0 4444 0 520883 0 0 0 JOHN RUNKLES CHIEF OPERATING OFFICER 267549 0 45540 0 0 0 10029 0 12936 0 336054 0 0 0 OMAR GARZA CHIEF FINANCIAL OFFICER 257035 0 45000 0 0 0 7945 0 14879 0 324859 0 0 0 LAUREL HUSTON CHIEF LEGAL OFFICER 227170 0 40500 0 0 0 5551 0 10675 0 283896 0 0 0 ROXANNE WEISENDANGER CHIEF NURSING OFFICER 225921 0 39600 0 0 0 9349 0 10185 0 285055 0 0 0 SERGIO E CARRILLO JR REGISTERED NURSE 264296 0 0 0 0 0 5816 0 0 0 270112 0 0 0 Luis Veloz Registered Nurse 194599 0 0 0 0 0 3953 0 0 0 198552 0 0 0 Charlene D Applegate Charge RN Medsurg 207225 0 2250 0 0 0 7856 0 5717 0 223048 0 0 0 Zulema S Gomez Registered Nurse Medsurg 169382 0 1875 0 0 0 1545 0 690 0 173492 0 0 0 Javier Saenz GENERAL COUNSEL 173831 0 0 0 0 0 7001 0 1191 0 182023 0 0 0 Schedule J, Part I, Line 7 NONFIXED PAYMENTS: BONUSES ARE BASED ON PERFORMANCE IN ACCORDANCE WITH ANNUAL PERFORMANCE MEASURES SET BY THE BOD & CEO AND/OR REFLECTED IN WRITTEN AGREEMENTS. EL PASO IMAGING CONSULTANTS SEE STATEMENT PART V 1126911 CONTRACT SERVICES false SCHEDULE L, PART IV Business Transactions Involving Interested Persons: (A) NAME OF PERSON: EL PASO IMAGING CONSULTANTS (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: >35% OWNERSHIP BY SPOUSE OF AMY ROSS (BOARD MEMBER) (C) TRANSACTION AMOUNTS: $1,126,911 (D) DESCRIPTION OF TRANSACTION: CONTRACT SERVICES X Medical Equipment 1 1072943 FMV false false false SCHEDULE M, PART I, COLUMN B NUMBER OF CONTRIBUTIONS: THE AMOUNT REPORTED IN THIS COLUMN IS THE NUMBER OF CONTRIBUTIONS RECEIVED. 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 OF THE NINE BOARD MEMBERS. 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 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. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR COMPLIANCE WITH CONFLICT OF INTEREST POLICY: 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 SUBSTANITIAL 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. 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 BY GALLAGHER HHRC IN APRIL 2024 AND DOCUMENTED IN THE HUMAN RESOURCE FILES. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS: THE ORGANIZATION FURNISHES COPIES OF ANY DOCUMENTS REQUIRING LEGAL DISCLOSURE UPON REQUEST. Form 990, Part 1, 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 IN NET ASSETS: CHANGE IN INTEREST IN NET ASSETS OF EPC FOUNDATION $1,997,232 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT PERSONNEL TOTAL FEES:2755468 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:20367289 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:20960262 EL PASO CHILDREN'S PHYSICIAN GROUP 4845 ALAMEDA AVE EL PASO TX 79905 455465061 PHYSICIAN SVS TX 501(C)(3) 3 EPCH true false false false false false false false false false false false false true true false true true true false El Paso Children's Physician Group R 2787205 CASH