2015-11-11T09:48:03-06:00 2014-12-31 ERNST & YOUNG US LLP TWO NORTH CENTRAL AVENUE STE 2300 PHOENIX AZ 85004 990 2014-01-01 850105601 PRESBYTERIAN HEALTHCARE SERVICES % KEVIN NOWELL CPA PRES 5059236101 PO BOX 26666 ALBUQUERQUE NM 871256666 DALE MAXWELL SVP / CFO / TREASURER 2015-11-10 STEVEN T RUTTI P00775456 6023223000 2014 2016-02-25 16:41:14Z JAMES HINTON PO BOX 26666 ALBUQUERQUE NM 87125 2045677602 false X WWW.PHS.ORG X 1908 NM SEE SCHEDULE O 10 8 11181 992 27780904 0 23122224 22634841 1283136763 1371830314 104676221 110426068 26732808 25645978 1437668016 1530537201 1680327 1431606 0 0 684196860 714704235 0 0 0 608792558 658104688 1294669745 1374240529 142998271 156296672 2531397127 2591874783 1168468873 1236895351 1362928254 1354979432 X PRESBYTERIAN EXISTS TO IMPROVE THE HEALTH OF THE PATIENTS, MEMBERS AND COMMUNITIES WE SERVE. false false 979090103 741248 1160271056 CENTRAL NEW MEXICO DELIVERY SYSTEM - SEE SCHEDULE O FOR DETAIL 159794565 690358 191823431 REGIONAL DELIVERY SYSTEM - SEE SCHEDULE O FOR DETAIL 22413046 0 20033062 HEART AND VASCULAR PROGRAMS - SEE SCHEDULE O FOR DETAIL 1161297714 true true false true false false false false false false true true false false true true false true false false true false false false false false true true true true true true false false false false false false false false true false true true false false false true true true true false true X 1143 0 true 11181 true true true false false false false false false false false false X 10 8 true false false false false false false true true false false true true true true true true true true true true CA NM X KEVIN NOWELL CPA 5059236101 9521 SAN MATEO BLVD NE ALBUQUERQUE NM 871132237 SANDRA BEGAY-CAMPBELL DIRECTOR 1.0 1.0 X 0 0 0 BRIAN BURNETT DIRECTOR / VICE CHAIR 1.0 1.0 X 0 0 0 FRANK FIGUEROA DIRECTOR 1.0 1.0 X 0 0 0 GEORGE ISHAM MD DIRECTOR 1.0 1.0 X 0 0 0 CHARLES MILLIGAN JD DIRECTOR (THRU 4/10/2014) 1.0 40.0 X 0 202451 13835 TOM ROBERTS MD DIRECTOR 1.0 1.0 X 0 0 0 RIES ROBINSON MD DIRECTOR 1.0 1.0 X 0 0 0 JENNIFER S THOMAS DIRECTOR 1.0 1.0 X 0 0 0 KATHIE WINOGRAD PHD DIRECTOR / CHAIR 2.0 2.0 X 0 0 0 ELAINE PAPAFRANGOS MD DIRECTOR 40.0 1.0 X 229106 0 199816 JAMES HINTON PRESIDENT / DIRECTOR 20.0 23.0 X X 1012986 2379216 1384975 PAUL BRIGGS EVP / COO 24.0 19.0 X 348696 232340 524441 DIANE FISHER SVP / SECRETARY 20.0 22.0 X 169991 169991 151910 DALE MAXWELL SVP / CFO / TREASURER 20.0 23.0 X 246809 246809 134889 HECTOR ARREDONDO MD EXECUTIVE MEDICAL DIRECTOR-PMG 40.0 0.0 X 396320 0 40539 BOIS D'ARC BEAMES VP - 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THE EDUCATION INVOLVES PROVIDING INFORMATION TO LEGISLATORS AND THE PUBLIC REGARDING THE POTENTIAL IMPACT OF PROPOSED LEGISLATION. LOBBYING EFFORTS FOCUS ON THE EFFECT OF LEGISLATION UPON HOSPITALS' ABILITIES TO PROVIDE PATIENT CARE IN A COST-EFFECTIVE MANNER, TO CONTINUE TO PROVIDE HEALTHCARE TO THE INDIGENT POPULATION, TO CONTINUE TO EFFECTUATE COMMUNITY BENEFIT BY MAINTAINING HEALTHCARE FACILITIES IN RURAL AREAS AND TO PROVIDE CERTAIN PROGRAMS TO THE PUBLIC. PHS HOSTS AN ANNUAL DINNER FOR ALL LEGISLATORS AND CERTAIN STATE EXECUTIVES FOR EDUCATIONAL PURPOSES. 99489938 99489938 775743654 348992593 426751061 2167094 1306547 860547 729735972 526198418 203537554 57286825 10431620 46855205 777494305 VAR ALT INVEST & CAPITAL FUNDS 296636871 F 296636871 0 DEFERRED COMPENSATION 200743546 PROFESSIONAL LIABILITY RESERVE 106210562 ACCRUED IBNR 31786694 WORKER'S COMPENSATION RESERVE 12439188 RESERVE 3RD PARTY SETTLEMENTS 2966399 MISC OTHER LIABILITIES 128332023 482478412 X SCHEDULE D, PART X, LINE 2 ASC 740, INCOME TAXES, PRESCRIBES CRITERIA FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. AS OF DECEMBER 31, 2014 AND 2013, THERE WAS NO SIGNIFICANT IMPACT ON THE COMBINED FINANCIAL STATEMENTS RELATED TO THE TAX POSITIONS TAKEN. THERE WERE NO SIGNIFICANT TAX POSITIONS TAKEN BY MANAGEMENT THAT REQUIRED ACCRUAL AS OF DECEMBER 31, 2014 AND 2013. Central America and the Caribbean Investments 81427520 Europe (Including Iceland and Greenland) Investments 4794118 86221638 86221638 true false true false true false SCHEDULE F, PART I The investments in foreign-based products represent several unrelated hedge fund investments and a private equity investment. The hedge fund investments are made to provide diversification and to be uncorrelated from our other investments in more traditional debt and equity instruments. These hedge funds utilize various strategies to achieve returns including long/short, event arbitrage, distressed credit, and fixed income arbitrage, among others. The private equity investment is a non-liquid investment made in privately held companies with the potential for higher returns than those available in the public markets. true true X true X true X true true false true true 16032415 29832 16002583 0.01160 238574406 214281693 24292713 0.01770 28290661 25738360 2552301 0.00190 282897482 240049885 42847597 0.03120 946616 946616 0.00070 4784762 4784762 0.00350 85113785 65955909 19157876 0.01390 1210248 1210248 0.00090 92055411 65955909 26099502 0.01900 374952893 306005794 68947099 0.05020 52365 52365 10420 10420 253872 253872 0.00020 316657 316657 0.00020 true 27127463 14469789 230524368 250228724 -19704356 X true true 8 1 PRESBYTERIAN HOSPITAL 1100 CENTRAL AVE SE ALBUQUERQUE NM 87106 WWW.PHS.ORG 6022 X X X B 2 PRESBYTERIAN RUST MEDICAL CENTER 2400 UNSER BLVD SE RIO RANCHO NM 87124 WWW.PHS.ORG 6022H3 X X X B 3 PRESBYTERIAN KASEMAN HOSPITAL 8300 CONSTITUTION AVE NE ALBUQUERQUE NM 87110 WWW.PHS.ORG 6022H2 X X X B 4 PLAINS REGIONAL MEDICAL CENTER 2100 N MARTIN LUTHER KING JR BLV CLOVIS NM 88101 WWW.PHS.ORG 6052 X X X A 5 PRESBYTERIAN ESPANOLA HOSPITAL 1010 SPRUCE ST ESPANOLA NM 87532 WWW.PHS.ORG 6090 X X X A 6 LINCOLN COUNTY MEDICAL CENTER 211 SUDDERTH DR RUIDOSO NM 88345 WWW.PHS.ORG 3199 X X X X A 7 SOCORRO GENERAL HOSPITAL 1202 HIGHWAY 60 WEST SOCORRO NM 87801 WWW.PHS.ORG 3014 X X X X A 8 DR DAN C TRIGG MEMORIAL HOSPITAL 301 E MIEL DE LUNA TUCUMCARI NM 88401 WWW.PHS.ORG 3011 X X X X A A 48 false false true X X X X X X X X X 13 true false false true X SEE SCHEDULE H, PART V, SECTION C X WWW.SHARENM.ORG X true 13 true SEE SCHEDULE H, PART V, SECTION C false false true X 200. 300. X X X X true true X X X true X X X X X X X X X true X false X X X X true X false false B 13 false false true X X X X X X X X X 13 true true false true X SEE SCHEDULE H, PART V, SECTION C X www.sharenm.org X true 13 true SEE SCHEDULE H, PART V, SECTION C false false true X 200. 300. X X X X true true X X X true X X X X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B - FACILITY REPORTING GROUP A A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP A. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED IN FACILITY REPORTING GROUP A: (4) PLAINS REGIONAL MEDICAL CENTER (5) PRESBYTERIAN ESPANOLA HOSPITAL (6) LINCOLN COUNTY MEDICAL CENTER (7) SOCORRO GENERAL HOSPITAL (8) DR. DAN C. TRIGG MEMORIAL HOSPITAL THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 5 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, PRESBYTERIAN HEALTHCARE SERVICES (PHS) SOLICITED INPUT FROM BOARD MEMBERS, INCLUDING ITS BOARD OF DIRECTORS AND THE COMMUNITY BOARD OF TRUSTEES FOR CENTRAL NEW MEXICO. THESE BOARD MEMBERS ARE REPRESENTATIVE OF THE COMMUNITIES, PATIENTS, MEMBERS, PHYSICIANS AND STAKEHOLDERS SERVED. THEY ARE ACTIVE COMMUNITY MEMBERS AND DO NOT RECEIVE COMPENSATION FOR THEIR SERVICE ON THE BOARDS. THIS BOARD INCLUDES PHYSICIANS AND PHYSICIAN LEADERS WHO HAVE SPECIAL KNOWLEDGE OF THE HEALTH NEEDS OF THEIR COMMUNITY. ADDITIONALLY, THE HEALTH PRIORITIES OF THE STATE OF NEW MEXICO AND EACH COUNTY HEALTH COUNCIL WERE REVIEWED FOR ALIGNMENT. PHS ALSO HIRED NEW MEXICO FIRST TO FACILITATE COMMUNITY HEALTH FORUMS TO GAIN INSIGHT INTO THE BARRIERS, OPPORTUNITIES AND POTENTIAL STRATEGIES FOR ACHIEVING THE STATED PRIORITIES. FORUM PARTICIPANTS INCLUDED: - PEOPLE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH - FEDERAL, TRIBAL, REGIONAL, STATE OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES WITH CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY - LEADERS, REPRESENTATIVES OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE NEEDS, IN THE COMMUNITY SERVED BY THE HOSPITAL - BUSINESS AND ECONOMIC DEVELOPMENT PROFESSIONALS AND NON-PROFIT LEADERS PARTICIPANTS ENGAGED IN SMALL GROUP DISCUSSIONS IN WHICH THEY COULD SUGGEST PRACTICAL RECOMMENDATIONS TO SUPPORT POSITIVE CHANGE IN THEIR COMMUNITY. IN THESE DISCUSSIONS, FORUM PARTICIPANTS ADDRESSED THE FOLLOWING QUESTIONS: - KNOWING THIS COMMUNITY, WHAT IS PREVENTING HEALTHIER LIFESTYLES? - WHAT CAN MEMBERS OF THIS COMMUNITY DO TO SUPPORT TOBACCO CESSATION, HEALTHIER EATING, AND MORE ACTIVE LIFESTYLES? - KNOWING THIS COMMUNITY, WHAT ARE THE THREE MOST VIABLE IDEAS? THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINES 7A AND 10A APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: EACH FACILITY'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY IS AVAILABLE AT THE FOLLOWING WEBSITE: www.phs.org/community/committed-to-community-health/Pages/default.aspx THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: Presbyterian Healthcare Services (phs) decided to focus its community health priorities and related work on the prioritized significant health needs identified during our 2013 community health needs assessments (CHNA). However, consistent with the PHS purpose to improve the health of the patients, members and communities it serves, Presbyterian remains committed to providing preventive, acute, episodic and chronic care to address the priority health conditions in each community with input from communities, key stakeholders and governance. What follows is a description of how PHS is addressing the other significant health needs identified in the CHNAs, even though they were not prioritized and incorporated into the Community Health Implementation Plans (CHIP). Overarching Health Issues 1. Health Communications and Health Information Technology 2. Access to Health Services Presbyterian spends significant resources on health communications and health information technology as part of innovation and best practice. For example, through a new Discharge Call Center, patients leaving inpatient or emergency services are contacted within 72 hours to assist them and their families with a safe transition to home, provide education as needed, reinforce discharge instructions and seek opportunities for improvement. Presbyterian uses trained staff, as well as video and phone interpretation services, to meet the needs of its patients and communities. These interpretation services can be accessed anywhere in PHS hospitals or clinics. An electronic health record has been implemented in all Presbyterian ambulatory clinics and all eight hospitals. In addition, Presbyterian is a founding participant in New Mexico's Health Information Exchange. As a not-for-profit health system, Presbyterian has an obligation to provide a community benefit and address the overarching health issue of access to health services. In 2014 we provided approximately $89 million at cost in uncompensated care and health education resources. Health Related Behaviors 3. Immunization 4. Injury and Violence Prevention 5. Nutrition, Weight Status and Physical Activity 6. Tobacco Use and Substance Abuse PHS partners with communities to address immunization rates and annually contributes approximately $50,000, as well as staff time, to influenza immunizations. Injury and violence prevention are addressed in several ways: -Car seats are provided for a $20 donation to families in need -The First Born home visiting program is implemented in Socorro and Rio Arriba counties and is focused on safety during pregnancy, infants and children through age 3 -"Presious Beginnings" case management is a program for high-risk mothers that focuses on safety during pregnancy -Domestic violence screening, suicide assessment and depression screening are incorporated into all ambulatory patient visits, and referral sources are provided when indicated -All inpatients are screened for risk of fall, and preventive steps are taken -In ambulatory settings, at-risk adults and geriatric patients are screened for risk of falling, and preventive measures are taken -In home care settings, risk of home injury and falling is completed with all patients, and preventive measures are taken Out of these significant health issues, PHS identifies nutrition, physical activity, tobacco use and substance abuse as system-wide priorities. These are high-yield priorities that address the root causes of many, if not all, of the adverse health outcomes. Interventions focused on these priorities are reflected in the implementation plans. Health Outcomes 7. Cancer 8. Diabetes 9. Heart Disease and Stroke 10. Respiratory Disease 11. Maternal, Infant and Child Health 12. Mental Health and Mental Disorders The focus on health outcomes such as cancer, diabetes, heart disease and stroke, and respiratory disease are addressed comprehensively in our communities utilizing best practice and evidence based prevention tools through the Presbyterian Medical Group, mobile screening and treatment. Presbyterian has several community-based home visiting programs that facilitate maternal, infant and child health and focus on outreach to at-risk, uninsured populations. The behavioral health system in New Mexico is under great stress due to high need and lack of funding for services. PHS has been a provider for Medicaid patients since the inception of the state's Managed Care program. Starting in 2014, Presbyterian implemented Centennial Care, which is the redesign of the Medicaid physical health, long-term care, and behavioral health system in New Mexico. This is a unique opportunity to re-integrate mental health and mental disorder prevention and treatment into the primary care system. With The Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), coverage of and access to mental health and substance abuse treatment will also be increased. Because of these two major legislative changes, PHS is planning for and implementing best practices in support of mental health and to address mental disorders. In addition, PHS hospitals, emergency departments and clinics have provided behavioral health services for patients, including: -Emergency mental health evaluation and stabilization -Access to behavioral health consultation via video teleconference (since 2011) -Behavioral health therapists as part of the core team in 10 patient-centered medical homes since 2010/2011 as an investment to improve access to community-based behavioral health -Mental health hospital services in Albuquerque for adults, children and adolescents throughout the state THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINES 16A AND 16B APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: THE FINANCIAL ASSISTANCE POLICY AND APPLICATION FORM ARE AVAILABLE AT THE FOLLOWING WEBSITE: www.phs.org/doctors-services/Pages/covering-your-care.aspx THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 16I APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: PRESBYTERIAN HEALTHCARE SERVICES (PHS) PATIENTS ARE ADVISED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH THE PLACEMENT OF APPROPRIATE SIGNAGE IN ENGLISH AND SPANISH AT ALL PHS PATIENT-CARE CENTERS. THE PHS FINANCIAL ASSISTANCE POLICY IS ALSO POSTED ON ITS WEBSITE. PHS FINANCIAL COUNSELORS ATTEMPT TO MAKE DIRECT CONTACT WITH PATIENTS WHO ARE SELF-PAY OR WHO INDICATE AN INABILITY TO PAY FOR THEIR CARE AS PART OF OUR STANDARD ADMISSION PROTOCOL. DURING THE REGISTRATION PROCESS, THE REGISTRARS ARE REQUIRED TO VERIFY PAYMENT SOURCES. IN CASES WHERE PATIENTS ARE UNINSURED OR UNDERINSURED, THEY ARE REFERRED TO A FINANCIAL COUNSELOR. THE COUNSELOR WORKS WITH THE PATIENT TO DETERMINE WHETHER THEY COULD QUALIFY FOR THE MEDICAID PROGRAM OR ANOTHER THIRD PARTY PROGRAM. THE PATIENT IS MADE AWARE OF THE PHS FINANCIAL ASSISTANCE PROGRAM AT THIS TIME AND PROVIDED AN APPLICATION. A SUMMARY OF THE POLICY IS PROVIDED TO THE PATIENT AS WELL AS MADE AVAILABLE ON OUR WEBSITE. THE POLICY ITSELF WILL BE PROVIDED TO ANYONE ON REQUEST, HOWEVER, THE FULL FINANCIAL ASSISTANCE POLICY IS RARELY, IF EVER, REQUESTED BY PATIENTS. PHS UTILIZES THE SYSTEM-WIDE FINANCIAL ASSISTANCE POLICY AS OUR ADMINISTRATIVE FRAMEWORK TO ENSURE THAT WE HAVE A CONSISTENT ADMINISTRATION OF OUR PROGRAM. SCHEDULE H, PART V, SECTION B - FACILITY REPORTING GROUP B A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP B. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED IN FACILITY REPORTING GROUP B: (1) PRESBYTERIAN HOSPITAL (2) PRESBYTERIAN RUST MEDICAL CENTER (3) PRESBYTERIAN KASEMAN HOSPITAL THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 5 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B: AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, PRESBYTERIAN HEALTHCARE SERVICES (PHS) SOLICITED INPUT FROM BOARD MEMBERS, INCLUDING ITS BOARD OF DIRECTORS AND THE COMMUNITY BOARD OF TRUSTEES FOR CENTRAL NEW MEXICO. THESE BOARD MEMBERS ARE REPRESENTATIVE OF THE COMMUNITIES, PATIENTS, MEMBERS, PHYSICIANS AND STAKEHOLDERS SERVED. THEY ARE ACTIVE COMMUNITY MEMBERS AND DO NOT RECEIVE COMPENSATION FOR THEIR SERVICE ON THE BOARDS. THIS BOARD INCLUDES PHYSICIANS AND PHYSICIAN LEADERS WHO HAVE SPECIAL KNOWLEDGE OF THE HEALTH NEEDS OF THEIR COMMUNITY. ADDITIONALLY, THE HEALTH PRIORITIES OF THE STATE OF NEW MEXICO AND EACH COUNTY HEALTH COUNCIL WERE REVIEWED FOR ALIGNMENT. PHS ALSO HIRED NEW MEXICO FIRST TO FACILITATE COMMUNITY HEALTH FORUMS TO GAIN INSIGHT INTO THE BARRIERS, OPPORTUNITIES AND POTENTIAL STRATEGIES FOR ACHIEVING THE STATED PRIORITIES. FORUM PARTICIPANTS INCLUDED: - PEOPLE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH - FEDERAL, TRIBAL, REGIONAL, STATE OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES WITH CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY - LEADERS, REPRESENTATIVES OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE NEEDS, IN THE COMMUNITY SERVED BY THE HOSPITAL - BUSINESS AND ECONOMIC DEVELOPMENT PROFESSIONALS AND NON-PROFIT LEADERS PARTICIPANTS ENGAGED IN SMALL GROUP DISCUSSIONS IN WHICH THEY COULD SUGGEST PRACTICAL RECOMMENDATIONS TO SUPPORT POSITIVE CHANGE IN THEIR COMMUNITY. IN THESE DISCUSSIONS, FORUM PARTICIPANTS ADDRESSED THE FOLLOWING QUESTIONS: - KNOWING THIS COMMUNITY, WHAT IS PREVENTING HEALTHIER LIFESTYLES? - WHAT CAN MEMBERS OF THIS COMMUNITY DO TO SUPPORT TOBACCO CESSATION, HEALTHIER EATING, AND MORE ACTIVE LIFESTYLES? - KNOWING THIS COMMUNITY, WHAT ARE THE THREE MOST VIABLE IDEAS? THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 6a APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B: THE CENTRAL NEW MEXICO COMMUNITY HEALTH NEEDS ASSESMENT (CHNA) WAS CONDUCTED BY THE FOLLOWING HOSPITAL FACILITIES: (1) PRESBYTERIAN HOSPITAL (2) PRESBYTERIAN RUST MEDICAL CENTER (3) PRESBYTERIAN KASEMAN HOSPITAL THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINES 7A AND 10A APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B: EACH FACILITY'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY IS AVAILABLE AT THE FOLLOWING WEBSITE: www.phs.org/community/committed-to-community-health/Pages/default.aspx THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B: Presbyterian Healthcare Services decided to focus its community health priorities and related work on the prioritized significant health needs uncovered during our 2013 community health needs assessment(CHNA). However, consistent with the PHS purpose to improve the health of the patients, members and communities it serves, Presbyterian remains committed to providing preventive, acute, episodic and chronic care to address the priority health conditions in each community with input from communities, key stakeholders and governance. What follows is a description of how PHS is addressing the other significant health needs identified in the CHNA, even though they were not prioritized and incorporated into the Community Health Implementation Plan (CHIP). Overarching Health Issues 1. Health Communications and Health Information Technology 2. Access to Health Services Presbyterian spends significant resources on health communications and health information technology as part of innovation and best practice. For example, through a new Discharge Call Center, patients leaving inpatient or emergency services are contacted within 72 hours to assist them and their families with a safe transition to home, provide education as needed, reinforce discharge instructions and seek opportunities for improvement. Presbyterian uses trained staff, as well as video and phone interpretation services, to meet the needs of its patients and communities. These interpretation services can be accessed anywhere in PHS hospitals or clinics. An electronic health record has been implemented in all Presbyterian ambulatory clinics and all eight hospitals. In addition, Presbyterian is a founding participant in New Mexico's Health Information Exchange. As a not-for-profit health system, Presbyterian has an obligation to provide a community benefit and address the overarching health issue of access to health services. In 2014 we provided approximately $89 million at cost in uncompensated care and health education resources, including a donation of $50,000 to Albuquerque Healthcare for the Homeless. Health Related Behaviors 3. Immunization 4. Injury and Violence Prevention 5. Nutrition, Weight Status and Physical Activity 6. Tobacco Use and Substance Abuse PHS partners with communities to address immunization rates and annually contributes approximately $50,000, as well as staff time, to influenza immunizations. Injury and violence prevention are addressed in several ways: -Car seats are provided for a $20 donation to families in need -"Presious Beginnings" case management is a program for high-risk mothers that focuses on safety during pregnancy -Domestic violence screening, suicide assessment and depression screening are incorporated into all ambulatory patient visits, and referral sources are provided when indicated -All inpatients are screened for risk of fall, and preventive steps are taken -In ambulatory settings, at-risk adults and geriatric patients are screened for risk of falling, and preventive measures are taken -In home care settings, risk of home injury and falling is completed with all patients, and preventive measures are taken Out of these significant health issues, PHS identifies nutrition, physical activity, tobacco use and substance abuse as system-wide priorities. These are high-yield priorities that address the root causes of many, if not all, of the adverse health outcomes identified through our CHNA. Interventions focused on these priorities are reflected in the implementation plan. Health Outcomes 7. Cancer 8. Diabetes 9. Heart Disease and Stroke 10. Respiratory Disease 11. Maternal, Infant and Child Health 12. Mental Health and Mental Disorders The focus on health outcomes such as cancer, diabetes, heart disease and stroke, and respiratory disease are addressed comprehensively in our communities utilizing best practice and evidence based prevention tools through the Presbyterian Medical Group, mobile screening and treatment. Presbyterian has several community-based home visiting programs that facilitate maternal, infant and child health and focus on outreach to at-risk, uninsured populations. The behavioral health system in New Mexico is under great stress due to high need and lack of funding for services. PHS has been a provider for Medicaid patients since the inception of the state's Managed Care program. Starting in 2014, Presbyterian implemented Centennial Care, which is the redesign of the Medicaid physical health, long-term care, and behavioral health system in New Mexico. This is a unique opportunity to re-integrate mental health and mental disorder prevention and treatment into the primary care system. With The Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), coverage of and access to mental health and substance abuse treatment will also be increased. Because of these two major legislative changes, PHS is planning for and implementing best practices in support of mental health and to address mental disorders. In addition, PHS hospitals, emergency departments and clinics have provided behavioral health services for patients, including: -Emergency mental health evaluation and stabilization -Access to behavioral health consultation via video teleconference (since 2011) -Outpatient clinic services in Albuquerque locations for adults and children -Behavioral health therapists as part of the core team in 10 patient-centered medical homes since 2010/2011 as an investment to improve access to community-based behavioral health -Mental health hospital services in Albuquerque for adults, children and adolescents THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINES 16A AND 16B APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B: THE FINANCIAL ASSISTANCE POLICY AND APPLICATION FORM ARE AVAILABLE AT THE FOLLOWING WEBSITE: www.phs.org/doctors-services/Pages/covering-your-care.aspx THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 16I APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B: PRESBYTERIAN HEALTHCARE SERVICES (PHS) PATIENTS ARE ADVISED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH THE PLACEMENT OF APPROPRIATE SIGNAGE IN ENGLISH AND SPANISH AT ALL PHS PATIENT-CARE CENTERS. THE PHS FINANCIAL ASSISTANCE POLICY IS ALSO POSTED ON ITS WEBSITE. PHS FINANCIAL COUNSELORS ATTEMPT TO MAKE DIRECT CONTACT WITH PATIENTS WHO ARE SELF-PAY OR WHO INDICATE AN INABILITY TO PAY FOR THEIR CARE AS PART OF OUR STANDARD ADMISSION PROTOCOL. DURING THE REGISTRATION PROCESS, THE REGISTRARS ARE REQUIRED TO VERIFY PAYMENT SOURCES. IN CASES WHERE PATIENTS ARE UNINSURED OR UNDERINSURED, THEY ARE REFERRED TO A FINANCIAL COUNSELOR. THE COUNSELOR WORKS WITH THE PATIENT TO DETERMINE WHETHER THEY COULD QUALIFY FOR THE MEDICAID PROGRAM OR ANOTHER THIRD PARTY PROGRAM. THE PATIENT IS MADE AWARE OF THE PHS FINANCIAL ASSISTANCE PROGRAM AT THIS TIME AND PROVIDED AN APPLICATION. A SUMMARY OF THE POLICY IS PROVIDED TO THE PATIENT AS WELL AS MADE AVAILABLE ON OUR WEBSITE. THE POLICY ITSELF WILL BE PROVIDED TO ANYONE ON REQUEST, HOWEVER, THE FULL FINANCIAL ASSISTANCE POLICY IS RARELY, IF EVER, REQUESTED BY PATIENTS. PHS UTILIZES THE SYSTEM-WIDE FINANCIAL ASSISTANCE POLICY AS OUR ADMINISTRATIVE FRAMEWORK TO ENSURE THAT WE HAVE A CONSISTENT ADMINISTRATION OF OUR PROGRAM. 40 PHS AMBULATORY CARE CLINIC 201 CEDAR ST SE ALBUQUERQUE NM 87106 PRIMARY & SPECIALTY MEDICAL CLINIC & CARDIOLOGY CENTER PHS AMBULATORY CARE CLINIC 8300 CONSTITUTION AVE NE ALBUQUERQUE NM 87110 PRIMARY & SPECIALTY MEDICAL CLINIC, PAIN & SPINE CLINIC & RADIATION ONCOLOGY PHS AMBULATORY CARE CLINIC 2400 UNSER BLVD SE RIO RANCHO NM 87124 SPECIALTY MEDICAL CLINIC PHS AMBULATORY CARE CLINIC 5901 HARPER NE ALBUQUERQUE NM 87109 PRIMARY & SPECIALTY MEDICAL CLINIC & URGENT CARE CENTER PHS AMBULATORY CARE CLINIC 8800 MONTGOMERY BLVD NE ALBUQUERQUE NM 87111 PRIMARY & SPECIALTY MEDICAL CLINIC PHS AMBULATORY CARE CLINIC 200 EMILIO LOPEZ RD LOS LUNAS NM 87031 PRIMARY & SPECIALTY MEDICAL CLINIC PHS AMBULATORY CARE CLINIC 3436 ISLETA BLVD SW ALBUQUERQUE NM 87105 PRIMARY & SPECIALTY MEDICAL CLINIC & URGENT CARE CENTER PHS AMBULATORY CARE CLINIC 3901 ATRISCO NW ALBUQUERQUE NM 87120 PRIMARY & SPECIALTY MEDICAL CLINIC & URGENT CARE CENTER PHS AMBULATORY CARE CLINIC 4005 HIGH RESORT BLVD RIO RANCHO NM 87124 PRIMARY & SPECIALTY MEDICAL CLINIC PHS AMBULATORY CARE CLINIC 401 SAN MATEO SE ALBUQUERQUE NM 87108 PRIMARY & SPECIALTY MEDICAL CLINIC & URGENT CARE CENTER PHS AMBULATORY CARE CLINIC 609 S CHRISTOPHER RD BELEN NM 87002 PRIMARY & SPECIALTY MEDICAL CLINIC & URGENT CARE CENTER PHS AMBULATORY CARE CLINIC 4100 HIGH RESORT BLVD SE RIO RANCHO NM 87124 SPECIALTY MEDICAL CLINIC & URGENT CARE CENTER PHS AMBULATORY CARE CLINIC 3715 SOUTHERN BLVD RIO RANCHO NM 87124 PRIMARY & SPECIALTY MEDICAL CLINIC PLAINS REGIONAL OUTPATIENT SURGERY 2421 WEST 21ST ST CLOVIS NM 88101 AMBULATORY OUTPATIENT SURGERY PHS AMBULATORY CARE CLINIC 1202 HWY 60 WEST SOCORRO NM 87801 PRIMARY & SPECIALTY MEDICAL CLINIC PHS AMBULATORY CARE CLINIC 121 EL PASO RD RUIDOSO NM 88345 PRIMARY & SPECIALTY MEDICAL CLINIC & AMBULATORY SURGERY CENTER PRESBYTERIAN HEALTHPLEX 6301 FOREST HILLS DR NE ALBUQUERQUE NM 87109 CARDIAC & PULMONARY REHABILITATION PHS AMBULATORY CARE CLINIC 2200 WEST 21ST ST CLOVIS NM 88101 PRIMARY & SPECIALTY MEDICAL CLINIC PHS AMBULATORY CARE CLINIC 1010 SPRUCE ST ESPANOLA NM 87532 PRIMARY & SPECIALTY MEDICAL CLINIC & URGENT CARE CENTER PRMC CANCER CENTER 2219 DILLON ST CLOVIS NM 88101 CANCER TREATMENT CENTER PHS AMBULATORY CARE CLINIC 1325 WYOMING NE ALBUQUERQUE NM 87112 ADULT BEHAVIORAL HEALTH CLINIC PHS AMBULATORY CARE CLINIC 1100 CENTRAL SE ALBUQUERQUE NM 87105 PEDIATRIC URGENT CARE PHS AMBULATORY CARE CLINIC 5550 WYOMING BLVD NE ALBUQUERQUE NM 87108 PRIMARY & SPECIALTY MEDICAL CLINIC PHS AMBULATORY CARE CLINIC 8312 KASEMAN CT ALBUQUERQUE NM 87110 CHILD BEHAVIORAL HEALTHCARE MD URGENT CARE CLINIC 7920 CARMEL AVE NE ALBUQUERQUE NM 87122 URGENT CARE CENTER MD URGENT CARE CLINIC 1648 ALAMEDA BLVD NW ALBUQUERQUE NM 87114 URGENT CARE CENTER PLAINS REGIONAL MED CENTER PHARMACY 2401 W 21S ST CLOVIS NM 88101 PHARMACY PHS AMBULATORY CARE CLINIC 8120 CONSTITUTION PL NE STE 120 ALBUQUERQUE NM 87110 NEUROLOGY PRESBYTERIAN OUTPATIENT HOSPICE 8100 CONSTITUTION PL NE STE 400 ALBUQUERQUE NM 87110 HOSPICE CENTER, HOME HEALTH & ARTHRITIS CLINIC PHS AMBULATORY CARE CLINIC 6100 PAN AMERICAN NE STE 450 ALBUQUERQUE NM 87109 OB/GYN CLINIC CARRIZOZO HEALTH CENTER 710 AVE E CARRIZOZO NM 88301 PRIMARY & SPECIALTY MEDICAL CLINIC CORONA HEALTH CLINIC 471 MAIN ST CORONA NM 88318 PRIMARY & SPECIALTY MEDICAL CLINIC CAPITAN MEDICAL CLINIC 405 LINCOLN WAY CAPITAN NM 88316 PRIMARY & SPECIALTY MEDICAL CLINIC PHS AMBULATORY CARE CLINIC 211 SUDDERTH DR RUIDOSO NM 88345 BEHAVIORAL HEALTH CLINIC PHS AMBULATORY CARE CLINIC 402 E MIEL DE LUNA TUCUMCARI NM 88401 PRIMARY & SPECIALTY MEDICAL CLINIC & GENERAL SURGERY PHS AMBULATORY CARE CLINIC 1204 HWY 60 WEST SOCORRO NM 87801 AUDIOLOGY CLINIC PHS AMBULATORY CARE CLINIC 1100 LEAD SE ALBUQUERQUE NM 87108 GASTROENTEROLOGY LAB PRESBYTERIAN AQUATICS 5528 EUBANK BLVD NE ALBUQUERQUE NM 87111 PHYSICAL THERAPY POOL PHS AMBULATORY CARE CLINIC 3777 NM HWY 528 NE Rio Rancho NM 87144 Primary Care Clinic PHS AMBULATORY CARE CLINIC 454 St Michaels Dr SANTE FE NM 87505 Primary & Urgent Care Clinic SCHEDULE H, PART I, LINE 7G THE COST OF SUBSIDIZED HEALTH SERVICES PROVIDED BY PRESBYTERIAN HEALTHCARE SERVICES (PHS) AMBULATORY CARE CLINICS INCLUDED IN LINE 7G AMOUNTED TO $6,825,001. SCHEDULE H, PART I, LINE 7 PRESBYTERIAN HEALTHCARE SERVICES (PHS) USED A COMBINATION OF OUR COST-ACCOUNTING SYSTEM AND THE APPROPRIATE COST-TO-CHARGE RATIO, WHERE APPLICABLE, TO CALCULATE THE MOST ACCURATE COST OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS REPORTED IN LINE 7. FOR EXAMPLE, THE COST OF FINANCIAL ASSISTANCE WAS DETERMINED BY APPLYING THE COST-TO-CHARGE RATIO TO CHARITY CHARGES AND THEN SUBTRACTING ALL PAYMENTS RECEIVED ON CHARITY ACCOUNTS. HOWEVER, THE COST-ACCOUNTING SYSTEM WAS BETTER ABLE TO PROVIDE AN ACCURATE MEASUREMENT OF UNREIMBURSED MEDICAID AND UNREIMBURSED COST OF OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THE COST-ACCOUNTING SYSTEM WAS ALSO USED IN DETERMINING THE COST OF SUBSIDIZED HEALTH SERVICES. OUR COST ACCOUNTING SYSTEM CAPTURES ALL PATIENT SEGMENTS WITHIN THE PRESBYTERIAN DELIVERY SYSTEM INCLUDING ALL POPULATIONS WITHIN THE HOSPITAL SYSTEM AND WITHIN THE AMBULATORY HEALTH CLINICS. THE COST-TO-CHARGE RATIO UTILIZED WAS DERIVED FROM OUR MEDICARE COST REPORTS AND WAS NOT CALCULATED ON THE EXACT PARAMETERS OF WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. PHS BELIEVES THE COST-TO-CHARGE RATIOS UTILIZED BEST REPRESENT THE ACTUAL COST OF CARE IN EACH CIRCUMSTANCE. SCHEDULE H, PART II PRESBYTERIAN HEALTHCARE SERVICES' (PHS) COMMUNITY BUILDING ACTIVITIES INCLUDE SUPPORT FOR HEALTHCARE ORGANIZATIONS THAT PROVIDE SERVICES TO INDIVIDUALS WHO ARE HOMELESS OR TO PERSONS WITH CHRONIC HEALTH CHALLENGES. THESE EFFORTS ALSO EMPHASIZE QUALITY IMPROVEMENT AND FINANCIAL SUPPORT FOR QUALITY IMPROVEMENT ORGANIZATIONS LOCALLY AND NATIONALLY. IN ADDITION, PHS SUPPORTS EDUCATIONAL IMPROVEMENT, BOTH FOR THE GENERAL POPULATION AND FOR THE NURSING PROFESSION SPECIFICALLY. PHS' HUMAN RESOURCES DEPARTMENT PROVIDES MANY MAN HOURS OF COMMUNITY OUTREACH TO EDUCATE YOUTH AND ADULTS ON CAREER OPPORTUNITIES AND WAYS THEY CAN PREPARE THEMSELVES FOR THOSE OPPORTUNITIES. PHS ALSO SUPPORTS ECONOMIC DEVELOPMENT IN THE COMMUNITIES WE SERVE AND PARTICIPATES IN NUMEROUS FUND-RAISING ACTIVITIES BENEFITTING OTHER COMMUNITY RESOURCES SUCH AS THE ALBUQUERQUE BIO-PARK AND THE CHAMBER OF COMMERCE. PERHAPS MORE IMPORTANT THAN OUR FINANCIAL SUPPORT FOR THESE COMMUNITY BUILDING ACTIVITIES IS OUR SENIOR LEADER INVOLVEMENT ON THE BOARDS AND COMMITTEES OF COMMUNITY ORGANIZATIONS THROUGHOUT NEW MEXICO AND ACROSS ALL OF THESE CATEGORIES. ALL CASH AND IN-KIND FINANCIAL, STAFF, AND FACILITY SUPPORT FOR THESE COMMUNITY BUILDING GROUPS ARE INCLUDED IN SCHEDULE H, PARTS I AND II. HOWEVER, THE WORK TIME SPENT BY OUR SENIOR LEADERS IN SUPPORTING AND PARTICIPATING IN THESE COMMUNITY ORGANIZATIONS IS NOT REFLECTED IN SCHEDULE H, PARTS I AND II. SCHEDULE H, PART III, LINE 2 NET BAD DEBT EXPENSE, MEASURED AT GROSS CHARGES, IS MULTIPLIED BY THE APPROPRIATE COST-TO-CHARGE RATIO TO DETERMINE THE COST OF BAD DEBT TO REPORT ON PART III, LINE 2. SCHEDULE H, PART III, LINE 3 PRESBYTERIAN HEALTHCARE SERVICES (PHS) USES A PRESUMPTIVE FINANCIAL ASSISTANCE SOFTWARE ALGORITHM TO DETERMINE SPECIFIC PATIENT ACCOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE, ALTHOUGH INITIALLY CLASSIFIED AS BAD DEBT. THESE ACCOUNTS ARE RECORDED ON THIS SCHEDULE AS FINANCIAL ASSISTANCE AND NOT AS BAD DEBT. COLLECTION ACTIONS ARE NOT PURSUED ON THESE ACCOUNTS ONCE THEY ARE CLASSIFIED AS FINANCIAL ASSISTANCE. HOWEVER, AFTER ANALYZING THE RESULTS OF OUR SOFTWARE ALGORITHM AGAINST PATIENT CREDIT SCORES FOR ACCOUNTS RECORDED IN BAD DEBT, THE DIRECTOR OF PATIENT FINANCIAL SERVICES HAS FOUND THAT APPROXIMATELY 53% OF SUCH ACCOUNTS WOULD QUALIFY FOR FULL FINANCIAL ASSISTANCE IF THEY HAD COMPLETED THE APPLICATION PROCESS AND PROVIDED THE REQUIRED DOCUMENTATION. THEREFORE, WE HAVE RECORDED 53% OF THE COST OF BAD DEBT HERE. SCHEDULE H, PART III, LINE 4 THE FOLLOWING IS THE TEXT OF THE BAD DEBT FOOTNOTE FROM THE PRESBYTERIAN HEALTHCARE SERVICES (PHS) CONSOLIDATED FINANCIAL STATEMENTS: NET PATIENT ACCOUNTS RECEIVABLE - NET PATIENT ACCOUNTS RECEIVABLE HAVE BEEN ADJUSTED TO THE ESTIMATED AMOUNTS EXPECTED TO BE COLLECTED. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, PHS ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, PHS ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND CO-PAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). PHS HAS A POLICY OF PROVIDING DISCOUNTS TO SELF-PAY PATIENTS WITHOUT INSURANCE. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), PHS RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF APPLICABLE) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PHS' ALLOWANCE FOR DOUBTFUL ACCOUNTS AS A PERCENTAGE OF SELF-PAY PATIENT RECEIVABLES WAS 80% AND 77% AT DECEMBER 31, 2014 AND 2013, RESPECTIVELY. PHS'S PROVISION FOR DOUBTFUL ACCOUNTS DECREASED TO $91,964,000 FOR FISCAL YEAR 2014 FROM $107,501,000 FOR FISCAL YEAR 2013. THE MAJORITY OF THIS DECREASE IS THE RESULT OF A GREATER NUMBER OF PATIENTS QUALIFYING FOR MEDICAID, WHICH HAS DECREASED SELF-PAY REVENUE AND RECEIVABLES IN 2014. SELF-PAY PATIENTS THAT HAD BEEN IN THE SELF-PAY CATEGORY ARE NOW QUALIFYING FOR MEDICAID; HOWEVER, THE PATIENTS WHO ARE NOW CLASSIFIED AS SELF-PAY ARE MORE UNLIKELY TO PAY THAN IN THE PAST. PHS' UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2014 AND 2013 PROVIDED FOR A DISCOUNT OF 30% FROM STANDARD RATES FOR MOST SERVICES. THESE UNINSURED DISCOUNTS ARE RECORDED WITH CONTRACTUAL ADJUSTMENTS AS A DEDUCTION OF PATIENT SERVICE REVENUE. PHS DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR HAVE THERE BEEN SIGNIFICANT WRITE-OFFS FROM THIRD-PARTY PAYORS. SCHEDULE H, PART III, LINE 8 TOTAL MEDICARE REVENUE RECEIVED IS COLLECTED FROM OUR PATIENT FINANCIAL SERVICES BILLING SYSTEM. THE COST TO PROVIDE CARE TO MEDICARE PATIENTS IS COMPUTED BASED ON THE APPROPRIATE COST-TO-CHARGE RATIO APPLIED TO MEDICARE CHARGES ASSOCIATED WITH THE NET REVENUE REPORTED ON LINE 5. THE RESULTING SHORTFALL IS REPORTED ON LINE 7. PRESBYTERIAN HEALTHCARE SERVICES (PHS) STRONGLY BELIEVES THAT THIS MEDICARE SHORTFALL REPRESENTS A VALUABLE BENEFIT TO THE COMMUNITIES WE SERVE AND SHOULD BE RECOGNIZED AS A COMMUNITY BENEFIT IN ITS ENTIRETY FOR THE FOLLOWING REASONS: - ABSENT THE MEDICARE PROGRAM, AND OUR FULL PARTICIPATION IN THE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WE TREAT WOULD QUALIFY FOR FINANCIAL ASSISTANCE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS. - BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT IN NEW MEXICO ARE GREATLY RELIEVED WITH RESPECT TO THESE INDIVIDUALS. - THERE CONTINUES TO BE A SIGNIFICANT POSSIBILITY THAT THE CONTINUED REDUCTION IN REIMBURSEMENT RATES FOR THE MEDICARE PROGRAM MAY ACTUALLY CREATE DIFFICULTIES IN HEALTHCARE ACCESS FOR THE PATIENTS WE CURRENTLY TREAT UNDER THIS PROGRAM. - THE AMOUNT THAT PHS SPENDS EACH YEAR TO COVER THIS SUBSTANTIAL MEDICARE SHORTFALL DECREASES THE AMOUNT AVAILABLE TO COVER FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS. SCHEDULE H, PART III, LINE 9B PRESBYTERIAN HEALTHCARE SERVICES (PHS) HAS A SELF PAY PAYMENT AND COLLECTION POLICY (PFS.PHS.115) WHICH INCLUDES THE FOLLOWING PROVISIONS: "PHS OFFERS FINANCIAL ASSISTANCE FOR PATIENTS WHO MEET THE QUALIFICATIONS SET FORTH IN THE PHS FINANCIAL ASSISTANCE POLICY (FAP)(PFS.PDS.116). PATIENTS ARE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE DURING OR AFTER THE NOTIFICATION PERIOD. IN THE EVENT FINANCIAL ASSISTANCE IS APPROVED AFTER AN ACCOUNT HAS BEEN REFERRED TO A COLLECTION AGENCY, THE BALANCE WILL BE RECALLED AND PHS WILL SEND A REQUEST TO THE COLLECTION AGENCY TO REMOVE ADVERSE CREDIT REPORTING." SCHEDULE H, PART VI, LINE 2 THE COMMUNITY HEALTH NEEDS ASSESSMENTS, CONDUCTED IN 2013 FOR ALL PRESBYTERIAN HEALTHCARE SERVICES (PHS) HOSPITAL FACILITIES, ARE THE PRIMARY MEANS UTILIZED TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE. THESE ASSESSMENTS WERE THOROUGH AND INCLUSIVE. SCHEDULE H, PART VI, LINE 3 PRESBYTERIAN HEALTHCARE SERVICES (PHS) IS COMMITTED TO PROVIDING BENEFITS TO THE COMMUNITY. AS A NONPROFIT, CHARITABLE, COMMUNITY-BASED HEALTHCARE PROVIDER, PHS PROVIDES MEDICALLY NECESSARY SERVICES AT NO CHARGE OR AT A REDUCED CHARGE BASED ON A SLIDING SCALE TO PATIENTS WHO MEET THE SPECIFIC CRITERIA DEFINED IN OUR FINANCIAL ASSISTANCE POLICY. THESE CRITERIA ARE CONSISTENTLY APPLIED. PHS PATIENTS ARE ADVISED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH THE PLACEMENT OF APPROPRIATE SIGNAGE IN ENGLISH AND SPANISH AT ALL PHS PATIENT-CARE CENTERS. THE PHS FINANCIAL ASSISTANCE POLICY IS ALSO POSTED ON ITS WEBSITE. PHS FINANCIAL COUNSELORS ATTEMPT TO MAKE DIRECT CONTACT WITH PATIENTS WHO ARE SELF-PAY OR WHO INDICATE AN INABILITY TO PAY FOR THEIR CARE AS PART OF OUR STANDARD ADMISSION PROTOCOL. THE PHS PATIENT FINANCIAL SERVICES DEPARTMENT MAINTAINS AN EFFECTIVE COMMUNICATION PROGRAM AMONG ALL AREAS OF THE PRESBYTERIAN DELIVERY SYSTEM TO ENSURE THE CONSISTENT APPLICATION OF THIS FINANCIAL ASSISTANCE POLICY. WHEN A PATIENT INDICATES OR DEMONSTRATES AN "INABILITY TO PAY" OR A NEED FOR FINANCIAL ASSISTANCE, A PHS FINANCIAL COUNSELOR FROM THE PHS PATIENT FINANCIAL SERVICES DEPARTMENT, OR ANOTHER APPROPRIATE PHS REPRESENTATIVE, REVIEWS WITH THE PATIENT GOVERNMENT PROGRAMS THAT MAY BE AVAILABLE TO HIM OR HER AND PROVIDES THE PATIENT WITH A SELF-PAY RESOURCE PACKET WHICH CONTAINS A FINANCIAL ASSISTANCE APPLICATION. THE COUNSELOR OR OTHER PHS REPRESENTATIVE WILL ASSIST THE PATIENT IN APPLYING FOR GOVERNMENT ASSISTANCE AND/OR COMPLETING THE APPLICATION FOR PHS FINANCIAL ASSISTANCE AND OBTAINING ALL REQUIRED DOCUMENTATION. SCHEDULE H, PART VI, LINE 4 PRESBYTERIAN HEALTHCARE SERVICES' (PHS) HEALTHCARE DELIVERY SYSTEM IS DIVIDED INTO THE CENTRAL NEW MEXICO DELIVERY SYSTEM (CDS) AND THE REGIONAL DELIVERY SYSTEM (RDS). THE CDS INCLUDES PRESBYTERIAN HOSPITAL, PRESBYTERIAN KASEMAN HOSPITAL, PRESBYTERIAN RUST MEDICAL CENTER, AND NUMEROUS AMBULATORY CARE CLINICS SUPPORTING THESE FACILITIES IN THE FOUR-COUNTY METRO AREA. THIS FOUR-COUNTY AREA INCLUDES THE COUNTIES CONTAINING AND SURROUNDING ALBUQUERQUE: BERNALILLO, SANDOVAL, TORRANCE, AND VALENCIA. THE POPULATION IN THIS AREA TENDS TO BE MORE URBAN THAN MOST OF NEW MEXICO AND THE CITIZENS IN THIS AREA HAVE MORE HEALTH CARE OPTIONS. THE RDS INCLUDES DR. DAN C. TRIGG MEMORIAL HOSPITAL, PRESBYTERIAN ESPANOLA HOSPITAL, LINCOLN COUNTY MEDICAL CENTER, PLAINS REGIONAL MEDICAL CENTER, SOCORRO GENERAL HOSPITAL AND THEIR ASSOCIATED CLINICS. TRIGG, LINCOLN COUNTY, AND SOCORRO HOSPITALS ARE DESIGNATED AS CRITICAL ACCESS HOSPITALS FOR THE COMMUNITIES THEY SERVE. EACH OF THESE REGIONAL LOCATIONS IS PRIMARILY RURAL WITH LOWER INCOMES, LESS ACCESS TO HEALTHCARE FOR THEIR CITIZENS, AND SPECIFIC HEALTH CHALLENGES FOR THE POPULATIONS. FOR DETAILED DESCRIPTIONS OF EACH OF THE GEOGRAPHIC AND DEMOGRAPHIC AREAS SERVED BY PHS, PLEASE REFER TO THE CORRESPONDING COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS AT WWW.PHS.ORG. SCHEDULE H, PART VI, LINE 5 COMMUNITY-BASED VOLUNTEER BOARDS ARE THE CORNERSTONE OF PRESBYTERIAN HEALTHCARE SERVICES' (PHS) GOVERNANCE SYSTEM. THE PHS BOARD, WITH KEY SUPPORTING COMMITTEES IN COMPLIANCE AND AUDIT, EXECUTIVE COMPENSATION, FINANCE, GOVERNANCE, AND QUALITY, IS ULTIMATELY RESPONSIBLE FOR THE ENTIRE SYSTEM. THE OVERALL GOVERNANCE STRUCTURE ALSO INCLUDES A VOLUNTEER BOARD OF TRUSTEES FOR EACH OF THE SERVICE AREAS OR HOSPITALS. THE HOSPITAL AFFILIATE BOARDS REPORT TO THE PHS BOARD, GOVERN IN THE COMMUNITIES WHERE THEY RESIDE, AND ARE CHARGED WITH ASSESSING AND ENSURING THE APPROPRIATENESS OF THE HEALTH CARE SERVICES PROVIDED. THE HOSPITALS' MEDICAL STAFFS ORGANIZE AND ENGAGE INDEPENDENT AND EMPLOYED PHYSICIANS IN HOSPITAL DECISION-MAKING, CREDENTIALING, AND OVERSIGHT OF QUALITY OF PATIENT CARE. PHYSICIANS ARE ACTIVE MEMBERS OF PRESBYTERIAN'S LEADERSHIP AND GOVERNING BOARDS, SERVING ON THE PHS BOARD OF DIRECTORS AND ITS COMMITTEES AS WELL AS PROVIDING OPERATIONAL AND CLINICAL LEADERSHIP. ALL PHS HOSPITALS MAINTAIN OPEN MEDICAL STAFFS AND PROVIDE 24-HOUR EMERGENCY CARE. ALL OF OUR FACILITIES PROVIDE FREE OR DISCOUNTED MEDICALLY NECESSARY CARE TO PATIENTS WHO ARE UNABLE TO PAY. IN ADDITION, WE PROVIDE MANY NEEDED SERVICES, INCLUDING PEDIATRIC SPECIALTY SERVICES AND BEHAVIORAL HEALTH SERVICES, AT A FINANCIAL LOSS, SERVICES THAT WOULD BECOME THE BURDEN OF GOVERNMENT OR ANOTHER NONPROFIT, OR SIMPLY NOT BE AVAILABLE, IF WE DISCONTINUED THEM. PHS IS A FULL PARTICIPANT IN THE MEDICARE AND MEDICAID PROGRAMS, ALONG WITH NUMEROUS OTHER GOVERNMENTAL, NEEDS-BASED PROGRAMS. PHS REINVESTS THE MARGIN WE EARN INTO BETTER HEALTH CARE FOR NEW MEXICO. WE HAVE NO SHAREHOLDERS TO SATISFY - ONLY FELLOW NEW MEXICANS TO SERVE. WE HAVE REINVESTED MORE THAN $668 MILLION INTO LOCAL HEALTH CARE IN THE LAST FIVE YEARS ALONE. WE ARE CONTINUING TO REINVEST OUR FUNDS TO IMPROVE PATIENT ACCESS AND SAFETY THROUGH NEW, STATE-OF-THE-ART MEDICAL FACILITIES AND TECHNOLOGY SUCH AS PHARMACY AUTOMATION AND ELECTRONIC MEDICAL RECORDS. SCHEDULE H, PART VI, LINE 6 PRESBYTERIAN HEALTHCARE SERVICES (PHS) IS A NONPROFIT INTEGRATED HEALTH CARE SYSTEM THAT HAS SERVED THE STATE OF NEW MEXICO FOR MORE THAN 106 YEARS. PHS PROVIDES PATIENTS WITH PREVENTATIVE, DIAGNOSTIC, AND TREATMENT SERVICES IN HOSPITALS AND AMBULATORY FACILITIES THROUGHOUT NEW MEXICO AND EMPLOYS PHYSICIANS AND MID-LEVEL PRACTITIONERS SUCH AS NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS IN 39 PRIMARY AND MULTIPLE-SPECIALTY CLINICS LOCATED ACROSS NEW MEXICO. IN ADDITION, THROUGH INNOVATIVE SERVICES, MANY PATIENTS HAVE THE BENEFIT OF A PATIENT-CENTERED MEDICAL HOME AND CAN INTERACT WITH PHYSICIANS AND MID-LEVEL PRACTITIONERS ONLINE THROUGH E-VISITS AND IN THEIR HOME SETTING THROUGH THE HOSPITAL AT HOME PROGRAM. PHS OFFERS EMERGENCY RESPONSE AND NON-EMERGENCY AMBULANCE SERVICES IN ALBUQUERQUE THROUGH AN AFFILIATED NON-PROFIT COMPANY AND PROVIDES SUCH SERVICES DIRECTLY IN LINCOLN AND RIO ARRIBA COUNTIES. PHS IS ALSO AFFILIATED WITH PRESBYTERIAN HEALTH PLAN AND PRESBYTERIAN INSURANCE COMPANY. THESE ORGANIZATIONS PROVIDE PRODUCTS AND SERVICES DESIGNED AND DELIVERED TO PREVENT ILLNESS AND COORDINATE CARE FOR APPROXIMATELY 444,000 MEMBERS THROUGHOUT NEW MEXICO, INCLUDING INDIVIDUALS ENROLLED IN MEDICAID MANAGED CARE. THE PHP NETWORK IS COMPRISED OF PHS OWNED AND OPERATED FACILITIES AND EMPLOYED PRACTITIONERS AS WELL AS INDEPENDENT HOSPITALS AND PRACTITIONERS THROUGHOUT THE STATE. SCHEDULE H, PART VI, LINE 7 PRESBYTERIAN HEALTHCARE SERVICES (PHS) PUBLISHES A REPORT TO THE COMMUNITY ANNUALLY. THIS REPORT IS DISTRIBUTED TO COMMUNITY LEADERS THROUGHOUT THE STATE OF NEW MEXICO AND IS AVAILABLE ON OUR WEBSITE. IN ADDITION, PHS FILES A COPY OF ITS COMPLETE FORM 990, WHICH INCLUDES COMMUNITY BENEFIT INFORMATION, WITH THE NEW MEXICO ATTORNEY GENERAL'S OFFICE. true AGRI-CULTURA NETWORK 2047 TAPIA BLVD SW ALBUQUERQUE NM 87105 231352010 501(C)(3) 15000 HEALTH IMPROVEMENT FOR THE UNDERSERVED ALBUQUERQUE ECONOMIC DEVELOPMENT 851 UNIVERSITY BLVD ALBUQUERQUE NM 87106 850157216 501(C)(6) 10000 HEALTH IMPROVEMENT GENERAL COMMUNITY ALBUQUERQUE HEALTHCARE FOR THE HOMELESS PO BOX 25445 ALBUQUERQUE NM 87125 850368993 501(C)(3) 50000 HEALTH IMPROVEMENT GENERAL COMMUNITY AMERICAN CANCER SOCIETY PO BOX 2856 CLOVIS NM 88102 131788491 501(C)(3) 8750 PROMOTE ECONOMIC DEVELOPMENT AMERICAN LUNG ASSOCIATION 5911 JEFFERSON ST NE ALBUQUERQUE NM 87109 860111676 501(C)(3) 7500 HEALTH IMPROVEMENT GENERAL COMMUNITY ARCHDIOSESE OF SANTA FE 4000 St Josephs Pl ALBUQUERQUE NM 87120 850213561 501(C)(3) 10000 HEALTH IMPROVEMENT GENERAL COMMUNITY ASSOCIATION OF COMMERCE AND INDUSTRY 2201 Buena Vista Dr ALBUQUERQUE NM 87106 850124357 501(C)(6) 10000 PROMOTE QUALITY IMPROVEMENT B'NAI B'RITH International 1120 20th St NW washington DC 20036 530179971 501(C)(3) 10000 HEALTH IMPROVEMENT GENERAL COMMUNITY EA HEALTH 1100 CENTRAL ALBUQUERQUE NM 87106 841718018 204135 PROMOTE QUALITY IMPROVEMENT GREATER ALBUQUERQUE CHAMBER OF COMMERCE 115 GOLD AVE SW ALBUQUERQUE NM 87102 850018940 501(C)(6) 16445 PROMOTE ECONOMIC DEVELOPMENT NATIONAL ASSOCIATION ON MENTAL ILLNESS 3803 N FAIRFAX DR ARLINGTON VA 22203 431201653 501(C)(3) 10000 HEALTH IMPROVEMENT GENERAL COMMUNITY PEOPLE LIVING THROUGH CANCER 3411 CANDELARIA RD NE ALBUQUERQUE NM 87107 850324330 501(C)(3) 6000 HEALTH IMPROVEMENT GENERAL COMMUNITY RIO ARRIBA COUNTY TREATMENT 1122 INDUSTRIAL PARK RD ESPANOLA NM 87532 850423951 501(C)(3) 636008 HEALTH IMPROVEMENT FOR THE UNDERSERVED NEW MEXICO BIOPARK SOCIETY 990 TENTH STREET SW ALBUQUERQUE NM 87102 237087964 501(C)(3) 7000 HEALTH IMPROVEMENT FOR THE UNDERSERVED UNITED WAY OF EASTERN NEW MEXICO 1200 N THORNTON ST CLOVIS NM 88101 237109243 501(C)(3) 20000 HEALTH IMPROVEMENT FOR THE UNDERSERVED NEW MEXICO CENTER FOR NURSING EXCELLENCE PO BOX 92048 ALBUQUERQUE NM 87199 850463326 501(C)(3) 10000 HEALTH IMPROVEMENT FOR THE UNDERSERVED QUALITY NEW MEXICO PO BOX 25005 ALBUQUERQUE NM 87125 850433782 501(C)(3) 10000 HEALTH IMPROVEMENT FOR THE UNDERSERVED PRESBYTERIAN HEALTHCARE FOUNDATION PO BOX 26666 ALBUQUERQUE NM 87125 856016041 501(C)(3) 245525 HEALTH IMPROVEMENT GENERAL COMMUNITY 14 4 VARIOUS - PROVIDE MEALS TO INDIGENT PATIENTS 4553 6829 COST MEALS Various - indigent lodging 109 7109 COST lodging Various - indigent transportation 387 9677 COST transportation Various - healthy eating education 5000 15888 COST supplies Various - Flu Shots 5300 55620 COST flu shots VARIOUS - NURSING SCHOLARSHIPS 5 5000 scholarships NURSING EDUCATION (PATHWAYS TO NURSING PROGRAM) 40 202045 COST LOAN FORGIVENESS VARIOUS - HEALTH FAIRS 500 4659 COST SUPPLIES SCHEDULE I, PART I, LINE 2 PRESBYTERIAN HEALTHCARE SERVICES (PHS) MONITORS ALL ORGANIZATIONS THAT RECEIVE GRANT FUNDS. THE PRESBYTERIAN SENIOR LEADER SUBMITTING OR PROPOSING THE GRANT REQUEST REPORTS BACK TO PHS ON THE OUTCOMES RELATING TO THE GRANT FUNDS. GRANT FUNDS ARE ONLY MADE AVAILABLE TO CONFIRMED 501(C)(3) OR SIMILAR ORGANIZATIONS, GOVERNMENT ENTITIES, AND FOR A FEW SMALL SCHOLARSHIPS, TO INDIVIDUAL STUDENTS OR EDUCATIONAL INSTITUTIONS. ADDITIONALLY, PHS UTILIZES THE EA HEALTH FIRM (A FOR-PROFIT ENTERPRISE) TO COMPENSATE INDEPENDENT PHYSICIANS WHO AGREE TO SERVE UNINSURED PATIENTS VIA PHS' EMERGENCY DEPARTMENT. THE CONTRACT TERMS ARE MONITORED BY THE RESPONSIBLE MANAGER(S) TO ENSURE EA HEALTH IS PROVIDING THE SERVICES FOR WHICH THEY ARE CONTRACTED. X X X X X false true false false false false false false false CHARLES MILLIGAN JD DIRECTOR (THRU 4/10/2014) 0 170697 0 30000 0 1754 0 0 0 13835 0 216286 0 0 ELAINE PAPAFRANGOS MD DIRECTOR 177251 0 50239 0 1616 0 175325 0 24491 0 428922 0 0 0 JAMES HINTON PRESIDENT / DIRECTOR 471462 475016 0 0 541524 1904200 817949 548154 9436 9436 1840371 2936806 503963 1426087 PAUL BRIGGS EVP / COO 339974 226650 0 0 8722 5690 336237 162667 15322 10215 700255 405222 186 0 DIANE FISHER SVP / SECRETARY 162626 162626 0 0 7365 7365 141084 0 5413 5413 316488 175404 0 0 DALE MAXWELL SVP / CFO / TREASURER 232897 232897 0 0 13912 13912 120335 0 6473 8081 373617 254890 0 0 HECTOR ARREDONDO MD EXECUTIVE MEDICAL DIRECTOR-PMG 386991 0 0 0 9329 0 13000 0 27539 0 436859 0 0 0 BOIS D'ARC BEAMES VP - OPERATIONS - RDS 208974 0 0 0 8325 0 58127 0 24687 0 300113 0 0 0 DOYLE BOYKIN ADMINISTRATOR - ADULT MED SL 164642 0 0 0 1679 0 158779 0 13373 0 338473 0 0 0 KATHLEEN DAVIS RN SVP / PATIENT CARE SVCS - CNO 372666 0 0 0 4527 0 164411 0 23352 0 564956 0 589 0 ROBIN DIVINE VP - EMERGING BUSINESS DEV 175708 0 30000 0 1405 0 30741 0 18386 0 256240 0 0 0 CLAY HOLDERMAN CHIEF OPERATING OFFICER - CDS 343445 0 0 0 1767 0 46001 0 24141 0 415354 0 0 0 JAMES JEPPSON VP - REAL ESTATE 176024 0 0 0 4761 0 161121 0 19471 0 361377 0 0 0 AMELIA MARLEY SVP - INFO SERVICES 344819 0 0 0 6000 0 11700 0 14138 0 376657 0 0 0 JEFF MCBEE CAMPUS ADMINISTRATOR - RR 204094 0 0 0 1269 0 6223 0 7932 0 219518 0 0 0 SANDRA PODLEY CAMPUS ADMINISTRATOR - PH 239466 0 0 0 3562 0 10995 0 7510 0 261533 0 0 0 DANIEL RAMSEY CHIEF OPERATIONS OFFICER - PMG 266060 0 0 0 7091 0 11700 0 18932 0 303783 0 0 0 TODD SANDMAN SVP - STRATEGY 123904 123904 0 0 2475 2475 59618 0 11872 11872 197869 138251 0 0 JOANNE SUFFIS SVP - HUMAN RESOURCES 182041 148942 13750 11250 2173 1778 11700 0 5979 4892 215643 166862 0 0 ELIZABETH TIBBS DIR - BUS OPS - SURGERY SL 176894 0 7500 0 12179 0 55895 0 22044 0 274512 0 0 0 GUILHERME MARIN MD CARDIO INVASIVE INTERVENTION 674736 0 243683 0 1451 0 13000 0 17602 0 950472 0 0 0 PETER WALINSKY MD CARDIOVASCULAR SURGEON 716808 0 179696 0 2555 0 83066 0 18613 0 1000738 0 0 0 CARL LAGERSTROM MD CARDIOVASCULAR SURGEON 736856 0 149994 0 4643 0 159907 0 28308 0 1079708 0 0 0 MOHAMMAD TAHERI MD GASTROENTEROLOGIST 664417 0 125683 0 1838 0 11700 0 7187 0 810825 0 0 0 DANIEL FRIEDMAN MD MED DIR - CARDIOLOGY CLINIC 553324 0 221939 0 3434 0 154474 0 17118 0 950289 0 0 0 DONNA AGNEW ADMIN DIR - PROCESS EXCELLENCE 162553 0 0 0 3141 0 260228 0 15596 0 441518 0 0 0 CINDY MCGILL SVP - HUMAN RESOURCES 0 0 0 0 0 152410 0 0 0 0 0 152410 0 152410 CHERYL MITCHELL ADMIN DIRECTOR - AMBULATORY SL 160378 0 0 0 3086 0 199518 0 17731 0 380713 0 0 0 DAVID SCRASE MD MED DIR - INTERNAL MEDICINE 123998 0 25524 0 3073 155719 18000 0 10728 0 181323 155719 761 155719 DIANA WEBER MD MEDICAL DIRECTOR - CLINIC 296770 0 18209 0 829 0 13000 0 856 0 329664 0 0 0 SCHEDULE J, PART I, LINE 4B JAMES HINTON (1) RECEIVED CURRENT TAXABLE PAYOUTS FROM NON-QUALIFIED DEFERRED COMPENSATION PLANS FROM COMPENSATION EARNED AND REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS IN THE AMOUNTS OF $503,963 & $1,426,087 FROM THE REPORTING ORGANIZATION AND A RELATED ORGANIZATION, RESPECTIVELY, AND (2) WAS A CURRENT YEAR PARTICIPANT IN NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS (SERPS). THE 2014 ESTIMATED INCREASES IN ACTUARIAL VALUE OF THE SERPS FOR MR. HINTON WERE $548,154 & $548,154, WHICH IS INCLUDED IN THE REPORTED DEFERRED COMPENSATION AMOUNT FROM THE REPORTING ORGANIZATION AND A RELATED ORGANIZATION, RESPECTIVELY. PAUL BRIGGS (1) RECEIVED A CURRENT TAXABLE PAYOUT FROM A NON-QUALIFIED DEFERRED COMPENSATION PLAN FROM COMPENSATION EARNED AND REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS IN THE AMOUNT OF $186 FROM THE REPORTING ORGANIZATION, AND (2) WAS A CURRENT YEAR PARTICIPANT IN NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLANS (SERPS). THE 2014 ESTIMATED INCREASES IN ACTUARIAL VALUE OF THE SERPS FOR MR. BRIGGS WERE $244,001 & $162,667, WHICH IS INCLUDED IN THE REPORTED DEFERRED COMPENSATION AMOUNT FROM THE REPORTING ORGANIZATION AND A RELATED ORGANIZATION, RESPECTIVELY. KATHLEEN DAVIS RECEIVED A CURRENT TAXABLE PAYOUT FROM A NON-QUALIFIED DEFERRED COMPENSATION PLAN FROM COMPENSATION EARNED AND REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS IN THE AMOUNT OF $589. DAVID SCRASE RECEIVED CURRENT TAXABLE PAYOUTS FROM NON-QUALIFIED DEFERRED COMPENSATION PLANS FROM COMPENSATION EARNED AND REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS IN THE AMOUNTS OF $761 & $155,719 FROM THE REPORTING ORGANIZATION AND A RELATED ORGANIZATION, RESPECTIVELY. IN 2014, CINDY MCGILL RECEIVED COMPENSATION FROM DEFERRED COMPENSATION EARNED IN PRIOR YEARS FROM A RELATED ORGANIZATION, WHILE SHE WAS A KEY EMPLOYEE OF PRESBYTERIAN HEALTHCARE SERVICES. THIS COMPENSATION WAS REPORTED IN THE PRIOR PERIOD WHEN DEFERRED AND IS REPORTED AGAIN HERE, AS REQUIRED. MS. MCGILL IS NO LONGER EMPLOYED BY PRESBYTERIAN HEALTHCARE SERVICES OR THE RELATED ORGANIZATION. SCHEDULE J, PART II ELAINE PAPAFRANGOS WAS COMPENSATED BY PRESBYTERIAN HEALTHCARE SERVICES AS AN EMPLOYED PHYSICIAN. NONE OF THIS COMPENSATION WAS FOR DUTIES AS A BOARD MEMBER. Charles Milligan served as a Director until April 10, 2014. Subsequently in 2014, Mr. Milligan was hired as an employee by Presbyterian Health Plan, Inc. (PHP), a related organization. The compensation reported here is entirely from his employment in 2014 with PHP and not related to his service as a Board member. DALE MAXWELL IS A PARTICIPANT IN A RETENTION AGREEMENT WITH PRESBYTERIAN HEALTHCARE SERVICES. IN 2014, $48,400 WAS DEFERRED UNDER THIS AGREEMENT FOR MR. MAXWELL. THIS AMOUNT IS INCLUDED IN THE REPORTED DEFERRED COMPENSATION AMOUNT. KATHLEEN DAVIS IS A PARTICIPANT IN A RETENTION AGREEMENT WITH PRESBYTERIAN HEALTHCARE SERVICES. IN 2014, $40,221 WAS DEFERRED UNDER THIS AGREEMENT FOR MS. DAVIS. THIS AMOUNT IS INCLUDED IN THE REPORTED DEFERRED COMPENSATION AMOUNT. CLAY HOLDERMAN IS A PARTICIPANT IN A RETENTION AGREEMENT WITH PRESBYTERIAN HEALTHCARE SERVICES. IN 2014, $33,001 WAS DEFERRED UNDER THIS AGREEMENT FOR MR. HOLDERMAN. THIS AMOUNT IS INCLUDED IN THE REPORTED DEFERRED COMPENSATION AMOUNT. DONNA AGNEW, CHERYL MITCHELL, DAVID SCRASE, AND DIANA WEBER WERE COMPENSATED AS CURRENT EMPLOYEES OF PRESBYTERIAN HEALTHCARE SERVICES IN 2014. IN ONE OR MORE OF THE FIVE PRIOR YEARS, THEIR ACTIVITIES OR RESPONSIBILITIES QUALIFED THEM AS KEY EMPLOYEES OR OFFICERS AND THEY WERE REPORTED AS SUCH. IN 2014, THEY DID NOT MEET THE KEY EMPLOYEE THRESHOLD OR WERE NOT OFFICERS, BUT THEIR COMPENSATION EXCEEDED THE MINIMUM REQUIREMENT FOR REPORTING AS A FORMER KEY EMPLOYEE OR OFFICER, AND SO THEY ARE INCLUDED ON FORM 990, PART VII, AND ON SCHEDULE J AS ALSO REQUIRED. A NMHELC (SEE PART VI) 850334237 647370EM3 2008-11-25 384259646 SEE PART VI false false false B NMHELC (SEE PART VI) 850334237 647370FE0 2009-09-24 132007250 SEE PART VI false false false C NMHELC (SEE PART VI) 850334237 647370FM2 2012-08-30 78843000 SEE PART VI false false false A 47585000 0 384327212 0 0 0 3755751 290832 0 32201275 348079354 0 2009 true false true true B 0 0 132562082 0 0 0 2007250 0 0 130554832 0 0 2011 false false true true C 0 0 78866908 0 0 0 1181950 0 0 70440624 0 7244334 false false true true A false true true true true true 0.00550 0.00080 0.00630 false false false false B false true true true true true 0 false false false false C false true true true true true 0.00290 0.00290 false false false false A false true true true SEE PART VI 25. false false false 0 false true B false true false false 0 false 0 false true C false true false false 0 false 0 false true A false B false C false . SCHEDULE K, PART I, LINE A - COLUMN A - NEW MEXICO HOSPITAL EQUIPMENT LOAN COUNCIL HOSPITAL SYSTEM REVENUE BONDS (PRESBYTERIAN HEALTHCARE SERVICES), SERIES 2008A, 2008B, 2008C, AND 2008D. COLUMN F - REFUND BONDS ISSUED 7/28/05 AND 3/28/08 AND FINANCE NEW FACILITIES. SCHEDULE K, PART I, LINE B - COLUMN A - NEW MEXICO HOSPITAL EQUIPMENT LOAN COUNCIL HOSPITAL SYSTEM REVENUE BONDS (PRESBYTERIAN HEALTHCARE SERVICES), SERIES 2009A. COLUMN F - CONSTRUCTION, ACQUISITION, AND EQUIPMENT OF NEW HEALTHCARE FACILITY. SCHEDULE K, PART I, LINE C - COLUMN A - NEW MEXICO HOSPITAL EQUIPMENT LOAN COUNCIL HOSPITAL SYSTEM REVENUE BONDS (PRESBYTERIAN HEALTHCARE SERVICES), SERIES 2012A. COLUMN F - CONSTRUCTION, ACQUISITION, IMPROVEMENT, AND EQUIPMENT OF EXISTING HOSPITAL FACILITIES. SCHEDULE K, PART II, LINE 3, COLUMN A - INCLUDES INVESTMENT EARNINGS OF $67,566. SCHEDULE K, PART II, LINE 3, COLUMN B - INCLUDES INVESTMENT EARNINGS OF $554,832. SCHEDULE K, PART II, LINE 3, COLUMN C - INCLUDES INVESTMENT EARNING OF $23,908. SCHEDULE K, PART II, LINE 11, COLUMN A - $348,079,354 OF PROCEEDS WAS SPENT TO CURRENTLY REFUND BONDS ISSUED 7/28/05 AND 3/28/08. SCHEDULE K, PART III, LINE 9 - SUCH WRITTEN PROCEDURES ARE CURRENTLY UNDER REVISION BY THE TREASURY VP AND THE TAX DIRECTOR OF THE ISSUER ORGANIZATION. SCHEDULE K, PART IV, LINE 2C COLUMN A - NOVEMBER 20, 2012 COLUMN B - NOVEMBER 6, 2012 SCHEDULE K, PART IV, LINE 4B, COLUMN A - GOLDMAN SACHS MITSUI MARINE DERIVATIVE PRODUCTS, L.P. LOUIS TROST MD BOD PHS / SPOUSE 172212 EMPLOYEE COMPENSATION false REBECCA HINTON BOD PHS / DAUGHTER 65164 EMPLOYEE COMPENSATION false ROBERT HINTON BOD PHS / SON 12672 EMPLOYEE COMPENSATION false KRISTEN BRIGGS OFF PHS / DAUGHTER 54193 EMPLOYEE COMPENSATION false X 72 69039 FMV X 35840 fmv X 15 14515 FMV X GIFT CERTIFICATES 79 28708 FMV X FOOD AND BEVERAGE 12 13542 FMV X PRINT MATERIALS 2 11655 FMV X TOYS 8 5500 FMV X GUITAR 1 5300 FMV X TICKETS 14 4968 FMV X FURNITURE 2 3900 FMV X ELECTRONICS 4 2917 FMV X SPORTING GOODS 6 1724 FMV X QUILTS 2 769 FMV false true false SCHEDULE M, PART I, COLUMN (B) COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART I, LINE 1 IN A STATE WHERE OVER 49% OF THE POPULATION IS EITHER UNINSURED OR COVERED THROUGH THE MEDICAID PROGRAM, PRESBYTERIAN HEALTHCARE SERVICES SERVED OVER 261,000 INDIVIDUALS IN 2014 AND PROVIDED OVER $88,964,000 IN UNCOMPENSATED HEALTHCARE SERVICES. FORM 990, PART I, LINE 6 THE PRESBYTERIAN HEALTHCARE SERVICES' (PHS) VOLUNTEERS ARE UNPAID WORKERS PROVIDING PROFESSIONAL AND EMPATHETIC SERVICE TO PATIENTS, STAFF, PHYSICIANS AND THE COMMUNITY IN A MANNER CONSISTENT WITH THE GOALS AND OBJECTIVES OF PHS. PHS VOLUNTEERS ARE GOVERNED BY A BOARD WHICH OVERSEES THE REVENUE AND EXPENSES ASSOCIATED WITH THE DEPARTMENT. VOLUNTEER SERVICES' DEPARTMENT STAFF ACT IN AN ADVISORY ROLE TO THE BOARD. VOLUNTEERS, IN SUPPORT OF THE PHS WORKFORCE, ARE REPRESENTED IN NEARLY EVERY CLINICAL AND ADMINISTRATIVE AREA WITHIN PHS. IN ADDITION TO THE VOLUNTEERS DESCRIBED ABOVE, PHS HAS NEARLY 100 VOLUNTEER DIRECTORS SERVING ON THE BOARDS AND BOARD COMMITTEES AT ITS INDIVIDUAL HOSPITALS. THESE DIRECTORS COME FROM THE COMMUNITIES IN WHICH THE HOSPITAL FACILITIES ARE LOCATED. FORM 990, PART III, LINE 4 PRESBYTERIAN HEALTHCARE SERVICES (PHS) WAS FOUNDED IN ALBUQUERQUE, NEW MEXICO IN 1908 AS A HAVEN FOR TUBERCULOSIS PATIENTS. IN THE 106 YEARS SINCE, PHS HAS GROWN TO INCLUDE EIGHT HOSPITALS, A HEALTH PLAN, AND A PHYSICIAN'S GROUP, AND HELPS MORE THAN ONE IN THREE NEW MEXICANS WITH THEIR HEALTHCARE NEEDS. WE HAVE REMAINED NOT-FOR-PROFIT AND COMMITTED TO COMMUNITIES THROUGHOUT NEW MEXICO, CONTINUALLY REINVESTING IN BETTER HEALTHCARE SERVICES. COMMUNITY-BASED, VOLUNTEER BOARDS OF TRUSTEES FORM THE CORNERSTONE OF PHS'S GOVERNANCE SYSTEM. THE PHS BOARD OF DIRECTORS, WITH KEY SUPPORTING COMMITTEES IN COMPLIANCE AND AUDIT, FINANCE, GOVERNANCE, AND QUALITY, GOVERNS THE ENTIRE PRESBYTERIAN SYSTEM. THE OVERALL GOVERNANCE STRUCTURE ALSO INCLUDES A COMMUNITY BOARD OF TRUSTEES FOR EACH OF THE HOSPITALS IN THE SYSTEM. BOARD MEMBERS GOVERN IN THE COMMUNITIES WHERE THEY RESIDE AND PLAY A KEY ROLE IN ASSESSING AND ENSURING THE APPROPRIATENESS OF THE HEALTHCARE SERVICES PHS PROVIDES. PHS'S BOARDS MAINTAIN HIGH STANDARDS FOR QUALITY AND LEADERSHIP, AND EVERY BOARD MEMBER IS REQUIRED TO COMPLETE COMPLIANCE TRAINING AND A CONFLICT-OF-INTEREST STATEMENT, AS WELL AS COMPLY WITH THE PHS CODE OF CONDUCT. IN 2013, THE PHS BOARD OF DIRECTORS APPROVED A REFINED FOCUS ON STRATEGY TO ENGAGE PATIENTS, MEMBERS AND COMMUNITIES WITH INNOVATIVE HEALTHCARE DELIVERY AND FINANCING TO ACHIEVE THE TRIPLE AIM OF: 1) BETTER HEALTH 2) EXCEPTIONAL EXPERIENCE 3) COST LEADERSHIP PHS IS A LEADER IN INTEGRATED HEALTHCARE AND PROVIDES NEW MEXICANS WITH ITS HOSPITALS, HEALTH PLAN, AND MEDICAL GROUP OF PRIMARY CARE AND SPECIALTY PHYSICIANS. THROUGH THAT CONNECTION, WE OFFER PATIENTS A SEAMLESS CONTINUUM OF CARE, MANAGE CARE IN COST-EFFECTIVE WAYS, AND MAKE MEANINGFUL CHANGES THAT IMPROVE VALUE FOR CUSTOMERS AND INCREASE ORGANIZATIONAL PERFORMANCE. WE ARE CONTINUALLY WORKING TO OFFER PROGRAMS AND SERVICES THAT IMPROVE QUALITY AND LOWER COST. THE FOLLOWING CHANGES ARE HELPING US TO TRANSFORM HEALTHCARE BY LOWERING COSTS AND ENHANCING THE CARE WE PROVIDE. IMPLEMENTATION OF PHS'S ELECTRONIC HEALTH RECORD AT OUR EIGHT HOSPITALS WAS COMPLETED IN 2013 AND 2014, AND EXPANDED TO OUR HOME HEALTH SERVICE LINE IN 2015. ALL OUR AMBULATORY CLINICS, HOSPITALS AND HOME HEALTHCARE SERVICES ARE LINKED WITH ONE FINANCIAL AND MEDICAL RECORD. FOR EACH PATIENT, THERE IS JUST ONE RECORD, WHICH IMPROVES SAFETY AND REDUCES COSTS. THE IMPLEMENTATION ALSO SUPPORTS OUR EMPHASIS ON EVIDENCE-BASED MEDICINE AND BEST PRACTICES. PHS REMAINED AMONG THE NATIONAL LEADERS IN INNOVATIVE HEALTHCARE DELIVERY METHODS WITH ITS HOSPITAL AT HOME PROGRAM, WHICH WAS ESTABLISHED IN PARTNERSHIP WITH JOHNS HOPKINS UNIVERSITY IN 2008. THE PROGRAM HAS PHS DOCTORS AND NURSES DELIVERING HOSPITAL-LEVEL CARE IN PATIENTS' HOMES, AND WAS HIGHLIGHTED IN THE BEST HOSPITALS ISSUES OF U.S. NEWS & WORLD REPORTS. BECAUSE ONLY 42 PERCENT OF NEW MEXICO'S POPULATION IS CENTERED IN THE ALBUQUERQUE METROPOLITAN AREA, CARE FOR MUCH OF THE STATE'S RESIDENTS IS ACCESSED IN SMALL, RURAL HEALTHCARE FACILITIES. TELEMEDICINE TECHNOLOGIES SUCH AS VIDEO CONSULTS HELP US TO REACH PATIENTS IN OUR REGIONAL LOCATIONS WITH CARE THAT IS NOT OTHERWISE AVAILABLE. TELEMEDICINE PROGRAMS INCLUDE EMERGENCY BEHAVIORAL HEALTH CONSULTATIONS AND REMOTE CRITICAL CARE MONITORING AND CONSULTATIONS. PHS'S FOCUS ON POPULATION HEALTH TO ACHIEVE THE TRIPLE AIM INCLUDES A PROGRAM TO HELP PATIENTS WITH HYPERTENSION LOWER THEIR RISK FOR HEART ATTACK AND STROKES. THE PROGRAM IS FOCUSED ON 29,000 PATIENTS WITH UNCONTROLLED HYPERTENSION, AND INCLUDES OUTREACH TO PATIENTS, REFERRALS TO PHARMACIST CLINICIANS, FREE BLOOD PRESSURE CHECKS AND ALERTS TO PHYSICIANS VIA THE ELECTRONIC HEALTH RECORD. IN ONE YEAR, WE HAVE SEEN A 15 PERCENT IMPROVEMENT IN HYPERTENSION CONTROL. ANOTHER FOCUS FOR IMPROVING THE HEALTH OF POPULATIONS CAME IN ELECTIVE DELIVERIES. BABIES BORN EARLIER THAN 39 WEEKS GESTATION ARE AT HIGHER RISK FOR ADMISSIONS TO THE NEWBORN INTENSIVE CARE UNIT. OUR PROGRAM DECREASED THE NUMBER OF ELECTIVE DELIVERIES PRIOR TO 39 WEEKS FROM 5 PERCENT IN 2011 TO ZERO PERCENT IN 2014. THE EXCEPTIONAL CAREGIVERS AND PROVIDERS AT PHS ALSO WORK HARD EVERY DAY TO SAVE LIVES. IMPROVING QUALITY AND PATIENT SAFETY ARE GIVEN THE HIGHEST PRIORITY. OUR FOCUS IS ON USING QUALITY TOOLS THAT IMPROVE CLINICAL RESULTS, EVIDENCE-BASED MEDICINE AND EVIDENCE-BASED CARE DESIGN. OUR RESULTS INCLUDE: - PRESBYTERIAN HOSPITAL RECEIVED THE OUTSTANDING ACHIEVEMENT AWARD FROM THE AMERICAN COLLEGE OF SURGEONS' COMMISSION ON CANCER. - LINCOLN COUNTY MEDICAL CENTER WAS NAMED A 2013 TOP PERFORMER ON KEY QUALITY MEASURES BY THE JOINT COMMISSION. - PRESBYTERIAN HOSPITAL RECEIVED THE PLATINUM PERFORMANCE ACHIEVEMENT AWARD FROM THE AMERICAN COLLEGE OF CARDIOLOGY. - PRESBYTERIAN HOSPITAL HAS BEEN NAMED "MOST PREFERRED FOR OVERALL HEALTHCARE SERVICES" BY THE NATIONAL RESEARCH CORPORATION, FOR MORE THAN 15 CONSECUTIVE YEARS. - PRESBYTERIAN HOSPITAL RECEIVED HOSPITALS & HEALTH NETWORKS 2014 MOST WIRED AWARD. - PRESBYTERIAN HOSPITAL EARNED THE HIGHEST RATING FOR HEART BYPASS SURGERY IN CONSUMER REPORTS. - HEALTHGRADES RECOGNIZED PRESBYTERIAN HOSPITAL AS HAVING A TOP-RATED CARDIOLOGY AND STROKE PROGRAM IN NEW MEXICO. - FOR THE SECOND YEAR IN A ROW, HEALTHGRADES RECOGNIZED PRESBYTERIAN AS ONE OF AMERICA'S 100 BEST HOSPITALS FOR SPINE SURGERY. - DR. DAN C. TRIGG MEMORIAL HOSPITAL RECEIVED A SHINING STAR AWARD FROM HEALTH INSIGHT OF NEW MEXICO FOR ITS COMMITMENT TO HEALTHCARE QUALITY. - ALBUQUERQUE AMBULANCE RECEIVED A PERFECT SCORE DURING ITS ACCREDITATION SITE VISIT FROM THE COMMISSION ON ACCREDITATION OF AMBULANCE SERVICES. - THE LEAPFROG GROUP RECOGNIZED PRESBYTERIAN HOSPITAL AND PRESBYTERIAN RUST MEDICAL CENTER AS TOP HOSPITALS FOR THEIR COMMITMENT TO PATIENT SAFETY. - FOR THE 19TH YEAR IN A R0W, PRESBYTERIAN HOSPITAL RECEIVED THE CONSUMER CHOICE AWARD FROM MODERN HEALTHCARE MAGAZINE. - PHS WAS NAMED ONE OF THE 10 HIGHEST RANKING HEALTH SYSTEMS IN THE COUNTRY FOR LEADERSHIP DEVELOPMENT BY THE NATIONAL CENTER FOR HEALTHCARE LEADERSHIP. PHS'S COMMITMENT TO COMMUNITY HEALTH DOESN'T STOP WHEN PATIENTS LEAVE OUR HOSPITALS OR CLINICS. WE ARE ACTIVELY ENGAGED AS AN ORGANIZATION IN COMMUNITY HEALTH INITIATIVES AND CONVERSATIONS. IN 2012, COMMUNITY HEALTH FORUMS WERE HELD IN THE AREAS IN WHICH WE HAVE HOSPITALS AS PART OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. BASED ON FEEDBACK FROM FORUM PARTICIPANTS, WE REFINED THE COMMUNITY HEALTH PRIORITIES WE WILL FOCUS ON IN THE DEVELOPMENT OF AN IMPLEMENTATION PLAN FOR 2013-2016. PHS'S THREE PRIORITIES ARE HEALTHY EATING, ACTIVE LIVING AND PREVENTING UNHEALTHY SUBSTANCE USE. IN THE FALL OF 2014, PHS WAS AWARDED FUNDS THROUGH THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION, ALSO KNOWN AS REACH: RACIAL AND ETHNIC APPROACHES TO COMMUNITY HEALTH. THE APPROVED FUNDING LEVEL FOR YEAR ONE WAS $981,023. IT IS ANTICIPATED THAT THE YEAR TWO AND THREE AWARDS WILL BE THE SAME AMOUNT. PHS IS PARTNERING WITH THE BERNALILLO COUNTY COMMUNITY HEALTH COUNCIL AND OTHERS TO IMPLEMENT THE GRANT-FUNDED PROGRAM, WHICH IS ADDRESSING IN TWO COUNTY CENSUS TRACTS THE RISK FACTORS OF POOR NUTRITION, PHYSICAL INACTIVITY, AND LACK OF ACCESS TO CHRONIC DISEASE PREVENTION, RISK REDUCTION, AND MANAGEMENT OPPORTUNITIES IN AMERICAN INDIAN AND HISPANIC POPULATIONS. IN THE FIRST SIX MONTHS OF 2015, PHS RECEIVED SEVERAL OTHER GRANTS FOR ITS COLLABORATIVE COMMUNITY HEALTH EFFORTS AND PROGRAMS, INCLUDING BUILD HEALTH, SCALE COMMUNITIES, AND UNITED WAY OF CENTRAL NEW MEXICO - COMMUNITY FUND. OTHER COMMUNITY HEALTH INITIATIVES INCLUDE: - CONTINUING AN INITIATIVE STARTED IN 2012, PHS IN 2014 CONTINUED TO HOST A WEEKLY GROWERS' MARKET ON THE CAMPUS OF PRESBYTERIAN HOSPITAL. AT THE MARKET, PHS OFFERS A 2-FOR-1 VALUE PROGRAM FOR PEOPLE IN THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM. - OUR HEALTHY EATING INITIATIVE FOCUSES ON NUTRITION EDUCATION, SCHOOL GARDENS, COMMUNITY-SUPPORTED AGRICULTURE AND SUPPORTING POLICY CHANGES TO INCREASE THE AVAILABILITY OF HEALTHY FOODS IN SCHOOLS AND WORKPLACES. - MORE THAN 500 PHS LEADERS VOLUNTEER THEIR TIME IN AN ANNUAL DAY OF SERVICE BY VISITING LOCAL ELEMENTARY SCHOOLS TO PROMOTE HEALTH AND FITNESS. - OUR ACTIVE LIVING INITIATIVE FOCUSES ON COMMUNITY PROGRAMS TO ENCOURAGE INDOOR AND OUTDOOR ACTIVITIES AND HELPING COMMUNITIES TO CREATE MORE PARKS, PLAYGROUNDS, SAFE SIDEWALKS AND BIKE AND WALKING TRAILS. - PHS IS RAISING AWARENESS OF THE DANGERS OF USING UNHEALTHY SUBSTANCES LIKE TOBACCO AND SUPPORTING POLICY CHANGES TO ENCOURAGE HEALTHY BEHAVIORS. - PHS OFFERS HEALTH EDUCATION CLASSES ON AGING ISSUES FOR SENIORS, BABY BASICS AND BEYOND FOR NEW PARENTS, BREASTFEEDING FOR NEW MOMS, INFANT CPR, ARTHRITIS MANAGEMENT PROGRAMS AND CANCER SUPPORT SESSIONS. PHS HAS ACHIEVED A DELIBERATE FINANCIAL PLAN TO REINVEST MILLIONS OF DOLLARS IN NEW AND EXPANDING HEALTHCARE SERVICES FOR NEW MEXICO IN THE PAST COUPLE OF YEARS. INCLUDED ARE: - AN $11.5 MILLION REMODEL AT PRESBYTERIAN KASEMAN HOSPITAL. - A $14 MILLION REMODEL OF TOWERS A AND B AT PRESBYTERIAN HOSPITAL. - $89 MILLION TO BUILD A SIX-STORY PATIENT TOWER AT PRESBYTERIAN RUST MEDICAL CENTER AND PREPARE THE BOTTOM THREE FLOORS FOR THESE PATIENT SERVICES: AN OUTPATIENT CANCER CENTER FOR MEDICAL ONCOLOGY, RADIATION THERAPY AND CHEMOTHERAPY, 48 HOSPITAL BEDS AND FOUR NEW OPERATING ROOMS. A FUTURE PHASE WILL PREPARE THE REMAINING THREE FLOORS FOR PATIENT USE. - WE OPENED A NEW PRESBYTERIAN MEDICAL GROUP CLINIC IN RIO RANCHO AT HIGHWAY 528 AT A COST OF $5 MILLION. - WE EXPANDED OUR DELIVERY SYSTEM BY BUILDING A MULTI-SPECIALTY CLINIC IN SANTA FE AT A COST OF $10 MILLION. - A PHARMACY WAS OPENED AT PLAINS REGIONAL MEDICAL CENTER IN CLOVIS. PHS'S ANNUAL DONATIONS TO UNITED WAY OF NEW MEXICO OFTEN RANK AT THE TOP OF HEALTHCARE ORGANIZATIONS NATIONALLY. IN 2014, PHS EMPLOYEES DONATED NEARLY $1.7 MILLION TO UNITED WAY. DONATED SERVICES, MATERIALS, EQUIPMENT AND FACILITIES: AS A CHARITABLE ORGANIZATION, WITH THE SOLE PURPOSE TO IMPROVE THE HEALTH OF THE PATIENTS, MEMBERS, AND COMMUNITIES WE SERVE, PHS SEEKS TO BENEFIT THOSE WE SERVE IN EVERY DECISION AND ACTION WE MAKE. CONSISTENT WITH OUR VISION, VALUES, PURPOSE AND STRATEGY, PHS USES THE FOLLOWING INTERNAL ORGANIZATIONAL PRIORITIES TO IDENTIFY RECIPIENTS OF OUR SPECIFIC, ORGANIZED COMMUNITY OUTREACH ACTIVITIES. THEY ARE: 1) CARE AND NO-CHARGE SERVICES TO UNDER-SERVED POPULATIONS TO IMPROVE HEALTH, 2) DONATIONS AND NO-CHARGE SERVICES TO THE GENERAL COMMUNITY AND NONPROFITS THAT IMPROVE THE HEALTH OF THE GENERAL COMMUNITY, 3) DONATIONS TO OTHER NONPROFITS THAT: A) PROVIDE ECONOMIC DEVELOPMENT TO REDUCE THE NUMBER OF UNINSURED, B) PROMOTE DIVERSITY, C) PROMOTE QUALITY, AND D) PROMOTE EDUCATION. PHS PROVIDED APPROXIMATELY $88,964,000 IN DONATED SERVICES, MATERIALS, EQUIPMENT AND FACILITIES IN 2014, INCLUDING THE SPECIFIC DONATIONS DESCRIBED BELOW. CARE AND NO-CHARGE SERVICES TO UNDER-SERVED POPULATIONS TO IMPROVE HEALTH-APPROXIMATELY $83,059,000, AS FOLLOWS: IN 2014, PHS PROVIDED APPROXIMATELY $16,003,000 IN FINANCIAL ASSISTANCE (CHARITY CARE), MEASURED BY OUR COST OF CARE. THE UNREIMBURSED COST OF CARE FOR MEDICARE & MEDICAID PATIENTS FOR 2014 TOTALED APPROXIMATELY $46,549,000. UNREIMBURSED MEDICARE IS NOT REPORTED AS A COMMUNITY BENEFIT ON SCHEDULE H, PART II, OF THE FORM 990, AND PHS REPORTS IT HERE AS SUPPLEMENTAL INFORMATION REGARDING OUR IMPACT IN THE COMMUNITIES WE SERVE. IN 2014, PHS PROVIDED NEEDED HEALTHCARE SERVICES AT AN APPROXIMATE LOSS OF $19,158,000. THESE HEALTHCARE SERVICES WOULD HAVE BECOME THE BURDEN OF GOVERNMENT OR ANOTHER NONPROFIT ORGANIZATION IF PHS HAD NOT PROVIDED THEM. IN ADDITION, DONATIONS TO ASSIST ORGANIZATIONS THAT PROVIDE SIMILAR SERVICES TO UNDER-SERVED POPULATIONS TOTALED APPROXIMATELY $1,349,000; ORGANIZATIONS THAT BENEFITED FROM CASH AND IN-KIND DONATIONS IN THIS CATEGORY, ALL OF WHICH ARE UNRELATED TO PHS, INCLUDE MEALS ON WHEELS, ALBUQUERQUE HEALTHCARE FOR THE HOMELESS, AND RONALD MCDONALD HOUSE. ALSO INCLUDED IN THIS AMOUNT ARE ASSISTANCE TO INDIVIDUALS AND FAMILIES WHO RECEIVE HEALTH SERVICES AND HEALTH EDUCATION FROM VARIOUS LOCAL, INDEPENDENT HEALTHCARE CLINICS, TRANSPORTATION AND MEALS FOR INDIGENT PATIENTS, AND COSTS TO PROVIDE DOULA SERVICES TO ASSIST AND COMFORT MATERNITY PATIENTS. DONATIONS AND NO-CHARGE SERVICES TO OR THROUGH OTHER NONPROFITS THAT IMPROVE THE HEALTH OF THE GENERAL COMMUNITY-APPROXIMATELY $791,000, INCLUDING: UNITED WAY OF EASTERN NEW MEXICO, THE AMERICAN CANCER SOCIETY, THE AMERICAN LUNG ASSOCIATION, HEALTH FAIRS CONDUCTED THROUGHOUT NEW MEXICO; CANCER SUPPORT AND EDUCATION; FLU SHOT CLINICS THROUGHOUT THE STATE, THE LEUKEMIA AND LYMPHOMA SOCIETY, AND THE JUVENILE DIABETES ASSOCIATION. DONATIONS TO OTHER NONPROFITS THAT PROVIDE ECONOMIC DEVELOPMENT TO REDUCE THE NUMBER OF UNINSURED OR THAT PROMOTE DIVERSITY, QUALITY OR EDUCATION WITHIN THE COMMUNITIES WE SERVE-APPROXIMATELY $5,114,000, INCLUDING: INDIVIDUALS, FAMILIES, BUSINESSES, AND COMMUNITIES SERVED BY THE GREATER ALBUQUERQUE CHAMBER OF COMMERCE, THE ESPAOLA VALLEY CHAMBER OF COMMERCE, CLOVIS INDUSTRIAL DEVELOPMENT BOARD, THE MCCURDY SCHOOL, THE CENTER FOR NURSING EXCELLENCE, STUDENTS AND INDIVIDUALS RECEIVING EDUCATION OR VOCATIONAL TRAINING AND GUIDANCE THROUGH PHS' PATHWAYS TO NURSING PROGRAM, PRECEPTORSHIPS FOR NURSING AND OTHER HEALTHCARE STUDENTS, SUMMER INTERN PROGRAM, PHS PIPELINE INITIATIVES, INCLUDING JUNIOR ACHIEVEMENT, PRESBYTERIAN VOLUNTEER SERVICES, TAKE YOUR CHILD TO WORK DAY, GROUNDHOG JOB SHADOW DAY, HOSPITAL TOURS, AND VARIOUS SCHOLARSHIPS FOR STUDENTS SEEKING CAREERS IN HEALTH CARE. THE AMOUNT OF DONATIONS REPORTED ABOVE (WITHOUT CONSIDERING FINANCIAL ASSISTANCE, SERVICES PROVIDED AT A LOSS, AND THE UNREIMBURSED COST OF GOVERNMENT PROGRAMS) EXCEEDS GRANTS AND ALLOCATIONS AS REPORTED ON FORM 990, PART IX, LINES 1, & 2; THE ABOVE FIGURES INCLUDE THE VALUE OF DONATED STAFF SERVICES AND THE FREE OR SUBSIDIZED USE OF PHS BUILDINGS BY OTHER CHARITABLE ORGANIZATIONS. FORM 990, PART III, LINE 4A - PHS' CENTRAL NEW MEXICO DELIVERY SYSTEM: OPERATING PRIMARILY IN THE ALBUQUERQUE METROPOLITAN AREA COMPRISED OF BERNALILLO, VALENCIA, SANDOVAL, AND TORRANCE COUNTIES, THE CENTRAL NEW MEXICO DELIVERY SYSTEM IS THE LARGEST PROVIDER OF TERTIARY SERVICES IN NEW MEXICO AND RECEIVES REFERRALS FROM BOTH OWNED AND NON-OWNED HEALTHCARE FACILITIES THROUGHOUT THE STATE. THE CENTRAL NEW MEXICO DELIVERY SYSTEM INCLUDES TWO TERTIARY HOSPITALS OFFERING COMPREHENSIVE SERVICES, A GENERAL ACUTE CARE HOSPITAL IN ALBUQUERQUE AND OUR RECENTLY-OPENED RUST MEDICAL CENTER IN RIO RANCHO, AS WELL AS THE SMALLER KASEMAN HOSPITAL IN ALBUQUERQUE. THESE FACILITIES OFFER EMERGENCY SERVICES, OUTPATIENT SERVICES, REHABILITATION SERVICES, HOME HEALTH CARE, HOSPICE, A COMPREHENSIVE CARDIAC CENTER, A WOMEN'S CENTER AS WELL AS A CHILDREN'S CENTER, A CANCER PROGRAM, AND AMBULATORY CARE CLINICS THAT SUPPORT THE HOSPITALS. WITHIN THE CENTRAL NEW MEXICO DELIVERY SYSTEM ARE A NUMBER OF PROGRAM SERVICE COMPONENTS, DESCRIBED BRIEFLY AS FOLLOWS. A. PRESBYTERIAN HOSPITAL THE STATE'S LARGEST TERTIARY HOSPITAL, PROVIDING HIGHLY TECHNICAL AND INTENSIVE SERVICES SUCH AS CARDIAC SURGERY, KIDNEY TRANSPLANTS, NEONATAL AND PEDIATRIC INTENSIVE CARE UNITS, A JOINT-REPLACEMENT CENTER, HIGHLY SPECIALIZED LAB SERVICES, IMAGING SERVICES, HOME HEALTH AND REHABILITATION PROGRAMS. INTEGRAL TO PHS' STRATEGY TO PROVIDE A COMPREHENSIVE ARRAY OF HEALTHCARE SERVICES IS PRESBYTERIAN MEDICAL GROUP, A MULTI-SPECIALTY PRACTICE OF EMPLOYED PHYSICIANS AND MID-LEVEL PROVIDERS THAT ALSO OFFERS ANCILLARY SERVICES. PRESBYTERIAN'S AMBULATORY CLINICS OPERATE AS DEPARTMENTS OF PRESBYTERIAN HOSPITAL. B. PRESBYTERIAN KASEMAN HOSPITAL KASEMAN HOSPITAL IS A GENERAL ACUTE CARE HOSPITAL OFFERING A VARIETY OF INPATIENT AND OUTPATIENT SERVICES. SPECIFIC SERVICES INCLUDE A CANCER RADIATION TREATMENT CENTER AND MEDICAL ONCOLOGY, DAY SURGERY, A SLEEP DISORDERS CENTER, A PAIN CENTER, A SKILLED NURSING FACILITY, AN INPATIENT HOSPICE, AND A BEHAVIORAL HEALTH PROGRAM. C. PRESBYTERIAN RUST MEDICAL CENTER OPENED IN OCTOBER OF 2011, THE RUST MEDICAL CENTER IS A GENERAL ACUTE CARE HOSPITAL SERVING THE CITY OF RIO RANCHO AND RESIDENTS IN THE FAST-GROWING WEST SIDE OF THE ALBUQUERQUE METROPOLITAN AREA. SERVICES NOW OFFERED AT THIS NEW, STATE-OF-THE ART MEDICAL CENTER INCLUDE LABOR AND DELIVERY SERVICES, INTENSIVE CARE, OPERATING ROOMS, CARDIAC SERVICES, MRI AND IMAGING, EMERGENCY CARE AND MORE. A SECOND TOWER IS CURRENTLY UNDER CONSTRUCTION AT RUST MEDICAL CENTER IN ORDER TO EXPAND SERVICES AND PROVIDE NEEDED SERVICES TO THE INCREASING POPULATION ON THE WEST SIDE OF THE ALBUQUERQUE METROPOLITAN AREA, INCLUDING THE GROWING CITY OF RIO RANCHO. D. PRESBYTERIAN NORTHSIDE PRESBYTERIAN NORTHSIDE HOUSES AN OCCUPATIONAL MEDICINE CLINIC, A PRIMARY CARE CLINIC AND AN URGENT CARE CENTER. E. PRESBYTERIAN HEALTHPLEX PRESBYTERIAN HEALTHPLEX IS AN OUTPATIENT PREVENTION AND REHABILITATION FACILITY, OFFERING PATIENTS CUSTOMIZED CARDIOPULMONARY REHABILITATION SERVICES THROUGH INDIVIDUAL AND GROUP PROGRAMS. F. CHILDREN'S CENTER LOCATED AT PRESBYTERIAN HOSPITAL, THE CHILDREN'S CENTER PROVIDES THE FULL CONTINUUM OF PEDIATRIC CARE, INCLUDING PRIMARY CARE, SPECIALTY CARE, LEVEL II NEONATAL CARE, INTENSIVE CARE AND CHILD LIFE SERVICES. G. ONCOLOGY PROGRAM LOCATED AT PRESBYTERIAN AND KASEMAN HOSPITALS, THE ONCOLOGY PROGRAM DIAGNOSES AND TREATS CANCER PATIENTS WITH RADIOLOGY AND MEDICAL ONCOLOGY ON AN INPATIENT AND OUTPATIENT BASIS. SERVICES ALSO INCLUDE EDUCATION AND PREVENTION. UNDER AN ARRANGEMENT WITH MD ANDERSON, MD ANDERSON OPERATES OUR RADIATION ONCOLOGY PROGRAM. THIS ENABLES US TO BRING NATIONALLY EXCELLENT CARE TO CANCER PATIENTS IN OUR COMMUNITY. H. WOMEN'S CENTER LOCATED AT PRESBYTERIAN HOSPITAL, THE WOMEN'S CENTER PROVIDES A FULL CONTINUUM OF SERVICES FOR WOMEN, INCLUDING PRIMARY CARE, OBSTETRICS, GYNECOLOGY, STATE OF THE ART PERINATOLOGY AND NEONATOLOGY, DOULA SUPPORT, AND HOME HEALTH SERVICES, AND A WOMEN'S HEALTH, EDUCATION AND RESOURCE (H.E.R.) CENTER. I. RENAL TRANSPLANT SERVICES LOCATED AT PRESBYTERIAN HOSPITAL, PHS OPERATES ONE OF TWO RENAL TRANSPLANT SERVICES IN THE STATE AND THE ONLY ONE OFFERING DONOR LAPAROSCOPIC NEPHRECTOMY, WHICH REDUCES DONOR RECOVERY TIME BY APPROXIMATELY 50 PERCENT. J. BEHAVIORAL PROGRAM LOCATED AT PRESBYTERIAN KASEMAN HOSPITAL, THE BEHAVIORAL PROGRAM OFFERS INPATIENT AND OUTPATIENT PSYCHIATRIC AND CHEMICAL DEPENDENCY SERVICES, INCLUDING EMERGENCY SERVICES, FOR ADULTS AND CHILDREN. K. PRIMARY CARE PROGRAM THE PRIMARY CARE PROGRAM MONITORS, STANDARDIZES, AND IMPROVES QUALITY ACROSS THE FULL CONTINUUM OF PEDIATRIC, FAMILY PRACTICE AND INTERNAL MEDICINE PREVENTIVE AND ACUTE CARE SERVICES DELIVERED THROUGH PRIMARY CARE SITES IN THE GREATER ALBUQUERQUE METROPOLITAN AREA. L. OTHER PROGRAMS THE CENTRAL NEW MEXICO DELIVERY SYSTEM ALSO OPERATES A WOUND CARE CENTER, A HYPERBARIC CHAMBER, A SLEEP CENTER, AND GENERAL MEDICINE UNITS. CENTRAL NEW MEXICO DELIVERY SYSTEM ACCOMPLISHMENTS FOR YEAR ENDED DECEMBER 31, 2014: INPATIENT DISCHARGES(1) = 39,373 AVERAGE LENGTH OF STAY (IN DAYS)(1) = 4.87 INPATIENT PATIENT DAYS(1) = 191,676 EMERGENCY ROOM VISITS (OUTPATIENT ONLY)(2) = 125,496 HOSPITAL-BASED OUTPATIENT VISITS(3) = 276,443 NEWBORN DELIVERIES(4) = 4,899 AMBULATORY CLINIC ENCOUNTERS = 1,329,935 NOTES: (1) INPATIENT DISCHARGES EXCLUDING NEWBORNS DELIVERIES (2) ER TREAT & RELEASE VISITS (3) EXCLUDES EMERGENCY DEPARTMENT VISITS (4) INCLUDES ALL NEWBORNS AND NICU CASES FORM 990, PART III, LINE 4B - PHS' REGIONAL DELIVERY SYSTEM: THE REGIONAL DELIVERY SYSTEM PROVIDES GENERAL ACUTE CARE AND OTHER HEALTHCARE DELIVERY SERVICES IN SEVERAL SMALLER COMMUNITIES IN NEW MEXICO. THE REGIONAL DELIVERY SYSTEM CONSISTS OF TWO GENERAL ACUTE CARE HOSPITALS, LOCATED IN CLOVIS AND ESPAOLA, THREE DESIGNATED CRITICAL ACCESS HOSPITALS, LOCATED IN RUIDOSO, SOCORRO AND TUCUMCARI, AND TWELVE AMBULATORY CARE CLINICS THAT ARE DEPARTMENTS OF THE FIVE REGIONAL HOSPITALS. HOSPITAL SERVICES VARY BY FACILITY, BUT ALL HOSPITALS OFFER MATERNITY CARE, SURGERY, EMERGENCY MEDICINE, PHYSICAL THERAPY, RESPIRATORY THERAPY, RADIOLOGY, AND LABORATORY SERVICES. REGIONAL DELIVERY SYSTEM ACCOMPLISHMENTS IN 2014 ARE DESCRIBED AS FOLLOWS: INPATIENT DISCHARGES(1) = 8,746 AVERAGE LENGTH OF STAY (IN DAYS)(1) = 3.40 INPATIENT PATIENT DAYS(1) = 29,720 EMERGENCY ROOM VISITS (OUTPATIENT ONLY)(2) = 76,596 HOSPITAL-BASED OUTPATIENT VISITS(3) = 96,102 NEWBORN DELIVERIES(4) = 2,049 AMBULATORY CLINIC ENCOUNTERS = 240,782 NOTES: (1) INPATIENT DISCHARGES EXCLUDING NEWBORNS DELIVERIES (2) ER TREAT & RELEASE VISITS (3) EXCLUDES EMERGENCY DEPARTMENT VISITS (4) INCLUDES ALL NEWBORNS AND NICU CASES FORM 990, PART III, LINE 4C - PHS' HEART AND VASCULAR CENTER: LOCATED AT PRESBYTERIAN HOSPITAL, THE HEART AND VASCULAR CENTER OFFERS CARDIOTHORACIC AND VASCULAR SERVICES TO BOTH ADULTS AND CHILDREN, INCLUDING CATHETERIZATION, SURGERIES, ECHOCARDIOGRAPHY, VASCULAR ULTRASOUND, PACEMAKER AND DEFIBRILLATOR IMPLANTATION, ANGIOPLASTY, ELECTROPHYSIOLOGY, AND REHABILITATION AND WELLNESS. THE PRESBYTERIAN HEART AND VASCULAR CENTER PROVIDES A FULL RANGE OF PREVENTATIVE, DIAGNOSTIC, THERAPEUTIC, AND REHABILITATION PROGRAMS. IT PROVIDES SERVICES TO ALL AGES FROM NEWBORNS TO GERIATRIC PATIENTS. RECENTLY, THE MEDICARE PROGRAM HAS IDENTIFIED PRESBYTERIAN HOSPITAL AS ONE OF ONLY TEN HOSPITALS IN THE COUNTRY WHO DO A SUPERIOR JOB OF AVOIDING READMISSIONS IN HEART ATTACK, PNEUMONIA, AND HEART FAILURE CASES. THE HEART AND VASCULAR CENTER SERVED PATIENTS THROUGH THE YEAR ENDED DECEMBER 31, 2014, AS FOLLOWS: PATIENT VISITS = 83,358 INPATIENT DISCHARGES = 3,644 CARDIAC REHABILITATION VISITS = 1,158 OUTPATIENT CARDIOVASCULAR LAB ENCOUNTERS = 3,401 FORM 990, PART V, LINE 2A PRESBYTERIAN HEALTHCARE SERVICES (PHS) IS THE COMMON PAY AGENT FOR ITS RELATED EXEMPT ORGANIZATIONS. ALL PAYROLL, INCLUDING WAGES, BENEFITS, PENSION AND PAYROLL TAX, IS CENTRALIZED THROUGH PHS FOR PHS, PRESBYTERIAN HEALTHCARE FOUNDATION (PHF) EIN: 85-6016041, SOUTHWEST HEALTH FOUNDATION (SHF) EIN: 85-0289728, PRESBYTERIAN PROPERTIES INC. (PPI) EIN: 85-0414352, AND BERNALILLO COUNTY HEALTH CARE CORPORATION DBA ALBUQUERQUE AMBULANCE SERVICES (AAS) EIN: 23-7329437. FORM 941 REPORTING FOR ALL THE ENTITIES' SALARIES AND WAGES ARE REPORTED UNDER PHS' EIN: 85-0105601. AN ALLOCATION IS MADE FOR EACH ENTITY AND AS SUCH IS REPORTED ON THE SEPARATE FORMS 990, PART IX, LINES 5-9. FORM 990, PART V, LINE 2A INCLUDES ALL EMPLOYEES REPORTED ON FORM 941 FOR PHS AS THE COMMON PAY AGENT AND NONE ARE REPORTED ON 990 PART V, LINE 2A, FOR PHF, SHF, PPI, AND AAS. FORM 990, PART VI, LINE 1A PURSUANT TO THE BYLAWS, THE EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR OF THE PHS BOARD OF DIRECTORS, THE CHAIRS OF THE COMPLIANCE AND AUDIT COMMITTEE, THE FINANCE COMMITTEE AND THE QUALITY COMMITTEE AND THE PRESIDENT OF PHS. ANY MEMBER OF THE EXECUTIVE COMMITTEE MAY BE REMOVED FROM MEMBERSHIP ON SAID COMMITTEE AT ANY TIME, WITH OR WITHOUT CAUSE, BY A VOTE OF THE MAJORITY OF THE PHS BOARD AT ANY MEETING OF THE PHS BOARD. THE EXECUTIVE COMMITTEE, DURING THE INTERVALS BETWEEN MEETINGS OF THE PHS BOARD, POSSESSES AND MAY EXERCISE ALL OF THE POWERS OF THE PHS BOARD IN THE MANAGEMENT OF THE AFFAIRS AND PROPERTY OF PHS EXCEPT AS OTHERWISE PROVIDED BY LAW, THE PRESBYTERIAN BYLAWS, OR BY RESOLUTION OF THE BOARD. ALL ACTIONS BY THE EXECUTIVE COMMITTEE BETWEEN MEETINGS OF THE PHS BOARD MUST BE REPORTED TO THE PHS BOARD AT ITS NEXT MEETING. SUCH ACTIONS ARE SUBJECT TO RATIFICATION, REVISION, OR ALTERATION BY THE PHS BOARD; PROVIDED, HOWEVER, THAT THE PHS BOARD MAY NOT ALTER THE RIGHTS OF THIRD PERSONS UNDER AGREEMENTS ENTERED INTO BY SUCH THIRD PERSONS IN GOOD FAITH WITHOUT NOTICE OF ANY LIMITATION ON THE AUTHORITY OF THE EXECUTIVE COMMITTEE. FORM 990, PART VI, LINE 2 PAUL BRIGGS (OFFICER) AND ROBIN DIVINE (FORMER KEY EMPLOYEE) HAd A BUSINESS RELATIONSHIP IN THAT THEY BOTH SERVED AS DIRECTORS FOR TRICORE REFERENCE LABS & TRICORE LABORATORY SERVICE CORPORATION. JAMES HINTON (OFFICER / DIRECTOR) SERVED AS A DIRECTOR OF PRESBYTERIAN NETWORK, INC. (EIN: 85-0337392) WHERE DALE MAXWELL (OFFICER) WAS AN OFFICER. FORM 990, PART VI, LINE 11B PRESBYTERIAN HEALTHCARE SERVICES (PHS) UTILIZES A MULTI-LEVEL REVIEW PROCESS DURING PREPARATION AND SUBMISSION OF THE ANNUAL FORM 990. THE FIRST DRAFT OF FORM 990 IS PREPARED BY A NATIONAL ACCOUNTING FIRM, BASED ON INFORMATION PROVIDED BY THE PHS TAX DIRECTOR. THIS INFORMATION IS GATHERED FROM NUMEROUS SOURCES ACROSS THE ORGANIZATION, INCLUDING FINANCE, GOVERNANCE, LEGAL, COMMUNICATIONS, ETC. THIS FIRST DRAFT IS REVIEWED ON A LINE-BY-LINE DETAIL LEVEL BY THE PHS TAX DIRECTOR. IN ADDITION, ALL COMPENSATION-RELATED DATA IS REVIEWED IN DETAIL BY THE HUMAN RESOURCES BENEFITS DIRECTOR AND THE SENIOR VICE PRESIDENT OVER HUMAN RESOURCES. ALL FEEDBACK FROM THESE REVIEWS IS ACCUMULATED BY THE TAX DIRECTOR AND CONVEYED TO THE ACCOUNTING FIRM FOR INCLUSION IN A SECOND DRAFT OF THE COMPLETE FORM 990. THIS SECOND DRAFT IS REVIEWED IN DETAIL BY THE TAX DIRECTOR, GENERAL COUNSEL, AND THE FINANCE VP AS THE PHS CFO NO LONGER REVIEWS THE RETURN ON A LINE-BY-LINE BASIS. The CFO and the Tax Director meet to discuss all significant changes to the current-year Form 990 and all substantial variances from prior years before the CFO meets with the Board and its subcommittees. THE NEXT DRAFT OF THE FORM 990 IS PRESENTED BY THE CFO AND GENERAL COUNSEL TO THE COMPLIANCE AND AUDIT COMMITTEE (EXCLUDING COMPENSATION SCHEDULES), THE EXECUTIVE COMPENSATION COMMITTEE (COMPENSATION SCHEDULES ONLY), AND THE FULL PHS GOVERNING BOARD (COMPLETE FORM). AT THESE MEETINGS, THE BOARD AND THE APPLICABLE SUBCOMMITTEES ALSO RECEIVE AN EDUCATIONAL PRESENTATION REGARDING THE FORM 990, ASK QUESTIONS, AND SUGGEST CHANGES AND CLARIFICATIONS. THE FORM IS REVISED TO INCORPORATE FEEDBACK FROM THE BOARD. THE TAX DIRECTOR THEN OBTAINS THE CFO'S SIGNATURE ON THE RETURN AND THE RETURN WILL BE FILED ELECTRONICALLY BY THE ACCOUNTING FIRM. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED ANNUALLY AND POTENTIAL CONFLICTS ARE REVIEWED BY THE CHAIR OF THE COMPLIANCE AND AUDIT COMMITTEE AND THE GENERAL COUNSEL. BOARD MEMBERS ARE REQUIRED TO REMOVE THEMSELVES FROM CONFLICTS OR EXCUSE THEMSELVES FROM VOTES THAT MAY LEAVE ANY APPEARANCE OF NON-INDEPENDENCE. THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE GOVERNANCE COMMITTEE AND REVISED IF APPROPRIATE. CONFLICT OF INTEREST REQUIREMENTS ARE REVIEWED WITH THE BOARD AND EACH COMMITTEE ANNUALLY AND THE CODE OF CONDUCT IS REVIEWED AS PART OF THE BOARD'S COMPLIANCE TRAINING. THE BOARD AND EACH COMMITTEE IS REQUIRED TO MONITOR AND ENFORCE THE POLICY. FORM 990, PART VI, LINES 15A AND 15B ALL EXECUTIVES' COMPENSATION IS REVIEWED ANNUALLY BY AN INDEPENDENT EXTERNAL CONSULTING FIRM RETAINED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE PRESBYTERIAN HEALTHCARE SERVICES (PHS) BOARD. THIS COMMITTEE IS COMPOSED OF INDEPENDENT DIRECTORS. PHS MANAGEMENT USES THE DATA FROM THE CONSULTING FIRM AND FROM THE INDEPENDENT COMMITTEE IN ESTABLISHING APPROPRIATE COMPENSATION. ALL DELIBERATIONS AND DECISIONS OF THE PHS EXECUTIVE COMPENSATION COMMITTEE ARE TIMELY DOCUMENTED AND RETAINED BY PHS' HUMAN RESOURCES DEPARTMENT. ADDITIONALLY, DATA THAT SUPPORT THESE DECISIONS ARE MAINTAINED BY THE SENIOR VICE PRESIDENT OF HUMAN RESOURCES FOR PHS. FORM 990, PART VI, LINE 19 COPIES OF THE MOST CURRENT THREE YEARS' FORMS 990 ARE MAINTAINED AT PRESBYTERIAN HEALTHCARE SERVICES (PHS) MANAGEMENT LOCATIONS. THESE RETURNS ARE AVAILABLE FOR REVIEW OR PHOTOCOPY BY ANY INDIVIDUAL WHO REQUESTS SUCH. IN ADDITION, FORMS 990 ARE ALSO PUBLISHED ON WWW.GUIDESTAR.ORG AND AVAILABLE FREELY TO THE PUBLIC IN THIS MANNER. AT THIS TIME, COPIES OF FINANCIAL STATEMENTS ARE AVAILABLE ON THE MUNICIPAL BOND WEB SITE (WWW.EMMA.MSRB.ORG). THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE ON THE STATE ATTORNEY GENERAL'S WEBSITE. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS NOT AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 PENSION ACCUMULATED OTHER COMPREHENSIVE INCOME TRUE UP $(112,520,002) TRANSFER OF NET ASSETS TO SHF (3,778,285) ALLOCATE RIO RANCHO EMERGENCY CENTER FUNDS TO RUST MEDICAL CENTER 1,640,000 MISCELLANEOUS 78,219 ------------ TOTAL $(114,580,068) ============ FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED PROF FEES-PHYSICIAN TOTAL FEES:31284150 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:10601220 FORM 990 PART IX LINE 11G DESCRIPTION:AGENCY NURSES TOTAL FEES:8744037 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED PROF FEES-MID LEVEL TOTAL FEES:4681983 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:4731863 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED PROF FEES-MED DIR TOTAL FEES:2144772 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:XXX-XX-XXXX PRESBYTERIAN HEALTHCARE FOUNDATION PO BOX 26666 ALBUQUERQUE NM 87125 856016041 RAISE FUNDS NM 501(C)(3) 7 PHS true SOUTHWEST HEALTH FOUNDATION PO BOX 26666 ALBUQUERQUE NM 87125 850289728 SUPPORT NM 501(C)(3) 11 TYPE 1 PHS true PRESBYTERIAN PROPERTIES INC PO Box 26666 ALBUQUERQUE NM 87125 850414352 HOLDING CO. NM 501(C)(2) PHS true BERNALILLO COUNTY HEALTH CARE CORP PO BOX 26666 ALBUQUERQUE NM 87125 237329437 AMBULANCE SVC NM 501(C)(3) 9 PHS true PRESBYTERIAN NETWORK INC & SUBS PO BOX 27489 ALBUQUERQUE NM 87125 850337392 HMO, INS, TPA NM SHF C CORP 0 0 true false true true false false false false false false true true true true true true true true true true BERNALILLO COUNTY HEALTH CARE CORPORATION O 16150760 GENERAL JOURNAL BERNALILLO COUNTY HEALTH CARE CORPORATION Q 8271916 GENERAL JOURNAL BERNALILLO COUNTY HEALTH CARE CORPORATION S 24407013 GENERAL JOURNAL SOUTHWEST HEALTH FOUNDATION C 4936868 GENERAL JOURNAL SOUTHWEST HEALTH FOUNDATION Q 71828 GENERAL JOURNAL SOUTHWEST HEALTH FOUNDATION S 3019836 GENERAL JOURNAL PRESBYTERIAN HEALTHCARE FOUNDATION B 245525 GENERAL JOURNAL PRESBYTERIAN HEALTHCARE FOUNDATION C 3434740 GENERAL JOURNAL PRESBYTERIAN HEALTHCARE FOUNDATION O 1403932 GENERAL JOURNAL PRESBYTERIAN HEALTHCARE FOUNDATION Q 3911203 GENERAL JOURNAL PRESBYTERIAN HEALTHCARE FOUNDATION S 5329184 GENERAL JOURNAL PRESBYTERIAN NETWORK INC & SUBS O 255902 GENERAL JOURNAL PRESBYTERIAN NETWORK INC & SUBS P 85823 GENERAL JOURNAL PRESBYTERIAN NETWORK INC & SUBS Q 2632659 GENERAL JOURNAL PRESBYTERIAN NETWORK INC & SUBS R 52298 GENERAL JOURNAL PRESBYTERIAN NETWORK INC & SUBS S 134248 GENERAL JOURNAL PRESBYTERIAN PROPERTIES INC k 4204467 GENERAL JOURNAL PRESBYTERIAN PROPERTIES INC l 816346 GENERAL JOURNAL PRESBYTERIAN PROPERTIES INC n 559044 GENERAL JOURNAL PRESBYTERIAN PROPERTIES INC q 4142625 GENERAL JOURNAL PRESBYTERIAN PROPERTIES INC r 1322135 GENERAL JOURNAL PRESBYTERIAN PROPERTIES INC s 3864417 GENERAL JOURNAL