2013-11-11T16:04:55-06:00 2012-12-31 ERNST & YOUNG US LLP TWO NORTH CENTRAL AVENUE STE 2300 PHOENIX AZ 85004 990 2012-01-01 850105601 PRESBYTERIAN HEALTHCARE SERVICES % KEVIN NOWELL CPA PRES 5059236101 PO BOX 26666 Suite ALBUQUERQUE NM 871256666 DALE MAXWELL 2013-11-11 6023223000 2012 2016-02-24 21:20:13Z JAMES H HINTON PO BOX 26666 ALBUQUERQUE NM 87125 1619736004 false X WWW.PHS.ORG X 1908 NM IN A STATE WHERE OVER 23% ARE UNINSURED, PRESBYTERIAN HEALTHCARE SERVICES SERVED OVER 214,000 INDIVIDUALS IN 2012 AND PROVIDED OVER $129,710,000 IN UNCOMPENSATED HEALTHCARE SERVICES. 11 8 10469 889 20964753 -3740401 26535191 31161704 1236722173 1210217013 37252862 50108384 22863831 26364911 1323374057 1317852012 1453652 1970219 0 0 618974933 684307645 0 0 0 645963554 556262717 1266392139 1242540581 56981918 75311431 1948674842 2245674415 1339637640 1410506713 609037202 835167702 X PRESBYTERIAN HEALTHCARE SERVICES EXISTS TO IMPROVE THE HEALTH OF THE PATIENTS, MEMBERS AND COMMUNITIES WE SERVE. 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MEDICARE/MEDICAID PAYMENTS 621110 373465203 373465203 CORPORATE SERVICE ALLOCATION 900099 10491655 10491655 ATTESTATION & EHR INCENTIVE PAYMENTS 900099 5100217 5100217 CAFETERIA & CATERING SALES 722210 4025286 4022684 2602 4216464 4209407 7057 1210217013 23289226 -3729919 27019145 6644 6644 0 82613 12052 70561 0 70561 70561 328602411 82043 301871940 0 26730471 82043 26812514 26812514 0 0 0 TAC / TECHNICAL CONSULTING 561000 24604239 24604239 VENDOR REBATES 900099 615023 615023 DIVIDEND LIABILITY INSURANCE REBATE 900099 343440 343440 731648 650874 80774 26294350 1317852012 1211473251 20964753 54252304 X 1367094 1367094 603125 603125 0 0 8828137 4953598 3874539 427810 427810 496973510 440987101 55986409 48413591 41538768 6874823 91687364 71431225 20256139 37977233 32571257 5405976 667572 667572 5045595 5045595 2040801 2040801 118135 118135 0 2320161 2320161 158042580 130281961 27760619 3417645 3417645 6792654 5354344 1438310 31564274 26775974 4788300 0 10757802 10596462 161340 3367961 1767673 1600288 0 1268631 586751 681880 23924660 23924660 0 77965821 66138406 11827415 32894509 27904412 4990097 MEDICAL & FACILITY SUPPLIES 169888860 169888860 EQUIPMENT RELATED EXPENSES 23618931 17189966 6428965 ALL OTHER MISC EXPENSES 2566125 811494 1754631 1242540581 1075768513 166772068 0 501706 580543 33185231 38364187 0 0 153943299 176400834 0 0 0 0 0 0 8067913 10507647 14825725 17879433 1496458441 803222152 658514532 693236289 824868873 944270325 211002285 256423077 8723545 9160803 1962963 4887963 33078770 93963314 1948674842 2245674415 114594640 121294311 0 0 0 0 510879540 580019239 0 0 0 0 12226748 25494498 0 0 701936712 683698665 1339637640 1410506713 X 609037202 835167702 0 0 0 0 609037202 835167702 1948674842 2245674415 X 75311431 64590577 86228492 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 93135 true 25000 false 118135 false LOBBYING ACTIVITY INFORMATION SCHEDULE C, PART II-B, LINES G&H THE LOBBYING ACTIVITIES OF PRESBYTERIAN HEALTHCARE SERVICES (PHS) ARE CONDUCTED PRIMARILY FOR EDUCATIONAL PURPOSES AND DO NOT INCLUDE STRICTLY PROHIBITED EXPENDITURES OR ACTIVITIES RELATED TO THE ELECTION OF PEOPLE TO PUBLIC OFFICE. 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. 89717162 89717162 685754097 296794730 388959367 6522505 5826384 696121 617815669 453673353 164142316 96649008 46927685 49721323 693236289 VAR ALT INVEST & CAPITAL FUNDS 256423077 F 256423077 0 RESERVE 3RD PARTY SETTLEMENTS 5626123 PROFESSIONAL LIABILITY RESERVE 114087477 WORKER'S COMPENSATION RESERVE 13398326 DEFERRED COMPENSATION 203593358 INTERCOMPANY PAYABLES 193059121 ACCRUED IBNR 21497102 MISC OTHER LIABILITIES 132437158 683698665 X ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS 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, 2012 AND 2011, 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, 2012 AND 2011. Central America and the Caribbean Investments 81763858 Europe (Including Iceland and Greenland) Investments 10997583 92761441 92761441 true false true false true false true true X true X true X true true false true true 35563277 7894112 27669165 0.02230 208040447 166250726 41789721 0.03370 19503893 16380008 3123885 0.00250 263107617 190524846 72582771 0.05850 710154 0 710154 0.00050 4803855 0 4803855 0.00390 57599799 41622726 15977073 0.01290 1282992 0 1282992 0.00100 64396800 41622726 22774074 0.01830 327504417 232147572 95356845 0.07680 28965 0 28965 0.00010 1550 0 1550 0.00000 408749 0 408749 0.00030 439264 0 439264 0.00040 true 26462584 14342721 207214477 244253072 -37038595 X true true 8 1 PRESBYTERIAN HOSPITAL

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URGENT CARE CENTER PHS AMBULATORY CARE CLINIC

8300 CONSTITUTION PL NE ALBUQUERQUE NM 87110

DERMATOLOGY, PAIN & SPINE CLINIC & SLEEP LAB PRESBYTERIAN OUTPATIENT HOSPICE

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HOSPICE CENTER, HOME HEALTH & ARTHRITIS CLINIC PHS AMBULATORY CARE CLINIC

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EAR, NOSE & THROAT CLINIC PHS AMBULATORY CARE CLINIC

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OB/GYN CLINIC CARRIZOZO HEALTH CENTER

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PRIMARY & SPECIALTY MEDICAL CLINIC LCMC INTERNAL MEDICINE ASSOCIATES

125 EL PASO RD RUIDOSO NM 88345

PRIMARY & SPECIALTY MEDICAL CLINIC CORONA HEALTH CLINIC

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PRIMARY & SPECIALTY MEDICAL CLINIC CAPITAN MEDICAL CLINIC

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PRIMARY & SPECIALTY MEDICAL CLINIC PHS AMBULATORY CARE CLINIC

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FAMILY MEDICINE CLINIC PHS AMBULATORY CARE CLINIC

305 MIEL DE LUNA AVENUE TUCUMCARI NM 88401

REHABILITATION SERVICES PRESBYTERIAN AQUATICS

5528 EUBANK BLVD NE ALBUQUERQUE NM 87111

PHYSICAL THERAPY POOL SCHEDULE H, PART I, LINE 7G THE COST OF SUBSIDIZED HEALTH SERVICES PROVIDED BY PHS AMBULATORY CARE CLINICS INCLUDED IN LINE 7G AMOUNTED TO $5,868,047. SCHEDULE H, PART I, LINE 7 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 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 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 54.2% 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 54.2% OF THE COST OF BAD DEBT HERE. IN JULY 2011, THE FASB ISSUED ASU 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES, WHICH REQUIRES HEALTH CARE ENTITIES THAT RECOGNIZE SIGNIFICANT AMOUNTS OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED, EVEN THOUGH A PATIENT'S ABILITY TO PAY IS NOT ASSESSED, TO RECLASSIFY THE PROVISION FOR DOUBTFUL ACCOUNTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). THE STANDARD ALSO REQUIRES ENHANCED DISCLOSURES OF POLICIES FOR RECOGNIZING PATIENT SERVICE REVENUE AND ASSESSING PROVISIONS FOR DOUBTFUL ACCOUNTS. PHS EARLY-ADOPTED THE ACCOUNTING STANDARD IN 2011 AND APPLIED ITS PRESENTATION AND DISCLOSURE REQUIREMENT RETROSPECTIVELY. SCHEDULE H, PART III, LINE 4 THE FOLLOWING IS THE TEXT OF THE BAD DEBT FOOTNOTE FROM THE 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 FOR SELF-PAY PATIENT RECEIVABLES DECREASED FROM 81% AT DECEMBER 31, 2011 TO 77% AT DECEMBER 31, 2012. HOWEVER, PHS'S PROVISION FOR DOUBTFUL ACCOUNTS INCREASED FROM $72,747,000 FOR FISCAL YEAR 2011 TO $85,359,000 FOR FISCAL YEAR 2012. PHS' UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2011 AND 2012 PROVIDED FOR A DISCOUNT OF 30% FROM STANDARD RATES. 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. 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 PHS HAS A SELF PAY PAYMENT AND COLLECTION POLICY (PFS.PHS.115) WHICH INCLUDES THE FOLLOWING PROVISIONS: "PAYMENT IS DUE WITHIN 30 DAYS OF SERVICE. ALTERNATIVELY, THE PATIENT OR GUARANTOR MAY SET UP AN INSTALLMENT PAYMENT PLAN WITH PHS, OR HE/SHE MAY APPLY FOR FINANCIAL ASSISTANCE THROUGH THE PHS FINANCIAL ASSISTANCE PROGRAM. PHS MAY FILE LIENS BUT WILL NOT INITIATE ANY EXECUTION OR FORECLOSURE ACTION ON A PRIMARY RESIDENCE. ANY OTHER EXECUTION OR FORECLOSURE MAY BE INITIATED ONLY AFTER APPROPRIATE APPROVALS ARE RECEIVED FROM THE PHS LEGAL DEPARTMENT. THE PATIENT HAS THE RIGHT, AT ANY TIME IN THE PROCESS, TO REQUEST FINANCIAL ASSISTANCE (CHARITY CARE). FINANCIAL ASSISTANCE IS AVAILABLE TO PATIENTS WHO QUALIFY. REFER TO FINANCIAL ASSISTANCE APPLICATION & APPROVAL PROCEDURES POLICY, PFS.PHS.116." THE FINANCIAL ASSISTANCE APPLICATION & APPROVAL PROCEDURES POLICY INCLUDES THE FOLLOWING PROVISION: "WHEN A PATIENT HAS INDICATED OR DEMONSTRATED 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, WILL PROVIDE 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 COMPLETING THE APPLICATION AND IN OBTAINING ALL REQUIRED DOCUMENTATION." THIS PHS SYSTEM-WIDE DEBT COLLECTION POLICY APPLIES TO ALL PATIENTS IN ALL AREAS OF OUR HEALTH SYSTEM, FROM HOSPITAL INPATIENTS AND OUTPATIENTS TO AMBULATORY CLINIC PATIENTS AND ANYWHERE ELSE WE PROVIDE HEALTH CARE SERVICES. NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 PRESBYTERIAN DEVELOPED AND IMPLEMENTED A COMPREHENSIVE PROCESS TO IDENTIFY SIGNIFICANT HEALTH NEEDS AND SUBSEQUENTLY PRIORITIZED THEM. IT FIRST REVIEWED THE HEALTHY PEOPLE 2020 INDICATORS TO ALIGN PHS PRIORITIES WITH NATIONAL PRIORITIES. PRESBYTERIAN THEN EVALUATED COMMUNITY-SPECIFIC DATA, AND COUNTY HEALTH COUNCIL AND STATE OF NEW MEXICO PRIORITIES, WHICH AIDED IN NARROWING THE HEALTH INDICATORS TO 12 SIGNIFICANT HEALTH NEEDS. IN KEEPING WITH THE HEALTHY PEOPLE 2020 FORMAT, THESE 12 SIGNIFICANT HEALTH NEEDS ARE DIVIDED INTO OVERARCHING HEALTH ISSUES, HEALTH RELATED BEHAVIORS, AND HEALTH OUTCOMES. OVERARCHING HEALTH ISSUES 1. HEALTH COMMUNICATIONS AND HEALTH INFORMATION TECHNOLOGY 2. ACCESS TO HEALTH SERVICES HEALTH RELATED BEHAVIORS 3. IMMUNIZATION 4. INJURY AND VIOLENCE PREVENTION 5. NUTRITION, WEIGHT STATUS AND PHYSICAL ACTIVITY 6. TOBACCO USE AND SUBSTANCE ABUSE 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 AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, PRESBYTERIAN SOLICITED INPUT FROM BOARD MEMBERS, INCLUDING ITS BOARD OF DIRECTORS AND THE COMMUNITY BOARDS OF TRUSTEES FOR EACH OF ITS REGIONAL HOSPITALS. 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. EACH 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. BASED ON INPUT AND THE POTENTIAL TO IMPACT SIGNIFICANT HEALTH ISSUES IN NEW MEXICO, PRESBYTERIAN SELECTED NUTRITION, PHYSICAL ACTIVITY AND TOBACCO USE AS ITS COMMUNITY HEALTH PRIORITY AREAS. FURTHER INPUT WAS SOUGHT FROM COMMUNITY PARTNERS AND ADVOCATES; AS A RESULT, THE TOBACCO USE PRIORITY WAS EXPANDED TO ENCOMPASS BOTH TOBACCO USE AND SUBSTANCE ABUSE. PHS DESCRIBES THESE PRIORITIES AS HEALTHY EATING, ACTIVE LIVING AND PREVENTION OF UNHEALTHY SUBSTANCE USE. AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, PRESBYTERIAN 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? IN THE DEVELOPMENT OF ITS COMMUNITY HEALTH IMPLEMENTATION PLANS (CHIP), PRESBYTERIAN WILL IDENTIFY SPECIFIC MEASURES AND RESOURCES ASSOCIATED WITH EACH INTERVENTION IDENTIFIED. PRESBYTERIAN HEALTHCARE SERVICES DECIDED TO FOCUS ITS COMMUNITY HEALTH PRIORITIES AND RELATED WORK ON THE PRIORITIZED SIGNIFICANT HEALTH NEEDS. 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 NINE NON-PRIORITIZED SIGNIFICANT HEALTH NEEDS THAT ARE IDENTIFIED IN THE CHNA, BUT NOT INCLUDED IN THE IMPLEMENTATION PLAN. 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 IN ORDER 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 COMMUNITY. THESE INTERPRETATION SERVICES CAN BE ACCESSED ANYWHERE IN PHS HOSPITALS OR CLINICS. AN ELECTRONIC HEALTH RECORD SYSTEM HAS BEEN IMPLEMENTED IN ALL PRESBYTERIAN AMBULATORY CLINICS AND WILL BE INSTALLED AND OPERATIONAL IN ALL EIGHT HOSPITALS BY MAY 2014. 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 COMMUNITY BENEFIT AND ADDRESS THE OVERARCHING HEALTH ISSUE OF ACCESS TO HEALTH SERVICES. 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 THE SAFETY OF PREGNANT WOMEN, 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 HAS IDENTIFIED 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 HEALTH OUTCOMES LISTED BELOW. INTERVENTIONS FOCUSED ON THESE PRIORITIES ARE REFLECTED IN THE CHIP. 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. 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 FOR ADULTS, CHILDREN AND ADOLESCENTS IN ALBUQUERQUE - STAFFING AND SUPPORT FOR A PHARMACY SAMPLE CLINIC THAT PROVIDES FREE SAMPLES OF NEEDED MEDICATION FOR PATIENTS WHO CANNOT AFFORD MEDICATIONS. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 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. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 AT PHS, OUR FOCUS IS ONLY ON NEW MEXICO BECAUSE WE ARE A PART OF NEW MEXICO. OVER THE YEARS, PHS HAS BEEN GIVEN THE PRIVILEGE TO PARTNER WITH COUNTIES THROUGHOUT THE STATE TO PROVIDE OUR SERVICES. OUR EIGHT HOSPITALS ACROSS NEW MEXICO INCLUDE: - PRESBYTERIAN HOSPITAL IN ALBUQUERQUE - PRESBYTERIAN KASEMAN HOSPITAL IN ALBUQUERQUE - PRESBYTERIAN RUST MEDICAL CENTER IN RIO RANCHO - DR. DAN C. TRIGG MEMORIAL HOSPITAL IN TUCUMCARI - PRESBYTERIAN ESPANOLA HOSPITAL IN ESPANOLA - LINCOLN COUNTY MEDICAL CENTER IN RUIDOSO - PLAINS REGIONAL MEDICAL CENTER IN CLOVIS - SOCORRO GENERAL HOSPITAL IN SOCORRO PHS ALSO PROVIDES SERVICES THROUGH AMBULATORY CARE CLINICS THROUGHOUT THE STATE. 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. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART II & PART VI, LINE 5 COMMUNITY BUILDING ACTIVITIES 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. OTHER INFORMATION COMMUNITY-BASED VOLUNTEER BOARDS ARE THE CORNERSTONE OF 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 $571 MILLION INTO LOCAL HEALTH CARE IN THE LAST FIVE YEARS ALONE. IN OCTOBER OF 2011, PHS OPENED RIO RANCHO'S FIRST FULL-SERVICE HOSPITAL - THE PRESBYTERIAN RUST MEDICAL CENTER. THE RUST MEDICAL CENTER IS NEW MEXICO'S FIRST 21ST CENTURY HOSPITAL WITH 92 PRIVATE PATIENT ROOMS AND PROVEN DESIGN ELEMENTS TO HELP STAFF DELIVER CARE AND TO HELP PATIENTS HEAL FASTER. WE ARE CONTINUING TO REINVEST OUR FUNDS TO IMPROVE PATIENT SAFETY THROUGH TECHNOLOGY SUCH AS PHARMACY AUTOMATION AND ELECTRONIC MEDICAL RECORDS. AFFILIATED HEALTH CARE SYSTEM SCHEDULE H, PART VI, LINE 6 PHS IS A NONPROFIT INTEGRATED HEALTH CARE SYSTEM THAT HAS SERVED THE STATE OF NEW MEXICO FOR MORE THAN 104 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 38 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 417,000 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. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 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. FACILITY REPORTING GROUP SCHEDULE H, PART VI, LINE 8 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: (1) PRESBYTERIAN HOSPITAL (2) KASEMAN PRESBYTERIAN HOSPITAL (3) PLAINS REGIONAL MEDICAL CENTER (4) PRESBYTERIAN ESPANOLA HOSPITAL (5) LINCOLN COUNTY MEDICAL CENTER (6) SOCORRO GENERAL HOSPITAL (7) DR. DAN C. TRIGG MEMORIAL HOSPITAL (8) RUST MEDICAL CENTER THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 14(G) APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: 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. true AMERICAN CANCER SOCIETY PO BOX 2856 CLOVIS NM 88102 131788491 501(C)(3) 8430 HEALTH IMPROVEMENT FOR THE GENERAL COMMUNITY PEOPLE LIVING THROUGH CANCER 3411 CANDELARIA RD NE ALBUQUERQUE NM 87107 850324330 501(C)(3) 5450 HEALTH IMPROVEMENT FOR THE GENERAL COMMUNITY LINCOLN COUNTY NEW MEXICO 300 CENTRAL AVENUE CARRIZOZO NM 88301 GOVERNMENT 200000 HEALTH IMPROVEMENT FOR THE GENERAL COMMUNITY NEW MEXICO BIOPARK SOCIETY 903 TENTH STREET SW ALBUQUERQUE NM 87102 237087964 501(C)(3) 25000 HEALTH IMPROVEMENT FOR THE GENERAL COMMUNITY SILVER HORIZONS NEW MEXICO 1212 CANDELARIA NW ALBUQUERQUE NM 87197 850279898 501(C)(3) 10000 HEALTH IMPROVEMENT FOR THE UNDERSERVED UNITED WAY OF EASTERN NEW MEXICO 215 N MAIN ST CLOVIS NM 88101 237109243 501(C)(3) 30000 HEALTH IMPROVEMENT FOR THE UNDERSERVED ALBUQUERQUE HEALTHCARE FOR THE HOMELESS PO BOX 25445 ALBUQUERQUE NM 87125 850368993 501(C)(3) 88333 HEALTH IMPROVEMENT FOR THE UNDER-SERVED EA HEALTH 1100 CENTRAL AVE SE ALBUQUERQUE NM 87106 841718018 366494 HEALTH IMPROVEMENT FOR THE UNDER-SERVED HEALTH CENTER OF NM PO BOX 158 ESPANOLA NM 87532 850244588 501(C)(3) 179266 HEALTH IMPROVEMENT FOR THE UNDER-SERVED LA CLINICA DEL NORTE PO BOX 25 CHAMA NM 87520 850209845 501(C)(3) 80268 HEALTH IMPROVEMENT FOR THE UNDER-SERVED LA CLINICA DEL PUEBLO 2831 15TH ST NW WASHINGTON DC 20009 521942551 501(C)(3) 179266 HEALTH IMPROVEMENT FOR THE UNDER-SERVED RIO ARRIBA COUNTY TREATMENT 1122 INDUSTRIAL PARK RD ESPANOLA NM 87532 850423951 501(C)(3) 96322 HEALTH IMPROVEMENT FOR THE UNDER-SERVED SAMARITAN COUNSELING CENTER 1101 MEDICAL ARTS AVE ALBUQUERQUE NM 87102 850342072 501(C)(3) 10000 HEALTH IMPROVEMENT FOR THE UNDER-SERVED ALBUQUERQUE CHAMBER OF COMMERCE 115 GOLD AVE SW ALBUQUERQUE NM 87102 850018940 501(C)(6) 14715 PROMOTE ECONOMIC DEVELOPMENT NEW MEXICO CENTER FOR NURSING EXCELLENCE PO BOX 92048 ALBUQUERQUE NM 87199 850463326 501(C)(3) 10000 PROMOTE ECONOMIC DEVELOPMENT 13 2 VARIOUS - FLU SHOTS 5000 49540 COST FLU SHOTS VARIOUS - HEALTHPLEX GIFT CERTIFICATES 2 117 FMV PHYSICAL REHAB VARIOUS - PROJECT CHOICE SUPPLIES 3600 9000 COST SUPPLIES FOR HLTH ED VARIOUS - INDIGENT MEALS 25984 38975 COST MEALS VARIOUS - INDIGENT TRANSPORTATION 714 17860 COST TAXI SERVICE VARIOUS - NURSING SCHOLARSHIPS 5 5000 SCHOLARSHIPS NURSING EDUCATION (PATHWAYS TO NURSING PROGRAM) 72 473633 LOAN FORGIVENESS SENIOR COMMUNITY SERVICE 1 9000 COST REHAB RESIDENCY PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS 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. 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 true true X X X X X true true false false false false false false false ELAINE PAPAFRANGOS MD 180825 0 46680 0 386 0 161979 0 23692 0 413562 0 0 0 JAMES HINTON 418106 418100 206786 167673 19530 19530 725905 776631 13507 13512 1383834 1395446 39113 0 PAUL BRIGGS 381207 163369 137743 58104 5834 2500 227690 95720 19429 8332 771903 328025 2184 7 DIANE FISHER 153950 153941 54407 54407 3509 3509 113773 0 5588 5597 331227 217454 0 0 DALE MAXWELL 258707 139304 113472 61100 13973 7524 98813 0 5886 3169 490851 211097 0 0 GUILHERME MARIN 632439 0 560160 0 613 0 17430 0 7638 0 1218280 0 0 0 CARL LAGERSTROM MD 739205 0 149994 0 3612 0 121324 0 26456 0 1040591 0 0 0 PETER WALINSKY MD 709323 0 179696 0 1208 0 67889 0 24040 0 982156 0 0 0 KAYVAN ELLINI 522386 0 363349 0 514 0 13727 0 27215 0 927191 0 0 0 LAWRENCE NAIR 598849 0 274537 0 1532 0 105969 0 12645 0 993532 0 0 0 HECTOR ARREDONDO 345471 0 120381 0 11531 0 8613 0 28243 0 514239 0 0 0 DOYLE BOYKIN 161135 0 22959 0 4643 0 134845 0 12228 0 335810 0 0 0 LAUREN CATES 284281 0 101190 0 888 0 73194 0 22370 0 481923 0 0 0 KATHLEEN DAVIS RN 354607 0 127475 0 20408 0 119945 0 25389 0 647824 0 3604 0 ROBIN DIVINE 151007 0 41596 0 3463 0 22031 0 19659 0 237756 0 0 0 HODA EL ASMAR 361541 0 45625 0 1682 0 3827 0 14392 0 427067 0 0 0 MARK EPSTEIN 127045 0 37751 0 115391 0 0 0 7209 0 287396 0 0 0 ROBERT GARCIA 263150 0 93958 0 11189 0 489723 0 14523 0 872543 0 0 0 CLAY HOLDERMAN 292574 0 74412 0 21173 0 15599 0 23025 0 426783 0 1150 0 AMELIA MARLEY 339280 0 43481 0 5938 0 0 0 12826 0 401525 0 0 0 CINDY MCGILL 163190 133509 59886 47891 2455 2009 11250 0 11048 9048 247829 192457 1353 0 ELIZABETH TIBBS 144232 0 26756 0 2409 0 41297 0 16492 0 231186 0 0 0 DIANA WEBER 285314 0 22549 0 302 0 14245 0 1398 0 323808 0 0 0 DONNA AGNEW 161653 0 34017 0 2376 0 146644 0 18217 0 362907 0 0 0 CHERYL MITCHELL 151470 0 32140 0 1393 0 135558 0 18631 0 339192 0 0 0 DAVID HENNIGAN 198900 0 53179 0 3991 0 12871 0 17503 0 286444 0 197 0 JAMES JEPPSON 172263 0 35156 0 5345 0 126437 0 22492 0 361693 0 0 0 MATTHEW PEHRSON 198594 0 71676 0 15737 0 13869 0 24915 0 324791 0 0 0 DAVID SCRASE 113177 133874 46194 23459 1465 0 12542 0 10560 0 183938 157333 13466 157333 HOYT SKABELUND 234637 0 43258 0 821 0 95040 0 25653 0 399409 0 0 0 SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 1A PRESBYTERIAN HEALTHCARE SERVICES (PHS) PAID AIRFARE FOR MR. CHARLES MILLIGAN'S SPOUSE TO ATTEND A GOVERNANCE CONFERENCE. THE SPOUSAL TRAVEL COST $407 AND CHARLES MILLIGAN, BOARD MEMBER, RECEIVED A FORM 1099 FOR THE VALUE OF THIS BENEFIT. SEVERANCE PAYMENTS SCHEDULE J, PART I, LINE 4A MARK EPSTEIN RECEIVED SEVERANCE PAYMENTS IN 2012 AMOUNTING TO $115,077. NON-QUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B JAMES HINTON (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 $39,113 FROM THE REPORTING ORGANIZATION, AND (2) WAS A CURRENT YEAR PARTICIPANT IN NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLANS. THE 2012 INCREASE IN VALUE OF THE SERPS FOR MR. HINTON WERE $537,035 & $776,631, WHICH IS INCLUDED IN THE REPORTED DEFERRED COMPENSATION AMOUNT FOR THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS, RESPECTIVELY. PAUL BRIGGS (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 $2,184 & $7 FROM THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS, RESPECTIVELY, AND (2) WAS A CURRENT YEAR PARTICIPANT IN NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLANS. THE 2012 INCREASE IN VALUE OF THE SERPS FOR MR. BRIGGS WERE $143,580 & $95,720, WHICH IS INCLUDED IN THE REPORTED DEFERRED COMPENSATION AMOUNT FOR THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS, 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 $3,604. ROBERT GARCIA WAS A CURRENT YEAR PARTICIPANT IN A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. THE 2012 INCREASE IN VALUE OF THE SERP FOR MR. GARCIA WAS $263,259. CLAY HOLDERMAN 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 $1,150. CINDY MCGILL 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 AMOUNTS OF $1,353 FROM THE REPORTING ORGANIZATION. DAVID HENNIGAN 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 $197. 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 $13,466 & $157,333 FROM THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS, RESPECTIVELY. OTHER SUPPLEMENTAL COMPENSATION INFORMATION DALE MAXWELL IS A PARTICIPANT IN A RETENTION AGREEMENT WITH PRESBYTERIAN HEALTHCARE SERVICES (PHS). IN 2012, $40,000 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 (PHS). IN 2012, $35,500 WAS DEFERRED UNDER THIS AGREEMENT FOR MS. DAVIS. THIS AMOUNT IS INCLUDED IN THE REPORTED DEFERRED COMPENSATION AMOUNT. DONNA AGNEW, CHERYL MITCHELL, DAVID HENNIGAN, JAMES JEPPSON, MATTHEW PEHRSON, DAVID SCRASE, AND HOYT SKABELUND WERE COMPENSATED AS CURRENT EMPLOYEES OF PHS IN 2012. IN A PRIOR YEAR, THEIR ACTIVITIES OR RESPONSIBILITIES QUALIFIED THEM AS KEY EMPLOYEES OR OFFICERS AND THEY WERE REPORTED AS SUCH. IN 2012, 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. PHS PURCHASED AN IPAD TABLET FOR MR. CHARLES MILLIGAN, A BOARD MEMBER, IN ORDER TO FACILITATE HIS RECEIPT AND REVIEW OF BOARD MATERIALS. HE RECEIVED A FORM 1099 FOR THE $665 VALUE OF THIS TABLET. ELAINE PAPAFRANGOS WAS COMPENSATED BY PRESBYTERIAN HEALTHCARE SERVICES AS AN EMPLOYED PHYSICIAN. A NMHELC (SEE PART VI) 850334237 647370EM2 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 24405000 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 78845055 0 0 0 1181950 0 0 18689142 0 58973963 false false false 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 0.00000 0.00000 0.00000 false false false false C false true true true true true 0.00000 0.00000 0.00000 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 - 0 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 - 0 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 - 0 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 - 0 INCLUDES INVESTMENT EARNINGS OF $67,566. SCHEDULE K, PART II, LINE 3, COLUMN B - 0 INCLUDES INVESTMENT EARNINGS OF $554,832. SCHEDULE K, PART II, LINE 3, COLUMN C - 0 INCLUDES INVESTMENT EARNINGS OF $2,055. SCHEDULE K, PART II, LINE 11, COLUMN A - 0 $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 - 0 SUCH WRITTEN PROCEDURES ARE CURRENTLY UNDER REVIEW BY MANAGEMENT AND OUTSIDE LEGAL COUNSEL BEFORE OFFICIAL ADOPTION WITHIN THE ISSUER ORGANIZATION. SCHEDULE K, PART IV, LINE 4B, COLUMN A - 0 GOLDMAN SACHS MITSUI MARINE DERIVATIVE PRODUCTS, L.P. AEIX BOD PHS / DIR AEIX 2934000 PURCHASE EXCESS INSURANCE false INFECT DISEASE INTERNAL MEDICINE BOD PHS / KEY EMPLOYEE 266725 PAYMENT FOR MEDICAL SERVICES false LOUIS TROST MD BOD PHS / SPOUSE 189048 EMPLOYEE COMPENSATION false PREMIER INC BOD PHS / DIR PREMIER 598016 PAYMENT FOR PURCHASING SERVICE false TRICORE LAB SERVICES CORP OFFICER PHS / DIR TLSC 41550200 LABORATORY TESTING SERVICES false TRICORE REFERENCE LABS OFFICER PHS / DIR TRL 606906 LABORATORY TESTING SERVICES false TRICORE LAB SERVICES CORP KEY PHS / DIR TLSC 41550200 LABORATORY TESTING SERVICES false TRICORE REFERENCE LABS KEY PHS / DIR TRL 606906 LABORATORY TESTING SERVICES false TRICORE LAB SERVICES CORP KEY PHS / DIR TLSC 41550200 LABORATORY TESTING SERVICES false TRICORE REFERENCE LABS KEY PHS / DIR TRL 606906 LABORATORY TESTING SERVICES false PRESBYTERIAN NETWORK INC SUBS BOD PHS / DIR PHP & PIC 495430893 PAYMENT FOR MEDICAL SERVICES false X 1 19500 FMV X GAMES/GIFT CERTIFICATES 1 144 FMV X CARDMAKING & SCRAPBOOKING KITS 1 365 FMV X TOYS 1 3100 FMV X DESKTOP COMPUTERS 1 1925 FMV false true false SCHEDULE M, PART I, COLUMN (B) COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. DESCRIPTION OF VOLUNTEERS 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 FACILITY IS LOCATED. STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4 EXEMPT PURPOSE ACHIEVEMENTS PRESBYTERIAN HEALTHCARE SERVICES (PHS) WAS FOUNDED IN ALBUQUERQUE, NEW MEXICO IN 1908 AS A HAVEN FOR TUBERCULOSIS PATIENTS. IN THE CENTURY SINCE, PHS HAS 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' GOVERNANCE SYSTEM. PHS' BOARD OF DIRECTORS, WITH KEY SUPPORTING COMMITTEES IN COMPLIANCE AND AUDIT, FINANCE, GOVERNANCE, AND QUALITY, GOVERNS THE ENTIRE PHS 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 HEALTHCARE SERVICES PHS PROVIDES. PHS BOARDS MAINTAIN HIGH STANDARDS FOR QUALITY AND LEADERSHIP, AND EVERY BOARD MEMBER IS REQUIRED TO COMPLETE COMPLIANCE TRAINING, AND A CONFLICT OF INTEREST STATEMENT, AND COMPLY WITH THE PHS CODE OF CONDUCT. IN 2010, THE PHS BOARD OF DIRECTORS APPROVED A REFINED FOCUS ON STRATEGY TO RADICALLY IMPROVE THE CUSTOMER EXPERIENCE. TO ACCOMPLISH THIS, PHS COMMITTED TO TRANSFORM OUR INTEGRATED SYSTEM TO PRODUCE, "1) BEST CLINICAL QUALITY: OUR PATIENTS AND MEMBERS WILL EXPERIENCE EXCELLENT CLINICAL SERVICES THAT ARE SAFE, TIMELY AND COORDINATED. TO ACCELERATE QUALITY, CLINICAL TEAMS WILL DRIVE CARE THAT IS EVIDENCE-BASED AND HIGHLY RELIABLE WITH VISIBILITY FOR ACTION TO THE CARE TEAM 2) ONE PRESBYTERIAN: PATIENTS AND MEMBERS WILL ENJOY A SEAMLESS, CONSISTENT AND CARING EXPERIENCE FROM OUR ENGAGED TEAM OF PROVIDERS AND EMPLOYEES COMMITTED TO PRESBYTERIAN'S VALUES 3) AFFORDABILITY AND SUSTAINABILITY: PATIENTS AND MEMBERS WILL BENEFIT FROM AN AFFORDABLE, REDESIGNED HEALTHCARE EXPERIENCE, BASED ON EVIDENCE, FROM AN ORGANIZATION COMMITTED TO INVESTING IN FUTURE HEALTHCARE NEEDS." PRESBYTERIAN IS A LEADER IN INTEGRATED HEALTHCARE AND PROVIDES NEW MEXICANS WITH HOSPITALS, A MEDICAL GROUP OF PRIMARY CARE AND SPECIALTY PHYSICIANS, AND AN AFFILIATED HEALTH PLAN. 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 PRESBYTERIAN'S ELECTRONIC HEALTH RECORD AT OUR 38 AMBULATORY CLINICS WAS COMPLETED IN 2012. ROLLOUT OF THE SYSTEM IN OUR EIGHT INPATIENT SETTINGS HAS BEGUN AND WILL BE FINALIZED IN MAY 2014. THE ELECTRONIC HEALTH RECORD WILL LINK ALL OF PRESBYTERIAN'S HOSPITALS AND CLINICS WITH ONE FINANCIAL AND MEDICAL RECORD, MEANING THERE WILL BE JUST ONE RECORD FOR EACH PATIENT. IT ALSO WILL SUPPORT OUR EMPHASIS ON EVIDENCE-BASED MEDICINE AND BEST PRACTICES, RESULTING IN SAFER AND MORE COST-EFFECTIVE CARE FOR OUR PATIENTS. THIS INVESTMENT IS ONE OF THE LARGEST IN OUR 104 YEAR HISTORY WITH THE TOTAL AMOUNT OF $170 MILLION. PRESBYTERIAN REMAINED AMONG THE NATIONAL LEADERS IN INNOVATIVE HEALTHCARE DELIVERY METHODS WITH ITS HOSPITAL AT HOME PROGRAM. MORE THAN 630 PATIENTS HAVE BEEN TREATED AT THEIR HOMES INSTEAD OF IN THE HOSPITAL UNDER THE PROGRAM THAT WAS DEVELOPED IN PARTNERSHIP WITH THE JOHNS HOPKINS SCHOOL OF MEDICINE. WITH THE ESTABLISHMENT OF A DISCHARGE CALL CENTER, PRESBYTERIAN HAS MADE A SIGNIFICANT INVESTMENT TO ENSURE THAT PATIENTS DISCHARGED AFTER RECEIVING INPATIENT OR EMERGENCY SERVICES ARE CONTACTED WITHIN 72 HOURS OF LEAVING THE HOSPITAL. IN 2012, THE NURSES WHO STAFF THE CENTER REACHED OUT TO MORE THAN 35,000 HOSPITAL AND 21,000 EMERGENCY DEPARTMENT PATIENTS TO ASSIST PATIENTS AND FAMILIES WITH A SAFE TRANSITION TO HOME, PROVIDE EDUCATION AS NEEDED, REINFORCE DISCHARGE INSTRUCTIONS AND SEEK OPPORTUNITIES FOR IMPROVEMENT. PRESBYTERIAN IS ALSO HARD AT WORK TO SAVE LIVES EVERY DAY. FROM IDENTIFYING DANGEROUS BLOOD INFECTIONS EARLIER TO A FASTER PROCESS TO GET HEART ATTACK PATIENTS TO LIFE-SAVING PROCEDURES, PRESBYTERIAN HAS MADE REDUCING PREVENTABLE DEATHS AND INCREASING PATIENT SAFETY 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: - IN AN AMERICAN HOSPITAL ASSOCIATION COMPARISON OF THE TOP 250 HEALTH SYSTEMS IN THE UNITED STATES ON PUBLICLY REPORTED CLINICAL CORE MEASURES, READMISSIONS, MORTALITY RATES AND PATIENT SATISFACTION, PRESBYTERIAN IS RANKED 57, AN IMPROVEMENT OF 144 PLACES IN FOUR YEARS. - PRESBYTERIAN CANCER NETWORK WAS NATIONALLY ACCREDITED IN RADIATION THERAPY AND MEDICAL ONCOLOGY - PRESBYTERIAN HOSPITAL RECEIVED THE PLATINUM PERFORMANCE ACHIEVEMENT AWARD FROM THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION FOR IMPLEMENTING A HIGHER STANDARD OF CARE FOR HEART ATTACK PATIENTS - PRESBYTERIAN MEDICAL GROUP EXCEEDED OR MET NATIONAL AVERAGES IN 22 OF 32 CLINICAL QUALITY MEASURES, INCLUDING THREE DIABETES CONTROL MEASURES - MODIFIED EARLY WARNING SYSTEM IMPLEMENTED, HELPING CAREGIVERS IDENTIFY PATIENTS WHO NEED ADVANCED CLINICAL ATTENTION BEFORE THEIR CONDITIONS DETERIORATE - UNNECESSARY ADMISSIONS FOR DEEP VENOUS THROMBOSIS MANAGEMENT REDUCED TO LESS THAN 3 PERCENT - LENGTH OF STAY FOR TOTAL JOINT REPLACEMENT PATIENTS DECREASED 25 PERCENT - HOSPITAL ADMISSIONS FOR PEDIATRIC ASTHMA PATIENTS REDUCED BY 32 PERCENT IN OUR REGIONAL FACILITIES PRESBYTERIAN IS SUSTAINING EXCELLENCE IN PROVIDING CHILDHOOD IMMUNIZATIONS. FOR THE 8TH STRAIGHT YEAR PRESBYTERIAN MEDICAL GROUP RUIDOSO-WHITE MOUNTAIN MEDICAL HAS BEEN THE STATE'S LEADER IN IMMUNIZATION RATES FOR CHILDREN, EXCEEDING 90 PERCENT. NEW MEXICO'S DEPARTMENT OF HEALTH AND THE STATE'S IMMUNIZATION COALITION DEFINE THE GOAL AS CHILDREN WHO HAVE RECEIVED ALL OF THEIR SCHEDULED IMMUNIZATIONS BY AGE TWO. THREE OF PRESBYTERIAN'S EIGHT HOSPITALS - LINCOLN COUNTY MEDICAL CENTER, PLAINS REGIONAL MEDICAL CENTER AND SOCORRO GENERAL HOSPITAL - WERE RECOGNIZED BY THE JOINT COMMISSION AS "TOP PERFORMERS" ON KEY QUALITY MEASURES. LINCOLN COUNTY MEDICAL CENTER IN RUIDOSO RECEIVED THE BRILLIANT TORCH AWARD FROM THE NEW MEXICO MEDICAL REVIEW ASSOCIATION FOR ACHIEVING 100 PERCENT ON CLINICAL CORE MEASURES. ADDITIONALLY, BOTH SOCORRO GENERAL HOSPITAL AND LINCOLN COUNTY MEDICAL CENTER EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR ACCREDITATION BY DEMONSTRATING COMPLIANCE WITH THE JOINT COMMISSION'S NATIONAL STANDARDS FOR HEALTHCARE QUALITY AND SAFETY IN HOSPITALS. THE ACCREDITATION AWARD RECOGNIZES BOTH HOSPITALS' DEDICATION TO CONTINUOUS COMPLIANCE WITH THE JOINT COMMISSION'S STATE-OF-THE-ART STANDARDS. THE JOINT COMMISSION'S HOSPITAL STANDARDS ADDRESS IMPORTANT FUNCTIONS RELATED TO THE CARE OF PATIENTS AND THE MANAGEMENT OF HOSPITALS. THE STANDARDS ARE DEVELOPED IN CONSULTATION WITH HEALTHCARE EXPERTS, PROVIDERS, MEASUREMENT EXPERTS AND PATIENTS. PRESBYTERIAN'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. PRESBYTERIAN'S THREE PRIORITIES ARE HEALTHY EATING, ACTIVE LIVING AND PREVENTING UNHEALTHY SUBSTANCE USE. PRESBYTERIAN HOSPITAL BEGAN HOSTING A WEEKLY GROWERS' MARKET IN 2012 THAT HAD MORE THAN 345 SHOPPERS EACH DAY THAT IT WAS OPEN. IT WILL CONTINUE IN 2013. IN OCTOBER, APPROXIMATELY 400 PRESBYTERIAN LEADERS PARTICIPATED IN A DAY OF SERVICE BY VISITING LOCAL SCHOOLS TO PROMOTE HEALTH AND FITNESS. THEY LED WELLNESS ACTIVITIES AND EDUCATION EFFORTS FOR ABOUT 5,000 STUDENTS. HEALTH EDUCATION IS PROVIDED IN A NUMBER OF AREAS BY PRESBYTERIAN PROFESSIONALS. AMONG THE CLASSES OFFERED ARE PROGRAMS 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. IN ADDITION, PRESBYTERIAN IS REPRESENTED ON NUMEROUS HEALTH BOARDS AND COUNCILS IN THE COMMUNITIES WE SERVE. 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 $129,710,000 IN DONATED SERVICES, MATERIALS, EQUIPMENT AND FACILITIES IN 2012, INCLUDING THE SPECIFIC DONATIONS DESCRIBED BELOW. CARE AND NO-CHARGE SERVICES TO UNDER-SERVED POPULATIONS TO IMPROVE HEALTH-APPROXIMATELY $123,876,000. IN 2012, PHS PROVIDED APPROXIMATELY $27,669,000 IN FINANCIAL ASSISTANCE (CHARITY CARE), MEASURED BY OUR COST OF CARE. THE UNREIMBURSED COST OF CARE FOR MEDICARE & MEDICAID PATIENTS FOR 2012 TOTALED APPROXIMATELY $78,828,000. 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 2012, PHS PROVIDED NEEDED HEALTHCARE SERVICES AT AN APPROXIMATE LOSS OF $15,977,000. 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 $1,402,000; 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 NONPROFITS THAT IMPROVE THE HEALTH OF THE GENERAL COMMUNITY-APPROXIMATELY $572,000. BENEFICIARIES INCLUDE UNITED WAY OF EASTERN NEW MEXICO, THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION, THE AMERICAN LUNG ASSOCIATION, PROJECT CHOICE (A SCHOOL-BASED, TOBACCO-FREE PROGRAM), HEALTH FAIRS CONDUCTED THROUGHOUT NEW MEXICO; 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 $5,262,000. BENEFICIARIES INCLUDE INDIVIDUALS, FAMILIES, BUSINESSES, AND COMMUNITIES SERVED BY THE GREATER ALBUQUERQUE CHAMBER OF COMMERCE, THE ALBUQUERQUE HISPANO 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 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. STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS 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 LARGE 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. 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, 2012: INPATIENT DISCHARGES(1) = 34,885 AVERAGE LENGTH OF STAY (IN DAYS)(1) = 4.66 INPATIENT PATIENT DAYS(1) = 162,519 EMERGENCY ROOM VISITS (OUTPATIENT ONLY)(2) = 106,884 HOSPITAL-BASED OUTPATIENT VISITS(3) = 245,751 NEWBORN DELIVERIES(4) = 5,131 AMBULATORY CLINIC ENCOUNTERS = 1,271,301 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 ELEVEN 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 2012 ARE DESCRIBED AS FOLLOWS: INPATIENT DISCHARGES(1) = 9,614 AVERAGE LENGTH OF STAY (IN DAYS)(1) = 3.13 INPATIENT PATIENT DAYS(1) = 30,084 EMERGENCY ROOM VISITS (OUTPATIENT ONLY)(2) = 73,527 HOSPITAL-BASED OUTPATIENT VISITS(3) = 125,648 NEWBORN DELIVERIES(4) = 2,125 AMBULATORY CLINIC ENCOUNTERS = 206,148 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. THE HEART AND VASCULAR CENTER AT PRESBYTERIAN HOSPITAL RECEIVED THE GOLD PERFORMANCE AWARD FOR 2010 FROM THE AMERICAN COLLEGE OF CARDIOLOGY AND THE AMERICAN HEART ASSOCIATION. THIS AWARD RECOGNIZED PRESBYTERIAN FOR ITS COMMITMENT AND SUCCESS IN IMPLEMENTING THE HIGHEST STANDARD OF CARE FOR ACUTE MYOCARDIAL INFARCTION PATIENTS. WITH THIS AWARD, PRESBYTERIAN WAS RECOGNIZED FOR NATIONALLY EXCELLENT COMPLIANCE WITH EVIDENCE-BASED CARE AS DEFINED IN THE "GET WITH THE GUIDELINES PROGRAM". ADDITIONALLY, IN AUGUST OF 2010, PRESBYTERIAN HOSPITAL WAS RANKED 7TH IN THE NATION BY US NEWS & WORLD REPORT FOR THE LOWEST HOSPITAL RE-ADMISSION RATE FOR MEDICARE PATIENTS HOSPITALIZED WITH HEART FAILURE. MORE RECENTLY, THE MEDICARE PROGRAM HAS IDENTIFIED PRESBYTERIAN 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. IN DECEMBER 2010, PRESBYTERIAN HEALTHCARE SERVICES' CARDIAC CRITICAL CARE UNIT (CCC) AT PRESBYTERIAN HOSPITAL RECEIVED THE BEACON AWARD FOR CRITICAL CARE EXCELLENCE FROM THE AMERICAN ASSOCIATION OF CRITICAL-CARE NURSES (AACN). THE AWARD RECOGNIZES THE TOP INTENSIVE CARE UNITS IN THE COUNTRY. THERE ARE AN ESTIMATED 6,000 INTENSIVE CARE UNITS IN THE UNITED STATES. THE AACN HAS GIVEN THE BEACON AWARD TO APPROXIMATELY 200 PEDIATRIC AND ADULT CRITICAL CARE UNITS SINCE THE INITIATION OF THE AWARD IN 2003. THE AACN IS THE LARGEST SPECIALTY NURSING ORGANIZATION IN THE WORLD, REPRESENTING MORE THAN 400,000 NURSES WHO WORK WITH CRITICALLY ILL PATIENTS. THE BEACON AWARD PLACES PRESBYTERIAN HOSPITAL'S CCC UNIT IN THE TOP TIER OF HOSPITALS NATIONALLY FOR PROVIDING THE HIGHEST STANDARDS OF NURSING PROFESSIONALISM. THE UNIT HAS MET RIGOROUS CRITERIA FOR EXCELLENCE, DISPLAYING HIGH-QUALITY STANDARDS AND EXCEPTIONAL CARE FOR PATIENTS AND FAMILIES WHILE MAINTAINING A HEALTHY WORK ENVIRONMENT. THE HEART AND VASCULAR CENTER SERVED PATIENTS THROUGH THE YEAR ENDED DECEMBER 31, 2012, AS FOLLOWS: PATIENT VISITS = 70,367 INPATIENT DISCHARGES = 3,330 CARDIAC REHABILITATION VISITS = 11,741 OUTPATIENT CARDIOVASCULAR LAB ENCOUNTERS = 3,073 NUMBER OF EMPLOYEES 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. EXECUTIVE COMMITTEE 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. FAMILY AND BUSINESS RELATIONSHIPS FORM 990, PART VI, LINE 2 PAUL BRIGGS (OFFICER), ROBIN DIVINE (KEY EMPLOYEE), AND ROBERT GARCIA (KEY EMPLOYEE) HAVE A BUSINESS RELATIONSHIP IN THAT ALL 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 DIANE FISHER (OFFICER) WAS AN OFFICER. DESCRIBE THE PROCESS USED TO REVIEW 990 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, THE PHS GENERAL COUNSEL, THE FINANCE VP, AND THE PHS CHIEF FINANCIAL OFFICER. 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 AGAIN BY THE TAX DIRECTOR, GENERAL COUNSEL, FINANCE VP, AND THE CFO TO ENSURE THAT ALL REQUESTED CHANGES WERE INCORPORATED AND ADDRESS ANY ADDITIONAL MODIFICATIONS FOUND TO BE NECESSARY AT THAT TIME. THE NEXT DRAFT OF THE FORM 990 IS PRESENTED BY THE CFO, GENERAL COUNSEL & THE TAX DIRECTOR 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. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED ANNUALLY AND 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. PROCESS FOR DETERMINING COMPENSATION 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 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 THE GOVERNANCE MANAGER. ADDITIONALLY, DATA THAT SUPPORT THESE DECISIONS ARE MAINTAINED BY THE SENIOR VICE PRESIDENT OF HUMAN RESOURCES FOR PHS. PUBLIC DISCLOSURE OF CERTAIN DOCUMENTS FORM 990, PART VI, LINE 19 COPIES OF THE MOST CURRENT THREE YEARS' FORMS 990 ARE MAINTAINED AT 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. OTHER FEES FOR SERVICES FORM 990, PART IX, LINE 11G CONTRACTED PROF. FEES - PHYSICIAN $ 27,335,087 CONTRACT LABOR 8,010,618 AGENCY NURSES 5,808,151 CONTRACTED PROF. FEES - MID LEVEL 5,504,390 CONSULTING 3,747,596 CONTRACTED PROF. FEES - MED DIRECTOR 1,226,648 OTHER PURCHASED SERVICES 106,410,090 ----------- TOTAL $158,042,580 ============ OTHER FUND BALANCE CHANGES FORM 990, PART XI, LINE 9 PENSION ACCUMULATED OTHER COMPREHENSIVE INCOME TRUE UP $ 78,300,779 ALLOCATE RIO RANCHO EMERGENCY CENTER FUNDS TO RUST MEDICAL CENTER 7,676,000 MISCELLANEOUS 251,713 ------------ TOTAL $ 86,228,492 ============ 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 NA C CORP true false false true false false false false false true true true true true true true true true true BERNALILLO COUNTY HEALTH CARE CORPORATION O 16298271 GENERAL JOURNAL BERNALILLO COUNTY HEALTH CARE CORPORATION Q 8072960 GENERAL JOURNAL BERNALILLO COUNTY HEALTH CARE CORPORATION S 22482056 GENERAL JOURNAL PRESBYTERIAN PROPERTIES INC K 3439631 GENERAL JOURNAL PRESBYTERIAN PROPERTIES INC L 715943 GENERAL JOURNAL PRESBYTERIAN PROPERTIES INC N 784573 GENERAL JOURNAL PRESBYTERIAN PROPERTIES INC Q 3278465 GENERAL JOURNAL PRESBYTERIAN PROPERTIES INC R 799948 GENERAL JOURNAL PRESBYTERIAN PROPERTIES INC S 4021346 GENERAL JOURNAL SOUTHWEST HEALTH FOUNDATION C 1439208 GENERAL JOURNAL SOUTHWEST HEALTH FOUNDATION Q 59815 GENERAL JOURNAL SOUTHWEST HEALTH FOUNDATION S 54475000 GENERAL JOURNAL PRESBYTERIAN HEALTHCARE FOUNDATION C 10475826 GENERAL JOURNAL PRESBYTERIAN HEALTHCARE FOUNDATION O 1160880 GENERAL JOURNAL PRESBYTERIAN HEALTHCARE FOUNDATION Q 1909561 GENERAL JOURNAL PRESBYTERIAN HEALTHCARE FOUNDATION S 3162625 GENERAL JOURNAL PRESBYTERIAN NETWORK INC AND SUBS O 229936 GENERAL JOURNAL PRESBYTERIAN NETWORK INC AND SUBS P 1939061 GENERAL JOURNAL PRESBYTERIAN NETWORK INC AND SUBS Q 1252750 GENERAL JOURNAL PRESBYTERIAN NETWORK INC AND SUBS R 926687 GENERAL JOURNAL