TY 2012 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) BRIAN BURNETT........................................................................ DIRECTOR	1.0 .......................1.0	X			0	0	0
(2) VICKIE FISHER........................................................................ DIRECTOR	1.0 .......................1.0	X			0	0	0
(3) GEORGE ISHAM MD........................................................................ DIRECTOR	1.0 .......................2.0	X			0	0	0
(4) CHARLES MILLIGAN JD........................................................................ DIRECTOR	1.0 .......................1.0	X			1,072	0	0
(5) TOM ROBERTS MD........................................................................ DIRECTOR	1.0 .......................1.0	X			0	0	0
(6) RIES ROBINSON MD........................................................................ DIRECTOR	1.0 .......................1.0	X			0	0	0
(7) SANDRA TAYLOR-SAWYER EDD........................................................................ DIRECTOR	1.0 .......................1.0	X			0	0	0
(8) JENNIFER S THOMAS........................................................................ DIRECTOR	1.0 .......................1.0	X			0	0	0
(9) KATHIE WINOGRAD PHD........................................................................ DIRECTOR/CHAIR	1.0 .......................2.0	X			0	0	0
(10) ELAINE PAPAFRANGOS MD........................................................................ DIRECTOR	40.0 .......................1.0	X			227,891	0	185,671
(11) JAMES HINTON........................................................................ PRESIDENT / DIRECTOR	20.0 .......................23.0	X	X		644,422	605,303	1,529,555
(12) PAUL BRIGGS........................................................................ EVP / COO	28.0 .......................14.0		X		524,784	223,973	351,171
(13) DIANE FISHER........................................................................ SVP / SECRETARY	20.0 .......................22.0		X		211,866	211,857	124,958
(14) DALE MAXWELL........................................................................ SVP / CFO / TREASURER	26.0 .......................17.0		X		386,152	207,928	107,868
(15) HECTOR ARREDONDO........................................................................ EXEC MED DIR - PMG	40.0 .......................0.0			X	477,383	0	36,856
(16) DOYLE BOYKIN........................................................................ ADMINISTRATOR - ADULT MED SL	40.0 .......................0.0			X	188,737	0	147,073
(17) LAUREN CATES........................................................................ COO - CDS	40.0 .......................1.0			X	386,359	0	95,564

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(F) Estimated amount of other compensation from the organization and related organizations
(18) KATHLEEN DAVIS RN........................................................................ SVP / PT CARE SRVCS - CNO	40.0 .......................1.0	X			502,490	0	145,334
(19) ROBIN DIVINE........................................................................ ADMIN DIR - ANCILLARY SL	40.0 .......................2.0	X			196,066	0	41,690
(20) HODA EL ASMAR........................................................................ CHIEF MEDICAL OFFICER - PDS	40.0 .......................0.0	X			408,848	0	18,219
(21) MARK EPSTEIN........................................................................ ADMIN MED DIR - ADULT SL	40.0 .......................1.0	X			280,187	0	7,209
(22) ROBERT GARCIA........................................................................ VP - OPERATIONS - RDS	40.0 .......................1.0	X			368,297	0	504,246
(23) CLAY HOLDERMAN........................................................................ ADMINISTRATOR - PRRMC	40.0 .......................0.0	X			388,159	0	38,624
(24) AMELIA MARLEY........................................................................ SVP - INFO SERVICES	40.0 .......................0.0	X			388,699	0	12,826
(25) CINDY MCGILL........................................................................ SVP - HR	22.0 .......................18.0	X			225,531	183,409	31,346
(26) ELIZABETH TIBBS........................................................................ DIR - BUS OPS - SURGERY SL	40.0 .......................0.0	X			173,397	0	57,789
(27) DIANA WEBER........................................................................ MED DIR - CLINIC	40.0 .......................0.0	X			308,165	0	15,643
(28) GUILHERME MARIN........................................................................ CARDIO INVASIVE INTERVENTION	40.0 .......................0.0		X		1,193,212	0	25,068
(29) CARL LAGERSTROM MD........................................................................ CARDIOVASCULAR SURGEON	40.0 .......................0.0		X		892,811	0	147,780
(30) PETER WALINSKY MD........................................................................ CARDIOVASCULAR SURGEON	40.0 .......................0.0		X		890,227	0	91,929
(31) KAYVAN ELLINI........................................................................ CARDIO INVASIVE INTERVENTION	40.0 .......................0.0		X		886,249	0	40,942
(32) LAWRENCE NAIR........................................................................ CARDIO ELECTROPHYSIOLOGIST	40.0 .......................0.0		X		874,918	0	118,614
(33) DONNA AGNEW........................................................................ ADMIN DIR - PROCESS EXCELLENCE	40.0 .......................0.0			X	198,046	0	164,861
(34) CHERYL MITCHELL........................................................................ ADMIN - AMBULATORY SL	40.0 .......................0.0			X	185,003	0	154,189
(35) DAVID HENNIGAN........................................................................ VP - REVENUE MANAGEMENT	40.0 .......................0.0			X	256,070	0	30,374
(36) JAMES JEPPSON........................................................................ VP - REAL ESTATE	40.0 .......................2.0			X	212,764	0	148,929
(37) MATTHEW PEHRSON........................................................................ ADMIN DIR - SUP CHAIN	40.0 .......................0.0			X	286,007	0	38,784
(38) DAVID SCRASE........................................................................ MD - INTERNAL MEDICINE	20.0 .......................0.0			X	160,836	157,333	23,102
(39) HOYT SKABELUND........................................................................ ADMIN - REGIONAL HOSPITAL	40.0 .......................0.0			X	278,716	0	120,693

(A) Name and business address	(B) Description of services	(C) Compensation
TRICORE LABORATORY SERVICE CORP, 1001 WOODWARD PLACE NEALBUQUERQUENM87102	LABORATORY TESTING	41,550,200
BRYCON CONSTRUCTION, 8400 FIRESTONE LN NEALBUQUERQUENM87113	CONSTRUCTION	11,818,070
VITALIZE, 248 MAIN ST SUITE 101READINGMA01867	CONSULTING	7,673,831
EPIC SYSTEMS, 1979 MILY WAYVERONAWI53593	CONSULTING/LICENSES	7,409,535
PATHOLOGY ASSOCIATES OF ALBUQUERQUE, PO BOX 26666ALBUQUERQUENM87125	PATHOLOGY SERVICES	7,137,131
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 219

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	1,367,094	1,367,094
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	603,125	603,125
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	8,828,137	4,953,598	3,874,539
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	427,810	427,810
7	Other salaries and wages	496,973,510	440,987,101	55,986,409
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	48,413,591	41,538,768	6,874,823
9	Other employee benefits .......	91,687,364	71,431,225	20,256,139
10	Payroll taxes ...........	37,977,233	32,571,257	5,405,976
11	Fees for services (non-employees):
a	Management ......	667,572	667,572
b	Legal .........	5,045,595		5,045,595
c	Accounting ...........	2,040,801		2,040,801
d	Lobbying ...........	118,135		118,135
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	2,320,161		2,320,161
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	158,042,580	130,281,961	27,760,619
12	Advertising and promotion ....	3,417,645		3,417,645
13	Office expenses .......	6,792,654	5,354,344	1,438,310
14	Information technology ......	31,564,274	26,775,974	4,788,300
15	Royalties ..	0
16	Occupancy ...........	10,757,802	10,596,462	161,340
17	Travel ............	3,367,961	1,767,673	1,600,288
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	1,268,631	586,751	681,880
20	Interest ...........	23,924,660	23,924,660
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	77,965,821	66,138,406	11,827,415
23	Insurance ..............	32,894,509	27,904,412	4,990,097
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL & FACILITY SUPPLIES	169,888,860	169,888,860
b	EQUIPMENT RELATED EXPENSES	23,618,931	17,189,966	6,428,965
c	ALL OTHER MISC EXPENSES	2,566,125	811,494	1,754,631
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	1,242,540,581	1,075,768,513	166,772,068	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
	1	Cashnon-interest-bearing .............	501,706	1	580,543
2	Savings and temporary cash investments .........	33,185,231	2	38,364,187
3	Pledges and grants receivable, net ...........	0	3	0
4	Accounts receivable, net .............	153,943,299	4	176,400,834
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	0	7	0
8	Inventories for sale or use ..............	8,067,913	8	10,507,647
9	Prepaid expenses and deferred charges ..........	14,825,725	9	17,879,433
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,496,458,441
b	Less: accumulated depreciation .....	10b	803,222,152	658,514,532	10c	693,236,289
11	Investments—publicly traded securities ..........	824,868,873	11	944,270,325
12	Investments—other securities. See Part IV, line 11 .....	211,002,285	12	256,423,077
13	Investments—program-related. See Part IV, line 11 .....	8,723,545	13	9,160,803
14	Intangible assets ...............	1,962,963	14	4,887,963
15	Other assets. See Part IV, line 11 ...........	33,078,770	15	93,963,314
16	Total assets. Add lines 1 through 15 (must equal line 34)......	1,948,674,842	16	2,245,674,415
	17	Accounts payable and accrued expenses .........	114,594,640	17	121,294,311
18	Grants payable .................	0	18	0
19	Deferred revenue ................	0	19	0
20	Tax-exempt bond liabilities .............	510,879,540	20	580,019,239
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	12,226,748	23	25,494,498
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	701,936,712	25	683,698,665
26	Total liabilities. Add lines 17 through 25.........	1,339,637,640	26	1,410,506,713
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	609,037,202	27	835,167,702
28	Temporarily restricted net assets ...........	0	28	0
29	Permanently restricted net assets ...........	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	609,037,202	33	835,167,702
34	Total liabilities and net assets/fund balances ........	1,948,674,842	34	2,245,674,415

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

PRESBYTERIAN HEALTHCARE SERVICES

Employer identification number

85-0105601

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2012

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2012. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2011. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2012. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 4

Part IV

Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2012

Name of the organization

PRESBYTERIAN HEALTHCARE SERVICES

Employer identification number

85-0105601

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 2

Name of organization PRESBYTERIAN HEALTHCARE SERVICES

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 3

Name of organization PRESBYTERIAN HEALTHCARE SERVICES

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 4

Name of organization
PRESBYTERIAN HEALTHCARE SERVICES

Employer identification number

85-0105601

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

PRESBYTERIAN HEALTHCARE SERVICES

Employer identification number

85-0105601

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2012

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2012

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

93,135

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Yes

25,000

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

118,135

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
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.

Schedule C (Form 990 or 990EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

PRESBYTERIAN HEALTHCARE SERVICES

Employer identification number

85-0105601

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2012

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	89,717,162		89,717,162
b	Buildings ................	685,754,097	296,794,730	388,959,367
c	Leasehold improvements ............	6,522,505	5,826,384	696,121
d	Equipment ................	617,815,669	453,673,353	164,142,316
e	Other .................	96,649,008	46,927,685	49,721,323
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				693,236,289

Schedule D (Form 990) 2012

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other (A) VAR ALT INVEST & CAPITAL FUNDS	256,423,077	F








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	256,423,077

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
RESERVE 3RD PARTY SETTLEMENTS		5,626,123
PROFESSIONAL LIABILITY RESERVE		114,087,477
WORKER'S COMPENSATION RESERVE		13,398,326
DEFERRED COMPENSATION		203,593,358
INTERCOMPANY PAYABLES		193,059,121
ACCRUED IBNR		21,497,102
MISC OTHER LIABILITIES		132,437,158


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		683,698,665
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................

Schedule D (Form 990) 2012

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
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.

Schedule D (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization
PRESBYTERIAN HEALTHCARE SERVICES

Employer identification number

85-0105601

Part I

General Information on Activities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of the grants or

assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used to award

the grants or assistance? ...................................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside
the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	Central America and the Caribbean	Investments	81,763,858
	Europe (Including Iceland and Greenland)	Investments	10,997,583















3a	Sub-total .....		92,761,441
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)		92,761,441

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2012

Schedule F (Form 990) 2012

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2012

Schedule F (Form 990) 2012Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2012

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2012

Page 5

Part V

Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

Identifier	ReturnReference	Explanation

Schedule F (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

PRESBYTERIAN HEALTHCARE SERVICES

Employer identification number

85-0105601

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	35,563,277	7,894,112	27,669,165	2.230 %
b	Medicaid (from Worksheet 3, column a) ....	208,040,447	166,250,726	41,789,721	3.370 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	19,503,893	16,380,008	3,123,885	0.250 %
d	Total Financial Assistance and Means-Tested Government Programs .	263,107,617	190,524,846	72,582,771	5.850 %
Other Benefits		710,154	0	710,154	0.050 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	710,154	0	710,154	0.050 %
f	Health professions education (from Worksheet 5) ..	4,803,855	0	4,803,855	0.390 %
g	Subsidized health services (from Worksheet 6) ..	57,599,799	41,622,726	15,977,073	1.290 %
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	1,282,992	0	1,282,992	0.100 %
j	Total. Other Benefits ..	64,396,800	41,622,726	22,774,074	1.830 %
k	Total. Add lines 7d and 7j .	327,504,417	232,147,572	95,356,845	7.680 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012

Schedule H (Form 990) 2012

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	28,965	0	28,965	0.010 %
3	Community support	1,550	0	1,550	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	408,749	0	408,749	0.030 %
9	Other
10	Total	439,264	0	439,264	0.040 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

26,462,584

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

14,342,721

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

207,214,477

Enter Medicare allowable costs of care relating to payments on line 5.....

244,253,072

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-37,038,595

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2012

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?8 Name, address, and primary website address						Facility reporting group
1	PRESBYTERIAN HOSPITAL 1100 CENTRAL AVE SE ALBUQUERQUE,NM87106 WWW.PHS.ORG	X	X		X	A
2	RUST MEDICAL CENTER 2400 UNSER BLVD SE RIO RANCHO,NM87124 WWW.PHS.ORG	X	X		X	A
3	KASEMAN PRESBYTERIAN HOSPITAL 8300 CONSTITUTION AVE NE ALBUQUERQUE,NM87110 WWW.PHS.ORG	X	X		X	A
4	PLAINS REGIONAL MEDICAL CENTER 2100 MARTIN LUTHER KING JR BLVD CLOVIS,NM88101 WWW.PHS.ORG	X	X		X	A
5	PRESBYTERIAN ESPANOLA HOSPITAL 1010 SPRUCE ST ESPANOLA,NM87532 WWW.PHS.ORG	X	X		X	A
6	LINCOLN COUNTY MEDICAL CENTER 211 SUDDERTH RUIDOSO,NM88345 WWW.PHS.ORG	X	X	X	X	A
7	SOCORRO GENERAL HOSPITAL 1202 HWY 60 WEST SOCORRO,NM87801 WWW.PHS.ORG	X	X	X	X	A
8	DR DAN C TRIGG MEMORIAL HOSPITAL 301 E MIEL DE LUNA TUCUMCARI,NM88401 WWW.PHS.ORG	X	X	X	X	A

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	A
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20

In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?38
Name and address		Type of Facility (describe)
1	PHS AMBULATORY CARE CLINIC 201 CEDAR ST SE ALBUQUERQUE,NM87106	PRIMARY & SPECIALTY MEDICAL CLINIC & CARDIOLOGY CENTER
2	PHS AMBULATORY CARE CLINIC 8200 CONSTITUTION PL NE A ALBUQUERQUE,NM87109	PRIMARY & SPECIALTY MEDICAL CLINIC
3	PHS AMBULATORY CARE CLINIC 2400 UNSER BLVD SE RIO RANCHO,NM87124	SPECIALTY MEDICAL CLINIC
4	PHS AMBULATORY CARE CLINIC 5901 HARPER NE ALBUQUERQUE,NM87109	PRIMARY & SPECIALTY MEDICAL CLINIC & URGENT CARE CENTER
5	PHS AMBULATORY CARE CLINIC 8800 MONTGOMERY BLVD NE ALBUQUERQUE,NM87111	PRIMARY & SPECIALTY MEDICAL CLINIC
6	PHS AMBULATORY CARE CLINIC 200 EMILIO LOPEZ ROAD LOS LUNAS,NM87031	PRIMARY & SPECIALTY MEDICAL CLINIC
7	PHS AMBULATORY CARE CLINIC 3436 ISLETA BLVD SW ALBUQUERQUE,NM87105	PRIMARY & SPECIALTY MEDICAL CLINIC & URGENT CARE CENTER
8	PHS AMBULATORY CARE CLINIC 3901 ATRISCO NW ALBUQUERQUE,NM87120	PRIMARY & SPECIALTY MEDICAL CLINIC & URGENT CARE CENTER
9	PHS AMBULATORY CARE CLINIC 4005 HIGH RESORT BLVD RIO RANCHO,NM87124	PRIMARY & SPECIALTY MEDICAL CLINIC
10	PHS AMBULATORY CARE CLINIC 401 SAN MATEO SE ALBUQUERQUE,NM87108	PRIMARY & SPECIALTY MEDICAL CLINIC & URGENT CARE CENTER
11	PHS AMBULATORY CARE CLINIC 609 S CHRISTOPHER RD BELEN,NM87002	PRIMARY & SPECIALTY MEDICAL CLINIC & URGENT CARE CENTER
12	PHS AMBULATORY CARE CLINIC 4100 HIGH RESORT BLVD SE RIO RANCHO,NM87124	SPECIALTY MEDICAL CLINIC & URGENT CARE
13	PHS AMBULATORY CARE CLINIC 3715 SOUTHERN BLVD RIO RANCHO,NM87144	PRIMARY & SPECIALTY MEDICAL CLINIC
14	PLAINS REGIONAL OUTPATIENT SURGERY 2421 WEST 21ST ST CLOVIS,NM88101	AMBULATORY OUTPATIENT SURGERY
15	PHS AMBULATORY CARE CLINIC 1202 HWY 60 WEST SOCORRO,NM87801	PRIMARY & SPECIALTY MEDICAL CLINIC
16	LCMC SURGICAL CLINIC 205 SUDDERTH DR RUIDOSO,NM88345	AMBULATORY SURGERY CENTER
17	PRESBYTERIAN HEALTHPLEX 6301 FOREST HILLS DR NE ALBUQUERQUE,NM87109	CARDIAC & PULMONARY REHABILITATION
18	PHS AMBULATORY CARE CLINIC 2200 WEST 21ST STREET CLOVIS,NM88101	PRIMARY & SPECIALTY MEDICAL CLINIC
19	PHS AMBULATORY CARE CLINIC 1010 SPRUCE ST ESPANOLA,NM87532	PRIMARY & SPECIALTY MEDICAL CLINIC & URGENT CARE CENTER
20	PRMC CANCER CENTER 2219 DILLON ST CLOVIS,NM88101	CANCER TREATMENT CENTER
21	PHS AMBULATORY CARE CLINIC 1325 WYOMING NE ALBUQUERQUE,NM87112	ADULT BEHAVIORAL HEALTH CLINIC
22	PHS AMBULATORY CARE CLINIC 1001 SILVER SE STE 200 ALBUQUERQUE,NM87105	PEDIATRIC URGENT CARE & GASTROENTEROLOGY LAB
23	PHS AMBULATORY CARE CLINIC 5550 WYOMING BLVD NE ALBUQUERQUE,NM87108	PRIMARY & SPECIALTY MEDICAL CLINIC
24	PHS AMBULATORY CARE CLINIC 8312 KASEMAN CT ALBUQUERQUE,NM87110	CHILD BEHAVIORAL HEALTHCARE
25	MD URGENT CARE CLINIC 7920 CARMEL AVE NE ALBUQUERQUE,NM87122	URGENT CARE CENTER
26	MD URGENT CARE CLINIC 1648 ALAMEDA BLVD NW ALBUQUERQUE,NM87114	URGENT CARE CENTER
27	PHS AMBULATORY CARE CLINIC 8300 CONSTITUTION PL NE ALBUQUERQUE,NM87110	DERMATOLOGY, PAIN & SPINE CLINIC & SLEEP LAB
28	PRESBYTERIAN OUTPATIENT HOSPICE 8100 CONSTITUTION PL NE STE 400 ALBUQUERQUE,NM87110	HOSPICE CENTER, HOME HEALTH & ARTHRITIS CLINIC
29	PHS AMBULATORY CARE CLINIC 1648 ALAMEDA NW ALBUQUERQUE,NM87106	EAR, NOSE & THROAT CLINIC
30	PHS AMBULATORY CARE CLINIC 6100 PAN AMERICAN NE STE 450 ALBUQUERQUE,NM87119	OB/GYN CLINIC
31	CARRIZOZO HEALTH CENTER 710 AVENUE E CARRIZOZO,NM88301	PRIMARY & SPECIALTY MEDICAL CLINIC
32	LCMC INTERNAL MEDICINE ASSOCIATES 125 EL PASO RD RUIDOSO,NM88345	PRIMARY & SPECIALTY MEDICAL CLINIC
33	CORONA HEALTH CLINIC 471 MAIN ST CORONA,NM88318	PRIMARY & SPECIALTY MEDICAL CLINIC
34	CAPITAN MEDICAL CLINIC 405 LINCOLN WAY CAPITAN,NM88316	PRIMARY & SPECIALTY MEDICAL CLINIC
35	WHITE MOUNTAIN MEDICAL CLINIC 129 EL PASO RD RUIDOSO,NM88345	PRIMARY & SPECIALTY MEDICAL CLINIC
36	PHS AMBULATORY CARE CLINIC 402 MIEL DE LUNA AVENUE TUCUMCARI,NM88401	FAMILY MEDICINE CLINIC
37	PHS AMBULATORY CARE CLINIC 305 MIEL DE LUNA AVENUE TUCUMCARI,NM88401	REHABILITATION SERVICES
38	PRESBYTERIAN AQUATICS 5528 EUBANK BLVD NE ALBUQUERQUE,NM87111	PHYSICAL THERAPY POOL

Schedule H (Form 990) 2012

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8	Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.

Identifier	ReturnReference	Explanation
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.

Schedule H (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization
PRESBYTERIAN HEALTHCARE SERVICES

Employer identification number
85-0105601

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) AMERICAN CANCER SOCIETY PO BOX 2856 CLOVIS,NM88102	13-1788491	501(C)(3)	8,430	HEALTH IMPROVEMENT FOR THE GENERAL COMMUNITY
(2) PEOPLE LIVING THROUGH CANCER 3411 CANDELARIA RD NE ALBUQUERQUE,NM87107	85-0324330	501(C)(3)	5,450	HEALTH IMPROVEMENT FOR THE GENERAL COMMUNITY
(3) LINCOLN COUNTY NEW MEXICO 300 CENTRAL AVENUE CARRIZOZO,NM88301		GOVERNMENT	200,000	HEALTH IMPROVEMENT FOR THE GENERAL COMMUNITY
(4) NEW MEXICO BIOPARK SOCIETY 903 TENTH STREET SW ALBUQUERQUE,NM87102	23-7087964	501(C)(3)	25,000	HEALTH IMPROVEMENT FOR THE GENERAL COMMUNITY
(5) SILVER HORIZONS NEW MEXICO 1212 CANDELARIA NW ALBUQUERQUE,NM87197	85-0279898	501(C)(3)	10,000	HEALTH IMPROVEMENT FOR THE UNDERSERVED
(6) UNITED WAY OF EASTERN NEW MEXICO 215 N MAIN ST CLOVIS,NM88101	23-7109243	501(C)(3)	30,000	HEALTH IMPROVEMENT FOR THE UNDERSERVED
(7) ALBUQUERQUE HEALTHCARE FOR THE HOMELESS PO BOX 25445 ALBUQUERQUE,NM87125	85-0368993	501(C)(3)	88,333	HEALTH IMPROVEMENT FOR THE UNDER-SERVED
(8) EA HEALTH 1100 CENTRAL AVE SE ALBUQUERQUE,NM87106	84-1718018		366,494	HEALTH IMPROVEMENT FOR THE UNDER-SERVED
(9) HEALTH CENTER OF NM PO BOX 158 ESPANOLA,NM87532	85-0244588	501(C)(3)	179,266	HEALTH IMPROVEMENT FOR THE UNDER-SERVED
(10) LA CLINICA DEL NORTE PO BOX 25 CHAMA,NM87520	85-0209845	501(C)(3)	80,268	HEALTH IMPROVEMENT FOR THE UNDER-SERVED
(11) LA CLINICA DEL PUEBLO 2831 15TH ST NW WASHINGTON,DC20009	52-1942551	501(C)(3)	179,266	HEALTH IMPROVEMENT FOR THE UNDER-SERVED
(12) RIO ARRIBA COUNTY TREATMENT 1122 INDUSTRIAL PARK RD ESPANOLA,NM87532	85-0423951	501(C)(3)	96,322	HEALTH IMPROVEMENT FOR THE UNDER-SERVED
(13) SAMARITAN COUNSELING CENTER 1101 MEDICAL ARTS AVE ALBUQUERQUE,NM87102	85-0342072	501(C)(3)	10,000	HEALTH IMPROVEMENT FOR THE UNDER-SERVED
(14) ALBUQUERQUE CHAMBER OF COMMERCE 115 GOLD AVE SW ALBUQUERQUE,NM87102	85-0018940	501(C)(6)	14,715	PROMOTE ECONOMIC DEVELOPMENT
(15) NEW MEXICO CENTER FOR NURSING EXCELLENCE PO BOX 92048 ALBUQUERQUE,NM87199	85-0463326	501(C)(3)	10,000	PROMOTE ECONOMIC DEVELOPMENT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2012

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance
(1) VARIOUS - FLU SHOTS	5000		49,540	COST	FLU SHOTS
(2) VARIOUS - HEALTHPLEX GIFT CERTIFICATES	2		117	FMV	PHYSICAL REHAB
(3) VARIOUS - PROJECT CHOICE SUPPLIES	3600		9,000	COST	SUPPLIES FOR HLTH ED
(4) VARIOUS - INDIGENT MEALS	25984		38,975	COST	MEALS
(5) VARIOUS - INDIGENT TRANSPORTATION	714		17,860	COST	TAXI SERVICE
(6) VARIOUS - NURSING SCHOLARSHIPS	5	5,000			SCHOLARSHIPS
(7) NURSING EDUCATION (PATHWAYS TO NURSING PROGRAM)	72	473,633			LOAN FORGIVENESS
(8) SENIOR COMMUNITY SERVICE	1		9,000	COST	REHAB RESIDENCY

Part IV

Supplemental Information.

Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Identifier	Return Reference	Explanation
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.

Schedule I (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

PRESBYTERIAN HEALTHCARE SERVICES

Employer identification number

85-0105601

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2012

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)ELAINE PAPAFRANGOS MDDIRECTOR	(i) (ii)	180,825 0	46,680 0	386 0	161,979 0	23,692 0	413,562 0	0 0
(2)JAMES HINTONPRESIDENT / DIRECTOR	(i) (ii)	418,106 418,100	206,786 167,673	19,530 19,530	725,905 776,631	13,507 13,512	1,383,834 1,395,446	39,113 0
(3)PAUL BRIGGSEVP / COO	(i) (ii)	381,207 163,369	137,743 58,104	5,834 2,500	227,690 95,720	19,429 8,332	771,903 328,025	2,184 7
(4)DIANE FISHERSVP / SECRETARY	(i) (ii)	153,950 153,941	54,407 54,407	3,509 3,509	113,773 0	5,588 5,597	331,227 217,454	0 0
(5)DALE MAXWELLSVP / CFO / TREASURER	(i) (ii)	258,707 139,304	113,472 61,100	13,973 7,524	98,813 0	5,886 3,169	490,851 211,097	0 0
(6)GUILHERME MARINCARDIO INVASIVE INTERVENTION	(i) (ii)	632,439 0	560,160 0	613 0	17,430 0	7,638 0	1,218,280 0	0 0
(7)CARL LAGERSTROM MDCARDIOVASCULAR SURGEON	(i) (ii)	739,205 0	149,994 0	3,612 0	121,324 0	26,456 0	1,040,591 0	0 0
(8)PETER WALINSKY MDCARDIOVASCULAR SURGEON	(i) (ii)	709,323 0	179,696 0	1,208 0	67,889 0	24,040 0	982,156 0	0 0
(9)KAYVAN ELLINICARDIO INVASIVE INTERVENTION	(i) (ii)	522,386 0	363,349 0	514 0	13,727 0	27,215 0	927,191 0	0 0
(10)LAWRENCE NAIRCARDIO ELECTROPHYSIOLOGIST	(i) (ii)	598,849 0	274,537 0	1,532 0	105,969 0	12,645 0	993,532 0	0 0
(11)HECTOR ARREDONDOEXEC MED DIR - PMG	(i) (ii)	345,471 0	120,381 0	11,531 0	8,613 0	28,243 0	514,239 0	0 0
(12)DOYLE BOYKINADMINISTRATOR - ADULT MED SL	(i) (ii)	161,135 0	22,959 0	4,643 0	134,845 0	12,228 0	335,810 0	0 0
(13)LAUREN CATESCOO - CDS	(i) (ii)	284,281 0	101,190 0	888 0	73,194 0	22,370 0	481,923 0	0 0
(14)KATHLEEN DAVIS RNSVP / PT CARE SRVCS - CNO	(i) (ii)	354,607 0	127,475 0	20,408 0	119,945 0	25,389 0	647,824 0	3,604 0
(15)ROBIN DIVINEADMIN DIR - ANCILLARY SL	(i) (ii)	151,007 0	41,596 0	3,463 0	22,031 0	19,659 0	237,756 0	0 0
(16)HODA EL ASMARCHIEF MEDICAL OFFICER - PDS	(i) (ii)	361,541 0	45,625 0	1,682 0	3,827 0	14,392 0	427,067 0	0 0
(17)MARK EPSTEINADMIN MED DIR - ADULT SL	(i) (ii)	127,045 0	37,751 0	115,391 0	0 0	7,209 0	287,396 0	0 0
(18)ROBERT GARCIAVP - OPERATIONS - RDS	(i) (ii)	263,150 0	93,958 0	11,189 0	489,723 0	14,523 0	872,543 0	0 0
(19)CLAY HOLDERMANADMINISTRATOR - PRRMC	(i) (ii)	292,574 0	74,412 0	21,173 0	15,599 0	23,025 0	426,783 0	1,150 0
(20)AMELIA MARLEYSVP - INFO SERVICES	(i) (ii)	339,280 0	43,481 0	5,938 0	0 0	12,826 0	401,525 0	0 0
(21)CINDY MCGILLSVP - HR	(i) (ii)	163,190 133,509	59,886 47,891	2,455 2,009	11,250 0	11,048 9,048	247,829 192,457	1,353 0
(22)ELIZABETH TIBBSDIR - BUS OPS - SURGERY SL	(i) (ii)	144,232 0	26,756 0	2,409 0	41,297 0	16,492 0	231,186 0	0 0
(23)DIANA WEBERMED DIR - CLINIC	(i) (ii)	285,314 0	22,549 0	302 0	14,245 0	1,398 0	323,808 0	0 0
(24)DONNA AGNEWADMIN DIR - PROCESS EXCELLENCE	(i) (ii)	161,653 0	34,017 0	2,376 0	146,644 0	18,217 0	362,907 0	0 0
(25)CHERYL MITCHELLADMIN - AMBULATORY SL	(i) (ii)	151,470 0	32,140 0	1,393 0	135,558 0	18,631 0	339,192 0	0 0
(26)DAVID HENNIGANVP - REVENUE MANAGEMENT	(i) (ii)	198,900 0	53,179 0	3,991 0	12,871 0	17,503 0	286,444 0	197 0
(27)JAMES JEPPSONVP - REAL ESTATE	(i) (ii)	172,263 0	35,156 0	5,345 0	126,437 0	22,492 0	361,693 0	0 0
(28)MATTHEW PEHRSONADMIN DIR - SUP CHAIN	(i) (ii)	198,594 0	71,676 0	15,737 0	13,869 0	24,915 0	324,791 0	0 0
(29)DAVID SCRASEMD - INTERNAL MEDICINE	(i) (ii)	113,177 133,874	46,194 23,459	1,465 0	12,542 0	10,560 0	183,938 157,333	13,466 157,333
(30)HOYT SKABELUNDADMIN - REGIONAL HOSPITAL	(i) (ii)	234,637 0	43,258 0	821 0	95,040 0	25,653 0	399,409 0	0 0

Schedule J (Form 990) 2012

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Identifier	Return Reference	Explanation
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.

Schedule J (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization
PRESBYTERIAN HEALTHCARE SERVICES

Employer identification number
85-0105601

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	NMHELC (SEE PART VI)	85-0334237	647370EM2	11-25-2008	384,259,646	SEE PART VI		X		X		X
B	NMHELC (SEE PART VI)	85-0334237	647370FE0	09-24-2009	132,007,250	SEE PART VI		X		X		X
C	NMHELC (SEE PART VI)	85-0334237	647370FM2	08-30-2012	78,843,000	SEE PART VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	24,405,000		0		0
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	384,327,212		132,562,082		78,845,055
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		0		0
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	3,755,751		2,007,250		1,181,950
8 Credit enhancement from proceeds . . . . . . . . . . .	290,832		0		0
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	32,201,275		130,554,832		18,689,142
11 Other spent proceeds . . . . . . . . . . . . . .	348,079,354		0		0
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		58,973,963
13 Year of substantial completion . . . . . . . . . . . .	2009		2011
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X			X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .	X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2012

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .	X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0%		0.00000%		0.00000%		%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0%		0.00000%		0.00000%		%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .	0%		0.00000%		0.00000%		%
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.	%		%		%		%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .	X		X		X
b Exception to rebate? . . . . . . . .
c No rebate due? . . . . . . . . . .
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .	X			X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X			X		X
b Name of provider . . . . . . . . .	SEE PART VI		0		0
c Term of hedge . . . . . . . . . .	25.
d Was the hedge superintegrated? . . . . . .		X
e Was a hedge terminated? . . . . . . .		X

Schedule K (Form 990) 2012

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X
b Name of provider . . . . . . . . .	0		0		0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X		X		X

Part VI

Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
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.

Schedule K (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

PRESBYTERIAN HEALTHCARE SERVICES

Employer identification number

85-0105601

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2012

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) AEIX	BOD PHS / DIR AEIX	2,934,000	PURCHASE EXCESS INSURANCE		No
(2) INFECT DISEASE INTERNAL MEDICINE	BOD PHS / KEY EMPLOYEE	266,725	PAYMENT FOR MEDICAL SERVICES		No
(3) LOUIS TROST MD	BOD PHS / SPOUSE	189,048	EMPLOYEE COMPENSATION		No
(4) PREMIER INC	BOD PHS / DIR PREMIER	598,016	PAYMENT FOR PURCHASING SERVICE		No
(5) TRICORE LAB SERVICES CORP	OFFICER PHS / DIR TLSC	41,550,200	LABORATORY TESTING SERVICES		No
(6) TRICORE REFERENCE LABS	OFFICER PHS / DIR TRL	606,906	LABORATORY TESTING SERVICES		No
(7) TRICORE LAB SERVICES CORP	KEY PHS / DIR TLSC	41,550,200	LABORATORY TESTING SERVICES		No
(8) TRICORE REFERENCE LABS	KEY PHS / DIR TRL	606,906	LABORATORY TESTING SERVICES		No
(9) TRICORE LAB SERVICES CORP	KEY PHS / DIR TLSC	41,550,200	LABORATORY TESTING SERVICES		No
(10) TRICORE REFERENCE LABS	KEY PHS / DIR TRL	606,906	LABORATORY TESTING SERVICES		No
(11) PRESBYTERIAN NETWORK INC SUBS	BOD PHS / DIR PHP & PIC	495,430,893	PAYMENT FOR MEDICAL SERVICES		No

Part V

Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

PRESBYTERIAN HEALTHCARE SERVICES

Employer identification number

85-0105601

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....	X	1	19,500	FMV
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( GAMES/GIFT CERTIFICATES )	X	1	144	FMV
26 Other ( CARDMAKING & SCRAPBOOKING KITS )	X	1	365	FMV
27 Other ( TOYS )	X	1	3,100	FMV
28 Other ( DESKTOP COMPUTERS )	X	1	1,925	FMV

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it

must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2012)

Page 2

Part II

Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
SCHEDULE M, PART I, COLUMN (B)		COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED.

Schedule M (Form 990) (2012)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

PRESBYTERIAN HEALTHCARE SERVICES

Employer identification number

85-0105601

Identifier	Return Reference	Explanation
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 ============

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

PRESBYTERIAN HEALTHCARE SERVICES

Employer identification number

85-0105601

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) PRESBYTERIAN HEALTHCARE FOUNDATION PO BOX 26666 ALBUQUERQUE,NM87125 85-6016041	RAISE FUNDS	NM	501(C)(3)	7	PHS	Yes
(2) SOUTHWEST HEALTH FOUNDATION PO BOX 26666 ALBUQUERQUE,NM87125 85-0289728	SUPPORT	NM	501(C)(3)	11 TYPE 1	PHS	Yes
(3) PRESBYTERIAN PROPERTIES INC PO Box 26666 ALBUQUERQUE,NM87125 85-0414352	HOLDING CO	NM	501(C)(2)		PHS	Yes
(4) BERNALILLO COUNTY HEALTH CARE CORP PO BOX 26666 ALBUQUERQUE,NM87125 23-7329437	AMBULANCE SVC	NM	501(C)(3)	9	PHS	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2012

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) PRESBYTERIAN NETWORK INC & SUBS PO BOX 27489 ALBUQUERQUE,NM87125 85-0337392	HMO, INS, TPA	NM	NA	C CORP			Yes

Schedule R (Form 990) 2012

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) BERNALILLO COUNTY HEALTH CARE CORPORATION	O	16,298,271	GENERAL JOURNAL
(2) BERNALILLO COUNTY HEALTH CARE CORPORATION	Q	8,072,960	GENERAL JOURNAL
(3) BERNALILLO COUNTY HEALTH CARE CORPORATION	S	22,482,056	GENERAL JOURNAL
(4) PRESBYTERIAN PROPERTIES INC	K	3,439,631	GENERAL JOURNAL
(5) PRESBYTERIAN PROPERTIES INC	L	715,943	GENERAL JOURNAL
(6) PRESBYTERIAN PROPERTIES INC	N	784,573	GENERAL JOURNAL
(7) PRESBYTERIAN PROPERTIES INC	Q	3,278,465	GENERAL JOURNAL
(8) PRESBYTERIAN PROPERTIES INC	R	799,948	GENERAL JOURNAL
(9) PRESBYTERIAN PROPERTIES INC	S	4,021,346	GENERAL JOURNAL
(10) SOUTHWEST HEALTH FOUNDATION	C	1,439,208	GENERAL JOURNAL
(11) SOUTHWEST HEALTH FOUNDATION	Q	59,815	GENERAL JOURNAL
(12) SOUTHWEST HEALTH FOUNDATION	S	54,475,000	GENERAL JOURNAL
(13) PRESBYTERIAN HEALTHCARE FOUNDATION	C	10,475,826	GENERAL JOURNAL
(14) PRESBYTERIAN HEALTHCARE FOUNDATION	O	1,160,880	GENERAL JOURNAL
(15) PRESBYTERIAN HEALTHCARE FOUNDATION	Q	1,909,561	GENERAL JOURNAL
(16) PRESBYTERIAN HEALTHCARE FOUNDATION	S	3,162,625	GENERAL JOURNAL
(17) PRESBYTERIAN NETWORK INC AND SUBS	O	229,936	GENERAL JOURNAL
(18) PRESBYTERIAN NETWORK INC AND SUBS	P	1,939,061	GENERAL JOURNAL
(19) PRESBYTERIAN NETWORK INC AND SUBS	Q	1,252,750	GENERAL JOURNAL
(20) PRESBYTERIAN NETWORK INC AND SUBS	R	926,687	GENERAL JOURNAL

Schedule R (Form 990) 2012

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2012

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: 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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	11
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	8
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ......	5	10,469
6	Total number of volunteers (estimate if necessary) .............	6	889
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	20,964,753
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-3,740,401

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	26,535,191	31,161,704
9	Program service revenue (Part VIII, line 2g) .........	1,236,722,173	1,210,217,013
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	37,252,862	50,108,384
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	22,863,831	26,364,911
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	1,323,374,057	1,317,852,012
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,453,652	1,970,219
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	618,974,933	684,307,645
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	645,963,554	556,262,717
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,266,392,139	1,242,540,581
19	Revenue less expenses. Subtract line 18 from line 12.......	56,981,918	75,311,431
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,948,674,842	2,245,674,415
21	Total liabilities (Part X, line 26).............	1,339,637,640	1,410,506,713
22	Net assets or fund balances. Subtract line 21 from line 20.....	609,037,202	835,167,702

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 849,857,126 including grants of $ 1,184,200 ) (Revenue $ 957,071,499 )
	CENTRAL NEW MEXICO DELIVERY SYSTEM - SEE SCHEDULE O FOR DETAIL

4b	(Code: ) (Expenses $ 204,396,017 including grants of $ 786,019 ) (Revenue $ 230,181,753 )
	REGIONAL DELIVERY SYSTEM - SEE SCHEDULE O FOR DETAIL

4c	(Code: ) (Expenses $ 21,515,370 including grants of $ 0 ) (Revenue $ 24,229,658 )
	HEART AND VASCULAR PROGRAMS - SEE SCHEDULE O FOR DETAIL

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,075,768,513

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	12,603,364	1,589,803	4,556,907

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		11,915,034
e	Government grants (contributions)1e		19,105,872

f	All other contributions, gifts, grants, and similar amounts not included above1f		140,798

g	Noncash contributions included in lines 1a-1f:$		25,034
h	Total. Add lines 1a-1f.......			31,161,704
			Business Code
2a	NET PATIENT SERVICE REVENUE		621110	812,918,188	812,918,188
b	NET MEDICARE/MEDICAID PAYMENTS		621110	373,465,203	373,465,203
c	CORPORATE SERVICE ALLOCATION		900099	10,491,655	10,491,655
d	ATTESTATION & EHR INCENTIVE PAYMENTS		900099	5,100,217	5,100,217
e	CAFETERIA & CATERING SALES		722210	4,025,286	4,022,684	2,602
f	All other program service revenue .			4,216,464	4,209,407	7,057
g	Total. Add lines 2a–2f........			1,210,217,013
3	Investment income (including dividends, interest, and other similar amounts).......			23,289,226		-3,729,919	27,019,145
4	Income from investment of tax-exempt bond proceeds..			6,644			6,644
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents	82,613
b	Less: rental expenses	12,052
c	Rental income or (loss)	70,561	0
d	Net rental income or (loss).......			70,561			70,561
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	328,602,411	82,043
b	Less: cost or other basis and sales expenses	301,871,940	0
c	Gain or (loss)	26,730,471	82,043
d	Net gain or (loss)..........			26,812,514			26,812,514
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	TAC / TECHNICAL CONSULTING		561000	24,604,239		24,604,239
b	VENDOR REBATES		900099	615,023	615,023
c	DIVIDEND LIABILITY INSURANCE REBATE		900099	343,440			343,440
d	All other revenue ....			731,648	650,874	80,774
e	Total. Add lines 11a–11d ......			26,294,350
12	Total revenue. See Instructions......			1,317,852,012	1,211,473,251	20,964,753	54,252,304


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............			501,706	1	580,543
2	Savings and temporary cash investments .........			33,185,231	2	38,364,187
3	Pledges and grants receivable, net ...........			0	3	0
4	Accounts receivable, net .............			153,943,299	4	176,400,834
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			0	7	0
8	Inventories for sale or use ..............			8,067,913	8	10,507,647
9	Prepaid expenses and deferred charges ..........			14,825,725	9	17,879,433
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,496,458,441
b	Less: accumulated depreciation .....	10b	803,222,152	658,514,532	10c	693,236,289
11	Investments—publicly traded securities ..........			824,868,873	11	944,270,325
12	Investments—other securities. See Part IV, line 11 .....			211,002,285	12	256,423,077
13	Investments—program-related. See Part IV, line 11 .....			8,723,545	13	9,160,803
14	Intangible assets ...............			1,962,963	14	4,887,963
15	Other assets. See Part IV, line 11 ...........			33,078,770	15	93,963,314
16	Total assets. Add lines 1 through 15 (must equal line 34)......			1,948,674,842	16	2,245,674,415
17	Accounts payable and accrued expenses .........			114,594,640	17	121,294,311
18	Grants payable .................			0	18	0
19	Deferred revenue ................			0	19	0
20	Tax-exempt bond liabilities .............			510,879,540	20	580,019,239
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			12,226,748	23	25,494,498
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			701,936,712	25	683,698,665
26	Total liabilities. Add lines 17 through 25.........			1,339,637,640	26	1,410,506,713
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			609,037,202	27	835,167,702
28	Temporarily restricted net assets ...........			0	28	0
29	Permanently restricted net assets ...........			0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			609,037,202	33	835,167,702
34	Total liabilities and net assets/fund balances ........			1,948,674,842	34	2,245,674,415

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If “Yes,”the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If “Yes,” the organizationmay be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................	Yes	No