TY 2018 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) MICHAEL ARCHIBECK MD...................................................................... DIRECTOR	1.0 ................. 1.0	X			24,652	0
(2) BRIAN BURNETT...................................................................... DIRECTOR/VICE CHAIR	1.0 ................. 1.0	X			8,000	0
(3) SANDRA BEGAY...................................................................... DIRECTOR	1.0 ................. 1.0	X			6,000	0
(4) LARRY CLEVENGER MD...................................................................... DIRECTOR	1.0 ................. 1.0	X			6,000	0
(5) FRANK FIGUEROA PHD...................................................................... DIRECTOR	1.0 ................. 1.0	X			3,000	0
(6) ANGELA GALLEGOS-MACIAS MD...................................................................... DIRECTOR	40.0 ................. 1.0	X			377,158	37,020
(7) KIRBY JEFFERSON...................................................................... DIRECTOR	1.0 ................. 1.0	X			9,000	0
(8) AARON C MARTIN...................................................................... DIRECTOR	1.0 ................. 1.0	X			3,500	0
(9) CYNTHIA SCHULTZ...................................................................... DIRECTOR	1.0 ................. 1.0	X			4,000	0
(10) RISHI SIKKA MD...................................................................... DIRECTOR	1.0 ................. 1.0	X			4,000	0
(11) JENNIFER S THOMAS...................................................................... DIRECTOR	1.0 ................. 1.0	X			6,000	0
(12) KATHIE WINOGRAD PHD...................................................................... DIRECTOR/CHAIR	2.0 ................. 2.0	X			9,000	0
(13) DALE MAXWELL...................................................................... PRESIDENT & CEO/DIRECTOR	40.0 ................. 3.0	X	X		1,537,446	368,874
(14) ROGER A LARSEN...................................................................... SVP & CFO/TREASURER	40.0 ................. 2.0		X		777,239	28,781
(15) TRAVIS COLLIER...................................................................... SPECIAL COUNSEL/SECRETARY	40.0 ................. 2.0		X		355,015	24,072
(16) HECTOR ARREDONDO MD...................................................................... PRESIDENT - PMG - PHS	40.0 ................. 0.0			X	546,458	17,185
(17) WILLIAM BROWN MD...................................................................... MEDICAL DIRECTOR - SURGERY	40.0 ................. 0.0			X	480,051	40,749

(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) TROY CLARK........................................................................ VP - OPERATIONS - RDS	40.0 .......................1.0	X			276,735	0	32,968
(19) KATHLEEN DAVIS RN........................................................................ SVP/PATIENT CARE SVCS - CNO	40.0 .......................1.0	X			496,500	0	81,837
(20) DION GALLANT MD........................................................................ MEDICAL DIR. - PRIMARY CARE	40.0 .......................0.0	X			388,027	0	-1,063
(21) DENISE GONZALES MD........................................................................ MED. DIR.- ADULT MED SPECIALTY	40.0 .......................0.0	X			455,753	0	40,217
(22) CAROLYN GREEN RN........................................................................ VP - CHIEF PDS NURSING OFFICER	40.0 .......................0.0	X			279,384	0	13,096
(23) CLAY HOLDERMAN........................................................................ EVP - CHIEF OPERATING OFFICER	40.0 .......................1.0	X			773,323	0	128,282
(24) DEVON HYDE........................................................................ HOSPITAL CHIEF EXECUTIVE - PH	40.0 .......................0.0	X			339,450	0	24,236
(25) SONY JACOB........................................................................ SVP - I.T. (TERMED: 3/9/2018)	40.0 .......................0.0	X			191,172	0	15,051
(26) JIM JEPPSON........................................................................ VP - REAL ESTATE	40.0 .......................1.0	X			245,062	0	3,215
(27) JASON MITCHELL MD........................................................................ CHIEF CLINICAL TRANSFORMATION	40.0 .......................0.0	X			623,151	0	51,788
(28) SANDRA PODLEY........................................................................ SVP - HOSPITAL OPERATIONS	40.0 .......................0.0	X			432,589	0	28,107
(29) MARK R ROBINSON........................................................................ SVP - CHIEF INNOVATION OFFICER	40.0 .......................0.0	X			458,771	0	35,256
(30) TODD SANDMAN........................................................................ SVP - CHIEF STRATEGY OFFICER	40.0 .......................0.0	X			428,261	0	32,200
(31) DARREN M SHAFER MD........................................................................ EXEC. MEDICAL DIRECTOR - PMG	40.0 .......................1.0	X			396,294	0	22,475
(32) JOANNE SUFFIS........................................................................ SVP - HUMAN RESOURCES	40.0 .......................0.0	X			480,978	0	39,655
(33) ELIZABETH TIBBS........................................................................ CHIEF OPERATIONS OFFICER - PMG	40.0 .......................0.0	X			340,554	0	32,261
(34) ANGELA WARD........................................................................ HOSPITAL CHIEF EXECUTIVE - RMC	40.0 .......................0.0	X			237,213	0	17,153
(35) JAVED KHADER ELIYAS MD........................................................................ NEUROSURGEON	40.0 .......................0.0		X		888,901	0	37,788
(36) JUAN J HERNANDEZ MALDONADO MD........................................................................ CARDIO-THORACIC SURGEON	40.0 .......................0.0		X		875,514	0	39,521
(37) CARL J GILMORE MD........................................................................ CHIEF MEDICAL OFFICER - RMC	40.0 .......................0.0		X		818,663	0	57,207
(38) ROBERT FEDERICI MD........................................................................ MEDICAL DIRECTOR - HEART	40.0 .......................0.0		X		814,270	0	52,374
(39) ABDO SAAD MD........................................................................ MEDICAL DIRECTOR - CLINIC	40.0 .......................0.0		X		794,640	0	38,787
(40) DOYLE BOYKIN........................................................................ HOSPITAL CHIEF EXECUTIVE - KPH	40.0 .......................0.0			X	216,651	0	-17,481
(41) ROBIN DIVINE........................................................................ VP - EMERGING BUS. DEVELOPMENT	0.0 .......................40.0			X	0	258,911	16,170
(42) JAYNE MCCORMICK MD........................................................................ MEDICAL DIRECTOR - HOSPICE	40.0 .......................0.0			X	342,623	0	28,986

(A) Name and business address	(B) Description of services	(C) Compensation
TRICORE LABORATORY SERVICES CORP, 1001 WOODWARD PLACE NE ALBUQUERQUE,NM87102	LABORATORY SERVICES	55,001,161
JAYNES CORPORATION, 2906 BROADWAY NE ALBUQUERQUE,NM87107	CONSTRUCTION SVCS	39,729,774
T-SYSTEMS NORTH AMERICA INC, 765 WEST BIG BEAVER ROAD TROY,MI48084	DATA HOSTING SVCS	22,432,884
SOUND PHYSICIANS, 1498 PACIFIC AVENUE SUITE 400 TACOMA,WA98402	PHYSICIAN SERVICES	10,373,677
MD ANDERSON PHYSICIANS NETWORK, 7505 SOUTH MAIN STREET SUITE 500 HOUSTON,TX77030	PHYSICIAN SERVICES	9,371,609
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 392

- 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.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 12, 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 (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

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

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. 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—2017. 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—2018. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. 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 VI 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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 VI.) ..
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 section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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—2017. 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) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

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

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 its Form 990PF, Part I, line 2, to certify that it doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) 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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization PRESBYTERIAN HEALTHCARE SERVICES		Employer identification number 85-0105601

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization PRESBYTERIAN HEALTHCARE SERVICES			Employer identification number 85-0105601
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ 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) (2018)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(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) 2018

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 on 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

118,089

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

Yes

25,000

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

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

143,089

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

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B, LINES 1G AND 1H	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.

Return Reference

Explanation

SCHEDULE C, PART II-B, LINES 1G AND 1H

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) 2018

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," on 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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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)

Revenue included on 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:

Revenue included on 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) 2018

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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, for escrow or custodial account liability? ...

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(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 on 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" on 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.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	104,884,872		104,884,872
b	Buildings ....	1,079,620,214	480,734,275	598,885,939
c	Leasehold improvements	1,702,047	1,558,618	143,429
d	Equipment ....	605,367,670	471,268,924	134,098,746
e	Other .....	285,642,598	200,973,203	84,669,395
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				922,682,381

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. 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	347,208,399	F
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	347,208,399

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
DEFERRED COMPENSATION	262,187,240
PROFESSIONAL LIABILITY RESERVE	151,835,623
ACCRUED IBNR	36,538,355
WORKER'S COMPENSATION RESERVE	15,599,077
SWAP LIABILITIES	14,566,264
MISCELLANEOUS OTHER LIABILITIES	23,449,633
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	504,176,192
2. Liability for uncertain tax positions. 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) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 (losses) 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. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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

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.

Return Reference

Explanation

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, 2018 AND 2017, 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, 2018 OR 2017.

Schedule D (Form 990) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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 its grants and

other 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 its grants and other assistance outside the United States.

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

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in 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	0	0	Investments	114,023,360
	Europe (Including Iceland and Greenland)	0	0	Investments	11,462,528















3a	Sub-total .....	0	0		125,485,888
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	0	0		125,485,888

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018

Schedule F (Form 990) 2018

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 non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	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 .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2018

Schedule F (Form 990) 2018Page 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) 2018

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2018

Page 5

Part V

Supplemental Information
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).

ReturnReference	Explanation
SCHEDULE F, PART I	THE INVESTMENTS IN FOREIGN-BASED PRODUCTS REPRESENT A FOREIGN HEADQUARTERED EQUITY FUND, A FOREIGN HEADQUARTERED FIXED INCOME FUND, SEVERAL UNRELATED HEDGE FUND INVESTMENTS AND A PRIVATE EQUITY INVESTMENT. THE EQUITY AND FIXED INCOME FUNDS ARE COMINGLED FUNDS WHICH INVEST IN PUBLICLY TRADED STOCKS AND BONDS IN DEVELOPED AND EMERGING MARKET COUNTRIES WHILE THE HEDGE FUND INVESTMENTS ARE MADE TO PROVIDE DIVERSIFICATION AND TO BE UNCORRELATED FROM OUR OTHER INVESTMENTS IN MORE TRADITIONAL DEBT AND EQUITY INSTRUMENTS. THESE HEDGE FUNDS UTILIZE VARIOUS STRATEGIES TO ACHIEVE RETURNS INCLUDING LONG/SHORT, EVENT ARBITRAGE, DISTRESSED CREDIT, AND FIXED INCOME ARBITRAGE, AMONG OTHERS. THE PRIVATE EQUITY INVESTMENT IS A NON-LIQUID INVESTMENT MADE IN PRIVATELY HELD COMPANIES WITH THE POTENTIAL FOR HIGHER RETURNS THAN THOSE AVAILABLE IN THE PUBLIC MARKETS.

Schedule F (Form 990) 2018

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

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 criteria used 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? . . . . . .

Yes

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) . . .	37,177,160	0	37,177,160	2.170 %
b	Medicaid (from Worksheet 3, column a) . . . . .	394,789,487	344,503,207	50,286,280	2.930 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	3,688,583	3,098,872	589,711	0.030 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	435,655,230	347,602,079	88,053,151	5.130 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	2,356,608	0	2,356,608	0.140 %
f	Health professions education (from Worksheet 5) . . .	5,504,800	0	5,504,800	0.320 %
g	Subsidized health services (from Worksheet 6) . . . .	84,810,306	66,048,559	18,761,747	1.090 %
h	Research (from Worksheet 7) .	0	0	0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	2,330,978	0	2,330,978	0.140 %
j	Total. Other Benefits . .	95,002,692	66,048,559	28,954,133	1.690 %
k	Total. Add lines 7d and 7j .	530,657,922	413,650,638	117,007,284	6.820 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

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	41,851	0	41,851	0 %
2	Economic development	11,120	0	11,120	0 %
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	266,446	0	266,446	0.020 %
9	Other
10	Total	319,417	0	319,417	0.020 %

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. ......

12,522,048

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. ......

6,085,751

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).....

534,830,108

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

672,302,796

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

-137,472,688

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) 2018

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?9Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Facility reporting group
1	PRESBYTERIAN HOSPITAL 1100 CENTRAL AVE SE ALBUQUERQUE,NM87106 WWW.PHS.ORG 6022	X	X		X	B
2	PRESBYTERIAN RUST MEDICAL CENTER 2400 UNSER BLVD SE RIO RANCHO,NM87124 WWW.PHS.ORG 6022H3	X	X		X	B
3	PRESBYTERIAN KASEMAN HOSPITAL 8300 CONSTITUTION AVE NE ALBUQUERQUE,NM87110 WWW.PHS.ORG 6022H2	X	X		X	B
4	PLAINS REGIONAL MEDICAL CENTER 2100 N MARTIN LUTHER KING JR BLV CLOVIS,NM88101 WWW.PHS.ORG 6052	X	X		X	A
5	PRESBYTERIAN ESPANOLA HOSPITAL 1010 SPRUCE ST ESPANOLA,NM87532 WWW.PHS.ORG 6090	X	X		X	A
6	LINCOLN COUNTY MEDICAL CENTER 211 SUDDERTH DR RUIDOSO,NM88345 WWW.PHS.ORG 3199	X	X	X	X	A
7	SOCORRO GENERAL HOSPITAL 1202 HIGHWAY 60 WEST SOCORRO,NM87801 WWW.PHS.ORG 3014	X	X	X	X	A
8	DR DAN C TRIGG MEMORIAL HOSPITAL 301 E MIEL DE LUNA TUCUMCARI,NM88401 WWW.PHS.ORG 3011	X	X	X	X	A
9	SANTE FE MEDICAL CENTER 4801 BECKNER ROAD SANTE FE,NM87507 WWW.PHS.ORD 3617	X	X		X

Schedule H (Form 990) 2018

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

Yes

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 significant 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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

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

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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

Yes

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

Hospital facility’s website (list url): SEE SCHEDULE H, PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SCHEDULE H, PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	A
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 400.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE SCHEDULE H, PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE SCHEDULE H, PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SCHED H, PART V, SEC C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	A
Name of hospital facility or letter of facility reporting group

Yes

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 all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

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 individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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 Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

	A
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual 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 Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

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)

	B
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

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 12......................

Yes

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 significant 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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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

Yes

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

Hospital facility’s website (list url): SEE SCHEDULE H, PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SCHEDULE H, PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	B
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 400.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE SCHEDULE H, PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE SCHEDULE H, PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SCHED H, PART V, SEC C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	B
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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 Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

	B
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

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)

	SANTA FE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Yes

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 12......................

Yes

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 significant 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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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

Yes

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

Hospital facility’s website (list url): SEE SCHEDULE H, PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SCHEDULE H, PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	SANTA FE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 400.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE SCHEDULE H,PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE SCHEDULE H, PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SCHEDULE H, PART V

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	SANTA FE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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 Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

	SANTA FE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SCHEDULE H, PART V, SECTION B - FACILITY REPORTING GROUP A	A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP A. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED IN FACILITY REPORTING GROUP A: (4) PLAINS REGIONAL MEDICAL CENTER (5) PRESBYTERIAN ESPANOLA HOSPITAL (6) LINCOLN COUNTY MEDICAL CENTER (7) SOCORRO GENERAL HOSPITAL (8) DR. DAN C. TRIGG MEMORIAL HOSPITAL THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 3e APPLIES TO ALL HOSPITALS INCLUDED IN FACILITY REPORTING GROUP A: AS PART OF THE CHNA PROCESS, PRESBYTERIAN'S CENTER FOR COMMUNITY HEALTH (PCCH) RECEIVED LISTS OF THE TOP HEALTH NEEDS PRIORITIZED IN EACH COUNTY FROM THAT COUNTY'S HEALTH COUNCIL. THESE NEEDS WERE RANKED BY EACH HEALTH COUNCIL AND LISTED IN THE CHNA IN ORDER OF RANK. PCCH WORKED WITH HOSPITAL LEADERSHIP TO REVIEW, RECONCILE, AND CATEGORIZE THIS COMMUNITY INPUT ON PRIORITIZATION OF NEEDS. PCCH THEN PRIORITIZED ABOVE ALL OTHERS THREE CORE NEEDS WITH EQUAL WEIGHT AND IMMEDIACY WHICH ARE LISTED IN NO SIGNIFICANT ORDER IN THE CHNA: HEALTHY EATING, ACTIVE LIVING, AND PREVENTION OF UNHEALTHY SUBSTANCE USE. ADDITIONALLY, IN RESPONSE TO COMMUNITY NEEDS AND PRIORITIES, PCCH PRIORITIZED ADDITIONAL COUNTY-SPECIFIC NEEDS, WITH EQUAL WEIGHT AND IMMEDIACY TO THE THREE CORE NEEDS. THE IMPORTANCE TO THE COMMUNITY AS WELL AS CONSIDERATION OF SIZE AND SEVERITY OF THE NEED, COMMUNITY ASSETS, ALIGNMENT WITH PHS PURPOSE, VISION, AND VALUES, EXISTING INTERVENTIONS, SUSTAINABILITY, RESOURCES, AND POTENTIAL FOR GREATEST IMPACT INFORMED THE SELECTION AND PRIORITIZATION OF SPECIFIC COMMUNITY NEEDS ABOVE OTHERS. THE COMMUNITY NEEDS PHS HAS CHOSEN TO PRIORITIZE ARE GIVEN EQUAL WEIGHT, WHICH IS REFLECTED IN THE SCOPE AND NUMBER OF STRATEGIES TO ADDRESS THAT NEED, LISTED IN THAT COUNTY'S CHIP. ANY NEEDS RANKED BY EACH COUNTY THAT ARE NOT PRIORITIZED BY PHS ARE ALSO ADDRESSED IN THAT COUNTY'S CHIP.
THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 5	APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: FOR THE PURPOSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, PRESBYTERIAN HEALTHCARE SERVICES (PHS) HAS GENERALLY DEFINED THE "COMMUNITY" OF EACH HOSPITAL AS THE COUNTY IN WHICH THE HOSPITAL IS LOCATED. IN 2015, AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS, EACH HOSPITAL AND THE PRESBYTERIAN CENTER FOR COMMUNITY HEALTH (PCCH) CONTRACTED WITH THE LOCAL COUNTY HEALTH COUNCILS TO HELP PRESBYTERIAN COMPLETE A COMMUNITY HEALTH ASSESSMENT AND IDENTIFY SIGNIFICANT COMMUNITY HEALTH NEEDS FOR EACH COUNTY. SIGNIFICANT HEALTH PRIORITIES WERE DETERMINED BY THE COUNTY HEALTH COUNCILS, MADE UP OF COMMUNITY REPRESENTATIVES (SPECIFIC AGENCIES REPRESENTED ARE LISTED IN EACH CHNA), WITH THE HELP OF REPRESENTATIVES FROM THE NEW MEXICO DEPARTMENT OF HEALTH, INCLUDING REPRESENTATIVES FROM THE EPIDEMIOLOGY AND RESPONSE AND PUBLIC HEALTH DIVISIONS. THESE ASSESSMENTS AND PROFILES WERE COMPILED BY THE LOCAL HEALTH COUNCILS USING PUBLICLY AVAILABLE HEALTH INDICATOR DATA, AVAILABLE INFORMATION ON RESOURCES AND ASSETS, AND IN MOST CASES, THROUGH MIXED METHOD PRIMARY DATA COLLECTION. PRIMARY DATA SOURCES INCLUDED SURVEYS, FOCUS GROUPS, AND COMMUNITY AND COMMITTEE DISCUSSIONS THAT PROVIDE CONTEXT, VALIDITY, AND LIVED EXPERIENCE IN CONJUNCTION WITH SECONDARY SOURCES. MORE DETAILS ON THE METHODS AND PROCESS UNDERTAKEN BY EACH OF THE FIVE DISTINCT COUNTY HEALTH COUNCILS CAN BE FOUND IN THAT COMMUNITYS CHNA. IN 2016, THE PCCH WORKED WITH LOCAL AND HEALTH SYSTEM-WIDE LEADERSHIP, INCLUDING EACH HOSPITALS BOARD OF DIRECTORS, TO REVIEW AND PRIORITIZE THE SIGNIFICANT HEALTH NEEDS FOR 2016-2019. 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. BOARDS INCLUDE CIVIL SERVANTS, BUSINESS & NON-PROFIT LEADERS, EDUCATORS, AND PHYSICIAN LEADERS WHO HAVE SPECIAL KNOWLEDGE OF THE HEALTH NEEDS OF THEIR COMMUNITY. PER IRS REQUIREMENTS, PRESBYTERIAN HEAVILY WEIGHTED COMMUNITY INPUT IN IDENTIFYING AND PRIORITIZING SIGNIFICANT HEALTH NEEDS. COMMUNITY INPUT FROM THE COUNTY HEALTH COUNCILS, MUNICIPAL AND TRIBAL GOVERNMENT LEADERS, THE VOLUNTEER COMMUNITY LEADERS THAT MAKE UP EACH OF PRESBYTERIANS HOSPITAL BOARDS OF DIRECTORS, COMMUNITY ORGANIZATIONS, COMMUNITY MEMBERS, AND REPRESENTATIVES FROM THE NEW MEXICO DEPARTMENT OF HEALTH WERE SOLICITED IN NUMEROUS WAYS, INCLUDING THROUGH PUBLIC FORUMS HELD IN APRIL THROUGH AUGUST OF 2016. 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, INCLUDING: ELDERLY AND AGING POPULATIONS; POPULATIONS DISPROPORTIONATELY IMPACTED BY INCARCERATION, SUBSTANCE USE, OR VIOLENCE; YOUNG CHILDREN, FAMILIES, AND ADOLESCENTS; BOTH RESERVATION AND URBAN DWELLING AMERICAN INDIANS; RURAL-DWELLING RESIDENTS; NON-ENGLISH SPEAKERS; AND POPULATIONS LIVING IN MIXED CITIZEN STATUS FAMILIES, IN THE COMMUNITY SERVED BY THE HOSPITAL - BUSINESS AND ECONOMIC DEVELOPMENT PROFESSIONALS AND NON-PROFIT LEADERS SOME OF THE ORGANIZATIONS/ENTITIES REPRESENTED INCLUDE: NUMEROUS FEDERALLY QUALIFIED HEALTH CENTERS, NEW MEXICO INSTITUTE OF MINING AND TECHNOLOGY COUNSELING AND DISABILITY SERVICES AND SUBSTANCE ABUSE EDUCATION DEPARTMENTS, TEWA WOMEN UNITED, NM HEALTH AND HUMAN SERVICES DEPARTMENT, BLUE CROSS BLUE SHIELD OF NEW MEXICO, NEW MEXICO STATE UNIVERSITY COUNTY EXTENSION SERVICES, EASTERN NEW MEXICO UNIVERSITY, NEW MEXICO DEPARTMENT OF TRANSPORTATION, ALAMO NAVAJO RESERVATION DISTRICT COURT, COUNTY CLERKS OFFICE, AND THE NAVAJO HOUSING AUTHORITY. PARTICIPANTS ENGAGED IN FACILITATED SMALL GROUP DISCUSSIONS IN WHICH THEY COULD SUGGEST PRACTICAL RECOMMENDATIONS TO SUPPORT POSITIVE CHANGE IN THEIR COMMUNITY. IN THESE DISCUSSIONS, FORUM PARTICIPANTS ADDRESSED THE BARRIERS, OPPORTUNITIES, AND POTENTIAL STRATEGIES FOR ACHIEVING THE STATED PRIORITIES. PHS ALSO DESIGNATED A NEW CENTER FOR COMMUNITY HEALTH IN 2016 WITH A FOCUS ON COMMUNITY HEALTH IMPROVEMENT. THE DIRECTOR, LEIGH CASWELL, MPH, HAS OVER 10 YEARS OF PUBLIC HEALTH EXPERIENCE IN NEW MEXICO. THE CENTER FOR COMMUNITY HEALTH IS STAFFED BY INDIVIDUALS WITH PUBLIC HEALTH EXPERIENCE AND EXPERTISE, INCLUDING A COMMUNITY HEALTH EPIDEMIOLOGIST (MPH) HIRED IN 2016. THE PCCH IS COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH COMMUNITY ENGAGEMENT AND SUSTAINABLE COLLECTIVE IMPACT WITH MANY MULTI-SECTOR PARTNERS. THE PCCH ASSISTED EACH PRESBYTERIAN HOSPITAL TO COMPLETE AND REPORT THEIR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND THE COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) FOR 2016-2019. HOSPITALS WILL CONTINUE TO RECEIVE SUPPORT FOR COMMUNITY HEALTH NEEDS ASSESSMENT AND PLAN IMPLEMENTATION AND EVALUATION FROM THE PCCH.
THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINES 7A AND	10A APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: EACH FACILITY'S MOST CURRENT AND PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT, IMPLEMENTATION PLANS, AND IMPACT REPORTS ARE AVAILABLE AT THE FOLLOWING WEBSITE: WWW.PHS.ORG/COMMUNITY/COMMITTED-TO-COMMUNITY-HEALTH/
THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11	APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: GIVEN THE PRESBYTERIAN INVESTMENT IN THE COMMUNITY HEALTH PRIORITIES OF HEALTHY EATING, ACTIVE LIVING, AND PREVENTION OF UNHEALTHY SUBSTANCE USE, AND THE ALIGNMENT OF THESE PRIORITIES WITH COMMUNITY NEEDS, COMMUNITY ASSETS, ONGOING INITIATIVES, AND SUCCESSFUL IMPLEMENTATION STRATEGIES, THESE WILL REMAIN PRIORITY AREAS FOR ALL NEW MEXICO COUNTIES FOR 2016-2019. NUTRITION, PHYSICAL ACTIVITY, TOBACCO USE AND SUBSTANCE ABUSE REMAIN HIGH-YIELD PRIORITIES THAT ADDRESS THE ROOT CAUSES OF MANY, IF NOT ALL, OF THE ADVERSE HEALTH OUTCOMES IDENTIFIED IN THE NEEDS ASSESSMENTS. INTERVENTIONS FOCUSED ON THESE PRIORITIES ARE REFLECTED IN THE IMPLEMENTATION PLANS. MANY OF THE SUCCESSFUL IMPLEMENTATION STRATEGIES FROM 2013-2016 ARE SUSTAINED AND IMPROVED UPON IN THE CURRENT COMMUNITY HEALTH IMPLEMENTATION PLAN. IN RESPONSE TO THE ASSESSMENT OF PARTICULAR, AND SIGNIFICANT, NEEDS FOR EACH COUNTY, PRESBYTERIAN WILL ALSO IMPLEMENT NEW COMMUNITY HEALTH IMPROVEMENT PLANS AND STRATEGIES RELATED TO ADDITIONAL PRIORITIES ADDED IN 2016-2019 FOR THOSE COUNTIES. PRESBYTERIAN HAS ADDED PLANS TO ADDRESS THE BEHAVIORAL HEALTH PRIORITY IN SOCORRO AND RIO ARRIBA COUNTIES, AND ACCESS TO CARE IN QUAY COUNTY. CONSISTENT WITH THE PHS PURPOSE TO IMPROVE THE HEALTH OF THE PATIENTS, MEMBERS AND COMMUNITIES IT SERVES, PRESBYTERIAN IS COMMITTED TO IMPROVING THE HEALTH OF THE POPULATIONS IT SERVES AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH TO IMPACT HEALTH CONDITIONS IN EACH COMMUNITY WITH INPUT FROM COMMUNITIES, KEY STAKEHOLDERS, AND GOVERNANCE. ALL THE HEALTH NEEDS PRIORITIZED BY PRESBYTERIAN WITH THE HELP OF COMMUNITY STAKEHOLDERS ARE ADDRESSED IN THE COMMUNITY HEALTH IMPLEMENTATION PLANS (CHIP) FOR EACH COMMUNITY. IN ADDITION TO COMMUNITY-SPECIFIC GOALS AND STRATEGIES FOR EACH COUNTY, PRESBYTERIAN ADOPTED SIX (6) SYSTEM-WIDE STRATEGIES AND INTERVENTIONS FOUND IN EVERY CHIP. THESE ADDRESS: 1. ACCESS TO INFORMATION ABOUT AVAILABLE RESOURCES, 2. SOCIAL MARKETING FOR BEHAVIOR CHANGE, 3. CHRONIC DISEASE PREVENTION AND MANAGEMENT, 4. PARTNERSHIPS WITH LOCAL HEALTH COUNCILS, 5. LOCAL HEALTH LEADERSHIP, CAPACITY AND COLLABORATION, AND 6. EQUITY AND THE ELIMINATION OF HEALTH AND HEALTHCARE DISPARITIES. DURING THE ASSESSMENTS, SEVERAL OF THE COUNTY HEALTH COUNCILS IDENTIFIED ADDITIONAL COMMUNITY NEEDS INCLUDING: ACCESS TO AFFORDABLE, RELIABLE TRANSPORTATION, AFFORDABLE HOUSING, POVERTY AND JOB DEVELOPMENT, ACCESS TO ORAL HEALTHCARE, HEALTH LITERACY, RESOURCES FOR OLDER ADULTS AND YOUNG CHILDREN, BETTER COMMUNITY COLLABORATION FOR HEALTH, AND REDUCTION OF TEEN BIRTHS. IN THE SECTION "COMMUNITY HEALTH NEEDS NOT ADDRESSED IN THIS PLAN" IN EACH CHIP, SPECIFIC RESOURCES IN THE COMMUNITY THAT ADDRESS THESE NEEDS ARE DESCRIBED. THESE RESOURCES INCLUDE LOCAL, STATE, AND FEDERAL TARGETED PROGRAMS AND SERVICES TO ADDRESS THESE IDENTIFIED NEEDS. AN EXAMPLE OF THIS IS THE IDENTIFIED NEED FOR REDUCTION OF TEEN BIRTHS. THE NEW MEXICO DEPARTMENT OF HEALTH HAS MADE THIS ONE OF THEIR PRIORITIES AND OFFERS OR FUNDS NUMEROUS INTERVENTIONS INCLUDING: CONFIDENTIAL REPRODUCTIVE HEALTH SERVICES PROVIDED AT LOW- OR NO-COST AT COUNTY PUBLIC HEALTH OFFICES AND SOME COMMUNITY HEALTH CENTERS AND SCHOOL-BASED HEALTH CENTERS; COMMUNITY EDUCATION PROGRAMS FOCUSING ON SERVICE LEARNING AND POSITIVE YOUTH DEVELOPMENT, ADULT/TEEN COMMUNICATION, AND COMPREHENSIVE SEX EDUCATION INCLUDING CUIDATE, A HISPANIC CULTURALLY-BASED HIV SEXUAL RISK REDUCTION INTERVENTION; AND A TEXT MESSAGING SERVICE THAT OFFERS TEENS AND PARENTS FREE, CONFIDENTIAL, AND ACCURATE ANSWERS TO SEXUAL HEALTH QUESTIONS VIA TEXT MESSAGE IN EITHER ENGLISH OR SPANISH. ADDITIONAL SERVICES AND PROGRAMS OFFERED BY PRESBYTERIAN RELEVANT TO EACH STATED NEED BUT NOT SPECIFICALLY LISTED AMONG THE CHIP GOALS AND STRATEGIES ARE ALSO DETAILED. THIS INCLUDES SERVICES AND PROGRAMS FOR OLDER ADULTS AND EXPECTANT AND NEW MOTHERS, INJURY PREVENTION INITIATIVES INCLUDING GIVING FREE CHILD SAFETY SEATS AND BICYCLE HELMETS TO THE COMMUNITY, AND FREE SHOT CLINICS. PHS PARTNERS WITH COMMUNITIES TO ADDRESS IMMUNIZATION RATES AND ANNUALLY CONTRIBUTES APPROXIMATELY $50,000, AS WELL AS STAFF TIME, TO INFLUENZA IMMUNIZATIONS. WHILE PRESBYTERIAN DOES NOT ADDRESS TRANSPORTATION OR HOUSING DIRECTLY, AS ONE OF THE LARGEST PRIVATE EMPLOYERS IN THE REGION, PRESBYTERIAN CONTRIBUTES TO THE ECONOMIC DEVELOPMENT OF THE COMMUNITY BY PROVIDING JOBS THROUGH ITS CLINICS, HOSPITALS, HEALTH PLAN, AND THROUGH ANCILLARY SERVICES AND CONTRACTS. PRESBYTERIAN WILL CONTINUE TO CONTRIBUTE TO THE DEVELOPMENT OF THE HEALTH CARE WORKFORCE IN EACH OF THE COUNTIES AS WELL AS REFINE ITS ROLE AS AN "ANCHOR INSTITUTION" FOR LOCAL PROCUREMENT, HIRING, AND CONSTRUCTION, INCLUDING CONSTRUCTION OF NEW HOSPITAL FACILITIES. AS A NOT-FOR-PROFIT HEALTH SYSTEM, PRESBYTERIAN HAS AN OBLIGATION TO PROVIDE A COMMUNITY BENEFIT AND ADDRESS THE OVERARCHING HEALTH ISSUE OF POVERTY AND ITS EFFECTS ON ACCESS TO HEALTH SERVICES BY PROVIDING FINANCIAL ASSISTANCE, FREE MEDICAL CARE, AND UNCOMPENSATED CARE. ALSO DETAILED IS PRESBYTERIAN'S SIGNIFICANT INVESTMENT IN AND COMMITMENT TO PATIENT CENTERED, CULTURALLY COMPETENT CARE. IN ADDITION TO THE STRATEGIES DETAILED IN THE PLAN, TRAINED STAFF, AS WELL AS VIDEO AND PHONE INTERPRETATION SERVICES ARE MADE AVAILABLE TO MEET THE NEEDS OF PHS PATIENTS TO OBTAIN, PROCESS, AND UNDERSTAND BASIC HEALTH INFORMATION AND SERVICES TO MAKE APPROPRIATE HEALTH DECISIONS. THESE INTERPRETATION SERVICES CAN BE ACCESSED ANYWHERE IN PHS HOSPITALS OR CLINICS AND INCREASE ACCESS TO CARE.
SCHEDULE H, PART V, SECTION B - FACILITY REPORTING GROUP B	A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP B. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED IN FACILITY REPORTING GROUP B: (1) PRESBYTERIAN HOSPITAL (2) PRESBYTERIAN RUST MEDICAL CENTER (3) PRESBYTERIAN KASEMAN HOSPITAL THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 3e APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN REPORTING GROUP B: AS PART OF THE CHNA PROCESS, PRESBYTERIAN'S CENTER FOR COMMUNITY HEALTH (PCCH) RECEIVED LISTS OF THE TOP HEALTH NEEDS PRIORITIZED IN EACH COUNTY FROM THAT COUNTY'S HEALTH COUNCIL. THESE NEEDS WERE RANKED BY EACH HEALTH COUNCIL AND LISTED IN THE CHNA IN ORDER OF RANK. PCCH WORKED WITH HOSPITAL LEADERSHIP TO REVIEW, RECONCILE, AND CATEGORIZE THIS COMMUNITY INPUT ON PRIORITIZATION OF NEEDS. PCCH THEN PRIORITIZED ABOVE ALL OTHERS THREE CORE NEEDS WITH EQUAL WEIGHT AND IMMEDIACY WHICH ARE LISTED IN NO SIGNIFICANT ORDER IN THE CHNA: HEALTHY EATING, ACTIVE LIVING, AND PREVENTION OF UNHEALTHY SUBSTANCE USE. ADDITIONALLY, IN RESPONSE TO COMMUNITY NEEDS AND PRIORITIES, PCCH PRIORITIZED ADDITIONAL COUNTY-SPECIFIC NEEDS, WITH EQUAL WEIGHT AND IMMEDIACY TO THE THREE CORE NEEDS. THE IMPORTANCE TO THE COMMUNITY AS WELL AS CONSIDERATION OF SIZE AND SEVERITY OF THE NEED, COMMUNITY ASSETS, ALIGNMENT WITH PHS PURPOSE, VISION, AND VALUES, EXISTING INTERVENTIONS, SUSTAINABILITY, RESOURCES, AND POTENTIAL FOR GREATEST IMPACT INFORMED THE SELECTION AND PRIORITIZATION OF SPECIFIC COMMUNITY NEEDS ABOVE OTHERS. THE COMMUNITY NEEDS PHS HAS CHOSEN TO PRIORITIZE ARE GIVEN EQUAL WEIGHT, WHICH IS REFLECTED IN THE SCOPE AND NUMBER OF STRATEGIES TO ADDRESS THAT NEED, LISTED IN THAT COUNTY'S CHIP. ANY NEEDS RANKED BY EACH COUNTY THAT ARE NOT PRIORITIZED BY PHS ARE ALSO ADDRESSED IN THAT COUNTY'S CHIP. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 5 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B: FOR THE PURPOSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, PRESBYTERIAN HAS GENERALLY DEFINED THE "COMMUNITY" OF EACH HOSPITAL AS THE COUNTY IN WHICH THE HOSPITAL IS LOCATED. IN 2015, AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS, EACH HOSPITAL AND THE PRESBYTERIAN CENTER FOR COMMUNITY HEALTH ("PCCH") CONTRACTED WITH THE LOCAL COUNTY HEALTH COUNCILS TO HELP PRESBYTERIAN COMPLETE A COMMUNITY HEALTH ASSESSMENT AND IDENTIFY SIGNIFICANT COMMUNITY HEALTH NEEDS FOR EACH COUNTY. SIGNIFICANT HEALTH PRIORITIES WERE DETERMINED BY THE COUNTY HEALTH COUNCILS, MADE UP OF COMMUNITY REPRESENTATIVES (SPECIFIC AGENCIES REPRESENTED ARE LISTED IN EACH CHNA), WITH THE HELP OF REPRESENTATIVES FROM THE NEW MEXICO DEPARTMENT OF HEALTH, INCLUDING REPRESENTATIVES FROM THE EPIDEMIOLOGY AND RESPONSE AND PUBLIC HEALTH DIVISIONS. THESE ASSESSMENTS AND PROFILES WERE COMPILED BY THE LOCAL HEALTH COUNCILS USING PUBLICLY AVAILABLE HEALTH INDICATOR DATA, AVAILABLE INFORMATION ON RESOURCES AND ASSETS, AND IN MOST CASES, THROUGH MIXED METHOD PRIMARY DATA COLLECTION. PRIMARY DATA SOURCES INCLUDED SURVEYS, FOCUS GROUPS, AND COMMUNITY AND COMMITTEE DISCUSSIONS THAT PROVIDE CONTEXT, VALIDITY, AND LIVED EXPERIENCE IN CONJUNCTION WITH SECONDARY SOURCES. IN 2016, THE PCCH WORKED WITH LOCAL AND HEALTH SYSTEM-WIDE LEADERSHIP, THE HOSPITAL'S BOARD OF DIRECTORS, TO REVIEW AND PRIORITIZE THE SIGNIFICANT HEALTH NEEDS FOR 2016-2019. 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. BOARDS INCLUDE CIVIL SERVANTS, BUSINESS & NON-PROFIT LEADERS, EDUCATORS, AND PHYSICIAN LEADERS WHO HAVE SPECIAL KNOWLEDGE OF THE HEALTH NEEDS OF THEIR COMMUNITY. PER IRS REQUIREMENTS, PRESBYTERIAN HEAVILY WEIGHTED COMMUNITY INPUT IN IDENTIFYING AND PRIORITIZING SIGNIFICANT HEALTH NEEDS. COMMUNITY INPUT FROM THE COUNTY HEALTH COUNCILS, MUNICIPAL AND TRIBAL GOVERNMENT LEADERS, THE VOLUNTEER COMMUNITY LEADERS THAT MAKE UP EACH OF PHS' HOSPITAL BOARDS OF DIRECTORS, COMMUNITY ORGANIZATIONS, COMMUNITY MEMBERS, AND REPRESENTATIVES FROM THE NEW MEXICO DEPARTMENT OF HEALTH WAS SOLICITED IN NUMEROUS WAYS, INCLUDING THROUGH PUBLIC FORUMS HELD APRIL THROUGH AUGUST OF 2016. 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, INCLUDING: ELDERLY AND AGING POPULATIONS; POPULATIONS DISPROPORTIONATELY IMPACTED BY INCARCERATION, SUBSTANCE USE, OR VIOLENCE; YOUNG CHILDREN, FAMILIES, AND ADOLESCENTS; BOTH RESERVATION AND URBAN DWELLING AMERICAN INDIANS; RURAL-DWELLING RESIDENTS; NON-ENGLISH SPEAKERS; AND POPULATIONS LIVING IN MIXED CITIZEN STATUS FAMILIES, IN THE COMMUNITY SERVED BY THE HOSPITAL - BUSINESS AND ECONOMIC DEVELOPMENT PROFESSIONALS AND NON-PROFIT LEADERS SOME OF THE ORGANIZATIONS/ENTITIES REPRESENTED INCLUDE: SEVERAL FEDERALLY QUALIFIED HEALTH CENTERS, NM DEPARTMENT OF HEALTH, BELEN CONSOLIDATED SCHOOLS, ALBUQUERQUE SAVE, NM DEPARTMENT OF VOCATIONAL REHABILITATION, KXNM COMMUNITY FOUNDATION, MORIARTY CHAMBER OF COMMERCE, UNIVERSITY OF NEW MEXICO, NM BANK AND TRUST, CITY OF RIO RANCHO, CNM COMMUNITY COLLEGE, NACIEMIENTO COMMUNITY FOUNDATION, UNM SANDOVAL REGIONAL HOSPITAL, KIDS COOK!, NM DEPARTMENT OF VETERAN SERVICES, HEALTH MATTERS NM, NM HEALTH AND HUMAN SERVICES DEPARTMENT, NEW MEXICO STATE UNIVERSITY COUNTY EXTENSION SERVICES, NM DEPARTMENT OF WORKFORCE SOLUTIONS, NEW MEXICO DEPARTMENT OF TRANSPORTATION, KALPULLI IZKALLI, JUNTOS, WORTH HEARING CENTER, TOGETHER FOR BROTHERS, HEALTH INSIGHT NM, AND CARE NM. PARTICIPANTS ENGAGED IN FACILITATED SMALL GROUP DISCUSSIONS IN WHICH THEY COULD SUGGEST PRACTICAL RECOMMENDATIONS TO SUPPORT POSITIVE CHANGE IN THEIR COMMUNITY. IN THESE DISCUSSIONS, FORUM PARTICIPANTS ADDRESSED THE BARRIERS, OPPORTUNITIES, AND POTENTIAL STRATEGIES FOR ACHIEVING THE STATED PRIORITIES. PHS ALSO DESIGNATED A NEW CENTER FOR COMMUNITY HEALTH IN 2016 WITH A FOCUS ON COMMUNITY HEALTH IMPROVEMENT. THE DIRECTOR, LEIGH CASWELL, MPH, HAS OVER 10 YEARS OF PUBLIC HEALTH EXPERIENCE IN NEW MEXICO. THE PCCH IS STAFFED BY INDIVIDUALS WITH PUBLIC HEALTH EXPERIENCE AND EXPERTISE, INCLUDING A COMMUNITY HEALTH EPIDEMIOLOGIST (MPH) HIRED IN 2016. THE PCCH IS COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH COMMUNITY ENGAGEMENT AND SUSTAINABLE COLLECTIVE IMPACT WITH MANY MULTI-SECTOR PARTNERS. THE PCCH ASSISTED EACH PRESBYTERIAN HOSPITAL TO COMPLETE AND REPORT THEIR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND THE COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) FOR 2016-2019. FOR THIS REPORTING GROUP, ONE CHNA AND ONE CHIP WAS PREPARED IN COOPERATION FOR ALL THREE HOSPITAL FACILITIES. THEY WILL CONTINUE TO RECEIVE SUPPORT FOR COMMUNITY HEALTH NEEDS ASSESSMENT AND PLAN IMPLEMENTATION AND EVALUATION FROM THE PRESBYTERIAN CENTER FOR COMMUNITY HEALTH.
THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINES 7A AND	10A APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B: THE FACILITY'S MOST CURRENT AND PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT, IMPLEMENTATION PLANS, AND IMPACT REPORTS ARE AVAILABLE AT THE FOLLOWING WEBSITE: WWW.PHS.ORG/COMMUNITY/COMMITTED-TO-COMMUNITY-HEALTH/ THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B: GIVEN THE PRESBYTERIAN INVESTMENT IN THE COMMUNITY HEALTH PRIORITIES OF HEALTHY EATING, ACTIVE LIVING, AND PREVENTION OF UNHEALTHY SUBSTANCE USE, AND THE ALIGNMENT OF THESE PRIORITIES WITH COMMUNITY NEEDS, COMMUNITY ASSETS, ONGOING INITIATIVES, AND SUCCESSFUL IMPLEMENTATION STRATEGIES, THESE WILL REMAIN PRIORITY AREAS FOR ALL NEW MEXICO COUNTIES FOR 2016-2019. NUTRITION, PHYSICAL ACTIVITY, TOBACCO USE AND SUBSTANCE ABUSE REMAIN HIGH-YIELD PRIORITIES THAT ADDRESS THE ROOT CAUSES OF MANY, IF NOT ALL, OF THE ADVERSE HEALTH OUTCOMES IDENTIFIED IN THE NEEDS ASSESSMENTS. INTERVENTIONS FOCUSED ON THESE PRIORITIES ARE REFLECTED IN THE IMPLEMENTATION PLANS. MANY OF THE SUCCESSFUL IMPLEMENTATION STRATEGIES FROM 2013-2016 ARE SUSTAINED AND IMPROVED UPON IN THE CURRENT COMMUNITY HEALTH IMPLEMENTATION PLAN. IN RESPONSE TO THE ASSESSMENT OF PARTICULAR, AND SIGNIFICANT, NEEDS FOR EACH COUNTY, PRESBYTERIAN WILL ALSO IMPLEMENT NEW COMMUNITY HEALTH IMPROVEMENT PLANS AND STRATEGIES RELATED TO ADDITIONAL PRIORITIES ADDED IN 2016-2019 IN THOSE COUNTIES. PHS HAS ADDED PLANS TO ADDRESS THE BEHAVIORAL HEALTH PRIORITY IN BERNALILLO, SANDOVAL, TORRANCE, AND VALENCIA COUNTIES, VIOLENCE PREVENTION IN BERNALILLO AND VALENCIA COUNTIES, AND ECONOMIC DEVELOPMENT IN SANDOVAL COUNTY. CONSISTENT WITH THE PHS PURPOSE TO IMPROVE THE HEALTH OF THE PATIENTS, MEMBERS AND COMMUNITIES IT SERVES, PHS IS COMMITTED TO IMPROVING THE HEALTH OF THE POPULATIONS IT SERVES AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH TO IMPACT HEALTH CONDITIONS IN EACH COMMUNITY WITH INPUT FROM COMMUNITIES, KEY STAKEHOLDERS, AND GOVERNANCE. ALL THE HEALTH NEEDS PRIORITIZED BY PHS WITH THE HELP OF COMMUNITY STAKEHOLDERS ARE ADDRESSED IN THE COMMUNITY HEALTH IMPLEMENTATION PLANS FOR EACH COMMUNITY. IN ADDITION TO COMMUNITY-SPECIFIC GOALS AND STRATEGIES FOR EACH COUNTY, PHS ADOPTED SIX (6) SYSTEM-WIDE STRATEGIES AND INTERVENTIONS FOUND IN EVERY CHIP. THESE ADDRESS: 1. ACCESS TO INFORMATION ABOUT AVAILABLE RESOURCES, 2. SOCIAL MARKETING FOR BEHAVIOR CHANGE, 3. CHRONIC DISEASE PREVENTION AND MANAGEMENT, 4. PARTNERSHIPS WITH LOCAL HEALTH COUNCILS, 5. LOCAL HEALTH LEADERSHIP, CAPACITY AND COLLABORATION, AND 6. EQUITY AND THE ELIMINATION OF HEALTH AND HEALTHCARE DISPARITIES. DURING THE ASSESSMENTS, SEVERAL OF THE COUNTY HEALTH COUNCILS IDENTIFIED ADDITIONAL COMMUNITY NEEDS INCLUDING: HEALTH LITERACY, REDUCTION OF OLDER ADULT FALLS, ABUSE AND NEGLECT, AND REDUCTION OF TEEN BIRTHS. IN THE SECTION "COMMUNITY HEALTH NEEDS NOT ADDRESSED IN THIS PLAN" IN EACH CHIP, SPECIFIC RESOURCES IN THE COMMUNITY THAT ADDRESS THESE NEEDS ARE DESCRIBED. THESE RESOURCES INCLUDE LOCAL, STATE, AND FEDERAL TARGETED PROGRAMS AND SERVICES TO ADDRESS THESE IDENTIFIED NEEDS. AN EXAMPLE OF THIS IS THE IDENTIFIED NEED FOR REDUCTION OF TEEN BIRTHS. THE NEW MEXICO DEPARTMENT OF HEALTH HAS MADE THIS ONE OF THEIR PRIORITIES AND OFFERS OR FUNDS NUMEROUS INTERVENTIONS INCLUDING: CONFIDENTIAL REPRODUCTIVE HEALTH SERVICES PROVIDED AT LOW- OR NO-COST AT COUNTY PUBLIC HEALTH OFFICES AND SOME COMMUNITY HEALTH CENTERS AND SCHOOL-BASED HEALTH CENTERS; COMMUNITY EDUCATION PROGRAMS FOCUSING ON SERVICE LEARNING AND POSITIVE YOUTH DEVELOPMENT, ADULT/TEEN COMMUNICATION, AND COMPREHENSIVE SEX EDUCATION INCLUDING CUIDATE, A HISPANIC CULTURALLY-BASED HIV SEXUAL RISK REDUCTION INTERVENTION; AND A TEXT MESSAGING SERVICE THAT OFFERS TEENS AND PARENTS FREE, CONFIDENTIAL, AND ACCURATE ANSWERS TO SEXUAL HEALTH QUESTIONS VIA TEXT MESSAGE IN EITHER ENGLISH OR SPANISH. ADDITIONAL SERVICES AND PROGRAMS OFFERED BY PHS RELEVANT TO EACH STATED NEED BUT NOT SPECIFICALLY LISTED AMONG THE CHIP GOALS AND STRATEGIES ARE ALSO DETAILED. THIS INCLUDES SERVICES AND PROGRAMS FOR OLDER ADULTS AND EXPECTANT AND NEW MOTHERS AND INJURY PREVENTION INITIATIVES- INCLUDING FALL RISK SCREENINGS AND INTERVENTIONS. DOMESTIC VIOLENCE SCREENING, SUICIDE ASSESSMENT AND DEPRESSION SCREENING ARE INCORPORATED INTO ALL PHS AMBULATORY PATIENT VISITS, AND REFERRAL SOURCES ARE PROVIDED WHEN INDICATED. PHS HAS SEVERAL COMMUNITY-BASED HOME VISITING PROGRAMS THAT FACILITATE MATERNAL, INFANT AND CHILD HEALTH AND FOCUS ON OUTREACH TO AT-RISK, UNINSURED POPULATIONS. PHS AND OTHER LOCAL HOME VISITING AGENCIES AS WELL AS PROGRAMS ADMINISTERED BY THE CHILDREN YOUTH AND FAMILIES DEPARTMENT AND ADULT PROTECTIVE SERVICES HELP ADDRESS ABUSE AND NEGLECT. PHS ALSO OFFERS A WIDE ARRAY OF CLASSES DESIGNED TO PREPARE FAMILIES FOR SUCCESS INCLUDING PREPARING FOR LABOR, INFANT CPR, AND PREPARING SIBLINGS FOR THEIR NEW FAMILY MEMBER'S ARRIVAL. PHS HAS EARNED THE PRESTIGIOUS BABY-FRIENDLY HOSPITAL DESIGNATION FROM BABY-FRIENDLY USA, INC. TO QUALIFY AS BABY-FRIENDLY, PHS DEMONSTRATED AND IMPLEMENTED 10 EVIDENCE BASED PRACTICES THAT SUPPORT BREASTFEEDING. BABY-FRIENDLY HOSPITALS AND BIRTHING FACILITIES MUST ADHERE TO THE TEN STEPS TO SUCCESSFUL BREASTFEEDING TO RECEIVE AND RETAIN THE DESIGNATION. DOULA SERVICES, NURSE MIDWIFE SERVICES, AND BREASTFEEDING SUPPORT SERVICES ARE AVAILABLE TO EXPECTANT AND NEW MOTHERS. THE WOMEN'S CENTER AT PHS AND TEXT4BABY HAVE COLLABORATED TO HELP KEEP MOTHERS AND BABIES HEALTHY. FREE WEEKLY PREGNANCY AND EXPECTANT PARENTING TEXT MESSAGES HELP GUIDE PARTICIPANTS THROUGH PREGNANCY, LABOR AND DELIVERY, AND INFANCY. IN ADDITION TO THE ECONOMIC DEVELOPMENT STRATEGIES DETAILED IN THE CHIP, PHS CONTRIBUTES TO THE ECONOMIC DEVELOPMENT OF THE COMMUNITY BY PROVIDING JOBS THROUGH ITS CLINICS, HOSPITALS, HEALTH PLAN, AND THROUGH ANCILLARY SERVICES AND CONTRACTS. PHS WILL CONTINUE TO CONTRIBUTE TO THE DEVELOPMENT OF THE HEALTH CARE WORKFORCE AS WELL AS REFINE ITS ROLE AS AN "ANCHOR INSTITUTION" FOR LOCAL PROCUREMENT, HIRING, AND CONSTRUCTION, INCLUDING THE STAFFING OF AND CONSTRUCTION OF NEW CLINIC AND HOSPITAL FACILITIES. AS A NOT-FOR-PROFIT HEALTH SYSTEM, PHS HAS AN OBLIGATION TO PROVIDE A COMMUNITY BENEFIT AND ADDRESS THE OVERARCHING HEALTH ISSUE OF POVERTY AND ITS EFFECTS ON ACCESS TO HEALTH SERVICES BY PROVIDING FINANCIAL ASSISTANCE, FREE MEDICAL CARE, AND UNCOMPENSATED CARE. ALSO DETAILED IS PHS' SIGNIFICANT INVESTMENT IN AND COMMITMENT TO PATIENT CENTERED, CULTURALLY COMPETENT CARE. IN ADDITION TO THE STRATEGIES DETAILED IN THE PLAN, TRAINED STAFF, AS WELL AS VIDEO AND PHONE INTERPRETATION SERVICES ARE MADE AVAILABLE TO MEET THE NEEDS OF PHS PATIENTS TO OBTAIN, PROCESS, AND UNDERSTAND BASIC HEALTH INFORMATION AND SERVICES TO MAKE APPROPRIATE HEALTH DECISIONS. THESE INTERPRETATION SERVICES CAN BE ACCESSED ANYWHERE IN PHS HOSPITALS OR CLINICS AND INCREASE ACCESS TO CARE. SCHEDULE H, PART V, SECTION B - FACILITY (9) - SANTA FE MEDICAL CENTER A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR THE NEWLY OPENED SANTA FE MEDICAL CENTER: IN OCTOBER OF 2018, OUR NEWEST HEALTH CENTER OPENED FOR PATIENT SERVICES. THE SANTA FE MEDICAL CENTER IS LOCATED ON BECKNER ROAD IN SANTA FE, NEW MEXICO. THE FACILITY WAS INITIALLY LICENSED FOR 36 BEDS, BUT A THIRD FLOOR HAS BEEN SHELLED FOR FUTURE EXPANSION. THE SANTA FE MEDICAL CENTER WAS INCLUDED IN FACILITY REPORTING GROUP B'S CHNA FOR THE CURRENT CYCLE. SCHEDULE H, PART V, SECTION B, LINE 3E PLEASE SEE FACILITY GROUP B'S NARRATIVE AS SANTA FE WAS INCLUDED DURING THE CURRENT CHNA CYCLE IN ANTICIPATION OF ITS OPENING. SCHEDULE H, PART V, SECTION B, LINE 5 PLEASE SEE FACILITY GROUP B'S NARRATIVE AS SANTA FE WAS INCLUDED DURING THE CURRENT CHNA CYCLE IN ANTICIPATION OF ITS OPENING. SCHEDULE H, PART V, SECTION B, LINES 7A AND 10A PLEASE SEE FACILITY GROUP B'S NARRATIVE AS SANTA FE WAS INCLUDED DURING THE CURRENT CHNA CYCLE IN ANTICIPATION OF ITS OPENING. SCHEDULE H, PART V, SECTION B, LINE 11 PLEASE SEE FACILITY GROUP B'S NARRATIVE AS SANTA FE WAS INCLUDED DURING THE CURRENT CHNA CYCLE IN ANTICIPATION OF ITS OPENING.
THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 13H	APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUPS A, B & THE SANTA FE MEDICAL CENTER: PRESBYTERIAN'S FINANCIAL ASSISTANCE POLICY (FAP) INCLUDES PROVISIONS FOR PRESUMPTIVE FINANCIAL ASSISTANCE ELIGIBILITY, WHICH INCLUDES: PARTICIPATION OR ENROLLMENT IN STATE FUNDED PRESCRIPTION PROGRAMS; PATIENTS DETERMINED TO BE HOMELESS; PARTICIPATION IN THE WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); PARTICIPATION IN THE FOOD STAMP PROGRAM; SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; LOW INCOME/SUBSIDIZED HOUSING; PERSONAL BANKRUPTCY; PATIENT IS DECEASED WITH NO KNOWN ESTATE; ACCOUNT BALANCES REMAIN AFTER PAYMENT HAS BEEN RECEIVED AND APPLIED FROM A SOLE COMMUNITY PROVIDER FUND; PATIENTS ENROLLED WITH LIMITED SERVICE MEDICAID PROGRAMS; PATIENTS WITH NON-PARTICIPATING OUT-OF-STATE MEDICAID INSURANCE PLANS; PATIENTS WHO MEET CERTAIN BALANCE THRESHOLDS, AND THOSE IDENTIFIED AS HAVING INCOME BELOW 200% OF THE FEDERAL POVERTY GUIDELINES THROUGH ACCESS TO EXTERNAL SOURCES OF INFORMATION AFTER SERVICES HAVE BEEN RENDERED. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, AND 16C APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUPS A, B & THE SANTA FE MEDICAL CENTER: THE FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY FORMS ARE AVAILABLE AT THE FOLLOWING WEBSITE: WWW.PHS.ORG/FINANCIALASSISTANCE

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. 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?42
Name and address		Type of Facility (describe)
1	PHS AMBULATORY CARE CLINIC 8300 CONSTITUTION AVE NE ALBUQUERQUE,NM87110	PRIMARY & SPECIALTY MEDICAL CLINIC, PAIN & SPINE CLINIC & RADIATION ONCOLOGY
2	PHS AMBULATORY CARE CLINIC 2400 UNSER BLVD SE RIO RANCHO,NM87124	SPECIALTY MEDICAL CLINIC
3	PHS AMBULATORY CARE CLINIC 1100 CENTRAL SE ALBUQUERQUE,NM87105	PEDIATRIC URGENT CARE
4	PHS AMBULATORY CARE CLINIC 201 CEDAR ST SE ALBUQUERQUE,NM87106	PRIMARY & SPECIALTY MEDICAL CLINIC & CARDIOLOGY CENTER
5	PHS AMBULATORY CARE CLINIC 4100 HIGH RESORT BLVD SE RIO RANCHO,NM87124	SPECIALTY MEDICAL URGENT CARE CENTER
6	PHS AMBULATORY CARE CLINIC 1010 SPRUCE ST ESPANOLA,NM87532	PRIMARY & SPECIALTY MEDICAL CLINIC & URGENT CARE CENTER
7	PHS AMBULATORY CARE CLINIC 4005 HIGH RESORT BLVD SE RIO RANCHO,NM87124	PRIMARY & SPECIALTY MEDICAL CLINIC
8	PHS AMBULATORY CARE CLINIC 1100 LEAD SE ALBUQUERQUE,NM87108	GASTROENTEROLOGY LAB
9	PHS AMBULATORY CARE CLINIC 5901 HARPER NE ALBUQUERQUE,NM87108	PRIMARY & SPECIALTY MEDICAL CLINIC & URGENT CARE CENTER
10	PHS AMBULATORY CARE CLINIC 3901 ATRISCO NW ALBUQUERQUE,NM87120	PRIMARY & SPECIALTY MEDICAL CLINIC & URGENT CARE CENTER
11	PHS AMBULATORY CARE CLINIC 2201 WEST 21ST ST CLOVIS,NM88101	PRIMARY & SPECIALTY MEDICAL CLINIC
12	PHS AMBULATORY CARE CLINIC 454 St Michaels Dr SANTE FE,NM87505	PRIMARY & SPECIALTY MEDICAL CLINIC & URGENT CARE CENTER
13	PHS AMBULATORY CARE CLINIC 3436 ISLETA BLVD SW ALBUQUERQUE,NM87105	PRIMARY & SPECIALTY MEDICAL CLINIC & URGENT CARE CENTER
14	PHS AMBULATORY CARE CLINIC 121 EL PASO RD RUIDOSO,NM88345	PRIMARY & SPECIALTY MEDICAL CLINIC & AMBULATORY SURGERY CENTER
15	PRMC CANCER CENTER 2219 DILLON ST CLOVIS,NM88101	CANCER TREATMENT CENTER
16	PHS AMBULATORY CARE CLINIC 1325 WYOMING NE ALBUQUERQUE,NM87112	ADULT BEHAVIORAL HEALTH CLINIC
17	PHS AMBULATORY CARE CLINIC 8800 MONTGOMERY BLVD NE ALBUQUERQUE,NM87111	PRIMARY & SPECIALTY MEDICAL CLINIC
18	PHS AMBULATORY CARE CLINIC 4588 PARADISE BLVD NW ALBUQUERQUE,NM87114	PRIMARY & SPECIALTY MEDICAL CLINIC & URGENT CARE CENTER
19	PHS AMBULATORY CARE CLINIC 6100 PAN AMERICAN NE STE 450 ALBUQUERQUE,NM87109	OB/GYN CLINIC
20	PHS AMBULATORY CARE CLINIC 609 S CHRISTOPHER RD BELEN,NM87002	PRIMARY & SPECIALTY MEDICAL CLINIC & URGENT CARE CENTER
21	PHS AMBULATORY CARE CLINIC 401 SAN MATEO SE ALBUQUERQUE,NM87108	PRIMARY & SPECIALTY MEDICAL CLINIC & URGENT CARE CENTER
22	PHS AMBULATORY CARE CLINIC 1202 HWY 60 WEST SOCORRO,NM87801	PRIMARY & SPECIALTY MEDICAL CLINIC
23	PHS AMBULATORY CARE CLINIC 5550 WYOMING BLVD NE ALBUQUERQUE,NM87108	PRIMARY & SPECIALTY MEDICAL CLINIC
24	PHS AMBULATORY CARE CLINIC 200 EMILIO LOPEZ RD LOS LUNAS,NM87031	PRIMARY & SPECIALTY MEDICAL CLINIC
25	PHS AMBULATORY CARE CLINIC 3777 NM HWY 528 NE RIO RANCHO,NM87144	PRIMARY CARE CLINIC
26	PRIMARY CARE CLINIC 3715 SOUTHERN BLVD RIO RANCHO,NM87124	PRIMARY & SPECIALTY MEDICAL CLINIC
27	PLAINS REGIONAL MED CENTER PHARMACY 2401 W 21St ST CLOVIS,NM88101	PHARMACY
28	MD URGENT CARE CLINIC 7920 CARMEL AVE NE ALBUQUERQUE,NM87122	URGENT CARE CENTER
29	PLAINS REGIONAL OUTPATIENT SURGERY 2421 WEST 21ST ST CLOVIS,NM88101	AMBULATORY OUTPATIENT SURGERY
30	PHS AMBULATORY CARE CLINIC 4900 BECKNER RD SANTE FE,NM87505	SPECIALTY MEDICAL CLINIC
31	PHS AMBULATORY CARE CLINIC 402 E MIEL DE LUNA TUCUMCARI,NM88401	PRIMARY & SPECIALTY MEDICAL CLINIC & general surgery
32	CARRIZOZO HEALTH CENTER 710 AVE E CARRIZOZO,NM88301	PRIMARY & SPECIALTY MEDICAL CLINIC
33	PHS AMBULATORY CARE CLINIC 211 SUDDERTH DR RUIDOSO,NM88345	BEHAVIORAL HEALTH CLINIC
34	CORONA HEALTH Center 471 MAIN ST CORONA,NM88318	PRIMARY & SPECIALTY MEDICAL CLINIC
35	PHS AMBULATORY CARE CLINIC 600 GALLEGOS ST LOGAN,NM88426	PRIMARY MEDICAL CLINIC
36	CAPITAN MEDICAL CLINIC 405 LINCOLN WAY CAPITAN,NM88316	PRIMARY & SPECIALTY MEDICAL CLINIC
37	PRESBYTERIAN HEALTHPLEX 6301 FOREST HILLS DR NE ALBUQUERQUE,NM87109	CARDIAC & PULMONARY REHABILITATION
38	PHS AMBULATORY CARE CLINIC 8312 KASEMAN CT ALBUQUERQUE,NM87110	CHILD BEHAVIORAL HEALTHCARE
39	PHS AMBULATORY CARE CLINIC 8120 CONSTITUTION PL NE STE 120 ALBUQUERQUE,NM87110	NEUROLOGY
40	PRESBYTERIAN OUTPATIENT HOSPICE 8100 CONSTITUTION PL NE STE 400 ALBUQUERQUE,NM87110	HOSPICE CENTER, HOME HEALTH & ARTHRITIS CLINIC
41	PRESBYTERIAN AQUATICS 5528 EUBANK BLVD NE ALBUQUERQUE,NM87111	PHYSICAL THERAPY POOL
42	PHS AMBULATORY CARE CLINIC 1204 HWY 60 WEST SOCORRO,NM87801	AUDIOLOGY & GERIPSYCHIATRIC CLINIC

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
SCHEDULE H, PART I, LINE 7G	THE COST OF SUBSIDIZED HEALTH SERVICES PROVIDED BY PRESBYTERIAN HEALTHCARE SERVICES (PHS) AMBULATORY CARE CLINICS INCLUDED IN LINE 7G AMOUNTED TO $4,183,562. SCHEDULE H, PART I, LINE 7 PRESBYTERIAN HEALTHCARE SERVICES (PHS) USED A COMBINATION OF OUR COST-ACCOUNTING SYSTEM AND THE APPROPRIATE COST-TO-CHARGE RATIO, WHERE APPLICABLE, TO CALCULATE THE MOST ACCURATE COST OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS REPORTED IN LINE 7. FOR EXAMPLE, THE COST OF FINANCIAL ASSISTANCE WAS DETERMINED BY APPLYING THE COST-TO-CHARGE RATIO TO CHARITY CHARGES AND THEN SUBTRACTING ALL PAYMENTS RECEIVED ON CHARITY ACCOUNTS. HOWEVER, THE COST-ACCOUNTING SYSTEM WAS BETTER ABLE TO PROVIDE AN ACCURATE MEASUREMENT OF UNREIMBURSED MEDICAID AND UNREIMBURSED COST OF OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THE COST-ACCOUNTING SYSTEM WAS ALSO USED IN DETERMINING THE COST OF SUBSIDIZED HEALTH SERVICES. OUR COST ACCOUNTING SYSTEM CAPTURES ALL PATIENT SEGMENTS WITHIN THE PRESBYTERIAN DELIVERY SYSTEM INCLUDING ALL POPULATIONS WITHIN THE HOSPITAL SYSTEM AND WITHIN THE AMBULATORY HEALTH CLINICS. THE COST-TO-CHARGE RATIO UTILIZED WAS DERIVED FROM OUR MEDICARE COST REPORTS AND WAS NOT CALCULATED ON THE EXACT PARAMETERS OF WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. PHS BELIEVES THE COST-TO-CHARGE RATIOS UTILIZED BEST REPRESENT THE ACTUAL COST OF CARE IN EACH CIRCUMSTANCE.
SCHEDULE H, PART II	PRESBYTERIAN HEALTHCARE SERVICES' (PHS) COMMUNITY BUILDING ACTIVITIES INCLUDE SUPPORT FOR HEALTHCARE ORGANIZATIONS THAT PROVIDE SERVICES TO INDIVIDUALS WHO ARE HOMELESS OR TO PERSONS WITH CHRONIC HEALTH CHALLENGES. THESE EFFORTS ALSO EMPHASIZE QUALITY IMPROVEMENT AND FINANCIAL SUPPORT FOR QUALITY IMPROVEMENT ORGANIZATIONS LOCALLY AND NATIONALLY. IN ADDITION, PHS SUPPORTS EDUCATIONAL IMPROVEMENT, BOTH FOR THE GENERAL POPULATION AND FOR THE NURSING PROFESSION SPECIFICALLY. PHS' HUMAN RESOURCES DEPARTMENT PROVIDES MANY MAN HOURS OF COMMUNITY OUTREACH TO EDUCATE YOUTH AND ADULTS ON CAREER OPPORTUNITIES AND WAYS THEY CAN PREPARE THEMSELVES FOR THOSE OPPORTUNITIES. PHS ALSO SUPPORTS ECONOMIC DEVELOPMENT IN THE COMMUNITIES WE SERVE AND PARTICIPATES IN NUMEROUS FUNDRAISING ACTIVITIES BENEFITTING OTHER COMMUNITY RESOURCES SUCH AS BOYS AND GIRLS CLUBS, COUNTY FAIRS, AND LOCAL CHAMBERS 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 THESE CATEGORIES. ALL CASH AND IN-KIND FINANCIAL, STAFF, AND FACILITY SUPPORT FOR THESE COMMUNITY BUILDING GROUPS ARE INCLUDED IN SCHEDULE H, PARTS I AND II. HOWEVER, THE WORK TIME SPENT BY OUR SENIOR LEADERS IN SUPPORTING AND PARTICIPATING IN THESE COMMUNITY ORGANIZATIONS IS NOT REFLECTED IN SCHEDULE H, PARTS I AND II.
SCHEDULE H, PART III, LINE 2	NET IMPLICIT PRICE CONCESSIONS, MEASURED AT GROSS CHARGES, IS MULTIPLIED BY THE APPROPRIATE COST-TO-CHARGE RATIO TO DETERMINE THE COST OF BAD DEBT TO REPORT ON PART III, LINE 2.
SCHEDULE H, PART III, LINE 3	PRESBYTERIAN HEALTHCARE SERVICES (PHS) USES A PRESUMPTIVE FINANCIAL ASSISTANCE SOFTWARE ALGORITHM TO DETERMINE SPECIFIC PATIENT ACCOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE, ALTHOUGH INITIALLY CLASSIFIED AS BAD DEBT. THESE ACCOUNTS ARE RECORDED ON THIS SCHEDULE AS FINANCIAL ASSISTANCE AND NOT AS BAD DEBT. COLLECTION ACTIONS ARE NOT PURSUED ON THESE ACCOUNTS ONCE THEY ARE CLASSIFIED AS FINANCIAL ASSISTANCE. HOWEVER, AFTER ANALYZING THE RESULTS OF OUR SOFTWARE ALGORITHM AGAINST PATIENT CREDIT SCORES FOR ACCOUNTS RECORDED IN BAD DEBT, THE VICE PRESIDENT, REVENUE CYCLE MANAGEMENT HAS FOUND THAT APPROXIMATELY 48% OF SUCH ACCOUNT CHARGES WOULD QUALIFY FOR FULL FINANCIAL ASSISTANCE IF THEY HAD COMPLETED THE APPLICATION PROCESS AND PROVIDED THE REQUIRED DOCUMENTATION. THEREFORE, WE HAVE RECORDED 48% OF THE COST OF BAD DEBT HERE.
SCHEDULE H, PART III, LINE 4	THE FOLLOWING IS THE APPLICABLE TEXT OF THE NET PATIENT ACCOUNTS RECEIVABLE FOOTNOTE FROM THE PRESBYTERIAN HEALTHCARE SERVICES (PHS) CONSOLIDATED FINANCIAL STATEMENTS: FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, PHS RECOGNIZES REVENUE ON THE BASIS OF DISCOUNTED RATES, AS PROVIDED BY ITS POLICY. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF PHS'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. PRIOR TO ADOPTION OF ASU 2014-09, PHS RECORDED A SIGNIFICANT PROVISION FOR DOUBTFUL ACCOUNTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. UPON ADOPTION OF ASU 2014-09, THE ESTIMATED UNCOLLECTABLE AMOUNTS DUE FROM THESE PATIENTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO NET PATiEnT SERVICE REVENUE.
SCHEDULE H, PART III, LINE 8	TOTAL MEDICARE REVENUE RECEIVED IS COLLECTED FROM OUR PATIENT FINANCIAL SERVICES BILLING SYSTEM. THE COST TO PROVIDE CARE TO MEDICARE PATIENTS IS COMPUTED BASED ON THE APPROPRIATE COST-TO-CHARGE RATIO APPLIED TO MEDICARE CHARGES ASSOCIATED WITH THE NET REVENUE REPORTED ON LINE 5. THE RESULTING SHORTFALL IS REPORTED ON LINE 7. PRESBYTERIAN HEALTHCARE SERVICES (PHS) STRONGLY BELIEVES THAT THIS MEDICARE SHORTFALL REPRESENTS A VALUABLE BENEFIT TO THE COMMUNITIES WE SERVE AND SHOULD BE RECOGNIZED AS A COMMUNITY BENEFIT IN ITS ENTIRETY FOR THE FOLLOWING REASONS: - ABSENT THE MEDICARE PROGRAM, AND OUR FULL PARTICIPATION IN THE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WE TREAT WOULD QUALIFY FOR FINANCIAL ASSISTANCE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS. - BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF THE GOVERNMENT IN NEW MEXICO ARE GREATLY RELIEVED WITH RESPECT TO THESE INDIVIDUALS. - THERE CONTINUES TO BE A SIGNIFICANT POSSIBILITY THAT THE CONTINUED REDUCTION IN REIMBURSEMENT RATES FOR THE MEDICARE PROGRAM MAY ACTUALLY CREATE DIFFICULTIES IN HEALTHCARE ACCESS FOR THE PATIENTS WE CURRENTLY TREAT UNDER THIS PROGRAM. - THE AMOUNT THAT PHS SPENDS EACH YEAR TO COVER THIS SUBSTANTIAL MEDICARE SHORTFALL DECREASES THE AMOUNT AVAILABLE TO COVER FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS.
SCHEDULE H, PART III, LINE 9B	PRESBYTERIAN HEALTHCARE SERVICES (PHS) HAS A SELF-PAY PAYMENT AND COLLECTION POLICY (PFS.PDS.115) WHICH INCLUDES THE FOLLOWING PROVISIONS: "PHS OFFERS FINANCIAL ASSISTANCE FOR PATIENTS WHO MEET THE QUALIFICATIONS SET FORTH IN THE PHS FINANCIAL ASSISTANCE POLICY (FAP)(PFS.PDS.116). PATIENTS MAY OBTAIN A COPY OF THE FAP, FAP APPLICATION, AND A PLAIN LANGUAGE SUMMARY OF THE FAP THROUGH THE FOLLOWING WAYS: -ONLINE AT WWW.PHS.ORG -BY CONTACTING A CUSTOMER SERVICE REPRESENTATIVE AT 505-923-6600 -BY CONTACTING A FINANCIAL COUNSELOR AT A PRESBYTERIAN CLINIC OR FACILITY -BY MAIL, FREE OF CHARGE, UPON REQUEST TO A CUSTOMER SERVICE REPRESENTATIVE OR A FINANCIAL COUNSELOR. PATIENTS MAY SUBMIT COMPLETED FAP APPLICATIONS DURING A 240-DAY APPLICATION PERIOD (AS DEFINED HEREIN). PRESBYTERIAN WILL NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTION (ECA) AGAINST THE PATIENT OR GUARANTOR WITHOUT MAKING REASONABLE EFFORTS TO DETERMINE THE PATIENT'S ELIGIBILITY UNDER THE FAP POLICY. SPECIFICALLY: -PRESBYTERIAN WILL NOTIFY INDIVIDUALS ABOUT ITS FAP BEFORE INITIATING ANY ECAS TO OBTAIN PAYMENT FOR CARE AND WILL REFRAIN FROM INITIATING ANY ECA FOR AT LEAST 120 DAYS FROM THE FIRST POST-DISCHARGE OR POST-VISIT BILLING STATEMENT FOR THE CARE. -IF PRESBYTERIAN INTENDS TO PURSUE ECAS, THE FOLLOWING WILL OCCUR AT LEAST 30 DAYS BEFORE FIRST INITIATING ONE OR MORE ECAS: -PRESBYTERIAN WILL NOTIFY THE PATIENT IN WRITING THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE INDIVIDUALS AND WILL IDENTIFY THE ECAS THAT MAY BE INITIATED TO OBTAIN PAYMENT. THIS WRITTEN NOTICE WILL INCLUDE A DEADLINE AFTER WHICH SUCH ECAS MAY BE INITIATED THAT IS NO EARLIER THAN 30 DAYS AFTER THE DATE THAT THE NOTICE IS PROVIDED; -THE ABOVE NOTICE WILL INCLUDE A PLAIN LANGUAGE SUMMARY OF THE FAP; -PRESBYTERIAN WILL MAKE A REASONABLE EFFORT TO NOTIFY THE PATIENT VERBALLY ABOUT THE FAP AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE APPLICATION PROCESS. -IF PRESBYTERIAN COMBINES A PATIENT'S OUTSTANDING BILLS FOR MULTIPLE EPISODES OF CARE BEFORE INITIATING ONE OR MORE ECAS, IT WILL REFRAIN FROM INITIATING THE ECAS UNTIL 120 DAYS AFTER IT PROVIDED THE FIRST POST-DISCHARGE BILLING STATEMENT FOR THE MOST RECENT EPISODE OF CARE."
SCHEDULE H, PART VI, LINE 2	THE COMMUNITY HEALTH NEEDS ASSESSMENTS, CONDUCTED IN 2016 FOR ALL PRESBYTERIAN HEALTHCARE SERVICES (PHS) HOSPITAL FACILITIES, ARE THE PRIMARY MEANS UTILIZED TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE. THESE ASSESSMENTS WERE THOROUGH, INCLUSIVE, AND CONDUCTED WITH HELP AND INPUT FROM COUNTY HEALTH COUNCILS, THE VOLUNTEER LEADERS THAT MAKE UP EACH OF PHS' HOSPITAL BOARDS OF DIRECTORS, COMMUNITY ORGANIZATIONS, COMMUNITY MEMBERS, AND REPRESENTATIVES FROM THE NEW MEXICO DEPARTMENT OF HEALTH. SCHEDULE H, PART VI, LINE 3 PRESBYTERIAN HEALTHCARE SERVICES (PHS) IS COMMITTED TO PROVIDING BENEFITS TO THE COMMUNITY. AS A NONPROFIT, CHARITABLE, COMMUNITY-BASED HEALTHCARE PROVIDER, PHS PROVIDES MEDICALLY NECESSARY SERVICES AT NO CHARGE OR AT A REDUCED CHARGE BASED ON A SLIDING SCALE TO PATIENTS WHO MEET THE SPECIFIC CRITERIA DEFINED IN OUR FINANCIAL ASSISTANCE POLICY. THESE CRITERIA ARE CONSISTENTLY APPLIED. PHS PATIENTS ARE ADVISED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH THE PLACEMENT OF APPROPRIATE SIGNAGE IN ENGLISH AND SPANISH AT ALL PHS PATIENT-CARE CENTERS. 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 PAYA 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. PRESBYTERIAN HEALTHCARE SERVICES, ALSO, PROVIDES INFORMATION REGARDING OUR FINANCIAL ASSISTANCE POLICY ON EVERY PATIENT BILLING STATEMENT, WHICH INCLUDES A PLAIN LANGUAGE SUMMARY OF OUR FINANCIAL ASSISTANCE PROGRAM. WE HAVE A ROBUST FINANCIAL COUNSELING PROGRAM THAT SEEKS TO ASSIST OUR PATIENTS WITH THE FINANCIAL NEEDS OF THEIR CARE, INCLUDING SEEKING COVERAGE AND ASSISTANCE WITH APPLYING FOR FINANCIAL ASSISTANCE. FINALLY, WE PROMINENTLY DISPLAY A LINK TO OUR FINANCIAL ASSISTANCE POLICY ON THE LANDING PAGE OF WWW.PHS.ORG.
SCHEDULE H, PART VI, LINE 4	PRESBYTERIAN HEALTHCARE SERVICES' (PHS) HEALTHCARE DELIVERY SYSTEM IS DIVIDED INTO THE CENTRAL NEW MEXICO DELIVERY SYSTEM (CDS) AND THE REGIONAL DELIVERY SYSTEM (RDS). THE CDS INCLUDES PRESBYTERIAN HOSPITAL, PRESBYTERIAN KASEMAN HOSPITAL, PRESBYTERIAN RUST MEDICAL CENTER, PRESBYTERIAN SANTA FE MEDICAL CENTER, AND NUMEROUS AMBULATORY CARE CLINICS SUPPORTING THESE FACILITIES IN THE FIVE-COUNTY METRO AREA. THIS FIVE-COUNTY AREA INCLUDES THE COUNTIES CONTAINING AND SURROUNDING ALBUQUERQUE: BERNALILLO, SANDOVAL, TORRANCE, AND VALENCIA; PLUS SANTA FE COUNTY. THE FIVE-COUNTY REGION ALSO CONTAINS TWO NATIVE AMERICAN RESERVATIONS AND THIRTEEN PUEBLOS. THE POPULATION IN THIS AREA TENDS TO BE MORE URBAN THAN MOST OF NEW MEXICO AND THE CITIZENS IN THIS AREA TEND TO HAVE MORE HEALTH CARE OPTIONS. THE CENTRAL NEW MEXICO REGION CONTAINS HUNDREDS OF PROVIDERS IN ALL SPECIALTIES. IT IS ALSO THE SITE OF STATE HEADQUARTERS FOR MANY NATIONAL HEALTH NON-PROFITS INCLUDING, THE AMERICAN CANCER SOCIETY, THE AMERICAN RED CROSS, THE AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, THE NATIONAL KIDNEY FOUNDATION, THE AMERICAN LIVER FOUNDATION, THE LUPUS FOUNDATION OF AMERICA, THE NATIONAL ALLIANCE ON MENTAL ILLNESS AND THE AMERICAN DIABETES ASSOCIATION. THERE ARE ALSO MANY LOCAL ORGANIZATIONS THAT ADDRESS HOMELESSNESS, YOUTH DEVELOPMENT, SUBSTANCE ABUSE, CANCER, SENIOR HEALTH, FAMILY PLANNING, DOMESTIC VIOLENCE, SEXUAL ASSAULT AND CHILD ABUSE. 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. APPROXIMATELY HALF OF THE RESIDENTS OF THE STATE IDENTIFY AS HISPANIC OR LATINO COMPARED TO A FIFTH OF THE NATIONAL POPULATION. HALF OF THE COUNTIES SERVED ACROSS THE ENTIRE DELIVERY SYSTEM HAVE HIGHER PERCENTAGES OF THE POPULATION LIVING IN LIMITED ENGLISH SPEAKING HOUSEHOLDS COMPARED TO THE REST OF THE STATE AND THE NATION. FOR DETAILED DESCRIPTIONS OF EACH OF THE UNIQUE GEOGRAPHIC AND DEMOGRAPHIC AREAS SERVED BY PHS, PLEASE REFER TO THE CORRESPONDING COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS AT WWW.PHS.ORG/COMMUNITY/COMMITTED-TO-COMMUNITY-HEALTH/.
SCHEDULE H, PART VI, LINE 5	COMMUNITY-BASED VOLUNTEER BOARDS ARE THE CORNERSTONE OF PRESBYTERIAN HEALTHCARE SERVICES' (PHS) GOVERNANCE SYSTEM. THE PHS BOARD, WITH KEY SUPPORTING COMMITTEES IN COMPLIANCE AND AUDIT, EXECUTIVE COMPENSATION, FINANCE, GOVERNANCE, AND QUALITY, IS ULTIMATELY RESPONSIBLE FOR THE ENTIRE SYSTEM. THE OVERALL GOVERNANCE STRUCTURE ALSO INCLUDES A VOLUNTEER BOARD OF TRUSTEES FOR EACH OF THE SERVICE AREAS OR HOSPITALS. THE HOSPITAL AFFILIATE BOARDS REPORT TO THE PHS BOARD, GOVERN IN THE COMMUNITIES WHERE THEY RESIDE, AND ARE CHARGED WITH ASSESSING AND ENSURING THE APPROPRIATENESS OF THE HEALTH CARE SERVICES PROVIDED. THE HOSPITALS' MEDICAL STAFFS ORGANIZE AND ENGAGE INDEPENDENT AND EMPLOYED PHYSICIANS IN HOSPITAL DECISION-MAKING, CREDENTIALING, AND OVERSIGHT OF QUALITY OF PATIENT CARE. PHYSICIANS ARE ACTIVE MEMBERS OF PRESBYTERIAN'S LEADERSHIP AND GOVERNING BOARDS, SERVING ON THE PHS BOARD OF DIRECTORS AND ITS COMMITTEES AS WELL AS PROVIDING OPERATIONAL AND CLINICAL LEADERSHIP. ALL PHS HOSPITALS MAINTAIN OPEN MEDICAL STAFFS AND PROVIDE 24-HOUR EMERGENCY CARE. ALL 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 $711 MILLION INTO LOCAL HEALTH CARE IN THE LAST FIVE YEARS ALONE. WE ARE CONTINUING TO REINVEST OUR FUNDS TO IMPROVE PATIENT ACCESS AND SAFETY THROUGH NEW, STATE-OF-THE-ART MEDICAL FACILITIES AND TECHNOLOGY SUCH AS PHARMACY AUTOMATION AND ELECTRONIC MEDICAL RECORDS. PHS HAS RECENTLY ANNOUNCED PLANS TO BUILD A NEW 11-STORY PATIENT TOWER AT THE DOWNTOWN HOSPITAL IN ORDER TO PROVIDE IMPROVED ACCESS TO CARE AND A BETTER PATIENT EXPERIENCE. THIS MAJOR NEW ADDITION WILL BE COMPLETED IN 2022.
SCHEDULE H, PART VI, LINE 6	PRESBYTERIAN HEALTHCARE SERVICES (PHS) IS A NONPROFIT INTEGRATED HEALTH CARE SYSTEM THAT HAS SERVED THE STATE OF NEW MEXICO FOR MORE THAN 110 YEARS. PHS PROVIDES PATIENTS WITH PREVENTATIVE, DIAGNOSTIC, AND TREATMENT SERVICES IN HOSPITALS AND AMBULATORY FACILITIES THROUGHOUT NEW MEXICO AND EMPLOYS PHYSICIANS AND ADVANCE PRACTICE CLINICIANS SUCH AS NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS IN 42 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 ADVANCE PRACTICE CLINICIANS 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 MORE THAN 535,000 MEMBERS THROUGHOUT NEW MEXICO, INCLUDING INDIVIDUALS ENROLLED IN MEDICAID MANAGED CARE. THE PHP NETWORK IS COMPRISED OF PHS OWNED AND OPERATED FACILITIES AND EMPLOYED PRACTITIONERS AS WELL AS INDEPENDENT HOSPITALS AND PRACTITIONERS THROUGHOUT THE STATE.
SCHEDULE H, PART VI, LINE 7	PRESBYTERIAN HEALTHCARE SERVICES (PHS) PUBLISHES A REPORT TO THE COMMUNITY ANNUALLY. THIS REPORT IS DISTRIBUTED TO COMMUNITY LEADERS THROUGHOUT THE STATE OF NEW MEXICO AND IS AVAILABLE ON OUR WEBSITE. IN ADDITION, PHS FILES A COPY OF ITS COMPLETE FORM 990, WHICH INCLUDES COMMUNITY BENEFIT INFORMATION, WITH THE NEW MEXICO ATTORNEY GENERAL'S OFFICE.

Schedule H (Form 990) 2018

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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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) ALBUQUERQUE HEALTHCARE FOR THE HOMELESS PO BOX 25445 ALBUQUERQUE,NM87105	85-0368993	501(C)(3)	68,950	HEALTH IMPROVEMENT GENERAL COMMUNITY
(2) AMERICAN CANCER SOCIETY PO BOX 2856 CLOVIS,NM88102	13-1788491	501(C)(3)	11,459	HEALTH IMPROVEMENT GENERAL COMMUNITY
(3) AMERICAN LUNG ASSOCIATION 5911 JEFFERSON ST NE ALBUQUERQUE,NM87109	86-0111676	501(c)(3)	6,000	HEALTH IMPROVEMENT FOR THE UNDERSERVED
(4) ARCHDIOSESE OF SANTA FE 4000 Saint Josephs Place ALBUQUERQUE,NM87120	85-0213561	501(c)(3)	10,000	PROMOTE ECONOMIC DEVELOPMENT
(5) ASSOCIATION OF COMMERCE AND INDUSTRY PO BOX 9706 ALBUQUERQUE,NM87119	85-0124357	501(C)(3)	10,000	PROMOTE ECONOMIC DEVELOPMENT
(6) CNM FOUNDATION 525 Buena Vista SE ALBUQUERQUE,NM87106	85-0338623	501(c)(3)	7,500	GENERAL SUPPORT GENERAL COMMUNITY
(7) GREATER ALBUQUERQUE CHAMBER OF COMMERCE 115 Gold Ave SW Ste 201 ALBUQUERQUE,NM87102	85-0018940	501(C)(3)	7,650
(8) LINCOLN COUNTY MEDICAL CENTER FOUNDATION PO Box 503 ALTO,NM88312	32-0074025	501(C)(3)	1,571,950
(9) MARCH OF DIMES 7007 Wyoming Blvd Ne ALBUQUERQUE,NM87109	13-1846366	501(C)(3)	10,000
(10) NEW MEXICO CENTER FOR NURSING EXCELLENCE PO BOX 92048 ALBUQUERQUE,NM87110	85-0463326	501(C)(3)	11,875
(11) QUALITY NEW MEXICO PO BOX 25005 ALBUQUERQUE,NM87125	85-0433782	501(C)(3)	10,000
(12) RIO ARRIBA COUNTY TREATMENT 1101 Industrial Park Rd ESPAOLA,NM87532	85-0423951	501(C)(3)	522,729
(13) SANTA FE CHAMBER OF COMMERCE 12425 HIGHWAY 6 STE 1 SANTA FE,TX77510	76-0138639	501(C)(6)	5,361
(14) UNITED WAY OF EASTERN NM 1200 N THORNTON ST STE G CLOVIS,NM88101	23-7109243	501(C)(3)	10,650
(15) UNITED WAY OF SANTA FE COUNTY 6401 RICHARDS AVE SANTA FE,NM88101	85-0163601	501(C)(3)	12,500
(16) WESST 609 BROADWAY BLVD NE ALBUQUERQUE,NM87102	85-0367809	501(C)(3)	22,500
(17) PRESBYTERIAN HEALTHCARE FOUNDATION PO BOX 26666 ALBUQUERQUE,NM87125	85-6016041	501(C)(3)	377,500

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) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) DAY OF SERVICE - HEALTH EDUCATION	7500		185,356	COST	EDUCATION
(2) various - fLU SHOT CLINICS	5000		50,000	COST	FLU SHOTS
(3) VARIOUS - PROVIDE MEALS TO INDIGENT PATIENTS	3331		4,997	cost	meals
(4) VARIOUS - SCHOLARSHIPS	12	10,530			NURSING SCHOLARSHIPS
(5) VARIOUS - HEALTH FAIRS IN RURAL LOCATIONS	1323		6,617	COST	SUPPLIES
(6) VARIOUS - INDIGENT TRANSPORTATION	262		35,607	COST	TRANSPORTATION
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

SCHEDULE I, PART I, LINE 2

PRESBYTERIAN HEALTHCARE SERVICES (PHS) MONITORS ALL ORGANIZATIONS THAT RECEIVE GRANT FUNDS. THE PRESBYTERIAN SENIOR LEADER SUBMITTING OR PROPOSING THE GRANT REQUEST REPORTS BACK TO PHS ON THE OUTCOMES RELATING TO THE GRANT FUNDS. GRANT FUNDS ARE ONLY MADE AVAILABLE TO CONFIRMED 501(C)(3) OR SIMILAR ORGANIZATIONS, GOVERNMENT ENTITIES, AND FOR A FEW SMALL SCHOLARSHIPS, TO INDIVIDUAL STUDENTS OR EDUCATIONAL INSTITUTIONS.

Schedule I (Form 990) 2018

Additional Data

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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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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 on 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 .........

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

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 on 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? .............

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

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

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

Were any amounts reported on 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" on 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) 2018

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 on 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 in column (B) reported as deferred on 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)
1ANGELA GALLEGOS-MACIAS MD DIRECTOR	(i) (ii)	290,557 ------------- 0	46,687 ------------- 0	39,914 ------------- 0	17,181 ------------- 0	19,839 ------------- 0	414,178 ------------- 0	0 ------------- 0
2DALE MAXWELL PRESIDENT & CEO/DIRECTOR	(i) (ii)	1,173,441 ------------- 0	332,894 ------------- 0	31,111 ------------- 0	206,055 ------------- 141,874	20,945 ------------- 0	1,764,446 ------------- 141,874	0 ------------- 0
3ROGER A LARSEN SVP & CFO/TREASURER	(i) (ii)	609,020 ------------- 0	163,333 ------------- 0	4,886 ------------- 0	7,738 ------------- 0	21,043 ------------- 0	806,020 ------------- 0	0 ------------- 0
4TRAVIS COLLIER SPECIAL COUNSEL/SECRETARY	(i) (ii)	297,210 ------------- 0	50,000 ------------- 0	7,805 ------------- 0	11,170 ------------- 0	12,902 ------------- 0	379,087 ------------- 0	0 ------------- 0
5HECTOR ARREDONDO MD PRESIDENT - PMG - PHS	(i) (ii)	429,185 ------------- 0	98,577 ------------- 0	18,696 ------------- 0	------------- 0	17,185 ------------- 0	563,643 ------------- 0	0 ------------- 0
6WILLIAM BROWN MD MEDICAL DIRECTOR - SURGERY	(i) (ii)	403,741 ------------- 0	58,941 ------------- 0	17,369 ------------- 0	14,736 ------------- 0	26,013 ------------- 0	520,800 ------------- 0	0 ------------- 0
7TROY CLARK VP - OPERATIONS - RDS	(i) (ii)	229,106 ------------- 0	27,379 ------------- 0	20,250 ------------- 0	8,290 ------------- 0	24,678 ------------- 0	309,703 ------------- 0	0 ------------- 0
8KATHLEEN DAVIS RN SVP/PATIENT CARE SVCS - CNO	(i) (ii)	393,596 ------------- 0	92,846 ------------- 0	10,058 ------------- 0	55,047 ------------- 0	26,790 ------------- 0	578,337 ------------- 0	0 ------------- 0
9DION GALLANT MD MEDICAL DIR. - PRIMARY CARE	(i) (ii)	310,998 ------------- 0	43,116 ------------- 0	33,913 ------------- 0	-4,501 ------------- 0	3,438 ------------- 0	386,964 ------------- 0	0 ------------- 0
10DENISE GONZALES MD MED. DIR.- ADULT MED SPECIALTY	(i) (ii)	368,485 ------------- 0	37,218 ------------- 0	50,050 ------------- 0	14,033 ------------- 0	26,184 ------------- 0	495,970 ------------- 0	0 ------------- 0
11CAROLYN GREEN RN VP - CHIEF PDS NURSING OFFICER	(i) (ii)	236,754 ------------- 0	37,664 ------------- 0	4,966 ------------- 0	10,698 ------------- 0	2,398 ------------- 0	292,480 ------------- 0	0 ------------- 0
12CLAY HOLDERMAN EVP - CHIEF OPERATING OFFICER	(i) (ii)	616,182 ------------- 0	134,924 ------------- 0	22,217 ------------- 0	101,039 ------------- 0	27,243 ------------- 0	901,605 ------------- 0	0 ------------- 0
13DEVON HYDE HOSPITAL CHIEF EXECUTIVE - PH	(i) (ii)	308,762 ------------- 0	30,000 ------------- 0	688 ------------- 0	16,654 ------------- 0	7,582 ------------- 0	363,686 ------------- 0	0 ------------- 0
14SONY JACOB SVP - I.T. (TERMED: 3/9/2018)	(i) (ii)	104,371 ------------- 0	86,427 ------------- 0	374 ------------- 0	7,504 ------------- 0	7,547 ------------- 0	206,223 ------------- 0	0 ------------- 0
15JIM JEPPSON VP - REAL ESTATE	(i) (ii)	213,228 ------------- 0	27,131 ------------- 0	4,703 ------------- 0	-16,666 ------------- 0	19,881 ------------- 0	248,277 ------------- 0	0 ------------- 0
16JASON MITCHELL MD CHIEF CLINICAL TRANSFORMATION	(i) (ii)	506,088 ------------- 0	114,628 ------------- 0	2,435 ------------- 0	24,966 ------------- 0	26,822 ------------- 0	674,939 ------------- 0	0 ------------- 0
17SANDRA PODLEY SVP - HOSPITAL OPERATIONS	(i) (ii)	368,251 ------------- 0	56,219 ------------- 0	8,119 ------------- 0	15,796 ------------- 0	12,311 ------------- 0	460,696 ------------- 0	0 ------------- 0
18MARK R ROBINSON SVP - CHIEF INNOVATION OFFICER	(i) (ii)	354,935 ------------- 0	100,299 ------------- 0	3,537 ------------- 0	14,498 ------------- 0	20,758 ------------- 0	494,027 ------------- 0	0 ------------- 0
19TODD SANDMAN SVP - CHIEF STRATEGY OFFICER	(i) (ii)	342,917 ------------- 0	76,457 ------------- 0	8,887 ------------- 0	6,056 ------------- 0	26,144 ------------- 0	460,461 ------------- 0	0 ------------- 0
20DARREN M SHAFER MD EXEC. MEDICAL DIRECTOR - PMG	(i) (ii)	342,341 ------------- 0	44,721 ------------- 0	9,232 ------------- 0	190 ------------- 0	22,285 ------------- 0	418,769 ------------- 0	0 ------------- 0
21JOANNE SUFFIS SVP - HUMAN RESOURCES	(i) (ii)	378,419 ------------- 0	85,451 ------------- 0	17,108 ------------- 0	17,919 ------------- 0	21,736 ------------- 0	520,633 ------------- 0	0 ------------- 0
22ELIZABETH TIBBS CHIEF OPERATIONS OFFICER - PMG	(i) (ii)	291,062 ------------- 0	48,191 ------------- 0	1,301 ------------- 0	7,566 ------------- 0	24,695 ------------- 0	372,815 ------------- 0	0 ------------- 0
23ANGELA WARD HOSPITAL CHIEF EXECUTIVE - RMC	(i) (ii)	205,025 ------------- 0	23,342 ------------- 0	8,846 ------------- 0	7,117 ------------- 0	10,036 ------------- 0	254,366 ------------- 0	0 ------------- 0
24JAVED KHADER ELIYAS MD NEUROSURGEON	(i) (ii)	628,315 ------------- 0	29,522 ------------- 0	231,064 ------------- 0	27,540 ------------- 0	10,248 ------------- 0	926,689 ------------- 0	0 ------------- 0
25JUAN J HERNANDEZ MALDONADO MD CARDIO-THORACIC SURGEON	(i) (ii)	871,902 ------------- 0	------------- 0	3,612 ------------- 0	27,237 ------------- 0	12,284 ------------- 0	915,035 ------------- 0	0 ------------- 0
26CARL J GILMORE MD CHIEF MEDICAL OFFICER - RMC	(i) (ii)	719,286 ------------- 0	98,803 ------------- 0	574 ------------- 0	31,040 ------------- 0	26,167 ------------- 0	875,870 ------------- 0	0 ------------- 0
27ROBERT FEDERICI MD MEDICAL DIRECTOR - HEART	(i) (ii)	723,356 ------------- 0	84,788 ------------- 0	6,126 ------------- 0	25,598 ------------- 0	26,776 ------------- 0	866,644 ------------- 0	0 ------------- 0
28ABDO SAAD MD MEDICAL DIRECTOR - CLINIC	(i) (ii)	598,991 ------------- 0	195,089 ------------- 0	560 ------------- 0	27,860 ------------- 0	10,927 ------------- 0	833,427 ------------- 0	0 ------------- 0
29DOYLE BOYKIN HOSPITAL CHIEF EXECUTIVE - KPH	(i) (ii)	190,341 ------------- 0	23,453 ------------- 0	2,857 ------------- 0	-31,920 ------------- 0	14,439 ------------- 0	199,170 ------------- 0	0 ------------- 0
30ROBIN DIVINE VP - EMERGING BUS. DEVELOPMENT	(i) (ii)	0 ------------- 218,777	0 ------------- 35,659	0 ------------- 4,475	0 ------------- 4,181	0 ------------- 11,989	0 ------------- 275,081	0 ------------- 0
31JAYNE MCCORMICK MD MEDICAL DIRECTOR - HOSPICE	(i) (ii)	297,568 ------------- 0	40,693 ------------- 0	4,362 ------------- 0	10,747 ------------- 0	18,239 ------------- 0	371,609 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

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.

Return Reference

Explanation

SCHEDULE J, PART II

ANGELA GALLEGOS-MACIAS WAS COMPENSATED BY PRESBYTERIAN HEALTHCARE SERVICES AS AN EMPLOYED PHYSICIAN. AS A BOARD MEMBER OF PHS, SHE RECEIVED A $5,000 STIPEND IN 2018; WHICH IS INCLUDED IN OTHER REPORTABLE COMPENSATION AND WAS REPORTED ON HER FORM W-2. MICHAEL ARCHIBECK, BRIAN BURNETT, SANDRA BEGAY, LARRY CLEVENGER, FRANK FIGUEROA, KIRBY JEFFERSON, AARON MARTIN, CYNTHIA SCHULTZ, RISHI SIKKA, JENNIFER THOMAS & KATHIE WINOGRAD RECEIVED STIPEND PAYMENTS IN 2018 FOR THEIR BOARD SERVICE TO PHS. EACH RECEIVED A FORM 1099 REPORTING THIS COMPENSATION, AS REQUIRED. IN ADDITION TO THE $4,000 MICHAEL ARCHIBECK RECEIVED FROM PRESBYTERIAN HEALTHCARE SERVICES (PHS) AS A STIPEND FOR BOARD PARTICIPATION; HE ALSO RECEIVED $20,652 FOR SERVICES PROVIDED AS A MEDICAL DIRECTOR IN A PHS HOSPITAL. THE TOTAL AMOUNT OF $24,652 IS REPORTED ON FORM 990, PART VII, AS REQUIRED, AND WAS REPORTED TO DR. ARCHIBECK ON A FORM 1099-MISC FOR 2018. DALE MAXWELL IS A PARTICIPANT IN A RETENTION AGREEMENT. IN 2018, $141,874 WAS DEFERRED UNDER THIS AGREEMENT FOR MR. MAXWELL BY THE REPORTING ORGANIZATION AND $141,874 WAS DEFERRED BY A RELATED ORGANIZATION. THESE AMOUNTS ARE INCLUDED IN THE REPORTED DEFERRED COMPENSATION. KATHLEEN DAVIS IS A PARTICIPANT IN A RETENTION AGREEEMENT. IN 2018, $52,650 WAS DEFERRED UNDER THIS AGREEMENT FOR MS. DAVIS. THIS AMOUNT IS INCLUDED IN THE REPORTED DEFERRED COMPENSATION AMOUNT. CLAY HOLDERMAN IS A PARTICIPANT IN A RETENTION AGREEEMENT. IN 2018, $72,000 WAS DEFERRED UNDER THIS AGREEMENT FOR MR. HOLDERMAN. THIS AMOUNT IS INCLUDED IN THE REPORTED DEFERRED COMPENSATION AMOUNT. DOYLE BOYKIN AND JAYNE MCCORMICK WERE COMPENSATED AS CURRENT EMPLOYEES OF PHS IN 2018. IN ONE OR MORE OF THE FIVE PRIOR YEARS, THEIR ACTIVITIES OR RESPONSIBILITIES QUALIFIED THEM AS KEY EMPLOYEES, DIRECTORS, OR OFFICERS AND THEY WERE REPORTED AS SUCH. IN 2018, 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, OFFICER, OR DIRECTOR, AND SO THEY ARE INCLUDED ON FORM 990, PART VII, AND ON SCHEDULE J AS ALSO REQUIRED. ROBIN DIVINE WAS COMPENSATED AS A CURRENT EMPLOYEE OF A RELATED ORGANIZATION. IN ONE OR MORE OF THE FIVE PRIOR YEARS SHE WAS COMPENSATED AS AN EMPLOYEE OF PHS, HER ACTIVITIES OR RESPONSIBILITIES QUALIFIED HER AS A KEY EMPLOYEE, DIRECTOR, OR OFFICER AND SHE WAS REPORTED AS SUCH. IN 2018, SHE DID NOT MEET THE KEY EMPLOYEE THRESHOLD OR WAS NOT AN OFFICER, BUT HER COMPENSATION EXCEEDED THE MINIMUM REQUIREMENT FOR REPORTING AS A FORMER KEY EMPLOYEE, OFFICER, OR DIRECTOR, AND SO SHE IS INCLUDED ON FORM 990, PART VII, AND ON SCHEDULE J AS ALSO REQUIRED.

Schedule J (Form 990) 2018

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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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	647370EM3	11-25-2008	384,259,646	SEE PART VI		X		X		X
B	NMHELC (SEE PART VI)	85-0334237	647370FM2	08-30-2012	78,843,000	SEE PART VI		X		X		X
C	NMHELC (SEE PART VI)	85-0334237	647370GX7	05-19-2015	258,971,659	SEE PART VI		X		X		X
D	NMHELC (SEE PART VI)	85-0334237	647370HX6	05-11-2017	247,584,646	SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	215,920,000		0		18,965,000		385,000
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	384,327,212		78,867,224		259,146,061		248,315,396
4 Gross proceeds in reserve funds .............	0		0		0		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	3,755,751		1,181,950		2,214,705		2,149,051
8 Credit enhancement from proceeds .............	290,832		0		0		0
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	32,201,275		77,685,274		118,031,287		87,547,047
11 Other spent proceeds .............	348,079,354		0		138,900,069		145,435,595
12 Other unspent proceeds .............	0		0		0		13,183,703
13 Year of substantial completion .............	2009		2015		2018
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X			X		X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X	X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		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		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2018

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		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		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		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		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 ....	0.600 %		0.300 %		0 %		0 %
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 .........	0.100 %
6 Total of lines 4 and 5 .............	0.700 %		0.300 %
7 Does the bond issue meet the private security or payment test? ...		X		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		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		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		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X	X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X		X			X		X
If "Yes" to 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		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X			X		X		X
b Name of provider ..........	SEE Part VI		0		0		0
c Term of hedge .........	25 %
d Was the hedge superintegrated? ......		X
e Was the hedge terminated? ........		X

Schedule K (Form 990) 2018

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		X
b Name of provider ..........	0		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
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

SCHEDULE K, PART I, LINE A

COLUMN A - NEW MEXICO HOSPITAL EQUIPMENT LOAN COUNCIL REVENUE BONDS (PRESBYTERIAN HEALTHCARE SERVICES), SERIES 2008A (RETIRED), 2008B, 2008C, AND 2008D. COLUMN F - REFUND BONDS ISSUED 7/28/05 AND 3/28/08 AND FINANCE NEW FACILITIES. SCHEDULE K, PART I, LINE B COLUMN A - NEW MEXICO HOSPITAL EQUIPMENT LOAN COUNCIL REVENUE BONDS (PRESBYTERIAN HEALTHCARE SERVICES), SERIES 2012A. COLUMN F - CONSTRUCTION, ACQUISITION, AND EQUIPMENT OF EXISTING HOSPITAL FACILITIES. SCHEDULE K, PART I, LINE C COLUMN A - NEW MEXICO HOSPITAL EQUIPMENT LOAN COUNCIL REVENUE BONDS (PRESBYTERIAN HEALTHCARE SERVICES), SERIES 2015A. COLUMN F - REFUND SERIES 2008A BONDS, ISSUED 11/25/2008 & CONSTRUCTION, ACQUISITION, AND EQUIPMENT OF EXISTING HOSPITAL FACILITES. SCHEDULE K, PART I, LINE D COLUMN A - NEW MEXICO HOSPITAL EQUIPMENT LOAN COUNCIL REVENUE BONDS (PRESBYTERIAN HEALTHCARE SERVICES), SERIES 2017A. COLUMN F - DEFEASE SERIES 2009A BONDS, ISSUED 9/24/2009 & CONSTRUCTION, ACQUISITION AND EQUIPMENT OF NEW HOSPITAL FACILITIES. SCHEDULE K, PART II, LINE 3, COLUMN A INCLUDES INVESTMENT EARNINGS OF $67,566. SCHEDULE K, PART II, LINE 3, COLUMN B INCLUDES INVESTMENT EARNINGS OF $24,224. SCHEDULE K, PART II, LINE 3, COLUMN C INCLUDES INVESTMENT EARNINGS OF $174,402. SCHEDULE K, PART II, LINE 3, COLUMN D INCLUDES INVESTMENT EARNINGS OF $730,750. SCHEDULE K, PART II, LINE 11, COLUMN A $348,079,354 OF PROCEEDS WAS SPENT TO CURRENTLY REFUND BONDS ISSUED 7/28/05 AND 3/28/08. SCHEDULE K, PART II, LINE 11, COLUMN C $138,900,069 OF PROCEEDS WAS SPENT TO ADVANCE REFUND BONDS ISSUED 11/25/2008 (SERIES A). SCHEDULE K, PART II, LINE 3, COLUMN D $145,435,595 OF PROCEEDS WAS SPENT TO ADVANCE REFUND BONDS ISSUED 09/24/2009. SCHEDULE K, PART IV, LINE 2C COLUMN A - NOVEMBER 12, 2012 COLUMN B - JUNE, 2017 SCHEDULE K, PART IV, LINE 4B, COLUMN A GOLDMAN SACHS MITSUI MARINE DERIVATIVE PRODUCTS, L.P.

Schedule K (Form 990) 2018

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.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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	9	243,104	FMV
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......	X		6,428	FMV
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 .....	X	1	1,500	FMV
19 Food inventory ...	X	2	2,239	FMV
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( GIFT BASKETS )	X	4	2,200	FMV
26 Other ( GIFT CARDS / TICKETS )	X	1	25	FMV
27 Other ( )
28 Other ( )

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 through 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 nonstandard 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) (2018)

Page 2

Part II

Supplemental Information. 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.

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

Schedule M (Form 990) (2018)

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

PRESBYTERIAN HEALTHCARE SERVICES

Employer identification number

85-0105601

Return Reference	Explanation
FORM 990, PART I, LINE 1	IN A STATE WHERE MORE THAN 50 PERCENT OF THE POPULATION IS EITHER UNINSURED OR COVERED THROUGH THE MEDICAID PROGRAM, PRESBYTERIAN HEALTHCARE SERVICES AND ITS AFFILIATES SERVED MORE THAN 812,000 NEW MEXICANS IN 2018 AND PROVIDED OVER $255,040,000 IN UNCOMPENSATED HEALTHCARE SERVICES. FORM 990, PART I, LINE 6 THE PRESBYTERIAN HEALTHCARE SERVICES' (PHS) VOLUNTEERS ARE UNPAID WORKERS PROVIDING PROFESSIONAL AND EMPATHETIC SERVICE TO PATIENTS, STAFF, PHYSICIANS AND THE COMMUNITY IN A MANNER CONSISTENT WITH THE GOALS AND OBJECTIVES OF PHS. PHS VOLUNTEERS ARE GOVERNED BY A BOARD WHICH OVERSEES THE REVENUE AND EXPENSES ASSOCIATED WITH THE DEPARTMENT. THIS BOARD ACTS IN AN ADVISORY ROLE TO THE PHS 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 OVER 120 VOLUNTEER DIRECTORS SERVING ON THE BOARDS AND BOARD COMMITTEES AT ITS INDIVIDUAL HOSPITALS. THESE DIRECTORS COME FROM THE COMMUNITIES IN WHICH THE HOSPITAL FACILITIES ARE LOCATED.
FORM 990, PART III, LINE 4	PRESBYTERIAN HEALTHCARE SERVICES (PHS) WAS FOUNDED IN ALBUQUERQUE, NEW MEXICO, IN 1908 AS A HAVEN FOR TUBERCULOSIS PATIENTS. IN THE 110 YEARS SINCE, PRESBYTERIAN HAS GROWN TO INCLUDE NINE HOSPITALS, A HEALTH PLAN, AND A PHYSICIANS GROUP, AND NOW HELPS MORE THAN ONE IN THREE NEW MEXICANS WITH THEIR HEALTHCARE NEEDS. IN 2018 ALONE, MORE THAN 812,700 NEW MEXICANS VISITED OUR HOSPITALS AND CLINICS OR WERE MEMBERS OF OUR HEALTH PLAN. WE HAVE REMAINED NOT-FOR-PROFIT AND COMMITTED TO COMMUNITIES THROUGHOUT NEW MEXICO, CONTINUALLY REINVESTING IN BETTER HEALTHCARE SERVICES. WE ARE THE LARGEST PRIVATE EMPLOYER IN THE STATE, WITH MORE THAN 12,000 EMPLOYEES, AND TAKE THIS ROLE AND ITS RESPONSIBILITIES SERIOUSLY. COMMUNITY-BASED BOARDS OF TRUSTEES FORM THE CORNERSTONE OF PRESBYTERIAN'S GOVERNANCE SYSTEM. THE PRESBYTERIAN HEALTHCARE SERVICES BOARD OF DIRECTORS, WITH KEY SUPPORTING COMMITTEES IN COMPLIANCE AND AUDIT, FINANCE (INCLUDING THE INVESTMENT SUB-COMMITTEE), GOVERNANCE, AND QUALITY, GOVERNS THE ENTIRE PRESBYTERIAN SYSTEM. THE OVERALL GOVERNANCE STRUCTURE ALSO INCLUDES A COMMUNITY BOARD OF TRUSTEES FOR THE HOSPITALS IN CENTRAL NEW MEXICO AND FOR EACH OF THE HOSPITALS IN THE SYSTEM OUTSIDE OF CENTRAL NEW MEXICO. BOARD MEMBERS GOVERN IN THE COMMUNITIES WHERE THEY RESIDE AND PLAY A KEY ROLE IN ASSESSING AND ENSURING THE APPROPRIATENESS OF THE HEALTHCARE SERVICES PRESBYTERIAN PROVIDES. PRESBYTERIAN'S BOARDS MAINTAIN HIGH STANDARDS FOR QUALITY AND LEADERSHIP, AND EVERY BOARD MEMBER IS REQUIRED TO COMPLETE COMPLIANCE TRAINING AND A CONFLICT-OF-INTEREST STATEMENT, AS WELL AS COMPLY WITH PRESBYTERIAN'S CODE OF CONDUCT. PRESBYTERIAN IS A LEADER IN INTEGRATED HEALTHCARE THROUGH ITS HOSPITALS, HEALTH PLAN, AND MEDICAL GROUP OF PRIMARY CARE AND SPECIALTY PHYSICIANS AND ADVANCE PRACTICE CLINICIANS. 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. IN 2018, PRESBYTERIAN CONTINUED TO EXPAND THE CAPABILITY OF OUR INTEGRATED ELECTRONIC HEALTH RECORD, WHICH WAS IMPLEMENTED ACROSS OUR HOSPITALS AND CLINICS IN 2013 AND 2014. WE CONTINUE TO EXPAND THE USE OF MYCHART, WHICH GIVES PATIENTS ELECTRONIC ACCESS TO THEIR HEALTH RECORDS, AS WELL AS THE ABILITY TO COMMUNICATE ELECTRONICALLY WITH THEIR CARE TEAMS, REQUEST PRESCRIPTION REFILLS AND SCHEDULE APPOINTMENTS. PRESBYTERIAN REMAINED AMONG THE NATIONAL LEADERS IN INNOVATIVE HEALTHCARE DELIVERY METHODS AND CELEBRATED THE TENTH ANNIVERSARY OF ITS HOSPITAL AT HOME PROGRAM, ESTABLISHED IN PARTNERSHIP WITH JOHNS HOPKINS UNIVERSITY IN 2008. THE PROGRAM HAS PRESBYTERIAN CLINICIANS DELIVERING HOSPITAL-LEVEL CARE IN PATIENTS' HOMES. IN ITS TENTH YEAR, RESULTS INCLUDE LOWERING READMISSION RATES, MEETING KEY QUALITY OUTCOMES AND ACHIEVING 100 PERCENT SATISFACTION AMONG PATIENTS. PRESBYTERIAN IS ALSO A LEADER IN PALLIATIVE CARE, WHICH IS SPECIALIZED MEDICAL CARE THAT FOCUSES ON RELIEVING THE SYMPTOMS AND STRESS OF A SERIOUS ILLNESS. OUR HEALTHCARE AT HOME TEAM'S INNOVATIVE APPROACH TO PROVIDING PALLIATIVE CARE SERVICES IN INPATIENT, CLINIC AND HOME SETTINGS HAS BEEN RECOGNIZED BY THE CENTER TO ADVANCE PALLIATIVE CARE, AND THE TEAM IS NOW SHARING THEIR EXPERTISE WITH HEALTH SYSTEMS ACROSS THE COUNTRY AS ONE OF NINE PALLIATIVE CARE LEADERSHIP CENTERS. PRESBYTERIAN HAS BEEN INVOLVED FOR YEARS IN TRYING TO REVERSE THE OPIOID CRISIS FOR OUR COMMUNITY AND CARING FOR PEOPLE WHO ENTER OUR HOSPITALS AND CLINICS WITH ISSUES RELATED TO THIS NATIONAL PROBLEM. IN 2017, PRESBYTERIAN EMBARKED ON AN INNOVATIVE, SYSTEM-WIDE EFFORT TO STRENGTHEN OUR APPROACH AND IMPROVE OUTCOMES FOR PATIENTS, FAMILIES AND MEMBERS AFFECTED BY SUBSTANCE USE DISORDERS AND ADDICTIONS. IN 2018, THIS EFFORT CONTINUED TO EXPAND WITH NEW EDUCATIONAL OPPORTUNITIES FOR CLINICIANS AND SERVICES FOR PATIENTS. KEY COMPONENTS OF THE INITIATIVE INCLUDE THE CREATION OF AN INPATIENT ADDICTIONS CONSULT LIAISON TEAM (INCLUDING PEER SUPPORT) THAT IS AVAILABLE FOR CONSULTATIONS AT SEVERAL OF OUR HOSPITALS, IMPLEMENTING PROTOCOLS FOR SUBSTANCE USE TREATMENT THROUGH OUR ELECTRONIC HEALTH RECORD, AND EDUCATION AND ONGOING ASSISTANCE FOR CLINICIANS ON HOW TO BEST TREAT AND REFER INDIVIDUALS WITH SUBSTANCE USE DISORDERS. IN AN EFFORT TO IMPROVE THE HEALTH AND WELL-BEING OF NEW MEXICO'S CHILDREN, PRESBYTERIAN AND THE UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER BEGAN A PARTNERSHIP IN 2018 TO PURSUE SUSTAINABLE ACCESS TO PEDIATRIC SPECIALTY CARE. THE PARTNERSHIP SEEKS TO IMPROVE COORDINATION OF CARE, HEALTH OUTCOMES AND EXPERIENCES FOR CHILDREN AND THEIR FAMILIES ACROSS NEW MEXICO AS WELL AS RECRUITMENT AND RETENTION OF PEDIATRIC SPECIALISTS. AS THE LARGEST INTEGRATED HEALTH CARE SYSTEM IN NEW MEXICO, PRESBYTERIAN SERVES BOTH URBAN AND RURAL POPULATIONS. WE BELIEVE CREATING NON-TRADITIONAL APPROACHES TO ACCESSING HEALTH CARE IS CRITICAL TO OUR PATIENTS. TO THAT END, PRESBYTERIAN PROVIDES PATIENTS AND MEMBERS CONVENIENT, TIMELY CARE WITHOUT HAVING TO LEAVE THEIR HOME COMMUNITIES. FOR PRESBYTERIAN HEALTH PLAN MEMBERS, VIDEO VISITS ARE AVAILABLE 24 HOURS A DAY FOR COMMON HEALTH ISSUES VIA A COMPUTER WITH A WEBCAM, TABLET OR SMARTPHONE. PATIENTS ALSO HAVE THE OPTION OF ONLINE VISITS, WHICH HELP AVOID UNNECESSARY OFFICE VISITS FOR COMMON CONDITIONS SUCH AS FLU, BLADDER INFECTION, RASHES OR SORE THROAT. PRESBYTERIAN'S TELEHEALTH OFFERINGS NOW INCLUDE TELEHEALTH BEHAVIORAL HEALTH TRIAGE SUPPORT IN SEVERAL EMERGENCY DEPARTMENTS AND DISEASE MANAGEMENT CONSULTS FOR MEDICAID MEMBERS. SEVERAL TELEHEALTH PROGRAMS SERVE OUR RURAL POPULATIONS, SUCH AS TELE-CRITICAL CARE, WHICH PROVIDES VIRTUAL CRITICAL CARE FOR THE COMMUNITY, AND A TELEHEALTH DIABETES SELF-MANAGEMENT PROGRAM. IN ADDITION, AS PART OF PRESBYTERIAN'S EFFORTS TO PROVIDE EDUCATION FOR CLINICIANS ON HOW TO CARE FOR PATIENTS WITH SUBSTANCE USE DISORDER, A FREE WEEKLY PAIN PROJECT ECHO TELEHEALTH PROGRAM IS AVAILABLE TO MENTOR AND SUPPORT PROVIDERS ACROSS THE STATE. PRESBYTERIAN IS INTENSELY FOCUSED ON A STRATEGIC APPROACH TO POPULATION HEALTH, WITH THE GOAL OF CREATING JOINT VALUE-BASED CARE APPROACHES ACROSS THE ORGANIZATION. THIS HAS YIELDED MANY SUCCESSFUL INITIATIVES TO DELIVER EFFECTIVE CARE FOR OUR PATIENTS WHILE LOWERING COSTS. ONE EXAMPLE IS COMPLETE CARE, WHICH FOCUSES ON SELECT PRESBYTERIAN HEALTH PLAN MEMBERS WITH THE MOST SERIOUS ILLNESSES COMPLETE CARE OFFERS PATIENTS WITH SERIOUS ILLNESSES A HIGH-TOUCH APPROACH THAT INCLUDES A 24/7 LINE TO CALL FOR HELP, SOCIAL WORK SUPPORT, NURSE CASE MANAGEMENT, AS WELL AS PRIMARY, URGENT, PALLIATIVE AND HOSPITAL-LEVEL CARE IN THEIR HOMES. SO FAR, THE PROGRAM HAS SEEN LOWER READMISSION AND HOSPITALIZATION RATES, MANY AVOIDED EMERGENCY DEPARTMENT VISITS AND SIGNIFICANT MONTHLY SAVINGS PER MEMBER. FROM JANUARY 2015 THROUGH DECEMBER 2018, COMPLETE CARE REDUCED THE COST OF CARE BY 38 PERCENT COMPARED WITH PREDICTED COSTS FOR SIMILAR PATIENTS, AND 98 PERCENT OF PATIENTS SAID THEY WOULD RECOMMEND THE PROGRAM. IN 2018, THE PROGRAM EXPANDED TO INCLUDE A CLINIC LOCATION TO BETTER SERVE PATIENTS WHO PREFER TO RECEIVE THESE SERVICES IN AN OUTPATIENT SETTING RATHER THAN IN THEIR HOME. ANOTHER SUCCESSFUL POPULATION HEALTH PROGRAM IS PRESBYTERIAN'S COMPLETE JOINT REPLACEMENT BUNDLED PAYMENT PROGRAM. THIS EFFORT REDUCED COSTS WHILE MAINTAINING LOWER-THAN-EXPECTED READMISSION RATES, WHICH ALLOWED US TO RECEIVE THE MAXIMUM SHARED SAVINGS FROM THE CENTERS FOR MEDICAID AND MEDICARE SERVICES. ONE SPECIFIC PRIORITY AS WE DEVELOPED OUR POPULATION HEALTH WORK WAS ENGAGING PHYSICIANS AND DEVELOPING FUTURE PHYSICIAN LEADERS. IN 2018, WE OFFERED OUR SECOND POPULATION HEALTH FELLOWSHIP FOR PHYSICIANS. AS PART OF THE ONE-YEAR FELLOWSHIP, FELLOWS SPLIT THEIR TIME BETWEEN CLINICAL PRACTICE AND POPULATION HEALTH PROGRAM WORK.
FORM 990, PART III, LINE 4	THE EXCEPTIONAL CAREGIVERS AND PROVIDERS AT PRESBYTERIAN WORK HARD EVERY DAY TO SAVE LIVES. IMPROVING QUALITY AND PATIENT SAFETY ARE GIVEN THE HIGHEST PRIORITY. OUR FOCUS IS ON USING QUALITY TOOLS THAT IMPROVE CLINICAL RESULTS, EVIDENCE-BASED MEDICINE AND EVIDENCE-BASED CARE DESIGN. SOME OF THE RECOGNITIONS OF OUR WORK IN 2018 INCLUDE: PRESBYTERIAN HOSPITAL WAS NAMED ONE OF THE NATION'S 50 TOP CARDIOVASCULAR HOSPITALS BY IBM WATSON HEALTH FOR THE SECOND YEAR IN A ROW AND THIRD TIME OVERALL. HOSPITALS WERE SCORED IN KEY VALUE-BASED PERFORMANCE AREAS SUCH AS HIGHER INPATIENT SURVIVAL RATES, FEWER COMPLICATIONS, SHORTER LENGTHS OF STAY, LOWER COSTS AND LOWER READMISSION RATES. COMBINED DATA FROM ALL THREE PRESBYTERIAN CENTRAL NEW MEXICO HOSPITALS WERE SUBMITTED UNDER THE UMBRELLA OF PRESBYTERIAN HOSPITAL. PRESBYTERIAN HEALTHCARE SERVICES WAS RECOGNIZED BY PREMIER INC., A LEADING HEALTHCARE IMPROVEMENT COMPANY, FOR PROGRAMS TO REDUCE RISK AND ENHANCE THE QUALITY OF CARE AND FOR HIGH-VALUE PURCHASING PRACTICES. PRESBYTERIAN WAS ONE OF ONLY THREE ORGANIZATIONS IN THE COUNTRY TO RECEIVE THE AMERICAN EXCESS INSURANCE EXCHANGE RISK MANAGEMENT AWARD FOR ITS WORK TO IMPROVE FOLLOW-UP WITH PATIENTS WHEN RADIOLOGY REPORTS REVEAL UNSUSPECTED FINDINGS. IN ADDITION, PRESBYTERIAN WAS ONE OF 14 HOSPITALS AND HEALTH SYSTEMS TO RECEIVE THE SUPPLY CHAIN EXCELLENCE AWARD FOR SUPERIOR SUPPLY EXPENSE PERFORMANCE FROM PREMIER. TWO NATIONAL ORGANIZATIONS RECENTLY RECOGNIZED PRESBYTERIAN HOSPITAL FOR HIGH STANDARDS OF CARE FOR HEART ATTACK AND STROKE PATIENTS: * AMERICAN COLLEGE OF CARDIOLOGY'S NATIONAL CARDIOVASCULAR DATA REGISTRY PLATINUM PERFORMANCE ACHIEVEMENT AWARD RECOGNIZING SUSTAINED PERFORMANCE AT THE TOP LEVEL OF STANDARDS FOR SPECIFIC PERFORMANCE MEASURES AS OUTLINED BY THE AMERICAN COLLEGE OF CARDIOLOGY. * AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE STEMI GOLD PLUS RECEIVING QUALITY ACHIEVEMENT AWARD DISTINGUISHING OUR DELIVERY OF QUALITY CARE FOR THE MOST HIGH-RISK, SENSITIVE HEART EMERGENCIES. * AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE NSTEMI GOLD QUALITY ACHIEVEMENT AWARD FOR QUICK AND APPROPRIATE TREATMENT OF NSTEMI HEART ATTACK PATIENTS BY PROVIDING EMERGENCY PROCEDURES TO RE-ESTABLISH BLOOD FLOW TO BLOCKED ARTERIES WHEN NEEDED. * AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES-STROKE SILVER PLUS QUALITY ACHIEVEMENT AWARD RECOGNIZING OUR DEDICATION TO UP-TO-DATE, EVIDENCE-BASED GUIDELINES WITH THE GOAL OF SPEEDING RECOVERY AND REDUCING DEATH AND DISABILITY FOR STROKE PATIENTS. COMBINED DATA FROM ALL THREE PRESBYTERIAN CENTRAL NEW MEXICO HOSPITALS WERE SUBMITTED UNDER THE UMBRELLA OF PRESBYTERIAN HOSPITAL FOR THESE AWARDS. PRESBYTERIAN HEALTHCARE SERVICES AND THE HEALTHY HERE INITIATIVE WERE AWARDED ADDITIONAL FUNDING THROUGH PHASE 2 OF THE SPREADING COMMUNITY ACCELERATORS THROUGH LEARNING AND EVALUATION (SCALE) GRANT FUNDED BY THE ROBERT WOOD JOHNSON FOUNDATION AND LED BY THE INSTITUTE FOR HEALTHCARE IMPROVEMENT. SINCE 2015, SCALE HAS HELPED TO REDUCE CHRONIC DISEASE, INCREASE PHYSICAL ACTIVITY AND IMPROVE ACCESS TO HEALTHIER FOODS IN NEW MEXICO. FOR EXAMPLE, THROUGH SCALE, THE INTERNATIONAL DISTRICT COMMUNITY CAME TOGETHER TO CREATE A SOLAR POWER PROJECT TO MAKE WALKING SAFER FOR RESIDENTS. PRESBYTERIAN RUST MEDICAL CENTER RECEIVED PRESTIGIOUS INTERNATIONAL RECOGNITION AS A BABY-FRIENDLY DESIGNATED BIRTH FACILITY FROM BABY-FRIENDLY USA, INC. TO QUALIFY, A HOSPITAL MUST DEMONSTRATE THAT IT HAS IMPLEMENTED 10 EVIDENCE-BASED PRACTICES THAT SUPPORT BREASTFEEDING AND UNDERGO A RIGOROUS ON-SITE SURVEY. PRESBYTERIAN CANCER CARE WAS AWARDED A NEW THREE-YEAR ACCREDITATION BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC). NAPBC ACCREDITATION IS ONLY GIVEN TO THOSE CANCER CENTERS THAT COMMIT TO PROVIDING HIGH LEVEL BREAST CARE AND UNDERGO A RIGOROUS EVALUATION AND REVIEW OF THEIR PERFORMANCE. PRESBYTERIAN RECEIVED THE 2018-2019 NEW MEXICO FAMILY FRIENDLY BUSINESS GOLD AWARD FROM THE NEW MEXICO TASK FORCE ON WORK LIFE BALANCE, WHICH RECOGNIZES AND SUPPORTS BUSINESSES THAT ADOPT AND IMPLEMENT FAMILY FRIENDLY POLICIES FOR THEIR EMPLOYEES. PRESBYTERIAN HOSPITAL WAS RECOGNIZED BY THE AMERICAN COLLEGE OF SURGEONS NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM (ACS NSQIP) AS A "MERITORIOUS HOSPITAL" BASED ON ITS SURGICAL PATIENT CARE OUTCOMES. FOR THE FOURTH YEAR IN A ROW IN 2018, PRESBYTERIAN HEALTHCARE SERVICES RECEIVED THE MAP AWARD FOR HIGH PERFORMANCE IN REVENUE CYCLE. SPONSORED BY THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION. PRESBYTERIAN WAS AMONG 22 WINNERS AND ONLY THREE INTEGRATED HEALTH SYSTEMS ACROSS THE COUNTRY SELECTED FOR THIS YEAR'S AWARD. REGIONAL DELIVERY SYSTEM: PLAINS REGIONAL MEDICAL CENTER AND PRESBYTERIAN ESPAOLA HOSPITAL ACHIEVED TOP PERFORMANCE IN PATIENT OUTCOMES AND WERE AWARDED CERTIFICATES OF ACHIEVEMENT BY THE NATIONAL ORGANIZATION OF STATE OFFICES OF RURAL HEALTH. LINCOLN COUNTY MEDICAL CENTER, DR. DAN C. TRIGG MEMORIAL HOSPITAL AND PLAINS REGIONAL MEDICAL CENTER RECEIVED THE HOSPITAL IMPROVEMENT INNOVATION NETWORK (HIIN) AWARD FROM THE NEW MEXICO HOSPITAL ASSOCIATION FOR TWO YEARS OF PERFORMANCE IMPROVEMENT EVIDENCED BY MEASUREMENTS OF QUALITY AND PATIENT SAFETY. IN ADDITION, LINCOLN COUNTY MEDICAL CENTER AND PLAINS REGIONAL MEDICAL CENTER WERE RECOGNIZED FOR EXCELLENCE DURING THE 2016-2018 PHASE OF HIIN. LINCOLN COUNTY MEDICAL CENTER WAS RECOGNIZED FOR SIGNIFICANT IMPROVEMENT IN DECREASING HOSPITAL READMISSIONS AND ADVERSE DRUG REACTIONS. PLAINS REGIONAL MEDICAL CENTER WAS RECOGNIZED FOR SIGNIFICANT IMPROVEMENT IN DECREASING HOSPITAL READMISSIONS AND SURGICAL SITE INFECTIONS. LINCOLN COUNTY MEDICAL CENTER AND PRESBYTERIAN ESPAOLA HOSPITAL WERE AMONG EIGHT NEW MEXICO HOSPITALS TO EARN THE 2018 HEALTHINSIGHT HOSPITAL QUALITY AWARD. HEALTHINSIGHT QUALITY AWARD HOSPITAL RECIPIENTS ARE RECOGNIZED FOR THEIR HIGH PERFORMANCE ON QUALITY OF CARE OUTCOME MEASURES AND PATIENT SATISFACTION. PRESBYTERIAN ESPAOLA HOSPITAL WAS ONE OF THREE 2018 HEALTHINSIGHT HOSPITAL QUALITY AWARD WINNERS ALSO RECOGNIZED WITH A HCAHPS PERFORMANCE RECOGNITION CERTIFICATE. HCAHPS CERTIFICATES ARE AWARDED TO HOSPITALS THAT DEMONSTRATED HIGH-QUALITY PERFORMANCE FOR PROVIDING PATIENTS WITH AN EXCELLENT EXPERIENCE OF HOSPITAL CARE. HOSPITALS IN THIS CATEGORY RANKED AT OR ABOVE THE 75TH PERCENTILE NATIONALLY ON THE HCAHPS SURVEY. PRESBYTERIAN HAS A DELIBERATE FINANCIAL PLAN TO REINVEST IN NEW AND EXPANDING HEALTHCARE SERVICES FOR NEW MEXICO. IN FALL 2018, PRESBYTERIAN OPENED ITS NINTH HOSPITAL, PRESBYTERIAN SANTA FE MEDICAL CENTER, WITH A RANGE OF SERVICES FOCUSED ON IMPROVING QUALITY, ENHANCING THE PATIENT EXPERIENCE AND LOWERING THE TOTAL COST OF CARE. THE MEDICAL CENTER OFFERS SURGERY, INFUSION, LABORATORY, ORTHOPEDICS, PEDIATRICS, PODIATRY, PULMONOLOGY, RADIOLOGY, REHABILITATION, WOMEN'S HEALTH/OBSTETRICS AND GYNECOLOGY, AS WELL AS AN URGENT CARE AND 24/7 EMERGENCY DEPARTMTENT WITH AN INNOVATIVE, SHARED ENTRANCE TO HELP PATIENTS ACCESS THE APPROPRIATE LEVEL OF CARE. WITH HIKING AND BIKING TRAILS, A HEALING PATHWAY, A COMMUNITY TEACHING KITCHEN, A ROOFTOP HEALING TERRACE AND COMMUNITY MEETING SPACES, IT IS DESIGNED TO BE A BEAUTIFUL AND INVITING PLACE WHERE COMMUNITY MEMBERS CAN GATHER TO PURSUE THEIR OWN HEALTH AND WELLNESS GOALS. IN 2016, THE INVESTMENT SUB-COMMITTEE OF THE BOARD ESTABLISHED A COMMUNITY INNOVATION FUND TO SUPPORT ECONOMIC DEVELOPMENT AND THE ACCESS TO CAPITAL FOR EARLY STAGE COMPANIES THROUGHOUT NEW MEXICO. PHS' GOAL FOR PROVIDING ADDITIONAL SOURCES OF CAPITAL FOR THESE COMPANIES IS TO STIMULATE ENTREPRENEURIAL ACTIVITY AND JOB GROWTH THROUGHOUT THE STATE OF NEW MEXICO. AS OF DECEMBER 31, 2018, PHS HAS MADE OVER $5 MILLION IN COMMITMENTS TO A VENTURE CAPITAL FUND-OF-FUNDS AND START-UP INCUBATOR. THROUGH PRESGIVING, PRESBYTERIAN'S ANNUAL EMPLOYEE CHARITABLE CAMPAIGN, EMPLOYEES DONATED MORE THAN $2.67 MILLION IN 2018 IN SUPPORT OF UNITED WAY, PRESBYTERIAN HEALTHCARE FOUNDATION AND OTHER NONPROFIT ORGANIZATIONS ACROSS OUR COMMUNITY. ALSO, IN 2018, PRESBYTERIAN HEALTHCARE FOUNDATION RAISED $8.61 MILLION IN CHARITABLE DOLLARS FROM 8,240 DONORS. THAT SAME YEAR, $2.76 MILLION WAS INVESTED DIRECTLY BACK INTO THE HEALTHCARE SYSTEM TO SUPPORT STAFF EDUCATION AND RESOURCES, PATIENT FINANCIAL ASSISTANCE, PROGRAM SUPPORT, THE PURCHASE OF EQUIPMENT AND RENOVATION OF FACILITIES.
FORM 990, PART III, LINE 4	PRESBYTERIAN'S COMMITMENT TO THE HEALTH OF OUR COMMUNITY EXTENDS FAR BEYOND THE WALLS OF OUR HOSPITALS AND CLINICS. WE ARE ACTIVELY ENGAGED IN COMMUNITY HEALTH INITIATIVES AND PARTNERSHIPS TO BENEFIT THE NEW MEXICANS WE SERVE. IN 2018 WE CONTINUED TO EXPAND OUR COMMITMENT TO THREE COMMUNITY HEALTH PRIORITY AREAS: HEALTHY EATING, ACTIVE LIVING AND AVOIDING UNHEALTHY SUBSTANCES. IN SUPPORT OF OUR MISSION AND AS PART OF A REQUIREMENT OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, THESE PRIORITIES WERE CREATED WITH INPUT GATHERED DURING COMMUNITY HEALTH NEEDS ASSESSMENTS IN 10 NEW MEXICO COUNTIES IN 2013 AND 2016. IN 2018, PRESBYTERIAN LAUNCHED A FOOD FARMACY ON THE CAMPUS OF PRESBYTERIAN KASEMAN HOSPITAL, WHICH PROVIDES FREE HEALTHY FOOD FOR PATIENTS IN NEED. SELECT PATIENTS EXPERIENCING FOOD INSECURITY RECEIVE A PRESCRIPTION FOR THE FOOD FARMACY, WHERE THEY CAN ACCESS FRESH PRODUCE AND LOW-SODIUM, AND LOW-SUGAR SHELF-STABLE ITEMS SUCH AS OATMEAL AND CANNED BEANS. THE PROGRAM BUILDS ON PRESBYTERIAN'S EXISTING PROGRAMS THAT WORK TO INCREASE ACCESS TO HEALTHY FOOD IN NEW MEXICO, SUCH AS THE FREE MEAL PROGRAM FOR CHILDREN, THE HEALTHY HERE MOBILE MARKET AND THE FRESH RX PROGRAM, WHICH PROVIDES PATIENTS WITH "PRESCRIPTIONS" FOR FRESH FRUITS AND VEGETABLES. ALSO, IN 2018 PRESBYTERIAN RECEIVED A FOUR-YEAR, $400,000 GRANT FROM THE UNITED STATES DEPARTMENT OF AGRICULTURE (USDA) TO CONNECT MORE THAN 1,620 BERNALILLO COUNTY SENIORS WITH LOCAL PRODUCE, NUTRITIOUS MEALS AND SUPPORT IN PREPARING AND ENJOYING HEALTHY FOODS. PRESBYTERIAN IS PARTNERING WITH THREE SISTERS KITCHEN, ENCUENTRO AND MEALS ON WHEELS OF ALBUQUERQUE ON THE PROJECT, "CONNECTING HARVEST TO HEALTH/CONECTANDO COSECHAS CON LA SALUD," WHICH IS FOCUSED ON IMPROVING SENIOR NUTRITION, REDUCING LANGUAGE ACCESS DISPARITIES, INCREASING LOCAL FOOD ACCESS AND CONSUMPTION OF NUTRITIOUS FOODS, ENHANCING WORKFORCE DEVELOPMENT, AND SUPPORTING ENTREPRENEURSHIP AND LOCAL GROWERS. PRESBYTERIAN PROVIDES A 100 PERCENT CASH MATCH FOR THIS GRANT. OTHER ONGOING COMMUNITY HEALTH INITIATIVES INCLUDE THE FOLLOWING: PRESBYTERIAN AND OTHER NEW MEXICO PARTNERS WERE SELECTED TO TEST THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS)' ACCOUNTABLE HEALTH COMMUNITIES MODEL IN 2017. CMS IS TESTING HOW THIS MODEL CAN HELP COMMUNITIES AS THEY ADDRESS HEALTH-RELATED SOCIAL NEEDS OF MEDICARE AND MEDICAID BENEFICIARIES. THE GOAL IS TO BRIDGE THE GAP BETWEEN CLINICAL AND COMMUNITY SERVICE PROVIDERS WHILE LOWERING COSTS, IMPROVING HEALTH AND QUALITY OF CARE AND REDUCING AVOIDABLE HEALTH CARE USE. SOCIAL NEEDS INCLUDE HOUSING INSTABILITY, FOOD INSECURITY, UTILITY NEEDS, INTERPERSONAL VIOLENCE AND TRANSPORTATION. CMS IS PROVIDING UP TO $4.5 MILLION OVER FIVE YEARS. PRESBYTERIAN AND LOCAL PARTNERS, INCLUDING THE UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER AND THE BERNALILLO COUNTY COMMUNITY HEALTH COUNCIL, ARE SCREENING PATIENTS FOR SOCIAL NEEDS AND HELPING TO CONNECT THEM TO CLINICAL AND COMMUNITY SERVICES IN BERNALILLO COUNTY. IN ADDITION, PRESBYTERIAN PROVIDES SIGNIFICANT IN-KIND RESOURCES TO SUPPORT THIS PROGRAM. IN 2018, PRESBYTERIAN CONTINUED TO OFFER ITS FREE MEAL PROGRAM FOR CHILDREN AT FIVE PRESBYTERIAN HOSPITALS. THE PROGRAM, WHICH BEGAN IN FEBRUARY 2016, IS AN INNOVATIVE PARTNERSHIP BETWEEN PRESBYTERIAN HEALTHCARE SERVICES, THE USDA FOOD AND NUTRITION SERVICE SOUTHWEST REGION (USDA) AND THE NEW MEXICO CHILDREN, YOUTH AND FAMILIES DEPARTMENT. THE USDA OPERATES THE FEDERALLY FUNDED, STATE-ADMINISTERED CHILD AND ADULT CARE FOOD PROGRAM DURING THE SCHOOL YEAR AND THE SUMMER FOOD SERVICE PROGRAM DURING THE SUMMER TO SERVE HEALTHY MEALS TO CHILDREN AND TEENS IN LOW-INCOME AREAS AT NO CHARGE. WHILE THE COST OF MEALS ARE REIMBURSED THROUGH USDA, PRESBYTERIAN PROVIDES IN-KIND SUPPORT FOR THIS PROJECT. - CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC): IN PARTNERSHIP WITH THE BERNALILLO COUNTY COMMUNITY HEALTH COUNCIL, IN 2014, PRESBYTERIAN RECEIVED A FOUR-YEAR, $3.6 MILLION RACIAL AND ETHNIC APPROACHES TO COMMUNITY HEALTH (REACH) COOPERATIVE AGREEMENT FROM THE CDC TO FOCUS ON IMPROVING POOR NUTRITION, PHYSICAL INACTIVITY AND LACK OF ACCESS TO CHRONIC DISEASE PREVENTION, RISK REDUCTION AND MANAGEMENT IN TWO NEW MEXICO COMMUNITIES THROUGH POLICY, SYSTEM, AND ENVIRONMENTAL CHANGES. REACH IS PART OF A U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES INITIATIVE TO REDUCE CHRONIC DISEASES, PROMOTE HEALTHIER LIFESTYLES, REDUCE HEALTH DISPARITIES, AND CONTROL HEALTH CARE SPENDING. ONE EXAMPLE OF THIS WORK IS THE HEALTHY HERE MOBILE FARMER'S MARKET, WHICH VISITS FOOD-INSECURE NEIGHBORHOODS AND OFFERS REDUCED PRICE PRODUCE DURING THE GROWING SEASON. IN THE 2018 SEASON, THE MOBILE FARMERS' MARKET PROVIDED MORE THAN 1,700 RESIDENTS OF ALBUQUERQUE'S INTERNATIONAL DISTRICT AND SOUTH VALLEY HEALTHY, AFFORDABLE FRUITS AND VEGETABLES, AS WELL AS EDUCATIONAL RESOURCES FOR HOW TO PREPARE THE MARKETS' OFFERINGS IN COST-EFFECTIVE, DELICIOUS AND EASY WAYS. PRESBYTERIAN WAS AGAIN AWARDED THIS FUNDING FOR APPROXIMATELY $800,000 PER YEAR FOR UP TO 5 YEARS BEGINNING 2018 THROUGH 2023. THE CDC FUNDING DOES NOT PAY FOR DIRECT PROGRAMMING, SO PRESBYTERIAN PROVIDES FUNDS TO SUPPORT THE OPERATIONS OF ASSOCIATED PROGRAMS SUCH AS WELLNESS REFERRAL CENTER OPERATIONS. - RETHINK HEALTH VENTURES: PRESBYTERIAN AND SEVERAL BERNALILLO COUNTY PARTNER INSTITUTIONS ARE ONE OF SIX NATIONAL PARTICIPANTS IN RETHINK HEALTH VENTURES, AN INITIATIVE DESIGNED TO HELP MULTI-SECTOR PARTNERSHIPS ACCELERATE TRANSFORMATION TO GENERATE MORE INCLUSIVE HEALTH VALUE - DEMONSTRATED BY THE IMPROVED HEALTH OF POPULATIONS, BETTER CARE, LOWER COSTS, GREATER EQUITY AND INCREASED WORKFORCE PRODUCTIVITY. - SCALE: SINCE 2015, SCALE (SPREADING COMMUNITY ACCELERATORS THROUGH LEARNING AND EVALUATION) HAS HELPED TO REDUCE CHRONIC DISEASE, INCREASE PHYSICAL ACTIVITY AND IMPROVE ACCESS TO HEALTHIER FOODS IN NEW MEXICO. THROUGH SCALE, FOR EXAMPLE, ALBUQUERQUE'S INTERNATIONAL DISTRICT COMMUNITY CAME TOGETHER TO CREATE A SOLAR POWER PROJECT TO MAKE WALKING SAFER FOR RESIDENTS. SCALE IS MADE POSSIBLE BY A $4.8 MILLION GRANT FROM THE ROBERT WOOD JOHNSON FOUNDATION, AND LED BY THE INSTITUTE FOR HEALTHCARE IMPROVEMENT. - PRESBYTERIAN HOSTS A WEEKLY GROWERS' MARKET ON THE CAMPUS OF OUR ADMINISTRATIVE BUILDING IN ALBUQUERQUE DURING THE GROWING SEASON. AT THE MARKET, PRESBYTERIAN OFFERS A 2-FOR-1 VALUE PROGRAM FOR PEOPLE IN THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM. - OTHER HEALTHY EATING INITIATIVES FOCUS ON NUTRITION EDUCATION, SCHOOL AND COMMUNITY GARDENS, FARMER CAPACITY BUILDING, COMMUNITY-SUPPORTED AGRICULTURE AND SUPPORTING POLICY CHANGES TO INCREASE THE AVAILABILITY OF HEALTHY FOODS IN SCHOOLS AND WORKPLACES. - PRESBYTERIAN'S FOCUS ON ACTIVE LIVING INCLUDES PROGRAMS TO ENCOURAGE INDOOR AND OUTDOOR ACTIVITIES AND HELPING COMMUNITIES TO CREATE AND MAP MORE PARKS, PLAYGROUNDS, SAFE SIDEWALKS AND BIKE AND WALKING TRAILS. IN 2018, FOR EXAMPLE, PRESBYTERIAN PARTNERED WITH OTHER ORGANIZATIONS ON THE SECOND ANNUAL ABQ CIQLOVA, A FREE EVENT IN WHICH CITY STREETS ARE CLOSED TO CARS AND OPENED TO PEOPLE ON FOOT AND BIKE TO ENCOURAGE RESIDENTS TO ENJOY THE CITY IN A SAFE, FUN, WELCOMING ENVIRONMENT. FOR THE SEVENTH YEAR IN A ROW, PRESBYTERIAN HELD MULTIPLE DAYS OF SERVICE AS PART OF THE ORGANIZATIONS COMMITMENT TO IMPROVING THE HEALTH OF THE NEW MEXICANS WE SERVE. THE ANNUAL TRADITION BROUGHT MORE THAN 460 PRESBYTERIAN STAFF AND LEADERS TO SCHOOLS, HEALTH FAIRS AND FOOD PANTRIES.
FORM 990, PART III, LINE 4	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 $255,040,000 IN DONATED SERVICES, MATERIALS, EQUIPMENT AND FACILITIES IN 2018, INCLUDING THE SPECIFIC DONATIONS DESCRIBED BELOW. CARE AND NO-CHARGE SERVICES TO UNDER-SERVED POPULATIONS TO IMPROVE HEALTH-APPROXIMATELY $245,121,000, AS FOLLOWS: IN 2018, PHS PROVIDED APPROXIMATELY $37,177,000 IN FINANCIAL ASSISTANCE (CHARITY CARE), MEASURED BY OUR COST OF CARE. THE UNREIMBURSED COST OF CARE FOR MEDICARE, MEDICAID, AND OTHER GOVERNMENT PROGRAM-REIMBURSED PATIENTS FOR 2018 TOTALED APPROXIMATELY $188,349,000. 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 2018, PHS PROVIDED NEEDED HEALTHCARE SERVICES AT AN APPROXIMATE LOSS OF $18,762,000. 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 $833,000; ORGANIZATIONS THAT BENEFITED FROM CASH AND IN-KIND DONATIONS IN THIS CATEGORY, ALL OF WHICH ARE UNRELATED TO PHS, INCLUDE MEALS ON WHEELS AND ALBUQUERQUE HEALTHCARE FOR THE HOMELESS. 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. DONATIONS AND NO-CHARGE SERVICES TO OR THROUGH OTHER NONPROFITS THAT IMPROVE THE HEALTH OF THE GENERAL COMMUNITY-APPROXIMATELY $3,759,000, INCLUDING: THE AMERICAN CANCER SOCIETY, THE AMERICAN LUNG ASSOCIATION, HEALTH FAIRS CONDUCTED THROUGHOUT NEW MEXICO; OPERATIONS OF THE PRESBYTERIAN CENTER FOR COMMUNITY HEALTH, CANCER SUPPORT AND EDUCATION, AND FLU SHOT CLINICS THROUGHOUT THE STATE. 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 $6,160,000, INCLUDING: INDIVIDUALS, FAMILIES, BUSINESSES, AND COMMUNITIES SERVED BY THE GREATER ALBUQUERQUE CHAMBER OF COMMERCE, THE ESPAOLA VALLEY CHAMBER OF COMMERCE, CLOVIS INDUSTRIAL DEVELOPMENT BOARD, THE DOMENICI CONFERENCE ON PUBLIC POLICY, THE CENTER FOR NURSING EXCELLENCE, PRECEPTORSHIPS FOR NURSING AND OTHER HEALTHCARE STUDENTS, PHS WORKFORCE 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 DONATIONS.
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, AND NOW IN SANTA FE; 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 THREE TERTIARY HOSPITALS OFFERING COMPREHENSIVE SERVICES, A GENERAL ACUTE CARE HOSPITAL IN ALBUQUERQUE, RUST MEDICAL CENTER IN RIO RANCHO, AND A NEW-STATE-OF-THE-ART, MULTI-PURPOSE MEDICAL CENTER IN SANTA FE; 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 NUMEROUS 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 & PANCREATIC 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 ADVANCE PRACTICE CLINICIANS THAT ALSO OFFERS ANCILLARY SERVICES. PRESBYTERIAN'S AMBULATORY CLINICS OPERATE AS DEPARTMENTS OF PRESBYTERIAN HOSPITAL. PRESBYTERIAN HOSPITAL HAS ANNOUNCED PLANS TO ADD AN 11-STORY PATIENT TOWER; TO BE COMPLETED IN 2022. THIS WILL HELP IMPROVE THE PATIENT CARE EXPERIENCE IN ALBUQUERQUE AND THROUGHOUT NEW MEXICO. 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, AN INPATIENT HOSPICE, AND A BEHAVIORAL HEALTH PROGRAM. C. PRESBYTERIAN RUST MEDICAL CENTER 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 STATE-OF-THE ART MEDICAL CENTER INCLUDE LABOR AND DELIVERY SERVICES, INTENSIVE CARE, OPERATING ROOMS, CARDIAC SERVICES, MRI AND IMAGING, EMERGENCY CARE AND MORE. A SECOND TOWER OPENED IN 2015 AT RUST MEDICAL CENTER TO EXPAND SERVICES AND PROVIDE OTHER, NEEDED SERVICES, INCLUDING AN ONCOLOGY CENTER. D. PRESBYTERIAN SANTA FE MEDICAL CENTER THE PRESBYTERIAN SANTA FE MEDICAL CENTER OFFERS COMPREHENSIVE CARE IN A WIDE VARIETY OF MEDICAL SPECIALTIES, INCLUDING: GENERAL SURGERY, INFUSION SERVICES, LABORATORY, ORTHOPEDICS, PEDIATRICS, PODIATRY, PULMONOLGY, RADIOLOGY, REHABILITATION SERVICES, WOMEN'S HEALTH, AND A 24/7 URGENT & EMERGENCY CARE DEPARTMENT. E. PRESBYTERIAN NORTHSIDE PRESBYTERIAN NORTHSIDE HOUSES AN OCCUPATIONAL MEDICINE CLINIC, A PRIMARY CARE CLINIC AND AN URGENT CARE CENTER. F. PRESBYTERIAN HEALTHPLEX PRESBYTERIAN HEALTHPLEX IS AN OUTPATIENT PREVENTION AND REHABILITATION FACILITY, OFFERING PATIENTS CUSTOMIZED CARDIOPULMONARY REHABILITATION SERVICES THROUGH INDIVIDUAL AND GROUP PROGRAMS. G. 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. H. ONCOLOGY PROGRAM LOCATED AT PRESBYTERIAN HOSPITAL, RUST MEDICAL CENTER, AND KASEMAN HOSPITAL, 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. I. 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. J. 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. K. 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. L. 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. M. OTHER PROGRAMS THE CENTRAL NEW MEXICO DELIVERY SYSTEM ALSO OPERATES A WOUND CARE CENTER, A SLEEP CENTER, AND GENERAL MEDICINE UNITS. CENTRAL NEW MEXICO DELIVERY SYSTEM ACCOMPLISHMENTS FOR YEAR ENDED DECEMBER 31, 2018: INPATIENT DISCHARGES (1) = 41,171 AVERAGE LENGTH OF STAY (IN DAYS) = 4.55 INPATIENT PATIENT DAYS (1) = 183,210 EMERGENCY ROOM VISITS = 164,320 HOSPITAL-BASED OUTPATIENT VISITS (2) = 299,564 NEWBORN DELIVERIES = 4,283 NOTES: (1) INPATIENT EXCLUDING NEWBORNS (2) EXCLUDES EMERGENCY DEPARTMENT VISITS
FORM 990, PART III, LINE 4B - PHS' REGIONAL DELIVERY SYSTEM:	THE REGIONAL DELIVERY SYSTEM PROVIDES GENERAL ACUTE CARE AND OTHER HEALTHCARE DELIVERY SERVICES IN SEVERAL SMALLER COMMUNITIES IN NEW MEXICO. THE REGIONAL DELIVERY SYSTEM CONSISTS OF TWO GENERAL ACUTE CARE HOSPITALS, LOCATED IN CLOVIS AND ESPAOLA, THREE DESIGNATED CRITICAL ACCESS HOSPITALS, LOCATED IN RUIDOSO, SOCORRO AND TUCUMCARI, AND TWELVE AMBULATORY CARE CLINICS THAT ARE DEPARTMENTS OF THE FIVE REGIONAL HOSPITALS. HOSPITAL SERVICES VARY BY FACILITY, BUT ALL HOSPITALS OFFER MATERNITY CARE, SURGERY, EMERGENCY MEDICINE, PHYSICAL THERAPY, RESPIRATORY THERAPY, RADIOLOGY, AND LABORATORY SERVICES. REGIONAL DELIVERY SYSTEM ACCOMPLISHMENTS IN 2018 ARE DESCRIBED AS FOLLOWS: INPATIENT DISCHARGES (1) = 7,225 AVERAGE LENGTH OF STAY (IN DAYS) = 3.29 INPATIENT PATIENT DAYS (1) = 26,074 EMERGENCY ROOM VISITS = 90,730 HOSPITAL-BASED OUTPATIENT VISITS (2) = 116,413 NEWBORN DELIVERIES = 1,764 NOTES: (1) INPATIENT EXCLUDING NEWBORNS (2) EXCLUDES EMERGENCY DEPARTMENT VISITS FORM 990, PART III, LINE 4C - PHS' HEART AND VASCULAR CENTER: LOCATED AT PRESBYTERIAN HOSPITAL, THE HEART AND VASCULAR CENTER OFFERS CARDIOTHORACIC AND VASCULAR SERVICES TO BOTH ADULTS AND CHILDREN, INCLUDING CATHETERIZATION, SURGERIES, ECHOCARDIOGRAPHY, VASCULAR ULTRASOUND, PACEMAKER AND DEFIBRILLATOR IMPLANTATION, ANGIOPLASTY, ELECTROPHYSIOLOGY, AND REHABILITATION AND WELLNESS. THE PRESBYTERIAN HEART AND VASCULAR CENTER PROVIDES A FULL RANGE OF PREVENTATIVE, DIAGNOSTIC, THERAPEUTIC, AND REHABILITATION PROGRAMS. IT PROVIDES SERVICES TO ALL AGES FROM NEWBORNS TO GERIATRIC PATIENTS. RECENTLY, THE MEDICARE PROGRAM HAS IDENTIFIED PRESBYTERIAN HOSPITAL AS ONE OF ONLY TEN HOSPITALS IN THE COUNTRY WHO DO A SUPERIOR JOB OF AVOIDING READMISSIONS IN HEART ATTACK, PNEUMONIA, AND HEART FAILURE CASES. THE HEART AND VASCULAR CENTER SERVED PATIENTS THROUGH THE YEAR ENDED DECEMBER 31, 2018, AS FOLLOWS: PATIENT VISITS = 97,052 INPATIENT DISCHARGES = 4,421
FORM 990, PART V, LINE 2A	PRESBYTERIAN HEALTHCARE SERVICES (PHS) IS THE COMMON PAY AGENT FOR ITS RELATED EXEMPT ORGANIZATIONS. ALL PAYROLL, INCLUDING WAGES, BENEFITS, PENSION AND PAYROLL TAX, IS CENTRALIZED THROUGH PHS FOR PHS, PRESBYTERIAN HEALTHCARE FOUNDATION (PHF) EIN: 85-6016041, SOUTHWEST HEALTH FOUNDATION (SHF) EIN: 85-0289728, PRESBYTERIAN PROPERTIES INC. (PPI) EIN: 85-0414352, AND BERNALILLO COUNTY HEALTH CARE CORPORATION DBA ALBUQUERQUE AMBULANCE SERVICES (AAS) EIN: 23-7329437. FORM 941 REPORTING FOR ALL THE ENTITIES' SALARIES AND WAGES ARE REPORTED UNDER PHS' EIN: 85-0105601. AN ALLOCATION IS MADE FOR EACH ENTITY AND AS SUCH IS REPORTED ON THE SEPARATE FORMS 990, PART IX, LINES 5-9. FORM 990, PART V, LINE 2A INCLUDES ALL EMPLOYEES REPORTED ON FORM 941 FOR PHS AS THE COMMON PAY AGENT AND NONE ARE REPORTED ON 990 PART V, LINE 2A, FOR PHF, SHF, PPI, AND AAS. FORM 990, PART VI, LINE 1A PURSUANT TO THE BYLAWS, THE EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR OF THE PHS BOARD OF DIRECTORS, THE CHAIRS OF THE COMPLIANCE AND AUDIT COMMITTEE, THE FINANCE COMMITTEE AND THE QUALITY COMMITTEE AND THE PRESIDENT OF PHS. ANY MEMBER OF THE EXECUTIVE COMMITTEE MAY BE REMOVED FROM MEMBERSHIP ON SAID COMMITTEE AT ANY TIME, WITH OR WITHOUT CAUSE, BY A VOTE OF THE MAJORITY OF THE PHS BOARD AT ANY MEETING OF THE PHS BOARD. THE EXECUTIVE COMMITTEE, DURING THE INTERVALS BETWEEN MEETINGS OF THE PHS BOARD, POSSESSES AND MAY EXERCISE ALL OF THE POWERS OF THE PHS BOARD IN THE MANAGEMENT OF THE AFFAIRS AND PROPERTY OF PHS EXCEPT AS OTHERWISE PROVIDED BY LAW, THE PRESBYTERIAN BYLAWS, OR BY RESOLUTION OF THE BOARD. ALL ACTIONS BY THE EXECUTIVE COMMITTEE BETWEEN MEETINGS OF THE PHS BOARD MUST BE REPORTED TO THE PHS BOARD AT ITS NEXT MEETING. SUCH ACTIONS ARE SUBJECT TO RATIFICATION, REVISION, OR ALTERATION BY THE PHS BOARD; PROVIDED, HOWEVER, THAT THE PHS BOARD MAY NOT ALTER THE RIGHTS OF THIRD PERSONS UNDER AGREEMENTS ENTERED INTO BY SUCH THIRD PERSONS IN GOOD FAITH WITHOUT NOTICE OF ANY LIMITATION ON THE AUTHORITY OF THE EXECUTIVE COMMITTEE.
FORM 990, PART VI, LINE 2	JASON MITCHELL, MD (KEY EMPLOYEE), SANDY PODLEY (KEY EMPLOYEE), AND ROBIN DIVINE (FORMER KEY EMPLOYEE) HAD A BUSINESS RELATIONSHIP IN THAT THEY SERVED AS DIRECTORS FOR TRICORE REFERENCE LABS & TRICORE LABORATORY SERVICE CORPORATION.
FORM 990, PART VI, LINE 11B	PRESBYTERIAN HEALTHCARE SERVICES (PHS) UTILIZES A MULTI-LEVEL REVIEW PROCESS DURING PREPARATION AND SUBMISSION OF THE ANNUAL FORM 990. THE FIRST DRAFT OF FORM 990 IS PREPARED BY A NATIONAL ACCOUNTING FIRM, BASED ON INFORMATION PROVIDED BY THE PHS TAX DIRECTOR. THIS INFORMATION IS GATHERED FROM NUMEROUS SOURCES ACROSS THE ORGANIZATION, INCLUDING FINANCE, GOVERNANCE, LEGAL, COMMUNICATIONS, ETC. THIS FIRST DRAFT IS REVIEWED ON A LINE-BY-LINE DETAIL LEVEL BY THE PHS TAX DIRECTOR. IN ADDITION, ALL COMPENSATION-RELATED DATA IS REVIEWED IN DETAIL BY THE HUMAN RESOURCES BENEFITS DIRECTOR AND THE SENIOR VICE PRESIDENT OVER HUMAN RESOURCES. ALL FEEDBACK FROM THESE REVIEWS IS ACCUMULATED BY THE TAX DIRECTOR AND CONVEYED TO THE ACCOUNTING FIRM FOR INCLUSION IN A SECOND DRAFT OF THE COMPLETE FORM 990. THIS SECOND DRAFT IS REVIEWED IN DETAIL BY THE TAX DIRECTOR, GENERAL COUNSEL, AND THE PHS CFO. THE PHS CFO AND THE TAX DIRECTOR MEET TO DISCUSS ALL SIGNIFICANT CHANGES TO THE CURRENT YEAR FORM 990 AND ALL SUBSTANTIAL VARIANCES FROM PRIOR YEARS BEFORE THE RETURN IS PRESENTED TO THE PHS BOARD AND ITS SUBCOMMITTEES. THE NEXT DRAFT OF THE FORM 990 IS PRESENTED 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 PHS CFOS SIGNATURE ON THE RETURN AND THE RETURN WILL BE FILED ELECTRONICALLY BY THE ACCOUNTING FIRM.
FORM 990, PART VI, LINE 12C	CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED ANNUALLY AND POTENTIAL CONFLICTS ARE REVIEWED BY THE CHAIR OF THE COMPLIANCE AND AUDIT COMMITTEE AND THE GENERAL COUNSEL. BOARD MEMBERS ARE REQUIRED TO REMOVE THEMSELVES FROM CONFLICTS OR EXCUSE THEMSELVES FROM VOTES THAT MAY LEAVE ANY APPEARANCE OF NON-INDEPENDENCE. THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE GOVERNANCE COMMITTEE AND REVISED IF APPROPRIATE. CONFLICT OF INTEREST REQUIREMENTS ARE REVIEWED WITH THE BOARD AND EACH COMMITTEE ANNUALLY AND THE CODE OF CONDUCT IS REVIEWED AS PART OF THE BOARD'S COMPLIANCE TRAINING. THE BOARD AND EACH COMMITTEE IS REQUIRED TO MONITOR AND ENFORCE THE POLICY.
FORM 990, PART VI, LINES 15A AND 15B	ALL EXECUTIVES' COMPENSATION IS REVIEWED ANNUALLY BY AN INDEPENDENT EXTERNAL CONSULTING FIRM RETAINED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE PRESBYTERIAN HEALTHCARE SERVICES (PHS) BOARD. THIS COMMITTEE IS COMPOSED OF INDEPENDENT DIRECTORS. PHS MANAGEMENT USES THE DATA FROM THE CONSULTING FIRM AND FROM THE INDEPENDENT COMMITTEE IN ESTABLISHING APPROPRIATE COMPENSATION. ALL DELIBERATIONS AND DECISIONS OF THE PHS EXECUTIVE COMPENSATION COMMITTEE ARE TIMELY DOCUMENTED AND RETAINED BY PHS' HUMAN RESOURCES DEPARTMENT. ADDITIONALLY, DATA THAT SUPPORT THESE DECISIONS ARE MAINTAINED BY THE SENIOR VICE PRESIDENT OF HUMAN RESOURCES FOR PHS. THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN 2018.
FORM 990, PART VI, LINE 19	COPIES OF THE MOST CURRENT THREE YEARS' FORMS 990 ARE MAINTAINED AT PRESBYTERIAN HEALTHCARE SERVICES (PHS) MANAGEMENT LOCATIONS. THESE RETURNS ARE AVAILABLE FOR REVIEW OR PHOTOCOPY BY ANY INDIVIDUAL WHO REQUESTS SUCH. IN ADDITION, FORMS 990 ARE ALSO PUBLISHED ON WWW.GUIDESTAR.ORG AND AVAILABLE FREELY TO THE PUBLIC IN THIS MANNER. COPIES OF FINANCIAL STATEMENTS ARE AVAILABLE ON THE MUNICIPAL BOND WEBSITE (WWW.EMMA.MSRB.ORG). THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE ON THE STATE ATTORNEY GENERAL'S WEBSITE. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS NOT AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9	PENSION ACCUMULATED OCI TRUE UP $14,578,476 JV BOOK TO TAX DIFFeRENCE FROM K-1S ($ 8,194) GAAP TRANSITION ADJUSTMENT ($ 7,793,673) MISCELLANEOUS OTHER CHANGES IN NET ASSETS $ 4,159,995

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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" on 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" on 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)	12A - I	PHS	Yes
(3)PRESBYTERIAN PROPERTIES INC PO Box 26666 ALBUQUERQUE,NM87125 85-0414352	HOLDING CO.	NM	501(C)(2)	N/A	PHS	Yes
(4)BERNALILLO COUNTY HEALTH CARE CORP PO BOX 26666 ALBUQUERQUE,NM87125 23-7329437	AMBULANCE SVC	NM	501(C)(3)	10	PHS	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI 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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) FLUENT HEALTH LLC	INSURANCE ADMIN	DE	PNI & SUBS	UNRELATED	0	0		No	0		No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on 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	SHF	C CORP	2,286,313,540	774,206,849	Yes

Schedule R (Form 990) 2018

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on 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) .......................

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

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) BERNALILLO COUNTY HEALTH CARE CORPORATION	m	79,553	GENERAL JOURNAL
(2) BERNALILLO COUNTY HEALTH CARE CORPORATION	n	77,040	GENERAL JOURNAL
(3) BERNALILLO COUNTY HEALTH CARE CORPORATION	o	19,141,570	GENERAL JOURNAL
(4) BERNALILLO COUNTY HEALTH CARE CORPORATION	q	11,762,138	GENERAL JOURNAL
(5) BERNALILLO COUNTY HEALTH CARE CORPORATION	s	31,188,817	GENERAL JOURNAL
(6) PRESBYTERIAN PROPERTIES INC	l	892,270	GENERAL JOURNAL
(7) PRESBYTERIAN PROPERTIES INC	n	272,626	GENERAL JOURNAL
(8) PRESBYTERIAN PROPERTIES INC	q	948,439	GENERAL JOURNAL
(9) PRESBYTERIAN PROPERTIES INC	r	32,860,897	GENERAL JOURNAL
(10) PRESBYTERIAN PROPERTIES INC	s	2,285,544	GENERAL JOURNAL
(11) PRESBYTERIAN HEALTHCARE FOUNDATION	o	1,733,662	GENERAL JOURNAL
(12) PRESBYTERIAN HEALTHCARE FOUNDATION	q	2,346,620	GENERAL JOURNAL
(13) PRESBYTERIAN HEALTHCARE FOUNDATION	s	4,166,016	GENERAL JOURNAL
(14) PRESBYTERIAN NETWORK INC & SUBS	o	544,444	GENERAL JOURNAL
(15) PRESBYTERIAN NETWORK INC & SUBS	p	2,416,585	GENERAL JOURNAL
(16) PRESBYTERIAN NETWORK INC & SUBS	q	2,451,175	GENERAL JOURNAL
(17) FLUENT HEALTH LLC	o	886,030	GENERAL JOURNAL
(18) FLUENT HEALTH LLC	q	12,581,918	GENERAL JOURNAL
(19) FLUENT HEALTH LLC	r	490,960	GENERAL JOURNAL

Schedule R (Form 990) 2018

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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 V-UBI 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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation
SCHEDULE R, PART III	FLUENT HEALTH LLC EIN: 81-4074164 ADDRESS: PO BOX 27489 ALBUQUERQUE, NM 87125

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	13
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	12,875
6	Total number of volunteers (estimate if necessary) .............	6	1,061
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	24,151,068
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	13,837,873	13,031,275
9	Program service revenue (Part VIII, line 2g) .........	1,573,938,639	1,710,535,202
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	130,031,766	83,529,038
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	26,608,239	24,509,976
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,744,416,517	1,831,605,491
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,459,389	2,687,156
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)	820,050,765	909,324,590
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)....	778,554,501	803,620,521
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,600,064,655	1,715,632,267
19	Revenue less expenses. Subtract line 18 from line 12.......	144,351,862	115,973,224
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,297,086,953	3,207,092,614
21	Total liabilities (Part X, line 26).............	1,582,383,382	1,544,368,143
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,714,703,571	1,662,724,471

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,238,605,108 including grants of $ 314,508 ) (Revenue $ 1,439,206,332 )
	CENTRAL NEW MEXICO DELIVERY SYSTEM - SEE SCHEDULE O FOR DETAIL

4b	(Code: ) (Expenses $ 204,498,481 including grants of $ 2,372,648 ) (Revenue $ 248,092,434 )
	REGIONAL DELIVERY SYSTEM - SEE SCHEDULE O FOR DETAIL

4c	(Code: ) (Expenses $ 27,050,842 including grants of $ 0 ) (Revenue $ 26,042,852 )
	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 expenses1,470,154,431

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	15,750,998	258,911	1,366,767

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	3,266,673
e	Government grants (contributions)		1e	9,469,413

f	All other contributions, gifts, grants, and similar amounts not included above		1f	295,189

g	Noncash contributions included in lines 1a - 1f:$ 255,496
h Total. Add lines 1a-1f.......		13,031,275

		Business Code
2a	NET MEDICARE/MEDICAID PAYMENTS	621110	879,333,315	879,333,315
b	NET PATIENT SERVICE REVENUE	621110	797,021,044	797,021,044
c	CORPORATE SERVICE ALLOCATION	900099	16,194,138	16,194,138
d	CAFETERIA & CATERING SALES	722210	6,492,863	6,487,837	5,026
e	RETAIL PHARMACY	446110	2,988,496	625	2,987,871
f	All other program service revenue.		8,505,346	7,284,656	1,220,690
g	Total. Add lines 2a–2f ....		1,710,535,202

3 Investment income (including dividends, interest, and othersimilar amounts) ......			44,685,088		-1,712,676	46,397,764
4 Income from investment of tax-exempt bond proceeds			397,626			397,626
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		66,651
b	Less: rental expenses		13,246
c	Rental income or (loss)	0	53,405
d	Net rental income or (loss)......			53,405			53,405
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		867,915,338
b	Less: cost or other basis and sales expenses	18,630	829,450,384
c	Gain or (loss)	-18,630	38,464,954
d	Net gain or (loss).....			38,446,324			38,446,324
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a		0
b	Less: cost of goods sold ..b		0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	TAC / TECHNICAL CONSULTING		561000	21,646,235		21,646,235
b	GIFT SHOP		900099	893,761	893,761
c	MEDICAL RECORDS COPY FEES		900099	233,752	233,752
d	All other revenue ....			1,682,823	1,678,901	3,922
e	Total. Add lines 11a–11d ......			24,456,571
12	Total revenue. See Instructions......			1,831,605,491	1,709,128,029	24,151,068	85,295,119

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	2,394,049	2,394,049
2	Grants and other assistance to domestic individuals. See Part IV, line 22	293,107	293,107
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	16,959,721	8,460,415	8,499,306
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	670,766,093	568,591,173	102,174,920
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	55,983,389	46,959,863	9,023,526
9	Other employee benefits .......	116,131,248	87,687,340	28,443,908
10	Payroll taxes ...........	49,484,139	40,975,729	8,508,410
11	Fees for services (non-employees):
a	Management ......	997,445	997,445
b	Legal .........	4,557,502		4,557,502
c	Accounting ...........	1,487,950		1,487,950
d	Lobbying ...........	143,089		143,089
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	4,118,038		4,118,038
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	212,340,451	178,548,538	33,791,913
12	Advertising and promotion ....	4,209,622		4,209,622
13	Office expenses .......	9,084,142	6,097,043	2,987,099
14	Information technology ......	63,455,746	54,457,721	8,998,025
15	Royalties ..	0
16	Occupancy ...........	14,011,003	13,070,707	940,296
17	Travel ............	4,373,784	2,705,529	1,668,255
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	1,569,523	599,226	970,297
20	Interest ...........	29,477,091	29,477,091
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	91,460,109	79,331,437	12,128,672
23	Insurance ...	50,413,195	44,781,881	5,631,314
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 SUPPLIES	283,881,746	283,881,746
b	EQUIPMENT RELATED EXPENSES	20,805,009	17,189,665	3,615,344
c	BANK FEES	1,186,424	325,105	861,319
d	LICENSING FEES	1,202,268	607,478	594,790
e	All other expenses	4,846,384	2,722,143	2,124,241
25	Total functional expenses. Add lines 1 through 24e	1,715,632,267	1,470,154,431	245,477,836	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).

1	Cash–non-interest-bearing ........			700,701	1	309,593
2	Savings and temporary cash investments .........			89,219,020	2	48,743,161
3	Pledges and grants receivable, net ......			4,864,951	3	2,079,464
4	Accounts receivable, net .............			196,836,702	4	243,463,068
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 ........			15,781,164	8	17,573,374
9	Prepaid expenses and deferred charges ......			29,377,199	9	31,778,265
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,077,217,401
b	Less: accumulated depreciation	10b	1,154,535,020	897,990,138	10c	922,682,381
11	Investments—publicly traded securities .			1,618,278,482	11	1,499,596,690
12	Investments—other securities. See Part IV, line 11 .....			314,900,779	12	347,208,399
13	Investments—program-related. See Part IV, line 11 ..			30,206,213	13	37,524,072
14	Intangible assets ...............			200,000	14	200,000
15	Other assets. See Part IV, line 11 ...........			98,731,604	15	55,934,147
16	Total assets. Add lines 1 through 15 (must equal line 34)...			3,297,086,953	16	3,207,092,614

17	Accounts payable and accrued expenses .....	160,531,175	17	181,546,789
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	819,430,276	20	803,854,703
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 ..	55,849,403	23	54,790,459
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	546,572,528	25	504,176,192
26	Total liabilities. Add lines 17 through 25..	1,582,383,382	26	1,544,368,143

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	1,714,703,571	27	1,662,724,471
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 ...........	1,714,703,571	33	1,662,724,471
34	Total liabilities and net assets/fund balances ........	3,297,086,953	34	3,207,092,614

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 organization may be required to separately 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; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	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, Information 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 separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No