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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>623823</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>68417</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DENISE GONZALES MD</PersonNm>
        <TitleTxt>MED. DIR.- ADULT MED SPECIALTY</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>598382</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39650</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE BONELLO</PersonNm>
        <TitleTxt>SVP -CHIEF INFORMATION OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>566531</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>66721</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DONNA J GARCIA</PersonNm>
        <TitleTxt>SVP &amp; CFO / TREASURER -INTERIM</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>564885</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>45574</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIM JOHNSEN</PersonNm>
        <TitleTxt>SVP - CHIEF OPERATING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>570153</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32548</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DARREN M SHAFER MD</PersonNm>
        <TitleTxt>PRESIDENT - PMG</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>508176</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>89376</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NATASHA KOLB MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR - ED/AAS/UC</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>427721</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM BROWN MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR - SURGERY</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>510172</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28575</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SOYAL MOMIN</PersonNm>
        <TitleTxt>SVP - CHIEF ANALYTICS OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>480460</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37065</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DION GALLANT MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR -PRIMARY CARE</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>395760</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>86901</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANGELA GALLEGOS-MACIAS MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <OtherCompensationAmt>47087</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEVON HYDE</PersonNm>
        <TitleTxt>HOSP CHIEF EXEC -PH(TERM 9/20)</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>12603</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CAROLYN GREEN RN</PersonNm>
        <TitleTxt>SVP - CHIEF NURSING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>409027</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>17225</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DOYLE BOYKIN</PersonNm>
        <TitleTxt>HOSPITAL CHIEF EXECUTIVE - KPH</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH TIBBS</PersonNm>
        <TitleTxt>PMG CONSULTANT</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>290429</ReportableCompFromOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JIM JEPPSON</PersonNm>
        <TitleTxt>VP - REAL ESTATE</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>210972</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANGELA WARD</PersonNm>
        <TitleTxt>HOSPITAL CHIEF EXECUTIVE - RMC</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY ELDER</PersonNm>
        <TitleTxt>VP - REAL ESTATE (HIRE 2/20)</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>242299</ReportableCompFromOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TROY CLARK</PersonNm>
        <TitleTxt>VP-OPERATIONS RDS (TERM 8/20)</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>234367</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEREMY MURDOCK</PersonNm>
        <TitleTxt>CHIEF OPERATING EXECUTIVE - PH</TitleTxt>
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        <ReportableCompFromOrgAmt>217114</ReportableCompFromOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN DAVIS RN</PersonNm>
        <TitleTxt>SVP-CHIEF EXP OFCR (TERM 3/19)</TitleTxt>
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        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>148325</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES NOBLE</PersonNm>
        <TitleTxt>SVP,CFO/TREASURER (HIRE 12/20)</TitleTxt>
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        <ReportableCompFromOrgAmt>200000</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAYNE MCCORMICK MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR - HOSPICE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>186126</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>10883</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TRAVIS COLLIER</PersonNm>
        <TitleTxt>SPECIAL COUNSEL</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>183000</ReportableCompFromOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBIN DIVINE</PersonNm>
        <TitleTxt>VP-EMERG BUS DEV(TERM 8/19)</TitleTxt>
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        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
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        <OtherCompensationAmt>11807</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL ARCHIBECK MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIRBY JEFFERSON</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER S THOMAS</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANDRA BEGAY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JASON HARRINGTON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FRANK FIGUEROA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LESLIE HOFFMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CYNTHIA SCHULTZ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AARON C MARTIN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NORM BECKER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RISHI SIKKA MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>18985358</TotalReportableCompFromOrgAmt>
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      <TotalOtherCompensationAmt>1875530</TotalOtherCompensationAmt>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>TRICORE LABORATORY SERVICES CORP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1001 WOODWARD PLACE NE</AddressLine1Txt>
            <CityNm>ALBUQUERQUE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87102</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LABORATORY SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>JAYNES CORPORATION</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2906 BROADWAY BLVD NE</AddressLine1Txt>
            <CityNm>ALBUQUERQUE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87107</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SVCS</ServicesDesc>
        <CompensationAmt>31363044</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>T-SYSTEMS NORTH AMERICA INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>765 WEST BIG BEAVER ROAD</AddressLine1Txt>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
        <ContractorName>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbyingGrp />
      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>true</MediaAdvertisementsInd>
      <MediaAdvertisementsAmt>32708</MediaAdvertisementsAmt>
      <MailingsMembersInd>true</MailingsMembersInd>
      <MailingsMembersAmt>12999</MailingsMembersAmt>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>220946</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>true</RalliesDemonstrationsInd>
      <RalliesDemonstrationsAmt>25000</RalliesDemonstrationsAmt>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>27078</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>318731</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINES 1C, 1D, 1G, 1H, AND 1I</FormAndLineReferenceDesc>
        <ExplanationTxt>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. THE COST OF PRESBYTERIAN'S GOVERNMENT RELATIONS STAFF THAT IS SPENT ON LOBBYING ACTIVITIES IS INCLUDED IN LINE 1I.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
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      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
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        <BookValueAmt>121051125</BookValueAmt>
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        <DepreciationAmt>567195588</DepreciationAmt>
        <BookValueAmt>575226453</BookValueAmt>
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        <DepreciationAmt>1755664</DepreciationAmt>
        <BookValueAmt>2528356</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>528510531</DepreciationAmt>
        <BookValueAmt>146157805</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <DepreciationAmt>248543462</DepreciationAmt>
        <BookValueAmt>123779251</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>968742990</TotalBookValueLandBuildingsAmt>
      <FinancialDerivativesGrp />
      <CloselyHeldEquityInterestsGrp />
      <OtherSecuritiesGrp>
        <Desc>VAR ALT INVEST &amp; CAPITAL FUNDS</Desc>
        <BookValueAmt>346763830</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>346763830</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>BOND ISSUANCE</Desc>
        <BookValueAmt>222153174</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INSURANCE RECOVERY RECEIVABLE</Desc>
        <BookValueAmt>121616239</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS</Desc>
        <BookValueAmt>54128597</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>397898010</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMPENSATION</Desc>
        <Amt>163315800</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>PROFESSIONAL LIABILITY RESERVE</Desc>
        <Amt>246652266</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>WORKER'S COMPENSATION RESERVE</Desc>
        <Amt>18893911</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>SWAP LIABILITIES</Desc>
        <Amt>35994800</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITES</Desc>
        <Amt>45929982</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>PENSION LIABILITY</Desc>
        <Amt>181844152</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITIES</Desc>
        <Amt>35151680</Amt>
      </OtherLiabilitiesOrgGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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, 2020 AND 2019, 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, 2020 OR 2019.</ExplanationTxt>
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        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Investments</TypeOfActivitiesConductedTxt>
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      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
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        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Investments</TypeOfActivitiesConductedTxt>
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      <SubtotalEmployeesCnt>0</SubtotalEmployeesCnt>
      <TotalOfficeCnt>0</TotalOfficeCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
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      <TotalSpentAmt>146865339</TotalSpentAmt>
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      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>true</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>true</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>true</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
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        <FormAndLineReferenceDesc>SCHEDULE F, PART I</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INVESTMENTS IN FOREIGN-BASED PRODUCTS INCLUDE INVESTMENTS MADE THROUGH A FOREIGN HEADQUARTERED EQUITY FUND, THREE U.S.-BASED EQUITY AND FIXED INCOME FUNDS, AND SEVERAL UNRELATED HEDGE FUNDS. THE EQUITY AND FIXED INCOME FUNDS 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.</ExplanationTxt>
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      <WrittenPolicyInd>true</WrittenPolicyInd>
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      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
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      <Percent400Ind>X</Percent400Ind>
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      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
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        <NetCommunityBenefitExpnsAmt>40584617</NetCommunityBenefitExpnsAmt>
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        <NetCommunityBenefitExpnsAmt>86878456</NetCommunityBenefitExpnsAmt>
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        </BusinessName>
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          <CityNm>RIO RANCHO</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87124</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.PHS.ORG</WebsiteAddressTxt>
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        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
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      <HospitalFacilitiesGrp>
        <FacilityNum>3</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>PLAINS REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>2100 N MARTIN LUTHER KING JR BLV</AddressLine1Txt>
          <CityNm>CLOVIS</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>88101</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.PHS.ORG</WebsiteAddressTxt>
        <StateLicenseNum>6052</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>4</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>PRESBYTERIAN KASEMAN HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>8300 CONSTITUTION AVE NE</AddressLine1Txt>
          <CityNm>ALBUQUERQUE</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87110</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.PHS.ORG</WebsiteAddressTxt>
        <StateLicenseNum>6022H2</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>B</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>5</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>PRESBYTERIAN ESPANOLA HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1010 SPRUCE ST</AddressLine1Txt>
          <CityNm>ESPANOLA</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87532</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.PHS.ORG</WebsiteAddressTxt>
        <StateLicenseNum>6090</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>6</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>SANTA FE MEDICAL CENTER</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>4801 BECKNER ROAD</AddressLine1Txt>
          <CityNm>SANTA FE</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87507</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.PHS.ORG</WebsiteAddressTxt>
        <StateLicenseNum>3617</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>7</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>LINCOLN COUNTY MEDICAL CENTER</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>211 SUDDERTH DR</AddressLine1Txt>
          <CityNm>RUIDOSO</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>88345</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.PHS.ORG</WebsiteAddressTxt>
        <StateLicenseNum>3199</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>8</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>SOCORRO GENERAL HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1202 HIGHWAY 60 WEST</AddressLine1Txt>
          <CityNm>SOCORRO</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87801</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.PHS.ORG</WebsiteAddressTxt>
        <StateLicenseNum>3014</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>9</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>DR DAN C TRIGG MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>301 E MIEL DE LUNA</AddressLine1Txt>
          <CityNm>TUCUMCARI</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>88401</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.PHS.ORG</WebsiteAddressTxt>
        <StateLicenseNum>3011</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>A</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>39</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>19</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE SCHEDULE H, PART V, SECTION C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>19</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE SCHEDULE H, PART V, SECTION C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.</FPGFamilyIncmLmtDscntCarePct>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE SCHEDULE H, PART V, SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE SCHEDULE H, PART V, SECTION C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE SCHED H, PART V, SEC C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>B</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>14</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>19</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE SCHEDULE H, PART V, SECTION C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>19</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE SCHEDULE H, PART V, SECTION C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.</FPGFamilyIncmLmtDscntCarePct>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE SCHEDULE H, PART V, SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE SCHEDULE H, PART V, SECTION C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE SCHED H, PART V, SEC C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B - FACILITY REPORTING GROUP A</FormAndLineReferenceDesc>
        <ExplanationTxt>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: (3) PLAINS REGIONAL MEDICAL CENTER (5) PRESBYTERIAN ESPANOLA HOSPITAL (6) SANTA FE MEDICAL CENTER (7) LINCOLN COUNTY MEDICAL CENTER (8) SOCORRO GENERAL HOSPITAL (9) 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 COMMUNITY HEALTH DEPARTMENT (PCH) TRAVELED TO EACH COMMUNITY, DEFINED AS THE COUNTY WHERE PRESBYTERIAN OPERATES HOSPITALS, TO CONDUCT INITIAL COMMUNITY FORUMS TO IDENTIFY POTENTIAL PRIORITIES. ALONG WITH THE COUNTY HEALTH COUNCIL, PCH HOSTED AN INDICATOR PRIORITIZATION SESSION THAT CONSISTED OF PRESENTING AND DISCUSSING MAJOR HEALTH INDICATORS AND PUBLIC HEALTH DATA OBTAINED FROM THE STATE'S INDICATOR-BASED INFORMATION SYSTEM (NM IBIS) AS WELL AS OTHER NATIONAL DATABASES. THESE DISCUSSIONS INCLUDED COMMUNITY MEMBERS, BUSINESS OWNERS, HEALTHCARE WORKERS, STATE DEPARTMENT OF HEALTH REPRESENTATIVES, REPRESENTATIVES OF UNDER-RESOURCED POPULATIONS, COMMUNITY SERVICE AGENCIES, AND LOCAL GOVERNMENT. FACILITATED BY THE PRESBYTERIAN COMMUNITY HEALTH EPIDEMIOLOGIST, PARTICIPANTS IDENTIFIED AND DISCUSSED KEY STATISTICS AND MAJOR HEALTH PRIORITIES FOR THEIR COMMUNITY, WITH A FOCUS ON DEMOGRAPHICS OF THE COMMUNITY, UPSTREAM, DOWNSTREAM, AND OUTCOME-BASED DATA. PARTICIPANTS WERE ALSO ENCOURAGED TO CONTRIBUTE THEIR OWN IDEAS, STORIES, OR DATA-DRIVEN PRIORITIES. DOT VOTING WAS USED TO IDENTIFY COMMUNITY HEALTH PRIORITIES ACCORDING TO: QUANTITATIVE DATA DRIVEN, QUALITATIVE AND EXPERIENCE-BASED DATA DRIVEN, AND PRAGMATIC CONSIDERATIONS. THESE VOTES WERE TALLIED AND THE INDICATORS WITH THE HIGHEST VOTES WERE GROUPED INTO CATEGORIES AND PRESENTED AT FOLLOW-UP FORUMS IN EACH COMMUNITY. PCH WORKED WITH HOSPITAL LEADERSHIP AND COMMUNITY MEMBERS TO REVIEW, CATEGORIZE, AND RANK IN ORDER OF IMPORTANCE THIS COMMUNITY INPUT ON PRIORITIZATION OF NEEDS AT SUBSEQUENT FORUMS. PCH THEN PRIORITIZED FOUR BROAD NEEDS, RANKED IN ORDER OF PRIORITY AS DETERMINED BY THE COMMUNITY, WHICH ARE LISTED IN ORDER IN THE CHNA: BEHAVIORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, ACCESS TO CARE, AND HEALTHY EATING/ACTIVE LIVING. 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2019, AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS, EACH HOSPITAL AND THE PRESBYTERIAN COMMUNITY HEALTH DEPARTMENT (PCH) 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 LOCAL PUBLIC HEALTH AND HEALTHCARE REPRESENTATIVES AS WELL AS REPRESENTATIVES FROM THE NEW MEXICO DEPARTMENT OF HEALTH, INCLUDING THE EPIDEMIOLOGY AND RESPONSE AND PUBLIC HEALTH DIVISIONS. HEALTH COUNCIL MEMBERSHIP IS OPEN TO ALL IN THE COMMUNITY AND INCLUDES MEMBERS OF THE BUSINESS COMMUNITY, HEALTHCARE SECTOR, NON-PROFIT AND SOCIAL SERVICE SECTORS, PUBLIC SECTOR - INCLUDING EDUCATION, PUBLIC BENEFITS, MILITARY/VETERANS, SENIOR AFFAIRS, PLANNING, AND LAW ENFORCEMENT - AND COMMUNITY MEMBERS AT LARGE. IN PREPARATION FOR THE ASSESSMENT PROCESS HEALTH COUNCILS AND PCH WENT THROUGH LOCAL AND STATEWIDE STAKEHOLDER ANALYSES AND MADE ADDITIONAL EFFORTS TO CONDUCT EXTENSIVE COMMUNITY STAKEHOLDER ENGAGEMENT WITH A FOCUS ON EQUITY AND INCLUSION OF VOICES AND EXPERIENCES OFTEN UNDERREPRESENTED. AS A RESULT, HEALTH COUNCIL MEMBERSHIP, PARTICIPATION, AND CAPACITY HAS ALSO INCREASED. IN 2019, PCH ALSO WORKED WITH LOCAL AND HEALTH SYSTEM-WIDE LEADERSHIP, INCLUDING EACH HOSPITAL'S BOARD OF DIRECTORS, TO REVIEW AND PRIORITIZE THE SIGNIFICANT HEALTH NEEDS FOR 2020-2022. 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 &amp; NON-PROFIT LEADERS, EDUCATORS, AND PHYSICIAN LEADERS WHO HAVE SPECIAL KNOWLEDGE OF THE HEALTH NEEDS AND ASSETS IN THEIR COMMUNITY. PER IRS REQUIREMENTS, PRESBYTERIAN HEAVILY WEIGHTED COMMUNITY INPUT IN IDENTIFYING AND PRIORITIZING SIGNIFICANT HEALTH NEEDS AND RESOURCES. COMMUNITY INPUT FROM THE COUNTY HEALTH COUNCILS, MUNICIPAL AND TRIBAL GOVERNMENT LEADERS, THE VOLUNTEER COMMUNITY LEADERS THAT MAKE UP EACH OF PRESBYTERIAN'S HOSPITAL BOARDS OF DIRECTORS, COMMUNITY ORGANIZATIONS, COMMUNITY MEMBERS, AND REPRESENTATIVES FROM THE NEW MEXICO DEPARTMENT OF HEALTH WERE SOLICITED IN NUMEROUS WAYS, INCLUDING THROUGH KEY INFORMANT INTERVIEWS, PUBLIC FORUMS HELD FROM NOVEMBER 2018 THROUGH MAY 2019, BOARD AND ADVISORY MEETINGS, AND WRITTEN FEEDBACK. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH SUBJECT MATTER EXPERTS FROM: -THE NEW MEXICO PUBLIC HEALTH INSTITUTE -NM AGING AND LONG-TERM SERVICES -THE UNIVERSITY OF NEW MEXICO MEMORY AND AGING CENTER -FIERCE PRIDE -THE TRANSGENDER RESOURCE CENTER OF NEW MEXICO -EQUALITY NEW MEXICO COMMUNITY FORUM PARTICIPANTS INCLUDED: - PEOPLE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH INCLUDING LOCAL, COUNTY LEVEL, STATE LEVEL PUBLIC HEALTH OFFICIALS, ACADEMICS, AND PUBLIC HEALTH PROFESSIONALS EMPLOYED BY OTHER ENTITIES, INCLUDING PRESBYTERIAN. - 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, BLUE CROSS BLUE SHIELD OF NEW MEXICO, GERALD CHAMPION MEDICAL CENTER, EASTERN NEW MEXICO UNIVERSITY, CANNON AFB, NEW MEXICO INSTITUTE OF MINING AND TECHNOLOGY, INCLUDING INDIAN HEALTH SERVICES, NEW MEXICO STATE UNIVERSITY COUNTY EXTENSION SERVICES, THE NATIONAL PARK SERVICE, CONGRESSMAN LUJAN'S OFFICE, THE MAYOR'S OFFICE OF MAGDALENA, THE CHILDREN YOUTH AND FAMILIES DEPARTMENT, THE QUAY COUNTY COMMISSION, COUNTY EMS AND FIRE, SANTA CLARA PUEBLO, BARRIOS UNIDOS, MCCURDY MINISTRIES, NM NURSES ASSOCIATION, CRISIS CENTERS AND COUNSELING SERVICES, NUMEROUS SOCIAL SERVICE AND LOCAL NONPROFIT ORGANIZATIONS, AND LOCAL MEDIA OUTLETS. COMMUNITY FORUM 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, ASSETS, AND POTENTIAL STRATEGIES FOR ACHIEVING THE STATED PRIORITIES. PHS COMMUNITY HEALTH (PCH) WAS ESTABLISHED IN 2013 WITH A FOCUS ON COMPLETING ASSESSMENTS AND PLANS AS WELL AS IMPLEMENTING AND MEASURING THE IMPACT OF THE PLAN IMPLEMENTATION. THE VICE PRESIDENT FOR COMMUNITY HEALTH, LEIGH CASWELL, MPH, HAS 15 YEARS OF PUBLIC HEALTH EXPERIENCE IN NEW MEXICO, AND THE DEPARTMENT DIRECTOR RESPONSIBLE FOR FACILITATING THE CHNA/CHIP PROCESS, MEREDITH ROOT-BOWMAN, MPH, MPA, HAS BEEN WITH THE ORGANIZATION SINCE THE 2016 CHNA CYCLE. COMMUNITY HEALTH IS STAFFED BY INDIVIDUALS WITH PUBLIC HEALTH EXPERIENCE AND EXPERTISE, INCLUDING THE COMMUNITY HEALTH EPIDEMIOLOGIST (MPH). PCH IS COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH COMMUNITY ENGAGEMENT AND SUSTAINABLE COLLECTIVE IMPACT WITH MANY MULTI-SECTOR PARTNERS. PCH ASSISTED EACH PRESBYTERIAN HOSPITAL TO COMPLETE AND REPORT THEIR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND THE COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) FOR 2020-2022. HOSPITALS WILL CONTINUE TO RECEIVE SUPPORT FOR COMMUNITY HEALTH NEEDS ASSESSMENT, PLAN IMPLEMENTATION, IMPACT REPORTING, AND EVALUATION FROM PCH</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINES 7A AND</FormAndLineReferenceDesc>
        <ExplanationTxt>10A APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: EACH FACILITY'S MOST CURRENT AND PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ONSITE AT EACH HOSPITAL AND ARE ALSO AVAILABLE, ALONG WITH IMPLEMENTATION PLANS AND IMPACT REPORTS, AT THE FOLLOWING WEBSITE: https://www.phs.org/community/committed-to-community-health/Pages/reports. aspx</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: THROUGH THE COMMUNITY HEALTH ASSESSMENT PROCESS, COMMUNITIES HAVE REAFFIRMED PREVIOUS PRIORITIES AND EXPANDED DESIRED PRIORITIES TO ADDRESS THE ROOT CAUSES OF POOR HEALTH IN THEIR COMMUNITIES. WHILE NUTRITION, PHYSICAL ACTIVITY, AND SUBSTANCE USE REMAIN HIGH PRIORITIES FOR COMMUNITIES, ALL COMMUNITIES EXPRESSED INTEREST IN EXPANDING PRIORITIES TO INCLUDE BEHAVIORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, AND ACCESS TO HEALTHCARE. BY INCLUDING THESE ADDITIONAL PRIORITIES, AND COMBINING SUBSTANCE USE WITH BEHAVIORAL HEALTH, THE COMMUNITY FELT THAT THESE FOUR PRIORITY AREAS 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 2016-2019 WILL BE SUSTAINED, IMPROVED UPON, AND SCALED TO REACH LARGER NUMBERS IN THE CURRENT COMMUNITY HEALTH IMPLEMENTATION PLAN WHILE NEW PROGRAMMING WILL BE IMPLEMENTED BASED ON COMMUNITY NEED. 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. EACH COMMUNITY DETERMINED POTENTIAL STRATEGIES TO MAKE PROGRESS IN EACH OF THE FOUR COMMUNITY HEALTH PRIORITY AREAS. THESE SUGGESTIONS WERE INCLUDED IN EACH COUNTY'S CHIP BY WORKING CLOSELY WITH THE LOCAL HEALTH COUNCIL. IN ADDITION TO COMMUNITY-SPECIFIC ACTIVITIES, THE CHIPS INCLUDE SYSTEM-WIDE STRATEGIES THAT PHS IS RESPONSIBLE FOR TO ADDRESS EACH OF THE FOUR PRIORITY AREAS. IN 2020, MANY OF THE HEALTH NEEDS OF THE COMMUNITY SHIFTED TO ADDRESSING THE COVID-19 PANDEMIC. COMMUNITY HEALTH FUNDING SHIFTED INITIALLY FROM ADDRESSING KEY CHIP ACTIVITIES TO KEEPING COMMUNITIES SAFE THROUGH MESSAGING CAMPAIGNS AND DISTRIBUTION OF FACE MASKS, HAND SANITIZER, AND FACE SHIELDS. SOON AFTER, FUNDING WAS REDIRECTED TO ADDRESS UNDERLYING DETERMINANTS OF HEALTH THAT CONTRIBUTE TO COVID Morbidity AND MORTALITY - ASSISTING WITH AN INCREASE IN FOOD INSECURITY THROUGHOUT THE COMMUNITIES, INCREASING MESSAGING AND RESOURCES FOR PREVENTION OF MENTAL HEALTH AND VIOLENCE PREVENTION, AS WELL AS ISOLATION AND LONELINESS THROUGHOUT THE COMMUNITY. HOSPITALS INCREASED THE DISTRIBUTION OF FREE HEALTHY MEALS FOR KIDS THROUGH THE CAFETERIAS AT THE BEGINNING OF THE PANDEMIC TO HELP FILL GAPS THAT SCHOOL CLOSURES LEFT. HOSPITALS EMPHASIZED THE ACCESS TO CARE PRIORITY THAT THE COMMUNITY HAD IDENTIFIED DURING THE LAST CHNA CYCLE DURING THE COVID-19 RESPONSES THROUGH IMPLEMENTING EMERGENCY RESPONSE PLANS FOR ALL LEVELS OF COVID CARE, PUSHING FLU VACCINATIONS, RAPIDLY ADAPTED TELEMEDICINE AND VIRTUAL CARE OPTIONS, AND A DEEPENED INSTITUTIONAL FOCUS ON HEALTH EQUITY. MANY PARTNER ORGANIZATIONS CONDUCTED A NUBMER OF VIRTUAL TRAININGS INCLUDING QUESTION, PERSUADE, RESPOND (QPR) AND MENTAL HEALTH FIRST AID. IN RESPONSE TO THE PANDEMIC, PRESBYTERIAN COMMUNITY HEALTH MOVED HEALTHY EATING, ACTIVE LIVING, AND COMMUNITY WELLBEING CLASSES TO A VIRTUAL PLATFORM, GREATLY INCREASING COMMUNITY PARTICIPATION STATEWIDE. ADDITIONALY, IN ADDITION TO EFFORTS SPECIFIC TO PRESBYTERIAN COMMUNITY HEALTH, PRESBYTERIAN HEALTHCARE SERVICES ENGAGED IN MANY EFFORTS TO CARE FOR PATIENTS AND MEMBERS DURING THE PANDEMIC. PRESBYTERIAN USED NEW INFRASTRUCTURES TO PROVIDE CARE TO ALMOST 470,000 PATIENTS STATEWIDE THROUGH TELEPHONE AND VIDEO VISITS. IN ADDITION TO PROVIDING COMPREHENSIVE COVID CARE, PRESBYTERIAN ESTABLISHED COVID-19 TESTING FACILITIES IN PARTNERSHIP WITH THE STATE DEPARTMENT OF HEALTH AND OTHER HEALTH SYSTEMS, TO PROVIDE DRIVE-THROUGH AND MOBILE TESTING THROUGHOUT THE COURSE OF THE PANDEMIC AND PROVIDE DATA AND ANALYTICS MODELING FOR COORDINATED RESPONSE. PRESBYTERIAN HAS BEGUN SCREENING FOR HEALTH-RELATED SOCIAL NEEDS (HOUSING STABILITY, FOOD INSECURITY, UTILITY NEEDS, TRANSPORTATION NEEDS, AND INTERPERSONAL SAFETY) AS ONE WAY TO BEGIN TO ADDRESS INDIVIDUAL PATIENT NEEDS AS WELL AS LARGER SOCIAL DETERMINANTS OF HEALTH WORK. IN 2020, THIS WORK UNDERWENT EXPANSION AS I/T SYSTEMS, INCLUDING THE ELECTRONIC MEDICAL RECORD WERE UPGRADED IN PREPARATION FOR SYSTEM-WIDE UNIVERSAL SCREENING FOR HEALTH-RELATED SOCIAL NEEDS. 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. UNLIKE MANY HEALTHCARE INSTITUTIONS, PRESBYTERIAN WAS ABLE TO KEEP ITS WORKFORCE AND THEIR PAY 'WHOLE' THROUGHOUT THE COURSE OF THE PANDEMIC, PROVIDE COMPREHENSIVE PPE, WHILE ALSO PROVIDING ADDITIONAL SUPPORTS SUCH AS CHILDCARE, ONSITE GROCERY SHOPPING, MEALS, AND MENTAL HEALTH SERVICES TO EMPLOYEES AND THEIR FAMILIES. 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. PRESBYTERIAN HAS A SIGNIFICANT INVESTMENT IN AND COMMITMENT TO DIVERSITY, INCLUSION, AND HEALTH EQUITY, AND 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 PRESBYTERIAN HOSPITALS OR CLINICS AND INCREASE ACCESS TO CARE. INFORMATION ABOUT THESE SERVICES AND MORE CAN BE FOUND ON THE PRESBYTERIAN WEBSITE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B - FACILITY REPORTING GROUP B</FormAndLineReferenceDesc>
        <ExplanationTxt>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 (4) 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 COMMUNITY HEALTH DEPARTMENT (PCH) TRAVELED TO EACH COMMUNITY - BERNALILLO, SANDOVAL, VALENCIA, AND TORRANCE COUNTIES -TO CONDUCT INITIAL COMMUNITY FORUMS TO IDENTIFY POTENTIAL PRIORITIES. IN PARTNERSHIP WITH COUNTY HEALTH COUNCILS, PCH HOSTED AN INDICATOR PRIORITIZATION SESSION THAT CONSISTED OF PRESENTING AND DISCUSSING MAJOR HEALTH INDICATORS AND PUBLIC HEALTH DATA OBTAINED FROM THE STATE'S INDICATOR-BASED INFORMATION SYSTEM (NM IBIS) AS WELL AS OTHER NATIONAL DATABASES. THESE DISCUSSIONS INCLUDED COMMUNITY MEMBERS, BUSINESS OWNERS, HEALTHCARE WORKERS, STATE DEPARTMENT OF HEALTH REPRESENTATIVES, REPRESENTATIVES OF UNDER RESOURCED POPULATIONS, COMMUNITY SERVICE AGENCIES, AND LOCAL GOVERNMENT. FACILITATED BY THE PRESBYTERIAN COMMUNITY HEALTH EPIDEMIOLOGIST, PARTICIPANTS IDENTIFIED AND DISCUSSED KEY STATISTICS AND MAJOR HEALTH PRIORITIES FOR THEIR COMMUNITY, WITH A FOCUS ON DEMOGRAPHICS OF THE COMMUNITY, UPSTREAM, DOWNSTREAM, AND OUTCOME-BASED DATA. PARTICIPANTS WERE ALSO ENCOURAGED TO CONTRIBUTE THEIR OWN IDEAS, STORIES, OR DATA-DRIVEN PRIORITIES. DOT VOTING WAS USED TO IDENTIFY COMMUNITY HEALTH PRIORITIES ACCORDING TO: QUANTITATIVE DATA DRIVEN, QUALITATIVE AND EXPERIENCE-BASED DATA DRIVEN, AND PRAGMATIC CONSIDERATIONS. THESE VOTES WERE TALLIED AND THE INDICATORS WITH THE HIGHEST VOTES WERE GROUPED INTO CATEGORIES AND PRESENTED AT FOLLOW-UP FORUMS IN EACH COMMUNITY. PCH WORKED WITH HOSPITAL LEADERSHIP AND COMMUNITY MEMBERS TO REVIEW, CATEGORIZE, AND RANK IN ORDER OF IMPORTANCE THIS COMMUNITY INPUT ON PRIORITIZATION OF NEEDS AT SUBSEQUENT FORUMS. PCH THEN PRIORITIZED FOUR BROAD NEEDS, RANKED IN ORDER OF PRIORITY AS DETERMINED BY THE COMMUNITY, WHICH ARE LISTED IN ORDER IN THE CHNA: BEHAVIORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, ACCESS TO CARE, AND HEALTHY EATING/ACTIVE LIVING. 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 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 HEALTHCARE SERVICES (PHS) HAS GENERALLY DEFINED THE "COMMUNITY" OF EACH HOSPITAL AS THE COUNTY IN WHICH THE HOSPITAL IS LOCATED. IN 2019, AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS, EACH HOSPITAL AND THE PRESBYTERIAN COMMUNITY HEALTH DEPARTMENT (PCH) 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 LOCAL PUBLIC HEALTH AND HEALTHCARE REPRESENTATIVES AS WELL AS REPRESENTATIVES FROM THE NEW MEXICO DEPARTMENT OF HEALTH, INCLUDING THE EPIDEMIOLOGY AND RESPONSE AND PUBLIC HEALTH DIVISIONS. HEALTH COUNCIL MEMBERSHIP IS OPEN TO ALL IN THE COMMUNITY AND INCLUDES MEMBERS OF THE BUSINESS COMMUNITY, HEALTHCARE SECTOR, NON-PROFIT AND SOCIAL SERVICE SECTORS, PUBLIC SECTOR - INCLUDING EDUCATION, PUBLIC BENEFITS, MILITARY/VETERANS, SENIOR AFFAIRS, PLANNING, AND LAW ENFORCEMENT - AND COMMUNITY MEMBERS AT LARGE. IN PREPARATION FOR THE ASSESSMENT PROCESS HEALTH COUNCILS AND PCH WENT THROUGH LOCAL AND STATEWIDE STAKEHOLDER ANALYSES AND MADE ADDITIONAL EFFORTS TO CONDUCT EXTENSIVE COMMUNITY STAKEHOLDER ENGAGEMENT WITH A FOCUS ON EQUITY AND INCLUSION OF VOICES AND EXPERIENCES OFTEN UNDERREPRESENTED. AS A RESULT, HEALTH COUNCIL MEMBERSHIP, PARTICIPATION, AND CAPACITY HAS ALSO INCREASED. IN 2019, PCH ALSO WORKED WITH LOCAL AND HEALTH SYSTEM-WIDE LEADERSHIP, INCLUDING EACH HOSPITAL'S BOARD OF DIRECTORS, TO REVIEW AND PRIORITIZE THE SIGNIFICANT HEALTH NEEDS FOR 2020-2022. 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 &amp; NON-PROFIT LEADERS, EDUCATORS, AND PHYSICIAN LEADERS WHO HAVE SPECIAL KNOWLEDGE OF THE HEALTH NEEDS AND ASSETS IN THEIR COMMUNITY. PER IRS REQUIREMENTS, PRESBYTERIAN HEAVILY WEIGHTED COMMUNITY INPUT IN IDENTIFYING AND PRIORITIZING SIGNIFICANT HEALTH NEEDS AND RESOURCES. COMMUNITY INPUT FROM THE COUNTY HEALTH COUNCILS, MUNICIPAL AND TRIBAL GOVERNMENT LEADERS, THE VOLUNTEER COMMUNITY LEADERS THAT MAKE UP EACH OF PRESBYTERIAN'S HOSPITAL BOARDS OF DIRECTORS, COMMUNITY ORGANIZATIONS, COMMUNITY MEMBERS, AND REPRESENTATIVES FROM THE NEW MEXICO DEPARTMENT OF HEALTH WERE SOLICITED IN NUMEROUS WAYS, INCLUDING THROUGH KEY INFORMANT INTERVIEWS, PUBLIC FORUMS HELD FROM NOVEMBER 2018 THROUGH MAY 2019, BOARD AND ADVISORY MEETINGS, AND WRITTEN FEEDBACK. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH SUBJECT MATTER EXPERTS FROM: -THE NEW MEXICO PUBLIC HEALTH INSTITUTE -NM AGING AND LONG-TERM SERVICES -THE UNIVERSITY OF NEW MEXICO MEMORY AND AGING CENTER -FIERCE PRIDE -THE TRANSGENDER RESOURCE CENTER OF NEW MEXICO -EQUALITY NEW MEXICO COMMUNITY FORUM PARTICIPANTS INCLUDED: - PEOPLE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH INCLUDING LOCAL, COUNTY LEVEL, STATE LEVEL PUBLIC HEALTH OFFICIALS, ACADEMICS, AND PUBLIC HEALTH PROFESSIONALS EMPLOYED BY OTHER ENTITIES, INCLUDING PRESBYTERIAN. - 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: FEDERALLY QUALIFIED HEALTH CENTERS, SANDOVAL COMMUNITY HEALTH COLLABORATIVE, TOGETHER 4 BROTHERS, COMAGINE HEALTH, CHI ST. JOSEPH'S CHILDREN, NEW MEXICO COMMUNITY DATA COLLABORATIVE, ABQ SANE- SEXUAL ASSAULT NURSE EXAMINERS, VALENCIA COUNTY DWI PROGRAM, EDUCATING NEW MEXICO, BLUE CROSS BLUE SHIELD, SILVER SNEAKERS, BEHAVIORAL HEALTH LOCAL COLLABORATIVE-16 TRIBAL CONSORTIUM, TEEN COURT, NEW MEXICO ALLIANCE OF HEALTH COUNCILS, INDIAN HEALTH SERVICES, TITLE V - MATERNAL AND CHILD HEALTH PROGRAMS, NUMEROUS SOCIAL SERVICE AND LOCAL NONPROFIT ORGANIZATIONS, AND LOCAL MEDIA OUTLETS. COMMUNITY FORUM 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, ASSETS, AND POTENTIAL STRATEGIES FOR ACHIEVING THE STATED PRIORITIES. PHS COMMUNITY HEALTH (PCH) WAS ESTABLISHED IN 2013 WITH A FOCUS ON COMPLETING ASSESSMENTS AND PLANS AS WELL AS IMPLEMENTING AND MEASURING THE IMPACT OF THE PLAN IMPLEMENTATION. THE VICE PRESIDENT FOR COMMUNITY HEALTH, LEIGH CASWELL, MPH, HAS 15 YEARS OF PUBLIC HEALTH EXPERIENCE IN NEW MEXICO, AND THE DEPARTMENT DIRECTOR RESPONSIBLE FOR FACILITATING THE CHNA/CHIP PROCESS, MEREDITH ROOT-BOWMAN, MPH, MPA, HAS BEEN WITH THE ORGANIZATION SINCE THE 2016 CHNA CYCLE. COMMUNITY HEALTH IS STAFFED BY INDIVIDUALS WITH PUBLIC HEALTH EXPERIENCE AND EXPERTISE, INCLUDING THE COMMUNITY HEALTH EPIDEMIOLOGIST (MPH). PCH IS COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH COMMUNITY ENGAGEMENT AND SUSTAINABLE COLLECTIVE IMPACT WITH MANY MULTI-SECTOR PARTNERS. PCH ASSISTED EACH PRESBYTERIAN HOSPITAL TO COMPLETE AND REPORT THEIR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND THE COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) FOR 2020-2022. HOSPITALS WILL CONTINUE TO RECEIVE SUPPORT FOR COMMUNITY HEALTH NEEDS ASSESSMENT, PLAN IMPLEMENTATION, IMPACT REPORTING, AND EVALUATION FROM PCH. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 6A APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINES 7A AND</FormAndLineReferenceDesc>
        <ExplanationTxt>10A APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B: THE FACILITY'S MOST CURRENT AND PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE AT EACH HOSPITAL AND THE ASSESSMENTS, ALONG WITH THE IMPLEMENTATION PLANS AND IMPACT REPORTS, ARE AVAILABLE AT THE FOLLOWING WEBSITE: https://www.phs.org/community/committed-to-community-health/Pages/reports. aspx THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B: THROUGH THE COMMUNITY HEALTH ASSESSMENT PROCESS, COMMUNITIES HAVE REAFFIRMED PREVIOUS PRIORITIES AND EXPANDED DESIRED PRIORITIES TO ADDRESS THE ROOT CAUSES OF POOR HEALTH IN THE COMMUNITIES. WHILE NUTRITION, PHYSICAL ACTIVITY, AND SUBSTANCE USE REMAIN HIGH PRIORITIES FOR COMMUNITIES, ALL COMMUNITIES EXPRESSED INTEREST IN EXPANDING PRIORITIES TO INCLUDE BEHAVIORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, AND ACCESS TO HEALTHCARE. BY INCLUDING THESE ADDITIONAL PRIORITIES, AND COMBINING SUBSTANCE USE WITH BEHAVIORAL HEALTH, THE COMMUNITY FELT THAT THESE FOUR PRIORITY AREAS 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 2016-2019 WILL BE SUSTAINED, IMPROVED UPON, AND SCALED TO REACH LARGER NUMBERS IN THE CURRENT COMMUNITY HEALTH IMPLEMENTATION PLAN WHILE NEW PROGRAMMING WILL BE IMPLEMENTED BASED ON COMMUNITY NEED. 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. EACH COMMUNITY DETERMINED POTENTIAL STRATEGIES TO MAKE PROGRESS IN EACH OF THE FOUR COMMUNITY HEALTH PRIORITY AREAS. THESE SUGGESTIONS WERE INCLUDED IN EACH COUNTY'S CHIP BY WORKING CLOSELY WITH THE LOCAL HEALTH COUNCIL. IN ADDITION TO COMMUNITY-SPECIFIC ACTIVITIES, THE CHIPS INCLUDE SYSTEM-WIDE STRATEGIES THAT PHS IS RESPONSIBLE FOR TO ADDRESS EACH OF THE FOUR PRIORITY AREAS. IN 2020, MANY OF THE HEALTH NEEDS OF THE COMMUNITY SHIFTED TO ADDRESSING THE COVID-19 PANDEMIC. COMMUNITY HEALTH FUNDING SHIFTED INITIALLY FROM ADDRESSING KEY CHIP ACTIVITIES TO KEEPING COMMUNITIES SAFE THROUGH MESSAGING CAMPAIGNS AND DISTRIBUTION OF FACE MASKS, HAND SANITIZER, AND FACE SHIELDS. SOON AFTER, FUNDING WAS REDIRECTED TO ADDRESS UNDERLYING DETERMINANTS OF HEALTH THAT CONTRIBUTE TO COVID Morbidity AND MORTALITY - ASSISTING WITH AN INCREASE IN FOOD INSECURITY THROUGHOUT THE COMMUNITIES, INCREASING MESSAGING AND RESOURCES FOR PREVENTION OF MENTAL HEALTH AND VIOLENCE PREVENTION, AS WELL AS ISOLATION AND LONELINESS THROUGHOUT THE COMMUNITY. HOSPITALS INCREASED THE DISTRIBUTION OF FREE HEALTHY MEALS FOR KIDS THROUGH THE CAFETERIAS AT THE BEGINNING OF THE PANDEMIC TO HELP FILL GAPS THAT SCHOOL CLOSURES LEFT. HOSPITALS EMPHASIZED THE ACCESS TO CARE PRIORITY THAT THE COMMUNITY HAD IDENTIFIED DURING THE LAST CHNA CYCLE DURING THE COVID-19 RESPONSES THROUGH IMPLEMENTING EMERGENCY RESPONSE PLANS FOR ALL LEVELS OF COVID CARE, PUSHING FLU VACCINATIONS, RAPIDLY ADAPTED TELEMEDICINE AND VIRTUAL CARE OPTIONS, AND A DEEPENED INSTITUTIONAL FOCUS ON HEALTH EQUITY. MANY PARTNER ORGANIZATIONS CONDUCTED A NUBMER OF VIRTUAL TRAININGS INCLUDING QUESTION, PERSUADE, RESPOND (QPR) AND MENTAL HEALTH FIRST AID. IN RESPONSE TO THE PANDEMIC, PRESBYTERIAN COMMUNITY HEALTH MOVED HEALTHY EATING, ACTIVE LIVING, AND COMMUNITY WELLBEING CLASSES TO A VIRTUAL PLATFORM, GREATLY INCREASING COMMUNITY PARTICIPATION STATEWIDE. ADDITIONALY, PRESBYTERIAN USED NEW INFRASTRUCTURES TO PROVIDE CARE TO ALMOST 470,000 PATIENTS STATEWIDE THROUGH TELEPHONE AND VIDEO VISITS. IN ADDITION TO PROVIDING COMPREHENSIVE COVID CARE, PRESBYTERIAN ESTABLISHED COVID-19 TESTING FACILITIES IN PARTNERSHIP WITH THE STATE DEPARTMENT OF HEALTH AND OTHER HEALTH SYSTEMS, TO PROVIDE DRIVE-THROUGH AND MOBILE TESTING THROUGHOUT THE COURSE OF THE PANDEMIC AND PROVIDE DATA AND ANALYTICS MODELING FOR COORDINATED RESPONSE. PRESBYTERIAN HAS BEGUN SCREENING FOR HEALTH-RELATED SOCIAL NEEDS (HOUSING STABILITY, FOOD INSECURITY, UTILITY NEEDS, TRANSPORTATION NEEDS, AND INTERPERSONAL SAFETY) AS ONE WAY TO BEGIN TO ADDRESS INDIVIDUAL PATIENT NEEDS AS WELL AS LARGER SOCIAL DETERMINANTS OF HEALTH WORK. IN 2020, THIS WORK UNDERWENT EXPANSION AS I/T SYSTEMS, INCLUDING THE EMR, WERE UPGRADED IN PREPARATION FOR SYSTEM-WIDE UNIVERSAL SCREENING FOR HEALTH-RELATED SOCIAL NEEDS. 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. UNLIKE MANY HEALTHCARE INSTITUTIONS, PRESBYTERIAN WAS ABLE TO KEEP ITS WORKFORCE AND THEIR PAY 'WHOLE' THROUGHOUT THE COURSE OF THE PANDEMIC, ALWAYS PROVIDE COMPREHENSIVE PPE, WHILE ALSO PROVIDING ADDITIONAL SUPPORTS SUCH AS CHILDCARE, ONSITE GROCERY SHOPPING, MEALS, AND MENTAL HEALTH SERVICES TO EMPLOYEES AND THEIR FAMILIES. 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. PRESBYTERIAN HAS A SIGNIFICANT INVESTMENT IN AND COMMITMENT TO DIVERSITY, INCLUSION, AND HEALTH EQUITY, AND 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 PRESBYTERIAN HOSPITALS OR CLINICS AND INCREASE ACCESS TO CARE. INFORMATION ABOUT THESE SERVICES AND MORE CAN BE FOUND ON THE PRESBYTERIAN WEBSITE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 13H</FormAndLineReferenceDesc>
        <ExplanationTxt>APPLIES TO ALL HOSPITAL FACILITIES: 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: THE FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY FORMS ARE AVAILABLE AT THE FOLLOWING WEBSITE: WWW.PHS.ORG/FINANCIALASSISTANCE</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>46</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8300 CONSTITUTION AVE NE</AddressLine1Txt>
            <CityNm>ALBUQUERQUE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87110</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY &amp; SPECIALTY MEDICAL CLINIC, PAIN &amp; SPINE, SLEEP CENTER &amp; RADIATION ONCOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4100 HIGH RESORT BLVD SE</AddressLine1Txt>
            <CityNm>RIO RANCHO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87124</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY &amp; SPECIALTY MEDICAL CLINIC &amp; URGENT CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>201 CEDAR ST SE</AddressLine1Txt>
            <CityNm>ALBUQUERQUE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87106</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY &amp; SPECIALTY MEDICAL CLINIC &amp; CARDIOLOGY SURGERY CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PRESNOW 247</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4515 COORS BLVD NW</AddressLine1Txt>
            <CityNm>ALBUQUERQUE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87120</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT/EMERGENCY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PRESNOW 247</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6400 PASEO DEL NORTE BLVD NE</AddressLine1Txt>
            <CityNm>ALBUQUERQUE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87113</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT/EMERGENCY CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2400 UNSER BLVD SE</AddressLine1Txt>
            <CityNm>RIO RANCHO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87124</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY &amp; SPECIALTY MEDICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1010 SPRUCE ST</AddressLine1Txt>
            <CityNm>ESPANOLA</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87532</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY &amp; SPECIALTY MEDICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4005 HIGH RESORT BLVD SE</AddressLine1Txt>
            <CityNm>RIO RANCHO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87124</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY &amp; SPECIALTY MEDICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1100 LEAD AVE SE</AddressLine1Txt>
            <CityNm>ALBUQUERQUE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87106</ZIPCd>
          </USAddress>
          <FacilityTxt>GASTROENTEROLOGY LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6100 PAN AMERICAN NE STE 450</AddressLine1Txt>
            <CityNm>ALBUQUERQUE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87109</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY &amp; SPECIALTY MEDICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5901 HARPER NE</AddressLine1Txt>
            <CityNm>ALBUQUERQUE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87109</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY &amp; SPECIALTY MEDICAL CLINIC &amp; URGENT CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7920 CARMEL AVE NE</AddressLine1Txt>
            <CityNm>ALBUQUERQUE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87122</ZIPCd>
          </USAddress>
          <FacilityTxt>PEDIATRIC URGENT CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3630 LAS ESTANCIAS DR SW</AddressLine1Txt>
            <CityNm>ALBUQUERQUE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87121</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY &amp; SPECIALTY MEDICAL CLINIC &amp; URGENT CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3901 ATRISCO NW</AddressLine1Txt>
            <CityNm>ALBUQUERQUE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87120</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY &amp; SPECIALTY MEDICAL CLINIC &amp; URGENT CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4801 BECKNER RD</AddressLine1Txt>
            <CityNm>SANTA FE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87507</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY &amp; SPECIALTY MEDICAL CLINIC &amp; URGENT CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2200 WEST 21ST ST</AddressLine1Txt>
            <CityNm>CLOVIS</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88101</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY &amp; SPECIALTY MEDICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>454 St Michaels Dr</AddressLine1Txt>
            <CityNm>SANTA FE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87505</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY &amp; SPECIALTY MEDICAL CLINIC &amp; URGENT CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1325 WYOMING BLVD NE</AddressLine1Txt>
            <CityNm>ALBUQUERQUE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87112</ZIPCd>
          </USAddress>
          <FacilityTxt>ADULT &amp; GERIATRIC BEHAVIORAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4588 PARADISE BLVD NW</AddressLine1Txt>
            <CityNm>ALBUQUERQUE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87114</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY &amp; SPECIALTY MEDICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>609 S CHRISTOPHER RD</AddressLine1Txt>
            <CityNm>BELEN</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87002</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY &amp; SPECIALTY MEDICAL CLINIC &amp; URGENT CARE CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2421 WEST 21ST ST</AddressLine1Txt>
            <CityNm>CLOVIS</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88101</ZIPCd>
          </USAddress>
          <FacilityTxt>SPECIALTY CARE &amp; SURGERY CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8800 MONTGOMERY BLVD NE</AddressLine1Txt>
            <CityNm>ALBUQUERQUE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87111</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY &amp; SPECIALTY MEDICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>401 SAN MATEO BLVD SE</AddressLine1Txt>
            <CityNm>ALBUQUERQUE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87108</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY &amp; SPECIALTY MEDICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1202 HWY 60 WEST</AddressLine1Txt>
            <CityNm>SOCORRO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87801</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY &amp; SPECIALTY MEDICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>211 SUDDERTH DR</AddressLine1Txt>
            <CityNm>RUIDOSO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88345</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY &amp; SPECIALTY MEDICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5550 WYOMING BLVD NE</AddressLine1Txt>
            <CityNm>ALBUQUERQUE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87108</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY &amp; SPECIALTY MEDICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>121 EL PASO RD</AddressLine1Txt>
            <CityNm>RUIDOSO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88345</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY &amp; SPECIALTY MEDICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3777 NM HWY 528 NE</AddressLine1Txt>
            <CityNm>RIO RANCHO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87144</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY &amp; SPECIALTY MEDICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>200 EMILIO LOPEZ RD</AddressLine1Txt>
            <CityNm>LOS LUNAS</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87031</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY &amp; SPECIALTY MEDICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8312 KASEMAN CT NE</AddressLine1Txt>
            <CityNm>ALBUQUERQUE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87110</ZIPCd>
          </USAddress>
          <FacilityTxt>CHILD &amp; ADOLESCENT BEHAVIORAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>402 E MIEL DE LUNA</AddressLine1Txt>
            <CityNm>TUCUMCARI</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88401</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY &amp; SPECIALTY MEDICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>710 AVE E</AddressLine1Txt>
            <CityNm>CARRIZOZO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88301</ZIPCd>
          </USAddress>
          <FacilityTxt>MEDICAL &amp; DENTAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>405 LINCOLN WAY</AddressLine1Txt>
            <CityNm>CAPITAN</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88316</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY MEDICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>600 GALLEGOS ST</AddressLine1Txt>
            <CityNm>LOGAN</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88426</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY MEDICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PRESBYTERIAN REHABILITATION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6301 FOREST HILLS DR NE</AddressLine1Txt>
            <CityNm>ALBUQUERQUE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87109</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIAC &amp; PULMONARY REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3825 FOOTHILLS RD SUITE A</AddressLine1Txt>
            <CityNm>LAS CRUCES</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88011</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOLOGY CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>103 DON PABLO LANE</AddressLine1Txt>
            <CityNm>HONDO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88336</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY MEDICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>471 MAIN ST</AddressLine1Txt>
            <CityNm>CORONA</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88318</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY MEDICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PRMC CANCER CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2219 DILLON ST</AddressLine1Txt>
            <CityNm>CLOVIS</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88101</ZIPCd>
          </USAddress>
          <FacilityTxt>CANCER TREATMENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>301 CEDAR STREET SE</AddressLine1Txt>
            <CityNm>ALBUQUERQUE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87106</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT GASTROENTEROLOGY LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>611 NATIONAL AVE</AddressLine1Txt>
            <CityNm>LAS VEGAS</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87701</ZIPCd>
          </USAddress>
          <FacilityTxt>MULTI-SPECIALTY MEDICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHS AMBULATORY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3715 SOUTHERN BLVD</AddressLine1Txt>
            <CityNm>RIO RANCHO</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87124</ZIPCd>
          </USAddress>
          <FacilityTxt>GASTROENTEROLOGY LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PRESBYTERIAN REHABILITATION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8100 CONSTITUTION PL NE</AddressLine1Txt>
            <CityNm>ALBUQUERQUE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87110</ZIPCd>
          </USAddress>
          <FacilityTxt>REHABILITATION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PRESBYTERIAN REHABILITATION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2217 DILLON ST</AddressLine1Txt>
            <CityNm>CLOVIS</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88101</ZIPCd>
          </USAddress>
          <FacilityTxt>REHABILITATION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PRESBYTERIAN REHABILITATION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>305 E MIEL DE LUNA</AddressLine1Txt>
            <CityNm>TUCUMCARI</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88401</ZIPCd>
          </USAddress>
          <FacilityTxt>REHABILITATION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PRESBYTERIAN AQUATICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5528 EUBANK BLVD NE</AddressLine1Txt>
            <CityNm>ALBUQUERQUE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87111</ZIPCd>
          </USAddress>
          <FacilityTxt>REHABILITATION POOL</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7G</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST OF SUBSIDIZED HEALTH SERVICES PROVIDED BY PRESBYTERIAN HEALTHCARE SERVICES (PHS) AMBULATORY CARE CLINICS INCLUDED IN LINE 7G AMOUNTED TO $8,302,485. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>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. ALTHOUGH REDUCED IN 2020 DUE TO THE GLOBAL PANDEMIC, PHS HUMAN RESOURCES DEPARTMENT CONTINUED TO PROVIDE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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. 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 70% 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 70% OF THE COST OF BAD DEBT HERE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>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. THE ESTIMATED UNCOLLECTABLE AMOUNTS DUE FROM THESE PATIENTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY HEALTH NEEDS ASSESSMENTS, CONDUCTED IN 2019 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 AND OTHER HEALTH COALITIONS, THE VOLUNTEER LEADERS THAT MAKE UP EACH OF PHS' HOSPITAL BOARDS OF DIRECTORS, THE COMMUNITY HEALTH ADVISORY BOARD, COMMUNITY ORGANIZATIONS, COMMUNITY MEMBERS, AND REPRESENTATIVES FROM THE NEW MEXICO DEPARTMENT OF HEALTH. ONGOING ASSESSMENT, DATA COLLECTION, AND ANALYSIS OCCURS AT SMALLER GEOGRAPHIC, POPULATION, AND PROGRAMMATIC LEVELS TO SUPPORT CONTINUED PLANNING, IMPLEMENTATION, AND CONTINUOUS QUALITY IMPROVEMENT OF STRATEGIES IDENTIFIED IN THE CHIP. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>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 MANY OUTPATIENT 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 MANY 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 USE DISORDERS, CANCER, SENIOR HEALTH, FAMILY PLANNING, DOMESTIC VIOLENCE, SEXUAL ASSAULT AND CHILD ABUSE. THE RDS INCLUDES DR. DAN C. TRIGG MEMORIAL HOSPITAL, PRESBYTERIAN ESPAOLA 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/.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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. THESE ARE 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 $794 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>PRESBYTERIAN HEALTHCARE SERVICES (PHS) IS A NOT-FOR-PROFIT INTEGRATED HEALTH CARE SYSTEM THAT HAS SERVED THE STATE OF NEW MEXICO SINCE 1908. PHS PROVIDES PATIENTS WITH PREVENTATIVE, DIAGNOSTIC, AND TREATMENT SERVICES IN HOSPITALS AND OUTPATIENT FACILITIES THROUGHOUT NEW MEXICO. OUR COMPREHENSIVE MEDICAL TEAM, PRESBYTERIAN MEDICAL GROUP, HAS MORE THAN 1,100 PHYSICIANS AND ADVANCED PRACTICE CLINICIANS. PHS HAS NINE MEDICAL CENTERS AND HOSPITALS IN SEVEN COMMUNITIES, AND MORE THAN 100 CLINICS THROUGHOUT NEW MEXICO WITH ACCESS TO MORE THAN 50 SPECIALTIES. IN ADDITION, THROUGH INNOVATIVE SERVICES LIKE VIDEO VISITS, ONLINE VISITS AND URGENT CARE VIDEO APPOINTMENTS, MANY PATIENTS CAN INTERACT WITH PHYSICIANS AND ADVANCE PRACTICE CLINICIANS ONLINE FROM THE COMFORT OF HOME. PHS OFFERS EMERGENCY RESPONSE AND NON-EMERGENCY AMBULANCE SERVICES IN ALBUQUERQUE THROUGH AN AFFILIATED NON-PROFIT COMPANY AND ALSO 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 653,000 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>PRESBYTERIAN HEALTHCARE SERVICES (PHS) FILES A COPY OF ITS COMPLETE FORM 990, WHICH INCLUDES COMMUNITY BENEFIT INFORMATION, WITH THE NEW MEXICO ATTORNEY GENERAL'S OFFICE, ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ALBUQUERQUE HEALTHCARE FOR THE HOMELESS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 25445</AddressLine1Txt>
          <CityNm>ALBUQUERQUE</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87125</ZIPCd>
        </USAddress>
        <RecipientEIN>850368993</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>56800</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEADING HOME</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 27636</AddressLine1Txt>
          <CityNm>ALBUQUERQUE</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87125</ZIPCd>
        </USAddress>
        <RecipientEIN>201917517</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MARCH OF DIMES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1550 CRYSTAL DR</AddressLine1Txt>
          <CityNm>ARLINGTON</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22202</ZIPCd>
        </USAddress>
        <RecipientEIN>131846366</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MEALS ON WHEELS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 92614</AddressLine1Txt>
          <CityNm>ALBUQUERQUE</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87199</ZIPCd>
        </USAddress>
        <RecipientEIN>850307043</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10050</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI)</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4301 WILSON BLVD</AddressLine1Txt>
          <CityNm>ARLINGTON</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22203</ZIPCd>
        </USAddress>
        <RecipientEIN>431201653</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEW MEXICO CENTER FOR NURSING EXCELLENCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>500 MARQUETTE AVE NW</AddressLine1Txt>
          <CityNm>ALBUQUERQUE</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87110</ZIPCd>
        </USAddress>
        <RecipientEIN>850463326</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EL CENTRO FAMILY HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>538 N PASEO DE ONATE</AddressLine1Txt>
          <CityNm>ESPANOLA</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87532</ZIPCd>
        </USAddress>
        <RecipientEIN>850244588</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>155457</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LA CLINICA DEL NORTE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 237</AddressLine1Txt>
          <CityNm>EL RITO</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87530</ZIPCd>
        </USAddress>
        <RecipientEIN>850249591</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>69608</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LA CLINICA DEL PUEBLO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 250</AddressLine1Txt>
          <CityNm>TIERRA AMARILLA</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87575</ZIPCd>
        </USAddress>
        <RecipientEIN>850209845</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>155457</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RIO ARRIBA COUNTY TREATMENT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1101 Industrial Park Rd</AddressLine1Txt>
          <CityNm>ESPAYOLA</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87532</ZIPCd>
        </USAddress>
        <RecipientEIN>850423951</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>83529</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WOMEN'S ECONOMIC SELF-SUFFICIENCY TEAM CORP</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>609 BROADWAY BLVD NE</AddressLine1Txt>
          <CityNm>ALBUQUERQUE</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87102</ZIPCd>
        </USAddress>
        <RecipientEIN>850367809</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITED WAY OF EASTERN NM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1200 N THORNTON ST</AddressLine1Txt>
          <CityNm>CLOVIS</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>88101</ZIPCd>
        </USAddress>
        <RecipientEIN>237109243</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>11351</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STUDENT CLOTHING BANK</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 94735</AddressLine1Txt>
          <CityNm>ALBUQUERQUE</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87199</ZIPCd>
        </USAddress>
        <RecipientEIN>465765753</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ALBUQUERQUE COMMUNITY FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 25266</AddressLine1Txt>
          <CityNm>ALBUQUERQUE</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87125</ZIPCd>
        </USAddress>
        <RecipientEIN>850295444</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>500000</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ALBUQUERQUE ECONOMIC DEVELOPMENT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>201 3RD ST NW</AddressLine1Txt>
          <CityNm>ALBUQUERQUE</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87102</ZIPCd>
        </USAddress>
        <RecipientEIN>850157216</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RIO RANCHO REGIONAL CHAMBER OF COMMERCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4001 SOUTHERN BLVD SE</AddressLine1Txt>
          <CityNm>RIO RANCHO</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87124</ZIPCd>
        </USAddress>
        <RecipientEIN>850290692</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>5400</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SANDOVAL ECONOMIC ALLIANCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1201 RIO RANCHO DR SE</AddressLine1Txt>
          <CityNm>RIO RANCHO</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87124</ZIPCd>
        </USAddress>
        <RecipientEIN>850407128</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEW MEXICO STATE UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 30001</AddressLine1Txt>
          <CityNm>LAS CRUCES</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>88003</ZIPCd>
        </USAddress>
        <RecipientEIN>856000401</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PRESBYTERIAN HEALTHCARE FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 26666</AddressLine1Txt>
          <CityNm>ALBUQUERQUE</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87125</ZIPCd>
        </USAddress>
        <RecipientEIN>856016041</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>120500</CashGrantAmt>
        <PurposeOfGrantTxt>PRESBYTERIAN VOLUNTEER SERVICES</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>16</Total501c3OrgCnt>
      <TotalOtherOrgCnt>3</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>DAY OF SERVICE - HEALTH EDUCATION</GrantTypeTxt>
        <RecipientCnt>7800</RecipientCnt>
        <NonCashAssistanceAmt>15906</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>EDUCATION</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>VARIOUS - FLU SHOT CLINICS</GrantTypeTxt>
        <RecipientCnt>5351</RecipientCnt>
        <NonCashAssistanceAmt>53513</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>FLU SHOTS</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>VARIOUS - PROVIDE MEALS TO INDIGENT PATIENTS</GrantTypeTxt>
        <RecipientCnt>2511</RecipientCnt>
        <NonCashAssistanceAmt>3767</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>cost</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>meals</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>VARIOUS - SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>3</RecipientCnt>
        <CashGrantAmt>3000</CashGrantAmt>
        <NonCashAssistanceDesc>NURSING SCHOLARSHIPS</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>VARIOUS - HEALTH FAIRS IN RURAL LOCATIONS</GrantTypeTxt>
        <RecipientCnt>1136</RecipientCnt>
        <NonCashAssistanceAmt>5681</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>SUPPLIES</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>VARIOUS - INDIGENT TRANSPORTATION</GrantTypeTxt>
        <RecipientCnt>1432</RecipientCnt>
        <NonCashAssistanceAmt>35807</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>TRANSPORTATION</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>VARIOUS - HEALTH PROMOTIONS</GrantTypeTxt>
        <RecipientCnt>15000</RecipientCnt>
        <NonCashAssistanceAmt>20000</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MASKS</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>true</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
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      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DALE MAXWELL</PersonNm>
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        <CompReportPrior990FilingOrgAmt>86211</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROGER A LARSEN</PersonNm>
        <TitleTxt>SVP &amp; CFO/TREASURER(TERM 1/20)</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>266373</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>607588</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <DeferredCompensationFlngOrgAmt>28091</DeferredCompensationFlngOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>SVP,CFO/TREASURER (HIRE 12/20)</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>200000</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>200000</TotalCompensationFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>GENERAL COUNSEL / SECRETARY</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>167113</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>3646</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>56825</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>11592</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>692240</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JULIE BONELLO</PersonNm>
        <TitleTxt>SVP -CHIEF INFORMATION OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>399064</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>29212</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>51825</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>14896</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>633252</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TROY CLARK</PersonNm>
        <TitleTxt>VP-OPERATIONS RDS (TERM 8/20)</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>46512</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>1098</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14287</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>248654</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <DeferredCompensationFlngOrgAmt>14250</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18219</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>934074</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CARL J GILMORE MD</PersonNm>
        <TitleTxt>MED DIR CLIN - ORTHOPEDIC SURG</TitleTxt>
        <BaseCompensationFilingOrgAmt>765282</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>114839</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>650</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14250</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23725</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>918746</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAYVAN A ELLINI MD</PersonNm>
        <TitleTxt>MD-CARDIO INTERVENTIONIST-CDS</TitleTxt>
        <BaseCompensationFilingOrgAmt>710340</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>129087</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>9784</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14775</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23892</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>887878</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HECTOR ARREDONDO MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR - SFMC</TitleTxt>
        <BaseCompensationFilingOrgAmt>508767</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>235804</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>22980</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17100</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23702</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>808353</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JIM JEPPSON</PersonNm>
        <TitleTxt>VP - REAL ESTATE</TitleTxt>
        <BaseCompensationFilingOrgAmt>165810</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>42890</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2272</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>108305</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20759</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>340036</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DOYLE BOYKIN</PersonNm>
        <TitleTxt>HOSPITAL CHIEF EXECUTIVE - KPH</TitleTxt>
        <BaseCompensationFilingOrgAmt>198669</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>31407</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3793</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>131509</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14910</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>380288</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBIN DIVINE</PersonNm>
        <TitleTxt>VP-EMERG BUS DEV(TERM 8/19)</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>102461</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>11807</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>114268</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DION GALLANT MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR -PRIMARY CARE</TitleTxt>
        <BaseCompensationFilingOrgAmt>333938</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>48618</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>13204</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>84942</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1959</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>482661</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAYNE MCCORMICK MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR - HOSPICE</TitleTxt>
        <BaseCompensationFilingOrgAmt>182686</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3440</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10883</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>197009</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TRAVIS COLLIER</PersonNm>
        <TitleTxt>SPECIAL COUNSEL</TitleTxt>
        <BaseCompensationFilingOrgAmt>183000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>183029</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATHLEEN DAVIS RN</PersonNm>
        <TitleTxt>SVP-CHIEF EXP OFCR (TERM 3/19)</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>148325</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>66470</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>214795</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM BROWN MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR - SURGERY</TitleTxt>
        <BaseCompensationFilingOrgAmt>421875</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>70094</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>18203</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8550</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20025</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>538747</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEREMY MURDOCK</PersonNm>
        <TitleTxt>CHIEF OPERATING EXECUTIVE - PH</TitleTxt>
        <BaseCompensationFilingOrgAmt>193499</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>23451</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>164</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10216</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20395</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>247725</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>ROGER LARSEN RECEIVED SEVERANCE PAY FROM THE REPORTING ORGANIZATION OF $606,907. DEVON HYDE RECEIVED SEVERANCE PAY FROM THE REPORTING ORGANIZATION OF $103,914. KATHLEEN DAVIS RECEIVED SEVERANCE PAY FROM THE REPORTING ORGANIZATION OF $148,325. ROBIN DIVINE RECEIVED SEVERANCE PAY FROM A RELATED ORGANIZATION OF $102,461.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>ANGELA GALLEGOS-MACIAS WAS COMPENSATED BY PRESBYTERIAN HEALTHCARE SERVICES AS AN EMPLOYED PHYSICIAN. AS A BOARD MEMBER OF PHS, SHE RECEIVED A $6,500 STIPEND IN 2020; WHICH IS INCLUDED IN OTHER REPORTABLE COMPENSATION AND WAS REPORTED ON HER FORM W-2. MICHAEL ARCHIBECK, NORM BECKER, SANDRA BEGAY, FRANK FIGUEROA, JASON HARRINGTON, LESLIE HOFFMAN, KIRBY JEFFERSON, CYNTHIA SCHULTZ, JENNIFER THOMAS, AND AARON MARTIN RECEIVED STIPEND PAYMENTS IN 2020 FOR THEIR BOARD SERVICE TO PHS. EACH RECEIVED A FORM 1099 REPORTING THIS COMPENSATION, AS REQUIRED. IN ADDITION TO THE $5,500 MICHAEL ARCHIBECK RECEVED FROM PRESBYTERIAN HEALTHCARE SERVICES (PHS) AS A STIPEND FOR BOARD PARTICIPATION; HE ALSO RECEIVED $26,936 FOR SERVICES PROVIDED AS A MEDICAL DIRECTOR IN A PHS HOSPITAL. THE TOTAL AMOUNT OF $32,436 IS REPORTED HERE, AS REQUIRED, AND WAS REPORTED TO DR. ARCHIBECK ON A FORM 1099 REPORTING FOR 2020. DALE MAXWELL IS A PARTICIPANT IN A RETENTION AGREEMENT. IN 2020, $271,702 WAS DEFERRED UNDER THIS AGREEMENT FOR MR. MAXWELL BY THE REPORTING ORGANIZATION. THIS AMOUNT IS INCLUDED IN THE REPORTED DEFERRED COMPENSATION. IN 2020, MR. MAXWELL RECEIVED A VESTED PAYMENT FROM THE RETENTION PLAN OF $86,211. THIS AMOUNT IS REPORTED IN CURRENT COMPENSATION, AS REQUIRED, AND IS ALSO INCLUDED IN COLUMN F OF SCHEDULE J. CLAY HOLDERMAN IS A PARTICIPANT IN A RETENTION AGREEEMENT. IN 2020, $110,502 WAS DEFERRED UNDER THIS AGREEMENT FOR MR. HOLDERMAN. THIS AMOUNT IS INCLUDED IN THE REPORTED DEFERRED COMPENSATION AMOUNT. ALSO, IN 2020 MR. HOLDERMAN RECEIVED A VESTED PAYMENT FROM THE RETENTION PLAN OF $64,422. THIS AMOUNT IS REPORTED IN CURRENT COMPENSATION, AS REQUIRED, AND IS ALSO INCLUDED IN COLUMN F OF SCHEDULE J. RYAN BURT IS A PARTICIPANT IN A RETENTION AGREEEMENT. IN 2020, $44,000 WAS DEFERRED UNDER THIS AGREEMENT FOR MR. BURT. THIS AMOUNT IS INCLUDED IN THE REPORTED DEFERRED COMPENSATION AMOUNT. JULIE BONELLO IS A PARTICPANT IN A RETENTION AGREEMENT. IN 2020, $39,000 WAS DEFERRED UNDER THIS AGREEMENT FOR MS. BONELLO. THIS AMOUNT IS INCLUDED IN THE REPORTED DEFERRED COMPENSATION AMOUNT. JASON MITCHELL IS A PARTICIPANT IN TWO RETENTION AGREEEMENTS. IN 2020, $140,000 WAS DEFERRED UNDER THESE AGREEMENTS FOR DR. MITCHELL. THIS AMOUNT IS INCLUDED IN THE REPORTED DEFERRED COMPENSATION AMOUNT. MARK ROBINSON IS A PARTICPANT IN A RETENTION AGREEMENT. IN 2020, $50,001 WAS DEFERRED UNDER THIS AGREEMENT FOR MR. ROBINSON. THIS AMOUNT IS INCLUDED IN THE REPORTED DEFERRED COMPENSATION AMOUNT. TODD SANDMAN IS A PARTICIPANT IN A RETENTION AGREEEMENT. IN 2020, $41,001 WAS DEFERRED UNDER THIS AGREEMENT FOR MR. SANDMAN. THIS AMOUNT IS INCLUDED IN THE REPORTED DEFERRED COMPENSATION AMOUNT. JOANNE SUFFIS IS A PARTICIPANT IN A RETENTION AGREEEMENT. IN 2020, $43,501 WAS DEFERRED UNDER THIS AGREEMENT FOR MS. SUFFIS. THIS AMOUNT IS INCLUDED IN THE REPORTED DEFERRED COMPENSATION AMOUNT. DION GALLANT, DOYLE BOYKIN, JAYNE MCCORMICK, TRAVIS COLLIER, AND WILLIAM BROWN WERE COMPENSATED AS CURRENT EMPLOYEES OF PHS IN 2020. IN ONE OR MORE OF THE FIVE PRIOR YEARS, THEIR ACTIVITIES OR RESPONSIBILITIES QUALIFED THEM AS KEY EMPLOYEES, DIRECTORS, OR OFFICERS AND THEY WERE REPORTED AS SUCH. IN 2020, 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. KATHLEEN DAVIS AND ROBIN DIVINE WERE NOT COMPENSATED AS CURRENT EMPLOYEES FOR 2020, HOWEVER, EACH INDIVIDUAL DID RECEIVE SEVERANCE COMPENSATION AS A FORMER EMPLOYEE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>NMHELC (SEE PART VI)</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>850334237</BondIssuerEIN>
        <CUSIPNum>647370EM3</CUSIPNum>
        <BondIssuedDt>2008-11-25</BondIssuedDt>
        <IssuePriceAmt>384259646</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>NMHELC (SEE PART VI)</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>850334237</BondIssuerEIN>
        <CUSIPNum>647370GX7</CUSIPNum>
        <BondIssuedDt>2015-05-19</BondIssuedDt>
        <IssuePriceAmt>258971659</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>NMHELC (SEE PART VI)</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>850334237</BondIssuerEIN>
        <CUSIPNum>647370HX6</CUSIPNum>
        <BondIssuedDt>2017-05-11</BondIssuedDt>
        <IssuePriceAmt>247584646</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>NMHELC (SEE PART VI)</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>850334237</BondIssuerEIN>
        <CUSIPNum>647370JT3</CUSIPNum>
        <BondIssuedDt>2019-12-17</BondIssuedDt>
        <IssuePriceAmt>252087080</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>236425000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>384327212</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>3755751</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>290832</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>32201275</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>348079354</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2009</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>29660000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>259146061</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>2214705</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>118031287</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>138900069</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2018</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>800000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>248497266</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>2149051</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>99927275</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>145435595</OtherSpentProceedsAmt>
        <UnspentAmt>985345</UnspentAmt>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>253104965</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>2087080</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>30404631</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>220613254</UnspentAmt>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>true</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>true</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.00600</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00100</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00700</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ChangeInUseBondFinancedPropPct>0.00000</ChangeInUseBondFinancedPropPct>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>true</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>true</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ChangeInUseBondFinancedPropPct>0.00000</ChangeInUseBondFinancedPropPct>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>true</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>true</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ChangeInUseBondFinancedPropPct>0.00000</ChangeInUseBondFinancedPropPct>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>true</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>true</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ChangeInUseBondFinancedPropPct>0.00000</ChangeInUseBondFinancedPropPct>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>SEE PART VI</BusinessNameLine1Txt>
        </HedgeProviderName>
        <TermOfHedgePct>25.</TermOfHedgePct>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I, LINE A:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2015A. COLUMN F - REFUND SERIES 2008A BONDS, ISSUED 11/25/2008 &amp; 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 2017A. COLUMN F - DEFEASE SERIES 2009A BONDS, ISSUED 9/24/2009 &amp; CONSTRUCTION, ACQUISITION, AND EQUIPMENT OF NEW HOSPITAL FACILITIES. SCHEDULE K, PART I, LINE D: COLUMN A - NEW MEXICO HOSPITAL EQUIPMENT LOAN COUNCIL REVENUE BONDS (PRESBYTERIAN HEALTHCARE SERVICES), SERIES 2019A AND 2019B. COLUMN F - 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 $174,402. SCHEDULE K, PART II, LINE 3, COLUMN C: INCLUDES INVESTMENT EARNINGS OF $912,621. SCHEDULE K, PART II, LINE 3, COLUMN D: INCLUDES INVESTMENT EARNINGS OF $871,942. 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 B: $138,900,069 OF PROCEEDS WAS SPENT TO ADVANCE REFUND BONDS ISSUED 11/25/2008 (SERIES A). SCHEDULE K, PART II, LINE 11, COLUMN C: $145,435,595 OF PROCEEDS WAS SPENT TO ADVANCE REFUND BONDS ISSUED 9/24/2009. 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 PRODUCES, L.P.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>NATALIE M HOFFMAN</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOD PHS / SISTER</RelationshipDescriptionTxt>
        <TransactionAmt>13030</TransactionAmt>
        <TransactionDesc>EMPLOYEE COMPENSATION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArtGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>8</ContributionCnt>
        <NoncashContributionsRptF990Amt>49650</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </WorksOfArtGrp>
      <ArtHistoricalTreasuresGrp />
      <ArtFractionalInterestGrp />
      <BooksAndPublicationsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>1210</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </BooksAndPublicationsGrp>
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>174702</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <CarsAndOtherVehiclesGrp />
      <BoatsAndPlanesGrp />
      <IntellectualPropertyGrp />
      <SecuritiesPubliclyTradedGrp />
      <SecuritiesCloselyHeldStockGrp />
      <SecurPrtnrshpTrustIntrstsGrp />
      <SecuritiesMiscellaneousGrp />
      <QualifiedContribHistStructGrp />
      <QualifiedContribOtherGrp />
      <RealEstateResidentialGrp />
      <RealEstateCommercialGrp />
      <RealEstateOtherGrp />
      <CollectiblesGrp />
      <FoodInventoryGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>122</ContributionCnt>
        <NoncashContributionsRptF990Amt>87522</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </FoodInventoryGrp>
      <DrugsAndMedicalSuppliesGrp />
      <TaxidermyGrp />
      <HistoricalArtifactsGrp />
      <ScientificSpecimensGrp />
      <ArchaeologicalArtifactsGrp />
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>GIFT BASKETS</Desc>
        <ContributionCnt>11</ContributionCnt>
        <NoncashContributionsRptF990Amt>8080</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>JEWELRY</Desc>
        <ContributionCnt>4</ContributionCnt>
        <NoncashContributionsRptF990Amt>1870</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, PART I, COLUMN (B)</FormAndLineReferenceDesc>
        <ExplanationTxt>COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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 915,500 NEW MEXICANS IN 2020 AND PROVIDED OVER $380,978,000 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>PRESBYTERIAN HEALTHCARE SERVICES (PHS) WAS FOUNDED IN ALBUQUERQUE, NEW MEXICO, IN 1908 AS A HAVEN FOR TUBERCULOSIS PATIENTS. 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 2020 ALONE, MORE THAN 950,400 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 13,000 EMPLOYEES, AND TAKE THIS ROLE AND ITS RESPONSIBILITIES SERIOUSLY. IN 2020, PRESBYTERIAN WAS A LEADER IN NEW MEXICO'S EFFORTS TO CARE FOR PATIENTS WHILE PREVENTING THE SPREAD OF COVID-19, THE PANDEMIC THAT SAW ITS FIRST NEW MEXICO CASE ON MARCH 11. IN ADDITION TO DIRECT CARE OF PATIENTS AND MEMBERS, SURGE PLANNING, ENSURING ADEQUATE PERSONAL PROTECTIVE GEAR AND PROVIDING FREE COVID-19 TESTING, PRESBYTERIAN HAS BEEN INSTRUMENTAL IN CREATING AND LEADING MANY STATEWIDE COLLABORATIVE EFFORTS. THESE EFFORTS INCLUDE PRESBYTERIAN LEADERS SERVING ON THE STATE'S MEDICAL ADVISORY TEAM, PROVIDING PREDICTIVE ANALYTICS TO UNDERSTAND COVID-19'S IMPACT ON OUR STATE, SUPPORTING COMMUNITY EDUCATION EFFORTS THROUGH A CORONAVIRUS HOTLINE AND CREATING AN INNOVATIVE CENTRAL COMMAND CENTER TO MANAGE STATEWIDE HOSPITAL CAPACITY WHILE ENSURING THAT ALL PATIENTS RECEIVED SAFE, TIMELY CARE AND THAT NO ONE HOSPITAL BECOMES OVERWHELMED BY COVID-19 PATIENTS. PRESBYTERIAN ALSO CREATED AN INNOVATIVE COVID-19 INFUSION CLINIC AND CENTRALIZED REFERRAL SYSTEM ON THE CAMPUS OF PRESBYTERIAN KASEMAN HOSPITAL THAT PROVIDED LIFE-SAVING COVID-19 TREATMENTS IN AN OUTPATIENT SETTING, PROVIDING CONVENIENCE FOR PATIENTS AND HELPING TO REDUCE HOSPITAL STAYS. DURING THE PANDEMIC, PRESBYTERIAN PROVIDED SAFE IN-PERSON CARE AS NEEDED WHILE ALSO ENSURNG TIMELY ACCESS TO CARE BY GREATLY EXPANDING TELEHEALTH AND PHONE APPOINTMENTS. AT THE END OF 2020, PRESBYTERIAN BEGAN AN EXTENSIVE CAMPAIGN TO VACCINATE NEW MEXICANS. HOSPITALIZATIONS DUE TO COVID-19 PEAKED IN EARLY DECEMBER AND PRESBYTERIAN TEAMS CARED FOR UNPRECEDENTED NUMBERS OF PATIENTS IN OUR HOSPITALS. RECOGNIZING THE IMPORTANCE OF CLEAR, ACCURATE INFORMATION DURING THE PANDEMIC, PRESBYTERIAN CLINICIANS AND LEADERS ENGAGED OFTEN IN PUBLIC EDUCATION CAMPAIGNS, INCLUDING FREQUENT MEDIA APPEARANCES. BY THE END OF 2020, PRESBYTERIAN FACILITIES AROUND THE STATE HAD DISCHARGED 3,167 PATIENTS WITH COVID-19. AT THE TIME OF THIS WRITING, PRESBYTERIAN CONTINUES TO CARE FOR PATIENTS WITH COVID-19, AND PROVIDES CONVENIENT TESTING AND MANY VACCINATION OPPORTUNITIES, WITH A FOCUS ON ENSURING EQUITY IN VACCINE DISTRIBUTION. 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 ADVANCED 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 TRANSFORM HEALTHCARE BY OFFERING PROGRAMS AND SERVICES THAT IMPROVE QUALITY AND LOWER COST. HERE ARE SOME EXAMPLES OF THESE EFFORTS: IN 2020, PRESBYTERIAN OPENED TWO OF THREE PLANNED AMBULATORY SURGERY CENTERS ON THE CAMPUSES OF PRESBYTERIAN KASEMAN HOSPITAL AND PRESBYTERIAN HOSPITAL. THE THIRD CENTER WILL BE AT PRESBYTERIAN RUST MEDICAL CENTER. THE COLLABORATIVE EFFORT WITH OTHER LOCAL HEALTH CARE PROVIDERS IS DESIGNED TO REDUCE WAIT TIMES AND RESULT IN FEWER PATIENTS USING MORE COSTLY HOSPITAL SETTINGS FOR OUTPATIENT SURGERY. IN 2020, WORK BEGAN ON AN 11-STORY PATIENT TOWER AT PRESBYTERIAN HOSPITAL TO SUPPORT THE GROWING NEEDS OF OUR COMMUNITY AND IMPROVE THE EXPERIENCE OF OUR PATIENTS. THE TOWER WILL COMPLETE THE HOSPITAL'S CONVERSION TO ALL PRIVATE PATIENT ROOMS AND EXPAND THE EMERGENCY DEPARTMENT. A NEW PARKING DECK IS ALSO PART OF THE PROJECT. IN 2020, PRESBYTERIAN SAW CONTINUED SUCCESS WITH THE FIRST TWO OF FOUR PLANNED PRESNOW 24/7 URGENT CARE AND EMERGENCY CARE LOCATIONS, WHICH OPENED IN 2019. THE FIRST OF ITS KIND IN NEW MEXICO, THE PRESNOW MODEL INCREASES ACCESS TO URGENT AND EMERGENCY CARE WHILE ALSO DECREASING THE COST OF CARE BECAUSE PATIENTS DO NOT HAVE TO CHOOSE WHERE TO ACCESS CARE AND ARE BILLED ONLY FOR THE LEVEL OF CARE THEY REQUIRE. IN 2020, PRESBYTERIAN ALSO CONTINUED TO EXPAND AND UPGRADE 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 AMONG PATIENTS, WHICH GIVES INDIVIDUALS 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 CONTINUES TO ADVANCE ITS HOSPITAL AT HOME PROGRAM, ESTABLISHED IN PARTNERSHIP WITH JOHNS HOPKINS UNIVERSITY IN 2008. IN 2020, PRESBYTERIAN WAS ONE OF THE FIRST SIX HEALTH ORGANIZATIONS TO RECEIVE A WAIVER TO PARTICIPATE IN THE CENTERS FOR MEDICARE AND MEDICAID SERVICES' ACUTE CARE AT HOME PROGRAM. THE PROGRAM IS DESIGNED TO PAY FOR HOSPITAL AT HOME SERVICES FOR MEDICARE FEE-FOR-SERVICE BENEFICIARIES DURING THE CONTINUING COVID-19 PUBLIC HEALTH EMERGENCY. THE HOSPITAL AT HOME MODEL HAS PRESBYTERIAN CLINICIANS DELIVERING HOSPITAL-LEVEL CARE IN PATIENTS' HOMES. IN ITS TWELFTH YEAR, RESULTS INCLUDE LOWERING READMISSION RATES, MEETING KEY QUALITY OUTCOMES AND ACHIEVING HIGH 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 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 SHARES THEIR EXPERTISE WITH HEALTH SYSTEMS ACROSS THE COUNTRY AS ONE OF NINE PALLIATIVE CARE LEADERSHIP CENTERS. PRESBYTERIAN ALSO WORKS TO REVERSE THE OPIOID CRISIS FOR OUR COMMUNITY AND CARE 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 CALLED THE INTEGRATED SUBSTANCE USE DISORDER AND COMMUNITY COLLABORATIVE INITIATIVE. THIS EFFORT CONTINUES WITH NEW EDUCATIONAL OPPORTUNITIES FOR CLINICIANS AND SERVICES FOR PATIENTS. KEY COMPONENTS OF THE INITIATIVE INCLUDE 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. ADDITIONAL SERVICES INCLUDE THE EMERGENCY DEPARTMENT (ED) BUPRENORPHINE INDUCTION PROGRAM INTRODUCED ACROSS MULITPLE ED SITES WITH PLANS TO EXPAND TO ALL REGIONAL SITES IN COMING YEARS. THIS PROGRAM INCLUDES DIRECT TREATMENT, PRESCRIPTION FOR THE LIFE-SAVING MEDICATION NARCAN, LINKAGE WITH A PEER SUPPORT SPECIALIST AND IMPROVED ACCESS TO COMMUNITY RESOURCES. THIS WORK INCLUDES AN EXPANDED ROLE FOR COMMUNITY HEALTH WORKERS AND PEER SUPPORT SPECIALISTS TO IDENTIFY AND ACT ON PROBLEMS RELATED TO PATIENTS SOCIAL DETERMINANTS OF HEALTH AND OTHER BARRIERS TO TREATMENT. PRESBYTERIAN ESPAOLA HOSPITAL ALSO RUNS AN OPIOID USE DISORDER CLINIC TO CONTINUE MEDICATION-ASSISTED TREATMENT IN AN OUTPATIENT SETTING AND SEVERAL SITES NOW OFFER PEER SUPPORT SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>BEYOND SUBSTANCE USE, PRESBYTERIAN HAS A COMPREHENSIVE BEHAVIORAL HEALTH PROGRAM THAT INCLUDES ALL MODALITIES OF CARE: PSYCHIATRIC INPATIENT AND OUTPATIENT TREATMENT TO INCLUDE FULL INTEGRATION INTO PRIMARY CARE. IN ADDITION, PRESBYTERIAN SERVICES 7 OUT OF 9 HOSPITAL EMERGENCY DEPARTMENT'S BY OFFERING BEHAVIORAL HEALTH ASSESSMENTS TO PATIENTS PRESENTING WITH BEHAVIORAL HEALTH OR SUBSTANCE USE PROBLEMS. IN 2020, IN RESPONSE TO THE PANDEMIC, PRESBYTERIAN RECONFIGURED SERVICES TO INCLUDE THE OPTION FOR PATIENTS SEEKING BEHAVIORAL HEALTH TREATMENT TO BE SEEN VIA TELEMEDICINE IN OUTPATIENT, INPATIENT CONSULT, AND EMERGENCY DEPARTMENT SETTINGS WHILE CONTINUING TO OFFER FACE TO FACE VISITS FOR PATIENTS WHO PREFERRED TO BE SEEN IN PERSON. IN AN EFFORT TO EXPAND ACCESS TO HEALTH CARE IN RURAL COMMUNITIES, PRESBYTERIAN DEVELOPED AND DEPLOYED A RURAL NURSE PRACTITIONER RESIDENCY PROGRAM WITH THE SUPPORT OF THE UNIVERSITY OF NEW MEXICO COLLEGE OF NURSING. THE PROGRAM, FUNDED BY A $3.2 MILLION GRANT FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION, FOCUSES ON 10 NEW MEXICO CITIES AND TOWNS AND ENCOURAGES GRADUATING FAMILY NURSE PRACTITIONERS AND MIDWIVES TO RELOCATE TO RURAL AREAS OF NEW MEXICO WHERE THERE HAS BEEN A SIGNIFICANT PROVIDER SHORTAGE. IN JULY 2020, THE FIRST NINE RESIDENTS JOINED THE PROGRAM. ALSO IN 2020, THE FIRST TEACHER BEGAN SERVING PEDIATRIC PATIENTS IN A NEW EDUCATION PROGRAM AT PRESBYTERIAN HOSPITAL. THROUGH THIS PROGRAM, CALLED THE PRESBYTERIAN PACE ACADEMY, AN EXPERIENCD TEACHER HELPS HOSPITALIZED PEDIATRIC PATIENTS MANAGE THEIR SCHOOLWORK AND EASE THEIR RE-ENTRY INTO A REGULAR CLASSROOM SETTING ONCE THEY ARE HEALTHY ENOUGH TO RETURN TO SCHOOL. THIS PROGRAM IS AVAILABLE FOR FREE TO PATIENTS AGES 5-18 WHO REQUIRE EXTENDED HOSPITALIZATION IN PRESBYTERIAN'S CHILDREN'S PROGRAM. THE PROGRAM IS NAMED IN HONOR OF RETIRING BOARD CHAIR KATHIE WINOGRAD. THE EXCEPTIONAL CAREGIVERS AND PROVIDERS AT PRESBYTERIAN WORK HARD EVERY DAY TO SAVE LIVES. IMPROVING QUALITY AND PATIENT SAFETY ARE THE HIGHEST PRIORITIES. 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 2020 INCLUDE: PRESBYTERIAN NAMED LGBTQ HEALTH CARE EQUALITY TOP PERFORMER PRESBYTERIAN WAS RECENTLY NAMED AN "LGBTQ HEALTH CARE EQUALITY TOP PERFORMER" BY THE HUMAN RIGHTS CAMPAIGN FOUNDATION (HRC) FOR ITS COMMITMENT TO INCLUSIVE CARE FOR LGBTQ PATIENTS. THE DESIGNATION WAS AWARDED IN THE 13TH EDITION OF HRC'S HEALTHCARE EQUALITY INDEX (HEI), WHICH INCLUDED 193 ORGANIZATIONS THAT EARNED THE TOP PERFORMER DESIGNATION. HEALTH CARE ORGANIZATIONS WERE RANKED IN THE FOLLOWING AREAS: . NON-DISCRIMINATION &amp; STAFF TRAINING . PATIENT SERVICES &amp; SUPPORT . EMPLOYEE BENEFITS &amp; POLICIES . PATIENT &amp; COMMUNITY ENGAGEMENT . RESPONSIBLE CITIZENSHIP PRESBYTERIAN RANKED SECOND IN NATION BY LOWN INDEX PRESBYTERIAN HEALTHCARE SERVICES RECEIVED AN A+ OVERALL AND WAS NAMED SECOND AMONG 305 HEALTH CARE SYSTEMS BY THE LOWN INSTITUTE HOSPITALS INDEX, A NEW NATIONAL RANKING OF U.S. HOSPITALS AND HEALTH SYSTEMS. THE LOWN INSTITUTE, A BROOKLINE, MASS.-BASED NONPARTISAN THINK TANK CREATED THE LOWN INSTITUTE HOSPITALS INDEX TO HELP HOSPITALS BETTER SERVE AND SUPPORT THEIR COMMUNITIES. THE INDEX SHOWS HOW NEARLY 3,300 U.S. HOSPITALS COMPARE ON 42 PERFORMANCE INDICATORS. THE MEASURES FALL UNDER THREE CATEGORIES: . CIVIC LEADERSHIP, WHICH ASSESSES A COMMITMENT TO EQUITY, INCLUSION AND COMMUNITY HEALTH; . VALUE OF CARE, WHICH MEASURES USE OF UNNECESSARY SERVICES; AND . PATIENT OUTCOMES, WHICH EVALUATES PATIENT SAFETY, SATISFACTION, AND CLINICAL OUTCOMES. PRESBYTERIAN RECEIVED A OR A+ GRADES ON ALL THREE MEASURES, SCORING HIGHEST IN THE CATEGORIES OF INCLUSIVITY, PATIENT SAFETY AND AVOIDING OVERUSE MEASURES. PRESBYTERIAN HOSPITAL AGAIN NAMED BEST REGIONAL HOSPITAL IN 2020, PRESBYTERIAN HOSPITAL* WAS AGAIN THE ONLY HOSPITAL IN NEW MEXICO TO BE NAMED A BEST REGIONAL HOSPITAL BY U.S. NEWS &amp; WORLD REPORT AND WAS ALSO RECOGNIZED FOR HIGH PERFORMANCE IN TREATING CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND HEART FAILURE, AS WELL AS FOR KNEE AND HIP REPLACEMENTS. * THIS DISTINCTION RECOGNIZES PRESBYTERIAN'S THREE CENTRAL NEW MEXICO HOSPITALS - PRESBYTERIAN HOSPITAL, PRESBYTERIAN RUST MEDICAL CENTER AND PRESBYTERIAN KASEMAN HOSPITAL. COMBINED DATA FROM ALL THREE CENTRAL NEW MEXICO HOSPITALS WERE SUBMITTED UNDER THE UMBRELLA OF PRESBYTERIAN HOSPITAL. PRESBYTERIAN RUST MEDICAL CENTER EARNS QUEST FOR EXCELLENCE AWARD FROM NMHA PRESBYTERIAN RUST MEDICAL CENTER EARNED THE QUEST FOR EXCELLENCE AWARD, THE NEW MEXICO HOSPITAL ASSOCIATION'S (NMHA) PREMIER HONOR AT THE ANNUAL MEETING IN OCTOBER. THE HOSPITAL WAS HONORED FOR A PROJECT THAT ENLISTED MULTIPLE TEAMS AND APPROACHES TO SUSTAIN AND FULLY INTEGRATE IMPORTANT QUALITY IMPROVEMENT PROGRAMS. LINCOLN COUNTY MEDICAL CENTER WAS ALSO NAMED A QUEST FOR EXCELLENCE AWARD WINNER IN THE RURAL/CRITICAL ACCESS HOSPITAL CATEGORY. THE HOSPITAL WAS HONORED FOR A PROGRAM THAT USED NATIONALLY RECOGNIZED PATIENT QUALITY DATA TO SIGNIFICANTLY REDUCE THE WAIT TIMES FROM EMERGENCY DEPARTMENTS TO INPATIENT ADMISSION. LINCOLN COUNTY MEDICAL CENTER EARNS FIVE-STAR RATING LINCOLN COUNTY MEDICAL CENTER WAS ONE OF ONLY THREE HOSPITALS IN NEW MEXICO TO EARN A FIVE-STAR OVERALL HOSPITAL QUALITY RATING, THE HIGHEST POSSIBLE, FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). THE OVERALL RATING IS BASED ON PERFORMANCE ACROSS SEVEN QUALITY AREAS, INCLUDING MORTALITY, SAFETY OF CARE, READMISSIONS, PATIENT EXPERIENCE, EFFECTIVENESS OF CARE, TIMELINESS OF CARE AND EFFICIENT USE OF MEDICAL IMAGING. LCMC IS THE ONLY HOSPITAL IN NEW MEXICO TO RECEIVE THE FIVE-STAR RATING TWICE SINCE THE PROGRAM BEGAN IN 2016. LINCOLN COUNTY MEDICAL CENTER (LCMC) WAS ALSO ONE OF FOUR CRITICAL ACCESS HOSPITALS ACROSS THE COUNTRY TO RECENTLY RECEIVE NATIONAL RECOGNITION FOR AN INITIATIVE TO COORDINATE CARE AND IMPROVE PATIENT HEALTH. THE NATIONAL RURAL HEALTH RESOURCE CENTER (THE CENTER) AND THE NEW MEXICO DEPARTMENT OF HEALTH'S MEDICARE RURAL HOSPITAL FLEXIBILITY (FLEX) RECOGNIZED LCMC WITH THIS YEAR'S CRITICAL ACCESS HOSPITAL RECOGNITION FOR A PROJECT THAT DRAMATICALLY REDUCED HOSPITAL READMISSIONS AMONG MEDICARE PATIENTS. PRESBYTERIAN ESPANOLA HOSPITAL EARNS BABY-FRIENDLY DESIGNATION IN RECOGNITION OF THEIR COMMITMENT TO EXCEPTIONAL CARE FOR MOTHERS AND BABIES, LINCOLN COUNTY MEDICAL CENTER, PLAINS REGIONAL MEDICAL CENTER AND PRESBYTERIAN ESPAOLA HOSPITAL (PEH) WERE NAMED BABY-FRIENDLY DESIGNATED BIRTH FACILITIES IN 2020. THIS PRESTIGIOUS DESIGNATION BY BABY-FRIENDLY USA, INC. RECOGNIZES HOSPITALS AND BIRTHING CENTERS THAT OFFER BREASTFEEDING MOTHERS THE INFORMATION, CONFIDENCE AND SKILLS NEEDED TO SUCCESSFULLY INITIATE AND CONTINUE BREASTFEEDING THEIR BABIES. INVESTING IN OUR COMMUNITY PRESBYTERIAN HAS A DELIBERATE FINANCIAL PLAN TO REINVEST IN EXPANDING HEALTHCARE SERVICES FOR NEW MEXICO. IN 2020, STAFF AND CLINICIANS AT LINCOLN COUNTY MEDICAL CENTER BEGAN CARING FOR PATIENTS IN A NEW BUILDING TO REPLACE AN OUTDATED FACILITY, ALLOWING FOR AN EXPANSION OF THE ICU AND WOMEN'S CARE UNIT, NEW RADIOLOGY SERVICES, CARDIAC AND PULMONARY REHABILITATION SERVICES AND CONVERSION TO ALL PRIVATE ROOMS. ALSO IN 2020, PRESBYTERIAN CELEBRATED THE SECOND ANNIVERSARY OF ITS NINTH HOSPITAL, PRESBYTERIAN SANTA FE MEDICAL CENTER (SFMC), AND THE EXPANSION OF PRESNOW FACILITIES AND AMBULATORY SURGERY CENTERS. A SIGNIFICANT INVESTMENT WAS MADE TO ENSURE TIMELY ACCESS TO CARE DURING THE PANDEMIC THROUGH A RAPID EXPANSION OF TELEHEALTH APPOINTMENTS. PHS MAINTAINS A COMMUNITY INNOVATION FUND TO SUPPORT ECONOMIC DEVELOPMENT AND ACCESS TO CAPITAL FOR EARLY STAGE COMPANIES THROUGHOUT NEW MEXICO. PRESBYTERIAN'S 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, 2020, PHS HAS MADE $6.0 MILLION IN COMMITMENTS TO A VENTURE CAPITAL FUND-OF-FUNDS, A STAND-ALONE VENTURE CAPITAL FUND, A START-UP INCUBATOR, AND TWO START-UP HEALTHCARE COMPANIES. IN 2020, PRESBYTERIAN HEALTHCARE FOUNDATION RAISED $7.8 MILLION FROM 7,216 DONORS AND PROVIDED $3.3 MILLION IN IMMEDIATE FUNDING TO PRESBYTERIAN PROGRAMS. THROUGH PRESGIVING, PRESBYTERIAN'S ANNUAL EMPLOYEE CHARITABLE CAMPAIGN, EMPLOYEES DONATED $2,756,138 IN SUPPORT OF UNITED WAY OF CENTRAL NEW MEXICO, PRESBYTERIAN HEALTHCARE FOUNDATION AND OTHER NONPROFIT ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING IS PRIMARILY FOCUSED ON FOUR MAJOR AREAS: NURSING/STAFF EDUCATION, PATIENT BASIC NEEDS, PROGRAM SUPPORT AND CAPITAL NEEDS (FACILITY CONSTRUCTION/RENOVATION AND EQUIPMENT). A MAJOR FOCUS IN 2020 WAS FUNDRAISING FOR CONSTRUCTION OF CENTRAL NEW MEXICO'S FIRST RESIDENTIAL HOSPITAL FACILITY, THE PRESBYTERIAN ROBERT WERTHEIM HOSPICE HOUSE, PROJECTED TO OPEN IN 2022. RECOGNIZING AN URGENT NEED FOR FUNDING DURING THE PANDEMIC, THE FOUNDATION LAUNCHED THE COVID-19 RESPONSE FUND, WHICH RAISED FUNDS FOR EQUIPMENT AND SUPPLIES, AND CRITICAL SUPPORT FOR FRONTLINE CARE TEAMS. 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 SUPPORT OF OUR MISSION AND AS PART OF A REQUIREMENT OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, THE PRESBYTERIAN COMMUNITY HEALTH DEPARTMENT COMPLETED THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS IN 2019. EACH PRESBYTERIAN HOSPITAL AND THE PRESBYTERIAN COMMUNITY HEALTH DEPARTMENT CONTRACTED WITH LOCAL COUNTY HEALTH COUNCILS TO HELP PRESBYTERIAN COMPLETE A COMMUNITY HEALTH ASSESSMENT AND IDENTIFY SIGNIFICANT COMMUNITY HEALTH NEEDS FOR EACH COUNTY. AS A RESULT OF THIS PROCESS, PRESBYTERIAN'S CORE PRIORITIES ARE BEHAVIORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, ACCESS TO HEALTHCARE AND HEALTHY EATING AND ACTIVE LIVING. IN 2020, PRESBYTERIAN COMMUNITY HEALTH QUICKLY MODIFIED AND EXPANDED PROGRAMS DUE TO COVID-19 WHILE ENSURING THAT THEY MET THE SIGNIFICANT NEEDS OF OUR COMMUNITIES DURING THE PANDEMIC. COMMUNITY HEALTH FUNDING SHIFTED INITIALLY TO KEEPING COMMUNITIES SAFE THROUGH MESSAGING CAMPAIGNS AND DISTRIBUTION OF FACE MASKS, HAND SANITIZER, AND FACE SHIELDS. SOON AFTER, FUNDING WAS REDIRECTED TO ADDRESS UNDERLYING DETERMINANTS OF HEALTH THAT CONTRIBUTE TO COVID Morbidity AND MORTALITY - ASSISTING WITH AN INCREASE IN FOOD INSECURITY THROUGHOUT THE COMMUNITIES, INCREASING MESSAGING AND RESOURCES FOR PREVENTION OF MENTAL HEALTH AND VIOLENCE PREVENTION, AS WELL AS ISOLATION AND LONELINESS THROUGHOUT THE COMMUNITY. THIS INCLUDED A SIGNIFICANT EXPANSION OF COMMUNITY HEALTH CLASSES TO SUPPORT FAMILIES REMOTELY WITH NEW CLASSES FOCUSED ON HEALTHY EATING, ACTIVE LIVING, AND COMMUNITY WELL-BEING. IN ADDITION, AN EXPANDED TEAM OF PEER SUPPORT SPECIALISTS BEGAN OFFERING SUBSTANCE USE SUPPORT REMOTELY TO PATIENTS. ALSO IN 2020, IN RESPONSE TO THE COVID-19 PANDEMIC, THE PRESBYTERIAN COMMUNITY HEALTH RESOURCE CENTER CONTINUED TO OPERATE A FOOD FARMACY FOR PATIENTS IN NEED THROUGH A SOCIALLY DISTANT DRIVE-UP MODEL. A SECOND FOOD FARMACY LOCATION AT THE PRESBYTERIAN MEDICAL GROUP CLINIC IN LAS ESTANCIAS ALSO CONTINUED TO OPERATE. PATIENTS EXPERIENCING FOOD INSECURITY RECEIVE A REFERRAL FOR THE FOOD FARMACY, WHERE THEY CAN ACCESS FRESH PRODUCE AND LOW-SODIUM, AND LOW-SUGAR SHELF-STABLE ITEMS. IN 2020, PRESBYTERIAN ALSO REVAMPED ITS FREE HEALTHY MEAL PROGRAM FOR CHILDREN DUE TO THE COVID-19 PANDEMIC. TO ENSURE FAMILIES STILL HAD ACCESS TO FOOD, HOSPITALS OFFERED PREPARED MEALS THAT COULD BE TAKEN TO GO OR THROUGH A DRIVE-UP MODEL, DEPENDING ON THE SITE. THE FREE MEAL 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 EARLY CHILDHOOD EDUCATION AND CARE 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. THE PROGRAM AT PRESBYTERIAN RUST MEDICAL CENTER IS FUNDED ENTIRELY BY THE PRESBYTERIAN HEALTHCARE FOUNDATION. ALSO, IN 2020, PRESBYTERIAN SHIFTED ITS CONNECTING HARVEST TO HEALTH/CONNECTANDO COSECHAS CON LA SALUD PROGRAM TO A REMOTE LEARNING MODEL. THE PROGRAM, FUNDED WITH A FOUR-YEAR, $400,000 GRANT FROM THE UNITED STATES DEPARTMENT OF AGRICULTURE (USDA), AIMS 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, 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. NEW IN 2020, PRESBYTERIAN AND THE NEW MEXICO ALLIANCE OF HEALTH COUNCILS RECEIVED MORE THAN $600,000 THROUGH COMMUNITY VOICES FOR HEALTH (CVH), AN INITIATIVE LED BY PUBLIC AGENDA AND ALTARUM, WITH FUNDING FROM THE ROBERT WOOD JOHNSON FOUNDATION. THROUGH ITS COMMUNITY HEALTH ASSESSMENT PROCESS, PRESBYTERIAN WORKS CLOSELY WITH AND HELPS FUND LOCAL HEALTH COUNCILS AND THE NEW MEXICO ALLIANCE OF HEALTH COUNCILS. THE RWJF GRANT WILL EXPAND THIS SUPPORT THROUGH THE SIX PILOT PROJECTS TO TEST COMMUNITY ENGAGEMENT STRATEGIES AND HELP COMMUNITIES MEASURE AND REPORT ON HEALTH EQUITY. ALSO NEW IN 2020, PRESBYTERIAN WILL RECEIVE $2 MILLION OVER FIVE YEARS TO ASSIST THE NEW MEXICO BEHAVIORAL HEALTH SERVICES DIVISION OF THE HUMAN SERVICES DEPARTMENT (BHHSD), TO PREVENT AND REDUCE POLYSUBSTANCE USE WITH THE GOAL OF REDUCING OVERDOSE FROM THE CONCURRENT USE OF OPIOIDS (BOTH PRESCRIPTION AND HEROIN), METHAMPHETAMINE, ALCOHOL, AND BENZODIAZEPINES. THIS PREVENTION INITIATIVE WILL TARGET ADULTS AGED 25 TO 64, WHO HAVE THE HIGHEST RATES OF OVERDOSE DEATH. OTHER ONGOING COMMUNITY HEALTH INITIATIVES INCLUDE THE FOLLOWING: IN 2020, PRESBYTERIAN BEGAN PILOT SCREENING PROJECTS FOR HEALTH-RELATED SOCIAL NEEDS (HOUSING STABILITY, FOOD INSECURITY, UTILITY NEEDS, TRANSPORTATION NEEDS, AND INTERPERSONAL SAFETY) AS ONE WAY TO BEGIN TO ADDRESS INDIVIDUAL PATIENT NEEDS AS WELL AS LARGER SOCIAL DETERMINANTS OF HEALTH WORK. THIS WORK UNDERWENT EXPANSION AS THE ELECTRONIC HEALTH RECORD WAS UPGRADED IN PREPARATION FOR SYSTEM-WIDE UNIVERSAL SCREENING FOR HEALTH-RELATED SOCIAL NEEDS EXPECTED TO START IN 2021. THIS WORK EXPANDS ON THE CENTERS FOR MEDICARE &amp; MEDICAID SERVICES' ACCOUNTABLE HEALTH COMMUNITIES MODEL, WHICH PRESBYTERIAN AND OTHER NEW MEXICO PARTNERS WERE SELECTED TO TEST 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 ALSO PROVIDES SIGNIFICANT IN-KIND RESOURCES TO SUPPORT THIS PROGRAM. 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. PRESBYTERIAN WAS AGAIN AWARDED THIS FUNDING FOR APPROXIMATELY $800,000 PER YEAR FOR UP TO 5 YEARS BEGINNING 2018 THROUGH 2023. REACH IS PART OF A U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES INITIATIVE TO REDUCE CHRONIC DISEASES, PROMOTE HEALTHIER LIFESTYLES AND REDUCE HEALTH DISPARITIES. ONE EXAMPLE IS THE HEALTHY HERE MOBILE FARMER'S MARKET, WHICH VISITS FOOD-INSECURE NEIGHBORHOODS AND OFFERS REDUCED PRICE PRODUCE DURING THE GROWING SEASON. IN THE 2020 SEASON, THE MOBILE FARMERS' MARKET WAS MODIFIED TO ENSURE COVID-SAFE PRACTICES. THE PROGRAM CONTINUED TO PURCHASE LOCAL PRODUCE AND DISTRIBUTE THROUGH PRIORITY POPULATIONS IN BERNALILLO COUNTY, WITH THE GOAL OF OFFERING AFFORDABLE FRUITS AND VEGETABLES, AS WELL AS EDUCATIONAL RESOURCES FOR HOW TO PREPARE OFFERINGS IN COST-EFFECTIVE, DELICIOUS AND EASY WAYS. 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 2020, FOR EXAMPLE, PRESBYTERIAN PARTNERED WITH OTHER ORGANIZATIONS ON A COVID-SAFE, SOCIALLY DISTANCED VERSION OF ABQ CIQLOVA, A FREE EVENT IN WHICH CITY STREETS AR</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>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 $380,978,000 IN DONATED SERVICES, MATERIALS, EQUIPMENT AND FACILITIES IN 2020, INCLUDING THE SPECIFIC DONATIONS DESCRIBED BELOW. CARE AND NO-CHARGE SERVICES TO UNDER-SERVED POPULATIONS TO IMPROVE HEALTH-APPROXIMATELY $370,165,000, AS FOLLOWS: IN 2020, PHS PROVIDED APPROXIMATELY $40,585,000 IN FINANCIAL ASSISTANCE (CHARITY CARE), MEASURED BY OUR COST OF CARE. THE UNREIMBURSED COST OF CARE FOR MEDICARE AND MEDICAID IN 2020 TOTALED APPROXIMATELY $311,009,000. 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 2020, PHS PROVIDED NEEDED HEALTHCARE SERVICES AT AN APPROXIMATE LOSS OF $17,788,000. 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 HEALTH-RELATED SERVICES TO UNDER-SERVED POPULATIONS TOTALED APPROXIMATELY $783,000; ORGANIZATIONS THAT BENEFITED FROM CASH AND IN-KIND DONATIONS IN THIS CATEGORY, ALL OF WHICH ARE UNRELATED TO PHS, INCLUDE ALBUQUERQUE HEALTHCARE FOR THE HOMELESS, CASA ESPERANZA, AND THE NATIONAL ASSOCIATION ON MENTAL ILLNESS. 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 $5,647,000, INCLUDING: ALBUQUERQUE COMMUNITY FOUNDATION, UNITED WAY OF EASTERN NEW MEXICO, HEALTH FAIRS CONDUCTED THROUGHOUT NEW MEXICO; OPERATIONS OF THE PRESBYTERIAN CENTER FOR COMMUNITY HEALTH, PUBLIC SERVICE ANNOUNCEMENTS RELATING TO COVID-19, MEDICAL EXPERTS PARTICIPATION IN GOVERNMENT COMMITTEES AND MEDIA INTERVIEWS RELATING TO COVID-19, 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 $5,166,000, INCLUDING: INDIVIDUALS, FAMILIES, BUSINESSES, AND COMMUNITIES SERVED BY VARIOUS CHAMBERS OF COMMERCE, THE CENTER FOR NURSING EXCELLENCE, PRECEPTORSHIPS FOR NURSING AND OTHER HEALTHCARE STUDENTS, PHS WORKFORCE PIPELINE INITIATIVES, 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 &amp; 2; THE ABOVE FIGURES INCLUDE THE VALUE OF DONATED STAFF SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A - PHS' CENTRAL NEW MEXICO DELIVERY</FormAndLineReferenceDesc>
        <ExplanationTxt>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 STATE-OF-THE-ART, MULTI-PURPOSE MEDICAL CENTER IN SANTA FE, OPENED IN OCTOBER 2018; 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 &amp; PANCREATIC TRANSPLANTS, NEONATAL AND PEDIATRIC INTENSIVE CARE UNITS, A JOINT-REPLACEMENT CENTER, HIGHLY SPECIALIZED LAB SERVICES, IMAGING SERVICES, CANCER CARE, NEURO SURGERY, A GI LAB, DIALYSIS CARE, 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 IS CONSTRUCTING 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 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 &amp; 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. MD ANDERSON OPERATES OUR RADIATION ONCOLOGY PROGRAM; THUS ENABLING 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, 2020: INPATIENT DISCHARGES (1) = 45,871 AVERAGE LENGTH OF STAY (IN DAYS) = 4.88 INPATIENT PATIENT DAYS (1) = 223,676 EMERGENCY ROOM VISITS = 130,264 HOSPITAL-BASED OUTPATIENT VISITS (2) = 378,321 NEWBORN DELIVERIES = 4,225 NOTES: (1) INPATIENT EXCLUDING NEWBORNS (2) EXCLUDES EMERGENCY DEPARTMENT VISITS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4B - PHS' REGIONAL DELIVERY SYSTEM:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 FIFTEEN AMBULATORY CARE CLINICS AND OTHER FREE-STANDING FACILITIES, 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 2020 ARE DESCRIBED AS FOLLOWS: INPATIENT DISCHARGES (1) = 8,392 AVERAGE LENGTH OF STAY (IN DAYS) = 3.23 INPATIENT PATIENT DAYS (1) = 27,083 EMERGENCY ROOM VISITS = 70,583 HOSPITAL-BASED OUTPATIENT VISITS (2) = 169,699 NEWBORN DELIVERIES = 1,698 NOTES: (1) INPATIENT EXCLUDING NEWBORNS (2) EXCLUDES EMERGENCY DEPARTMENT VISITS FORM 990, PART III, LINE 4C - PHS' HEART AND VASCULAR CENTER: PRESBYTERIAN HEART AND VASCULAR CARE IS A NATIONALLY RECOGNIZED TEAM OF SPECIALISTS WHO FOCUS ON THE DIAGNOSIS, MANAGEMENT AND TREATMENT OF DISEASES THAT AFFECT THE HEART AND CIRCULATORY SYSTEM. THIS INCLUDES CARDIOLOGY, INTERVENTIONAL CARDIOLOGY, CARDIOTHORACIC SURGERY, VASCULAR SURGERY, AND PEDIATRIC/ CONGENITAL CARDIOLOGY. OUR HEART AND VASCULAR CARE TEAM PROVIDES A WIDE RANGE OF ADVANCED DIAGNOSTIC AND TREATMENT SERVICES. THESE INCLUDE DIAGNOSTIC TESTING AND IMAGING, MEDICATION THERAPY, SURGICAL AND INTERVENTIONAL PROCEDURES, ONGOING MONITORING, AND CARDIAC REHABILITATION. OUR TEAM CAN TREAT SUDDEN OR ONGOING HEART-RELATED PROBLEMS IN BOTH ADULT AND PEDIATRIC PATIENTS. WE OFFER MULTIPLE LOCATIONS THROUGHOUT NEW MEXICO TO PROVIDE CONVENIENT ACCESS TO OUR PROVIDERS. AS A PATIENT, YOU HAVE ACCESS TO ADVANCED IMAGING AND THERAPEUTIC TECHNOLOGY, PREVENTION AND WELLNESS CLASSES, A CARDIAC REHABILITATION GYM, AND SPECIALLY TRAINED PHYSICIANS, NURSES AND SUPPORT STAFF TO CARE FOR YOU. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 2A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>JASON MITCHELL, MD (KEY EMPLOYEE), TROY CLARK (KEY EMPLOYEE), AND DALE MAXWELL (DIRECTOR / OFFICER) HAD A BUSINESS RELATIONSHIP IN THAT THEY SERVED AS DIRECTORS FOR TRICORE REFERENCE LABS &amp; TRICORE LABORATORY SERVICE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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 CFO'S SIGNATURE ON THE RETURN AND THE RETURN WILL BE FILED ELECTRONICALLY BY THE ACCOUNTING FIRM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINES 15A AND 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION ACCUMULATED OCI TRUE UP: $24,835,000 MISCELLANEOUS OTHER CHANGES IN NET ASSETS: $ 9,409,496 TOTAL: $34,244,496</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PROFESSIONAL FEES - OTHER TOTAL FEES:XXX-XX-XXXX</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PROFESSIONAL FEES - MEDICAL TOTAL FEES:65825069</ExplanationTxt>
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          <BusinessNameLine1Txt>SOUTHWEST HEALTH FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>2923599</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GENERAL JOURNAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>FLUENT HEALTH LLC EIN: 81-4074164 ADDRESS: PO BOX 27489 ALBUQUERQUE, NM 87125 PRESBYTERIAN HOSPITAL ASC, LLC FEIN: 84-2748057 ADDRESS: 201 CEDAR ST., SUITE 7650, ALBUQUERQUE, NM 87106 PHS/USP HEALTH VENTURES, LLC FEIN: 83-2779383 ADDRESS: 14201 DALLAS PARKWAY, DALLAS, TX 75254 NEW MEXICO ORTHO SURGERY CENTER, LLC FEIN: 62-1797896 ADDRESS: 14201 DALLAS PARKWAY, DALLAS, TX 75254 Urban Hospitality NM, LLC FEIN: 47-4879601 ADDRESS: 6300 Riverside Plaza LN NW, Albuquerque, NM 87120</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
