2020-05-20T14:33:59-05:00 2019-06-30 412069731 SC&H TAX & ADVISORY SERVICES LLC 910 RIDGEBROOK ROAD SPARKS MD 21152 990 2018-07-01 520591684 SHEPPARD PRATT HEALTH SYSTEM INC SHEP 4109383344 PO BOX 6815 BALTIMORE MD 21285 KELLY SAVOCA CFO 4109383344 2020-05-09 1 LORI S BURGHAUSER P00370694 4104031500 2020-05-09 68.33.106.243 2020-05-09 15:31:31 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D598169B7B70477E3779F4FD99F3BFF6A447919F 2018 2020-09-23 17:36:50Z HARSH K TRIVEDI PO BOX 6815 BALTIMORE MD 21285 254676463 0 X WWW.SHEPPARDPRATT.ORG X 1938 MD PROVIDE INPATIENT BEHAVIORAL HEALTH CARE. PROVIDE RELATED BEHAVIORAL, SPECIAL EDUCATION, AND RESIDENTIAL CARE FOR CHILDREN/ADOLESCENTS. SPONSOR RESIDENCY TRAINING PROGRAMS. 23 23 3285 232 249785 0 4625891 811676 222766339 232402986 2305171 1279063 10231745 10086067 239929146 244579792 0 7500 0 0 154329245 154787115 0 0 1140809 79758580 84822015 234087825 239616630 5841321 4963162 415217541 414258907 232155031 240084471 183062510 174174436 SHEPPARD PRATT, A NOT-FOR-PROFIT BEHAVIORAL HEALTH SYSTEM, IS DEDICATED TO IMPROVING THE QUALITY OF LIFE OF INDIVIDUALS AND FAMILIES BY COMPASSIONATELY SERVING THEIR MENTAL HEALTH, ADDICTION, SPECIAL EDUCATION, AND COMMUNITY SUPPORT NEEDS. 0 0 207444140 7500 239821618 SHEPPARD PRATT HEALTH SYSTEM PROVIDES INPATIENT BEHAVIORAL HEALTH CARE, OUTPATIENT/ANCILLARY CARE, RESIDENTIAL SERVICES, SPECIAL EDUCATION TO STUDENTS AND RESIDENCY TRAINING PROGRAMS. 207444140 1 1 0 1 0 0 1 1 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 287 0 3285 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 23 23 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X DONNA CORBETT 4109383344 6501 N CHARLES STREET TOWSON MD 21204 JOSHUA KAKEL CHAIRPERSON, TRUSTEE 1.00 0.00 X X 0 0 0 ALFRED SINGER VICE CHAIRPERSON, TRUSTEE 1.00 0.00 X X 0 0 0 MARGARET ALLEN TRUSTEE 1.00 0.00 X 0 0 0 EMILE A BENDIT TRUSTEE 1.00 0.00 X 0 0 0 KEVIN BENSON TRUSTEE 1.00 0.00 X 0 0 0 PENELOPE CORDISH TRUSTEE 1.00 0.00 X 0 0 0 ALAN EVANS TRUSTEE 1.00 0.00 X 0 0 0 SUSAN FENIMORE TRUSTEE 1.00 0.00 X 0 0 0 ELIZABETH FORBUSH TRUSTEE 1.00 0.00 X 0 0 0 ALAN GAMSE TRUSTEE 1.00 0.00 X 0 0 0 PHILLIP H GRANTHAM TRUSTEE 1.00 0.00 X 0 0 0 BOB HAMILTON TRUSTEE (PART YEAR) 1.00 0.00 X 0 0 0 BONITA HEARN TRUSTEE 1.00 0.00 X 0 0 0 TIMOTHY HEARN TRUSTEE 1.00 0.00 X 0 0 0 NORMA PEDEN KILLEBREW TRUSTEE 1.00 0.00 X 0 0 0 ROBERT KRESSLEIN TRUSTEE 1.00 0.00 X 0 0 0 CRISTIN C LAMBROS TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM MORTON TRUSTEE 1.00 0.00 X 0 0 0 COLLIN MOTHUPI TRUSTEE 1.00 0.00 X 0 0 0 ROBERT SCHAFTEL TRUSTEE 1.00 0.00 X 0 0 0 GAIL L SHAWE TRUSTEE 1.00 0.00 X 0 0 0 JOHN W STEELE III TRUSTEE 1.00 0.00 X 0 0 0 GARY TALLES TRUSTEE (PART YEAR) 1.00 0.00 X 0 0 0 JIM WIEDERHOLD TRUSTEE 1.00 0.00 X 0 0 0 PAMELA YOUNG TRUSTEE 1.00 0.00 X 0 0 0 HARSH K TRIVEDI MD PRESIDENT & CEO 40.00 5.00 X 886866 0 59887 RAY R DZIESINSKI VP, CFO, SEC/TREAS (PART YEAR) 40.00 5.00 X 413042 0 55565 ARMANDO E COLOMBO EVP & COO 40.00 0.00 X 378544 0 60215 STEPHANIE PROVENZA ASSISTANT SECRETARY 40.00 1.00 X 64074 0 30366 BONNIE KATZ SR. VP, STRATEGY & BUSINESS 40.00 5.00 X 449853 0 96195 DONNA L RICHARDSON VP & CDO 40.00 0.00 X 307738 0 22905 ERNESTINE COSBY VP OF NURSING 40.00 0.00 X 282988 0 107871 KAREN ROBERTSON-KECK VP OF HR 40.00 0.00 X 214307 0 15985 CHARLES K MAUST CHIEF OF SCHOOLS 40.00 0.00 X 182962 0 9858 GERALD A NOLL FORMER CFO 40.00 5.00 X 293235 0 34576 THOMAS D HESS CHIEF OF STAFF 40.00 0.00 X 217564 0 43077 SHERRY L MCGRAW STAFF NURSE 40.00 0.00 X 201022 0 15211 ANTONIO DEPAOLO CHIEF TRANSFORMATION OFFICER 40.00 0.00 X 180252 0 31445 DONNA M CORBETT DIR. ACCOUNTING & FINANCIAL RPTG 40.00 0.00 X 177138 0 54749 4249585 0 637905 110 0 1 0 CANNON WASHINGTON INC 3030 CLARENDON BLVD STE 500 ARLINGTON VA 22201 ARCHITECT FEES 5163110 BENCHMARK CONSTRUCTION COMPANY INC 4121 OREGON PIKE PO BOX 806 BROWNSTOWN PA 17508 CONSTRUCTION MANAGEMENT 4561994 CENTER FOR EATING DISORDERS PA 6535 N CHARLES ST STE 300 TOWSON MD 21204 PROFESSIONAL MANAGEMENT FEES 3061064 STEWART & TATE INC 55 GWYN MILLS COURT OWINGS MILLS MD 21117 CONSTRUCTION 2435056 UNIVERSITY OF MARYLAND MEDICAL SYSTEM PO BOX 64468-4468 BALTIMORE MD 21264 RESIDENCY TRAINING PROGRAM 2065598 50 186452 625224 811676 PATIENT SERVICE REVENUE 621990 138976688 138976688 EDUCATIONAL SERVICE REVENUE 611600 56158114 56158114 RTC/RESPITE REVENUE 623000 20556054 20556054 RETREAT REVENUE 621990 16712130 16712130 232402986 1540758 1540758 1045502 0 1045502 1045502 1045502 9828471 6505 9972991 123680 -144520 -117175 -261695 -261695 INTERCORPORATE REVENUE 900099 4808881 4808881 OTHER OPERATING REVENUE 900099 3981899 2609751 1372148 OTHER REVENUE - UNRELATED 900002 249785 249785 9040565 244579792 239821618 249785 3696713 7500 7500 3386599 3386599 123069778 112197629 10042621 829528 4941769 4406637 502552 32580 14295881 13312907 884546 98428 9093088 8108420 924719 59949 674782 135491 539291 343401 343401 164217 164217 156981 156981 19120886 17554803 1520464 45619 1465415 1453538 11877 3577262 3110128 453666 13468 3828896 1377876 2451020 10520843 8691355 1783600 45888 312097 279823 32259 15 882701 626214 250432 6055 15141194 14024227 1114467 2500 3602231 650 3601581 UBIT TAXES 77756 77756 INTERCOMPANY CHARGES 10483198 9475324 1007874 SUPPLIES 4177683 4054783 122900 REPAIRS AND MAINTENANCE 4047454 3403088 644366 6245018 5223747 1014492 6779 239616630 207444140 31031681 1140809 39252413 17302745 24692649 27365020 296478 0 9058369 7298972 402292448 213317673 168755936 188974775 21329179 20677016 143732128 141257065 8100389 11383314 415217541 414258907 22326147 25944248 177329000 173365000 32499884 40775223 232155031 240084471 X 169109341 160029603 13953169 14144833 183062510 174174436 415217541 414258907 X 4963162 567967 -14419203 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 148118 0 1 16099 164217 0 PART II-B, LINE 1: SHEPPARD PRATT RETAINS A LAW FIRM AS A REGISTERED LOBBYIST TO KEEP THE ORGANIZATION INFORMED AS TO ANY NEW LEGISLATION THAT MAY IMPACT THE OPERATIONS OF THE HOSPITAL (TOTAL EXPENSE IN FY19: $148,118). SHEPPARD PRATT ALSO PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION, MARYLAND HOSPITAL ASSOCIATION, NATIONAL ASSOCIATION OF BEHAVIORAL HEALTHCARE, AND NATIONAL ASSOCIATION OF PSYCHIATRIC HEALTH SYSTEMS. A PORTION OF THE DUES PAID IS USED TO FUND LOBBYING ACTIVITIES (FY19: $16,099). X 1 0.00 1 0 0 1 0 1.00 0 688357 X X 0 15527252 15527252 263196355 157099576 106096779 62196384 47384718 14811666 61372457 8833379 52539078 188974775 INVESTMENTS LIMITED OR RESTRICTED AS TO USE 115584250 F INTEREST IN NET ASSETS OF FOUNDATION 14144833 F INVESTMENTS IN PARTNERSHIPS/HEDGE FUNDS 11527982 F 141257065 SELF-INSURANCE LIABILITY 11884172 CAPITAL LEASE OBLIGATIONS 5296855 ACCRUED PENSION LIABILITY 21024172 DUE TO AFFILIATES 3057576 DEFERRED FINANCING COSTS -487552 40775223 245808761 567967 700808 1268775 244539986 156981 -117175 39806 244579792 239576824 117175 117175 239459649 156981 156981 239616630 PART II, LINE 9: CONSERVATION EASEMENTS ARE REPORTED ON THE BALANCE SHEET AND ARE INCLUDED IN PROPERTY AND EQUIPMENT ON THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 4: THE ART COLLECTION OF SHEPPARD PRATT EXEMPLIFIES THE HEALING ASPECTS OF ART, BOTH FOR THE CREATOR AND THE OBSERVER. THIS UNIQUELY THEMED COLLECTION CELEBRATES THE CAPACITY FOR ARTISTIC ENDEAVOR TO TRANSCEND AND TRIUMPH OVER MENTAL ILLNESS AND ADDICTION. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTION 576,564. INVESTMENT INCOME -11,596. DISSOLUTION PAYOUT FROM HANNAH MORE FOUNDATION 135,840. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON SALE OF ASSETS -117,175. PARTS XI AND XII PARTS XI AND XII RECONCILE TO SEPARATE COMPANY FINANCIAL STATEMENTS OF SHEPPARD PRATT HEALTH SYSTEM, INC. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 4118931 4118931 0.01720 4118931 4118931 0.01720 107091 107091 0.00040 2374667 396715 1977952 0.00830 1263243 386356 876887 0.00370 217040 217040 0.00090 127199 127199 0.00050 4089240 783071 3306169 0.01380 8208171 783071 7425100 0.03100 468817 14938 453879 0.00190 123951 123951 0.00050 5772 1274510 1274510 0.00530 5772 1867278 14938 1852340 0.00770 1 1265041 16120311 19322747 -3202436 X 1 1 2 1 SHEPPARD PRATT HOSPITAL 6501 N CHARLES STREET TOWSON MD 21204 WWW.SHEPPARDPRATT.ORG 03-039 X X SEE NARRATIVE 2 SHEPPARD PRATT AT ELLICOTT CITY 4100 COLLEGE AVENUE ELLICOTT CITY MD 21041 WWW.SHEPPARDPRATT.ORG 13-002 X SEE NARRATIVE SHEPPARD PRATT HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 1 0 1 X SEE PART V, SECTION C 1 18 1 SEE PART V, SECTION C 0 1 X 250.000000000000 250.000000000000 X X 1 1 X X X 1 X SEE PART V - SECTION C X SEE PART V - SECTION C X SEE PART V - SECTION C X X X X X X X 1 X 0 X 1 X 0 0 SHEPPARD PRATT AT ELLICOTT CITY 2 0 0 1 X X X X X X X X X 18 1 1 0 1 X SEE PART V, SECTION C 1 18 1 SEE PART V, SECTION C 0 1 X 250.000000000000 250.000000000000 X X 1 1 X X X 1 X SEE PART V - SECTION C X SEE PART V - SECTION C X SEE PART V - SECTION C X X X X X X X 1 X 0 X 1 X 0 0 SHEPPARD PRATT HOSPITAL PART V, SECTION B, LINE 5: SHEPPARD PRATT ENGAGED THE SERVICES OF CRESCENDO CONSULTING GROUP, A RECOGNIZED FIRM WITH EXPERTISE IN CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS, TO DEVELOP ITS 2019 CHNAS. A MULTI-MODAL APPROACH WAS USED TO CONDUCT THE RESEARCH FOR THE 2019 CHNAS, WHICH INCLUDED THE FOLLOWING: - DEMOGRAPHIC AND OTHER SECONDARY RESEARCH - FOCUS GROUP DISCUSSIONS WITH KEY STAKEHOLDERS REPRESENTING PUBLIC HEALTH, MEDICAL SERVICES, NON-PROFIT AND SOCIAL ORGANIZATIONS, AND CHILDREN AND YOUTH AGENCIES- ONE-ON-ONE TELEPHONE INTERVIEWS WITH KEY STAKEHOLDERS - DISCUSSIONS WITH HOSPITAL LEADERS - NEEDS PRIORITIZATION ACTIVITIES KEY STAKEHOLDERS FOR BOTH CHNAS INCLUDED THE FOLLOWING:DR. GREGORY W. BRANCH, MD, MBA, CPE, FACP, DIRECTOR, HEALTH AND HUMAN SERVICES/HEALTH OFFICER, BALTIMORE COUNTY DEPT OF HEALTHMS. BILLIE PENLEY, MBA, CHIEF FINANCIAL OFFICER, ANNE ARUNDEL COUNTY DEPT OF HEALTHLT. MICHELLE DENTON, CAC DIRECTOR, HOWARD COUNTY CHILD ADVOCACY CENTER, THE LISTENING PLACEMS. JANE GEHRING, ASSISTANT DIRECTOR, FAMILY SERVICES, BALTIMORE COUNTY DSS, CHILD PROTECTIVE SERVICESANN MAHLING GEDDES, PHD, DIRECTOR OF PUBLIC POLICY, MARYLAND COALITION OF FAMILIESBARBARA J. BAZRON, PHD, DIRECTOR, DEPT OF BEHAVIORAL HEALTHSUSAN B. HANSELL, DIRECTOR, MARYLAND CHILDREN'S ALLIANCEMS. ADRIENNE MICKLER, EXECUTIVE DIRECTOR, ANNE ARUNDEL COUNTY MENTAL HEALTH AGENCYMS. REBECCA RIENZI, EXECUTIVE DIRECTOR, PATHFINDERS FOR AUTISMMR. ADAM ROSENBERG, EXECUTIVE DIRECTOR, BALTIMORE CHILD ABUSE CENTERDR. JOSHUA SHARFSTEIN, VICE DEAN FOR PUBLIC HEALTH PRACTICE & COMMUNITY ENGAGEMENT, JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTHDR. LETITIA DZLRASA, COMMISSIONER OF HEALTH, BALTIMORE CITY HEALTH DEPTMS. CRISTA TAYLOR, PRESIDENT & CEO, BEHAVIORAL HEALTH SYSTEM BALTIMOREMALLORY CANAMI, POPULATION HEALTH & QUALITY IMPROVEMENT, HARFORD COUNTY HEALTH DEPTBERNARD GYEBI-FOSTER, EXECUTIVE DIRECTOR, TUERK HOUSE SHEPPARD PRATT AT ELLICOTT CITY PART V, SECTION B, LINE 5: SHEPPARD PRATT ENGAGED THE SERVICES OF CRESCENDO CONSULTING GROUP, A RECOGNIZED FIRM WITH EXPERTISE IN CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS, TO DEVELOP ITS 2019 CHNAS. A MULTI-MODAL APPROACH WAS USED TO CONDUCT THE RESEARCH FOR THE 2019 CHNAS, WHICH INCLUDED THE FOLLOWING:- DEMOGRAPHIC AND OTHER SECONDARY RESEARCH - FOCUS GROUP DISCUSSIONS WITH KEY STAKEHOLDERS REPRESENTING PUBLIC HEALTH, MEDICAL SERVICES, NON-PROFIT AND SOCIAL ORGANIZATIONS, AND CHILDREN AND YOUTH AGENCIES- ONE-ON-ONE TELEPHONE INTERVIEWS WITH KEY STAKEHOLDERS - DISCUSSIONS WITH HOSPITAL LEADERS - NEEDS PRIORITIZATION ACTIVITIES KEY STAKEHOLDERS FOR BOTH CHNAS INCLUDED THE FOLLOWING:DR. GREGORY W. BRANCH, MD, MBA, CPE, FACP, DIRECTOR, HEALTH AND HUMAN SERVICES/HEALTH OFFICER, BALTIMORE COUNTY DEPT OF HEALTHMS. BILLIE PENLEY, MBA, CHIEF FINANCIAL OFFICER, ANNE ARUNDEL COUNTY DEPT OF HEALTHLT. MICHELLE DENTON, CAC DIRECTOR, HOWARD COUNTY CHILD ADVOCACY CENTER, THE LISTENING PLACEMS. JANE GEHRING, ASSISTANT DIRECTOR, FAMILY SERVICES, BALTIMORE COUNTY DSS, CHILD PROTECTIVE SERVICESANN MAHLING GEDDES, PHD, DIRECTOR OF PUBLIC POLICY, MARYLAND COALITION OF FAMILIESBARBARA J. BAZRON, PHD, DIRECTOR, DEPT OF BEHAVIORAL HEALTHSUSAN B. HANSELL, DIRECTOR, MARYLAND CHILDREN'S ALLIANCEMS. ADRIENNE MICKLER, EXECUTIVE DIRECTOR, ANNE ARUNDEL COUNTY MENTAL HEALTH AGENCYMS. REBECCA RIENZI, EXECUTIVE DIRECTOR, PATHFINDERS FOR AUTISMMR. ADAM ROSENBERG, EXECUTIVE DIRECTOR, BALTIMORE CHILD ABUSE CENTERDR. JOSHUA SHARFSTEIN, VICE DEAN FOR PUBLIC HEALTH PRACTICE & COMMUNITY ENGAGEMENT, JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTHDR. LETITIA DZLRASA, COMMISSIONER OF HEALTH, BALTIMORE CITY HEALTH DEPTMS. CRISTA TAYLOR, PRESIDENT & CEO, BEHAVIORAL HEALTH SYSTEM BALTIMOREMALLORY CANAMI, POPULATION HEALTH & QUALITY IMPROVEMENT, HARFORD COUNTY HEALTH DEPTBERNARD GYEBI-FOSTER, EXECUTIVE DIRECTOR, TUERK HOUSE SHEPPARD PRATT HOSPITAL PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS A COLLABORATION LED BY SHEPPARD PRATT HEALTH SYSTEM, INC., WITH THE ASSISTANCE OF CRESCENDO CONSULTING GROUP, A CONSULTING FIRM WITH EXPERTISE IN CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS. THE ASSESSMENT INCLUDED RELATED HOSPITAL FACILITIES, SHEPPARD PRATT HOSPITAL AND SHEPPARD PRATT AT ELLICOTT CITY. SHEPPARD PRATT AT ELLICOTT CITY PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS A COLLABORATION LED BY SHEPPARD PRATT HEALTH SYSTEM, INC., WITH THE ASSISTANCE OF CRESCENDO CONSULTING GROUP, A CONSULTING FIRM WITH EXPERTISE IN CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS. THE ASSESSMENT INCLUDED RELATED HOSPITAL FACILITIES, SHEPPARD PRATT HOSPITAL AND SHEPPARD PRATT AT ELLICOTT CITY.SHEPPARD PRATT HOSPITAL:PART V, SECTION B, LINE 7A: HTTPS://WWW.SHEPPARDPRATT.ORG/FILES/RESOURCES/SHEPPARD-PRATT-HOSPITAL-COMMUNITY-HEALTH-NEEDS-ASS-3.PDF SHEPPARD PRATT AT ELLICOTT CITY:PART V, SECTION B, LINE 7A: HTTPS://WWW.SHEPPARDPRATT.ORG/FILES/RESOURCES/SHEPPARD-PRATT-HOSPITAL-COMMUNITY-HEALTH-NEEDS-ASS-4.PDF SHEPPARD PRATT HOSPITAL:PART V, SECTION B, LINE 10A: HTTPS://WWW.SHEPPARDPRATT.ORG/FILES/RESOURCES/2019-IMPLEMENTATION-PLAN-FINAL.PDF SHEPPARD PRATT AT ELLICOTT CITY:PART V, SECTION B, LINE 10A: HTTPS://WWW.SHEPPARDPRATT.ORG/FILES/RESOURCES/2019-IMPLEMENTATION-PLAN-FINAL.PDF SHEPPARD PRATT HOSPITAL PART V, SECTION B, LINE 11: EACH HOSPITAL IS REQUIRED TO CONDUCT AND PUBLISH ITS OWN CHNA AND IMPLEMENTATION PLAN, YET HOSPITALS ARE ENCOURAGED TO COLLABORATE ON THE CHNAS ESPECIALLY WHERE SERVICE LINES AND/OR SERVICE AREAS OVERLAP. FOR EACH SHEPPARD PRATT HOSPITAL, CHNA AND IMPLEMENTATION PLAN ACTIVITIES WERE JOINTLY CONDUCTED IN ORDER TO MAXIMIZE THE EFFICIENCY OF THE RESEARCH AND THE EFFECTIVENESS OF EMERGING STRATEGIES. THE STRATEGIC APPROACH ESTABLISHES THE BASIS FOR SHARED OPERATIONAL PLANS TO ADDRESS NEEDS. DURING THE JOINT CHNA RESEARCH FOR THE TWO HOSPITALS, PARTICULAR ATTENTION WAS GIVEN TO IDENTIFY DIFFERENCES THAT MAY OR MAY NOT EXIST BETWEEN THE TWO OVERLAPPING SERVICE AREAS. THE RESULTS OF THE CHNAS IDENTIFIED AN IDENTICAL SET OF APPROXIMATELY 35 COMMUNITY NEEDS WITH VERY LITTLE VARIATION IN THE RANKED PRIORITY BASED ON LOCATION. AS A RESULT, EACH HOSPITAL HAS ITS OWN CHNA AND IMPLEMENTATION PLAN; HOWEVER, THEY ARE IDENTICAL FOR BOTH HOSPITALS. THIS METHODOLOGY EFFECTIVELY SUPPORTS OPERATIONAL PLANS TO ADDRESS IDENTIFIED NEEDS IN EACH MARKET AND EVEN THE ADMINISTRATION OF SERVICES, IN SOME CASES THAT WILL BE CENTRALLY MANAGED, MAXIMIZE PATIENT CARE, IMPROVE OPERATIONAL EFFICIENCY, AND BETTER FOCUS SHEPPARD PRATT'S EFFORTS TO MEET THE HIGHEST PRIORITY SERVICE AREA NEEDS.NEEDS FOR WHICH SPHS WILL ENHANCE EXISTING PROGRAMS OR ESTABLISH NEW ONES: THE HOSPITAL HAS CURRENT ACTIVITIES THAT MAY BE ABLE TO BE MODIFIED OR EXPANDED TO ADDRESS THE COMMUNITY HEALTH NEED; OR, NEWLY CREATED ACTIVITIES OR INITIATIVES MAY BE REQUIRED TO DO SO.NEEDS SPHS IS ADDRESSING THROUGH EXISTING PROGRAMS AND ACTIVITIES: THE HOSPITAL IS ALREADY ACTIVELY PROVIDING SERVICES TO ADDRESS THE COMMUNITY HEALTH NEED AND MAY FOCUS EFFORTS ON BUILDING AWARENESS OF EXISTING PROGRAMS AND SERVICES.NEEDS THAT SPHS WILL NOT ADDRESS: THE NEED IS EITHER NOT WITHIN THE SPHS PURVIEW OR BEYOND ITS ABILITY TO READILY IMPACT.IN DEVELOPING THE IMPLEMENTATION PLANS, SPHS PROJECT LEADERSHIP TEAM MEMBERS REVIEWED EACH OF THE 35 NEEDS IDENTIFIED IN THE CHNAS, TO DETERMINE THOSE FOR WHICH SPHS HAS, OR MAY ESTABLISH, PROGRAMS TO ADDRESS. THIS WAS DONE ON TWO SCALES:- THE DEGREE OF LOCAL CONTROL (I.E., THE AMOUNT OF INFLUENCE SPHS MAY POSSESS TO AFFECT NEEDS).- TIMELINE (I.E., THE EXPECTED AMOUNT OF TIME IT WOULD TAKE TO IMPACT THE NEED)BASED ON THE ANALYSIS, SPHS CREATED A LIST OF PROGRAM FOCUS AREAS THAT DOES THE FOLLOWING:1. ADDRESSES THE HIGHEST PRIORITY NEEDS2. EXISTS WITHIN SPHS'S ABILITY TO CONTROL, AND3. PROVIDES POSITIVE IMPACT IN THE "ONE-YEAR," "TWO-TO-THREE-YEAR, AND "FOUR YEARS OR LONGER" TIME FRAMES.THE NEEDS FOR WHICH SPHS WILL ENHANCE EXISTING PROGRAMS OR ESTABLISH NEW ONES WITHIN A ONE-YEAR TIMELINE ARE AS FOLLOWS:- INCREASE MENTAL HEALTH FIRST AID TRAINING TO FIRST RESPONDERS, SCHOOLS, PUBLIC SAFETY, AND OTHERS- EXPAND CAPACITY AT THE CRISIS WALK-IN CLINIC- DECREASE STIGMA AROUND MENTAL HEALTH AND SUBSTANCE USE DISORDERS (E.G., MANY OF THE SPHS PROGRAMS AND EDUCATIONAL OUTREACH ACTIVITIES ARE DESIGNED TO EXPLICITLY OR IMPLICITLY FIGHT STIGMA)- INCREASE THE NUMBER OF PROVIDERS WHO ACCEPT MEDICAID CLIENTS (E.G., WHERE POSSIBLE, SPHS WILL CONTINUE TO EXPAND MEDICAID ACCESS TO CARE)THE NEEDS FOR WHICH SPHS WILL ENHANCE EXISTING PROGRAMS OR ESTABLISH NEW ONES WITHIN A TWO-TO-THREE-YEAR TIMELINE ARE AS FOLLOWS:- IMPROVE CARE COORDINATION BETWEEN INPATIENT AND OUTPATIENT PROVIDERS- CREATE A PARENT SUPPORT GROUP FOR PARENTS WITH CHILDREN WITH SEVERE MENTAL ILLNESS (E.G., BY ENGAGING POTENTIAL PARTICIPANTS, LEARNING THEIR INSIGHTS REGARDING IMPORTANT NEEDS / GROUP CONTENT INFORMATION, AND OFFERING ADDITIONAL GROUP MEETING TIMES / DAYS)- INCREASE ACCESS TO FAMILY THERAPY, (E.G., BY OFFERING ADDITIONAL GROUP MEETING TIMES / DAYS / LOCATIONS)- INCREASE APPROVED PATIENT DATA SHARING ACROSS ALL PROVIDERS- INCREASE CONSISTENCY AND THOROUGHNESS OF INPATIENT DISCHARGE FOLLOW-UP (E.G., THROUGH ELECTRONIC, TELEPHONIC, CARE COORDINATION, OR OTHER MEANS)- INCREASE ACCESS TO OUTPATIENT DIALECTICAL BEHAVIORAL THERAPY (DBT) FOR CHILDREN AND ADOLESCENTS- INCREASE SERVICES FOR NEW MOMS WITH SUBSTANCE USE DISORDERSTHE NEEDS FOR WHICH SPHS WILL ENHANCE EXISTING PROGRAMS OR ESTABLISH NEW ONES WITHIN A FOUR YEARS OR LONGER TIMELINE ARE AS FOLLOWS:- PROVIDE NARCAN AND EVZIO TRAINING TO KEY COMMUNITY MEMBERS (I.E., POLICE, FIRE, SCHOOLS)- ENGAGE IN SYSTEM-LEVEL / REGULATORY / POLICY CHANGE ADVOCACY [NOTE THAT ALTHOUGH THIS NEED HAS BEEN AN ONGOING FOCUS FOR SPHS, AND IT IS LIKELY THAT SOME POSITIVE EFFECTS WILL BE SEEN WITHIN ONE YEAR, CONTINUING WORK AND ADDITIONAL PROGRESS WILL BE REQUIRED OVER A LONGER TIME FRAME.]- REVIEW OR INCREASE THE NUMBER OF PEER SUPPORT SPECIALISTS IN HOSPITAL AND OUTPATIENT SETTINGSIDENTIFIED NEEDS ALREADY BEING ADDRESSED BY SPHSTHE SPHS PROJECT LEADERSHIP ALSO DETERMINED THAT SPHS IS CURRENTLY ADDRESSING 16 OF THE IDENTIFIED NEEDS THROUGH EXISTING PROGRAMS. FOR THESE NEEDS, EFFORTS WILL BE MADE TO INCREASE AWARENESS OF SPHS' EXISTING PROGRAMS IN THE COMMUNITY. THESE 16 NEEDS ARE AS FOLLOWS:- IMPROVE REGULATION AROUND ADDICTION COUNSELING- INCREASE RESIDENTIAL OPTIONS FOR TEENS WITH CO-OCCURRING MENTAL HEALTH AND BEHAVIORAL ISSUES- INCREASE AWARENESS OF SERVICES OFFERED AT SPHS LOCATIONS- PROVIDE GREATER SUPPORT FOR COMMUNITY EFFORTS TO INCREASE GENERAL AWARENESS OF SERVICES AVAILABLE IN THE COMMUNITY- PROVIDE ADVOCACY AROUND MENTAL HEALTH AND SUBSTANCE USE DISORDERS (I.E., OPIOID EPIDEMIC)- INCREASE ACCESS TO OUTPATIENT SERVICES FOR PEOPLE IN RURAL AREAS- EXPAND WRAP-AROUND SERVICES FOR THE CHRONICALLY MENTALLY ILL- INCREASE THE NUMBER OF THERAPISTS TRAINED IN TRAUMA-INFORMED CARE- INCREASE THE NUMBER OF MENTAL HEALTH-TRAINED PROVIDERS IN HOSPITAL EMERGENCY DEPARTMENTS ACROSS THE STATE- WORK WITH COMMUNITY SERVICE PROVIDERS AND SPHS SITES TO INCREASE AWARENESS OF SERVICES AVAILABLE AT COUNTY HEALTH DEPARTMENTS- CREATE A MOBILE CRISIS RESPONSE TEAM- PROVIDE EXPANDED DETOX CENTER CAPACITY IN BALTIMORE AND BALTIMORE COUNTY- INCREASE COORDINATION BETWEEN SPHS AND DEPARTMENT OF SOCIAL SERVICES (DSS)- INCREASE ACCESSIBILITY TO WAY STATION PROGRAMS- PROVIDE ADDITIONAL PARENT EDUCATION CLASSES AT NON-TRADITIONAL HOURS FOR WORKING FAMILIES- CREATE SERVICES TO REDUCE SENIOR ISOLATIONIDENTIFIED COMMUNITY NEEDS THAT WILL NOT BE ADDRESSEDWHILE SPHS HAS EXISTING PROGRAMS AND ACTIVITIES THAT ADDRESS A MAJORITY OF THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE FOLLOWING FIVE NEEDS ARE NOT CURRENTLY BEING ADDRESSED BY PROGRAMS AND ACTIVITIES AT SPHS. ALTHOUGH, SPHS IS OPEN TO SUPPORTING INITIATIVES THAT ADDRESS THESE NEEDS, THE FOLLOWING LIST REPRESENTS PRIORITIZED COMMUNITY NEEDS THAT ARE EITHER NOT WITHIN THE SPHS PURVIEW OR ARE BEYOND THE ORGANIZATION'S ABILITY TO READILY IMPACT. - IMPROVE INFORMATION ON PROVIDER NETWORK DIRECTORY LISTS (E.G., LISTS OF OTHER SPHS SERVICES OR NON-AFFILIATED COMMUNITY SERVICE PROVIDERS THAT MAY BE HELPFUL TO THE PATIENT).- DEVELOP A TRAUMA-INFORMED CARE TRAINING PROGRAM FOR PROVIDERS IN MARYLAND- PROVIDE SAFE TRANSPORTATION TO TOWSON FACILITY FOR CHILDREN IN CRISIS- IMPROVE MEDICATION MANAGEMENT EDUCATION FOR OLDER ADULTS- INCREASE THE NUMBER OF PROVIDERS WHO ACCEPT PRIVATE INSURANCE CLIENTS SHEPPARD PRATT AT ELLICOTT CITY PART V, SECTION B, LINE 11: EACH HOSPITAL IS REQUIRED TO CONDUCT AND PUBLISH ITS OWN CHNA AND IMPLEMENTATION PLAN, YET HOSPITALS ARE ENCOURAGED TO COLLABORATE ON THE CHNAS ESPECIALLY WHERE SERVICE LINES AND/OR SERVICE AREAS OVERLAP. FOR EACH SHEPPARD PRATT HOSPITAL, CHNA AND IMPLEMENTATION PLAN ACTIVITIES WERE JOINTLY CONDUCTED IN ORDER TO MAXIMIZE THE EFFICIENCY OF THE RESEARCH AND THE EFFECTIVENESS OF EMERGING STRATEGIES. THE STRATEGIC APPROACH ESTABLISHES THE BASIS FOR SHARED OPERATIONAL PLANS TO ADDRESS NEEDS. DURING THE JOINT CHNA RESEARCH FOR THE TWO HOSPITALS, PARTICULAR ATTENTION WAS GIVEN TO IDENTIFY DIFFERENCES THAT MAY OR MAY NOT EXIST BETWEEN THE TWO OVERLAPPING SERVICE AREAS. THE RESULTS OF THE CHNAS IDENTIFIED AN IDENTICAL SET OF APPROXIMATELY 35 COMMUNITY NEEDS WITH VERY LITTLE VARIATION IN THE RANKED PRIORITY BASED ON LOCATION. AS A RESULT, EACH HOSPITAL HAS ITS OWN CHNA AND IMPLEMENTATION PLAN; HOWEVER, THEY ARE IDENTICAL FOR BOTH HOSPITALS. THIS METHODOLOGY EFFECTIVELY SUPPORTS OPERATIONAL PLANS TO ADDRESS IDENTIFIED NEEDS IN EACH MARKET AND EVEN THE ADMINISTRATION OF SERVICES, IN SOME CASES THAT WILL BE CENTRALLY MANAGED, MAXIMIZE PATIENT CARE, IMPROVE OPERATIONAL EFFICIENCY, AND BETTER FOCUS SHEPPARD PRATT'S EFFORTS TO MEET THE HIGHEST PRIORITY SERVICE AREA NEEDS.NEEDS FOR WHICH SPHS WILL ENHANCE EXISTING PROGRAMS OR ESTABLISH NEW ONES: THE HOSPITAL HAS CURRENT ACTIVITIES THAT MAY BE ABLE TO BE MODIFIED OR EXPANDED TO ADDRESS THE COMMUNITY HEALTH NEED; OR, NEWLY CREATED ACTIVITIES OR INITIATIVES MAY BE REQUIRED TO DO SO.NEEDS SPHS IS ADDRESSING THROUGH EXISTING PROGRAMS AND ACTIVITIES: THE HOSPITAL IS ALREADY ACTIVELY PROVIDING SERVICES TO ADDRESS THE COMMUNITY HEALTH NEED AND MAY FOCUS EFFORTS ON BUILDING AWARENESS OF EXISTING PROGRAMS AND SERVICES.NEEDS THAT SPHS WILL NOT ADDRESS: THE NEED IS EITHER NOT WITHIN THE SPHS PURVIEW OR BEYOND ITS ABILITY TO READILY IMPACT.IN DEVELOPING THE IMPLEMENTATION PLANS, SPHS PROJECT LEADERSHIP TEAM MEMBERS REVIEWED EACH OF THE 35 NEEDS IDENTIFIED IN THE CHNAS, TO DETERMINE THOSE FOR WHICH SPHS HAS, OR MAY ESTABLISH, PROGRAMS TO ADDRESS. THIS WAS DONE ON TWO SCALES:- THE DEGREE OF LOCAL CONTROL (I.E., THE AMOUNT OF INFLUENCE SPHS MAY POSSESS TO AFFECT NEEDS).- TIMELINE (I.E., THE EXPECTED AMOUNT OF TIME IT WOULD TAKE TO IMPACT THE NEED)BASED ON THE ANALYSIS, SPHS CREATED A LIST OF PROGRAM FOCUS AREAS THAT DOES THE FOLLOWING:1. ADDRESSES THE HIGHEST PRIORITY NEEDS2. EXISTS WITHIN SPHS'S ABILITY TO CONTROL, AND3. PROVIDES POSITIVE IMPACT IN THE "ONE-YEAR," "TWO-TO-THREE-YEAR, AND "FOUR YEARS OR LONGER" TIME FRAMES.THE NEEDS FOR WHICH SPHS WILL ENHANCE EXISTING PROGRAMS OR ESTABLISH NEW ONES WITHIN A ONE-YEAR TIMELINE ARE AS FOLLOWS:- INCREASE MENTAL HEALTH FIRST AID TRAINING TO FIRST RESPONDERS, SCHOOLS, PUBLIC SAFETY, AND OTHERS- EXPAND CAPACITY AT THE CRISIS WALK-IN CLINIC- DECREASE STIGMA AROUND MENTAL HEALTH AND SUBSTANCE USE DISORDERS (E.G., MANY OF THE SPHS PROGRAMS AND EDUCATIONAL OUTREACH ACTIVITIES ARE DESIGNED TO EXPLICITLY OR IMPLICITLY FIGHT STIGMA)- INCREASE THE NUMBER OF PROVIDERS WHO ACCEPT MEDICAID CLIENTS (E.G., WHERE POSSIBLE, SPHS WILL CONTINUE TO EXPAND MEDICAID ACCESS TO CARE)THE NEEDS FOR WHICH SPHS WILL ENHANCE EXISTING PROGRAMS OR ESTABLISH NEW ONES WITHIN A TWO-TO-THREE-YEAR TIMELINE ARE AS FOLLOWS:- IMPROVE CARE COORDINATION BETWEEN INPATIENT AND OUTPATIENT PROVIDERS- CREATE A PARENT SUPPORT GROUP FOR PARENTS WITH CHILDREN WITH SEVERE MENTAL ILLNESS (E.G., BY ENGAGING POTENTIAL PARTICIPANTS, LEARNING THEIR INSIGHTS REGARDING IMPORTANT NEEDS / GROUP CONTENT INFORMATION, AND OFFERING ADDITIONAL GROUP MEETING TIMES / DAYS)- INCREASE ACCESS TO FAMILY THERAPY, (E.G., BY OFFERING ADDITIONAL GROUP MEETING TIMES / DAYS / LOCATIONS)- INCREASE APPROVED PATIENT DATA SHARING ACROSS ALL PROVIDERS- INCREASE CONSISTENCY AND THOROUGHNESS OF INPATIENT DISCHARGE FOLLOW-UP (E.G., THROUGH ELECTRONIC, TELEPHONIC, CARE COORDINATION, OR OTHER MEANS)- INCREASE ACCESS TO OUTPATIENT DIALECTICAL BEHAVIORAL THERAPY (DBT) FOR CHILDREN AND ADOLESCENTS- INCREASE SERVICES FOR NEW MOMS WITH SUBSTANCE USE DISORDERSTHE NEEDS FOR WHICH SPHS WILL ENHANCE EXISTING PROGRAMS OR ESTABLISH NEW ONES WITHIN A FOUR YEARS OR LONGER TIMELINE ARE AS FOLLOWS:- PROVIDE NARCAN AND EVZIO TRAINING TO KEY COMMUNITY MEMBERS (I.E., POLICE, FIRE, SCHOOLS)- ENGAGE IN SYSTEM-LEVEL / REGULATORY / POLICY CHANGE ADVOCACY [NOTE THAT ALTHOUGH THIS NEED HAS BEEN AN ONGOING FOCUS FOR SPHS, AND IT IS LIKELY THAT SOME POSITIVE EFFECTS WILL BE SEEN WITHIN ONE YEAR, CONTINUING WORK AND ADDITIONAL PROGRESS WILL BE REQUIRED OVER A LONGER TIME FRAME.]- REVIEW OR INCREASE THE NUMBER OF PEER SUPPORT SPECIALISTS IN HOSPITAL AND OUTPATIENT SETTINGSIDENTIFIED NEEDS ALREADY BEING ADDRESSED BY SPHSTHE SPHS PROJECT LEADERSHIP ALSO DETERMINED THAT SPHS IS CURRENTLY ADDRESSING 16 OF THE IDENTIFIED NEEDS THROUGH EXISTING PROGRAMS. FOR THESE NEEDS, EFFORTS WILL BE MADE TO INCREASE AWARENESS OF SPHS' EXISTING PROGRAMS IN THE COMMUNITY. THESE 16 NEEDS ARE AS FOLLOWS:- IMPROVE REGULATION AROUND ADDICTION COUNSELING- INCREASE RESIDENTIAL OPTIONS FOR TEENS WITH CO-OCCURRING MENTAL HEALTH AND BEHAVIORAL ISSUES- INCREASE AWARENESS OF SERVICES OFFERED AT SPHS LOCATIONS- PROVIDE GREATER SUPPORT FOR COMMUNITY EFFORTS TO INCREASE GENERAL AWARENESS OF SERVICES AVAILABLE IN THE COMMUNITY- PROVIDE ADVOCACY AROUND MENTAL HEALTH AND SUBSTANCE USE DISORDERS (I.E., OPIOID EPIDEMIC)- INCREASE ACCESS TO OUTPATIENT SERVICES FOR PEOPLE IN RURAL AREAS- EXPAND WRAP-AROUND SERVICES FOR THE CHRONICALLY MENTALLY ILL- INCREASE THE NUMBER OF THERAPISTS TRAINED IN TRAUMA-INFORMED CARE- INCREASE THE NUMBER OF MENTAL HEALTH-TRAINED PROVIDERS IN HOSPITAL EMERGENCY DEPARTMENTS ACROSS THE STATE- WORK WITH COMMUNITY SERVICE PROVIDERS AND SPHS SITES TO INCREASE AWARENESS OF SERVICES AVAILABLE AT COUNTY HEALTH DEPARTMENTS- CREATE A MOBILE CRISIS RESPONSE TEAM- PROVIDE EXPANDED DETOX CENTER CAPACITY IN BALTIMORE AND BALTIMORE COUNTY- INCREASE COORDINATION BETWEEN SPHS AND DEPARTMENT OF SOCIAL SERVICES (DSS)- INCREASE ACCESSIBILITY TO WAY STATION PROGRAMS- PROVIDE ADDITIONAL PARENT EDUCATION CLASSES AT NON-TRADITIONAL HOURS FOR WORKING FAMILIES- CREATE SERVICES TO REDUCE SENIOR ISOLATIONIDENTIFIED COMMUNITY NEEDS THAT WILL NOT BE ADDRESSEDWHILE SPHS HAS EXISTING PROGRAMS AND ACTIVITIES THAT ADDRESS A MAJORITY OF THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE FOLLOWING FIVE NEEDS ARE NOT CURRENTLY BEING ADDRESSED BY PROGRAMS AND ACTIVITIES AT SPHS. ALTHOUGH, SPHS IS OPEN TO SUPPORTING INITIATIVES THAT ADDRESS THESE NEEDS, THE FOLLOWING LIST REPRESENTS PRIORITIZED COMMUNITY NEEDS THAT ARE EITHER NOT WITHIN THE SPHS PURVIEW OR ARE BEYOND THE ORGANIZATION'S ABILITY TO READILY IMPACT. - IMPROVE INFORMATION ON PROVIDER NETWORK DIRECTORY LISTS (E.G., LISTS OF OTHER SPHS SERVICES OR NON-AFFILIATED COMMUNITY SERVICE PROVIDERS THAT MAY BE HELPFUL TO THE PATIENT).- DEVELOP A TRAUMA-INFORMED CARE TRAINING PROGRAM FOR PROVIDERS IN MARYLAND- PROVIDE SAFE TRANSPORTATION TO TOWSON FACILITY FOR CHILDREN IN CRISIS- IMPROVE MEDICATION MANAGEMENT EDUCATION FOR OLDER ADULTS- INCREASE THE NUMBER OF PROVIDERS WHO ACCEPT PRIVATE INSURANCE CLIENTS SHEPPARD PRATT HOSPITAL:PART V, SECTION B, LINES 16A-C: FAP: HTTPS://WWW.SHEPPARDPRATT.ORG/FILES/RESOURCES/SPHS-FINANCIAL-ASSISTANCE-POLICY-ENGLISH.PDFPLAIN LANGUAGE SUMMARY: HTTPS://WWW.SHEPPARDPRATT.ORG/FINANCIAL-ASSISTANCE-POLICY/ APPLICATION: HTTPS://WWW.SHEPPARDPRATT.ORG/FILES/RESOURCES/SHEPPARD-PRATT-FINANCIAL-ASSISTANCE-APPLICATION.PDFSHEPPARD PRATT AT ELLICOTT CITY:PART V, SECTION B, LINES 16A-C: FAP: HTTPS://WWW.SHEPPARDPRATT.ORG/FILES/RESOURCES/SPHS-FINANCIAL-ASSISTANCE-POLICY-ENGLISH.PDFPLAIN LANGUAGE SUMMARY: HTTPS://WWW.SHEPPARDPRATT.ORG/FINANCIAL-ASSISTANCE-POLICY/ APPLICATION: HTTPS://WWW.SHEPPARDPRATT.ORG/FILES/RESOURCES/SHEPPARD-PRATT-FINANCIAL-ASSISTANCE-APPLICATION.PDF SHEPPARD PRATT HOSPITAL PART V, SECTION B, LINE 16J: FINANCIAL CASE MANAGERS ALSO PROVIDE INFORMATION ON FINANCIAL ASSISTANCE TO PATIENTS AND THEIR FAMILIES WHOM THEY BELIEVE MAY BENEFIT FROM ASSISTANCE. SHEPPARD PRATT AT ELLICOTT CITY PART V, SECTION B, LINE 16J: FINANCIAL CASE MANAGERS ALSO PROVIDE INFORMATION ON FINANCIAL ASSISTANCE TO PATIENTS AND THEIR FAMILIES WHOM THEY BELIEVE MAY BENEFIT FROM ASSISTANCE. SHEPPARD PRATT HOSPITAL: PART V, SECTION B, LINE 22D: WITH THE EXCEPTION OF MEDICARE AND MEDICAID, THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION SETS HOSPITAL RATES IN THE STATE OF MARYLAND FOR ALL PAYERS. SHEPPARD PRATT AT ELLICOTT CITY: PART V, SECTION B, LINE 22D: WITH THE EXCEPTION OF MEDICARE AND MEDICAID, THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION SETS HOSPITAL RATES IN THE STATE OF MARYLAND FOR ALL PAYERS. 17 1 - MANN RESID TREATMENT CENTER & SCHOOL 6501 NORTH CHARLES STREET BALTIMORE MD 21204 LICENSED RESIDENTIAL TREATMENT CENTER/SP. ED. SCHOOL 2 - THE RETREAT AT SHEPPARD PRATT 6501 NORTH CHARLES STREET BALTIMORE MD 21204 16-BED LICENSED ASSISTED LIVING PROGRAM 3 - JEFFERSON RESID TREATMENT CTRSCHOOL 2940 POINT OF ROCKS ROAD PO BOX 9 JEFFERSON MD 21755 LICENSED RESIDENTIAL TREATMENT CENTER/SP. ED. SCHOOL 4 - FORBUSH SCHOOL AT GLYNDON 407 CENTRAL AVENUE REISTERSTOWN MD 21136 12-MTH SPECIAL ED. DAY SCH FOR STUDENTS WITH BEHAVIORAL & EMOTIONAL DISABILI 5 - FORBUSH SCHOOL AT GLYNDON HIGH SCHOOL 12039 REISTERSTOWN ROAD BALTIMORE MD 21136 12-MTH NON-PUBLIC PROGRAM FOR STUDENTS WITH BEHAVIORAL & EMOTIONAL DISABILIT 6 - FROST SCHOOL & OAKMONT & LODGE PROG 4915 ASPEN HILL ROAD ROCKVILLE MD 20853 12-MTH SPECIAL ED. DAY SCH FOR STUDENTS WITH BEHAVIORAL & EMOTIONAL DISABILI 7 - FORBUSH SCHOOL AT HUNT VALLEY 11201 PEPPER ROAD HUNT VALLEY MD 21031 12-MONTH SPECIAL EDUCATION DAY SCHOOL FOR STUDENTS WITH AUTISM 8 - FORBUSH SCHOOL AT PRINCE GEORGE'S CO 4819 WALDEN LANE LANHAM MD 20706 12-MONTH SPECIAL EDUCATION DAY SCHOOL FOR STUDENTS WITH AUTISM 9 - JEFFERSON SCHOOL AT FINAN CENTER 10100 COUNTRY CLUB ROAD SOUTHEAST CUMBERLAND MD 21502 12-MTH SPECIAL ED. DAY SCH FOR STUDENTS WITH BEHAVIORAL & EMOTIONAL DISABILI 10 - FORBUSH SCHOOL AT OAKMONT - UPPER 610 EAST DIAMOND AVENUE GAITHERSBURG MD 20877 12-MONTH SPECIAL EDUCATION DAY SCHOOL FOR STUDENTS WITH AUTISM 11 - RUXTON HOUSE 1506 LABELLE AVENUE BALTIMORE MD 21204 8-BED LICENSED GROUP HOME 12 - FORBUSH SCHOOL AT ANNE ARUNDEL 648 OLD MILL ROAD MILLERSVILLE MD 21108 11-MONTH DAY SCHOOL FOR SPECIAL ED. & RELATED SERVICES IN A PUBLIC SCHOOL 13 - FORBUSH SCHOOL AT FREDERICK COUNTY 1285 HILLCREST DRIVE FREDERICK MD 21703 10-MTH DAY SCHOOL FOR SPECIAL ED. & RELATED SERVICES IN A PUBLIC SCHOOL SET 14 - HANNAH MORE AT MILLERSVILLE ELEM SCH 1601 MILLERSVILLE ROAD MILLERSVILLE MD 21108 10-MONTH DAY SCHOOL FOR SPECIAL ED. & RELATED SERVICES IN A PUBLIC SCHOOL 15 - HANNAH MORE AT SEVERN MIDDLE SCHOOL 241 PENINSULA FARM ROAD ARNOLD MD 21012 10-MONTH DAY SCHOOL FOR SPECIAL ED. & RELATED SERVICES IN A PUBLIC SCHOOL 16 - HANNAH MORE AT SEVERNA PARK HIGH SCH 60 ROBINSON ROAD SEVERNA PARK MD 21146 10-MONTH DAY SCHOOL FOR SPECIAL ED. & RELATED SERVICES IN A PUBLIC SCHOOL 17 - FORBUSH SCHOOL AT ANNE ARUNDEL SOUTH 140 STEPNY LANE EDGEWATER MD 21037 11-MONTH SPECIAL ED. AND RELATED SERVICES PROGRAM IN A PUBLIC SCH SETTING PART I, LINE 3C: SHEPPARD PRATT HEALTH SYSTEM USES AN ASSET TEST IN CONJUNCTION WITH THE 250% FPG FACTOR TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. INDIVIDUALS WITH ASSETS LESS THAN $10,000 AND FAMILIES WITH ASSETS LESS THAN $25,000 ARE ELIGIBLE FOR FREE OR DISCOUNTED CARE. THE EQUITY VALUE OF AN APPLICANT'S PRINCIPAL RESIDENCE IS EXCLUDED FROM THE ASSET TEST. PART I, LINE 7: RATIO OF COST TO CHARGES, AS CALCULATED FROM THE FILED MEDICARE COST REPORT, WAS THE METHODOLOGY USED IN CALCULATING ITEMS LISTED IN PART I, LINE 7. PART I, LN 7A COL(D): MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL, EXCEPT FOR THE GOVERNMENTAL CARVE-OUT FOR PSYCHIATRIC HOSPITALS. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. PART I, LINE 7G: DURING FY19, SHEPPARD PRATT'S RESIDENCY TRAINING PROGRAM CONTINUED TO OFFER THE RESIDENT'S OUTPATIENT CLINIC WHICH PROVIDES SERVICES FREE OF CHARGE, OR FOR A SMALL COPAY. SERVICES INCLUDE AN INITIAL EVALUATION AS WELL AS MEDICATION MANAGEMENT SESSIONS. RECIPIENTS OF THIS PSYCHIATRIC SERVICE AGREE TO BE TREATED BY AN MD PSYCHIATRY RESIDENT WHOSE SERVICE IS SUPERVISED BY A LICENSED PSYCHIATRIST. THE RECIPIENT MUST BE AT LEAST 6 YEARS OF AGE AND AGREE TO BE SCREENED AT THE INTAKE FOR OUTPATIENT TREATMENT CRITERIA. DURING FY19, THE PROGRAM PROVIDED A TOTAL OF 2,692 SERVICES.TELEPSYCHIATRY PROVIDED TO RURAL REGIONS OF MARYLAND: SHEPPARD PRATT'S TELEBEHAVIORAL SERVICES PROGRAM PROVIDES BOTH TELEHEALTH (DISTANCE PROFESSIONAL EDUCATION) AND TELEPSYCHIATRY (REALTIME PSYCHIATRIC SERVICES). SHEPPARD PRATT MAINTAINS ISDN AND IP LINE CONNECTIVITY AND A BRIDGING UNIT TO ENSURE CONNECTIVITY THROUGH ALL CIRCUMSTANCES. UTILIZING VIDEOCONFERENCING EQUIPMENT, SHEPPARD PRATT PROVIDES PSYCHIATRIC TREATMENT SERVICES TO CHILDREN, ADOLESCENT, AND ADULT PATIENTS IN HEALTH DEPARTMENTS AND CLINICS LOCATED IN FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS AND MENTAL HEALTH PROVIDER SHORTAGE AREAS. IN FY19, THERE WERE 935 ACTIVE CLIENTS AT 11 LOCATIONS. THERE WERE 435 NEW CLIENTS SEEN AND 2,440.5 HOURS OF SERVICE WERE PROVIDED, INCLUDING 2,023 FOLLOW UPS. PREVIOUS TO THE TELEPSYCHIATRY SERVICE, MANY CLIENTS WERE FORCED TO USE AREA EMERGENCY ROOMS AFTER THEIR SYMPTOMS BECAME OVERWHELMING; IT WAS ALSO NOT UNCOMMON FOR CLIENTS TO BE JAILED FOR SOME OF THEIR BEHAVIORS. IN THE AREA OF HEALTH PROFESSIONS EDUCATION, SHEPPARD PRATT OFFERED 22 COMPLIMENTARY CME LECTURE SESSIONS, THAT WERE ACCESSIBLE TO A VARIETY OF RURAL LOCATIONS UTILIZING A VIDEOCONFERENCING BRIDGE. IN FY 19, THERE WERE 3,041 NON-SHEPPARD PRATT CLINICAL PROFESSIONALS WHO ATTENDED THESE FREE CME SESSIONS, AT LEAST 30% OF WHOM ACCESSED THEM REMOTELY VIA VIDEOCONFERENCING. PART II, COMMUNITY BUILDING ACTIVITIES: SHEPPARD PRATT STRIVES TO MEET THE MENTAL HEALTH NEEDS OF A DIVERSE COMMUNITY THROUGH THE FLEXIBILITY OF TRADITIONAL TREATMENT MODALITIES COMBINED WITH COMMUNITY BENEFIT PROGRAMMING SO THAT THE MOST VULNERABLE OF OUR SOCIETY HAVE ACCESS TO INFORMATION, ACTIVITIES AND/OR TREATMENT. DUE TO THE SENSITIVITY OF THE SUBJECT MATTER, AND WITH AN UNDERSTANDING OF THE BURDEN SOME PEOPLE LABOR UNDER IN ASKING FOR INFORMATION, SHEPPARD PRATT HAS WORKED DILIGENTLY TO PROVIDE ACCESS THROUGH MANY LEVELS FROM FREELY AVAILABLE INFORMATION ON THE INTERNET, TO PUBLIC MEETINGS AND PROFESSIONAL SERVICES.SHEPPARD PRATT HEALTH SYSTEM ATTENDS LOCAL, REGIONAL AND NATIONAL CONFERENCES IN ORDER TO REACH A BROAD SPECTRUM OF THE COMMUNITY WITH GENERAL PSYCHIATRIC EDUCATION LITERATURE. IN FY19, SHEPPARD PRATT SPONSORED TWENTY-ONE EDUCATIONAL EVENTS FOR THE COMMUNITY. TOPICS PRESENTED INCLUDE: BODY IMAGE & MEDIA LITERACY; POSITIVE BODY IMAGE: WHAT IT IS, WHY IT MATTERS AND HOW PARENTS CAN HELP; NUTRITION & BODY IMAGE; ATHLETES & EATING DISORDERS; TREATMENT OF EATING DISORDERS IN LGBTQ+ POPULATION; HELPING OUR KIDS DEVELOP POSITIVE BODY IMAGE; AND, FOOD CULTURE, BODY IMAGE AND GUILT IN AMERICA. TRANSPORTATION SERVICES WERE PROVIDED TO 5,770 PERSONS WHO REQUIRED TRANSPORTATION TO GET TO DOCTOR APPOINTMENTS OR OTHER MEDICAL SERVICES, AND TO RECEIVE CARE AT SHEPPARD PRATT. THIS TOTAL INCLUDES PATIENTS TRANSPORTED TO AND FROM OUR DAY HOSPITAL PROGRAMS, PATIENTS WHO WERE PROVIDED AMBULANCE TRANSPORTATION, AS WELL AS PATIENTS TRANSPORTED TO APPOINTMENTS FOR VARIOUS MEDICAL SERVICES OUTSIDE OF THE HOSPITAL. THE FY19 COST FOR THESE SERVICES WAS $1,607,711.SHEPPARD PRATT ALSO ADDRESSES THE HEALTH OF THE COMMUNITY BY ATTENDING PUBLIC EVENTS AND DISTRIBUTING FREE INFORMATION ON WELLNESS, GOOD NUTRITION, BODY IMAGE, AS WELL AS MEDIA LITERACY AS IT IMPACTS THE DIET AND HEALTH OF TODAY'S YOUTH. SHEPPARD PRATT ALSO PROVIDES FREE MEETING SPACE TO AREA SUPPORT GROUPS AND OTHER SOCIAL SERVICE NONPROFIT AGENCIES THROUGHOUT THE YEAR. IN FY19, APPROXIMATELY 8,989 INDIVIDUALS BENEFITED FROM THIS SERVICE.IN FY19, SHEPPARD PRATT'S WEBSITE RESOURCE PAGE RECEIVED 38,488 PAGE VIEWS TO ACCESS INFORMATION ON PARENTING AND CHANGING YOUR CHILD'S BEHAVIOR, SCHOOL TRANSITIONS, A PARENT'S INSTRUCTIONAL VIDEO SERIES AS WELL AS INFORMATION ON DIALECTICAL BEHAVIOR THERAPY (DBT), LINKS TO MENTAL HEALTH RESOURCES, INFORMATIVE BLOGS, AND OTHER USEFUL TREATMENT INFORMATION. SHEPPARD PRATT ALSO DISTRIBUTES HEAL MAGAZINE WHICH SERVES AS A COMMUNITY RESOURCE. THE MAGAZINE SHARES PATIENT STORIES IN AN EFFORT TO DESTIGMATIZE MENTAL ILLNESS. THE PUBLICATION WAS DISTRIBUTED TO 36,878 HOUSEHOLDS IN FY19. PART III, LINE 2: SHEPPARD PRATT HEALTH SYSTEM'S POLICY IS TO WRITE OFF ALL ACCOUNTS THAT HAVE BEEN IDENTIFIED AS UNCOLLECTIBLE. AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE IS RECORDED FOR ACCOUNTS NOT YET WRITTEN OFF THAT ARE ANTICIPATED TO BECOME UNCOLLECTIBLE IN FUTURE PERIODS. INSURANCE COVERAGE AND CREDIT INFORMATION ARE OBTAINED FROM PATIENTS WHEN AVAILABLE. NO COLLATERAL IS OBTAINED FOR ACCOUNTS RECEIVABLE. A COST-TO-CHARGE RATIO IS USED BASED ON FILED MEDICARE COST REPORTS TO DETERMINE AMOUNTS REPORTED AS BAD DEBT EXPENSE. PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY ALLOWANCES FOR BAD DEBTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HEALTH SYSTEM ANALYZES HISTORICAL COLLECTIONS AND WRITE-OFFS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR BAD DEBTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS ITS ESTIMATE AND EVALUATES THE SUFFICIENCY OF THE ALLOWANCE FOR BAD DEBTS. FOR PATIENT ACCOUNTS RECEIVABLE ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES THOSE PATIENTS WITHOUT EXISTING INSURANCE COVERAGE FOR A PORTION OF THE BILL, THE HEALTH SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS FOR PATIENTS THAT ARE UNABLE OR UNWILLING TO PAY FOR THE PORTION OF THE BILL REPRESENTING THEIR FINANCIAL RESPONSIBILITY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED. PART III, LINE 8: UNLIKE ACUTE CARE HOSPITALS, SHEPPARD PRATT AS AN INSTITUTION FOR MENTAL DISORDERS (IMD), IS REIMBURSED UNDER THE MEDICARE PROSPECTIVE PAYMENT SYSTEM. MEDICARE PAYS SHEPPARD PRATT LESS THAN ITS COSTS AS SUPPORTED BY THE FINAL FILED FISCAL 2019 COST REPORT FILED WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. SHEPPARD PRATT TREATS ALL MEDICALLY APPROPRIATE MEDICARE PATIENTS AS REQUIRED BY THE CONDITIONS OF PARTICIPATION AND EMTALA. PART III, LINE 9B: SHEPPARD PRATT HEALTH SYSTEM'S BAD DEBT AND CHARITABLE WRITE OFF POLICY OUTLINES THE PROCESS BY WHICH THE SYSTEM COLLECTS AND ACTS UPON PATIENT'S FINANCIAL HARDSHIP INFORMATION INCLUDING ACCESS TO SHEPPARD PRATT'S FINANCIAL AID PROCESS. THE HEALTH SYSTEM DOES NOT CHARGE INTEREST, LATE FEES, OR PENALTIES ON ANY ACCOUNTS AND DOES NOT PERMIT COLLECTION AGENCIES TO REPORT ACCOUNTS TO CREDIT REPORTING AGENCIES. PART VI, LINE 2: IN ADDITION TO THE COMPLETION OF OUR CHNA, SHEPPARD PRATT ALSO COLLECTS AND UTILIZES SERVICE GAP INFORMATION GATHERED THROUGH PATIENT AND FAMILY REQUESTS FOR SERVICE AS RECEIVED THROUGH ITS WEBSITE, CRISIS WALK IN CLINIC, AND THERAPY REFERRAL SERVICE PROGRAMS. DURING THIS YEAR, SHEPPARD PRATT'S POPULATION HEALTH EFFORTS HAVE EVOLVED; MUCH OF THE EFFORT IN FY19 WAS FOCUSED ON THE IMPLEMENTATION OF A COLLABORATIVE CARE PROJECT WITH THE GREATER BALTIMORE MEDICAL CENTER (GBMC), TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES IN BALTIMORE COUNTY. WE CONTINUED TO PROVIDE BEHAVIORAL HEALTH SERVICES IN 10 PRIMARY CARE MEDICAL HOMES (PCMHS) OPERATED BY GBMC PRIMARY CARE ASSOCIATES. THIS INTEGRATED CARE MODEL IS DESIGNED TO HELP CREATE MORE CAPACITY FOR MENTAL HEALTH SERVICES IN ALLIANCE WITH SOMATIC CARE PROVIDERS, TO REDUCE THE STIGMA THAT IS OFTEN ASSOCIATED WITH SEEKING MENTAL HEALTH TREATMENT, AND TO HELP REDUCE VISITS RELATED TO MENTAL HEALTH CONDITIONS. SHEPPARD PRATT CLINICIANS PROVIDED 6,474 VISITS ACROSS THESE 10 PCMHS SITES IN FY 19.PATIENTS DISCHARGED FROM OUR INPATIENT OR DAY HOSPITAL PROGRAMS OFTEN EXPERIENCE A SIGNIFICANT WAIT TIME BEFORE THEY CAN SCHEDULE AN APPOINTMENT WITH AN OUTPATIENT THERAPIST. THE TAP PROGRAM PROVIDES THESE PATIENTS THE ABILITY TO SEE A PSYCHIATRIST FOR UP TO 90 DAYS POST DISCHARGE, UNTIL THEY ARE ABLE TO SEE THEIR OUTPATIENT THERAPIST. THERE WERE 512 VISITS PROVIDED IN THE TAP PROGRAM IN FY19 PART VI, LINE 3: EACH PATIENT IS PROVIDED WITH A PATIENT HANDBOOK UPON ADMISSION. THE PATIENT HANDBOOK OUTLINES POLICIES, RULES, AND BASIC INFORMATION ABOUT THE HOSPITAL INCLUDING INSTRUCTIONS ON HOW TO ACCESS FINANCIAL ASSISTANCE/CHARITY CARE. SIGNAGE IS POSTED IN THE ADMISSIONS SUITE IN BOTH PATIENT AND FAMILY WAITING AREAS INFORMING INTERESTED PARTIES THAT FINANCIAL ASSISTANCE IS AVAILABLE. BECAUSE NO TWO PATIENTS HAVE IDENTICAL TREATMENT NEEDS, ALL PATIENTS ARE URGED TO SPEAK WITH THEIR THERAPIST OR OTHER HOSPITAL STAFF TO LEARN MORE ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. ADDITIONALLY, AS PART OF THE PAYMENT POLICY AND ACTION ON PAST DUE ACCOUNTS, SHEPPARD PRATT'S FINANCIAL OFFICE PERSONNEL ACT AS PATIENT FINANCIAL ADVOCATES AND MAY FORWARD THE FINANCIAL ASSISTANCE PAPERWORK FOR COMPLETION BY ALL RESPONSIBLE PARTIES. FINALLY, PRIOR TO TRANSFER TO A COLLECTION AGENCY, ACCOUNTS ARE REVIEWED AGAIN FOR POSSIBLE FINANCIAL ASSISTANCE. PART VI, LINE 4: SHEPPARD PRATT'S SERVICE COMMUNITY CONSISTS OF ANNE ARUNDEL, BALTIMORE, HARFORD, AND HOWARD COUNTIES AND BALTIMORE CITY. THE TOWSON SERVICE AREA IS DIVERSE IN RESPECT TO RACE, INCOME, LIFESTYLE FACTORS, AND OTHERS. THE OVERALL POPULATION OF THE SERVICE AREA IS STABLE, YET THE BALTIMORE CITY POPULATION IS CONTRACTING WHILE BALTIMORE COUNTY AND HARFORD COUNTY IS INCREASING. HOWEVER, THE CHALLENGING CHARACTERISTICS OF BALTIMORE CITY ARE REFLECTED IN COMMUNITY NEEDS. THE ELLICOTT CITY SERVICE AREA IS CHARACTERIZED BY INCREASING POPULATION, HIGHER INCOME AND EDUCATIONAL ATTAINMENT, AND HEALTHIER LIFESTYLES COMPARED TO THE TOWSON SERVICE AREA. THERE ARE OVER 1.44 MILLION PEOPLE IN BALTIMORE COUNTY AND BALTIMORE CITY AND APPROXIMATELY 1.7 MILLION PEOPLE IN THE PRIMARY SHEPPARD PRATT SERVICE AREA. FROM 2000 TO 2015, THERE WAS A SHIFT IN POPULATION OUT OF THE MOST URBAN AREA (BALTIMORE CITY) TO OTHER AREAS. POPULATION GROWTH WAS ESPECIALLY STRONG IN HOWARD AND HARFORD COUNTIES WHERE THE POPULATION GREW OVER 15.83% AND 12.0%, RESPECTIVELY. THE POPULATION IN EACH FACILITY'S SERVICE AREA INCLUDES SLIGHTLY MORE FEMALES THAN MALES. HOWEVER, FOR THE TOWSON LOCATION SERVICE AREA, THE DIFFERENCE IS MORE PRONOUNCED. MEN AND WOMEN MAY HAVE DIFFERENT DISEASE PREVALENCE AND HEALTHCARE NEEDS. THE POPULATION IN BALTIMORE COUNTY AND BALTIMORE CITY IS NEARLY 53% FEMALE. THE ELLICOTT CITY SERVICE AREA AND HARFORD COUNTY SPLIT IS MORE EVEN 51% FEMALE; 49% MALE. ANNE ARUNDEL COUNTY HAS THE HIGHEST PERCENTAGE OF MALES. THE TOWSON SERVICE AREA IS HIGHLY DIVERSE. NEARLY TWO OF THREE (62.80%) BALTIMORE CITY RESIDENTS ARE AFRICAN AMERICAN WHILE ABOUT THREE OF TEN (30.29%) ARE WHITE, YET BALTIMORE COUNTY HAS THE OPPOSITE RACIAL MAKEUP.THE ELLICOTT CITY SERVICE AREA IS LARGELY WHITE WITH POCKETS OF DIVERSITY. HOWEVER, MORE THAN ONE IN FIVE (22.9%) HOWARD COUNTY RESIDENTS SPEAK A PRIMARY LANGUAGE OTHER THAN ENGLISH. (AMERICAN COMMUNITY SURVEY 2010).HARFORD COUNTY IS THE LEAST RACIALLY DIVERSE, WITH APPROXIMATELY 80% OF THE POPULATION IDENTIFYING AS WHITE. BALTIMORE COUNTY, ANNE ARUNDEL COUNTY, AND HOWARD COUNTY EACH HAVE A MEDIAN AGE SIMILAR TO THE MARYLAND AVERAGE WHILE THE MEDIAN AGE IS LOWER (35.0 YEARS) IN BALTIMORE CITY. HARFORD COUNTY HAS THE OLDEST MEDIAN AGE AT 40.6 YEARS. ABOUT ONE IN THREE PEOPLE IN BOTH SERVICE AREAS ARE AGE 25 OR YOUNGER. BALTIMORE COUNTY (16.10%) AND HARFORD COUNTY (14.94%) HAVE THE HIGHEST PERCENTAGE OF INDIVIDUALS 65 YEARS AND OLD. SENIORS OFTEN HAVE DIFFERENT NEEDS THAN CHILDREN AND YOUNGER ADULTS. THE HIGH SCHOOL GRADUATION RATES ARE SIMILAR IN EACH FACILITY'S SERVICE AREA. HOWEVER, THE PERCENTAGE OF THOSE WITH COLLEGE DEGREES IS SUBSTANTIALLY HIGHER IN THE ELLICOTT CITY SERVICE AREA. NEARLY TWO OF FIVE (39.92%) BALTIMORE CITY ADULTS HAVE ONLY A HIGH SCHOOL DIPLOMA (24.54%) OR LESS (15.38%). ABOUT FIVE OF SEVEN PEOPLE (68%) IN THE ELLICOTT CITY SERVICE AREA HAVE AT LEAST SOME COLLEGE (INCLUDING THOSE WITH A DEGREE). HOWARD COUNTY IS THE MOST EDUCATED COUNTY WITH OVER 62% OF THE POPULATION HAVING AT LEAST A BACHELOR'S DEGREE. APPROXIMATELY 50% OF THE POPULATION IN BALTIMORE CITY HAS AT LEAST SOME COLLEGE OR A DEGREE WHILE OVER 57% OF THE POPULATION IN HARFORD COUNTY HAS AT LEAST SOME COLLEGE OR A DEGREE. THE ELLICOTT CITY SERVICE AREA HAS A SUBSTANTIALLY HIGHER HOUSEHOLD INCOME THAN THE TOWSON LOCATION AND IS HIGHER THAN THE STATE MEDIAN. IN THE RESPECTIVE SERVICE AREAS, THERE IS ALSO A DRAMATIC DIFFERENCE IN THE PERCENTAGE OF CHILDREN AGED 0-17 WHO ARE LIVING IN HOUSEHOLDS WITH INCOME BELOW THE FEDERAL POVERTY LEVEL (FPL). NEARLY ONE-THIRD (32.90%) OF CHILDREN IN BALTIMORE CITY LIVE UNDER 100% OF THE FPL. MORE THAN 34% OF BALTIMORE COUNTY HOUSEHOLDS EARN ANNUAL INCOME OF OVER $100,000, NEARLY DOUBLE THE RATE OF BALTIMORE CITY. OVER 40% OF HARFORD COUNTY RESIDENTS EARN A HOUSEHOLD INCOME OVER $100,000, WHICH IS THE HIGHEST IN THE TOWSON SERVICE AREA AND OVER TWICE THE RATE OF BALTIMORE CITY. MORE THAN HALF (58%) OF HOWARD COUNTY HOUSEHOLDS EARN OVER $100,000. DATA ON HEALTH CARE PROVIDERS PER 100,000 POPULATION SHOW THAT THE RATIOS IN HARFORD COUNTY AND ANNE ARUNDEL COUNTY ARE LOWER (WORSE) THAN THE STATE AVERAGE. BALTIMORE CITY HAS THE HIGHEST RATIO OF MENTAL HEALTH PROVIDERS PER 100,000 POPULATION IN THE COMBINED SERVICE AREAS, MEANING THERE ARE AN ABOVE AVERAGE NUMBER OF MENTAL HEALTH PROVIDERS IN THE CITY. BALTIMORE CITY HAS MORE MENTAL HEALTH PROVIDERS THAN BOTH THE STATE AND NATIONAL AVERAGE. HARFORD COUNTY HAS THE LOWEST RATIO OF PRIMARY CARE, MENTAL HEALTH, AND DENTAL PROVIDERS THAN ANY OF THE OTHER COUNTIES IN BOTH SERVICE AREAS. HARFORD COUNTY HAS NEARLY HALF THE PRIMARY CARE PROVIDERS THAN THE STATE AVERAGE. ANNE ARUNDEL COUNTY HAS SLIGHTLY MORE PROVIDERS THAN HARFORD COUNTY, BUT HAS THE LOWEST RATIO OF PROVIDERS IN THE ELLICOTT CITY SERVICE AREA. BOTH ANNE ARUNDEL AND HARFORD COUNTIES ARE GEOGRAPHICALLY MORE RURAL, AND THE UNITED STATES IS CURRENTLY FACING A PHYSICIAN SHORTAGE IN RURAL AREAS.ACCORDING TO THE 2015 MARYLAND BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, THERE IS A GREATER CONCENTRATION OF ADULT (AGES 18+) RESIDENTS IN BALTIMORE COUNTY DIAGNOSED WITH DEPRESSIVE DISORDERS THAN IN BALTIMORE CITY, ANNE ARUNDEL COUNTY, HOWARD COUNTY, OR MARYLAND AS A WHOLE. AT 16.7% EACH, BALTIMORE COUNTY AND HOWARD COUNTY HAVE THE HIGHEST PREVALENCE OF ANXIETY DISORDER WITHIN THE HOSPITAL'S COMBINED SERVICE AREAS. BOTH ARE ALSO HIGHER THAN THE STATEWIDE PREVALENCE RATE OF 13.5 PERCENT. THERE ARE NO OTHER MENTAL HEALTH HOSPITALS IN THIS GEOGRAPHIC REGION TO SERVE THE AFOREMENTIONED DEMOGRAPHICS. PART VI, LINE 5: SHEPPARD PRATT HAS EVOLVED SERVICES BEYOND THE TRADITIONAL INPATIENT OR OUTPATIENT BOUNDARIES AS IT CONTINUES ITS COMMITMENT TO THE FOUNDERS' CHARTER TO "CARRY FORWARD, IMPROVE, THE AMELIORATED SYSTEM OF TREATMENT OF THE INSANE WITH THOUGHTFUL, PROACTIVE SERVICES". THE SYSTEM PROVIDES A POSITIVE IMPACT ON THOUSANDS OF INDIVIDUALS, THEIR FAMILIES AND COMMUNITIES BY PROVIDING ACCESS TO A CREATIVE MIX OF COMMUNITY BENEFIT-DRIVEN BEHAVIORAL HEALTH SERVICES WHEN, WHERE AND IN WHATEVER FORM IS BEST SUITED TO THOSE IN NEED. IN FY 2019, SHEPPARD PRATT WAS AGAIN RECOGNIZED BY U.S. NEWS AND WORLD REPORT AS ONE OF THE NATION'S TOP TEN HOSPITALS FOR PSYCHIATRIC CARE.IN FY19, SHEPPARD PRATT PROVIDED SERVICE FOR 7,958 INPATIENT ADMISSIONS RESULTING IN SERVICE TO 108,748 INPATIENT DAYS; 87,783 OUTPATIENT AND DAY HOSPITAL VISITS; 36,503 RESIDENTIAL TREATMENT CENTER DAYS; AND, 140,663 STUDENT DAYS. MORE THAN HALF OF THE INPATIENT SERVICES WERE PROVIDED TO MEDICARE OR MEDICAID RECIPIENTS. SHEPPARD PRATT'S CRISIS WALK IN CLINIC (CWIC) CONTINUES TO RESPOND TO THE NEED FOR WALKIN PSYCHIATRIC ASSESSMENTS. CWIC PROVIDES AN EVALUATION OUTSIDE THE RIGORS OF A MEDICAL EMERGENCY ROOM SETTING. THE PROGRAM OPERATES MONDAYS THROUGH FRIDAYS FROM 10:30 AM TO 10:00 PM; AND, SATURDAY 1:00 P.M. TO 5:00 P.M. CWIC PROVIDES A PSYCHIATRIST TO EVALUATE COMMUNITY MEMBERS IN NEED OF CRISIS ASSESSMENT AND TRIAGE. IN FY19, 4,240 COMMUNITY MEMBERS PRESENTED TO THE CLINIC FOR EVALUATION.SHEPPARD PRATT'S FLAGSHIP CAMPUS IS LOCATED AT 6501 NORTH CHARLES STREET, BALTIMORE, MD AND IS THE FOUNDING LOCATION OF THE SYSTEM WITH A MAJORITY OF SERVICES PROVIDED FROM THIS CAMPUS. SERVICES INCLUDE INPATIENT, PARTIAL DAY HOSPITALIZATION, INTENSIVE OUTPATIENT, ELECTRO-CONVULSIVE THERAPY (ECT), CRISIS EVALUATION, TELEPSYCHIATRY, RESIDENTIAL TREATMENT, AND PHYSICIAN OUTPATIENT APPOINTMENTS. A SECOND INPATIENT CAMPUS, SHEPPARD PRATT AT ELLICOTT CITY IS LOCATED AT 4100 COLLEGE AVENUE, IN ELLICOTT CITY, MARYLAND AND PROVIDES BOTH INPATIENT AND PARTIAL DAY HOSPITALIZATION SERVICES. THE TWO INPATIENT HOSPITAL PROGRAMS ARE LICENSED TO OPERATE A TOTAL OF 414 LICENSED BEDS. INPATIENT SERVICES PROVIDE A WIDE ARRAY OF PSYCHIATRY DIAGNOSTIC CATEGORIES INCLUDING UNITS SPECIFICALLY DESIGNED FOR CHILDREN, ADOLESCENTS, YOUNGSTERS WITH CO-OCCURRING MENTAL ILLNESS AND DEVELOPMENTAL DISABILITIES, YOUNG ADULTS, GERIATRICS, ADULTS, AS WELL AS SUBSPECIALTY ADULT PROGRAMS FOR CO-OCCURRING SUBSTANCE ABUSE AND MENTAL ILLNESS, PSYCHOTIC DISORDERS, DEVELOPMENTAL DISORDERS, TRAUMA DISORDERS AND EATING DISORDERS(FOR ADULTS AND ADOLESCENTS).THERAPY REFERRAL SERVICES PROGRAMMING (TRS): TRS IS A FREE, CONFIDENTIAL TELEPHONE SERVICE THAT PROVIDES THE PUBLIC WITH REFERRALS TO MENTAL HEALTH RESOURCES FOR THE BALTIMORE METROPOLITAN AREA INCLUDING SHEPPARD PRATT PROGRAMS. IN FY19, THIS PROGRAM PROVIDED THE PUBLIC WITH REFERRAL INFORMATION FOR EXTERNAL PROGRAMS 14,520 TIMES. ADDITIONAL SHEPPARD PRATT PROGRAMMING ACCESSED THROUGH THIS SERVICE INCLUDE URGENT ASSESSMENTS FOR INDIVIDUALS WHO NEED TO BE EVALUATED ON A CRITICAL BASIS WITHIN 48 HRS.; AND THE SCHEDULED CRISIS INTERVENTION PROGRAM WHICH PROVIDES APPOINTMENTS SCHEDULED WITHIN THE SAME DAY AS THE CALL IS RECEIVED. PART VI, LINE 6: THE SHEPPARD PRATT HEALTH SYSTEM ALSO INCLUDES SEVERAL HEALTH AND SOCIAL SERVICES AGENCIES THAT FOCUS THEIR SERVICES AT THE COMMUNITY LEVEL. THEIR COLLECTIVE PRIMARY MISSION IS TO PROVIDE REHABILITATIVE TREATMENT, HOUSING AND VOCATIONAL SUPPORT TO INDIVIDUALS WITH CHRONIC MENTAL ILLNESS. COLLECTIVELY THEY PROVIDE SERVICES IN BALTIMORE, CARROLL, HOWARD, FREDERICK, MONTGOMERY, PRINCE GEORGE'S AND WASHINGTON COUNTIES AS WELL AS BALTIMORE CITY. THEY WORK COLLABORATIVELY IN SPECIAL PROJECTS DESIGNED TO ENHANCE EMPLOYMENT OPPORTUNITIES FOR RETURNING VETERANS. IN ADDITION TO THE TRADITIONAL MENTAL HEALTH SERVICES, THEY PROVIDE SUBSTANCE ABUSE TREATMENT, CASE MANAGEMENT, SCREENING FOR DEPARTMENTS OF SOCIAL SERVICES,EARLY HEAD START AND DAY CARE. PART VI, LINE 7, REPORTS FILED WITH STATES MD X X X X X X 0 1 0 0 0 0 0 0 0 HARSH K TRIVEDI MD PRESIDENT & CEO 883622 0 0 0 3244 0 59450 0 437 0 946753 0 0 0 RAY R DZIESINSKI VP, CFO, SEC/TREAS (PART YEAR) 407546 0 0 0 5496 0 38500 0 17065 0 468607 0 0 0 ARMANDO E COLOMBO EVP & COO 374916 0 0 0 3628 0 38500 0 21715 0 438759 0 0 0 BONNIE KATZ SR. VP, STRATEGY & BUSINESS 366385 0 0 0 83468 0 80586 0 15609 0 546048 0 75000 0 DONNA L RICHARDSON VP & CDO 295056 0 0 0 12682 0 20000 0 2905 0 330643 0 0 0 ERNESTINE COSBY VP OF NURSING 273798 0 0 0 9190 0 98165 0 9706 0 390859 0 0 0 KAREN ROBERTSON-KECK VP OF HR 211985 0 0 0 2322 0 8440 0 7545 0 230292 0 0 0 CHARLES K MAUST CHIEF OF SCHOOLS 181231 0 0 0 1731 0 7740 0 2118 0 192820 0 0 0 GERALD A NOLL FORMER CFO 217986 0 0 0 75249 0 11220 0 23356 0 327811 0 71314 0 THOMAS D HESS CHIEF OF STAFF 212377 0 0 0 5187 0 42140 0 937 0 260641 0 0 0 SHERRY L MCGRAW STAFF NURSE 196174 0 4000 0 848 0 15152 0 59 0 216233 0 0 0 ANTONIO DEPAOLO CHIEF TRANSFORMATION OFFICER 178446 0 0 0 1806 0 9198 0 22247 0 211697 0 0 0 DONNA M CORBETT DIR. ACCOUNTING & FINANCIAL RPTG 174388 0 0 0 2750 0 42125 0 12624 0 231887 0 0 0 PART I, LINE 4B NO LISTED EMPLOYEE RECEIVED A SEVERANCE IN CALENDAR YEAR 2018. DURING CALENDAR YEAR 2018, THE FOLLOWING EMPLOYEES RECEIVED PAYMENTS AS PART OF THEIR PARTICIPATION IN SHEPPARD PRATT'S 457(F) PLAN: BONNIE KATZ $77,197 GERALD NOLL $72,669 DURING CALENDAR YEAR 2018, THE FOLLOWING PARTICIPATED IN SHEPPARD PRATT'S 457(F) PLAN: HARSH TRIVEDI $ 50,000 RAY DZIESINKI $ 25,000 BONNIE KATZ $ 25,000 ARMANDO COLOMBO $ 25,000 DONNA RICHARDSON $ 20,000 A MD HEALTH & HIGHER EDUCATIONAL FACILITIES 520936091 2017-12-20 100000127 CONSTRUCT HOSPITAL, OTHER CAPITAL PROJECTS 0 0 0 B MD HEALTH & HIGHER EDUCATIONAL FACILITIES 520936091 2017-12-20 78747873 CURRENT REFUND 2012A/2012B BONDS 0 0 0 A 845000 102889963 2799399 8426929 91663635 1 0 0 1 B 4538000 78747873 78747873 2010 1 0 1 1 A 0 0 0 0 0 0 1 B 0 1 1 1 1 1 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 PART I, LINE A & B: THE BONDS DESCRIBED IN LINES A AND B WERE ISSUED AS A SINGLE ISSUE (THE "BONDS"). PURSUANT TO REGULATION SECTIONS 1.141-13(D), 1.148-9(H) AND 1.150-1(C)(3) OF THE INCOME TAX REGULATIONS, THE ISSUER ELECTED TO TREAT THE BONDS AS TWO SEPARATE ISSUES. ONE OF THE MULTIPURPOSE ISSUES, REFLECTING THE PORTION OF THE BONDS USED TO FINANCE A NEW PSYCHIATRIC HOSPITAL, CERTAIN CAPITAL EXPENDITURES, AND RENOVATIONS TO THE ORGANIZATION'S HEALTHCARE FACILITIES, CORRELATES TO COLUMN A THROUGHOUT THIS SCHEDULE K. THE OTHER MULTIPURPOSE ISSUE, REFLECTING THE PORTION OF THE BONDS USED FOR THE CURRENT REFUNDING OF THE ISSUER'S REVENUE BONDS SHEPPARD PRATT ISSUE SERIES 2012A AND SERIES 2012B (THE "2012 BONDS"), CORRELATES TO COLUMN B THROUGHOUT THIS SCHEDULE K. PART I, LINE A, COLUMN (F): SERIES 2003A BONDS - 05/29/2003 PART I, LINE B, COLUMN (F): SERIES 2003A BONDS - 05/29/2003; SERIES 2009 BONDS - 12/17/2009 PART II, COLUMN A, LINE 3: PROCEEDS OF $102,889,963 INCLUDE INVESTMENT EARNINGS OF $2,889,755. PART II, LINE 10: THE LENDER REQUIRED THAT THE BORROWER CONTRIBUTE $15,000,000 OF EQUITY BEFORE ANY DRAWS WERE MADE FROM THE CONSTRUCTION FUND. DURING THE FISCAL YEAR ENDED 6/30/2019, THIS THRESHOLD WAS ATTAINED, AND TOTAL DRAWS FOR CONSTRUCTION COSTS AND CAPITALIZED INTEREST TOTALED $11,226,328. PART III, COLUMN B, LINES 4 & 5: THE BONDS DESCRIBED IN LINE B REFUNDED THE 2012 BONDS. THE 2012 BONDS REFUNDED OTHER PRIOR BONDS, SOME OF WHICH FINANCED CAPITAL PROJECTS AND OTHERS OF WHICH WERE THEMSELVES REFUNDING BONDS. NO PRIVATE USE EXISTS OF ANY PROPERTY FIRST FINANCED BY BONDS ISSUED AFTER JANUARY 1, 2003. ANY PRIVATE USE OF PROPERTY FIRST FINANCED PRIOR TO JANUARY 1, 2003 IS WITHIN PERMITTED LIMITS. FORM 990, PART VI, SECTION A, LINE 6 SHEPPARD & ENOCH PRATT FOUNDATION, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A SHEPPARD & ENOCH PRATT FOUNDATION HOLDS RESERVED RIGHTS WHICH INCLUDE THE POWERS TO APPOINT BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B SHEPPARD & ENOCH PRATT FOUNDATION HOLDS RESERVED RIGHTS WHICH INCLUDE THE POWERS TO APPOINT AND REMOVE BOARD MEMBERS. THE FOUNDATION ALSO HOLDS THE RIGHT TO APPROVE CERTAIN SELECT TRANSACTIONS OF ITS SUBSIDIARIES. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES REVIEWS THE FORM 990 AT THE APRIL MEETING. FOLLOWING FINANCE COMMITTEE REVIEW OF THE FORM 990, THE FORM 990 IS POSTED TO THE SHEPPARD PRATT WEBSITE PORTAL FOR THE BOARD OF DIRECTORS REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C IF IN THE NORMAL COURSE OF CONDUCTING A BOARD MEETING, AN AGENDA TOPIC IS DETERMINED TO PRESENT A CONFLICT OF INTEREST, THE INTERESTED BOARD MEMBER IS REQUIRED TO DISQUALIFY HIM OR HERSELF FROM ANY FURTHER DISCUSSION ON THE MATTER. THE CHAIRPERSON WILL SELECT A DISINTERESTED PERSON TO INVESTIGATE ALTERNATIVES TO THE TRANSACTION THAT POSES THE POTENTIAL CONFLICT. IF AFTER EXERCISING DUE DILIGENCE THE BOARD DETERMINES THAT ITS UNABLE TO SECURE A MORE ADVANTAGEOUS TRANSACTION WITH AN ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD WILL DETERMINE WHETHER OR NOT TO ENTER INTO THE TRANSACTION, IF IT IS IN THE BEST INTEREST OF THE ORGANIZATION. THE ORGANIZATION REQUIRES ALL TRUSTEES AND KEY EXECUTIVE PERSONNEL TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE CFO WHO SUMMARIZES THE REPORTED CONFLICTS. THIS INFORMATION IS THEN PRESENTED TO THE CEO AND THE CHAIRMAN OF THE BOARD FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 15 SALARIES OF THE CEO AND TOP MANAGEMENT ARE REVIEWED BY THE EMPLOYEE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF SHEPPARD AND ENOCH PRATT FOUNDATION, INC. THIS COMMITTEE IS COMPRISED OF INDEPENDENT TRUSTEES. THE TRUSTEES REVIEW COMPENSATION FOR REASONABLENESS. THEY USE COMPARATIVE INDUSTRY DATA AND FORM 990S OF OTHER ORGANIZATIONS IN THEIR REVIEW PROCESS. THE PROCESS FOR EMPLOYEE COMPENSATION INCLUDES DEVELOPMENT OF COMPENSATION RECOMMENDATIONS BASED ON MARKET SURVEYS AND OTHER COMPARATIVE INDUSTRY DATA AS WELL AS WRITTEN EMPLOYMENT CONTRACTS. THE SALARY INFORMATION FOR THIS GROUP IS OBTAINED BY A CONSULTANT THAT IS ENGAGED BY THE EXECUTIVE COMPENSATION COMMITTEE. THIS CONSULTANT USES CURRENT MARKET COMPENSATION SURVEYS AND OTHER COMPARATIVE INDUSTRY DATA TO MAKE RECOMMENDATIONS. THE RECOMMENDATIONS ARE THEN PRESENTED TO THE EXECUTIVE COMPENSATION COMMITTEE FOR APPROVAL. THE EXECUTIVE COMPENSATION COMMITTEE REPORTS THAT COMPENSATION WAS APPROVED TO THE FULL BOARD. THERE IS CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING FOR DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND OTHER POLICIES INCLUDING THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER FROM SHEPPARD PRATT INVESTMENT, INC. 4,556,965. CHANGES IN PENSION LIABILITY -10,379,664. INTEREST IN ASSETS OF FOUNDATION 315,910. ASSETS RELEASED FROM RESTRICTION-SHEPPARD AND ENOCH PRATT FOUNDATION, INC. 587,647. TRANSFER TO SHEPPARD PRATT PHYSICIANS PA, INC. -9,500,061. FORM 990, PART XII, 2C THE PARENT ENTITY, SHEPPARD AND ENOCH PRATT FOUNDATION, INC., HAS A FINANCE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SHEPPARD & ENOCH PRATT FOUNDATION PO BOX 6815 BALTIMORE MD 21285 521357109 CONDUCT FUNDRAISING ACTIVITIES TO SUPPORT AFFILIATED ORGANIZATIONS MD 501(C)(3) 7 N/A 0 SHEPPARD PRATT PHYSICIANS PA PO BOX 6815 BALTIMORE MD 21285 521392214 PROVIDE HEALTHCARE TO PATIENTS & RESIDENCY TRAINING TO MEDICAL PROF. MD 501(C)(3) 10 SHEPPARD & ENOCH PRATT FOUNDATION 0 SHEPPARD PRATT INVESTMENT INC PO BOX 6815 BALTIMORE MD 21285 521388935 HOLD AND MANAGE ENDOWMENT FUNDS OF RELATED NONPROFIT ENTITIES MD 501(C)(3) 12A SHEPPARD & ENOCH PRATT FOUNDATION 0 MOSAIC COMMUNITY SERVICES INC 1925 GREENSPRING DRIVE TIMONIUM MD 21093 521388141 PROVIDES THERAPEUTIC RESIDENTIAL REHAB & SUPPORT SERVICES MD 501(C)(3) 7 SHEPPARD & ENOCH PRATT FOUNDATION 0 WAY STATION INC PO BOX 3826 FREDERICK MD 21705 521162749 PROVIDES REHABILITATIVE AND TREATMENT SERVICES MD 501(C)(3) 7 SHEPPARD & ENOCH PRATT FOUNDATION 0 FAMILY SERVICES INC 610 EAST DIAMOND AVE GAITHERSBURG MD 20877 520730225 FOSTER HEALTHY FAMILIES THROUGH EDUCATION, BEHAVIORAL HEALTH SERVICES MD 501(C)(3) 7 SHEPPARD & ENOCH PRATT FOUNDATION 0 REVISIONS COMMUNITY HOUSING DEVELOPMENT ORGANIZATION INC 1925 GREENSPRING DRIVE TIMONIUM MD 21093 521849336 PROVIDE AFFORDABLE HOUSING TO CHRONICALLY MENTALLY DISABLED INDIVIDUALS MD 501(C)(3) 10 MOSAIC COMMUNITY SERVICES INC 0 DULANEY STATION COMMUNITY HOUSING DEVELOPMENT ORGANIZATION INC 1925 GREENSPRING DRIVE TIMONIUM MD 21093 020650286 CREATES AFFORDABLE HOUSING FOR LOW-INCOME ADULTS W/ PSYCHIATRIC DISABILITIES MD 501(C)(3) 10 MOSAIC COMMUNITY SERVICES INC 0 ALLIANCE INC 8003 CORPORATE DRIVE NOTTINGHAM MD 21236 521277262 EDUC., VOC., & RESID. SERVICES FOR INDIVIDUALS WITH DISABILITIES MD 501(C)(3) 7 MOSAIC COMMUNITY SERVICES INC 0 WAY STATION FOUNDATION INC 230 W PATRICK ST PO BOX 3826 FREDERICK MD 21705 521857765 SOLICIT AND ACCEPT FUNDS AND PROPERTY TO SUPPORT AFFILIATED ORGANIZATION MD 501(C)(3) 7 WAY STATION INC 0 SHEPPARD PRATT PREFERRED RESOURCES INC 6501 N CHARLES STREET TOWSON MD 21285 521757742 INACTIVE MD N/A C 0 0 0 1 0 1 0 0 0 0 1 1 0 1 1 1 0 1 1 1 SHEPPARD PRATT INVESTMENTS INC C 4556964 FMV SHEPPARD PRATT INVESTMENTS INC E 2417634 FMV SCHEDULE R, PART II: WAY STATION, INC., MOSAIC COMMUNITY SERVICES, INC. AND FAMILY SERVICES, INC. WORK WITH NUMEROUS HUD ENTITIES TO CARRY OUT THEIR EXEMPT PURPOSES. WHILE THERE IS BOARD OVERLAP THE ULTIMATE CONTROL RESIDES WITH HUD. AS SUCH THE HUD ENTITIES ARE NOT LISTED ON SHEPPARD PRATT HEALTH SYSTEM, INC.'S SCHEDULE R. HUD ENTITIES ARE REFLECTED ON THE SCHEDULE R OF WAY STATION, INC., MOSAIC COMMUNITY SERVICES, INC. AND FAMILY SERVICES, INC.