2016-05-16T09:03:32-05:00 2015-06-30 412069731 SC&H TAX & ADVISORY SERVICES LLC 910 RIDGEBROOK ROAD SPARKS MD 21152 990 2014-07-01 520591684 SHEPPARD PRATT HEALTH SYSTEM INC SHEP 4109383344 PO BOX 6815 BALTIMORE MD 21285 GERALD A NOLL CFO 4109383344 2016-05-12 1 LORI S BURGHAUSER P00370694 4104031500 2016-05-12 2014 2016-08-17 19:52:53Z GERALD A NOLL PO BOX 6815 BALTIMORE MD 21285 220738752 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 3270 580 338932 -143351 3352717 1856213 197695433 201058436 3612905 1779913 6126613 11113712 210787668 215808274 0 0 0 0 127760461 133306275 0 0 541600 68003209 69561408 195763670 202867683 15023998 12940591 292746901 294413388 138034213 151732174 154712688 142681214 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 181847567 205060575 SHEPPARD PRATT HEALTH SYSTEM PROVIDES INPATIENT BEHAVIORAL HEALTH CARE, OUTPATIENT/ANCILLARY CARE, RESIDENTIAL SERVICES, SPECIAL EDUCATION TO STUDENTS AND RESIDENCY TRAINING PROGRAMS. 181847567 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 1 349 0 3270 1 1 1 0 0 0 0 0 0 0 0 0 X 23 23 0 0 0 1 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 21285 DR W BYRON FORBUSH CHAIRPERSON, TRUSTEE 1.00 0.00 X X 0 0 0 THE HON J F MOTZ VICE 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 MD TRUSTEE 1.00 0.00 X 0 0 0 S WINFIELD CAIN TRUSTEE 1.00 0.00 X 0 0 0 PENELOPE CORDISH TRUSTEE 1.00 0.00 X 0 0 0 SUSAN FENIMORE TRUSTEE 1.00 0.00 X 0 0 0 LAURA GAMBLE 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 1.00 0.00 X 0 0 0 H THOMAS HOWELL TRUSTEE 1.00 0.00 X 0 0 0 KENNETH JONES TRUSTEE 1.00 0.00 X 0 0 0 NORMA PEDEN KILLEBREW TRUSTEE 1.00 0.00 X 0 0 0 CHARLES E KNUDSEN TRUSTEE 1.00 0.00 X 0 0 0 BRIAN LE GETTE TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM MORTON 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 GARY TALLES TRUSTEE 1.00 0.00 X 0 0 0 SUSAN GAY WILLIAMS TRUSTEE 1.00 0.00 X 0 0 0 PAMELA P YOUNG PHD TRUSTEE 1.00 0.00 X 0 0 0 STEVEN S SHARFSTEIN MD PRESIDENT & CEO 40.00 5.00 X 876470 0 181411 GERALD NOLL VP , CFO, & SECRETARY / TREAS. 40.00 5.00 X 169990 0 7555 STEPHANIE PROVENZA ASSISTANT SECRETARY 40.00 1.00 X 58097 0 24387 PATRICIA PINKERTON OUTGOING CFO, VP & SEC/TREAS 40.00 5.00 X 509664 0 58861 BONNIE KATZ VP BUSINESS DEV/SUPPORT OPS 40.00 5.00 X 324006 0 91927 ERNESTINE COSBY VP CLINICAL SERVICES 40.00 0.00 X 232348 0 135570 CATHERINE R DOUGHTY VP HUMAN RESOURCES 40.00 0.00 X 206003 0 10513 JAMES TRUSCELLO DIRECTOR OF DAY SCHOOL PROGRAMS 40.00 0.00 X 196382 0 134003 M THOMAS GRAHAM DIRECTOR OF MANN RES PROGRAM 40.00 1.00 X 171588 0 21580 ANTONIO DEPAOLO DIRECTOR OF LEAN TRANSFORMATION 40.00 0.00 X 168506 0 24511 JAMES KENNETH WALTERS DIRECTOR OF PHARMACY 40.00 0.00 X 160382 0 52527 DONNA M CORBETT CONTROLLER 40.00 0.00 X 148573 0 48135 SHERRY L MCGRAW STAFF NURSE 40.00 0.00 X 144867 0 9484 THOMAS D HESS SPECIAL ASSISTANT TO PRESIDENT 40.00 0.00 X 155460 0 40410 3522336 0 840874 69 0 1 0 LEWIS CONTRACTORS 55 GWYNNS MILL COURT OWINGS MILLS MD 21117 BUILDING CONTRACTOR 4180600 CENTER FOR EATING DISORDERS PA 6535 N CHARLES ST STE 300 BALTIMORE MD 21204 PROFESSIONAL FEES 2393856 GREATER BALTIMORE MEDICAL CENTER 6701 N CHARLES ST TOWSON MD 21204 LAB & OTHER CLINICAL SERVICES 1869023 OAKWOOD CONSTRUCTION SERVICE PO BOX 4476 TIMONIUM MD 210944476 BUILDING CONTRACTOR 1685365 STEWART & TATE 950 SMILE WAY YORK PA 17404 BUILDING CONTRACTOR 1441161 52 1856213 1856213 PATIENT SERVICE REVENUE 621990 122230006 122230006 EDUCATIONAL SVC REVENUE 611600 51302339 51302339 RTC/RESPITE REVENUE 623000 15717622 15717622 RETREAT REVENUE 621990 11808469 11808469 201058436 1586714 1586714 1653046 0 1653046 1653046 1653046 5044177 79500 4446387 484091 597790 -404591 193199 193199 OTHER OPERATING REVENUE 900099 7153793 2034198 5119595 INTERCORPORATE REVENUE 900099 1967941 1967941 OTHER REVENUE - UNRELATED 900002 338932 338932 9460666 215808274 205060575 338932 8552554 3084236 3084236 106060196 100163283 5578917 317996 3776721 3456701 309068 10952 12424660 11891299 495687 37674 7960462 7285933 651445 23084 481444 7021 474423 359869 359869 28899 28899 84529 84529 14510365 12890626 1565280 54459 460647 65463 395184 3613944 2798323 809446 6175 2290878 77100 2213778 8889299 7534513 1301806 52980 345506 323445 21544 517 940740 685268 221771 33701 13630096 12829232 799185 1679 46488 46488 INTERCOMPANY CHARGES 10279335 9687040 592295 SUPPLIES 3862339 3825477 36862 REPAIRS AND MAINTENANCE 3752908 2997955 754953 FOOD 3188014 3182099 5915 2796108 2146789 646936 2383 202867683 181847567 20478516 541600 49632135 46993094 24477733 24086084 5643595 5301599 336200535 168337475 166617741 167863060 39313973 39899432 7061724 10270119 292746901 294413388 25291871 21972189 90066150 86910833 22676192 42849152 138034213 151732174 X 146248536 134556833 8464152 8124381 154712688 142681214 292746901 294413388 X 12940591 -977919 -23994146 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 25326 0 1 3573 28899 0 PART II-B, LINE 1: SHEPPARD PRATT RETAINS A LAW FIRM AS A REGISTERED LOBBYIST FOR $25,326 TO KEEP THE ORGANIZATION INFORMED AS TO ANY NEW LEGISLATION THAT MAY IMPACT THE OPERATIONS OF THE HOSPITAL. SHEPPARD PRATT ALSO PAYS DUES TO THE MARYLAND HOSPITAL ASSOCIATION. A PORTION OF THOSE DUES ($3,573) ARE USED FOR LOBBYING ACTIVITIES. X 1 0.00 1 0 0 1 0 1.00 0 672517 X X 0 3249789 1451 3251240 3185889 63900 3249789 2904154 281735 3185889 15527252 15527252 243756710 117781253 125975457 60241777 44301537 15940240 16674796 6254685 10420111 167863060 INVESTMENTS LIMITED OR RESTRICTED A 31899296 F INTEREST IN NET ASSETS OF FOUNDATION 8000136 F 39899432 SELF-INSURANCE LIABILITY 12019402 CAPITAL LEASE OBLIGATIONS 6081504 ACCRUED PENSION LIABILITY 21539904 DUE TO AFFILIATES 3208342 42849152 218759634 -977919 3619013 2641094 216118540 84529 -394795 -310266 215808274 205790209 3007055 3007055 202783154 84529 84529 202867683 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 V, LINE 4: AT THE END OF FISCAL YEAR 2013, THE ORGANIZATION TRANSFERRED ALL OF THE ENDOWMENT FUNDS TO SHEPPARD & ENOCH PRATT FOUNDATION, INC. PART XI, LINE 2D - OTHER ADJUSTMENTS: PHYSICIANS PA OVERHEAD RECOVERY ALLOCATION 2,602,464. NET ASSETS RELEASED FROM RESTRICTION 1,015,811. NET ASSETS RELEASED FROM FOUNDATION TO HOSPITAL - CAPITAL 738. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON SALE OF ASSETS -404,591. CAPITAL GRANT 738. GRANT ADJUSTMENT 9,058. PART XII, LINE 2D - OTHER ADJUSTMENTS: PHYSICIANS PA OVERHEAD RECOVERY ALLOCATION 2,602,464. LOSS ON SALE OF ASSETS 404,591. 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 0 1 1 3607856 3607856 0.01780 3607856 3607856 0.01780 252996 252996 0.00120 1992968 462819 1530149 0.00750 782895 20446 762449 0.00380 221930 221930 0.00110 425044 1000 424044 0.00210 3675833 484265 3191568 0.01570 7283689 484265 6799424 0.03350 24 95004 95004 0.00050 13 153935 153935 0.00080 865070 865070 0.00430 1 4 4000 4000 0.00000 38 4 1118009 1118009 0.00560 1 2461461 18276419 20954773 -2678354 X 1 1 2 1 SHEPPARD PRATT HOSPITAL 6501 N CHARLES STREET TOWSON MD 21204 03-039 X X SEE NARRATIVE 2 SHEPPARD PRATT AT ELLICOTT CITY 4100 COLLEGE AVENUE ELLICOTT CITY MD 21041 13-002 X SEE NARRATIVE SHEPPARD PRATT HOSPITAL 1 0 0 1 X X X X X X X X X 12 1 1 0 1 X HTTP://WWW.SHEPPARDPRATT.ORG/ 1 12 1 WWW.SHEPPARDPRATT.ORG/ 0 0 1 X 250.000000000000 250.000000000000 1 1 X X X 1 X WWW.SHEPPARDPRATT.ORG X X X X X X 1 X 0 X X X X 1 X 0 0 SHEPPARD PRATT AT ELLICOTT CITY 2 0 0 1 X X X X X X X X X 12 1 1 0 1 X HTTP://WWW.SHEPPARDPRATT.ORG/ 1 12 1 WWW.SHEPPARDPRATT.ORG/ 0 0 1 X 250.000000000000 250.000000000000 1 1 X X X 1 X WWW.SHEPPARDPRATT.ORG X X X X X X 1 X 0 X X X X 1 X 0 0 SHEPPARD PRATT HOSPITAL PART V, SECTION B, LINE 5: SHEPPARD PRATT'S COMMUNITY BENEFIT ASSESSMENT INCLUDED INTERVIEWS WITH 18 COMMUNITY STAKEHOLDERS REPRESENTING PUBLIC HEALTH, MEDICAL SERVICES, NON-PROFIT AND SOCIAL ORGANIZATIONS AS WELL AS CHILDREN AND YOUTH AGENCIES. INFORMATION FROM THESE INTERVIEWS WERE USED TO PRIORITIZE ISSUES IN ORDER TO DEVELOP THE IMPLEMENTATION PLAN. SHEPPARD PRATT AT ELLICOTT CITY PART V, SECTION B, LINE 5: SHEPPARD PRATT'S COMMUNITY BENEFIT ASSESSMENT INCLUDED INTERVIEWS WITH 18 COMMUNITY STAKEHOLDERS REPRESENTING PUBLIC HEALTH, MEDICAL SERVICES, NON-PROFIT AND SOCIAL ORGANIZATIONS AS WELL AS CHILDREN AND YOUTH AGENCIES. INFORMATION FROM THESE INTERVIEWS WERE USED TO PRIORITIZE ISSUES IN ORDER TO DEVELOP THE IMPLEMENTATION PLAN. SHEPPARD PRATT HOSPITAL PART V, SECTION B, LINE 6A: UNIVERSITY OF MARYLAND SAINT JOSEPH MEDICAL CENTERGREATER BALTIMORE MEDICAL CENTER SHEPPARD PRATT AT ELLICOTT CITY PART V, SECTION B, LINE 6A: UNIVERSITY OF MARYLAND SAINT JOSEPH MEDICAL CENTERGREATER BALTIMORE MEDICAL CENTER SHEPPARD PRATT HOSPITAL PART V, SECTION B, LINE 11: THE SHEPPARD PRATT COMMUNITY BENEFIT IMPLEMENTATION PLAN HAS ADDRESSED MENTAL AND BEHAVIORAL HEALTH NEEDS IN THE COMMUNITY AND HAS INCORPORATED ACCESS TO CARE INTO ITS COMMUNITY BENEFIT STRATEGIES. SHEPPARD PRATT HEALTH SYSTEM (SPHS) HAS SOUGHT TO INCREASE AWARENESS, EDUCATION, AND ACCESS IN THE AREA OF MENTAL AND BEHAVIORAL HEALTH WHILE WORKING TO REDUCE STIGMA AND BARRIERS TO CARE. SPHS ADDRESSED IDENTIFIED NEEDS BY EXPANDING AND ENHANCING EXISTING SERVICES AND COMMUNITY BENEFIT PROGRAMS. THESE STRATEGIES HAVE INCLUDED:- VIRTUAL RESOURCE CENTER - PROVIDES ON LINE RESOURCES TO CHILDREN AND FAMILIES DEALING WITH AUTISM AND BEHAVIORAL HEALTH ISSUES. - COMMUNITY EDUCATION - EXPANDS SPHS EDUCATIONAL PROGRAMS WITH OUTREACH TO THE COMMUNITY - PROFESSIONAL EDUCATION - PROVIDES UP-TO-DATE AND ACCURATE MENTAL HEALTH INFORMATION TO MENTAL HEALTH, MEDICAL, AND EDUCATION PROFESSIONALS AS WELL AS SCHOOL SYSTEM STAFF TO BETTER PREPARE THEM TO IDENTIFY STUDENTS WITH MENTAL HEALTH NEEDS- THERAPY REFERRAL SERVICE - PROVIDES INFORMATION AND REFERRAL SERVICES TO CONNECT INDIVIDUALS WITH APPROPRIATE MENTAL AND BEHAVIORAL HEALTH SERVICES AND SUPPORT- SERVICES FOR LOW-INCOME AND UNINSURED INDIVIDUALS WITH CRISIS WALK IN CLINIC & CRISIS REFERRAL OUTPATIENT PROGRAM - THE CRISIS WALK IN CLINIC PROVIDES SERVICES TO INDIVIDUALS IN NEED OF CRISIS ASSESSMENT FOR SAFETY AND REFERRAL TO HIGHER LEVELS OF CARE. THE CRISIS REFERRAL OUTPATIENT PROGRAM COMPLEMENTS THE CRISIS WALK IN CLINIC SERVICES AND PROVIDES A BRIDGE TO OUTPATIENT SERVICES FOR PATIENTS WITH ACUTE NEEDS- TELEPSYCHIATRY - OFFERS CARE TO INDIVIDUALS WHO EXPERIENCE THE BARRIERS OF GEOGRAPHY OR A LACK OF PSYCHIATRIC RESOURCES THAT PREVENT THEM FROM ACCESSING TREATMENT- CARE INTEGRATION - CONTINUES TO WORK TOWARD CARE INTEGRATION INCLUDING SUBSTANCE ABUSE AND MENTAL HEALTH TREATMENT AND INTEGRATION OF PRIMARY CARE AND BEHAVIORAL HEALTH CARE; TELEPSYCHIATRY PROVIDES THESE INTEGRATED SERVICES BY TREATING PATIENTS IN NEED OF MENTAL HEALTH SERVICES IN THE PRIMARY CARE SETTING.AS SHEPPARD PRATT IS A BEHAVIORAL HEALTH ORGANIZATION WITH A SPECIALTY PSYCHIATRIC HOSPITAL, IT WILL NOT FOCUS ON THE FOLLOWING IDENTIFIED NEEDS: OVERWEIGHT/OBESITY AND CHRONIC HEALTH CONDITIONS (DIABETES, HEART DISEASE, CANCER, ASTHMA) AS THESE MEDICAL ISSUES ARE OUTSIDE OF THE PSYCHIATRY SPECIALTY SERVICES WHICH THE HOSPITAL PROVIDES. SHEPPARD PRATT AT ELLICOTT CITY PART V, SECTION B, LINE 11: THE SHEPPARD PRATT COMMUNITY BENEFIT IMPLEMENTATION PLAN HAS ADDRESSED MENTAL AND BEHAVIORAL HEALTH NEEDS IN THE COMMUNITY AND HAS INCORPORATED ACCESS TO CARE INTO ITS COMMUNITY BENEFIT STRATEGIES. SHEPPARD PRATT HEALTH SYSTEM (SPHS) HAS SOUGHT TO INCREASE AWARENESS, EDUCATION, AND ACCESS IN THE AREA OF MENTAL AND BEHAVIORAL HEALTH WHILE WORKING TO REDUCE STIGMA AND BARRIERS TO CARE. SPHS ADDRESSED IDENTIFIED NEEDS BY EXPANDING AND ENHANCING EXISTING SERVICES AND COMMUNITY BENEFIT PROGRAMS. THESE STRATEGIES HAVE INCLUDED:- VIRTUAL RESOURCE CENTER - PROVIDES ON LINE RESOURCES TO CHILDREN AND FAMILIES DEALING WITH AUTISM AND BEHAVIORAL HEALTH ISSUES. - COMMUNITY EDUCATION - EXPANDS SPHS EDUCATIONAL PROGRAMS WITH OUTREACH TO THE COMMUNITY - PROFESSIONAL EDUCATION - PROVIDES UP-TO-DATE AND ACCURATE MENTAL HEALTH INFORMATION TO MENTAL HEALTH, MEDICAL, AND EDUCATION PROFESSIONALS AS WELL AS SCHOOL SYSTEM STAFF TO BETTER PREPARE THEM TO IDENTIFY STUDENTS WITH MENTAL HEALTH NEEDS- THERAPY REFERRAL SERVICE - PROVIDES INFORMATION AND REFERRAL SERVICES TO CONNECT INDIVIDUALS WITH APPROPRIATE MENTAL AND BEHAVIORAL HEALTH SERVICES AND SUPPORT- TELEPSYCHIATRY - OFFERS CARE TO INDIVIDUALS WHO EXPERIENCE THE BARRIERS OF GEOGRAPHY OR A LACK OF PSYCHIATRIC RESOURCES THAT PREVENT THEM FROM ACCESSING TREATMENT- CARE INTEGRATION - CONTINUES TO WORK TOWARD CARE INTEGRATION INCLUDING SUBSTANCE ABUSE AND MENTAL HEALTH TREATMENT AND INTEGRATION OF PRIMARY CARE AND BEHAVIORAL HEALTH CARE; TELEPSYCHIATRY PROVIDES THESE INTEGRATED SERVICES BY TREATING PATIENTS IN NEED OF MENTAL HEALTH SERVICES IN THE PRIMARY CARE SETTING.AS SHEPPARD PRATT IS A BEHAVIORAL HEALTH ORGANIZATION WITH A SPECIALTY PSYCHIATRIC HOSPITAL, IT WILL NOT FOCUS ON THE FOLLOWING IDENTIFIED NEEDS: OVERWEIGHT/OBESITY AND CHRONIC HEALTH CONDITIONS (DIABETES, HEART DISEASE, CANCER, ASTHMA) AS THESE MEDICAL ISSUES ARE OUTSIDE OF THE PSYCHIATRY SPECIALTY SERVICES WHICH THE HOSPITAL PROVIDES. SHEPPARD PRATT HOSPITAL PART V, SECTION B, LINE 16I: 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 16I: 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: MARYLAND HSCRC SETS RATES FOR ALL HOSPITALS IN THE STATE SHEPPARD PRATT AT ELLICOTT CITY PART V, SECTION B, LINE 22D: MARYLAND HSCRC SETS RATES FOR ALL HOSPITALS IN THE STATE PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY SHEPPARD PRATT HOSPITAL PART V, SECTION B, LINE 16C WEBSITE: WWW.SHEPPARDPRATT.ORG SHEPPARD PRATT AT ELLICOTT CITY PART V, SECTION B, LINE 16C WEBSITE: WWW.SHEPPARDPRATT.ORG 18 MANN RESID TREATMENT CENTER & SCHOOL 6501 NORTH CHARLES STREET BALTIMORE MD 21204 THERAPEUTIC EDUCATIONAL AND RESIDENTIAL PROGRAM JEFFERSON RESID TREATMENT CTRSCHOOL 2940 POINT OF ROCKS ROAD PO BOX 9 JEFFERSON MD 21755 LICENSED RESIDENTIAL TREATMENT CENTER/SP. ED. SCHOOL THE RETREAT AT SHEPPARD PRATT 6501 NORTH CHARLES STREET BALTIMORE MD 21204 16-BED LICENSED ASSISTED LIVING PROGRAM FORBUSH SCHOOL AT GLYNDON 407 CENTRAL AVENUE REISTERSTOWN MD 21136 ACCREDITED SPECIAL EDUCATION SCHOOL FACILITY JEFFERSON SCHOOL 2940 POINT OF ROCKS ROAD PO BOX 9 JEFFERSON MD 21755 LICENSED RESIDENTIAL TREATMENT CENTER FROST SCHOOL & OAKMONT & LODGE PROG 4915 ASPEN HILL ROAD ROCKVILLE MD 20853 SPECIAL EDUCATION AND RELATED SERVICES SCHOOL FORBUSH SCHOOL AT HUNT VALLEY 11201 PEPPER ROAD HUNT VALLEY MD 21031 SPECIAL EDUCATION AND RELATED SERVICES SCHOOL FORBUSH SCHOOL AT GLYNDON HIGH SCHOOL 12039 REISTERSTOWN ROAD BALTIMORE MD 21136 SPECIAL EDUCATION AND RELATED SERVICES SCHOOL FORBUSH SCHOOL AT PRINCE GEORGE'S CO 4949 ADDISON ROAD CAPITAL HEIGHTS MD 20743 FIVE CLASSROOMS SERVING AUTISTIC CHILDREN IN A PUBLIC SCHOOL SETTING JEFFERSON SCHOOL AT FINAN 10102 COUNTRY CLUB ROAD SOUTHEAST CUMBERLAND MD 21501 SCHOOL SERVES STUDENTS WITH EMOTIONAL DISTURBANCES AND WITH AUTISM FORBUSH SCHOOL AT OAKMONT - UPPER 610 EAST DIAMOND AVENUE GAITHERSBURG MD 20877 12-MONTH DAY SCHOOL FOR STUDENTS WITH AUTISM FORBUSH THERAPEUTIC PRESCHOOL AT TOWSON 6501 NORTH CHARLES STREET BALTIMORE MD 21204 SPECIAL EDUCATION AND RELATED SERVICES SCHOOL RUXTON HOUSE 1506 LABELLE AVENUE BALTIMORE MD 21204 8-BED LICENSED GROUP HOME FORBUSH SCHOOL AT ANNE ARUNDEL 648 OLD MILL ROAD MILLERSVILLE MD 21108 SPECIAL EDUCATION AND RELATED SERVICES SCHOOL HANNAH MORE AT MILLERSVILLE ELEM SCH 1601 MILLERSVILLE ROAD MILLERSVILLE MD 21108 SPECIAL EDUCATION AND RELATED SERVICES SCHOOL HANNAH MORE AT SEVERN MIDDLE SCHOOL 241 PENINSULA FARM ROAD ARNOLD MD 21012 SPECIAL EDUCATION AND RELATED SERVICES SCHOOL HANNAH MORE AT SEVERNA PARK HIGH SCH 60 ROBINSON ROAD SEVERNA PARK MD 21146 SPECIAL EDUCATION AND RELATED SERVICES SCHOOL SHEPPARD PRATT RESPITE PROGRAM 6501 NORTH CHARLES STREET BALTIMORE MD 21204 24-HOUR THERAPEUTIC LIVING ENVIRONMENT 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 FY 2015, SHEPPARD PRATT'S RESIDENCY TRAINING PROGRAM CONTINUED TO OFFER THE RESIDENT'S OUTPATIENT CLINIC WHICH PROVIDES SERVICES FREE OF CHARGE, OR FOR A SMALL CO-PAY. SERVICES INCLUDE AN INITIAL EVALUATION AS WELL AS MEDICATION MANAGEMENT SESSIONS. RECIPIENTS OF THIS PSYCHIATRIC SERVICE AGREE TO BE TREATED BY A M.D. 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 FY 2015, THE PROGRAM PROVIDED A TOTAL OF 3,988 SERVICES.TELEPSYCHIATRY PROVIDED TO RURAL REGIONS OF MARYLAND:SHEPPARD PRATT'S TELEBEHAVIORAL SERVICES PROGRAM PROVIDES BOTH TELEHEALTH (DISTANCE PROFESSIONAL EDUCATION) AND TELEPSYCHIATRY (REAL-TIME 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 FY 2015, 457 NEW CLIENTS WERE SEEN AND 2,242 HOURS OF SERVICE WERE PROVIDED INCLUDING 2,212 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. ADDITIONALLY, SHEPPARD PRATT'S TELEBEHAVIORAL SERVICES, TELEHEALTH COMPONENT HAS PROVIDED RURAL PROVIDERS ACCESS TO SHEPPARD PRATT'S COMPLEMENTARY FY 2015 PROFESSIONAL EDUCATION: 21 WEDNESDAY LECTURE SESSIONS WERE PROVIDED TO A VARIETY OF RURAL LOCATIONS UTILIZING A VIDEOCONFERENCING BRIDGE; 272 NON-SHEPPARD PRATT CLINICAL PROFESSIONALS ACCESSED THESE FREE CME SESSIONS VIA VIDEOCONFERENCING WHICH MAY NOT HAVE BEEN OTHERWISE AVAILABLE LOCALLY. 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 WHILE UNDERSTANDING 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 FY 2015, SHEPPARD PRATT PROVIDED EDUCATIONAL INFORMATION TO THE COMMUNITY BY ATTENDING 98 PUBLIC CONFERENCES AND EVENTS. CONFERENCES INCLUDED: HONESTLY AUTISM DAY, MOM MARCH, BALTIMORE COUNTY CHILD AND ADOLESCENT RESOURCE FAIR LOYOLA HEALTH FAIR, AND THE BRAIN INJURY ASSOCIATION OF MARYLAND ANNUAL CONFERENCE AS WELL AS MANY OTHER EVENTS ATTENDED BY THE SYSTEM'S MOBILE CRISIS TEAM IN HARFORD COUNTY. SHEPPARD PRATT'S MOBILE CRISIS TEAM RESPONDS TO MENTAL HEALTH EMERGENCIES IN HARFORD COUNTY AT HOMES, WORK OR SCHOOLS. THIS PROGRAM AVERTS UNNECESSARY VISITS TO EMERGENCY ROOMS AND SUBSEQUENT HOSPITALIZATION FOR PERSONS EXPERIENCING A MENTAL HEALTH CRISIS. IN FY 2015, THE MOBILE CRISIS PROGRAM SERVED MORE THAN 4,000 INDIVIDUALS THROUGH A VARIETY OF SERVICE AND EVENTS. THESE EVENTS INCLUDED CLINICAL CALLS, DURING POLICE CALLS, CRITICAL INCIDENT STRESS INCIDENTS, COMMUNITY EDUCATION EVENTS, AND CRISIS INTERVENTION TRAINING PROGRAMS FOR LAW ENFORCEMENT.SHEPPARD PRATT HEALTH SYSTEM PROVIDES TRANSPORTATION SERVICES TO PATIENTS IN A NUMBER OF SITUATIONS. DURING FY15 THE TRANSPORTATION GROUP MADE 6,840 ROUNDTRIPS TRANSPORTING PATIENTS TO AND FROM OUR DAY HOSPITAL, AS WELL AS 786 TRIPS SHUTTLING DISCHARGED PATIENTS TO THEIR HOME IF THEY HAD NO OTHER MEANS OF TRANSPORTATION. 305 TRIPS OF AMBULANCE AND CAB TRANSPORT WERE PROVIDED TO INDIVIDUALS WHO PRESENTED THEMSELVES TO SHEPPARD PRATT, BUT WERE UNABLE TO MAKE THEIR OWN TRANSPORTATION ARRANGEMENTS. THE TOTAL COSTS FOR THESE SERVICES IN FY15 IS $865,070.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. A FREE WEEKLY SUPPORT GROUP IS PROVIDED FOR ANYONE CONCERNED ABOUT NUTRITIONAL HABITS.IN FY 2015, SHEPPARD PRATT'S WEBSITE RESOURCE PAGE RECEIVED MORE THAN 20,000 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 TO FOLLOW AND OTHER USEFUL TREATMENT INFORMATION. SHEPPARD PRATT ALSO DISTRIBUTES HEAL MAGAZINE WHICH SERVES AS A COMMUNITY RESOURCE PUBLISHED 3 TO 4 TIMES ANNUALLY. PATIENT STORIES ARE ALSO SHARED IN AN EFFORT TO HUMANIZE AND DESTIGMITIZE MENTAL ILLNESS. THE PUBLICATION WAS DISTRIBUTED TO 20,000 HOUSEHOLDS IN FY 2015.A TOTAL OF NINE FREE COMMUNITY EDUCATIONAL EVENTS WERE SPONSORED BY SHEPPARD PRATT IN FY 2015. EVENTS INCLUDED EDUCATION ON TOPICS SUCH AS: ILLUSTIONIST MOVIE SCREENING FOLLOWED BY Q&A PANEL; STOP GIVING ME COMPLIMENTS; LOVE YOUR TREE ANNUAL EVENT; RECOVERY IN REAL LIFE, WHY DOES MY CHILD DO THAT?; CHILD AND ANXIETY; BREAKING THE SILENCE: YOUNG ADULTS AND DOMESTIC VIOLENCE; AUTISM AND ADHD. LEADERSHIP DEVELOPMENT AND TRAINING FOR THE COMMUNITY: IN FY 2015, SHEPPARD PRATT CONTINUED TO SERVE AS THE TRAINING RESOURCE FOR POSITIVE BEHAVIORAL INTERVENTIONS AND SUPPORTS (PBIS) AS WELL AS MARYLAND SAFE AND SUPPORTIVE SCHOOLS (MDS3). THESE ARE BOTH GRANT-FUNDED PROGRAMS PROVIDED IN PARTNERSHIP WITH THE MARYLAND DEPARTMENT OF EDUCATION AND JOHNS HOPKINS UNIVERSITY'S CENTER FOR PREVENTION OF YOUTH VIOLENCE. THE PROGRAMS TRAIN EDUCATORS IN THE PBIS METHODS AND OTHER EVIDENCE-BASED PRACTICES TO ENHANCE THE CAPACITY OF SCHOOL STAFF TO EDUCATE CHILDREN IN A SAFER AND MORE EFFECTIVE ENVIRONMENT. SINCE THE PROGRAM'S INCEPTION, 1,043 PUBLIC, ALTERNATIVE, AND NON-PUBLIC SCHOOLS ACROSS ALL 24 LOCAL SCHOOL SYSTEMS IN MARYLAND HAVE RECEIVED TRAINING. COALITION BUILDING CORPORATE VOLUNTEERISM CONTINUES AS A CRITICAL VALUE AT SHEPPARD PRATT AND ALLOWS FOR COALITION BUILDING OPPORTUNITIES. SHEPPARD PRATT LEVERAGES ITS COALITION RELATIONSHIPS TO SHARE ITS KNOWLEDGE AND EXPERIENCE WITH OTHER, SMALLER NON-PROFIT ORGANIZATIONS. EXECUTIVE STAFF PARTICIPATE ON VARIOUS COMMUNITY BOARDS WHOSE MISSIONS ARE DEDICATED TO IMPROVING QUALITY OF LIFE FOR THOSE THEY SERVE. WHILE IN VOLUNTEER SERVICE TO LOCAL AND NATIONAL NON-PROFITS, SHEPPARD PRATT STAFF ALSO HAVE THE OPPORTUNITY TO GATHER IMPORTANT NEEDS ASSESSMENT DATA CRITICAL TO THE DEVELOPMENT OF COMMUNITY BENEFIT PROGRAMMING. WORKFORCE DEVELOPMENTSHEPPARD PRATT PARTICIPATES IN A HEALTH CAREERS SCHOLARSHIP FUND FOR DESERVING TOWSON UNIVERSITY FRESHMEN INTERESTED IN A HEALTH CARE CAREER. ALONG WITH OTHER AREA HOSPITAL AND UNIVERSITY PARTNERS KNOWN AS THE TOWSON FOUR (SHEPPARD PRATT, ST JOSEPH'S MEDICAL CENTER, GBMC AND TOWSON UNIVERSITY), SHEPPARD PRATT CONTRIBUTES $4,000 PER YEAR WHICH WHEN COMBINED WITH THE OTHER PARTNERS PROVIDES $16,000 ANNUALLY WHICH IS DISBURSED IN THE AMOUNT OF $2,000 PER SEMESTER FOR EIGHT CONSECUTIVE SEMESTERS. IN ADDITION TO PARTICIPATING IN FUNDING THE AWARD, EACH FACILITY OFFERS THE RECIPIENT AN OPPORTUNITY TO VISIT AND PARTICIPATE IN PROGRAMMING. 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. THE HEALTH SYSTEM ANALYZES CONTRACTUAL AMOUNTS DUE FROM PATIENTS WHO HAVE THIRD-PARTY COVERAGE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION 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, AS AN INSTITUTION FOR MENTAL DISORDERS (IMD), SHEPPARD PRATT IS REIMBURSED UNDER THE MEDICARE PROSPECTIVE PAYMENT SYSTEM. MEDICARE PAYS SHEPPARD PRATT LESS THAN ITS COST AS SUPPORTED BY THE FINAL FILED FISCAL 2015 COST REPORT. 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: DURING FISCAL YEAR 2013, SHEPPARD PRATT COMPLETED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN CONJUNCTION WITH GREATER BALTIMORE MEDICAL CENTER (GBMC) AND UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL CENTER (UM-SJMC) TO EVALUATE COMMUNITY HEALTH NEEDS FOR INDIVIDUALS LIVING IN THE HOSPITALS' SERVICE AREA. THE ASSESSMENT WAS COMPLETED THROUGH A CONTRACT WITH HOLLERAN, AN INDEPENDENT RESEARCH FIRM LOCATED IN LANCASTER, PA. THE ASSESSMENT GATHERED INFORMATION ABOUT LOCAL HEALTH NEEDS AND HEALTH BEHAVIORS BY EXAMINING A VARIETY OF INDICATORS INCLUDING RISKY HEALTH BEHAVIORS (ALCOHOL USE, TOBACCO USE) AND CHRONIC HEALTH CONDITIONS (DIABETES, HEART DISEASE). THE COMPLETION OF THE CHNA ENABLED HOSPITALS AND THEIR PARTNERS TO TAKE AN IN-DEPTH LOOK AT THEIR GREATER COMMUNITY. SHEPPARD PRATT USED THE ASSESSMENT TO PRIORITIZE PUBLIC HEALTH ISSUES AND DEVELOP A COMMUNITY HEALTH IMPLEMENTATION PLAN WHICH FOCUSES ON MEETING COMMUNITY NEEDS. SHEPPARD PRATT IS COMMITTED TO THE PEOPLE IT SERVES AND THE COMMUNITIES THEY LIVE IN. RESEARCH COMPONENTS OF THE ASSESSMENT INCLUDED A SECONDARY STATISTICAL DATA PROFILE OF THE GREATER BALTIMORE COMMUNITY AND KEY INFORMANT INTERVIEWS WITH 18 COMMUNITY STAKEHOLDERS. THE SECONDARY STATISTICAL DATA PROFILE DEPICTED POPULATION AND HOUSEHOLD STATISTICS, EDUCATION AND ECONOMIC MEASURES, MORBIDITY AND MORTALITY RATES, INCIDENT RATES, AND OTHER HEALTH STATISTICS FOR THE GREATER BALTIMORE AREA. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH KEY COMMUNITY LEADERS. A TOTAL OF 18 PEOPLE PARTICIPATED, REPRESENTING A VARIETY OF SECTORS INCLUDING PUBLIC HEALTH AND MEDICAL SERVICES, NON PROFIT AND SOCIAL ORGANIZATIONS, AS WELL AS CHILDREN AND YOUTH AGENCIES. COMMUNITY ENGAGEMENT AND FEEDBACK WERE AN INTEGRAL PART OF THE PROCESS. KEY INFORMANT INTERVIEWS WITH COMMUNITY STAKEHOLDERS AND INCLUSION OF COMMUNITY PARTNERS WERE USED IN THE PRIORITIZATION AND IMPLEMENTATION PLANNING PROCESS. PUBLIC HEALTH AND HEALTH CARE PROFESSIONALS SHARED KNOWLEDGE AND EXPERTISE ABOUT HEALTH ISSUES, AND LEADERS AND REPRESENTATIVES OF NON-PROFIT COMMUNITY-BASED ORGANIZATIONS PROVIDED INSIGHT ON THE COMMUNITY SERVED BY THE HOSPITAL INCLUDING MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. FOLLOWING THE COMPLETION OF CHNA RESEARCH, SHEPPARD PRATT PRIORITIZED COMMUNITY PSYCHIATRY HEALTH ISSUES AND DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS PRIORITIZED NEEDS. 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: ACCORDING TO U.S. CENSUS BUREAU (2010) ESTIMATES, THE TOTAL POPULATION IN THE GREATER BALTIMORE COMMUNITY IS 298,273 OF WHICH 46.9% ARE MALE AND 53.1% ARE FEMALE. THE POPULATION INCREASED 7.3% BETWEEN 2000 AND 2010. THE MEDIAN AGE IN THE AREA IS 37.9 YEARS, WHICH IS SIMILAR TO THE STATE AND NATION (MD: 38.0; US: 37.2). HOWEVER, THE GREATER BALTIMORE SERVICE AREA HAS A SLIGHTLY HIGHER PROPORTION OF ADULTS WHO ARE 65 YEARS AND OVER COMPARED TO THE STATE AND NATION (GB: 15.0%; MD: 12.3%; US: 13.0%). ACCORDING TO THE U.S. CENSUS BUREAU (2010), NEARLY TWO-THIRDS OF GREATER BALTIMORE RESIDENTS ARE WHITE (65.2%) AND APPROXIMATELY 24% ARE BLACK/AFRICAN AMERICAN. ONLY ABOUT 4.7% IDENTIFY AS HISPANIC/LATINO WHICH IS NOTABLY LESS COMPARED TO MARYLAND (8.2%) AND THE NATION (16.3%). COMPARED TO MARYLAND AND THE U.S. AS A WHOLE, THE PERCENTAGE OF THE POPULATION WHO SPEAK A LANGUAGE OTHER THAN ENGLISH IN GREATER BALTIMORE IS LOWER (GB: 13.6%; MD: 15.9%; US: 20.1%). THE MEDIAN INCOME FOR HOUSEHOLDS IN THE GREATER BALTIMORE COMMUNITY ($61,351) IS LOWER THAN MARYLAND ($70,647) BUT HIGHER THAN THE NATION ($51,914). ACCORDING TO THE U.S. CENSUS BUREAU (2010), UNEMPLOYMENT RATES IN GREATER BALTIMORE (6.0%) ARE BELOW STATE (6.6%) AND NATIONAL RATES (7.9%). HOWARD COUNTY'S MEDIAN HOUSEHOLD INCOME IS $104,375SOURCE: MEDIAN HOUSEHOLD INCOME, GREATER BALTIMORE AND HOWARD COUNTY COMPARED TO MD AND U.S. (2006-2010 AND 2009- 2012).IN GENERAL, THE PROPORTION OF FAMILIES AND PEOPLE LIVING IN POVERTY IN GREATER BALTIMORE IS LESS COMPARED TO THE NATION AND COMPARABLE TO MARYLAND. A NOTEWORTHY INDICATOR IS THE PROPORTION OF SINGLE FEMALE HOUSEHOLD FAMILIES LIVING IN POVERTY WITH CHILDREN UNDER 5 YEARS (7.1%) WHICH IS SIGNIFICANTLY LOWER THAN MARYLAND (27.8%) AND THE NATION (45.8%). HOWARD COUNTY IS EVEN LOWER WITH 3.2% OF FAMILIES LIVING IN POVERTY. HOWEVER, IN THE CATEGORY OF SINGLE FEMALE HOUSEHOLD FAMILIES LIVING IN POVERTY WITH CHILDREN UNDER THE AGE OF 5 YEARS, THE FIGURE IS SIGNIFICANTLY HIGHER AT 20.6%SOURCE: U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES, 2010; U.S. CENSUS BUREAU, 2012. EDUCATION IS AN IMPORTANT SOCIAL DETERMINANT OF HEALTH. IT IS WELL KNOWN THAT INDIVIDUALS WHO ARE LESS EDUCATED TEND TO HAVE POORER HEALTH OUTCOMES. HIGH SCHOOL GRADUATION RATES AND EDUCATIONAL ATTAINMENT RATES FOR HIGHER EDUCATION IN THE GREATER BALTIMORE AND HOWARD COUNTY COMMUNITIES ARE SLIGHTLY HIGHER THAN THE STATE AND NATION. APPROXIMATELY 89% OF GREATER BALTIMORE ADULTS HAVE A HIGH SCHOOL DIPLOMA OR HIGHER DEGREE. THIRTY-SEVEN PERCENT (37%) HAVE A BACHELOR'S DEGREE OR HIGHER. IN HOWARD COUNTY, 94.7% HAVE A HIGH SCHOOL DIPLOMA OR HIGHER DEGREE AND 59% HAVE A BACHELOR'S DEGREE. THIS IS IN COMPARISON TO MARYLAND (87.8%; 35.7%) AND THE NATION (85.0%; 27.9%). THERE IS LIMITED DATA AVAILABLE AT THE LOCAL LEVEL REGARDING MENTAL HEALTH. BASED ON THE RESULTS OF THE MARYLAND BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, A HIGHER PROPORTION OF GREATER BALTIMORE RESIDENTS (16.3%) INDICATE THEY HAVE BEEN DIAGNOSED WITH A DEPRESSIVE DISORDER COMPARED TO MARYLAND (13.6%). THIS RATE IS ON PAR WITH NATIONAL STATISTICS. THE PERCENTAGE OF GREATER BALTIMORE SERVICE AREA RESIDENTS WHO ARE BINGE DRINKERS (16.6%) IS FAVORABLE COMPARED TO MARYLAND (18.0%) AND THE NATION (18.3%). BINGE DRINKING IS DEFINED AS MALES HAVING FIVE OR MORE DRINKS ON ONE OCCASION OR FEMALES HAVING FOUR OR MORE DRINKS ON ONE OCCASION. HOWARD COUNTY RESIDENTS ARE ALSO BELOW AVERAGES FOR BOTH MARYLAND AND THE NATION. PART VI, LINE 5: SHEPPARD PRATT CONTINUES ITS COMMITMENT TO THE FOUNDERS' CHARTER TO "CARRY FORWARD, IMPROVE, THE AMELIORATED SYSTEM OF TREATMENT OF THE INSANE WITH THOUGHTFUL, PROACTIVE SERVICES AND HAS EVOLVED ITS SERVICE BEYOND THE TRADITIONAL INPATIENT OR OUTPATIENT BOUNDARIES. 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 2015, SHEPPARD PRATT WAS AGAIN RECOGNIZED BY U.S. NEWS AND WORLD REPORT AS ONE OF THE NATION'S TOP TEN HOSPITALS FOR PSYCHIATRIC CARE AND RANKED AS #6, THE ONLY PSYCHIATRIC SPECIALTY HOSPITAL IN THE TOP TEN WHICH IS NOT OTHERWISE AFFILIATED WITH A LARGER GENERAL HOSPITAL SYSTEM. IN FY 2015, SHEPPARD PRATT PROVIDED SERVICE FOR 9,151 INPATIENT ADMISSIONS RESULTING IN SERVICE TO 103,443 INPATIENT DAYS; 81,846 OUTPATIENT AND DAY HOSPITAL VISITS; 35,857 RESIDENTIAL TREATMENT CENTER DAYS; AND, 146,160 STUDENT DAYS. FIFTY-EIGHT PERCENT OF INPATIENT SERVICES WERE PROVIDED TO MEDICARE OR MEDICAID RECIPIENTS. SHEPPARD PRATT'S CRISIS WALK IN CLINIC (CWIC) AT THE TOWSON CAMPUS CONTINUES ITS RESPONSE TO COMMUNITY NEED FOR WALK-IN 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 FY 2015, 4,575 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 RESPITE CENTERS AS WELL AS 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. THERE ARE 414 LICENSED BEDS (322 AT TOWSON AND 92 AT ELLICOTT CITY) OF WHICH 340 WERE IN OPERATION DURING FISCAL YEAR 2015. 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 FY 2015, THIS PROGRAM PROVIDED THE PUBLIC WITH REFERRAL INFORMATION FOR EXTERNAL PROGRAMS 5,093 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. SHEPPARD PRATT CONTINUES TO HOST A CONSUMER COUNCIL WITH COMMUNITY PARTICIPANTS INCLUDING FORMER PATIENTS AND PATIENT FAMILY MEMBERS. THE GROUP MEETS MONTHLY AND PROVIDES INPUT ON A VARIETY OF MENTAL HEALTH CARE TOPICS. PART VI, LINE 6: THE AFFILIATE AGENCIES OF SHEPPARD AND ENOCH PRATT FOUNDATION ARE NON-PROFIT HEALTH AND SOCIAL SERVICE AGENCIES FOCUSING 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. EACH AGENCY OPERATES UNDER THE CONTROL OF A LOCAL BOARD OF DIRECTORS FOCUSED ON THE NEEDS OF THEIR COMMUNITIES. THE AFFILIATES PROVIDE SERVICES IN BALTIMORE, CARROLL, HOWARD, FREDERICK, MONTGOMERY, PRINCE GEORGE'S, 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. THIS YEAR, THE AFFILIATE PROGRAMS CONTINUED THEIR WORK AS AN INTEGRATED NETWORK OF CARE BY JOINING THE MARYLAND BEHAVIORAL HEALTH NETWORK (MBHN) WHICH WAS FORMED BY EIGHT COMMUNITY BEHAVIORAL HEALTH AGENCIES FROM ACROSS THE STATE OF MARYLAND. THIS COLLABORATION IS FUNDED BY THE INDIVIDUAL AGENCIES, AND WILL ASSIST EACH AGENCY IN BUILDING THE EXPERTISE TO MANAGE SERVICES AND ALTERNATIVE REIMBURSEMENT MECHANISMS IN THE NEW HEALTH SYSTEM UNDER DEVELOPMENT BY THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE. FORTY PERCENT OF THE NETWORK'S TARGET GROUPS ARE MEDICAID RECIPIENTS. AS A RESULT, MBHN WILL HAVE A STRONG MARKET PRESENCE, AND WILL BE POSITIONED TO HELP SHAPE HOW THE HEALTH CARE SYSTEM TRANSFORMS. PART VI, LINE 7, REPORTS FILED WITH STATES MD X X X X X X 0 1 0 0 0 0 0 0 0 STEVEN S SHARFSTEIN MD PRESIDENT & CEO 807787 0 0 0 68683 0 173836 0 7575 0 1057881 0 0 0 GERALD NOLL VP , CFO, & SECRETARY / TREAS. 150583 0 0 0 19407 0 0 0 7555 0 177545 0 0 0 PATRICIA PINKERTON OUTGOING CFO, VP & SEC/TREAS 248142 0 0 0 261522 0 47531 0 11330 0 568525 0 100000 0 BONNIE KATZ VP BUSINESS DEV/SUPPORT OPS 318337 0 0 0 5669 0 76049 0 15878 0 415933 0 0 0 ERNESTINE COSBY VP CLINICAL SERVICES 227874 0 0 0 4474 0 124977 0 10593 0 367918 0 0 0 CATHERINE R DOUGHTY VP HUMAN RESOURCES 203282 0 0 0 2721 0 10000 0 513 0 216516 0 0 0 JAMES TRUSCELLO DIRECTOR OF DAY SCHOOL PROGRAMS 189510 0 750 0 6122 0 117787 0 16216 0 330385 0 0 0 M THOMAS GRAHAM DIRECTOR OF MANN RES PROGRAM 167611 0 750 0 3227 0 13507 0 8073 0 193168 0 0 0 ANTONIO DEPAOLO DIRECTOR OF LEAN TRANSFORMATION 166680 0 750 0 1076 0 5948 0 18563 0 193017 0 0 0 JAMES KENNETH WALTERS DIRECTOR OF PHARMACY 157062 0 750 0 2570 0 34630 0 17897 0 212909 0 0 0 DONNA M CORBETT CONTROLLER 146089 0 750 0 1734 0 30665 0 17470 0 196708 0 0 0 SHERRY L MCGRAW STAFF NURSE 143466 0 750 0 651 0 9436 0 48 0 154351 0 0 0 THOMAS D HESS SPECIAL ASSISTANT TO PRESIDENT 152374 0 750 0 2336 0 39459 0 951 0 195870 0 0 0 PART I, LINE 4B DURING CALENDAR YEAR 2014, THE FOLLOWING PARTICIPATED IN SHEPPARD PRATT'S 457(F) PLAN: STEVEN S. SHARFSTEIN $119,340 PATRICIA PINKERTON $25,000 BONNIE KATZ $25,000 DURING CALENDAR YEAR 2014, THE FOLLOWING OFFICERS RECEIVED PAYMENTS AS PART OF THEIR PARTICIPATION IN SHEPPARD PRATT'S 457(F) PLAN: PATRICIA PINKERTON $129,629 A MD HEALTH & HIGHER EDUCATIONAL FACILITIES 520936091 2012-03-01 34032000 ADVANCE REFUND SERIES 2003A BOND 0 0 0 B MD HEALTH & HIGHER EDUCATIONAL FACILITIES 520936091 2012-03-01 62182000 CURRENT REFUND SERIES 2003B/2009 0 0 0 A 1674000 34032000 32510324 516 1522013 2005 0 1 1 1 B 7629166 62182000 640 62181360 2010 1 0 1 1 A 0 0 0 0 0 0 1 B 0 1 1 1 0 0 0 1 A 0 1 0 0 0 0 0 1 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) OF THE INCOME TAX REGULATIONS, THE ISSUER ELECTED TO TREAT THE BONDS AS FIVE SEPARATE ISSUES. ONE OF THE MULTIPURPOSE ISSUES CORRELATES TO COLUMN A THROUGHOUT PARTS II, III AND IV. FOUR OF THE MULTIPURPOSE ISSUES CORRELATES TO COLUMN B THROUGHOUT PARTS II, III AND IV. PART 1, LINE A, COLUMN (F) SERIES 2003A BONDS - 05/29/2003 PART 1, LINE B, COLUMN (F) SERIES 2003A BONDS - 05/29/2003; SERIES 2009 BONDS - 12/17/2009 PART II, COLUMN A, LINE 6 THE AMOUNT SHOWN INCLUDES ACCRUED INVESTMENT EARNINGS ON A REFUNDING ESCROW PART III, COLUMN B, LINES 4 AND 6 THE FOLLOWING IS THE ANSWER TO LINES 4 AND 6 FOR EACH OF THE FOUR SEPARATE MULTIPURPOSE ISSUES: 2003B/1992/1985 REFUNDING PORTION $3,368,295 - LESS THAN 15% (1986 ACT TRANSITION RULE REFUNDING) 2003B/1995/1992 REFUNDING PORTION $16,445,205 - LESS THAN 5% 2003B/2003/1999 REFUNDING PORTIN $19,813,500 - LESS THAN 5% 2009 REFUNDING PORTION $22,555,000 - LESS THAN 5% FORM 990, PART VI, SECTION A, LINE 5 DURING TAX YEAR ENDING JUNE 30, 2015, SHEPPARD PRATT HEALTH SYSTEM DISCOVERED THAT A DEPARTMENTAL DIRECTOR OF THE ORGANIZATION HAD APPROVED $2,500,000 OF FALSE PAYMENTS TO A COMPANY THAT SHE AND HER HUSBAND SECRETLY CONTROLLED. FROM 2007 TO 2014, THE DEPARTMENTAL DIRECTOR SUBMITTED FALSE INVOICES REQUESTING PAYMENT TO THE COMPANY FOR WORK NEVER PERFORMED OR OVERCHARGING FOR WORK THAT WAS DONE. IN RESPONSE TO THIS EVENT, MANAGEMENT INSTITUTED A COMPLETE REVIEW OF ALL VENDOR MASTER PROCESSES, AS WELL AS EXPENDITURE APPROVALS AND CONTROLS PRACTICES. A NEW POLICY WAS DRAFTED BY THE CFO THAT SPECIFICALLY OUTLINES SIGNATURE AUTHORITY AND LIMITS. ALL CONTRACTS ARE REQUIRED TO BE SIGNED BY A VICE-PRESIDENT OF THE ORGANIZATION. IN ADDITION, DETAILED VETTING PROCESSES WERE PUT INTO PLACE TO VERIFY THE AUTHENTICITY OF ALL VENDORS BEFORE PAYMENTS CAN BE MADE. 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 11 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 MEMBERS ARE REQUIRED TO ORALLY DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST AT EACH MEETING. IF THERE IS A CONFLICT OF INTEREST, THE 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. 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. 2,832,000. CHANGES IN PENSION LIABILITY -22,980,750. INTEREST IN ASSETS OF FOUNDATION -311,647. ASSETS RELEASED FROM RESTRICTION-SHEPPARD AND ENOCH PRATT FOUNDATION, INC. 1,156,944. NET ASSETS RELEASED FROM FOUNDATION TO HOSPITAL - CAPITAL 738. TRANSFER TO SHEPPARD PRATT PHYSICIANS PA, INC. -4,200,000. TRANSFER TO OTHER SUBSIDIARIES -12,373. TRANSFER TO MOSAIC COMMUNITY SERVICES, INC. -500,000. GRANT ADJUSTMENT -9,058. TRANSFER FROM SHEPPARD AND ENOCH PRATT FOUNDATION, INC. 30,000. FORM 990, PART XII, 2C 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) 9 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) 11A 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) 9 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) 9 MOSAIC COMMUNITY SERVICES INC 0 TURNING POINT OF WASHINGTON COUNTY INC PO BOX 3826 FREDERICK MD 21705 521190659 OFFER EDUC., VOC., SOCIAL & RESIDENTIAL SUPPORT FOR MENTALLY ILL MD 501(C)(3) 7 SHEPPARD & ENOCH PRATT FOUNDATION 0 ALLIANCE INC 8003 CORPORATE DRIVE NOTTINGHAM MD 21236 521277262 EDUC., VOC., & RESID. SERVICES FOR INDIVIDUALS WITH DISABILITIES MD 501(C)(3) 7 SHEPPARD & ENOCH PRATT FOUNDATION 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 ATLANTIC RECYCLED PAPER COMPANY INC 1925 GREENSPRING AVE TIMONIUM MD 21093 521737872 INACTIVE MD N/A C 0 0 0 0 1 0 0 0 0 0 1 1 0 1 1 0 0 1 1 1