2015-05-14T10:10:24-05:00 2014-06-30 412069731 SC&H TAX & ADVISORY SERVICES LLC 910 RIDGEBROOK ROAD SPARKS MD 21152 990 2013-07-01 520591684 SHEPPARD PRATT HEALTH SYSTEM INC SHEP 4109383344 PO BOX 6815 BALTIMORE MD 21285 GERALD A NOLL CFO 4109383344 2015-05-13 1 LORI S BURGHAUSER P00370694 4104031500 2015-05-13 2013 2016-02-25 16:41:14Z GERALD A NOLL PO BOX 6815 BALTIMORE MD 21285 217626205 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. 24 23 3365 526 333017 -236988 4505878 3352717 188155034 197695433 2643134 3612905 5978288 6126613 201282334 210787668 0 0 0 0 121073292 127760461 0 0 407052 67782257 68003209 188855549 195763670 12426785 15023998 282424486 292746901 144961587 138034213 137462899 154712688 SHEPPARD PRATT, A NOT-FOR-PROFIT BEHAVIORAL HEALTH SYSTEM, IS DEDICATED TO THE IMPROVEMENT OF QUALITY OF LIFE IN COMMUNITIES BY SERVING THE BEHAVIORAL HEALTH AND SPECIAL EDUCATION NEEDS OF INDIVIDUALS, FAMILIES AND ORGANIZATIONS. 0 0 176215372 201137924 SHEPPARD PRATT HEALTH SYSTEM PROVIDES INPATIENT BEHAVIORAL HEALTH CARE, OUTPATIENT/ANCILLARY CARE, RESIDENTIAL SERVICES, SPECIAL EDUCATION TO STUDENTS AND RESIDENCY TRAINING PROGRAMS. 176215372 1 1 0 1 0 0 0 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 1 0 0 0 0 0 1 0 0 0 1 414 0 3365 1 1 1 0 0 0 0 0 0 0 0 0 X 24 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 NORTH CHARLES STREET TOWSON MD 21285 DR W BYRON FORBUSH CHAIRPERSON, TRUSTEE 1.00 X X 0 0 0 JOHN E CARNELL VICE CHAIRPERSON, TRUSTEE 1.00 X X 0 0 0 HONORABLE J FREDERICK MOTZ VICE CHAIRPERSON, TRUSTEE 1.00 X X 0 0 0 ALFRED SINGER VICE CHAIRPERSON, TRUSTEE 1.00 X X 0 0 0 MARGARET ALLEN TRUSTEE 1.00 X 0 0 0 EMILE A BENDIT MD TRUSTEE 1.00 X 0 0 0 S WINFIELD CAIN TRUSTEE 1.00 X 0 0 0 SUSAN FENIMORE TRUSTEE 1.00 X 0 0 0 LAURA GAMBLE TRUSTEE 1.00 X 0 0 0 ALAN GAMSE TRUSTEE 1.00 X 0 0 0 BOB HAMILTON TRUSTEE 1.00 X 0 0 0 H THOMAS HOWELL TRUSTEE 1.00 X 0 0 0 KENNETH JONES TRUSTEE 1.00 X 0 0 0 NORMA PEDEN KILLEBREW TRUSTEE 1.00 X 0 0 0 CHARLES E KNUDSEN TRUSTEE 1.00 X 0 0 0 ROBERT KRESSLEIN TRUSTEE 1.00 X 0 0 0 BRIAN LE GETTE TRUSTEE 1.00 X 0 0 0 WILLIAM MORTON TRUSTEE 1.00 X 0 0 0 ROBERT SCHAFTEL TRUSTEE 1.00 X 0 0 0 GAIL L SHAWE TRUSTEE 1.00 X 0 0 0 JOHN W STEELE III TRUSTEE 1.00 X 0 0 0 GARY TALLES TRUSTEE 1.00 X 0 0 0 SUSAN GAY WILLIAMS TRUSTEE 1.00 X 0 0 0 PAMELA P YOUNG PHD TRUSTEE 1.00 X 0 0 0 STEVEN S SHARFSTEIN MD PRESIDENT & CEO 40.00 5.00 X 1078651 0 300683 PATRICIA PINKERTON SECRETARY/TREASURER/VP/CFO 40.00 5.00 X 413310 0 98214 STEPHANIE PROVENZA ASST SECRETARY 40.00 X 54735 0 23851 BONNIE KATZ VP CORP DEVELOPMENT 40.00 5.00 X 300529 0 91478 ERNESTINE COSBY VP CLINICAL SERVICES 40.00 X 208788 0 103399 JAMES TRUSCELLO DIR DAY SCHOOL PROGRAMS 40.00 X 187569 0 87923 CATHERINE R DOUGHTY VP, HUMAN RESOURCES 40.00 X 179471 0 8242 M THOMAS GRAHAM DIR MANN RES PROGRAM 40.00 X 167634 0 20738 JAMES KENNETH WALTERS DIR OF PHARMACY 40.00 X 155782 0 51908 ANTONIO DEPAOLO DIR OF LEAN TRANSFORMATION 40.00 X 152174 0 15677 THOMAS HESS SPECIAL ASST TO THE PRESID 40.00 X 151778 0 38645 KATHLEEN HILZENDERGER DIR OF DIV OF PROFESSIONAL SERVICES 40.00 X 138214 0 22262 THOMAS RUSSLER DIR OF PLANT OPERATIONS 40.00 X 138088 0 26642 3326723 0 889662 49 0 1 0 LEWIS CONTRACTORS 55 GWYNNS MILL COURT OWINGS MILLS MD 21117 BUILDING CONTRACTOR 5177352 UNIVERSITY OF MD MEDICAL SYSTEM PO BOX 64468 BALTIMORE MD 212644468 RESIDENCY TRAINING 2499011 CENTER FOR EATING DISORDERS PA 6535 N CHARLES ST STE 300 BALTIMORE MD 21204 PROFESSIONAL FEES 2221574 GREATER BALTIMORE MEDICAL CENTER 6701 N CHARLES ST TOWSON MD 21204 LAB & OTHER CLINICAL SERVICES 2087687 WORCESTER EISENBRANDT INC 2100 GABLE AVE BALTIMORE MD 21230 BUILDING CONTRACTOR 769091 44 3352717 3352717 PATIENT SERVICE REVENUE 621990 117409527 117409527 EDUCATIONAL SVC REVENUE 611600 52232648 52232648 RTC/RESPITE REVENUE 623000 16557671 16557671 RETREAT REVENUE 621990 11495587 11495587 197695433 1291031 1291031 1413510 0 1413510 1413510 1413510 9159196 1215 6836952 1585 2322244 -370 2321874 2321874 OTHER OPERATING REVENUE 900099 2461047 1523452 937595 INTERCORPORATE REVENUE 900099 1919039 1919039 OTHER REVENUE - UNRELATED 900002 333017 333017 4713103 210787668 201137924 333017 5964010 3218024 3218024 102959544 97821916 4887882 249746 4585527 4211288 363507 10732 9272725 9023686 226043 22996 7724641 7094209 612353 18079 653362 4839 648523 325181 6300 318881 13529933 12577747 946569 5617 769768 651959 117809 3850441 3194737 637626 18078 2160259 56780 2103479 9237313 7818596 1365101 53616 357911 333094 24119 698 813466 691458 109457 12551 12893279 12209164 674053 10062 880391 880391 INTERCORPORATE 9739649 9248427 491222 SUPPLIES & PHARMACEUTIC 3718693 3672424 46269 REPAIRS AND MAINTENANCE 3324319 2542620 781699 FOOD 3070037 3067065 2972 2679207 1989063 685267 4877 195763670 176215372 19141246 407052 51812023 49632135 20228096 24477733 4810547 5643595 321598829 154981088 166044884 166617741 35098334 39313973 4430602 7061724 282424486 292746901 22493549 25291871 93148449 90066150 29319589 22676192 144961587 138034213 X 129443502 146248536 8019397 8464152 137462899 154712688 282424486 292746901 X 15023998 944585 1281206 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 22734 0 1 4434 27168 0 PART II-B, LINE 1: SHEPPARD PRATT RETAINS A LAW FIRM AS A REGISTERED LOBBYIST FOR $22,734 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 ($4,434) ARE USED FOR LOBBYING ACTIVITIES. 650541 X X 0 3249789 1451 3251240 3185889 63900 3249789 2904154 281735 3185889 2902654 1500 2904154 15463049 15463049 234130899 108498948 125631951 56056315 40777237 15279078 15948566 5704903 10243663 166617741 INVESTMENTS LIMITED OR RESTRICTED A 31002190 F INTEREST IN NET ASSETS OF FOUNDATION 8311783 F 39313973 SELF-INSURANCE LIABILITY 12063756 CAPITAL LEASE OBLIGATIONS 4664887 ACCRUED PENSION LIABILITY 2453352 DUE TO AFFILIATES 3494197 22676192 215106262 944585 3413455 4358040 210748222 39446 39446 210787668 198270704 2507034 2507034 195763670 0 195763670 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 2,506,664. NET ASSETS RELEASED FROM RESTRICTION 878,854. NET ASSETS RELEASED FROM FOUNDATION TO HOSPITAL - CAPITAL 27,937. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON SALE OF ASSETS -370. CAPITAL GRANT 39,816. PART XII, LINE 2D - OTHER ADJUSTMENTS: PHYSICIANS PA OVERHEAD RECOVERY ALLOCATION 2,506,664. LOSS ON SALE OF ASSETS 370. PART 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 0 5539297 0 5539297 0.02830 5539297 5539297 0.02830 327825 327825 0.00170 2283672 442850 1840822 0.00940 550886 18718 532168 0.00270 322111 86006 236105 0.00120 63359 63359 0.00030 3547853 547574 3000279 0.01530 9087150 547574 8539576 0.04360 12 156109 156109 0.00080 12 169416 169416 0.00090 3 1100 1100 0.00000 1 4000 4000 0.00000 28 330625 330625 0.00170 1 2244792 17631923 19163009 -1531086 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 1 X X X X X X X X X 12 1 1 1 X HTTP://WWW.SHEPPARDPRATT.ORG/ X X X 0 0 1 1 250.000000000000 1 250.000000000000 1 X 1 1 X X X X X X 1 0 X X X X 1 X 0 0 SHEPPARD PRATT AT ELLICOTT CITY 2 1 X X X X X X X X X 12 1 1 1 X HTTP://WWW.SHEPPARDPRATT.ORG/ X X X 0 0 1 1 250.000000000000 1 250.000000000000 1 X 1 1 X X X X X X 1 0 X X X X 1 X 0 0 SHEPPARD PRATT HOSPITAL PART V, SECTION B, LINE 3: 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 3: 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 4: UNIVERSITY OF MARYLAND SAINT JOSEPH MEDICAL CENTERGREATER BALTIMORE MEDICAL CENTER SHEPPARD PRATT AT ELLICOTT CITY PART V, SECTION B, LINE 4: UNIVERSITY OF MARYLAND SAINT JOSEPH MEDICAL CENTERGREATER BALTIMORE MEDICAL CENTER SHEPPARD PRATT HOSPITAL PART V, SECTION B, LINE 7: 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 7: 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 14G: FINANCIAL CASE MANAGERS ALSO PROVIDE INFORMATION ON THE FINANCIAL ASSISTANCE FOR ACCOUNTS WHICH THEY BELIEVE MAY BENEFIT FROM ASSISTANCE. SHEPPARD PRATT AT ELLICOTT CITY PART V, SECTION B, LINE 14G: FINANCIAL CASE MANAGERS ALSO PROVIDE INFORMATION ON THE FINANCIAL ASSISTANCE FOR ACCOUNTS WHICH THEY BELIEVE MAY BENEFIT FROM ASSISTANCE. SHEPPARD PRATT HOSPITAL PART V, SECTION B, LINE 20D: MARYLAND HSCRC SETS RATES FOR ALL HOSPITALS IN THE STATE SHEPPARD PRATT AT ELLICOTT CITY PART V, SECTION B, LINE 20D: MARYLAND HSCRC SETS RATES FOR ALL HOSPITALS IN THE STATE 17 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 FORBUSH SCHOOL AT GLYNDON 407 CENTRAL AVENUE REISTERSTOWN MD 21136 ACCREDITED SPECIAL EDUCATION SCHOOL FACILITY THE RETREAT AT SHEPPARD PRATT 6501 NORTH CHARLES STREET BALTIMORE MD 21204 16-BED LICENSED ASSISTED LIVING PROGRAM 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 HANNAH MORE 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 THERAPEUTIC PRESCHOOL AT TOWSON 6501 NORTH CHARLES STREET BALTIMORE MD 21204 SPECIAL EDUCATION AND RELATED SERVICES SCHOOL FORBUSH SCHOOL AT OAKMONT - UPPER 610 EAST DIAMOND AVENUE GAITHERSBURG MD 20877 12-MONTH DAY SCHOOL FOR STUDENTS WITH AUTISM 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 7F 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: IN FY 2014, 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 2014, THE PROGRAM PROVIDED A TOTAL OF 3,490 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 TREATMENT). SHEPPARD PRATT MAINTAINS BOTH ISDN AND IP LINES TO ENSURE CONNECTIVITY THROUGH ALL CIRCUMSTANCES. ADDITIONALLY, SHEPPARD PRATT'S VIDEOCONFERENCING BRIDGE EQUIPMENT ALLOWS THE SYSTEM TO CONNECT MULTIPLE SITES INTO ONE EDUCATIONAL TELEHEALTH SESSION. UTILIZING ENCRYPTED POINT-TO-POINT CONNECTIONS, SHEPPARD PRATT PROVIDES PSYCHIATRIC TREATMENT SERVICES TO CHILDREN, ADOLESCENT AND ADULT PATIENTS WHOSE ORIGINATING POINT OF SERVICE IS HEALTH DEPARTMENTS OR CLINICS LOCATED IN FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AND PROVIDER SHORTAGE AREAS OF MARYLAND. IN FY 2014, 2,435 ENCOUNTERS WERE PROVIDED THROUGH 1,872 HRS. OF TELEPSYCHIATRY SERVICE. PRIOR TO THIS TYPE OF SERVICE, MANY CLIENTS WERE FORCED TO USE AREA EMERGENCY ROOMS AFTER THEIR SYMPTOMS BECAME OVERWHELMING. IT WAS NOT UNCOMMON FOR SOME CLIENTS TO BE JAILED FOR BEHAVIORS MORE READILY CONTROLLED WITH MEDICATION. IN ADDITION TO TELEPSYCHIATRY SERVICES, SHEPPARD PRATT OFFERS TELEHEALTH TO RURAL PROVIDERS, GIVING THEM ACCESS TO SHEPPARD PRATT'S COMPLEMENTARY PROFESSIONAL EDUCATION ENCOMPASSING 20 WEDNESDAY LECTURES WHICH WERE VIDEO CONFERENCED TO RURAL LOCATIONS. DURING THIS PERIOD, MORE THAN 350 NON-SHEPPARD PRATT CLINICAL PROFESSIONALS ACCESSED THESE FREE CME SESSIONS WHICH MAY NOT HAVE BEEN OTHERWISE AVAILABLE LOCALLY.FREE MEDICATION:SHEPPARD PRATT PROVIDED MANY PATIENTS WITH FREE DISCHARGE MEDICATION IN FY 2014; THE HOSPITAL SPENT $111,797 FILLING MORE THAN 1,400 PRESCRIPTIONS IN FY14. 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 HELP, SHEPPARD PRATT HAS WORKED DILIGENTLY TO PROVIDE ACCESS THROUGH MANY LEVELS FROM FREELY AVAILABLE INFORMATION ON THE INTERNET TO PUBLIC MEETINGS AND PROFESSIONAL SERVICES. COMMUNITY SUPPORTCONFERENCES AND PUBLIC EDUCATION SESSIONS ARE PROVIDED BY SHEPPARD PRATT'S GRANT FUNDED MOBILE CRISIS TEAM IN HARFORD COUNTY WHICH RESPONDS TO MENTAL HEALTH EMERGENCIES AT HOMES, WORK OR SCHOOL. THE PROGRAM AVERTS UNNECESSARY VISITS TO EMERGENCY ROOMS AND SUBSEQUENT HOSPITALIZATIONS OF PERSONS EXPERIENCING A MENTAL HEALTH CRISIS. IN FY 2014, THE MOBILE CRISIS PROGRAM SERVED MORE THAN 5,000 INDIVIDUALS THROUGH A VARIETY OF SERVICES AND EVENTS. THESE EVENTS INCLUDED CLINICAL CALLS DURING POLICE CALL, CRITICAL INCIDENT STRESS DEBRIEFINGS, COMMUNITY EDUCATION, AND CRISIS INTERVENTION TRAINING FOR LAW ENFORCEMENT. TRANSPORTATION SERVICES WERE PROVIDED IN A NUMBER OF SITUATIONS IN FY 2014: 1) 711 PERSONS WERE TRANSPORTED TO MEDICAL AND OTHER RELATED SERVICES. 2) AMBULANCE AND CAB TRANSPORT WERE PROVIDED TO INDIVIDUALS WHO PRESENTED THEMSELVES TO SHEPPARD PRATT, BUT WERE UNABLE TO MAKE THEIR OWN TRANSPORTATION ARRANGEMENTS. FY 2014 COST FOR THESE SERVICES WAS $140,392. LEADERSHIP DEVELOPMENT AND TRAININGIN FY 2014, SHEPPARD PRATT SERVED AS THE TRAINING RESOURCE FOR POSITIVE BEHAVIORAL INTERVENTIONS AND SUPPORTS (PBIS). BOTH PROGRAMS ARE GRANT-FUNDED AND ARE PROVIDED IN PARTNERSHIP WITH THE MARYLAND DEPARTMENT OF EDUCATION AND THE JOHNS HOPKINS UNIVERSITY'S CENTER FOR PREVENTION OF YOUTH VIOLENCE. THE PROGRAMS TRAIN EDUCATORS IN METHODS AND EVIDENCE-BASED PRACTICES TO ENHANCE THE CAPACITY OF SCHOOL STAFF TO EDUCATE CHILDREN IN A SAFE AND EFFECTIVE LEARNING ENVIRONMENT. IN FY14, MORE THAN 3,400 STAFF MEMBERS OF PUBLIC, ALTERNATIVE, AND NON-PUBLIC SCHOOLS ACCESSED TRAINING IN MARYLAND. COALITION BUILDINGCORPORATE VOLUNTEERISM IS 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 SMALLER NON-PROFIT ORGANIZATIONS. EXECUTIVE STAFF PARTICIPATE ON VARIOUS COMMUNITY BOARDS WITH MISSIONS DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR THOSE THEY SERVE. WORKFORCE DEVELOPMENTSHEPPARD PRATT CONTINUES ITS SUPPORT OF HEALTH CAREERS THROUGH A SCHOLARSHIP FUND FOR DESERVING TOWSON UNIVERSITY FRESHMEN INTERESTED IN A HEALTH CARE CAREER. THE TOWSON FOUR (SHEPPARD PRATT, ST JOSEPH'S MEDICAL CENTER, GREATER BALTIMORE MEDICAL CENTER, AND TOWSON UNIVERSITY) MAKE AN ANNUAL CONTRIBUTION OF $16,000 TO THIS SCHOLARSHIP. THE FUNDS ARE DISBURSED IN THE AMOUNT OF $2,000 PER SEMESTER FOR EIGHT CONSECUTIVE SEMESTERS. SHEPPARD PRATT'S PORTION OF THE AWARD IS $4,000. IN ADDITION TO FUNDING THE AWARD, EACH FACILITY OFFERS THE RECIPIENT THE 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 2014 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: THE FOLLOWING DEMOGRAPHIC STATISTICS DESCRIBE THE POPULATIONS SURROUNDING BOTH SHEPPARD PRATT CAMPUSES LOCATED IN THE GREATER BALTIMORE AND HOWARD COUNTY COMMUNITIES. ACCORDING TO U.S. CENSUS BUREAU (2010) ESTIMATES, THE TOTAL POPULATION IN THE GREATER BALTIMORE COMMUNITY IS 298,273. THE POPULATION INCREASED 7.3% BETWEEN 2000 AND 2010. HOWARD COUNTY'S POPULATION WAS 288,225 AND CHANGED BY 2.1%.FROM 2010 TO 2011.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%). IN HOWARD COUNTY, THE MEDIAN AGE IS 38.4 YEARS WITH 10.2% OF ADULTS OVER AGE 65. 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%). HOWARD COUNTY'S POPULATION IS 62.4% WHITE, 17.8 % AFRICAN-AMERICAN AND 14.4% ASIAN. IN HOWARD COUNTY, 77.7% OF RESIDENTS SPEAK ENGLISH ONLY WHILE 22.3% SPEAK A LANGUAGE OTHER THAN ENGLISH. 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 $104,375. SOURCE: 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, 2012EDUCATION 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%). (SOURCE: U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES, 2010THERE 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: IN FY 2014, SHEPPARD PRATT CONTINUED TO BE RECOGNIZED BY U.S NEWS AND WORLD REPORT AS ONE OF THE NATION'S TOP TEN HOSPITALS FOR PSYCHIATRIC CARE AND WAS THE ONLY PSYCHIATRIC SPECIALTY HOSPITAL WITHIN THE TOP TEN LISTING WHICH WAS NOT OTHERWISE AFFILIATED WITH A LARGER GENERAL HOSPITAL OR UNIVERSITY SYSTEM. SHEPPARD PRATT PROVIDED SERVICE FOR 9,139 INPATIENT ADMISSIONS IN FY 2014 RESULTING IN SERVICE FOR 101,693 INPATIENT DAYS, 74,463 OUTPATIENT AND DAY HOSPITAL VISITS, 38,932 RTC/RESPITE DAYS, AND 151,258 STUDENT DAYS. FIFTY-SIX PERCENT OF INPATIENT SERVICES WERE PROVIDED TO MEDICARE OR MEDICAID RECIPIENTS. SHEPPARD PRATT CONTINUES TO PROVIDE A CRISIS WALK IN CLINIC (CWIC) IN RESPONSE TO THE COMMUNITY'S NEED FOR WALK-IN PSYCHIATRIC ASSESSMENTS; THIS PROGRAM PROVIDES AN EVALUATION OUTSIDE THE RIGORS OF A MEDICAL EMERGENCY ROOM SETTING. CURRENTLY OPERATING MONDAY THROUGH FRIDAY FROM 10:30 A.M.TO 10:00 P.M. 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 2014, 4,373 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 AND PROVIDES BOTH INPATIENT AND PARTIAL DAY HOSPITALIZATION SERVICES. THE TWO INPATIENT HOSPITAL PROGRAMS ARE LICENSED TO OPERATE A TOTAL OF 414 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 SERVICE PROGRAMMING: THERAPY REFERRAL SERVICE (TRS) IS A FREE, CONFIDENTIAL TELEPHONE SERVICE THAT PROVIDES THE PUBLIC WITH REFERRALS TO MENTAL HEALTH RESOURCES IN THE BALTIMORE METROPOLITAN AREA INCLUDING SHEPPARD PRATT PROGRAMS. IN FY 2014, THIS PROGRAM PROVIDED THE PUBLIC WITH REFERRAL INFORMATION FOR EXTERNAL PROGRAM MORE THAN 5,000 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. SHEPPARD PRATT'S VOLUNTEER BOARD CONSISTS OF 26 INDIVIDUALS WHO RESIDE IN THE PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION. FURTHER, THE HEALTH SYSTEM OPERATES A CLOSED STAFF MODEL; HOWEVER, CONSULTANTS FROM THE COMMUNITY ARE UTILIZED FOR MEDICAL SPECIALTY SERVICES AS REQUIRED FOR PATIENT CARE. EXCESS FUNDS ARE USED FOR STAFF TRAINING AND PHYSICAL IMPROVEMENTS TO THE ENVIRONMENT OF CARE AND FOR FINANCIAL ASSISTANCE. 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 780570 0 0 0 298081 0 293216 0 7467 0 1379334 0 0 0 PATRICIA PINKERTON SECRETARY/TREASURER/VP/CFO 409237 0 0 0 4073 0 79400 0 18814 0 511524 0 0 0 BONNIE KATZ VP CORP DEVELOPMENT 294967 0 0 0 5562 0 74113 0 17365 0 392007 0 0 0 ERNESTINE COSBY VP CLINICAL SERVICES 204811 0 0 0 3977 0 92642 0 10757 0 312187 0 0 0 JAMES TRUSCELLO DIR DAY SCHOOL PROGRAMS 181905 0 500 0 5164 0 72204 0 15719 0 275492 0 0 0 CATHERINE R DOUGHTY VP, HUMAN RESOURCES 177670 0 0 0 1801 0 7707 0 535 0 187713 0 0 0 M THOMAS GRAHAM DIR MANN RES PROGRAM 163988 0 500 0 3146 0 13129 0 7609 0 188372 0 0 0 JAMES KENNETH WALTERS DIR OF PHARMACY 153266 0 500 0 2016 0 34079 0 17829 0 207690 0 0 0 ANTONIO DEPAOLO DIR OF LEAN TRANSFORMATION 146194 0 5500 0 480 0 0 0 15677 0 167851 0 0 0 THOMAS HESS SPECIAL ASST TO THE PRESID 149012 0 500 0 2266 0 37547 0 1098 0 190423 0 0 0 KATHLEEN HILZENDERGER DIR OF DIV OF PROFESSIONAL SERVICES 136749 0 500 0 965 0 4416 0 17846 0 160476 0 0 0 THOMAS RUSSLER DIR OF PLANT OPERATIONS 135007 0 500 0 2581 0 10931 0 15711 0 164730 0 0 0 PART I, LINE 4B LINE 4B: THE FOLLOWING PARTICIPATED IN SHEPPARD PRATT'S 457(F) PLAN: STEVEN S. SHARFSTEIN $238,679 PATRICIA PINKERTON $50,000 BONNIE KATZ $25,000 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 1275000 34032000 32510324 516 1522013 2005 0 1 1 1 B 4782849 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 1 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% RCM&D INC IN-DIRECT BUSINESS 1342175 RCM&D PROVIDES INSURANCE BROKER SERVICES TO THE ORGANIZATION. THE COO OF RCMD IS THE SON OF MR. CARNELL. 0 SISCO INC IN-DIRECT BUSINESS 1416212 SISCO, INC. PROVIDED WORKMAN'S COMPENSATION SERVICES TO THE ORGANIZATION INCLUDING ADMINISTRATION FEES AND CLAIMS' PAYMENTS. SISCO, INC. IS A WHOLLY OWNED SUBSIDIARY OF RCMD. THE COO OF RCMD IS THE SON OF MR. CARNELL. 0 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 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 TO THE CHAIRMAN OF THE BOARD FOR REVIEW. CONFLICTS ARE REPORTED AT BOARD MEETINGS AS APPROPRIATE. 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 IN THEIR REVIEW PROCESS. THE PROCESS FOR EMPLOYEE COMPENSATION INCLUDES DEVELOPMENT OF COMPENSATION RECOMMENDATIONS BASED ON MARKET SURVEYS AND OTHER COMPARATIVE INDUSTRY DATA. 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. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS AND OTHER POLICIES ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER FROM SHEPPARD AND ENOCH PRATT FOUNDATION, INC. 2,844,000. CHANGES IN PENSION LIABILITY -1,607,960. INTEREST IN ASSETS OF FOUNDATION 444,755. ASSETS RELEASED FROM RESTRICTION - FOUNDATION 1,172,474. TRANSFER TO SHEPPARD PRATT PHYSICIANS PA, INC. -1,600,000. NET ASSETS RELEASED FROM FOUNDATION TO HOSPITAL - CAPITAL 27,937. 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 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 DEVELOPMENT ORG ING 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 ORG 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 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