2014-05-15T15:34:09-05:00 2013-06-30 412069731 SC&H TAX & ADVISORY SERVICES LLC 910 RIDGEBROOK ROAD SPARKS MD 21152 990 2012-07-01 520591684 SHEPPARD PRATT HEALTH SYSTEM INC SHEP 4109383344 PO BOX 6815 BALTIMORE MD 21285 PATRICIA PINKERTON 4109383344 2014-04-29 1 LORI S BURGHAUSER P00370694 4104031500 2014-04-29 2012 2015-11-30 17:44:51Z PATRICIA PINKERTON PO BOX 6815 BALTIMORE MD 21285 217893450 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. 27 26 3162 506 381101 -294646 5056696 4505878 180808228 188155034 1701463 2643134 6730311 5978288 194296698 201282334 0 0 0 0 115479308 121073292 0 0 511232 74345121 67782257 189824429 188855549 4472269 12426785 269805711 282424486 162672157 144961587 107133554 137462899 X 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. 1 0 170248310 191618416 SHEPPARD PRATT HEALTH SYSTEM PROVIDES INPATIENT BEHAVIORAL HEALTH CARE, OUTPATIENT/ANCILLARY CARE, RESIDENTIAL SERVICES, SPECIAL EDUCATION TO STUDENTS AND RESIDENCY TRAINING PROGRAMS. 170248310 1 1 0 1 0 0 0 1 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 0 0 1 537 0 3162 1 1 1 0 0 0 0 1 1 0 0 0 0 X 27 26 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 1.00 X X 0 0 0 JOHN E CARNELL 1.00 X X 0 0 0 TIMOTHY R HEARN 1.00 X X 0 0 0 HONORABLE J FREDERICK MOTZ 1.00 X X 0 0 0 ALFRED SINGER 1.00 X X 0 0 0 MARGARET ALLEN 1.00 X 0 0 0 EMILE A BENDIT MD 1.00 X 0 0 0 THOMAS BONOMO 1.00 X 0 0 0 S WINFIELD CAIN 1.00 X 0 0 0 SUSAN FENIMORE 1.00 X 0 0 0 LAURA GAMBLE 1.00 X 0 0 0 ALAN GAMSE 1.00 X 0 0 0 BOB HAMILTON 1.00 X 0 0 0 H THOMAS HOWELL 1.00 X 0 0 0 KENNETH JONES 1.00 X 0 0 0 NORMA PEDEN KILLEBREW 1.00 X 0 0 0 CHARLES E KNUDSEN 1.00 X 0 0 0 ROBERT KRESSLEIN 1.00 X 0 0 0 BRIAN LE GETTE 1.00 X 0 0 0 ANNETTE R MARCH-GRIER 1.00 X 0 0 0 WILLIAM MORTON 1.00 X 0 0 0 ROBERT SCHAFTEL 1.00 X 0 0 0 GAIL L SHAWE 1.00 X 0 0 0 JOHN W STEELE III 1.00 X 0 0 0 GARY TALLES 1.00 X 0 0 0 SUSAN GAY WILLIAMS 1.00 X 0 0 0 PAMELA P YOUNG PHD 1.00 X 0 0 0 STEVEN S SHARFSTEIN MD 40.00 5.00 X 783113 0 63436 PATRICIA PINKERTON 40.00 5.00 X 481923 0 94752 STEPHANIE PROVENZA 40.00 X 56586 0 15005 BONNIE KATZ 40.00 5.00 X 288357 0 94243 JAMES TRUSCELLO 40.00 X 183776 0 96750 ERNESTINE COSBY 40.00 X 181924 0 67814 M THOMAS GRAHAM 40.00 X 163438 0 22167 CATHERINE R DOUGHTY 40.00 X 151891 0 7710 JAMES KENNETH WALTERS 40.00 X 151368 0 54919 THOMAS HESS 40.00 X 148048 0 40072 THOMAS RUSSLER 40.00 X 132726 0 29872 LINDA BENDOS 40.00 X 126619 0 19027 GREGORY MERKLE 40.00 X 125547 0 21123 2975316 0 626890 46 0 1 0 GREATER BALTIMORE MEDICAL CENTER 6701 N CHARLES STREET TOWSON MD 21204 LAB FEES & OTHER CLINICAL SERVICES 2225061 UNIVERSITY OF MARYLAND MEDICAL SYSTEM PO BOX 64468 BALTIMORE MD 212644468 RESIDENCY TRAINING PROGRAM 2179304 CENTER FOR EATING DISORDERS PA 6535 N CHARLES STREET STE 300 BALTIMORE MD 21204 PROFESSIONAL FEES 1952625 LEWIS CONTRACTORS 55 GWYNNS MILL COURT OWINGS MILLS MD 21117 BUILDING CONTRACTOR 1898090 RATHS RATHS & JOHNSON INC 500 JOLIET ROAD STE 200 WILLOWBROOK IL 60527 PROFESSIONAL SERVICES 1622336 51 218031 3868338 419509 26819 4505878 PATIENT SERVICE REVENUE 621990 113923185 113923185 EDUCATIONAL SVC REVENUE 611600 49097863 49097863 RTC/RESPITE REVENUE 623000 15922898 15922898 RETREAT REVENUE 621990 9211088 9211088 188155034 1285586 1285586 1266480 0 1266480 1266480 1266480 17872734 10872 16486632 39426 1386102 -28554 1357548 1357548 54900 218031 85058 -30158 -30158 OTHER OPERATING REVENUE 900099 2296327 1398844 897483 INTERCORPORATE REVENUE 900099 2064538 2064538 OTHER REVENUE - UNRELATED 900002 381101 381101 4741966 201282334 191618416 381101 4776939 2733281 2733281 96680831 91667524 4756338 256969 6222964 5716502 490466 15996 8197884 7986187 189350 22347 7238332 6649233 570493 18606 555693 1953 553740 282534 282534 13515405 12648268 799438 67699 572521 474633 97888 3628938 2908390 681830 38718 2004393 34645 1969748 9054203 7716857 1285398 51948 407110 376577 29624 909 990731 825268 161453 4010 13491835 12770296 711478 10061 424196 424196 INTERCORPORATE 9261815 8828112 433703 SUPPLIES & PHARMACEUTIC 3616385 3587053 29332 REPAIRS AND MAINTENANCE 3277118 2583372 693746 FOOD 2896664 2888447 8129 88 3802716 2584993 1193842 23881 188855549 170248310 18096007 511232 46445283 51812023 19086654 20228096 5807670 4810547 313654809 147609925 160998041 166044884 33622828 35098334 3845235 4430602 269805711 282424486 20835881 22493549 96030993 93148449 45805283 29319589 162672157 144961587 X 98882216 129443502 5001550 8019397 3249788 0 107133554 137462899 269805711 282424486 X 12426785 927923 16974637 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 24516 0 1 5257 29773 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: SHEPPARD PRATT RETAINS A LAW FIRM AS A REGISTERED LOBBYIST FOR $24,516 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 ($5,257) ARE USED FOR LOBBYING ACTIVITIES. 627944 X X 0 3249789 1451 3251240 3185889 63900 3249789 2904154 281735 3185889 2902654 1500 2904154 2672119 230535 2902654 0 1 1 15463049 15463049 231112931 103518860 127594071 54104452 38844700 15259752 12974377 5246365 7728012 166044884 INVESTMENTS LIMITED OR RESTRICTED A 27231306 F INTEREST IN NET ASSETS OF FOUNDATION 7867028 F 35098334 SELF-INSURANCE LIABILITY 11110717 CAPITAL LEASE OBLIGATIONS 5208699 ACCRUED PENSION LIABILITY 9230784 DUE TO AFFILIATES 3769389 29319589 206960022 757939 5902175 6660114 200299908 982426 982426 201282334 191240688 2385139 2385139 188855549 0 188855549 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. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: 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 2,356,584. NET ASSETS RELEASED FROM RESTRICTION 1,007,761. INHERENT CONTRIBUTION FROM HANNAH MORE ACQUISITION 2,537,828. ROUNDING 2. PART XI, LINE 4B - OTHER ADJUSTMENTS: RESTRICTED CONTRIBUTIONS 607,383. INVESTMENT INCOME ON TEMPORARILY RESTRICTED ASSETS 89,848. REALIZED GAIN ON TEMPORARILY RESTRICTED ASSETS 253,913. LOSS ON SALE OF ASSETS -28,554. CAPITAL GRANT 59,836. PART XII, LINE 2D - OTHER ADJUSTMENTS: PHYSICIANS PA OVERHEAD RECOVERY ALLOCATION 2,356,585. LOSS ON SALE OF ASSETS 28,554. PARTS XI AND XII RECONCILE TO SEPARATE COMPANY FINANCIAL STATEMENTS OF SHEPPARD PRATT HEALTH SYSTEM, INC. CARE FOR KIDS 272931 218031 54900 5818 50784 12500 15956 272931 218031 54900 5818 50784 12500 15956 85058 -30158 1 1 X 1 X 1 X 1 1 1 0 1 1 6347781 6347781 0.03360 6347781 6347781 0.03360 32570 32570 0.00020 2147126 518531 1628595 0.00860 293093 22198 270895 0.00140 97215 97215 0.00050 2570004 540729 2029275 0.01070 8917785 540729 8377056 0.04430 81 104102 104102 0.00060 13 181851 181851 0.00100 2 6280 6280 0.00000 1 4000 4000 0.00000 97 296233 296233 0.00160 1 2199963 20028384 21067406 -1039022 X 1 1 2 1 SHEPPARD PRATT HOSPITAL

6501 N CHARLES STREET TOWSON MD 21204

X X SEE NARRATIVE 2 SHEPPARD PRATT AT ELLICOTT CITY

4100 COLLEGE AVENUE ELLICOTT CITY MD 21041

X SEE NARRATIVE SHEPPARD PRATT HOSPITAL 1 1 X X X X X X X X X 12 1 1 1 X X 0 0 1 1 200.000000000000 1 200.000000000000 1 X 1 1 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 X 0 0 1 1 200.000000000000 1 200.000000000000 1 X 1 1 X X X X X 1 0 X X X X 1 X 0 0 19 MANN RESID TREATMENT CENTER & SCHOOL

6501 NORTH CHARLES STREET BALTIMORE MD 21204

THERAPEUTIC EDUCATIONAL AND RESIDENTIAL PROGRAM 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 JEFFERSON RESID TREATMENT CENTER

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 HANNAH MORE SCHOOL

12039 REISTERSTOWN ROAD BALTIMORE MD 21204

SPECIAL EDUCATION AND RELATED SERVICES SCHOOL JEFFERSON SCHOOL

2940 POINT OF ROCKS ROAD PO BOX 9 JEFFERSON MD 21755

LICENSED RESIDENTIAL TREATMENT CENTER JEFFERSON SCHOOL AT FINAN

10102 COUNTRY CLUB ROAD SOUTHEAST CUMBERLAND MD 21501

SCHOOL SERVES STUDENTS WITH EMOTIONAL DISTURBANCES AND WITH AUTISM FORBUSH SCHOOL AT PRINCE GEORGE'S CO

4949 ADDISON ROAD CAPITAL HEIGHTS MD 20743

FIVE CLASSROOMS SERVING AUTISTIC CHILDREN IN A PUBLIC SCHOOL SETTING 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 SHEPPARD PRATT RESPITE PROGRAM

6501 NORTH CHARLES STREET BALTIMORE MD 21204

24-HOUR THERAPEUTIC LIVING ENVIRONMENT FORBUSH SCHOOL AT ANNE ARUNDEL

648 OLD MILL ROAD MILLERSVILLE MD 21108

SPECIAL EDUCATION AND RELATED SERVICES SCHOOL FORBUSH SCHOOL AT WESTMINSTER

1135 BUSINESS PARKWAY SOUTH SUITE 50 WESTMINSTER MD 21157

NON-PUBLIC ELEMENTARY/MIDDLE 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 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: RESIDENTS OUTPATIENT CLINIC: IN FY 2013, SHEPPARD PRATT'S RESIDENCY TRAINING PROGRAM CONTINUED TO OFFER THE RESIDENTS' OUTPATIENT CLINIC. SERVICES ARE FREE OR FOR SMALL CO-PAY INCLUDING AN INITIAL EVALUATION AS WELL AS MEDICATION MANAGEMENT SESSIONS. RECIPIENTS OF THIS PSYCHIATRIC SERVICE AGREE TO BE TREATED BY AN M.D. PSYCHIATRY RESIDENT WHOSE SERVICE IS SUPERVISED BY A LICENSED PSYCHIATRIST, BE AT LEAST 6 YEARS OF AGE AND AGREE TO BE SCREENED AT INTAKE FOR OUTPATIENT TREATMENT CRITERIA. DURING FY 2013, THE PROGRAM PROVIDED A TOTAL OF 4,220 SERVICES TO 259 CLIENTS. 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 INSURE 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 2013, 260 CLIENTS WERE PROVIDED WITH 2,131 HOURS OF TELEPSYCHIATRY SERVICE. 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 2013 PROFESSIONAL EDUCATION: 21 WEDNESDAY LECTURE SESSIONS WERE PROVIDED TO A VARIETY OF RURAL LOCATIONS UTILIZING A VIDEOCONFERENCING BRIDGE; 371 NON-SHEPPARD PRATT CLINICAL PROFESSIONALS ACCESSED THESE FREE CME SESSIONS VIA VIDEOCONFERENCING WHICH MAY NOT HAVE BEEN OTHERWISE AVAILABLE LOCALLY. PART II: COMMUNITY SUPPORT: 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 EDUCATIONAL LITERATURE. IN FY 2013, SHEPPARD PRATT PROVIDED EDUCATIONAL INFORMATION TO THE COMMUNITY BY ATTENDING 72 PUBLIC CONFERENCES AND EVENTS. DURING THIS REPORTING PERIOD, CONFERENCES INCLUDED: HONESTLY AUTISM DAY, THE MANSEF CONFERENCE, THE NADD CONFERENCE, THE SENIOR EXPO, AND THE SUICIDE PREVENTION CONFERENCE AS WELL AS MANY 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. THE PROGRAM AVERTS UNNECESSARY VISITS TO EMERGENCY ROOMS AND SUBSEQUENT HOSPITALIZATION OF PERSONS EXPERIENCING A MENTAL HEALTH CRISIS. IN FY 2013, THE MOBILE CRISIS PROGRAM SERVED 3,903 INDIVIDUALS THROUGH A VARIETY OF SERVICES 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 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 ALSO PROVIDED FOR ANYONE CONCERNED ABOUT NUTRITIONAL HABITS. IN FY 2013, SHEPPARD PRATT'S WEB SITE RECEIVED 1.3 MILLION VISITORS; VISITORS HAVE FREE ACCESS TO MENTAL HEALTH ARTICLES AND LINKS TO OTHER GENERAL, NON-PROFIT MENTAL HEALTH RESOURCES. REQUESTS FOR FREE MENTAL HEALTH EDUCATION LITERATURE CAN BE MADE THROUGH THE WEB SITE OR BY PERSONAL TELEPHONE REQUEST. IN FY 2013, APPROXIMATELY 1,680 REQUESTS WERE FULFILLED. A SAMPLE OF LITERATURE TOPICS INCLUDED: "UNDERSTANDING DEPRESSION", "FINDING THE RIGHT MENTAL HEALTH PROVIDER"; "PROBLEMS OF ADULTHOOD"; "FEELINGS AFTER BIRTH: POSTPARTUM ADJUSTMENT"; AND, "HELP AND HOPE: WHEN BAD THINGS HAPPEN". SHEPPARD PRATT'S SPEAKERS BUREAU ARRANGED FOR MENTAL HEALTH-RELATED PRESENTATIONS TO INTERESTED COMMUNITY GROUPS. A TOTAL OF FOUR FREE COMMUNITY EDUCATIONAL EVENTS WERE SPONSORED BY SHEPPARD PRATT IN FY 2013. DETAILS ON SEVERAL ARE PROVIDED BELOW. ANNUAL OPEN FORUM IN NOVEMBER 2012: THE HONORABLE GOVERNOR EDWARD RENDELL OF PENNSYLVANIA SPOKE ON HIS POLITICAL ANALYSIS OF PROSPECTS FOR HEALTH REFORM. IN NOVEMBER 2012, CARRIE ARNOLD SPOKE ABOUT HOPE THROUGH SCIENCE: DECODING EATING DISORDERS. FEBRUARY 2013: EMME, FULL FIGURED SUPERMODEL AND PUBLIC ADVOCATE SPOKE ON CONNECTING BODY, MIND AND SPIRIT AND BODY IMAGE DURING NATIONAL EATING DISORDERS AWARENESS WEEK.ADDITIONALLY, TRAINING CONFERENCES, WHICH ARE OPEN TO THE PUBLIC BUT REQUEST A FEE FOR ATTENDANCE, WERE ALSO OFFERED DURING THIS REPORT PERIOD. THESE CONFERENCES ARE OFFERED AT A FINANCIAL LOSS AS THERE IS A STRONG COMMUNITY NEED FOR THIS TYPE OF EDUCATION. DURING THIS REPORT PERIOD EATING DISORDERS AND PSYCHOLOGY (2) SESSIONS WERE PROVIDED AT A FINANCIAL LOSS FOR EACH SESSION. LEADERSHIP DEVELOPMENT AND TRAINING FOR THE COMMUNITYIN FY 2013, 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 970 PUBLIC, ALTERNATIVE, AND NON-PUBLIC SCHOOLS ACROSS ALL 24 LOCAL SCHOOL SYSTEMS IN MARYLAND HAVE RECEIVED TRAINING. 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 OTHER, SMALLER NON-PROFIT ORGANIZATIONS. EXECUTIVE STAFF PARTICIPATE ON VARIOUS COMMUNITY BOARDS WHOSE MISSIONS ARE DEDICATED TO IMPROVING QUALITY OF LIFE FOR ALL THEY SERVE. WHILE IN VOLUNTEER SERVICE TO LOCAL AND NATIONAL NON-PROFIT ORGANIZATIONS, 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 FRESHMAN 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 COMBINES WITH THE PARTNERS TO PROVIDE $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 4: PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY ALLOWANCES FOR BAD DEBTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION 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 ORGANIZATION 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 ORGANIZATION 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 2: SHEPPARD PRATT HEALTH SYSTEM'S POLICY IS TO WRITE OFF ALL ACCOUNTS THAT HAVE BEEN IDENTIFIED AS UNCOLLECTIBLE. AN ALLOWANCE FOR UNCOLLECTIBLES 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 THE MEDICARE COST REPORTS FILED TO DETERMINE AMOUNTS REPORTED AS BAD DEBT EXPENSE. 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 2013 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. 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: GREATER BALTIMORE MEDICAL CENTERST. JOSEPH'S MEDICAL CENTER SHEPPARD PRATT AT ELLICOTT CITY PART V, SECTION B, LINE 4: GREATER BALTIMORE MEDICAL CENTERST. JOSEPH'S MEDICAL CENTER SHEPPARD PRATT HOSPITAL PART V, SECTION B, LINE 7: THE JOINT NEEDS ASSESSMENT IDENTIFIED MEDICAL NEEDS THAT ARE NOT A PART OF SHEPPARD PRATT'S PSYCHIATRIC-ONLY SERVICES. SHEPPARD PRATT AT ELLICOTT CITY PART V, SECTION B, LINE 7: THE JOINT NEEDS ASSESSMENT IDENTIFIED MEDICAL NEEDS THAT ARE NOT A PART OF SHEPPARD PRATT'S PSYCHIATRIC-ONLY SERVICES. 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 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 ISLOWER (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%). 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%). 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 COMMUNITY 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. THIS IS IN COMPARISON TO MARYLAND (87.8%; 35.7%) AND THE NATION (85.0%; 27.9%).SHEPPARD PRATT IS THE ONLY STAND ALONE PSYCHIATRIC FACILITY IN ITS SERVICE AREA OFFERING THE DEPTH AND BREADTH OF PSYCHIATRIC SERVICES DESCRIBED IN THIS REPORT. THERE ARE 31 OTHER MEDICAL/SURGICAL FACILITIES WITHIN THE SERVICE AREA WHICH ALSO PROVIDE PSYCHIATRIC SERVICES AS AN ADJUNCT TO THEIR MEDICAL SERVICES. DURING FY 2013, 35 PERCENT OF PATIENTS TREATED AT SHEPPARD PRATT WERE MEDICAID BENEFICIARIES. PART VI, LINE 5: SHEPPARD PRATT HEALTH SYSTEM CONTINUES ITS COMMITMENT TO THE FOUNDERS' CHARTER TO "CARRY FORWARD, AND IMPROVE, THE AMELIORATED SYSTEM OF TREATMENT OF THE INSANE WITH THOUGHTFUL, PROACTIVE SERVICES" AND HAS EVOLVED ITS SERVICES 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 SERVICES WHEN, WHERE, AND IN WHATEVER FORM IS BEST SUITED TO THOSE IN NEED. IN FY 2013, 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 2013, SHEPPARD PRATT PROVIDED SERVICE FOR 9,676 INPATIENT ADMISSIONS RESULTING IN SERVICE TO 102,657 INPATIENT DAYS, 76,764 OUTPATIENT AND DAY HOSPITAL VISITS, 39,476 RTC/RESPITE DAYS, AND 146,021 STUDENT DAYS. FIFTY-SEVEN PERCENT OF INPATIENT SERVICES WERE PROVIDED TO MEDICARE OR MEDICAID RECIPIENTS. SHEPPARD PRATT CONTINUES TO PROVIDE A CRISIS WALK IN CLINIC (CWIC) TO RESPOND 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 2013, 4,552 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. 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 FOR THE BALTIMORE METROPOLITAN AREA INCLUDING SHEPPARD PRATT PROGRAMS. IN FY 2013, THIS PROGRAM PROVIDED THE PUBLIC WITH REFERRAL INFORMATION FOR EXTERNAL PROGRAMS 5,700 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 HOURS; 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 NOT 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 COUNTY, CARROLL COUNTY, HOWARD COUNTY, FREDERICK COUNTY, MONTGOMERY COUNTY, PRINCE GEORGE'S COUNTY, WASHINGTON COUNTY AND 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. DURING THIS YEAR, THEY CONTINUED TO WORK AS AN INTEGRATED NETWORK OF CARE BY IMPLEMENTING A COMMON, COMPREHENSIVE ELECTRONIC MEDICAL RECORDS SYSTEM. THIS WAS THEIR 4TH YEAR OF A 5 YEAR STATE WIDE WORKFORCE DEVELOPMENT INITIATIVE. X X X X X X 0 1 0 0 0 0 0 0 0 STEVEN S SHARFSTEIN MD 756948 0 0 0 26165 0 54455 0 8981 0 846549 0 0 0 PATRICIA PINKERTON 396707 0 0 0 85216 0 76321 0 18431 0 576675 0 75000 0 BONNIE KATZ 282192 0 0 0 6165 0 73246 0 20997 0 382600 0 0 0 JAMES TRUSCELLO 175959 0 0 0 7817 0 79869 0 16881 0 280526 0 0 0 ERNESTINE COSBY 178548 0 0 0 3376 0 54642 0 13172 0 249738 0 0 0 M THOMAS GRAHAM 160444 0 0 0 2994 0 12946 0 9221 0 185605 0 0 0 CATHERINE R DOUGHTY 150459 0 0 0 1432 0 7390 0 320 0 159601 0 0 0 JAMES KENNETH WALTERS 149169 0 0 0 2199 0 32985 0 21934 0 206287 0 0 0 THOMAS HESS 146097 0 0 0 1951 0 38939 0 1133 0 188120 0 0 0 THOMAS RUSSLER 130302 0 0 0 2424 0 10770 0 19102 0 162598 0 0 0 PART I, LINE 4B LINE 4B: THE FOLLOWING PARTICIPATED IN SHEPPARD PRATT'S 457(F) PLAN: 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 837000 34032000 32510324 516 1522013 2005 0 1 1 1 B 2228551 62182000 640 62181360 2010 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 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 BOND ISSUES 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 1484039 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 1668483 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 X 4 11583 STOCK EXCHANGE X DONATIONS FOR ON-LINE AUCTION FOR CFK EVENT 54 15111 FAIR MARKET VALUE X ART SUPPLIES 1 125 FAIR MARKET VALUE 0 1 0 NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 EFFECTIVE NOVEMBER 1, 2012, THE ORGANIZATION COMPLETED A STATUTORY MERGER WITH THE HANNAH MOORE CENTER, INC. (A SPECIAL EDUCATION SCHOOL IN BALTIMORE AND ANNE ARUNDEL COUNTIES). THE ORGANIZATION WAS THE SURVIVING CORPORATION. NO CONSIDERATION WAS EXCHANGED IN THIS TRANSACTION. THE MERGER ENHANCES THE ORGANIZATION'S VOCATIONAL PROGRAMMING AND ALSO EXPANDS ITS EDUCATIONAL OFFERINGS TO ANNE ARUNDEL COUNTY. 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 WILL REVIEW AND APPROVE THE 990. FOLLOWING FINANCE COMMITTEE APPROVAL OF THE 990 ON 4/15/14, THE CFO WILL MAKE COPIES AVAILABLE TO BOARD MEMBERS PRIOR TO FILING THE FORM 990. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: TRANSFERS TO AFFILIATES -7,309,884. CHANGE IN PENSION LIABILITY 13,804,439. INHERENT CONTRIBUTION (UNRESTRICTED) 2,537,828. INTEREST IN NET ASSETS OF FOUNDATION 7,789,885. INHERENT CONTRIBUTION (TEMPORARILY RESTRICTED) 152,369. 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 7701 WISE AVENUE BALTIMORE MD 21222 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