2013-05-14T15:46:47-05:00 2012-06-30 412069731 SC&H TAX & ADVISORY SERVICES LLC 910 RIDGEBROOK ROAD SPARKS MD 21152 990 2011-07-01 520591684 SHEPPARD PRATT HEALTH SYSTEM INC SHEP 4109383344 PO BOX 6815 BALTIMORE MD 21285 PATRICIA PINKERTON 4109383344 2013-05-14 1 LORI S BURGHAUSER P00370694 4104031500 2013-05-14 2011 2016-03-07 17:11:31Z PATRICIA PINKERTON PO BOX 6815 BALTIMORE MD 21285 205348498 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. 28 28 2831 505 440438 -273372 1716698 5056696 171625182 180808228 2054791 1701463 7247543 6730311 182644214 194296698 0 0 0 0 110607149 115479308 0 0 686538 67416166 74345121 178023315 189824429 4620899 4472269 274821990 269805711 152175073 162672157 122646917 107133554 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 170361482 184705859 SHEPPARD PRATT HEALTH SYSTEM PROVIDES INPATIENT BEHAVIORAL HEALTH CARE, OUTPATIENT/ANCILLARY CARE, RESIDENTIAL SERVICES, SPECIAL EDUCATION TO STUDENTS AND RESIDENCY TRAINING PROGRAMS. 170361482 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 0 0 1 0 0 0 0 1 0 0 0 0 1 384 0 2831 1 1 1 0 0 0 0 1 1 0 0 0 0 X 28 28 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 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 S WINFIELD CAIN 1.00 X 0 0 0 JOHN E CARNELL 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 FRED F MIRMIRAN 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 X 765452 0 60746 PATRICIA PINKERTON 40.00 X 386791 0 67689 STEPHANIE PROVENZA 40.00 X 57137 0 9352 BONNIE KATZ 40.00 X 249385 0 60744 JAMES TRUSCELLO 40.00 X 176537 0 70913 ERNESTINE COSBY 40.00 X 172422 0 77418 M THOMAS GRAHAM 40.00 X 159895 0 14945 STEVEN E TUTTLE 40.00 X 157813 0 30778 JAMES KENNETH WALTERS 40.00 X 145688 0 48569 THOMAS HESS 40.00 X 141626 0 36887 CATHERINE R DOUGHTY 40.00 X 146759 0 7651 AVERY DOVER 40.00 X 193727 0 20139 WILLIAM G BERKEY 40.00 X 180663 0 24883 2933895 0 530714 46 0 1 0 CENTER FOR EATING DISORDERS PA 6535 N CHARLES STREET STE 300 BALTIMORE MD 21204 PROFESSIONAL FEES 1866396 GREATER BALTIMORE MEDICAL CENTER 6701 N CHARLES STREET TOWSON MD 21204 LAB FEES & OTHER CLINICAL SERVICES 1734266 WORCESTER EISENBRANDT INC 2100 GABLE AVE BALTIMORE MD 21230 BUILDING CONTRACTOR 1574121 UNIVERSITY OF MARYLAND MEDICAL SYSTEM PO BOX 64468 BALTIMORE MD 212644468 RESIDENCY TRAINING PROGRAM 1448147 OAKWOOD CONSTRUCTION SERVICE PO BOX 4476 TIMONIUM MD 210944476 BUILDING CONTRACTOR 899137 53 812 115631 3455260 1484993 21387 5056696 PATIENT SERVICE REVENU 621990 112501564 112501564 EDUCATIONAL SVC REVENU 611600 43772356 43772356 RTC/RESPITE REVENUE 623000 15497697 15497697 RETREAT REVENUE 621990 9036611 9036611 180808228 1274667 1274667 1558637 0 1558637 1558637 1558637 11405550 800 10960140 19414 445410 -18614 426796 426796 30237 115631 72246 -42009 -42009 INTERCORPORATE REVENUE 900099 2606625 2606625 OTHER OPERATING REVENU 900099 2166620 1291006 875614 OTHER REVENUE - UNRELA 900002 440438 440438 5213683 194296698 184705859 440438 4093705 2827870 2620153 207717 90117133 85266923 4608053 242157 4660313 4260317 379625 20371 11102775 10661853 431082 9840 6771217 6190041 551577 29599 588178 2174 586004 303741 303741 13368512 12633543 667216 67753 626515 461313 165202 3536412 2874484 640750 21178 1840288 26263 1814025 10281014 8917401 1312709 50904 470767 405164 60001 5602 934699 878016 41912 14771 13966855 13150101 806699 10055 1756090 1756090 INTERCORPORATE 8388342 7995717 392625 SUPPLIES & PHARMACEUTIC 4350971 4323017 27954 REPAIRS AND MAINTENANCE 3839707 3080551 759156 LOSS ON EXTINGUISHMENT 3564840 3112628 452212 6528190 6121976 399623 6591 189824429 170361482 18776409 686538 29762754 46445283 24487384 19086654 3948173 5807670 287545730 126547689 168876989 160998041 42216966 33545685 5529724 3922378 274821990 269805711 26073720 20835881 104216022 96030993 21885331 45805283 152175073 162672157 X 114363327 98882216 5097701 5001550 3185889 3249788 122646917 107133554 274821990 269805711 X 4472269 -19985632 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 24000 0 1 3914 27914 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: SHEPPARD PRATT RETAINS A LAW FIRM AS A REGISTERED LOBBYIST FOR $24,000 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 ($3,914) ARE USED FOR LOBBYING ACTIVITIES. X X 0 3185889 63900 3249789 2904154 281735 3185889 2902654 1500 2904154 2672119 230535 2902654 1.00000 0 1 1 15463049 15463049 211689257 87291411 124397846 51213281 34452221 16761060 9180143 4804057 4376086 160998041 INVESTMENTS LIMITED OR RESTRICTED A 33545685 F 33545685 SELF-INSURANCE LIABILITY 11402413 CAPITAL LEASE OBLIGATIONS 5699056 ACCRUED PENSION LIABILITY 24756823 DUE TO AFFILIATES 3946991 45805283 194296698 189824429 4472269 -1097814 -18887818 -19985632 -15513363 191570876 -909506 -121460 -1030966 192601842 1694856 1694856 194296698 188912896 2653307 2653307 186259589 3564840 3564840 189824429 PART III, LINE 4: THE ART COLLECTION OF SHEPPARD PRATT EXEMPLIFIES THE HEALING ASPECTS OF ART, BOTH FOR THE CREATOR AND THE OBSERVER. THIS UNIQUELY THEMED COLLECTION CELEBRATES THE CAPACITY FOR ARTISTIC ENDEAVOR TO TRANSCEND AND TRIUMPH OVER MENTAL ILLNESS AND ADDICTION. PART XI, LINE 8 - OTHER ADJUSTMENTS: TRANSFERS FROM AFFILIATES 2,100,890. CHANGE IN PENSION LIABILITY -20,942,001. INTEREST IN NET ASSETS OF FOUNDATION -46,707. TOTAL TO SCHEDULE D, PART XI, LINE 8: -18,887,818. PART XII, LINE 2D - OTHER ADJUSTMENTS: PHYSICIANS PA OVERHEAD RECOVERY ALLOCATION 2,634,693. NET ASSETS RELEASED FROM RESTRICTION 808,687. LOSS ON EXTINGUISHMENT OF DEBT (NETTED WITH EXPENSE) -3,564,840. PART XII, LINE 4B - OTHER ADJUSTMENTS: RESTRICTED CONTRIBUTIONS 1,559,427. INVESTMENT INCOME ON TEMPORARILY RESTRICTED ASSETS 78,219. REALIZED GAIN ON TEMPORARILY RESTRICTED ASSETS 75,824. LOSS ON SALE OF ASSETS -18,614. PART XIII, LINE 2D - OTHER ADJUSTMENTS: PHYSICIANS PA OVERHEAD RECOVERY ALLOCATION 2,634,693. LOSS ON SALE OF ASSETS 18,614. PART XIII, LINE 4B - OTHER ADJUSTMENTS: LOSS ON EXTINGUISHMENT OF DEBT 3,564,840. PARTS XI, XII, AND XIII RECONCILE TO SEPARATE COMPANY FINANCIAL STATEMENTS OF SHEPPARD PRATT HEALTH SYSTEM, INC. CARE FOR KIDS 145868 115631 30237 25087 10365 25000 11794 145868 115631 30237 25087 10365 25000 11794 72246 -42009 1 1 X 1 X 1 X 1 1 1 0 0 5333645 5333645 0.02830 5333645 5333645 0.02830 24165 24165 0.00010 1963971 451570 1512401 0.00800 288271 49470 238801 0.00130 100387 100387 0.00050 2376794 501040 1875754 0.00990 7710439 501040 7209399 0.03820 75 124218 124218 0.00070 1 13 113377 113377 0.00060 1 4000 4000 0.00000 90 241595 241595 0.00130 0 2967269 19663282 21750834 -2087552 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 1 200.000000000000 1 200.000000000000 1 X 1 1 X X X X 1 0 1 X 0 0 SHEPPARD PRATT AT ELLICOTT CITY 2 1 1 200.000000000000 1 200.000000000000 1 X 1 1 X X X X 1 0 1 X 0 0 14 JEFFERSON RESIDENTIAL TREATMENT CENTER

2940 POINT OF ROCKS ROAD PO BOX 9 JEFFERSON MD 21755

LICENSED RESIDENTIAL TREATMENT CENTER BERKELEY AND ELEANOR MANN RESIDENTIAL TR

6501 NORTH CHARLES STREET BALTIMORE MD 21204

LICENSED RESIDENTIAL TREATMENT CENTER JEFFERSON SCHOOL

2940 POINT OF ROCKS ROAD PO BOX 9 JEFFERSON MD 21755

A SPECIAL EDUCATION SCHOOL FOR EMOTIONALLY DISTURBED CHILDREN FORBUSH SCHOOL AT GLYNDON

407 CENTRAL AVENUE REISTERSTOWN MD 21136

A SPECIAL EDUCATION SCHOOL FOR AUTISTIC OR EMOTIONALLY DISTURBED CHILDREN FORBUSH SCHOOL AT HUNT VALLEY

11201 PEPPER ROAD HUNT VALLEY MD 21031

A SPECIAL EDUCATION SCHOOL FOR AUTISTIC OR EMOTIONALLY DISTURBED CHILDREN FORBUSH SCHOOL AT WESTMINSTER

1135 BUSINESS PARKWAY SOUTH SUITE 50 WESTMINSTER MD 21157

A SPECIAL EDUCATION SCHOOL FOR AUTISTIC OR EMOTIONALLY DISTURBED CHILDREN FROST SCHOOL

4915 ASPEN HILL ROAD ROCKVILLE MD 20853

A SPECIAL EDUCATION SCHOOL FOR AUTISTIC OR EMOTIONALLY DISTURBED CHILDREN JEFFERSON SCHOOL AT FINAN

10102 COUNTRY CLUB ROAD SOUTHEAST CUMBERLAND MD 21501

A SPECIAL EDUCATION SCHOOL FOR AUTISTIC OR EMOTIONALLY DISTURBED CHILDREN FORBUSH SCHOOL AT OAKMONT - UPPER

610 EAST DIAMOND AVENUE GAITHERSBURG MD 20877

A SPECIAL EDUCATION SCHOOL FOR AUTISTIC OR EMOTIONALLY DISTURBED CHILDREN FORBUSH THERAPEUTIC PRESCHOOL AT TOWSON

6501 NORTH CHARLES STREET BALTIMORE MD 21204

A SPECIAL EDUCATION SCHOOL FOR AUTISTIC OR EMOTIONALLY DISTURBED CHILDREN FORBUSH SCHOOL AT ANNE ARUNDEL

648 OLD MILL ROAD MILLERSVILLE MD 21108

A SPECIAL EDUCATION SCHOOL FOR AUTISTIC OR EMOTIONALLY DISTURBED CHILDREN FORBUSH SCHOOL AT PRINCE GEORGE'S COUNTY

4949 ADDISON ROAD CAPITAL HEIGHTS MD 20743

A SPECIAL EDUCATION SCHOOL FOR AUTISTIC OR EMOTIONALLY DISTURBED CHILDREN THE RETREAT AT SHEPPARD PRATT

6501 NORTH CHARLES STREET BALTIMORE MD 21204

16-BED LICENSED ASSISTED LIVING PROGRAM RUXTON HOUSE

1506 LABELLE AVENUE BALTIMORE MD 21204

8-BED LICENSED GROUP HOME PART I, LINE 3C: SHEPPARD PRATT HEALTH SYSTEM'S FINANCIAL ASSISTANCE PROGRAM USES 200% OF THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FINANCIAL AID. 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 2012, 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 2012, THE PROGRAM PROVIDED A TOTAL OF 2,869 SERVICES TO 231 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 2012, 275 CLIENTS WERE PROVIDED WITH 1,593 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 2012 PROFESSIONAL EDUCATION, 24 WEDNESDAY LECTURE SESSIONS WERE PROVIDED TO A VARIETY OF RURAL LOCATIONS UTILIZING A VIDEOCONFERENCING BRIDGE; 689 NON-SHEPPARD PRATT CLINICAL PROFESSIONALS ACCESSED THESE FREE CME SESSIONS VIA VIDEOCONFERENCING WHICH MAY NOT HAVE BEEN OTHERWISE AVAILABLE LOCALLY. PART I, L7 COL(F): THE PORTION OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 AND REMOVED FROM LINE 7 COLUMN F IS $1,258,298. 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 SCREENINGS. 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 2012, SHEPPARD PRATT PROVIDED EDUCATIONAL INFORMATION TO THE COMMUNITY BY ATTENDING 43 CONFERENCES OPEN TO THE PUBLIC. CONFERENCES INCLUDED THE HARFORD COUNTY RESOURCE FAIR, BALTIMORE COUNTY MENTAL HEALTH FAIR AND TOWN MEETING THE SENIOR EXPO, AND THE SUICIDE PREVENTION CONFERENCE AS WELL AS 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 LOCATIONS OF OCCURRENCE, SUCH AS HOMES, WORK, AND SCHOOLS. THE PROGRAM AVERTS UNNECESSARY VISITS TO HOSPITAL EMERGENCY ROOMS AND SUBSEQUENT HOSPITALIZATION OF PERSONS EXPERIENCING MENTAL HEALTH CRISES. IN FY 2012, THE PROGRAM SERVED 4,535 INDIVIDUALS THROUGH A VARIETY OF SERVICES AND EVENTS SUCH AS CLINICAL CALLS, POLICE CALLS, CRITICAL INCIDENT STRESS INCIDENTS, COMMUNITY EDUCATIONAL EVENTS AND CRISIS INTERVENTION TRAINING PROGRAMS FOR LAW ENFORCEMENT. SHEPPARD PRATT ALSO ADDRESSES THE HEALTH OF THE COMMUNITY BY ATTENDING PUBLIC EVENTS WHERE INFORMATION WAS PROVIDED 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. SHEPPARD PRATT'S WEB SITE RECEIVED 656,320 VISITORS IN FY 2012; VISITORS HAVE FREE ACCESS TO MENTAL HEALTH ARTICLES AND LINKS TO OTHER GENERAL, NON-PROFIT MENTAL HEALTH RESOURCES. FREE MENTAL HEALTH EDUCATION LITERATURE IS AVAILABLE THROUGH BOTH ELECTRONIC WEB SITE AND PERSONAL REQUESTS. IN FY 2012, APPROXIMATELY 1,850 REQUESTS FOR MAILED LITERATURE WERE ALSO FULFILLED. A SAMPLE OF LITERATURE TOPICS INCLUDES: "FINDING THE RIGHT MENTAL HEALTH PROVIDER"; "PROBLEMS OF ADULTHOOD"; "FEELINGS AFTER BIRTH: POSTPARTUM ADJUSTMENT"; AND, "HELP AND HOPE: WHEN BAD THINGS HAPPEN" (A GUIDE TO COPING WITH INCIDENTS OF DISASTER AND TERRORISM). SHEPPARD PRATT'S SPEAKERS BUREAU ARRANGED TWO MENTAL HEALTH-RELATED PRESENTATIONS TO INTERESTED COMMUNITY GROUPS. A TOTAL OF SIX FREE COMMUNITY EDUCATIONAL EVENTS WERE SPONSORED BY SHEPPARD PRATT IN FY 2012. DETAILS ON SEVERAL ARE PROVIDED BELOW. ANNUAL OPEN FORUM IN JANUARY 2012: THE HONORABLE PATRICK J. KENNEDY SPOKE ON "THE NEW FRONTIER: ONE MIND FOR BRAIN RESEARCH". NATIONAL EATING DISORDERS AWARENESS WEEK: DR. SUZIE ORBACH SPOKE ON BODY ANXIETY. SEPTEMBER 24, 2011: IN COLLABORATION WITH CHAI (COUNSELORS HELPING (SOUTH) ASIANS/INDIANS), DR. SALMAN AKHTAR SPOKE ON THE TRAUMA OF DISLOCATION. LEADERSHIP DEVELOPMENT AND TRAINING FOR THE COMMUNITYIN FY 2012, 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). BOTH ARE 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. DURING THE YEAR, 1,358 EDUCATORS AND ADMINISTRATORS FROM 20 LOCAL SCHOOL SYSTEMS ATTENDED 58 TRAINING EVENTS. IN ADDITION TO THE EVENTS, 12 SCHOOL CLIMATE SPECIALISTS PROVIDED TRAINING AND TECHNICAL ASSISTANCE TO 31 HIGH SCHOOLS AND 12 LOCAL SCHOOL SYSTEMS TOTALING 3,857 HOURS OF DIRECT SUPPORT. 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 NURSING SCHOLARSHIP FUND FOR A DESERVING TOWSON UNIVERSITY FRESHMAN INTERESTED IN A HEALTH CARE CAREER. ALONG WITH 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 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: 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 2012 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: SHEPPARD PRATT UTILIZES A NEEDS ASSESSMENT PROCESS WITH INPUT GATHERED INFORMALLY FROM THE COMMUNITY, PROFESSIONALS, LOCAL AND NATIONAL ADVOCACY AGENCIES, AND SHEPPARD PRATT'S BOARD OF TRUSTEES. CURRENTLY, THE HEALTH SYSTEM IS ENGAGED IN A JOINTLY-COMMISSIONED NEEDS ASSESSMENT VENTURE WITH NEIGHBORING HEALTH CARE FACILITIES. SHEPPARD PRATT'S COMMUNITY CONSUMER COUNCIL, WITH ROBUST REPRESENTATION FROM THE COMMUNITY, REFLECTS THE CULTURAL, SOCIOECONOMIC AND ETHNIC PROFILE OF THE COMMUNITIES SERVED. THE COUNCIL PROVIDES A VEHICLE FOR COMMUNITY MEMBERS TO PROVIDE FEEDBACK DIRECTLY TO THE EXECUTIVE OFFICES AND THE BOARD OF TRUSTEES ON THE HEALTH SYSTEM'S CURRENT AND FUTURE SERVICES. DURING FY 2012, EIGHTEEN VOLUNTEER CONSUMER COUNCIL MEMBERS AND SIX HEALTH SYSTEM STAFF PARTICIPATED MONTHLY IN PLANNING, ADVOCACY, AND COMMUNICATION REGARDING COMMUNITY NEEDS AND THE CORRESPONDING HEALTH SYSTEM PROGRAMMING. THE HEALTH SYSTEM'S PROFESSIONAL EDUCATION DEPARTMENT COLLECTS INFORMATION SPECIFIC TO PROFESSIONAL EDUCATIONAL NEEDS FROM COMMUNITY PROVIDERS USING CONTINUING EDUCATION SURVEYS, FOCUS GROUPS, AND ON-LINE SURVEYS. THIS COLLECTIVE DATA IDENTIFIES AND DEFINES AREAS OF KNOWLEDGE, COMPETENCY AND PERFORMANCE GAPS WHERE PROVIDERS WILL BENEFIT FROM FOCUSED PROFESSIONAL EDUCATION SESSIONS. UTILIZING DATA ON CURRENT AREAS OF KNOWLEDGE AND PERFORMANCE GAPS, THE HEALTH SYSTEM'S WEDNESDAY LECTURE SERIES TARGETS IDENTIFIED PERFORMANCE GAPS TO IMPROVE OR CHANGE PROFESSIONAL PRACTICE OR TO ENHANCE CURRENT COMPETENCIES AS IT RELATES TO THE SELECTED TOPIC. ADDITIONALLY, SURVEY DATA AS WELL AS PARTICIPANT RESPONSES DURING LECTURE SESSIONS ILLUMINATES AREAS OF EDUCATION OR SERVICE THAT MAY BE LACKING IN THE COMMUNITY. SHEPPARD PRATT ALSO UTILIZES ITS ADVOCACY WITH LOCAL AND NATIONAL CARE AGENCIES TO GATHER INFORMATION REGARDING SERVICES NEEDED FOR OVERLOOKED OR NICHE POPULATIONS SUCH AS ADOLESCENTS SUFFERING FROM AUTISTIC SPECTRUM DISORDERS, SCHOOL SERVICES, SERVICES FOR TRANSITION AGE YOUTH OR TELEPSYCHIATRY PROGRAMMING.ADDITIONALLY, ALL SHEPPARD PRATT SERVICE PROGRAMS ROUTINELY SURVEY PATIENTS RESULTING IN DATA INDICATING IMPORTANT TREATMENT GAPS AND CALLS TO THE THERAPY REFERRAL PROGRAM PROVIDE INFORMATION ON SERVICE NEEDS IN THE COMMUNITY WHICH ARE OTHERWISE NOT BEING FULFILLED. SHEPPARD PRATT'S VOLUNTEER BOARD OF TRUSTEES PARTICIPATES IN BI-MONTHLY MEETINGS, ANNUALLY IN STRATEGIC PLANNING INITIATIVES, AS WELL AS IN PROGRAM-SPECIFIC COMMITTEE PROJECTS AS NEEDED. THE BOARD OF TRUSTEES ARE RECRUITED FROM THE COMMUNITY AND THEIR UNIQUE ABILITIES BRING AN ADDED DIMENSION TO THEIR ABILITY TO ADDRESS COMMUNITY NEED. WITH INPUT FROM THE CONSUMER COUNCIL, PROFESSIONAL EDUCATION SURVEYS, FEEDBACK FROM EXECUTIVE AND MANAGEMENT'S ADVOCACY EFFORTS WITH GOVERNMENT AND COMMUNITY RESOURCES, THE SHEPPARD PRATT BOARD OF TRUSTEES WORKS PURPOSEFULLY WITH EXECUTIVES TO SCULPT THE HEALTH SYSTEM'S SERVICE ARRAY SO THAT MEMBERS OF THE COMMUNITY CAN ACCESS INFORMATION OR TREATMENT EFFICIENTLY AND EFFECTIVELY THEREBY EXPERIENCING AN IMPROVED QUALITY OF LIFE. PART VI, LINE 3: EACH PATIENT IS PROVIDED WITH A PATIENT HANDBOOK UPON ADMISSION. THE PATIENT HANDBOOK OUTLINES POLICIES, RULES, AND BASIC INFORMATION ABOUT THE HOSPITAL INCLUDING INSTRUCTIONS ON HOW TO ACCESS FINANCIAL ASSISTANCE/CHARITY CARE. SIGNAGE IS POSTED IN THE ADMISSIONS SUITE IN BOTH PATIENT AND FAMILY WAITING AREAS INFORMING INTERESTED PARTIES THAT FINANCIAL ASSISTANCE IS AVAILABLE. BECAUSE NO TWO PATIENTS HAVE IDENTICAL TREATMENT NEEDS, ALL PATIENTS ARE URGED TO SPEAK WITH THEIR THERAPIST OR OTHER HOSPITAL STAFF TO LEARN MORE ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. ADDITIONALLY, AS PART OF THE PAYMENT POLICY AND ACTION ON PAST DUE ACCOUNTS, SHEPPARD PRATT'S FINANCIAL OFFICE PERSONNEL ACT AS PATIENT FINANCIAL ADVOCATES AND MAY FORWARD THE FINANCIAL ASSISTANCE PAPERWORK FOR COMPLETION BY ALL RESPONSIBLE PARTIES. FINALLY, PRIOR TO TRANSFER TO A COLLECTION AGENCY, ACCOUNTS ARE REVIEWED AGAIN FOR POSSIBLE FINANCIAL ASSISTANCE. PART VI, LINE 4: SHEPPARD PRATT HEALTH SYSTEM SERVES THE CENTRAL MARYLAND REGION. EIGHTY-FIVE PERCENT OF REFERRALS ORIGINATE FROM SIX JURISDICTIONS: BALTIMORE CITY, BALTIMORE, ANNE ARUNDEL, CARROLL, HARFORD, AND HOWARD COUNTIES WHOSE COMBINED POPULATION ENCOMPASSES 2.7 MILLION INDIVIDUALS. THE AREA INCLUDES URBAN, SUBURBAN AND RURAL REGIONS. THIS CENTRAL MARYLAND POPULATION IS 48 PERCENT MALE AND 52 PERCENT FEMALE. ACCORDING TO CENSUS BUREAU REPORTS, RACIAL BREAKDOWN IS AS FOLLOWS: 61.7 PERCENT OF RESIDENTS REPORT BEING WHITE, 29.1 PERCENT REPORT BEING AFRICAN AMERICAN, 4.6 PERCENT BEING ASIAN AND 4.6 PERCENT REPORTED BEING OF ANOTHER RACIAL ORIGIN. SIXTY-FOUR PERCENT OF RESIDENTS ARE OVER AGE 18. CENTRAL MARYLAND EXPERIENCES A BROAD RANGE OF ESTIMATED AVERAGE FAMILY INCOME FOR THE SIX JURISDICTIONS WITH A LOW OF $54,290 IN BALTIMORE CITY AND A HIGH OF $121,568 IN HOWARD COUNTY. ADDITIONALLY, ON AVERAGE ACROSS ALL COUNTIES, 9 PERCENT OF RESIDENTS, OR 239,473 PEOPLE REPORT BEING UNINSURED. (SOURCE: U. S. CENSUS BUREAU; AMERICAN COMMUNITY SURVEY 2011 AND US CENSUS COUNTY BUSINESS AND DEMOGRAPHICS.) THE CENTRAL MARYLAND JURISDICTION CONTAINS 28 HOSPITALS EXCLUDING SHEPPARD PRATT. SEVERAL GENERAL ACUTE HOSPITALS SERVE THIS SAME COMMUNITY; OF THIS GROUP 17 FACILITIES HAVE PSYCHIATRY INPATIENT UNITS. HOWEVER, WITHIN THIS GROUP, THERE ARE NO OTHER SPECIALTY PSYCHIATRIC FACILITIES. SHEPPARD PRATT HEALTH SYSTEM IS THE ONLY HEALTH SYSTEM EXCLUSIVELY PROVIDING PSYCHIATRIC SPECIALTY CARE IN THE CENTRAL MARYLAND AREA. 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 2012, 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 THE ONLY PSYCHIATRIC SPECIALTY HOSPITAL IN THE TOP TEN WHICH IS NOT OTHERWISE AFFILIATED WITH A LARGER GENERAL HOSPITAL SYSTEM. IN FY 2012, SHEPPARD PRATT PROVIDED SERVICE FOR 9,389 INPATIENT ADMISSIONS RESULTING IN SERVICE TO 105,049 INPATIENT DAYS, 78,453 OUTPATIENT AND DAY HOSPITAL VISITS, 39,213 RTC/RESPITE DAYS, AND 130,468 STUDENT DAYS. FIFTY-EIGHT 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., THIS SERVICE PROVIDES A PSYCHIATRIST TO EVALUATE COMMUNITY MEMBERS IN NEED OF CRISIS ASSESSMENT AND TRIAGE. IN FY 2012, 3,850 COMMUNITY MEMBERS ACCESSED THIS SERVICE.SHEPPARD PRATT'S FLAGSHIP CAMPUS IS LOCATED AT 6501 NORTH CHARLES STREET, BALTIMORE, MD. AS THE FOUNDING LOCATION OF THE SYSTEM, A MAJORITY OF SERVICES ARE 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 HOSPITAL 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 2012, THIS PROGRAM PROVIDED THE PUBLIC WITH REFERRAL INFORMATION FOR EXTERNAL PROGRAMS 2,620 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. 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 A SPECIAL PROJECT 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. IN AN EFFORT TO ENHANCE ACCESSIBILITY, THEY ARE ALSO PARTNERING ON A COMMON ELECTRONIC HEALTH RECORD. X X X X X X 1 1 0 0 0 0 0 0 0 STEVEN S SHARFSTEIN MD 742206 0 0 0 23246 0 55005 0 5741 0 826198 0 0 0 PATRICIA PINKERTON 383271 0 0 0 3520 0 50951 0 16738 0 454480 0 0 0 BONNIE KATZ 242846 0 0 0 6539 0 45090 0 15654 0 310129 0 0 0 JAMES TRUSCELLO 169102 0 0 0 7435 0 59004 0 11909 0 247450 0 0 0 ERNESTINE COSBY 169187 0 0 0 3235 0 66504 0 10914 0 249840 0 0 0 M THOMAS GRAHAM 157104 0 0 0 2791 0 7956 0 6989 0 174840 0 0 0 STEVEN E TUTTLE 156225 0 0 0 1588 0 8320 0 22458 0 188591 0 0 0 JAMES KENNETH WALTERS 143059 0 0 0 2629 0 31484 0 17085 0 194257 0 0 0 THOMAS HESS 140231 0 0 0 1395 0 35936 0 951 0 178513 0 0 0 CATHERINE R DOUGHTY 145393 0 0 0 1366 0 7250 0 401 0 154410 0 0 0 AVERY DOVER 73827 0 0 0 119900 0 15029 0 5110 0 213866 0 0 0 WILLIAM G BERKEY 54320 0 0 0 126343 0 14192 0 10691 0 205546 0 0 0 PART I, LINES 4A-B LINE 4A: AVERY DOVER SEVERANCE OF $80,959 AND WILLIAM BERKEY SEVERANCE OF $102,943. LINE 4B: THE FOLLOWING PARTICIPATED IN SHEPPARD PRATT'S 457(F) PLAN: PATRICIA PINKERTON $25,000 MD HEALTH & HIGHER EDUCATIONAL FACILITIES 520936091 2012-03-01 34032000 ADVANCE REFUND SERIES 2003A BOND 0 0 0 MD HEALTH & HIGHER EDUCATIONAL FACILITIES 520936091 2012-03-01 62182000 CURRENT REFUND SERIES 2003B/2009 0 0 0 MD HEALTH & HIGHER EDUCATIONAL FACILITIES 520936091 574217KL8 2003-05-29 46205991 CONSTRUCT & RENOVATE HOSPITAL 1 0 0 34032000 34031484 516 2005 0 1 0 1 183006 62182000 640 62181360 2010 1 0 1 1 9050000 36540000 46448132 4516542 3720060 518250 37445686 2005 0 0 0 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 1 1 0 0.00000 0.00000 1 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 0 1 0 X 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 II, COLUMN C, LINE 3 THE AMOUNT OVER THE ISSUE PRICE AMOUNT IS A RESULT OF INVESTMENT EARNINGS. PART III, 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 PORTION $19,813,500 LESS THAN 5% 2009 REFUNDING PORTION $22,555,000 - LESS THAN 5% X 4 6428 STOCK EXCHANGE X DONATIONS FOR ON-LINE AUCTION FOR CFK EVENT 37 14834 FAIR MARKET VALUE X ART SUPPLIES 1 125 FAIR MARKET VALUE 0 1 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 WILL REVIEW AND APPROVE THE 990. FOLLOWING FINANCE COMMITTEE APPROVAL OF THE 990 ON 4/16/13, 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 5: NET UNREALIZED LOSSES ON INVESTMENTS: -1,097,814. TRANSFERS FROM AFFILIATES 2,100,890. CHANGE IN PENSION LIABILITY -20,942,001. INTEREST IN NET ASSETS OF FOUNDATION -46,707. TOTAL TO FORM 990, PART XI, LINE 5: -19,985,632. 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 SHEPPARD PRATT PREFERRED RESOURCES INC 6501 N CHARLES STREET TOWSON MD 21285 521757742 INACTIVE MD N/A C ATLANTIC RECYCLED PAPER COMPANY INC 1925 GREENSPRING AVE TIMONIUM MD 21093 521737872 INACTIVE MD N/A C 0 0 0 1 0 0 0 0 1 1 0 1 1 0 0 1 1 1