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      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>1</DirectContactLegislators>
      <DirectContactLegislatorsAmount>25539</DirectContactLegislatorsAmount>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>1</OtherActivities>
      <OtherActivitiesAmount>4082</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>29621</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>EXPLANATION OF OTHER LOBBYING ACTIVITIES:</Identifier>
        <ReturnReference>PART II-B, LINE 1I:</ReturnReference>
        <Explanation>SHEPPARD PRATT RETAINS A LAW FIRM AS A REGISTERED LOBBYIST FOR $25,539 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 ($4,082) ARE USED FOR LOBBYING ACTIVITIES.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CollectUsedForPublicExhibition>X</CollectUsedForPublicExhibition>
      <CollectUsedForPreservation>X</CollectUsedForPreservation>
      <SolicitedAssetsForSale>0</SolicitedAssetsForSale>
      <CurrentYear>
        <BeginningOfYearBalance>2904154</BeginningOfYearBalance>
        <Contributions>281735</Contributions>
        <EndOfYearBalance>3185889</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>2902654</BeginningOfYearBalance>
        <Contributions>1500</Contributions>
        <EndOfYearBalance>2904154</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>2672119</BeginningOfYearBalance>
        <Contributions>230535</Contributions>
        <EndOfYearBalance>2902654</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <PermanentEndowmentEOYBalance>1.00000</PermanentEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>1</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>1</AreRelatedOrgsListedScheduleR>
      <Land>
        <OtherCostOrOtherBasis>15462217</OtherCostOrOtherBasis>
        <BookValue>15462217</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>208506465</OtherCostOrOtherBasis>
        <Depreciation>77197659</Depreciation>
        <BookValue>131308806</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>49314550</OtherCostOrOtherBasis>
        <Depreciation>31203092</Depreciation>
        <BookValue>18111458</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>8410851</OtherCostOrOtherBasis>
        <Depreciation>4416343</Depreciation>
        <BookValue>3994508</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>168876989</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>INVESTMENTS LIMITED OR RESTRICTED A</Description>
        <BookValue>42216966</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>42216966</TotalOfBookValueSecurities>
      <OtherLiabilities>
        <Description>SELF-INSURANCE LIABILITY</Description>
        <Amount>6593021</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>CAPITAL LEASE OBLIGATIONS</Description>
        <Amount>5549529</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED PENSION LIABILITY</Description>
        <Amount>5836206</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATES</Description>
        <Amount>3906575</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>21885331</TotalOfAmounts>
      <TotalRevenue>182644214</TotalRevenue>
      <TotalExpenses>178023315</TotalExpenses>
      <ExcessOrDeficitForYear>4620899</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>3053181</NetUnrealizedGLOnInvestments>
      <OtherAmount>23415004</OtherAmount>
      <TotalAdjustments>26468185</TotalAdjustments>
      <ExcessOrDeficitPerFS>31089084</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>186399950</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>2381527</NetUnrealizedGainsInvestments>
      <OtherRevenues>3288386</OtherRevenues>
      <RevenueNotRptdF990>5669913</RevenueNotRptdF990>
      <RevenueSubtotal>180730037</RevenueSubtotal>
      <OtherRevenuesNotIncluded>1914177</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>1914177</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>182644214</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>180640059</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>2616744</OtherExpensesIncluded>
      <ExpensesNotRptdF990>2616744</ExpensesNotRptdF990>
      <ExpensesSubtotal>178023315</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>178023315</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <ReturnReference>PART III, LINE 4:</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8 - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>TRANSFERS FROM AFFILIATES 3,271,791. CHANGE IN PENSION LIABILITY 21,837,835. IMPAIRMENT OF GOODWILL -1,618,264. INTEREST IN NET ASSETS OF FOUNDATION -76,358.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>PHYSICIANS PA OVERHEAD RECOVERY ALLOCATION 2,611,102. NET ASSETS RELEASED FROM RESTRICTION 677,284.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RESTRICTED CONTRIBUTIONS 1,202,343. INVESTMENT INCOME ON TEMPORARILY RESTRICTED ASSETS 105,821. REALIZED GAIN ON TEMPORARILY RESTRICTED ASSETS 176,655. LOSS ON SALE OF ASSETS -5,642. GIFTS RECEIVED ON BEHALF OF AFFILIATE 435,000.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>PHYSICIANS PA OVERHEAD RECOVERY ALLOCATION 2,611,102. LOSS ON SALE OF ASSETS 5,642.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Explanation>PARTS XI, XII, AND XIII RECONCILE TO SEPARATE COMPANY FINANCIAL STATEMENTS OF SHEPPARD PRATT HEALTH SYSTEM, INC.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <EventsInformation>
        <NameOfEvent1>CARE FOR KIDS</NameOfEvent1>
        <GrossReceiptsEvent1>171812</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>135752</CharitableContributionsEvent1>
        <GrossRevenueEvent1>36060</GrossRevenueEvent1>
        <RentFacilityCostsEvent1>20229</RentFacilityCostsEvent1>
        <FoodAndBeverageEvent1>8750</FoodAndBeverageEvent1>
        <EntertainmentEvent1>66000</EntertainmentEvent1>
        <OtherDirectExpensesEvent1>20436</OtherDirectExpensesEvent1>
        <GrossReceiptsTotal>171812</GrossReceiptsTotal>
        <CharitableContributionsTotal>135752</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>36060</GrossRevenueTotalEvents>
        <RentFacilityCostsTotalEvents>20229</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>8750</FoodAndBeverageTotalEvents>
        <EntertainmentTotalEvents>66000</EntertainmentTotalEvents>
        <OtherDirectExpensesTotalEvents>20436</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>115415</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-79355</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent200D>X</Pcent200D>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>1</ExpensesExceededBudget>
      <UnableToProvideCare>0</UnableToProvideCare>
      <AnnualCommunityBenefitReport>0</AnnualCommunityBenefitReport>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>1992342</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1992342</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01140</PercentOfTotalExpense>
      </CharityCareAtCost>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>1992342</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1992342</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01140</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>37324</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>37324</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>68760</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>68760</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>318679</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>41405</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>277274</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00160</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>64622</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>64622</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>489385</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>41405</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>447980</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00260</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>2481727</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>41405</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2440322</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01400</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <CommunitySupport>
        <TotalCommunityBuildingExpense>93211</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>93211</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </CommunitySupport>
      <CoalitionBuilding>
        <TotalCommunityBuildingExpense>33037</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>33037</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </CoalitionBuilding>
      <WorkforceDevelopment>
        <TotalCommunityBuildingExpense>4000</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>4000</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </WorkforceDevelopment>
      <Other>
        <TotalCommunityBuildingExpense>1087</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>1087</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </Other>
      <Total>
        <TotalCommunityBuildingExpense>131335</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>131335</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00070</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>0</BadDebtExpenseReported>
      <BadDebtExpenseAmount>2501697</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>18751680</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>20453244</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-1701564</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>2</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>SHEPPARD PRATT HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>6501 N CHARLES STREET</AddressLine1>
          <City>TOWSON</City>
          <State>MD</State>
          <ZIPCode>21204</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <TeachingHospital>X</TeachingHospital>
        <Other>SEE NARRATIVE</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>2</FacilityNumber>
        <Name>
          <BusinessNameLine1>SHEPPARD PRATT AT ELLICOTT CITY</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>4100 COLLEGE AVENUE</AddressLine1>
          <City>ELLICOTT CITY</City>
          <State>MD</State>
          <ZIPCode>21041</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Other>SEE NARRATIVE</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>15</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>JEFFERSON RESIDENTIAL TREATMENT CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2940 POINT OF ROCKS ROAD PO BOX 9</AddressLine1>
            <City>JEFFERSON</City>
            <State>MD</State>
            <ZIPCode>21755</ZIPCode>
          </Address>
          <FacilityType>LICENSED RESIDENTIAL TREATMENT CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BERKELEY AND ELEANOR MANN RESIDENTIAL TR</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>6501 NORTH CHARLES STREET</AddressLine1>
            <City>BALTIMORE</City>
            <State>MD</State>
            <ZIPCode>21204</ZIPCode>
          </Address>
          <FacilityType>THERAPEUTIC EDUCATIONAL AND RECREATIONAL PROGRAM</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>MANN RESPITE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>6501 NORTH CHARLES STREET</AddressLine1>
            <City>BALTIMORE</City>
            <State>MD</State>
            <ZIPCode>21204</ZIPCode>
          </Address>
          <FacilityType>24-HOUR THERAPEUTIC LIVING ENVIRONMENT</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>JEFFERSON SCHOOL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2940 POINT OF ROCKS ROAD PO BOX 9</AddressLine1>
            <City>JEFFERSON</City>
            <State>MD</State>
            <ZIPCode>21755</ZIPCode>
          </Address>
          <FacilityType>FULL DAY AND RESIDENTIAL SPECIAL EDUCATION SCHOOL</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>FORBUSH SCHOOL AT GLYNDON</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>407 CENTRAL AVENUE</AddressLine1>
            <City>REISTERSTOWN</City>
            <State>MD</State>
            <ZIPCode>21136</ZIPCode>
          </Address>
          <FacilityType>ACCREDITED SPECIAL EDUCATION FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>FORBUSH SCHOOL AT HUNT VALLEY</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>11201 PEPPER ROAD</AddressLine1>
            <City>HUNT VALLEY</City>
            <State>MD</State>
            <ZIPCode>21031</ZIPCode>
          </Address>
          <FacilityType>SPECIAL EDUCATION AND RELATED SERVICES SCHOOL</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>FORBUSH SCHOOL AT WESTMINSTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1135 BUSINESS PARKWAY SOUTH SUITE</AddressLine1>
            <AddressLine2>50</AddressLine2>
            <City>WESTMINSTER</City>
            <State>MD</State>
            <ZIPCode>21157</ZIPCode>
          </Address>
          <FacilityType>NON-PUBLIC ELEMENTARY/MIDDLE SCHOOL</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>FROST SCHOOL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4915 ASPEN HILL ROAD</AddressLine1>
            <City>ROCKVILLE</City>
            <State>MD</State>
            <ZIPCode>20853</ZIPCode>
          </Address>
          <FacilityType>SPECIAL EDUCATION AND RELATED SERVICES SCHOOL</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>JEFFERSON SCHOOL AT FINAN</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>10102 COUNTRY CLUB ROAD</AddressLine1>
            <City>SOUTHEAST CUMBERLAND</City>
            <State>MD</State>
            <ZIPCode>21501</ZIPCode>
          </Address>
          <FacilityType>SCHOOL SERVES STUDENTS WITH EMOTIONAL DISTURBANCES AND WITH AUTISM</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>FROST SCHOOL - OAKMONT PROGRAM - PRIMARY</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4915 ASPEN HILL RD</AddressLine1>
            <City>ROCKVILLE</City>
            <State>MD</State>
            <ZIPCode>20853</ZIPCode>
          </Address>
          <FacilityType>A 12-MONTH DAY SCHOOL FOR STUDENT AGES 5 TO 15 WITH AUTISM</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>FORBUSH SCHOOL AT OAKMONT - UPPER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>610 EAST DIAMOND AVENUE</AddressLine1>
            <City>GAITHERSBURG</City>
            <State>MD</State>
            <ZIPCode>20877</ZIPCode>
          </Address>
          <FacilityType>A 12-MONTH DAY SCHOOL FOR STUDENTS WITH AUTISM</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>FORBUSH THERAPEUTIC PRESCHOOL AT TOWSON</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>6501 NORTH CHARLES STREET</AddressLine1>
            <City>BALTIMORE</City>
            <State>MD</State>
            <ZIPCode>21204</ZIPCode>
          </Address>
          <FacilityType>SPECIAL EDUCATION AND RELATED SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>FORBUSH SCHOOL AT ANNE ARUNDEL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>648 OLD MILL ROAD</AddressLine1>
            <City>MILLERSVILLE</City>
            <State>MD</State>
            <ZIPCode>21108</ZIPCode>
          </Address>
          <FacilityType>SPECIAL EDUCATION AND RELATED SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>FORBUSH SCHOOL AT PRINCE GEORGE'S COUNTY</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4949 ADDISON ROAD</AddressLine1>
            <City>CAPITAL HEIGHTS</City>
            <State>MD</State>
            <ZIPCode>20743</ZIPCode>
          </Address>
          <FacilityType>FIVE CLASSROOMS SERVING CHILDREN WITH AUTISM IN A PUBLIC SCHOOOL SETTING</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>THE RETREAT AT SHEPPARD PRATT</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>6501 NORTH CHARLES STREET</AddressLine1>
            <City>BALTIMORE</City>
            <State>MD</State>
            <ZIPCode>21204</ZIPCode>
          </Address>
          <FacilityType>16-BED LICENSED ASSISTED LIVING PROGRAM</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7: RATIO OF COST TO CHARGES, AS CALCULATED IN 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. THERE IS A 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. THERE IS A 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7G: RESIDENTS OUTPATIENT CLINIC: IN FY 2011, SHEPPARD PRATT'S RESIDENCY TRAINING PROGRAM CONTINUED TO OFFER THE RESIDENTS' OUTPATIENT CLINIC. SERVICES ARE PROVIDED FREE OF CHARGE OR FOR A SMALL CO-PAY. DURING FY 2011, THE PROGRAM PROVIDED A TOTAL OF 1,981 SERVICES TO 189 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). UTILIZING VIDEOCONFERENCING EQUIPMENT, SHEPPARD PRATT PROVIDES PSYCHIATRIC TREATMENT SERVICES TO PROGRAMS LOCATED IN FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS AS WELL AS MENTAL HEALTH PROVIDER SHORTAGE AREAS. IN FY 2011, 292 CLIENTS WERE PROVIDED WITH 1,367 HOURS OF TELEPSYCHIATRY SERVICE. PREVIOUS TO THE TELEPSYCHIATRY SERVICE, MANY CLIENTS WERE FORCED TO USE AREA EMERGENCY ROOMS AFTER THEIR SYMPTOMS BECAME OVERWHELMING. ADDITIONALLY, SHEPPARD PRATT'S TELEHEALTH COMPONENT HAS PROVIDED RURAL PROVIDERS ACCESS TO SHEPPARD PRATT'S COMPLIMENTARY FY 2011 PROFESSIONAL EDUCATION. THIRTY-ONE WEDNESDAY LECTURE SESSIONS WERE PROVIDED AND 797 CLINICAL PROFESSIONALS ACCESSED THESE FREE CME SESSIONS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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 $3,256,318.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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 2011, SHEPPARD PRATT PROVIDED EDUCATIONAL INFORMATION TO THE COMMUNITY BY ATTENDING 23 CONFERENCES THEREBY REACHING OVER 3,000 CONFERENCE ATTENDEES. SHEPPARD PRATT'S MOBILE CRISIS TEAM RESPONDS TO MENTAL HEALTH EMERGENCIES IN HARFORD COUNTY, MARYLAND AT LOCATIONS OF OCCURRENCE, SUCH AS HOMES, WORK, AND SCHOOLS. THE PROGRAM WORKS TO AVERT UNNECESSARY VISITS TO HOSPITAL EMERGENCY ROOMS. CLINICAL TEAMS PROVIDE ON-SITE ASSESSMENTS AND CRISIS STABILIZATION THROUGH THERAPEUTIC INTERVENTIONS. THE PROGRAM ALSO PROVIDES ACCESS TO OUTPATIENT COUNSELING AND REHABILITATIVE SERVICES. TRAINING IS ALSO PROVIDED TO LAW ENFORCEMENT OFFICERS. IN FY 2011, THE PROGRAM SERVED 4,467 INDIVIDUALS THROUGH A VARIETY OF SERVICES AND EVENTS SUCH AS CLINICAL CALLS, POLICE CALLS, AND COMMUNITY EDUCATIONAL EVENTS. REGARDING NUTRITION AND A HEALTHY LIFESTYLE IN THE COMMUNITY, SHEPPARD PRATT ATTENDED MORE THAN 80 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. THIS COUNT INCLUDES A FREE WEEKLY SUPPORT GROUP FOR ANYONE CONCERNED ABOUT THEIR OWN NUTRITIONAL HABITS OR THOSE OF A LOVED ONE. APPROXIMATELY 2,600 PEOPLE TOOK ADVANTAGE OF THESE FREE EVENTS IN FY 2011. SHEPPARD PRATT'S WEB SITE RECEIVED 673,000 VISITS IN FY 2011; VISITORS HAVE FREE ACCESS TO MENTAL HEALTH ARTICLES AND LINKS TO OTHER GENERAL, NON-PROFIT MENTAL HEALTH RESOURCES. IN FY 2011, APPROXIMATELY 2,560 REQUESTS FOR MAILED LITERATURE WERE ALSO FULFILLED. A SAMPLE OF LITERATURE TOPICS INCLUDES: "A PARENT'S GUIDE TO CHILDHOOD AND ADOLESCENCE" AND "AGING MATTERS".A TOTAL OF TEN FREE COMMUNITY EDUCATIONAL EVENTS WERE SPONSORED BY SHEPPARD PRATT IN FY 2011. DETAILS ON SEVERAL ARE PROVIDED BELOW. -ANNUAL OPEN FORUM IN OCTOBER 2010: MS. ROSALYN CARTER PRESENTED TO THE COMMUNITY ON MENTAL HEALTH ISSUES THAT PERSIST IN OUR NATION TODAY AS WELL AS HOW TO END THE CRISIS. -NATIONAL EATING DISORDERS AWARENESS WEEK: ON FEBRUARY 20, 2011 SHEPPARD PRATT HOSTED AUTHOR JOHANNA S. KANDEL, AUTHOR OF LIFE BEYOND YOUR EATING DISORDER, TO KICK OFF EATING DISORDERS AWARENESS WEEK. MS. KANDEL'S PRESENTATION WAS FREE AND OPEN TO THE PUBLIC. SHE SHARED HER EXPERIENCE AND INSIGHTS WITH INDIVIDUALS WHO ARE PRESENTLY WORKING TO OVERCOME THEIR ILLNESS. -SHEPPARD PRATT'S SPEAKERS BUREAU ARRANGES FOR MENTAL HEALTH-RELATED PRESENTATIONS TO INTERESTED GROUPS THROUGHOUT THE COMMUNITY.-SHEPPARD PRATT ALSO OFFERS ASSISTANCE TO INPATIENTS AS THEY APPLY FOR MEDICARE AND MEDICAID BENEFITS WHICH WILL ASSIST THEM IN MAINTAINING TREATMENT COMPLIANCE POST-DISCHARGE BY LOWERING THE COST OF DOCTOR APPOINTMENTS AND MEDICATIONS. DURING FY 2011, APPROXIMATELY 104 INPATIENTS RECEIVED ASSISTANCE IN COORDINATING THEIR APPLICATIONS. WITHOUT THIS SUPPORT, IT IS LIKELY MANY OF THESE INDIVIDUALS MAY NOT HAVE BEEN ABLE TO CONTINUE IN OUTPATIENT TREATMENT AND WOULD HAVE FALLEN BACK INTO THE NEED FOR INPATIENT CARE. LEADERSHIP DEVELOPMENT AND TRAINING FOR THE COMMUNITY:IN FY 2011, SHEPPARD PRATT CONTINUED TO SERVE AS THE TRAINING RESOURCE FOR POSITIVE BEHAVIORAL INTERVENTIONS AND SUPPORTS (PBIS), A GRANT-FUNDED PROGRAM PROVIDED IN PARTNERSHIP WITH THE MARYLAND DEPARTMENT OF EDUCATION AND JOHNS HOPKINS UNIVERSITY'S CENTER FOR PREVENTION OF YOUTH VIOLENCE. THROUGH THIS PROGRAM, EDUCATORS ARE TRAINED IN THE PBIS METHOD WHICH ENHANCES THE CAPACITY OF SCHOOL STAFF TO EDUCATE CHILDREN IN A SAFER AND MORE EFFECTIVE ENVIRONMENT. IN FY 2011, TRAINING WAS PROVIDED TO 3,590 COACHES AND EDUCATORS. THE WORK OF PBIS' NATIONAL TECHNICAL ASSISTANCE CENTER CONTINUED PREVIOUS YEARS' EFFORT WITH 16,000 SCHOOLS ACROSS THE COUNTRY AND LAUNCHED A WIKI SITE WHICH ALLOWS STATE AND DISTRICT LEVEL IMPLEMENTERS AND TRAINERS FAST ACCESS TO PBIS RESOURCES AND MATERIALS. ONGOING TECHNICAL ASSISTANCE WAS PROVIDED TO SIX STATE TEAMS.COALITION BUILDING:CORPORATE 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 AND MANAGEMENT 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 DEVELOPMENT:SHEPPARD PRATT PARTICIPATES ANNUALLY IN A NURSING SCHOLARSHIP FUND FOR A DESERVING TOWSON UNIVERSITY FRESHMAN INTERESTED IN A HEALTH CARE CAREER. ALONG WITH AREA HOSPITAL AND UNIVERSITY PARTNERS, SHEPPARD PRATT CONTRIBUTES $4,000 PER YEAR WHICH COMBINES WITH THE PARTNERS TO PROVIDE $16,000 IN SCHOLARSHIP FUNDING.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>OTHER:A PORTION OF SHEPPARD PRATT'S WEB SITE IS DEVOTED TO PUBLICIZING THE ART (THE COLLECTION) AND THE HISTORY (THE GIBSON MUSEUM AND EVOLUTION OF TREATMENT AREA) OF MENTAL HEALTH CARE AND TREATMENT IN OUR SOCIETY. THIS YEAR A NEW, OUTDOOR DISPLAY WAS ADDED: THE WALKING TOUR OF SHEPPARD PRATT. EACH INSTALLATION IS DESIGNED TO EDUCATE THE PUBLIC REGARDING THE HISTORY AND TREATMENT OF MENTAL HEALTH THROUGHOUT TIME IN ORDER TO REDUCE THE STIGMA OF MENTAL ILLNESS. THE COLLECTION OF SHEPPARD PRATT IS COMPRISED OF THE WORKS OF NEARLY 100 PROFESSIONALLY TRAINED ARTISTS WHOSE LIFE EXPERIENCES HAVE BEEN IMPACTED BY MENTAL ILLNESS OR ADDICTIONS. THE COLLECTION IS DISPLAYED THROUGHOUT THE PUBLIC AREAS OF THE MAIN CAMPUS WITH A SELF GUIDED PROGRAM AVAILABLE. THE GIBSON MUSEUM TELLS THE STORY OF THE EVOLUTION OF SHEPPARD PRATT AS ONE OF AMERICA'S FOREMOST PRIVATE PSYCHIATRIC HOSPITALS AND IS OPEN TO THE PUBLIC. THE EVOLUTION OF TREATMENT PANEL DISPLAY IS COMPRISED OF GRAPHIC DISPLAYS RECOUNTING THE HISTORY OF TREATMENT OF INDIVIDUALS WITH MENTAL ILLNESS FROM ROMAN TIMES THROUGH MODERN DAY. INSTALLED IN A WELL-TRAVELED PUBLIC CORRIDOR, THE DISPLAY IS VIEWED BY PATIENTS, FAMILIES, AND VISITORS. THE WALKING TOUR WAS OPENED TO THE PUBLIC IN THE SPRING OF 2011 AND TRACES THE HOSPITAL'S EARLY HISTORY. THE ONE-MILE TOUR ENCOMPASSES THIRTEEN STATIONS MARKED BY PANELS ILLUSTRATING HOW PARTICULAR BUILDINGS AND EXTERIOR SPACES WERE USED.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 4: 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 8: UNDER THE NEW MEDICARE PROSPECTIVE PAYMENT SYSTEM, MEDICARE PAYS SHEPPARD PRATT LESS THAN ITS COST AS SUPPORTED BY THE FINAL FILED FISCAL 2011 COST REPORT. SHEPPARD PRATT TREATS ALL MEDICALLY APPROPRIATE MEDICARE PATIENTS AS REQUIRED BY THE CONDITIONS OF PARTICIPATION AND EMTALA.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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. THE HEALTH SYSTEM IS IN THE PRELIMINARY STAGES OF A JOINTLY-COMMISSIONED NEEDS ASSESSMENT VENTURE WITH TWO NEIGHBORING HEALTH CARE FACILITIES. SHEPPARD PRATT'S COMMUNITY ADVISORY COUNCIL WAS RECENTLY TRANSITIONED TO A COMMUNITY CONSUMER COUNCIL WITH ROBUST REPRESENTATION FROM THE COMMUNITY. THIS GROUP 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 OFFICERS AND THE BOARD OF TRUSTEES ON THE HEALTH SYSTEM'S CURRENT AND FUTURE SERVICES. DURING FY2011, MEETING MONTHLY, THIRTEEN VOLUNTEER COMMUNITY COUNCIL MEMBERS AND EIGHT HEALTH SYSTEM STAFF PARTICIPATED 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 THIS DATA SHEPPARD PRATT'S WEDNESDAY LECTURE SERIES TARGETS THE PERFORMANCE GAPS TO IMPROVE OR CHANGE PROFESSIONAL PRACTICE OR ENHANCE CURRENT COMPETENCIES. ADDITIONALLY, SURVEY DATA ILLUMINATES AREAS OF EDUCATION OR SERVICE THAT MAY BE LACKING IN THE COMMUNITY. SHEPPARD PRATT'S ADVOCACY WITH LOCAL AND NATIONAL CARE AGENCIES IS ANOTHER METHOD FOR GATHERING INFORMATION REGARDING SERVICES LACKING FOR OVERLOOKED OR NICHE POPULATIONS SUCH AS ADOLESCENTS SUFFERING FROM AUTISTIC SPECTRUM DISORDERS AND RESIDENTIAL OR SCHOOL SERVICES.ADDITIONALLY, ALL SHEPPARD PRATT SERVICE PROGRAMS ROUTINELY SURVEY PATIENTS, RESULTING IN DATA INDICATING IMPORTANT TREATMENT GAPS. CALLS TO THE THERAPY REFERRAL PROGRAM PROVIDE INFORMATION ON SERVICE NEEDS IN THE COMMUNITY WHICH ARE OTHERWISE NOT BEING FULFILLED. THIS METHOD RESULTED IN THE OPENING OF THE CRISIS WALK-IN CLINIC AS WELL AS A SPECIALTY INTENSIVE OUTPATIENT PROGRAM (CRISIS REFERRAL OUTPATIENT PROGRAM) SPECIFICALLY DESIGNED TO HELP BRIDGE PEOPLE AS THEY TRANSITION FROM INPATIENT TO OUTPATIENT CARE.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 THE ABILITY TO ADDRESS COMMUNITY NEED. WITH INPUT FROM THE INITIATIVES NOTED ABOVE, THE BOARD OF TRUSTEES AND STAFF WORK TO PROVIDE TARGETED SERVICES AND EDUCATION FOR THE COMMUNITY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 3: EACH PATIENT IS PROVIDED WITH A PATIENT HANDBOOK UPON ADMISSION. THE PATIENT HANDBOOK OUTLINES 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. PATIENTS ARE URGED TO SPEAK WITH THEIR THERAPIST OR OTHER HOSPITAL STAFF TO LEARN MORE ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. ADDITIONALLY, SHEPPARD PRATT'S FINANCIAL OFFICE PERSONNEL SERVE AS PATIENT FINANCIAL ADVOCATES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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 TOTALS 2.7 MILLION INDIVIDUALS. THE AREA INCLUDES URBAN, SUBURBAN AND RURAL REGIONS. THIS CENTRAL MARYLAND POPULATION IS 48 PERCENT MALE AND 52 PERCENT FEMALE. RACIAL BREAKDOWN ACCORDING TO THE US CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY OF 2010 IS AS FOLLOWS: 61.7 PERCENT OF RESIDENTS REPORT BEING WHITE, 29.1 PERCENT REPORT BEING AFRICAN AMERICAN, AND 9.2 PERCENT REPORTED BEING OF ANOTHER RACIAL ORIGIN. MEDIAN AGE BY JURISDICTION RANGES FROM A LOW OF 33.1 YEARS OF AGE FOR MALES IN BALTIMORE CITY TO A HIGH OF 41.2 YEARS OF AGE FOR FEMALES IN CARROLL COUNTY. CENTRAL MARYLAND EXPERIENCES A BROAD RANGE OF ESTIMATED MEDIAN FAMILY INCOME FOR THE SIX JURISDICTIONS WITH A LOW OF $38,346 IN BALTIMORE CITY AND A HIGH OF $110,771 IN HOWARD COUNTY. ADDITIONALLY, ON AVERAGE ACROSS ALL COUNTIES, 11.3 PERCENT OF RESIDENTS HAVE NO HEALTH INSURANCE COVERAGE; THE RANGE BEGINS AT A LOW OF 6.9 PERCENT NOT COVERED BY HEALTH INSURANCE IN CARROLL COUNTY TO A HIGH OF 16.0 PERCENT OF RESIDENTS WITHOUT HEALTH INSURANCE COVERAGE IN PRINCE GEORGE'S COUNTY. (SOURCE: U. S. CENSUS BUREAU; AMERICAN COMMUNITY SURVEY 2010.) THE CENTRAL MARYLAND JURISDICTION CONTAINS 28 HOSPITALS EXCLUDING SHEPPARD PRATT. SEVERAL GENERAL ACUTE HOSPITALS SERVE THIS SAME COMMUNITY. OF THIS GROUP, 17 FACILITIES HAVE PSYCHIATRIC 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 6: 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 2011, SHEPPARD PRATT WAS AGAIN RECOGNIZED BY U.S. NEWS AND WORLD REPORT AS ONE OF THE NATION'S TOP TEN HOSPITALS FOR PSYCHIATRIC CARE. FIFTY FIVE PERCENT OF INPATIENT SERVICES WERE PROVIDED TO MEDICARE AND MEDICAID RECIPIENTS. WHILE A MAJORITY OF PATIENTS WERE DRAWN FROM CENTRAL MARYLAND, SHEPPARD PRATT'S DIVERSE PROGRAMMING ALSO ATTRACTS PATIENTS NATIONALLY. SHEPPARD PRATT'S FLAGSHIP CAMPUS IS LOCATED AT 6501 NORTH CHARLES STREET, BALTIMORE, MD. AS THE FOUNDING LOCATION OF THE SYSTEM, A FULL RANGE OF INPATIENT, OUTPATIENT, AND RESIDENTIAL SERVICES ARE PROVIDED FROM THIS CAMPUS. 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 OPERATE A TOTAL OF 335 BEDS. SPECIALTY INPATIENT UNITS PROVIDE SERVICES FOR A WIDE SPAN OF PSYCHIATRIC DIAGNOSTIC CATEGORIES.IN FY 2011, SHEPPARD PRATT PROVIDED SERVICE FOR 8,294 INPATIENT ADMISSIONS RESULTING IN 95,185 INPATIENT DAYS, 75,136 OUTPATIENT AND DAY HOSPITAL VISITS, 37,920 RTC/RESPITE DAYS, AND 126,931 STUDENT DAYS.THERAPY REFERRAL SERVICE PROGRAMMING: CRISIS WALK IN CLINIC, SCHEDULED CRISIS INTERVENTION PROGRAM AND URGENT ASSESSMENT. THERAPY REFERRAL SERVICE (TRS) IS A FREE, CONFIDENTIAL TELEPHONE SERVICE THAT ASSISTS IN REFERRALS TO MENTAL HEALTH RESOURCES FOR THE BALTIMORE METROPOLITAN AREA INCLUDING SHEPPARD PRATT PROGRAMS. PROGRAMMING ACCESSED THROUGH THIS SERVICE INCLUDES URGENT ASSESSMENTS AND SCHEDULED CRISIS INTERVENTION PROGRAMS. FOR THE MOST SERIOUS CASES SHEPPARD PRATT'S CRISIS WALK IN CLINIC (CWIC) OPENED IN MAY OF 2011 TO RESPOND TO A COMMUNITY NEED FOR A WALK-IN CRISIS ASSESSMENT SERVICE WHICH SERVES TO DIVERT CLIENTS FROM AREA EMERGENCY ROOMS.</Explanation>
      </Form990ScheduleHPartVI>
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      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINES 4A-B</ReturnReference>
        <Explanation>LINE 4A: DIANA RAMSAY SEVERANCE OF $185,639. LINE 4B: THE FOLLOWING PARTICIPATED IN SHEPPARD PRATT'S 457(F) PLAN: PATRICIA PINKERTON $25,000</Explanation>
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    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
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        <IssuerName>
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        <IssuerEIN>520936091</IssuerEIN>
        <CUSIPNumber>574217KL8</CUSIPNumber>
        <DateIssued>2003-05-29</DateIssued>
        <IssuePrice>45590000</IssuePrice>
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        <CreditEnhancement>1625826</CreditEnhancement>
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        <TotalProceeds>22555000</TotalProceeds>
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      <Form990ScheduleKPartV>
        <Identifier>PART III, QUESTION 4</Identifier>
        <ReturnReference>PRIVATE BUSINESS USE</ReturnReference>
        <Explanation>BOND B - MULTI-PURPOSE ALLOCATION 1992/1985 REFUNDING PORTION - $3,865,000 - NOT MORE THAN 15% (1986 ACT TRANSITION RULE REFUNDING) 1995/1992 REFUNDING PORTION - 18,915,000 - LESS THAN 5% 2003/1999 REFUNDING PORTION - $22,770,000 - LESS THAN 5%</Explanation>
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    </IRS990ScheduleK>
    <IRS990ScheduleM documentId="RetDoc1042900001">
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        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>3</NumberOfContributions>
        <NoncashContribsRptdF990>650</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
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        <NumberOfContributions>7</NumberOfContributions>
        <NoncashContribsRptdF990>17158</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>STOCK EXCHANGE</MethodOfDeterminingRevenues>
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      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>DONATIONS FOR ON-LINE AUCTION FOR CFK EVENT</Description>
        <NumberOfContributions>57</NumberOfContributions>
        <NoncashContribsRptdF990>22920</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 6</Identifier>
        <Explanation>SHEPPARD &amp; ENOCH PRATT FOUNDATION, INC. IS THE SOLE MEMBER OF THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>SHEPPARD &amp; ENOCH PRATT FOUNDATION HOLDS RESERVED RIGHTS WHICH INCLUDE THE POWERS TO APPOINT BOARD MEMBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7B</Identifier>
        <Explanation>SHEPPARD &amp; 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES WILL REVIEW AND APPROVE THE 990. FOLLOWING FINANCE COMMITTEE APPROVAL OF THE 990 ON 4/17/12, THE CFO WILL MAKE COPIES AVAILABLE TO BOARD MEMBERS PRIOR TO FILING THE FORM 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>SALARIES OF THE CEO AND TOP MANAGEMENT/PHYSICIANS 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION POSTS ITS FINANCIAL STATEMENTS QUARTERLY ON THE DAC WEBSITE. FINANCIAL STATEMENTS AND OTHER POLICIES ARE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 3,053,181. TRANSFERS FROM AFFILIATES 3,271,791. CHANGE IN PENSION LIABILITY 21,837,835. IMPAIRMENT OF GOODWILL -1,618,264. INTEREST IN NET ASSETS OF FOUNDATION -76,358. TOTAL TO FORM 990, PART XI, LINE 5: 26,468,185.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, 2C</ReturnReference>
        <Explanation>THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>SHEPPARD &amp; ENOCH PRATT FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 6815</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21285</ZIPCode>
        </AddressUS>
        <EIN>521357109</EIN>
        <PrimaryActivities>CONDUCT FUNDRAISING ACTIVITIES TO SUPPORT AFFILIATED ORGANIZATIONS</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SHEPPARD PRATT PHYSICIANS PA INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 6815</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21285</ZIPCode>
        </AddressUS>
        <EIN>521392214</EIN>
        <PrimaryActivities>PROVIDE HEALTH CARE TO PATIENTS &amp; RESIDENCY TRAINING TO MEDICAL PROFESSIONAL</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>SHEPPARD PRATT INVESTMENT INC</BusinessNameLine1>
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          <AddressLine1>PO BOX 6815</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21285</ZIPCode>
        </AddressUS>
        <EIN>521388935</EIN>
        <PrimaryActivities>HOLD AND MANAGE ENDOWMENT FUNDS OF RELATED NONPROFIT ENTITIES</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
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          <BusinessNameLine1>MOSAIC COMMUNITY SERVICES INC</BusinessNameLine1>
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          <AddressLine1>1925 GREENSPRING DRIVE</AddressLine1>
          <City>TIMONIUM</City>
          <State>MD</State>
          <ZIPCode>21093</ZIPCode>
        </AddressUS>
        <EIN>521388141</EIN>
        <PrimaryActivities>PROVIDES COMMUNITY BASED THERAPEUTIC RESIDENTIAL, REHABILITATIVE SUPPORT</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
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</Return>