2024-05-13T13:12:25-05:00 2023-06-30 412069731 SC&H TAX & ADVISORY SERVICES LLC 910 RIDGEBROOK ROAD SPARKS MD 21152 990 2022-07-01 520591684 SHEPPARD PRATT HEALTH SYSTEM INC SHEP 4109385401 6501 N CHARLES STREET BALTIMORE MD 21204 KELLY SAVOCA SVP & CFO 4109385401 2024-05-07 1 KELLY SAVOCA 999009999 0 LORI S BURGHAUSER P00370694 4104031500 2024-05-07 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z HARSH K TRIVEDI 6501 N CHARLES STREET BALTIMORE MD 21204 313270195 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. 19 19 3214 49 0 0 5135807 13253463 224143258 267971017 8586992 243452 13939207 10454477 251805264 291922409 0 0 0 0 156277173 184020039 0 0 0 99823535 99673557 256100708 283693596 -4295444 8228813 397148763 401912013 220826091 214090865 176322672 187821148 X SHEPPARD PRATT, A NOT-FOR-PROFIT BEHAVIORAL HEALTH SYSTEM, IS DEDICATED TO IMPROVING THE QUALITY OF LIFE OF INDIVIDUALS AND FAMILIES BY COMPASSIONATELY SERVING THEIR MENTAL HEALTH, ADDICTION, SPECIAL EDUCATION, AND COMMUNITY SUPPORT NEEDS. 1 0 192463600 269314084 SHEPPARD PRATT HEALTH SYSTEM PROVIDES INPATIENT BEHAVIORAL HEALTH CARE, OUTPATIENT/ANCILLARY CARE, RESIDENTIAL SERVICES, SPECIAL EDUCATION TO STUDENTS AND RESIDENCY TRAINING PROGRAMS. 192463600 1 1 0 1 0 0 1 1 0 0 1 1 0 1 1 0 0 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 122 0 3214 1 0 1 CJ 0 0 0 0 0 0 0 0 1 0 X 19 19 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MD X KELLY SAVOCA 4109385401 6501 N CHARLES STREET TOWSON MD 21204 JOSHUA KAKEL CHAIRPERSON, TRUSTEE 1.00 1.00 X X 0 0 0 COLLIN MOTHUPI ASSISTANT CHAIR, TRUSTEE 1.00 1.00 X X 0 0 0 ALFRED SINGER VICE CHAIRPERSON, TRUSTEE (PART YEAR) 1.00 1.00 X 0 0 0 MARGARET ALLEN TRUSTEE 1.00 1.00 X 0 0 0 KEVIN BENSON TRUSTEE 1.00 1.00 X 0 0 0 ALAN EVANS TRUSTEE 1.00 1.00 X 0 0 0 SUSAN FENIMORE TRUSTEE 1.00 1.00 X 0 0 0 ELIZABETH FORBUSH TRUSTEE 1.00 1.00 X 0 0 0 ALAN GAMSE TRUSTEE 1.00 1.00 X 0 0 0 PHILIP H GRANTHAM TRUSTEE 1.00 1.00 X 0 0 0 WILLIAM HAUGH TRUSTEE 1.00 1.00 X 0 0 0 BONITA HEARN TRUSTEE 1.00 1.00 X 0 0 0 NORMA PEDEN KILLEBREW TRUSTEE 1.00 1.00 X 0 0 0 MARTHA KIRKLAND TRUSTEE 1.00 1.00 X 0 0 0 ALTON KNIGHT TRUSTEE 1.00 1.00 X 0 0 0 ROBERT KRESSLEIN TRUSTEE 1.00 1.00 X 0 0 0 CRISTIN C LAMBROS TRUSTEE 1.00 1.00 X 0 0 0 WILLIAM MORTON TRUSTEE 1.00 1.00 X 0 0 0 STEPHEN JUDSON WILLIAMS TRUSTEE 1.00 1.00 X 0 0 0 JIM WIEDERHOLD TRUSTEE 1.00 1.00 X 0 0 0 HARSH K TRIVEDI MD PRESIDENT & CEO 40.00 1.00 X 1334367 0 52907 KELLY SAVOCA SVP, CFO, SECRETARY/TREASUR 40.00 1.00 X 597885 0 27828 THERESA PEDDICORD ASSISTANT SECRETARY (PART YEAR) 40.00 1.00 X 93911 0 957 TODD E PETERS VP,CHIEF MED OFFICER, MED 40.00 1.00 X 678251 0 56309 JEFFREY W RICHARDSON VP & COO COMMUNITY BASED P 40.00 1.00 X 482590 0 55394 JENNIFER WEISS-WILKERSON SR VP STRATEGY & BUSINESS 40.00 1.00 X 581125 0 56715 GREGORY B GATTMAN VP OF HOSPITALS 40.00 1.00 X 520882 0 52872 KAREN ROBERTSON-KECK VP OF HR 40.00 1.00 X 324585 0 48454 CHARLES K MAUST CHIEF OF SCHOOLS (PART YEAR) 40.00 0.00 X 292962 0 3886 CHRISTINE M LISZEWSKI PHYCHIATRIST 40.00 0.00 X 443881 0 25766 JONATHAN HERSHFIELD THERAPIST 40.00 1.00 X 383010 0 32615 MICHAEL A YOUNG MD MEDICAL DIRECTOR 40.00 1.00 X 364150 0 27872 MARGO D LAUTERBACH PHYCHIATRIST 40.00 1.00 X 384947 0 33990 BOGLARKA SZABO MEDICAL DIRECTOR 40.00 1.00 X 365990 0 1690 KATHLEEN HILZENDEGER DIRECTOR DIV PROF SERVICE 40.00 1.00 X 210002 0 25040 DONNA L RICHARDSON VP & CDO, FORMER KEY 40.00 1.00 X 354662 0 32894 LAURA L WEBB VP & CNO, FORMER KEY 40.00 0.00 X 279255 0 30842 THOMAS D HESS CHIEF OF STAFF, FORMER KEY 40.00 0.00 X 269568 0 1921 7962023 0 567952 153 1 1 0 MAXIM HEALTHCARE SERVICES INC 7227 LEE DEFOREST DR COLUMBIA MD 21046 HEALTH CARE STAFFING 6314836 UNIV OF MD MEDICAL SYSTEM 22 SOUTH GREENE STREET BALTIMORE MD 21204 RESIDENCY PROGRAM 6160615 BENCHMARK CONSTRUCTION CO INC 4121 OREGON PK BROWNSTOWN PA 17508 CONSTRUCTION SERVICES 5944562 GENERAL HEALTHCARE RESOURCES INC 2250 HICKORY ROAD SUITE 240 PLYMOUTH MEETING PA 19462 HEALTH CARE STAFFING 5112176 SHC SERVICES INC 6955 UNION PARK CENTER DRIVE SUITE COTTONWOOD HEIGHTS UT 84047 HEALTH CARE STAFFING 3550326 107 6081604 7171859 2256110 13253463 PATIENT SERVICE REVENUE 621990 173842203 173842203 EDUCATIONAL SERVICE REVENUE 611600 88245775 88245775 SHEPPARD PRATT SOLUTIONS 541610 5883039 5883039 267971017 321717 321717 166978 0 166978 166978 166978 21269521 21077603 270183 191918 -270183 -78265 -78265 INTERCORP. REVENUE/SHARED SERVICE 621990 8513440 355181 8158259 OTHER REVENUE-CAFETERIA 900099 559276 559276 SCHOOL REVENUE 900099 359367 359367 855416 628519 226897 10287499 291922409 269314084 0 9354862 5261878 526188 4735690 1204182 120418 1083764 150624853 102605276 48019577 1330501 973420 357081 14927393 9920318 5007075 10671232 7044450 3626782 1371349 20009 1351340 851271 851271 234790 234790 37061 37061 27824776 22046898 5777878 4554201 4554201 5974358 5078204 896154 6792463 2377362 4415101 13916272 10134732 3781540 1082065 471890 610175 16443 5950 10493 4930275 142856 4787419 20570399 18513359 2057040 4802263 1910600 2891663 FOOD SERVICE EXPENSE 3604240 3243816 360424 MINOR ART AND EQUIPMENT 1256576 1130918 125658 MISCELLANEOUS EXPENSE 975110 877599 97511 CLIENT ASSISTANCE 689963 689963 189682 75173 114509 283693596 192463600 91229996 0 37105734 23176245 1018422 2319528 19088971 23184920 388264 357106 5093826 7374555 528400896 263157020 263667120 265243876 55381289 40363393 15405137 39892390 397148763 401912013 32267654 29388530 3707001 3151061 160713000 156275996 27702 24138436 25247576 220826091 214090865 X 164375017 177397902 11947655 10423246 176322672 187821148 397148763 401912013 X 8228813 -1011546 4281209 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 146050 0 1 381310 527360 0 PART II-B, LINE 1: SHEPPARD PRATT RETAINED FOUR LAW FIRMS AS REGISTERED LOBBYISTS TO KEEP THE ORGANIZATION INFORMED AS TO ANY NEW LEGISLATION THAT MAY IMPACT THE OPERATIONS OF THE HOSPITAL (TOTAL EXPENSE IN FY23: $199,882). SHEPPARD PRATT EMPLOYS A CHIEF OF GOVERNMENT RELATIONS WHOSE SALARY IS INCLUDED IN LOBBYING ACTIVITY (TOTAL SALARY AND BENEFITS $292,571). SHEPPARD PRATT ALSO PAYS DUES TO AMERICAN HOSPITAL ASSOCIATION, MARYLAND HOSPITAL ASSOCIATION, NATIONAL ASSOCIATION OF BEHAVIORAL HEALTHCARE, MARYLAND HEALTH ASSOCIATION, MARYLAND BEHAVIORAL HEALTHCOALITION, NATIONAL ASSOCIATION OF PSYCHIATRIC HEALTH SYSTEMS AND OTHER MENTAL HEALTH ORGANIZATIONS. A PORTION OF THE DUES PAID ARE USED TO FUND LOBBYING ACTIVITIES (FY23: $34,907). X 1 0.00 1 0 1 0 1.00 0 744537 X X 0 15527252 15527252 380516945 185939468 194577477 81973808 60134507 21839301 3913913 3091993 821920 46468978 13991052 32477926 265243876 INVESTMENTS LIMITED OR RESTRICTED AS TO USE 29071466 F INTEREST IN NET ASSETS OF FOUNDATION 10423246 F INVESTMENT IN SHEPPARD PRATT ASSURANCE COMPANY, LLC 868681 C 40363393 DUE FROM AFFILIATES 23476743 OTHER ASSETS 603451 THIRD PARTY PAYOR SETTLEMENT RECEIVABLE 7261077 RIGHT OF USE ASSETS - OPERATING 8551119 39892390 SELF-INSURANCE LIABILITY 9450821 CAPITAL LEASE OBLIGATIONS 6221239 DUE TO AFFILIATES 459029 DEFERRED FINANCING COSTS -420110 RIGHT OF USE LIABILITY - OPERATING 9536597 25247576 PART II, LINE 9: CONSERVATION EASEMENTS ARE REPORTED ON THE BALANCE SHEET AND ARE INCLUDED IN PROPERTY AND EQUIPMENT ON THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 4: THE ART COLLECTION OF SHEPPARD PRATT EXEMPLIFIES THE HEALING ASPECTS OF ART, BOTH FOR THE CREATOR AND THE OBSERVER. THIS UNIQUELY THEMED COLLECTION CELEBRATES THE CAPACITY FOR ARTISTIC ENDEAVOR TO TRANSCEND AND TRIUMPH OVER MENTAL ILLNESS AND ADDICTION. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENT 100000 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 1 0 REINSURANCE EXPENSES 1720225 0 0 0 0 0 0 1820225 0 1820225 1 0 1 0 0 0 PART III ACCOUNTING METHOD: 1 1 X 1 X 300.000000000000 1 X 500.000000000000 1 1 1 0 1 1 6176352 6176352 0.02180 6176352 6176352 0.02180 1610717 1610717 0.00570 659481 74843 584638 0.00210 3147028 3147028 0.01110 248677 248677 0.00090 91344 91344 0.00030 5757247 74843 5682404 0.02010 11933599 74843 11858756 0.04190 1441489 446946 994543 0.00350 411126 411126 0.00140 440607 440607 0.00160 2293222 446946 1846276 0.00650 1 4469513 0 12517519 16307796 -3790277 X 1 1 2 1 SHEPPARD PRATT HOSPITAL 6501 N CHARLES STREET TOWSON MD 21204 WWW.SHEPPARDPRATT.ORG 03-039 X X SEE NARRATIVE 2 SHEPPARD PRATT AT BALTIMORE WASHINGTON CAMPUS 7220 DISCOVERY DRIVE ELKRIDGE MD 21075 WWW.SHEPPARDPRATT.ORG 13-002 X SEE NARRATIVE SHEPPARD PRATT HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 1 0 1 X HTTPS://WWW.SHEPPARDPRATT.ORG/ABOUT/CHNA 1 22 1 SEE PART V, SECTION C 0 1 X 300.000000000000 500.000000000000 X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X 1 X 0 X X X X 1 X 0 0 SHEPPARD PRATT AT BALTIMORE WASHINGTON C 2 0 0 1 X X X X X X X X X 21 1 1 0 1 X HTTPS://WWW.SHEPPARDPRATT.ORG/ABOUT/CHNA 1 22 1 SEE PART V, SECTION C 0 1 X 300.000000000000 500.000000000000 X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X 1 X 0 X X X X 1 X 0 0 SHEPPARD PRATT HOSPITAL PART V, SECTION B, LINE 5: SHEPPARD PRATT ENGAGED THE SERVICES OF CRESCENDO CONSULTING GROUP, A RECOGNIZED FIRM WITH EXPERTISE IN CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS, TO DEVELOP ITS F/Y 2022 CHNAS. A MULTI-MODAL APPROACH WAS USED TO CONDUCT THE RESEARCH FOR THE F/Y 2022 CHNAS, WHICH INCLUDED THE FOLLOWING:-DEMOGRAPHIC AND OTHER SECONDARY RESEARCH-FOCUS GROUP DISCUSSIONS WITH KEY STAKEHOLDERS REPRESENTING PUBLIC HEALTH, MEDICAL SERVICES, NON-PROFIT AND SOCIAL ORGANIZATIONS, AND CHILDREN AND YOUTH AGENCIES-ONE-ON-ONE TELEPHONE INTERVIEWS WITH KEY STAKEHOLDERS-DISCUSSIONS WITH HOSPITAL LEADERS-NEEDS PRIORITIZATION ACTIVITIESKEY STAKEHOLDERS FOR BOTH CHNAS INCLUDED THE FOLLOWING:SANDRA O'NEILL, MS, LCPC, ANNE ARUNDEL DEPARTMENT OF HEALTHDR. MAURA ROSSMAN, HOWARD COUNTY DEPARTMENT OF HEALTHLEE P. OHNMACHT, MSS, LCSW-C, BALTIMORE COUNTY DEPARTMENT OF HEALTH, BUREAU OF BEHAVIORAL HEALTHCATHY FORBES, HOWARD COUNTYCARL DELORENZO, HOWARD COUNTYROE RODGERS-BONACCORSY, HOWARD COUNTY MENTAL HEALTH AUTHORITYLINDA RAINES, MENTAL HEALTH ASSOCIATION OF MARYLANDKATE FARINHOLT, NAMI MARYLANDREBBECA RIENZI, FAMILY NETWORK / PATHFINDERS FOR AUTISMJANE GEHRING CHILD ADVOCACY CENTERSAM SALERNO, LCSW-C, SHEPPARD PRATTLAURA WINSTEAD, LCSW-C, SHEPPARD PRATTLAURA ESKANDER, MD, SHEPPARD PRATTEHSAN SYED, MD, SHEPPARD PRATTROBERT WISNER-CARLSON, MD, SHEPPARD PRATTVERANDA HODZIC, MD, SHEPPARD PRATTJESSIE STEPHEN, MD, SHEPPARD PRATTDEVI BHUYAN, PSYD. SHEPPARD PRATTCARRIE ETHERIDGE, LCSW-C, SHEPPARD PRATTMONICA RETTENMIER, MD, SHEPPARD PRATTSCOTT AARONSON, MD, SHEPPARD PRATTWERONIKA GONDEK, MD, FAPA, SHEPPARD PRATT SHEPPARD PRATT AT BALTIMORE WASHINGTON CAMPUS PART V, SECTION B, LINE 5: SHEPPARD PRATT ENGAGED THE SERVICES OF CRESCENDO CONSULTING GROUP, A RECOGNIZED FIRM WITH EXPERTISE IN CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS, TO DEVELOP ITS F/Y 2022 CHNAS. A MULTI-MODAL APPROACH WAS USED TO CONDUCT THE RESEARCH FOR THE F/Y 2022 CHNAS, WHICH INCLUDED THE FOLLOWING:-DEMOGRAPHIC AND OTHER SECONDARY RESEARCH-FOCUS GROUP DISCUSSIONS WITH KEY STAKEHOLDERS REPRESENTING PUBLIC HEALTH, MEDICAL SERVICES, NON-PROFIT AND SOCIAL ORGANIZATIONS, AND CHILDREN AND YOUTH AGENCIES-ONE-ON-ONE TELEPHONE INTERVIEWS WITH KEY STAKEHOLDERS-DISCUSSIONS WITH HOSPITAL LEADERS-NEEDS PRIORITIZATION ACTIVITIESKEY STAKEHOLDERS FOR BOTH CHNAS INCLUDED THE FOLLOWING:SANDRA O'NEILL, MS, LCPC, ANNE ARUNDEL DEPARTMENT OF HEALTHDR. MAURA ROSSMAN, HOWARD COUNTY DEPARTMENT OF HEALTHLEE P. OHNMACHT, MSS, LCSW-C, BALTIMORE COUNTY DEPARTMENT OF HEALTH, BUREAU OF BEHAVIORAL HEALTHCATHY FORBES, DELEGATECARL DELORENZO, HOWARD COUNTYROE RODGERS-BONACCORSY, HOWARD COUNTY MENTAL HEALTH AUTHORITYLINDA RAINES, MENTAL HEALTH ASSOCIATION OF MARYLANDKATE FARINHOLT, NAMI MARYLANDREBBECA RIENZI, FAMILY NETWORK / PATHFINDERS FOR AUTISMJANE GEHRING CHILD ADVOCACY CENTERSAM SALERNO, LCSW-C, SHEPPARD PRATTLAURA WINSTEAD, LCSW-C, SHEPPARD PRATTLAURA ESKANDER, MD, SHEPPARD PRATTEHSAN SYED, MD, SHEPPARD PRATTROBERT WISNER-CARLSON, MD, SHEPPARD PRATTVERANDA HODZIC, MD, SHEPPARD PRATTJESSIE STEPHEN, MD, SHEPPARD PRATTDEVI BHUYAN, PSYD. SHEPPARD PRATTCARRIE ETHERIDGE, LCSW-C, SHEPPARD PRATTMONICA RETTENMIER, MD, SHEPPARD PRATTSCOTT AARONSON, MD, SHEPPARD PRATTWERONIKA GONDEK, MD, FAPA, SHEPPARD PRATT SHEPPARD PRATT HOSPITAL PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS A COLLABORATION LED BY SHEPPARD PRATT HEALTH SYSTEM, INC., WITH THE ASSISTANCE OF CRESCENDO CONSULTING GROUP, A CONSULTING FIRM WITH EXPERTISE IN CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS. THE ASSESSMENT INCLUDED RELATED HOSPITAL FACILITIES, SHEPPARD PRATT HOSPITAL AND SHEPPARD PRATT AT THE BALTIMORE WASHINGTON CAMPUS. SHEPPARD PRATT AT BALTIMORE WASHINGTON CAMPUS PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS A COLLABORATION LED BY SHEPPARD PRATT HEALTH SYSTEM, INC., WITH THE ASSISTANCE OF CRESCENDO CONSULTING GROUP, A CONSULTING FIRM WITH EXPERTISE IN CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS. THE ASSESSMENT INCLUDED RELATED HOSPITAL FACILITIES, SHEPPARD PRATT HOSPITAL AND SHEPPARD PRATT AT THE BALTIMORE WASHINGTON CAMPUS.SHEPPARD PRATT HOSPITAL:PART V, SECTION B, LINE 7A: HTTPS://WWW.SHEPPARDPRATT.ORG/ABOUT/CHNA SHEPPARD PRATT AT BALTIMORE WASHINGTON CAMPUS:PART V, SECTION B, LINE 7A: HTTPS://WWW.SHEPPARDPRATT.ORG/ABOUT/CHNA SHEPPARD PRATT HOSPITAL PART V, SECTION B, LINE 11: EACH HOSPITAL IS REQUIRED TO CONDUCT AND PUBLISH ITS OWN CHNA AND IMPLEMENTATION PLAN, YET HOSPITALS ARE ENCOURAGED TO COLLABORATE ON THE CHNAS ESPECIALLY WHERE SERVICE LINES AND/OR SERVICE AREAS OVERLAP. FOR EACH SHEPPARD PRATT HOSPITAL, CHNA AND IMPLEMENTATION PLAN ACTIVITIES WERE JOINTLY CONDUCTED TO MAXIMIZE THE EFFICIENCY OF THE RESEARCH AND THE EFFECTIVENESS OF EMERGING STRATEGIES. THE STRATEGIC APPROACH ESTABLISHES THE BASIS FOR SHARED OPERATIONAL PLANS TO ADDRESS NEEDS. DURING THE JOINT CHNA RESEARCH FOR THE TWO HOSPITALS, PARTICULAR ATTENTION WAS GIVEN TO IDENTIFY DIFFERENCES THAT MAY OR MAY NOT EXIST BETWEEN THE TWO OVERLAPPING SERVICE AREAS. THE RESULTS OF THE CHNAS IDENTIFIED AN IDENTICAL SET OF APPROXIMATELY 22 COMMUNITY NEEDS WITH VERY LITTLE VARIATION IN THE RANKED PRIORITY BASED ON LOCATION. AS A RESULT, EACH HOSPITAL HAS ITS OWN CHNA AND IMPLEMENTATION PLAN; HOWEVER, THEY ARE IDENTICAL FOR BOTH HOSPITALS. THIS METHODOLOGY EFFECTIVELY SUPPORTS OPERATIONAL PLANS TO ADDRESS IDENTIFIED NEEDS IN EACH MARKET AND EVEN THE ADMINISTRATION OF SERVICES, IN SOME CASES THAT WILL BE CENTRALLY MANAGED, MAXIMIZE PATIENT CARE, IMPROVE OPERATIONAL EFFICIENCY, AND BETTER FOCUS SHEPPARD PRATT'S EFFORTS TO MEET THE HIGHEST PRIORITY SERVICE AREA NEEDS. OF THE 22 COMMUNITY NEEDS IDENTIFED FROM THE COMMUNTITY HEALTH NEEDS ASSESSMENT, EXISTING PROGRAMS AND ACTIVITIES ALREADY ADDRESS 100% TO SOME EXTENT. - THE HOSPITAL WILL FOCUS CURRENT AND NEW INITIATIVES ON THE HIGHEST PRIORITY ISSUES AS IDENTIFIED IN THE CHNA, AS WELL AS THOSE FOR WHICH IT HAS EXISTING PROGRAMS AND ACTIVITIES. - FOR SOME OF THE PROGRAMS AND ACTIVITIES, SPHS IS A FACILITATOR OR PARTNER WITH A COMMUNITY SERVICE ORGANIZATION WHILE FOR OTHERS, IT TAKES MORE OF A LEADERSHIP ROLE. - FOR MOST OF THESE NEEDS, SHPS PROGRAMS AND ACTIVITES WILL REMAIN LARGELY UNCHANGED. HOWEVER, SPHS MAY MODIFY EXISTING PROGRAMS, AS NEEDED OR AS ADDITIONAL OPPORTUNITIES PRESENT THEMSELVES. THE LONG-TERM IMPACT OF THE COVID-19 PANDEMIC IS YET TO FULLY UNFOLD, BUT SHEPPARD PRATT IS DEDICATED TO RESPONDING TO EMERGING OPPORTUNITIES TO SUPPORT AND IMPROVE BEHAVIORAL HEALTH.TOP TWO FOCUS AREAS AND NEEDS BY TIME FRAMEWITHIN ONE-YEAR IMPACT EXPECTATION - FOCUS AREAS INCLUDE:- CRISIS CARE PROGRAMS FOR BEHAVIORAL HEALTH (INCLUDING SUBSTANCE USE DISORDERS)- SUPPORT SERVICES FOR FAMILIES OF PEOPLE STRUGGLING WITH MENTAL HEALTH OR SUBSTANCE ISSUESTWO-THREE YEAR IMPACT EXPECTATION - FOCUS AREAS INCLUDE:- COMMERICAL INSURANCE COVERAGE OF BEHAVIORAL HEALTH SERVICES- MENTAL HEALTH STIGMA REDUCTIONFOUR YEARS OR LONGER EXPECTATION (NOT FOCUSING ON DURING THE CURRENT CHNA PERIOD)- STAFF SHORTAGES- DIVERSITY IN BEHAVIORAL HEALTH PROVIDERS SHEPPARD PRATT AT BALTIMORE WASHINGTON CAMPUS PART V, SECTION B, LINE 11: EACH HOSPITAL IS REQUIRED TO CONDUCT AND PUBLISH ITS OWN CHNA AND IMPLEMENTATION PLAN, YET HOSPITALS ARE ENCOURAGED TO COLLABORATE ON THE CHNAS ESPECIALLY WHERE SERVICE LINES AND/OR SERVICE AREAS OVERLAP. FOR EACH SHEPPARD PRATT HOSPITAL, CHNA AND IMPLEMENTATION PLAN ACTIVITIES WERE JOINTLY CONDUCTED TO MAXIMIZE THE EFFICIENCY OF THE RESEARCH AND THE EFFECTIVENESS OF EMERGING STRATEGIES. THE STRATEGIC APPROACH ESTABLISHES THE BASIS FOR SHARED OPERATIONAL PLANS TO ADDRESS NEEDS. DURING THE JOINT CHNA RESEARCH FOR THE TWO HOSPITALS, PARTICULAR ATTENTION WAS GIVEN TO IDENTIFY DIFFERENCES THAT MAY OR MAY NOT EXIST BETWEEN THE TWO OVERLAPPING SERVICE AREAS. THE RESULTS OF THE CHNAS IDENTIFIED AN IDENTICAL SET OF APPROXIMATELY 22 COMMUNITY NEEDS WITH VERY LITTLE VARIATION IN THE RANKED PRIORITY BASED ON LOCATION. AS A RESULT, EACH HOSPITAL HAS ITS OWN CHNA AND IMPLEMENTATION PLAN; HOWEVER, THEY ARE IDENTICAL FOR BOTH HOSPITALS. THIS METHODOLOGY EFFECTIVELY SUPPORTS OPERATIONAL PLANS TO ADDRESS IDENTIFIED NEEDS IN EACH MARKET AND EVEN THE ADMINISTRATION OF SERVICES, IN SOME CASES THAT WILL BE CENTRALLY MANAGED, MAXIMIZE PATIENT CARE, IMPROVE OPERATIONAL EFFICIENCY, AND BETTER FOCUS SHEPPARD PRATT'S EFFORTS TO MEET THE HIGHEST PRIORITY SERVICE AREA NEEDS. OF THE 22 COMMUNITY NEEDS IDENTIFED FROM THE COMMUNTITY HEALTH NEEDS ASSESSMENT, EXISTING PROGRAMS AND ACTIVITIES ALREADY ADDRESS 100% TO SOME EXTENT. - THE HOSPITAL WILL FOCUS CURRENT AND NEW INITIATIVES ON THE HIGHEST PRIORITY ISSUES AS IDENTIFIED IN THE CHNA, AS WELL AS THOSE FOR WHICH IT HAS EXISTING PROGRAMS AND ACTIVITIES. - FOR SOME OF THE PROGRAMS AND ACTIVITIES, SPHS IS A FACILITATOR OR PARTNER WITH A COMMUNITY SERVICE ORGANIZATION WHILE FOR OTHERS, IT TAKES MORE OF A LEADERSHIP ROLE. - FOR MOST OF THESE NEEDS, SHPS PROGRAMS AND ACTIVITES WILL REMAIN LARGELY UNCHANGED. HOWEVER, SPHS MAY MODIFY EXISTING PROGRAMS, AS NEEDED OR AS ADDITIONAL OPPORTUNITIES PRESENT THEMSELVES. THE LONG-TERM IMPACT OF THE COVID-19 PANDEMIC IS YET TO FULLY UNFOLD, BUT SHEPPARD PRATT IS DEDICATED TO RESPONDING TO EMERGING OPPORTUNITIES TO SUPPORT AND IMPROVE BEHAVIORAL HEALTH.TOP TWO FOCUS AREAS AND NEEDS BY TIME FRAMEWITHIN ONE-YEAR IMPACT EXPECTATION - FOCUS AREAS INCLUDE:- CRISIS CARE PROGRAMS FOR BEHAVIORAL HEALTH (INCLUDING SUBSTANCE USE DISORDERS)- SUPPORT SERVICES FOR FAMILIES OF PEOPLE STRUGGLING WITH MENTAL HEALTH OR SUBSTANCE ISSUESTWO-THREE YEAR IMPACT EXPECTATION - FOCUS AREAS INCLUDE:- COMMERICAL INSURANCE COVERAGE OF BEHAVIORAL HEALTH SERVICES- MENTAL HEALTH STIGMA REDUCTIONFOUR YEARS OR LONGER EXPECTATION (NOT FOCUSING ON DURING THE CURRENT CHNA PERIOD)- STAFF SHORTAGES- DIVERSITY IN BEHAVIORAL HEALTH PROVIDERS SHEPPARD PRATT HOSPITAL PART V, SECTION B, LINE 16J: FINANCIAL CASE MANAGERS ALSO PROVIDE INFORMATION ON FINANCIAL ASSISTANCE TO PATIENTS AND THEIR FAMILIES WHOM THEY BELIEVE MAY BENEFIT FROM ASSISTANCE. SHEPPARD PRATT AT BALTIMORE WASHINGTON CAMPUS PART V, SECTION B, LINE 16J: FINANCIAL CASE MANAGERS ALSO PROVIDE INFORMATION ON FINANCIAL ASSISTANCE TO PATIENTS AND THEIR FAMILIES WHOM THEY BELIEVE MAY BENEFIT FROM ASSISTANCE. SHEPPARD PRATT HOSPITAL PART V, LINE 8, IMPLEMENTATION STRATEGY:HTTPS://WWW.SHEPPARDPRATT.ORG/ABOUT/CHNAPART V, LINE 16A, FAP WEBSITE:HTTPS://WWW.SHEPPARDPRATT.ORG/FOR-PATIENTS-SUPPORTS/FINANCIAL-SUPPORT-AND-BILLING-INFORMATION/PART V, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.SHEPPARDPRATT.ORG/FILES/RESOURCES/SHEPPARD-PRATT-FINANCIAL-ASSISTANCE-APPLICATION.PDFPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.SHEPPARDPRATT.ORG/FILES/RESOURCES/PLAIN-LANGUAGE-SUMMARY.PDF SHEPPARD PRATT AT BALTIMORE WASHINGTON CAMPUS PART V, LINE 8, IMPLEMENTATION STRATEGY:HTTPS://WWW.SHEPPARDPRATT.ORG/ABOUT/CHNAPART V, LINE 16A, FAP WEBSITE:HTTPS://WWW.SHEPPARDPRATT.ORG/FOR-PATIENTS-SUPPORTS/FINANCIAL-SUPPORT-AND-BILLING-INFORMATION/PART V, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.SHEPPARDPRATT.ORG/FILES/RESOURCES/SHEPPARD-PRATT-FINANCIAL-ASSISTANCE-APPLICATION.PDFPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.SHEPPARDPRATT.ORG/FILES/RESOURCES/PLAIN-LANGUAGE-SUMMARY.PDF 14 1 - SHEPPARD PRATT SCHOOL - TOWSON 6501 NORTH CHARLES STREET BALTIMORE MD 21204 LICENSED RESIDENTIAL TREATMENT CENTER/SP. ED. SCHOOL 2 - THE RETREAT AT SHEPPARD PRATT 6501 NORTH CHARLES STREET BALTIMORE MD 21204 16-BED LIMITED PRIVATE INPATIENT FACILITY 3 - SHEPPARD PRATT SCHOOL - GLYNDON 407 CENTRAL AVENUE REISTERSTOWN MD 21136 12-MTH SPECIAL ED. DAY SCH FOR STUDENTS WITH BEHAVIORAL & EMOTIONAL DISABILI 4 - SHEPPARD PRATT SCHOOL - REISTERSTOWN 12039 REISTERSTOWN ROAD BALTIMORE MD 21136 12-MTH SPECIAL ED. DAY SCHOOL FOR STUDENT WITH BEHAVIORAL & EMOTIONAL DISABI 5 - SHEPPARD PRATT SCHOOL - ROCKVILLE 4915 ASPEN HILL ROAD ROCKVILLE MD 20853 12-MTH SPECIAL ED. DAY SCHOOL FOR STUDENT WITH BEHAVIORAL & EMOTIONAL DISABI 6 - SHEPPARD PRATT SCHOOL - HUNT VALLEY 11201 PEPPER ROAD HUNT VALLEY MD 21031 12-MONTH SPECIAL EDUCATION DAY SCHOOL FOR STUDENTS WITH AUTISM 7 - SHEPPARD PRATT SCHOOL - LANHAM 4819 WALDEN LANE LANHAM MD 20706 12-MONTH SPECIAL EDUCATION DAY SCHOOL FOR STUDENTS WITH AUTISM 8 - SHEPPARD PRATT SCHOOL - CUMBERLAND 10100 COUNTRY CLUB ROAD SOUTHEAST CUMBERLAND MD 21502 12-MTH SPECIAL ED. DAY SCH FOR STUDENTS WITH BEHAVIORAL & EMOTIONAL DISABILI 9 - SHEPPARD PRATT SCHOOL - GAITHERSBURG 610 EAST DIAMOND AVENUE GAITHERSBURG MD 20877 12-MONTH SPECIAL EDUCATION DAY SCHOOL FOR STUDENTS WITH AUTISM 10 - RUXTON HOUSE 1506 LABELLE AVENUE BALTIMORE MD 21204 8-BED LICENSED GROUP HOME 11 - SHEPPARD PRATT SCHOOL - FREDERICK 1285 HILLCREST DRIVE FREDERICK MD 21703 10-MTH DAY SCHOOL FOR SPECIAL ED. & RELATED SERVICES IN A PUBLIC SCHOOL SET 12 - HANNAH MORE AT MILLERSVILLE ELEM SCHOOL 1601 MILLERSVILLE ROAD MILLERSVILLE MD 21108 10-MONTH DAY SCHOOL FOR SPECIAL ED. & RELATED SERVICES IN A PUBLIC SCHOOL 13 - HANNAH MORE AT SEVERN MIDDLE SCHOOL 241 PENINSULA FARM ROAD ARNOLD MD 21012 10-MONTH DAY SCHOOL FOR SPECIAL ED. & RELATED SERVICES IN A PUBLIC SCHOOL 14 - SHEPPARD PRATT SCH - MILLERSVILLE SEVER 60 ROBINSON ROAD SEVERNA PARK MD 21146 10-MONTH DAY SCHOOL FOR SPECIAL ED. & RELATED SERVICES IN A PUBLIC SCHOOL PART I, LINE 3C: SHEPPARD PRATT HEALTH SYSTEM USES AN ASSET TEST IN CONJUNCTION WITH THE 300% FPG FACTOR TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. INDIVIDUALS WITH ASSETS LESS THAN $10,000, AND FAMILIES WITH ASSETS LESS THAN $25,000 ARE ELIGIBLE FOR FREE OR DISCOUNTED CARE. THE EQUITY VALUE OF AN APPLICANT'S PRINCIPAL RESIDENCE IS UP TO $150,000 EXCLUDED FROM THE ASSET TEST. 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, LINE 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 CARVEOUT 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: SHEPPARD PRATT'S RESIDENCY TRAINING PROGRAM OFFERS AN OUTPATIENT CLINIC. IN THE AREA OF HEALTH PROFESSIONS EDUCATION, SHEPPARD PRATT OFFERED 37 COMPLIMENTARY CME LECTURE SESSIONS, THAT WERE ACCESSIBLE TO A VARIETY OF RURAL LOCATIONS UTILIZING A VIDEOCONFERENCING BRIDGE. IN FY23, THERE WERE 9,907 NON-SHEPPARD PRATT CLINICAL PROFESSIONALS WHO ATTENDED THESE FREE CME SESSIONS, WHICH WERE ACCESSED ENTIRELY VIA VIDEOCONFERENCING. PART II, COMMUNITY BUILDING ACTIVITIES: SHEPPARD PRATT STRIVES TO MEET THE MENTAL HEALTH NEEDS OF A DIVERSE COMMUNITY THROUGH THE FLEXIBILITY OF TRADITIONAL TREATMENT MODALITIES COMBINED WITH COMMUNITY BENEFIT PROGRAMMING SO THAT THE MOST VULNERABLE OF OUR SOCIETY HAVE ACCESS TO INFORMATION, ACTIVITIES AND/OR TREATMENT. DUE TO THE SENSITIVITY OF THE SUBJECT MATTER, AND WITH AN UNDERSTANDING OF THE BURDEN SOME PEOPLE LABOR UNDER IN ASKING FOR INFORMATION, SHEPPARD PRATT HAS WORKED DILIGENTLY TO PROVIDE ACCESS THROUGH MANY LEVELS FROM FREELY AVAILABLE INFORMATION ON THE INTERNET, TO PUBLIC MEETINGS AND PROFESSIONAL SERVICES.SHEPPARD PRATT HEALTH SYSTEM ATTENDS LOCAL, REGIONAL AND NATIONAL CONFERENCES IN ORDER TO REACH A BROAD SPECTRUM OF THE COMMUNITY WITH GENERAL PSYCHIATRIC EDUCATION LITERATURE. IN FY23, SHEPPARD PRATT HOSTED TEN COMMUNITY TALKS. TOPICS PRESENTED INCLUDE: YOUTH MENTAL HEALTH, SUBSTANCE ABUSE, MINORITIES & MENTAL HEALTH, AND MEN'S MENTAL HEALTH.TRANSPORTATION SERVICES WERE PROVIDED TO 1,132 PERSONS WHO REQUIRED TRANSPORTATION TO GET TO DOCTOR APPOINTMENTS OR OTHER MEDICAL SERVICES, AND TO RECEIVE CARE AT SHEPPARD PRATT. THIS TOTAL INCLUDES PATIENTS TRANSPORTED TO AND FROM OUR DAY HOSPITAL PROGRAMS, PATIENTS WHO WERE PROVIDED AMBULANCE TRANSPORTATION, AS WELL AS PATIENTS TRANSPORTED TO APPOINTMENTS FOR VARIOUS MEDICAL SERVICES OUTSIDE OF THE HOSPITAL. THE FY23 COST FOR THESE SERVICES WAS $440,607.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.IN FY23, SHEPPARD PRATT'S WEB SITE RESOURCE PAGE RECEIVED 37,320 PAGE VIEWS TO ACCESS INFORMATION ON PARENTING AND CHANGING YOUR CHILD'S BEHAVIOR, MINORITIES AND MENTAL HEALTH, LINKS TO MENTAL HEALTH RESOURCES, INFORMATIVE BLOGS, AND OTHER USEFUL TREATMENT INFORMATION. PART III, LINE 2: SHEPPARD PRATT HEALTH SYSTEM'S POLICY IS TO WRITE OFF ALL ACCOUNTS THAT HAVE BEEN IDENTIFIED AS UNCOLLECTIBLE. AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE IS RECORDED FOR ACCOUNTS NOT YET WRITTEN OFF THAT ARE ANTICIPATED TO BECOME UNCOLLECTIBLE IN FUTURE PERIODS. INSURANCE COVERAGE AND CREDIT INFORMATION ARE OBTAINED FROM PATIENTS WHEN AVAILABLE. NO COLLATERAL IS OBTAINED FOR ACCOUNTS RECEIVABLE. A COST-TO-CHARGE RATIO IS USED BASED ON FILED MEDICARE COST REPORTS TO DETERMINE AMOUNTS REPORTED AS BAD DEBT EXPENSE. PART III, LINE 3: PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY ALLOWANCES FOR BAD DEBTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, HEALTH SYSTEM ANALYZES HISTORICAL COLLECTIONS AND WRITE OFFS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR BAD DEBTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS ITS ESTIMATE AND EVALUATES THE SUFFICIENCY OF THE ALLOWANCE FOR BAD DEBTS. FOR PATIENT ACCOUNTS RECEIVABLE ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES THOSE PATIENTS WITHOUT EXISTING INSURANCE COVERAGE FOR A PORTION OF THE BILL, THE HEALTH SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS FOR PATIENTS THAT ARE UNABLE OR UNWILLING TO PAY FOR THE PORTION OF THE BILL REPRESENTING THEIR FINANCIAL RESPONSIBILITY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED. PART III, LINE 4: SEE FOOTNOTE #1(K) OF AUDITED FINANCIAL STATEMENTS - PAGES 11 AND 12 PART III, LINE 8: UNLIKE ACUTE CARE HOSPITALS, SHEPPARD PRATT AS AN INSTITUTION FOR MENTAL DISEASE (IMD) IS REIMBURSED UNDER THE MEDICARE PROSPECTIVE PAYMENT SYSTEM. MEDICARE PAYS SHEPPARD PRATT LESS THAN ITS COSTS AS SUPPORTED BY THE FINAL FILED FISCAL YEAR 2023 COST REPORT FILED WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. 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: IN ADDITION TO THE COMPLETION OF OUR CHNA, SHEPPARD PRATT ALSO COLLECTS AND UTILIZES SERVICE GAP INFORMATION GATHERED THROUGH PATIENT AND FAMILY REQUESTS FOR SERVICE AS RECEIVED THROUGH ITS WEB SITE, CRISIS WALK IN CLINIC, AND THE CARE NAVIGATION LINE. 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 ADMISSION SUIT 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. FINANCIAL ASSISTANCE INFORMATION IS ALSO INCLUDED IN THE PATIENT'S BILLING STATEMENT. FINALLY, PRIOR TO TRANSFER TO A COLLECTION AGENCY, ACCOUNTS ARE REVIEWED AGAIN FOR POSSIBLE FINANCIAL ASSISTANCE. PART VI, LINE 4: SHEPPARD PRATT'S SERVICE COMMUNITY CONSISTS OF ANNE ARUNDEL, BALTIMORE, HARFORD, AND HOWARD COUNTIES AND BALTIMORE CITY.THE TOWSON SERVICE AREA IS DIVERSE IN RESPECT TO RACE, INCOME, LIFESTYLE FACTORS, AND OTHERS. THE OVERALL POPULATION OF THE SERVICE AREA IS STABLE, YET THE BALTIMORE CITY POPULATION IS CONTRACTING WHILE BALTIMORE COUNTY AND HARFORD COUNTY IS INCREASING. HOWEVER, THE CHALLENGING CHARACTERISTICS OF BALTIMORE CITY ARE REFLECTED IN COMMUNITY NEEDS. THE ELLICOTT CITY SERVICE AREA IS CHARACTERIZED BY INCREASING POPULATION, HIGHER INCOME AND EDUCATIONAL ATTAINMENT, AND HEALTHIER LIFESTYLES COMPARED TO THE TOWSON SERVICE AREA.THERE ARE OVER 1.44 MILLION PEOPLE IN BALTIMORE COUNTY AND BALTIMORE CITY AND APPROXIMATELY 1.7 MILLION PEOPLE IN THE PRIMARY SHEPPARD PRATT SERVICE AREA.FROM 2017 TO 2019, THERE WAS A SHIFT IN POPULATION OUT OF THE MOST URBAN AREA (BALTIMORE CITY) TO OTHER AREAS. POPULATION GROWTH WAS ESPECIALLY STRONG IN BALTIMORE, HOWARD, MONTGOMERY, AND FREDERICK COUNTIES. THE POPULATION IN EACH FACILITY'S SERVICE AREA INCLUDES SLIGHTLY MORE FEMALES THAN MALES. HOWEVER, FOR THE TOWSON LOCATION SERVICE AREA, THE DIFFERENCE IS MORE PRONOUNCED. MEN AND WOMEN MAY HAVE DIFFERENT DISEASE PREVALENCE AND HEALTHCARE NEEDS. THE POPULATION IN BALTIMORE COUNTY AND BALTIMORE CITY IS NEARLY 53% FEMALE. THE HOWARD COUNTY SERVICE AREA AND HARFORD COUNTY SPLIT IS MORE EVEN 51% FEMALE: 49% MALE. ANNE ARUNDEL COUNTY HAS THE HIGHEST PERCENTAGE OF MALES.THE TOWSON SERVICE AREA IS HIGHLY DIVERSE. NEARLY TWO OF THREE (61.80%) BALTIMORE CITY RESIDENTS ARE AFRICAN AMERICAN WHILE ABOUT THREE OF TEN (27.5%) ARE WHITE, YET BALTIMORE COUNTY HAS THE OPPOSITE RACIAL MAKEUP.THE HOWARD COUNTY SERVICE AREA IS LARGELY WHITE WITH POCKETS OF DIVERSITY. HOWEVER, MORE THAN ONE IN FIVE (25.4%) HOWARD COUNTY RESIDENTS SPEAK A PRIMARY LANGUAGE OTHER THAN ENGLISH. (AMERICAN COMMUNITY SURVEY 2010).HARFORD COUNTY IS THE LEAST RACIALLY DIVERSE, WITH APPROXIMATELY 76.1% OF THE POPULATION IDENTIFYING AS WHITE.BALTIMORE COUNTY, ANNE ARUNDEL COUNTY, AND HOWARD COUNTY EACH HAVE A MEDIAN AGE SIMILAR TO THE MARYLAND AVERAGE WHILE THE MEDIAN AGE IS LOWER (35.4 YEARS) IN BALTIMORE CITY. HARFORD COUNTY HAS THE OLDEST MEDIAN AGE AT 40.9 YEARS. ABOUT ONE IN THREE PEOPLE IN BOTH SERVICE AREAS ARE AGE 25 OR YOUNGER. BALTIMORE COUNTY (16.8%) AND HARFORD COUNTY (12.4%) HAVE THE HIGHEST PERCENTAGE OF INDIVIDUALS 65 YEARS AND OLD. SENIORS OFTEN HAVE DIFFERENT NEEDS THAN CHILDREN AND YOUNGER ADULTS.THE HIGH SCHOOL GRADUATION RATES ARE SIMILAR IN EACH FACILITY'S SERVICE AREA. HOWEVER, THE PERCENTAGE OF THOSE WITH COLLEGE DEGREES IS SUBSTANTIALLY HIGHER IN THE ELLICOTT CITY SERVICE AREA. NEARLY TWO OF FIVE (39.92%) BALTIMORE CITY ADULTS HAVE ONLY A HIGH SCHOOL DIPLOMA (24.54%) OR LESS (15.38%). ABOUT FIVE OF SEVEN PEOPLE (68%) IN THE ELLICOTT CITY SERVICE AREA HAVE AT LEAST SOME COLLEGE (INCLUDING THOSE WITH A DEGREE).HOWARD COUNTY IS THE MOST EDUCATED COUNTY WITH OVER 62% OF THE POPULATION HAVING AT LEAST A BACHELOR'S DEGREE. APPROXIMATELY 50% OF THE POPULATION IN BALTIMORE CITY HAS AT LEAST SOME COLLEGE OR A DEGREE WHILE OVER 57% OF THE POPULATION IN HARFORD COUNTY HAS AT LEAST SOME COLLEGE OR A DEGREE.THE ELLICOTT CITY SERVICE AREA HAS A SUBSTANTIALLY HIGHER HOUSEHOLD INCOME THAN THE TOWSON LOCATION AND IS HIGHER THAN THE STATE MEDIAN. IN THE RESPECTIVE SERVICE AREAS, THERE IS ALSO A DRAMATIC DIFFERENCE IN THE PERCENTAGE OF CHILDREN AGED 0-17 WHO ARE LIVING IN HOUSEHOLDS WITH INCOME BELOW THE FEDERAL POVERTY LEVEL (FPL). NEARLY ONE-THIRD (32.90%) OF CHILDREN IN BALTIMORE CITY LIVE UNDER 100% OF THE FPL. MORE THAN 34% OF BALTIMORE COUNTY HOUSEHOLDS EARN ANNUAL INCOME OF OVER $100,000 NEARLY DOUBLE THE RATE OF BALTIMORE CITY. OVER 40% OF HARFORD COUNTY RESIDENTS EARN A HOUSEHOLD INCOME OVER $100,000, WHICH IS THE HIGHEST IN THE TOWSON SERVICE AREA AND OVER TWICE THE RATE OF BALTIMORE CITY. MORE THAN HALF (58%) OF HARFORD, MONTGOMERY, AND ANNE ARUNDEL COUNTY HOUSEHOLDS EARN OVER $100,000.DATA ON HEALTH CARE PROVIDERS PER 100,000 POPULATION SHOW THAT THE RATIOS IN HARFORD COUNTY AND ANNE ARUNDEL COUNTY ARE LOWER (WORSE) THAN THE STATE AVERAGE. BALTIMORE CITY HAS THE HIGHEST RATIO OF MENTAL HEALTH PROVIDERS PER 100,000 POPULATION IN THE COMBINED SERVICE AREAS, MEANING THERE ARE AN ABOVE AVERAGE NUMBER OF MENTAL HEALTH PROVIDERS IN THE CITY. BALTIMORE CITY HAS MORE MENTAL HEALTH PROVIDERS THAN BOTH THE STATE AND NATIONAL AVERAGE. HARFORD COUNTY HAS THE LOWEST RATIO OF PRIMARY CARE, MENTAL HEALTH, AND DENTAL PROVIDERS THAN ANY OF THE OTHER COUNTIES IN BOTH SERVICE AREAS. HARFORD COUNTY HAS NEARLY HALF THE PRIMARY CARE PROVIDERS THAN THE STATE AVERAGE. ANNE ARUNDEL COUNTY HAS SLIGHTLY MORE PROVIDERS THAN HARFORD COUNTY BUT HAS THE LOWEST RATIO OF PROVIDERS IN THE ELLICOTT CITY SERVICE AREA. BOTH ANNE ARUNDEL AND HARFORD COUNTIES ARE GEOGRAPHICALLY MORE RURAL, AND THE UNITED STATES IS CURRENTLY FACING A PHYSICIAN SHORTAGE IN RURAL AREAS.ACCORDING TO THE 2015 MARYLAND BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, THERE IS A GREATER CONCENTRATION OF ADULT (AGES 18+) RESIDENTS IN BALTIMORE COUNTY DIAGNOSED WITH DEPRESSIVE DISORDERS THAN IN BALTIMORE CITY, ANNE ARUNDEL COUNTY, HOWARD COUNTY, OR MARYLAND AS A WHOLE. AT 16.7% EACH, BALTIMORE COUNTY AND HOWARD COUNTY HAVE THE HIGHEST PREVALENCE OF ANXIETY DISORDER WITHIN THE HOSPITAL'S COMBINED SERVICE AREAS. BOTH ARE ALSO HIGHER THAN THE STATEWIDE PREVALENCE RATE OF 13.5 PERCENT.THERE ARE NO OTHER MENTAL HEALTH HOSPITALS IN THIS GEOGRAPHIC REGION TO SERVE THE AFOREMENTIONED DEMOGRAPHICS. PART VI, LINE 5: SHEPPARD PRATT HAS EVOLVED SERVICES BEYOND THE TRADITIONAL INPATIENT OR OUTPATIENT BOUNDARIES AS IT CONTINUES ITS COMMITMENT TO THE FOUNDERS' CHARTER TO "CARRY FORWARD, IMPROVE, THE AMELIORATED SYSTEM OF TREATMENT OF THE INSANE WITH THOUGHTFUL, PROACTIVE SERVICES". THE SYSTEM PROVIDES A POSITIVE IMPACT ON THOUSANDS OF INDIVIDUALS, THEIR FAMILIES, AND COMMUNITIES BY PROVIDING ACCESS TO A CREATIVE MIX OF COMMUNITY BENEFIT-DRIVEN BEHAVIORAL HEALTH SERVICES WHEN, WHERE AND IN WHATEVER FORM IS BEST SUITED TO THOSE IN NEED. IN FY 2021, SHEPPARD PRATT WAS AGAIN RECOGNIZED BY U.S. NEWS AND WORLD REPORT AS ONE OF THE NATION'S TOP TEN HOSPITALS FOR PSYCHIATRIC CARE.IN FY23, SHEPPARD PRATT PROVIDED SERVICE FOR 8,302 INPATIENT ADMISSIONS RESULTING IN SERVICE TO 110,919 INPATIENT DAYS; 61,033 OUTPATIENT AND DAY HOSPITAL VISITS; 14,471 RESIDENTIAL TREATMENT CENTER DAYS; AND 86,050 STUDENT DAYS. MORE THAN HALF OF THE INPATIENT SERVICES WERE PROVIDED TO MEDICARE OR MEDICAID RECIPIENTS. SHEPPARD PRATT'S PSYCHIATRIC URGENT CARE (PUC) CONTINUES TO RESPOND TO THE NEED FOR WALK-IN PSYCHIATRIC ASSESSMENTS. PUC PROVIDES AN EVALUATION OUTSIDE THE RIGORS OF A MEDICAL EMERGENCY ROOM SETTING. THE PROGRAM OPERATES MONDAYS THROUGH FRIDAYS FROM 10:00 AM TO 9:00 PM; AND SATURDAY 11:00 A.M. TO 3:00 P.M. PUC PROVIDES A PSYCHIATRIST TO EVALUATE COMMUNITY MEMBERS IN NEED OF CRISIS ASSESSMENT AND TRIAGE. IN FY23, 9,155 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 MOST SERVICES PROVIDED FROM THIS CAMPUS. SERVICES INCLUDE INPATIENT, PARTIAL DAY HOSPITALIZATION, INTENSIVE OUTPATIENT, ELECTRO-CONVULSIVE THERAPY (ECT), CRISIS EVALUATION, TELEPSYCHIATRY, RESIDENTIAL TREATMENT, AND PHYSICIAN OUTPATIENT APPOINTMENTS. AT THE END OF JUNE 2021, SHEPPARD PRATT TRANSFERRED OPERATIONS FROM THE ELLICOTT CITY LOCATION TO A NEW CAMPUS LOCATED AT 6500 KANE WAY, ELKRIDGE, MARYLAND. THE NEW CAMPUS PROVIDES A SIMILAR SUITE OF SERVICES AS THE ONE IT REPLACED, INCLUDING INPATIENT AND DAY TREATMENT. THE TWO INPATIENT HOSPITAL PROGRAMS ARE LICENSED TO OPERATE A TOTAL OF 414 LICENSED 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).CARE NAVIGATION LINE 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 FY23, THIS PROGRAM ANSWERED 37,449 CALLS. ADDITIONAL SHEPPARD PRATT PROGRAMMING ACCESSED THROUGH THIS SERVICE INCLUDE URGENT ASSESSMENTS FOR INDIVIDUALS WHO NEED TO BE EVALUATED ON A CRITICAL BASIS WITHIN 48 HRS.; AND THE SCHEDULED CRISIS INTERVENTION PROGRAM WHICH PROVIDES APPOINTMENTS SCHEDULED WITHIN THE SAME DAY AS THE CALL IS RECEIVED. PART VI, LINE 6: THE SHEPPARD PRATT HEALTH SYSTEM ALSO INCLUDES SEVERAL HEALTH AND SOCIAL SERVICES AGENCIES THAT FOCUS 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. COLLECTIVELY THEY PROVIDE SERVICES IN BALTIMORE, CARROLL, HOWARD, FREDERICK, MONTGOMERY, PRINCE GEORGE'S AND WASHINGTON COUNTIES AS WELL AS BALTIMORE CITY. THEY WORK COLLABORATIVELY IN SPECIAL PROJECTS DESIGNED TO ENHANCE EMPLOYMENT OPPORTUNITIES FOR RETURNING VETERANS. IN ADDITION TO THE TRADITIONAL MENTAL HEALTH SERVICES, THEY PROVIDE SUBSTANCE ABUSE TREATMENT, CASE MANAGEMENT, SCREENING FOR DEPARTMENTS OF SOCIAL SERVICES, EARLY HEAD START AND DAY CARE. PART VI, LINE 7, REPORTS FILED WITH STATES MD X X X X X X 0 1 0 0 0 0 0 0 0 HARSH K TRIVEDI MD PRESIDENT & CEO 1140833 0 0 0 193534 0 52850 0 57 0 1387274 0 150000 0 TODD E PETERS VP,CHIEF MED OFFICER, MED 579158 0 0 0 99093 0 27850 0 28459 0 734560 0 73522 0 JENNIFER WEISS-WILKERSON SR VP STRATEGY & BUSINESS 463579 0 0 0 117546 0 27850 0 28865 0 637840 0 75000 0 KELLY SAVOCA SVP, CFO, SECRETARY/TREASUR 498322 0 0 0 99563 0 27771 0 57 0 625713 0 73522 0 GREGORY B GATTMAN VP OF HOSPITALS 439945 0 0 0 80937 0 27850 0 25022 0 573754 0 73282 0 JEFFREY W RICHARDSON VP & COO COMMUNITY BASED P 475833 0 0 0 6757 0 27176 0 28218 0 537984 0 0 0 CHRISTINE M LISZEWSKI PHYCHIATRIST 439928 0 0 0 3953 0 2850 0 22916 0 469647 0 0 0 MARGO D LAUTERBACH PHYCHIATRIST 380586 0 0 0 4361 0 2850 0 31140 0 418937 0 0 0 JONATHAN HERSHFIELD THERAPIST 380107 0 0 0 2903 0 2850 0 29765 0 415625 0 0 0 MICHAEL A YOUNG MD MEDICAL DIRECTOR 360085 0 0 0 4065 0 2850 0 25022 0 392022 0 0 0 DONNA L RICHARDSON VP & CDO, FORMER KEY 346169 0 0 0 8493 0 22850 0 10044 0 387556 0 0 0 KAREN ROBERTSON-KECK VP OF HR 297222 0 0 0 27363 0 27280 0 21174 0 373039 0 0 0 BOGLARKA SZABO MEDICAL DIRECTOR 361376 0 0 0 4614 0 1633 0 57 0 367680 0 0 0 LAURA L WEBB VP & CNO, FORMER KEY 275525 0 0 0 3730 0 2502 0 28340 0 310097 0 0 0 CHARLES K MAUST CHIEF OF SCHOOLS (PART YEAR) 289196 0 0 0 3766 0 2615 0 1271 0 296848 0 0 0 THOMAS D HESS CHIEF OF STAFF, FORMER KEY 263426 0 0 0 6142 0 1217 0 704 0 271489 0 0 0 KATHLEEN HILZENDEGER DIRECTOR DIV PROF SERVICE 202702 0 0 0 7300 0 1686 0 23354 0 235042 0 0 0 PART I, LINE 4B DURING CALENDAR YEAR 2022, THE FOLLOWING PARTICIPATED IN SHEPPARD PRATT'S 457(F) PLAN: HARSH K. TRIVEDI $ 50,000 KELLY SAVOCA $ 25,000 TODD E. PETERS $ 25,000 GREGORY B GATTMAN $ 25,000 JENNIFER W. WILKERSON $ 25,000 KAREN ROBERTSON-KECK $ 25,000 JEFFREY RICHARDSON $ 25,000 DONNA RICHARDSON $ 20,000 THE FOLLOWING RECEIVED DISTRIBUTIONS FROM THE ORGANIZATION'S 457(F) PLAN: HARSH K. TRIVEDI $ 167,678 JENNIFER W. WILKERSON $ 98,658 TODD E. PETERS $ 73,522 KELLY SAVOCA $ 73,522 GREGORY B GATTMAN $ 73,282 A MD HEALTH & HIGHER EDUCATIONAL FACILITIES 520936091 2017-12-20 100000127 CONSTRUCT HOSPITAL, OTHER CAPITAL PROJECTS 0 0 0 B MD HEALTH & HIGHER EDUCATIONAL FACILITIES 520936091 2017-12-20 78747872 CURRENT REFUND 2012A/2012B BONDS 0 0 0 A 12572464 104561797 5446871 99114926 2021 0 0 1 1 B 9900536 78747872 78747872 2010 1 0 1 1 A 0 0 0 0 0 0 1 B 0 1 1 1 1 1 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 0 1 1 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MD HEALTH & HIGHER EDUCATIONAL FACILITIES DATE THE REBATE COMPUTATION WAS PERFORMED: 12/20/2022 ISSUER NAME: MD HEALTH & HIGHER EDUCATIONAL FACILITIES DATE THE REBATE COMPUTATION WAS PERFORMED: 12/20/2022 PART I, LINE A E 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)(3) OF THE INCOME TAX REGULATIONS, THE ISSUER ELECTED TO TREAT THE BONDS AS TWO SEPARATE ISSUES. ONE OF THE MULTIPURPOSE ISSUES, REFLECTING THE PORTION OF THE BONDS USED TO FINANCE A NEW PSYCHIATRIC HOSPITAL, CERTAIN CAPITAL EXPENDITURES, AND RENOVATIONS TO THE ORGANIZATION'S HEALTHCARE FACILITIES, CORRELATES TO COLUMN A THROUGHOUT THIS SCHEDULE K. THE OTHER MULTIPURPOSE ISSUE, REFLECTING THE PORTION OF THE BONDS USED FOR THE CURRENT REFUNDING OF THE ISSUER'S REVENUE BONDS SHEPPARD PRATT ISSUE SERIES 2012A AND SERIES 2012B (THE "2012 BONDS"), CORRELATES TO COLUMN B THROUGHOUT THIS SCHEDULE K. PART I, LINE A, COLUMN (F): OTHER CAPITAL PROJECTS PART I, LINE B, COLUMN (F): SERIES 2012A AND 2012B BONDS- 3/1/2012 PART II, COLUMN A, LINE 3: PROCEEDS OF $104,561,797 INCLUDE CUMULATIVE EARNINGS OF $4,561,589. PART III, COLUMN B, LINES 4 & 5: THE BONDS DESCRIBED IN LINE B REFUNDED THE 2012 BONDS. THE 2012 BONDS REFUNDED OTHER PRIOR BONDS, SOME OF WHICH FINANCED CAPITAL PROJECTS AND OTHERS OF WHICH WERE THEMSELVES REFUNDING BONDS. NO PRIVATE USE EXISTS OF ANY PROPERTY FIRST FINANCED BY BONDS ISSUED AFTER JANUARY 1, 2003. ANY PRIVATE USE OF PROPERTY FIRST FINANCED PRIOR TO JANUARY 1, 2003, IS WITHIN PERMITTED LIMITS. X 1 2256110 FMV 0 1 0 FORM 990, PART III, LINE 2 SHEPPARD PRATT SOLUTIONS IS A NEW DIVISION OF THE HOSPITAL THAT AIMS TO PROVIDE CONSULTING, MANAGEMENT SERVICES AND DEVELOPMENT-BASED PARTNERSHIP WITH HEALTH SYSTEMS THROUGHOUT THE COUNTRY TO FURTHER BEHAVIORAL HEALTH CARE AND OUR MISSION TO IMPROVE THE QUALITY OF LIFE OF INDIVIDUALS AND FAMILIES BY COMPASSIONATELY SERVING THEIR MENTAL HEALTH, ADDICTION, SPECIAL EDUCATION AND COMMUNITY SUPPORT NEEDS. 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 10A: THE POLICIES DESCRIBED IN PART VI, SECTION B, LINES 10A-16B APPLY TO SHEPPARD PRATT HEALTH SYSTEM, INC. AND ITS SUBSIDIARY AS LISTED BELOW: SHEPPARD PRATT NON-CONTRACTED SERVICES, LLC FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES OF SHEPPARD AND ENOCH PRATT FOUNDATION, INC. REVIEWS THE FORM 990 AT THE APRIL MEETING. FOLLOWING FINANCE COMMITTEE REVIEW OF THE FORM 990, THE FORM 990 IS POSTED TO THE SHEPPARD PRATT WEBSITE PORTAL FOR THE BOARD OF DIRECTORS REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ALL TRUSTEES AND KEY EXECUTIVE PERSONNEL TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE CFO WHO SUMMARIZES THE REPORTED CONFLICTS. THIS INFORMATION IS THEN PRESENTED TO THE CEO AND THE CHAIRMAN OF THE BOARD FOR REVIEW. IF IN THE NORMAL COURSE OF CONDUCTING A BOARD MEETING, AN AGENDA TOPIC IS DETERMINED TO PRESENT A CONFLICT OF INTEREST, THE INTERESTED BOARD MEMBER IS REQUIRED TO DISQUALIFY HIM OR HERSELF FROM ANY FURTHER DISCUSSION ON THE MATTER. THE CHAIRPERSON WILL SELECT A DISINTERESTED PERSON TO INVESTIGATE ALTERNATIVES TO THE TRANSACTION THAT POSES THE POTENTIAL CONFLICT. IF AFTER EXERCISING DUE DILIGENCE THE BOARD DETERMINES THAT ITS UNABLE TO SECURE A MORE ADVANTAGEOUS TRANSACTION WITH AN ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD WILL DETERMINE WHETHER OR NOT TO ENTER INTO THE TRANSACTION, IF IT IS IN THE BEST INTEREST OF THE ORGANIZATION. 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 OF SHEPPARD AND ENOCH PRATT FOUNDATION, INC. THIS COMMITTEE IS COMPRISED OF INDEPENDENT TRUSTEES. THE TRUSTEES REVIEW COMPENSATION FOR REASONABLENESS. THEY USE COMPARATIVE INDUSTRY DATA AND FORM 990S OF OTHER ORGANIZATIONS IN THEIR REVIEW PROCESS. THE PROCESS FOR EMPLOYEE COMPENSATION INCLUDES DEVELOPMENT OF COMPENSATION RECOMMENDATIONS BASED ON MARKET SURVEYS AND OTHER COMPARATIVE INDUSTRY DATA AS WELL AS WRITTEN EMPLOYMENT CONTRACTS. THE SALARY INFORMATION FOR THIS GROUP IS OBTAINED BY A CONSULTANT THAT IS ENGAGED BY THE EXECUTIVE COMPENSATION COMMITTEE. THIS CONSULTANT USES CURRENT MARKET COMPENSATION SURVEYS AND OTHER COMPARATIVE INDUSTRY DATA TO MAKE RECOMMENDATIONS. THE RECOMMENDATIONS ARE THEN PRESENTED TO THE EXECUTIVE COMPENSATION COMMITTEE FOR APPROVAL. THE EXECUTIVE COMPENSATION COMMITTEE REPORTS THAT COMPENSATION WAS APPROVED TO THE FULL BOARD. THERE IS CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING FOR DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND OTHER POLICIES INCLUDING THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER FROM SHEPPARD PRATT INVESTMENT, INC. 5,218,608. CHANGES IN PENSION LIABILITY 50,372,249. REALIZED PENSION SETTLEMENT LOSS -54,220,883. TRANSFER FROM SHEPPARD PRATT FOUNDATION 2,729,155. TRANSFER FROM SHEPPARD PRATT PHYSICIANS PA, INC. 2,372,953. OTHER PERIODIC BENEFIT COST -666,462. UNREALIZED LOSS IN NET ASSETS OF SHEPPARD PRATT FOUNDATION -1,524,409. OTHER PERIODIC BENEFIT COST -2. FORM 990, PART XII, 2C THE PARENT ENTITY, SHEPPARD AND ENOCH PRATT FOUNDATION, INC., HAS A FINANCE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SHEPPARD PRATT NON-CONTRACTED SERVICES LLC 6501 N CHARLES STREET BALTIMORE MD 21204 850669566 PSYCHIATRIC SERVICES MD 82257494 21891651 SHEPPARD PRATT HEALTH SYSTEM INC SHEPPARD & ENOCH PRATT FOUNDATION PO BOX 6815 BALTIMORE MD 21285 521357109 CONDUCT FUNDRAISING ACTIVITIES TO SUPPORT AFFILIATED ORGANIZATIONS MD 501(C)(3) 7 N/A 0 SHEPPARD PRATT PHYSICIANS PA PO BOX 6815 BALTIMORE MD 21285 521392214 PROVIDE HEALTHCARE TO PATIENTS & RESIDENCY TRAINING TO MEDICAL PROF. MD 501(C)(3) 10 SHEPPARD & ENOCH PRATT FOUNDATION 1 SHEPPARD PRATT INVESTMENT INC PO BOX 6815 BALTIMORE MD 21285 521388935 HOLD AND MANAGE ENDOWMENT FUNDS OF RELATED NONPROFIT ENTITIES MD 501(C)(3) 12A SHEPPARD & ENOCH PRATT FOUNDATION 1 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 1 WAY STATION INC PO BOX 3826 FREDERICK MD 21705 521162749 PROVIDES REHABILITATIVE AND TREATMENT SERVICES MD 501(C)(3) 7 SHEPPARD & ENOCH PRATT FOUNDATION 1 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 1 REVISIONS COMMUNITY HOUSING DEVELOPMENT ORGANIZATION INC 1925 GREENSPRING DRIVE TIMONIUM MD 21093 521849336 PROVIDE AFFORDABLE HOUSING TO LOW-INCOME INDIVIDUALS WITH MENTAL ILLNESSES. MD 501(C)(3) 10 MOSAIC COMMUNITY SERVICES INC 1 DULANEY STATION COMMUNITY HOUSING DEVELOPMENT ORGANIZATION INC 1925 GREENSPRING DRIVE TIMONIUM MD 21093 020650286 PROVIDE AFFORDABLE HOUSING TO LOW-INCOME INDIVIDUALS WITH MENTAL ILLNESSES. MD 501(C)(3) 10 MOSAIC COMMUNITY SERVICES INC 1 ALLIANCE INC 8003 CORPORATE DRIVE NOTTINGHAM MD 21236 521277262 EDUC., VOC., & RESID. SERVICES FOR INDIVIDUALS WITH DISABILITIES MD 501(C)(3) 7 MOSAIC COMMUNITY SERVICES INC 1 WAY STATION FOUNDATION INC 230 W PATRICK ST PO BOX 3826 FREDERICK MD 21705 521857765 SOLICIT AND ACCEPT FUNDS AND PROPERTY TO SUPPORT AFFILIATED ORGANIZATION MD 501(C)(3) 7 WAY STATION INC 1 BEHAVIORAL HEALTH PARTNERS OF FREDERICK INC PO BOX 6815 BALTIMORE MD 21285 522125435 OUTPATIENT PSYCHIATRIC AND BEHAVIORAL MEDICINE MD 501(C)(3) 3 MOSAIC COMMUNITY SERVICES INC 1 SHEPPARD PRATT PREFERRED RESOURCES INC 6501 N CHARLES STREET TOWSON MD 21285 521757742 INACTIVE MD N/A C 0 SHEPPARD PRATT ASSURANCE COMPANY LLC CARIBBEAN PLAZA 2ND FLOOR NORTH B GEORGE TOWN CJ KYL-1102 981668282 INSURANCE CJ SHEPPARD PRATT HEALTH SYSTEM INC C 4522453 1.00000 1 OMNI HOUSE INC 7440 BALTIMORE ANNAPOLIS BLVD GLEN BURNIE MD 21061 521226449 MENTAL HEALTH, PSYCHIATRIC REHAB AND RESIDENTIAL MD N/A C 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 1 0 1 1 1 SHEPPARD PRATT PHYSICIANS PA Q 114043 FMV FAMILY SERVICES INC O 892341 FMV FAMILY SERVICES INC J 349954 FMV FAMILY SERVICES INC Q 658598 FMV FAMILY SERVICES INC J 343612 FMV MOSAIC COMMUNITY SERVICES O 654792 FMV MOSAIC COMMUNITY SERVICES J 256794 FMV MOSAIC COMMUNITY SERVICES Q 483274 FMV MOSAIC COMMUNITY SERVICES J 202244 FMV SHEPPARD & ENOCH PRATT FOUNDATION INC R 5218608 FMV SHEPPARD & ENOCH PRATT FOUNDATION INC K 171572 FMV SHEPPARD & ENOCH PRATT FOUNDATION INC S 2729155 FMV SHEPPARD PRATT PHYSICIANS PA S 2372953 FMV SHEPPARD PRATT INVESTMENT INC S 5218608 FMV SCHEDULE R, PART II: WAY STATION, INC., MOSAIC COMMUNITY SERVICES, INC. AND FAMILY SERVICES, INC. WORK WITH NUMEROUS HUD ENTITIES TO CARRY OUT THEIR EXEMPT PURPOSES. WHILE THERE IS BOARD OVERLAP THE ULTIMATE CONTROL RESIDES WITH HUD. AS SUCH THE HUD ENTITIES ARE NOT LISTED ON SHEPPARD PRATT HEALTH SYSTEM, INC.'S SCHEDULE R. HUD ENTITIES ARE REFLECTED ON THE SCHEDULE R OF WAY STATION, INC., MOSAIC COMMUNITY SERVICES, INC. AND FAMILY SERVICES, INC.