SHEPPARD PRATT PHYSICIANS P A: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- SHEPPARD PRATT PHYSICIANS P A (EIN 52-1392214)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-12
- IRS object ID
- 202321329349309717
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-12T19:52:08-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 412069731 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SC&H TAX & ADVISORY SERVICES LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 RIDGEBROOK ROAD | AddressLine1Txt |
| City | SPARKS | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21152 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521392214 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHEPPARD PRATT PHYSICIANS PA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SHEP | BusinessNameControlTxt |
| Phone | 4109385401 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6501 N CHARLES STREET | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21204 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KELLY SAVOCA | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4109385401 | PhoneNum |
| Signature | 2023-05-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KELLY | PersonFirstNm |
| Person Last | SAVOCA | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LORI S BURGHAUSER | PreparerPersonNm |
| PTIN | P00370694 | PTIN |
| Phone | 4104031500 | PhoneNum |
| Preparation | 2023-05-09 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | HARSH K TRIVEDI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6501 N CHARLES STREET | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $30,340,593 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE BEHAVIORAL HEALTH CARE TO PATIENTS REGARDLESS OF ABILITY TO PAY AND PROVIDE RESIDENCY TRAINING TO MEDICAL PROFESSIONALS. TREAT PATIENTS IN VARIOUS EDUCATIONAL AND OTHER VENUES AND ENGAGE IN RESEARCH ACTIVITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 219 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $236,876 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,012,993 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,455,569 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $17,104,771 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,399 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $11,084,057 | PYOtherRevenueAmt |
| CY Other Revenue | $12,222,829 | CYOtherRevenueAmt |
| PY Total Revenue | $25,780,901 | PYTotalRevenueAmt |
| CY Total Revenue | $30,340,593 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $29,789,613 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $33,701,006 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,336,144 | PYOtherExpensesAmt |
| CY Other Expenses | $6,446,821 | CYOtherExpensesAmt |
| PY Total Expenses | $37,125,757 | PYTotalExpensesAmt |
| CY Total Expenses | $40,147,827 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$11,344,856 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$9,807,234 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,892,387 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,363,348 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,268,081 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,058,571 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$6,375,694 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,304,777 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDE BEHAVIORAL HEALTH CARE TO PATIENTS REGARDLESS OF ABILITY TO PAY AND PROVIDE RESIDENCY TRAINING TO MEDICAL PROFESSIONALS. TREAT PATIENTS IN VARIOUS EDUCATIONAL VENUES AND ENGAGE IN RESEARCH ACTIVITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $33,845,952 | ExpenseAmt |
| Revenue | $29,323,313 | RevenueAmt |
| Desc | PROVIDE BEHAVIORAL HEALTH CARE TO PATIENTS AND RESIDENCY TRAINING TO MEDICAL PROFESSIONALS. | Desc |
| Total Program Service Expenses | $33,845,952 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 219 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KELLY SAVOCA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4109385401 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6501 NORTH CHARLES STREET | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21204 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| HARSH TRIVEDI MD | |||||||||
| PRESIDENT AND CEO | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $1,113,020 | $53,172 | ||
| TODD E PETERS MD | |||||||||
| VP CHIEF MEDICAL OFFICER | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $553,074 | $53,113 | ||
| JENNIFER WEISS-WILKERSON | |||||||||
| SR VP STRATEGY AND BUSINESS DEV. | 1.00 | 40.00 | Yes (X) | $0 | $433,925 | $52,961 | |||
| LOUIS J MARINO | |||||||||
| SENIOR PSYCHIATRIST | 40.00 | 1.00 | Yes (X) | $406,663 | $0 | $27,246 | |||
| KELLY SAVOCA | |||||||||
| VP AND CFO, TREASURER | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $397,003 | $27,521 | ||
| KHIZAR KHAN MD | |||||||||
| SENIOR PSYCHIATRIST | 40.00 | 1.00 | Yes (X) | $374,840 | $0 | $28,551 | |||
| DEEPAK PRABHAKAR | |||||||||
| SENIOR PSYCHIATRIST | 40.00 | 1.00 | Yes (X) | $363,143 | $0 | $10,637 | |||
| KATHLEEN C HILZENDEGER | |||||||||
| DIR. PROF. SERVICES, SECRETARY | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $170,242 | $13,783 | ||
| DEVI BHUYAN PHD | |||||||||
| DIR. PSYCHOLOGY, TRUSTEE | 40.00 | 1.00 | Yes (X) | $0 | $101,851 | $8,756 | |||
| EDWARD ZUZARTE | |||||||||
| PSYCHIATRIST | 40.00 | 1.00 | $410,314 | $0 | $28,491 | Yes (X) | |||
| MARGO D LAUTERBACH | |||||||||
| SENIOR PSYCHIATRIST | 1.00 | 40.00 | $376,314 | $0 | $33,590 | Yes (X) | |||
| EHSAN U SYED | |||||||||
| MEDICAL DIRECTOR | 40.00 | 1.00 | $336,189 | $0 | $20,969 | Yes (X) | |||
| BOGLARKA SZABO | |||||||||
| MEDICAL DIRECTOR | 40.00 | 1.00 | $353,760 | $0 | $57 | Yes (X) | |||
| ZHIHONG GUO | |||||||||
| PSYCHIATRIST | 40.00 | 1.00 | $341,398 | $0 | $10,092 | Yes (X) | |||
| SCOTT AARONSON MD | |||||||||
| DIR. CLINICAL RES. PROG, FORMER TRUSTEE | 40.00 | 1.00 | $319,210 | $0 | $21,378 | Yes (X) | |||
| JASON ADDISON MD | |||||||||
| FORMER TRUSTEE/CHAIR, SENIOR PSYCH. | 40.00 | 1.00 | $273,742 | $0 | $12,353 | Yes (X) | |||
| FAITH DICKERSON PHD | |||||||||
| DIR. PSYCH./STANLEY RES., FORMER TRUSTEE | 40.00 | 1.00 | $175,939 | $0 | $749 | Yes (X) | |||
| SUNIL KHUSHALANI MD | |||||||||
| MED. DIR. ADULT SERVICES, FORMER TRUSTEE | 40.00 | 1.00 | $68,039 | $0 | $4,921 | Yes (X) | |||
| GERALD A NOLL | |||||||||
| FORMER TRUSTEE, TREASURER | 1.00 | 40.00 | $0 | $68,802 | $1,483 | Yes (X) | |||
| SUSAN WAIT MD | |||||||||
| SR. PSYCH., FORMER TRUSTEE | 40.00 | 1.00 | $50,487 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,850,038 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,837,917 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $409,823 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PREMIER HEALTHCARE SERVICES LLC | |||||
| 10110 MOLECULAR DRIVE 101 | ROCKVILLE | MD | 20850 | HEALTHCARE IMPROVEMENT SERVICES | $169,957 |
| WEATHERBY LOCUMS INC | |||||
| 6451 N FEDERAL HWY 800 | FORT LAUDERDALE | FL | 33308 | STAFFING SOLUTIONS | $140,056 |
| ELLEN M MONGAN | |||||
| 6501 N CHARLES STREET | TOWSON | MD | 21204 | PSYCHIATRIST | $113,400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $390,166 | GovernmentGrantsAmt |
| All Other Contributions | $622,827 | AllOtherContributionsAmt |
| Total Contributions | $1,012,993 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| RESIDENTIAL, EDUCATIONAL, OUTPATI | 623990 | $13,407,567 | $13,407,567 |
| CONTRACTUAL PHYSICIAN SERVICE REV | 623990 | $3,574,863 | $3,574,863 |
| CLINICAL TRIALS | 623990 | $121,016 | $121,016 |
| MEDICAL STAFF REVENUE | 623990 | $1,325 | $1,325 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $17,104,771 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| INTERCORPORATE REVENUE | 621990 | $12,218,542 | $12,218,542 | |
| MISCELLANEOUS REVENUE | 621990 | $4,287 | $4,287 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $12,222,829 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,340,593 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,323,313 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,287 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,211,080 | TotalAmt |
| Program Services | $1,019,365 | ProgramServicesAmt |
| Management And General | $191,715 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,205,858 | TotalAmt |
| Program Services | $1,059,142 | ProgramServicesAmt |
| Management And General | $146,716 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,059,958 | TotalAmt |
| Program Services | $26,100,659 | ProgramServicesAmt |
| Management And General | $1,959,299 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,005 | TotalAmt |
| Program Services | $110,810 | ProgramServicesAmt |
| Management And General | $8,195 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,289,761 | TotalAmt |
| Program Services | $1,199,904 | ProgramServicesAmt |
| Management And General | $89,857 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,815,344 | TotalAmt |
| Program Services | $1,677,742 | ProgramServicesAmt |
| Management And General | $137,602 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300 | TotalAmt |
| Management And General | $300 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,000 | TotalAmt |
| Management And General | $36,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,553,217 | TotalAmt |
| Program Services | $1,455,547 | ProgramServicesAmt |
| Management And General | $97,670 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,499 | TotalAmt |
| Management And General | $24,499 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $801 | TotalAmt |
| Program Services | $801 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,645 | TotalAmt |
| Program Services | $2,645 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,764 | TotalAmt |
| Management And General | $124,764 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTERCOMPANY CHARGES | Desc |
| Total | $4,704,595 | TotalAmt |
| Program Services | $1,219,337 | ProgramServicesAmt |
| Management And General | $3,485,258 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,147,827 | TotalAmt |
| Program Services | $33,845,952 | ProgramServicesAmt |
| Management And General | $6,301,875 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $838,281 | BOYAmt |
| EOY | $363,040 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $149,900 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,423,203 | BOYAmt |
| EOY | $3,460,418 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,580 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,595,323 | BOYAmt |
| EOY | $3,389,990 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,892,387 | BOYAmt |
| EOY | $7,363,348 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,147,808 | BOYAmt |
| EOY | $2,750,797 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $240,605 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,120,273 | BOYAmt |
| EOY | $1,067,169 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,268,081 | BOYAmt |
| EOY | $4,058,571 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$6,375,694 | BOYAmt |
| EOY | $3,304,777 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$6,375,694 | BOYAmt |
| EOY | $3,304,777 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,892,387 | BOYAmt |
| EOY | $7,363,348 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$9,807,234 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $19,487,705 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $165,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $374,691 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $236,876 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,012,993 | CurrentTaxYearAmt |
| Total | $1,789,560 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,141,813 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,734,574 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,661,441 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,455,569 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,104,771 | CurrentTaxYearAmt |
| Total | $85,098,168 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,306,813 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,734,574 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,036,132 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,692,445 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,117,764 | CurrentTaxYearAmt |
| Total | $86,887,728 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $86,887,728 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,390 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $898 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $432 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,399 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $7,119 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,390 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $898 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $432 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,399 | CurrentTaxYearMinus1YearAmt |
| Total | $7,119 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,417,095 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,672,821 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,338,123 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,084,057 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,222,829 | CurrentTaxYearAmt |
| Total | $54,734,925 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $27,725,298 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $29,408,293 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,374,687 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,780,901 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30,340,593 | CurrentTaxYearAmt |
| Total | $141,629,772 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.61350 | PublicSupportCY509Pct |
| Public Support PY509 | 0.61890 | PublicSupportPY509Pct |
| Investment Income CY | 0.00010 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | INTERCORPORATE RECEIPTS MISCELLANEOUS | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $3,390,238 |
| ELKRIDGE HOSPITAL INVESTMENT | -$248 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,389,990 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATE | $741,875 |
| SELF-INSURANCE LIABILITIES | $325,294 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,067,169 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HARSH TRIVEDI MD | ||||||||||||||
| PRESIDENT AND CEO | $0 | $1,107,758 | $0 | $0 | $0 | $5,262 | $0 | $52,800 | $0 | $372 | $0 | $1,166,192 | $0 | $0 |
| TODD E PETERS MD | ||||||||||||||
| VP CHIEF MEDICAL OFFICER | $0 | $548,112 | $0 | $0 | $0 | $4,962 | $0 | $27,800 | $0 | $25,313 | $0 | $606,187 | $0 | $0 |
| JENNIFER WEISS-WILKERSON | ||||||||||||||
| SR VP STRATEGY AND BUSINESS DEV. | $0 | $428,939 | $0 | $0 | $0 | $4,986 | $0 | $27,800 | $0 | $25,161 | $0 | $486,886 | $0 | $0 |
| EDWARD ZUZARTE | ||||||||||||||
| PSYCHIATRIST | $402,135 | $0 | $0 | $0 | $8,179 | $0 | $0 | $0 | $28,491 | $0 | $438,805 | $0 | $0 | $0 |
| LOUIS J MARINO | ||||||||||||||
| SENIOR PSYCHIATRIST | $397,980 | $0 | $0 | $0 | $8,683 | $0 | $1,810 | $0 | $25,436 | $0 | $433,909 | $0 | $0 | $0 |
| KELLY SAVOCA | ||||||||||||||
| VP AND CFO, TREASURER | $0 | $392,670 | $0 | $0 | $0 | $4,333 | $0 | $27,464 | $0 | $57 | $0 | $424,524 | $0 | $0 |
| MARGO D LAUTERBACH | ||||||||||||||
| SENIOR PSYCHIATRIST | $369,643 | $0 | $0 | $0 | $6,671 | $0 | $2,800 | $0 | $30,790 | $0 | $409,904 | $0 | $0 | $0 |
| KHIZAR KHAN MD | ||||||||||||||
| SENIOR PSYCHIATRIST | $366,568 | $0 | $0 | $0 | $8,272 | $0 | $2,800 | $0 | $25,751 | $0 | $403,391 | $0 | $0 | $0 |
| DEEPAK PRABHAKAR | ||||||||||||||
| SENIOR PSYCHIATRIST | $357,149 | $0 | $0 | $0 | $5,994 | $0 | $2,800 | $0 | $7,837 | $0 | $373,780 | $0 | $0 | $0 |
| EHSAN U SYED | ||||||||||||||
| MEDICAL DIRECTOR | $333,097 | $0 | $0 | $0 | $3,092 | $0 | $0 | $0 | $20,969 | $0 | $357,158 | $0 | $0 | $0 |
| BOGLARKA SZABO | ||||||||||||||
| MEDICAL DIRECTOR | $346,522 | $0 | $0 | $0 | $7,238 | $0 | $0 | $0 | $57 | $0 | $353,817 | $0 | $0 | $0 |
| ZHIHONG GUO | ||||||||||||||
| PSYCHIATRIST | $336,641 | $0 | $0 | $0 | $4,757 | $0 | $2,338 | $0 | $7,754 | $0 | $351,490 | $0 | $0 | $0 |
| SCOTT AARONSON MD | ||||||||||||||
| DIR. CLINICAL RES. PROG, FORMER TRUS | $310,235 | $0 | $0 | $0 | $8,975 | $0 | $0 | $0 | $21,378 | $0 | $340,588 | $0 | $0 | $0 |
| JASON ADDISON MD | ||||||||||||||
| FORMER TRUSTEE/CHAIR, SENIOR PSYCH. | $268,421 | $0 | $0 | $0 | $5,321 | $0 | $2,587 | $0 | $9,766 | $0 | $286,095 | $0 | $0 | $0 |
| KATHLEEN C HILZENDEGER | ||||||||||||||
| DIR. PROF. SERVICES, SECRETARY | $0 | $168,681 | $0 | $0 | $0 | $1,561 | $1,655 | $0 | $0 | $12,128 | $1,655 | $182,370 | $0 | $0 |
| FAITH DICKERSON PHD | ||||||||||||||
| DIR. PSYCH./STANLEY RES., FORMER TRU | $169,940 | $0 | $0 | $0 | $5,999 | $0 | $0 | $0 | $749 | $0 | $176,688 | $0 | $0 | $0 |
| SUNIL KHUSHALANI MD | ||||||||||||||
| MED. DIR. ADULT SERVICES, FORMER TRU | $66,399 | $0 | $0 | $0 | $1,640 | $0 | $0 | $0 | $4,921 | $0 | $72,960 | $0 | $0 | $0 |
| GERALD A NOLL | ||||||||||||||
| FORMER TRUSTEE, TREASURER | $0 | $68,683 | $0 | $0 | $0 | $119 | $0 | $0 | $0 | $1,483 | $0 | $70,285 | $0 | $0 |
| SUSAN WAIT MD | ||||||||||||||
| SR. PSYCH., FORMER TRUSTEE | $50,487 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $50,487 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE TOP MANAGEMENT OFFICIALS ARE UNCOMPENSATED BY THE REPORTING ORGANIZATION. THE REPORTING ORGANIZATION RELIES ON SHEPPARD PRATT HEALTH SYSTEM, INC., A RELATED ORGANIZATION, TO ESTABLISH COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS. |
| PART I, LINE 4B | DURING CALENDAR YEAR 2021, THE FOLLOWING PARTICIPATED IN SHEPPARD PRATT'S 457(F) PLAN: HARSH TRIVEDI $ 50,000 KELLY SAVOCA $ 25,000 TODD PETERS $ 25,000 JENNIFER W. WILKERSON $ 25,000 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PATRICIA L CARLSON | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY | RelationshipDescriptionTxt |
| Transaction | $279,040 | TransactionAmt |
| Transaction | THE ORGANIZATION EMPLOYED MS. CARLSON AS A PHYSICIAN DURING THE FISCAL YEAR. MS. CARLSON IS THE SISTER OF MS. HILZENDEGER, A BOARD MEMBER. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION IS ULTIMATELY CONTROLLED BY THE SHEPPARD AND ENOCH PRATT FOUNDATION, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SHEPPARD AND ENOCH PRATT FOUNDATION, INC. HOLDS RESERVED RIGHTS WHICH INCLUDE THE POWERS TO APPOINT BOARD MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SHEPPARD AND ENOCH PRATT FOUNDATION, INC. HOLDS RESERVED RIGHTS WHICH INCLUDE THE POWERS TO APPOINT AND REMOVE BOARD MEMBERS. THEY ALSO HOLD THE RIGHT TO APPROVE CERTAIN SELECT TRANSACTIONS OF ITS SUBSIDIARIES. |
| 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 IT IS 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 AFFILIATE 19,487,705. |
| FORM 990, PART XII, LINE 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SHEPPARD & ENOCH PRATT FOUNDATION INC | |||||||||||
| PO BOX 6815 | BALTIMORE | MD | 21285 | 521357109 | CONDUCT FUNDRAISING ACTIVITIES TO SUPPORT AFFILIATED ORGANIZATIONS | MD | 501(C)(3) | 7 | N/A | 0 | |
| SHEPPARD PRATT HEALTH SYSTEM INC | |||||||||||
| PO BOX 6815 | BALTIMORE | MD | 21285 | 520591684 | PROVIDES INPATIENT/OUTPATIENT CARE, EDUC. SVCS & RESID. SVCS | MD | 501(C)(3) | 3 | 0 | SHEPPARD AND ENOCH PRATT FOUNDATION INC | |
| 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 | 0 | SHEPPARD AND ENOCH PRATT FOUNDATION INC | |
| MOSAIC COMMUNITY SERVICES INC | |||||||||||
| 1925 GREENSPRING DRIVE | TIMONIUM | MD | 21093 | 521338141 | PROVIDES THERAPEUTIC RESIDENTIAL, REHAB, & SUPPORT SERVICES | MD | 501(C)(3) | 7 | 0 | SHEPPARD AND ENOCH PRATT FOUNDATION INC | |
| WAY STATION INC | |||||||||||
| PO BOX 3826 | FREDERICK | MD | 21705 | 521162749 | PROVIDES REHABILIATION AND TREATMENT SERVICES | MD | 501(C)(3) | 7 | 0 | SHEPPARD AND ENOCH PRATT FOUNDATION INC | |
| FAMILY SERVICES INC | |||||||||||
| 610 EAST DIAMOND AVENUE | GAITHERSBURG | MD | 20877 | 520730225 | FOSTER HEALTHY FAMILIES THROUGH EDUCATION, BEHAVIORAL HEALTH SERVICES | MD | 501(C)(3) | 7 | 0 | SHEPPARD AND ENOCH PRATT FOUNDATION INC | |
| 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 | 0 | MOSAIC COMMUNITY SERVICES INC | |
| 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 | 0 | MOSAIC COMMUNITY SERVICES INC | |
| ALLIANCE INC | |||||||||||
| 8003 CORPORATE DRIVE | NOTTINGHAM | MD | 21236 | 521277262 | EDUC., VOC., & RESID. SERVICES FOR INDIVIDUALS WITH DISABILITIES | MD | 501(C)(3) | 7 | 0 | MOSAIC COMMUNITY SERVICES INC | |
| 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 | 0 | WAY STATION INC | |
| BEHAVIORAL HEALTH PARTNERS OF FREDERICK INC | |||||||||||
| PO BOX 6815 | BALTIMORE | MD | 21285 | 522125435 | OUTPATIENT PSYCHIATRIC AND BEHAVIORAL MEDICINE | MD | 501(C)(3) | 3 | 0 | MOSAIC COMMUNITY SERVICES INC | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SHEPPARD PRATT PREFERRED RESOURCES INC | ||||||||||||||
| 6501 N CHARLES STREET | TOWSON | MD | 21285 | 521757742 | INACTIVE | MD | C | 0 | ||||||
| SHEPPARD PRATT ASSURANCE COMPANY LLC | ||||||||||||||
| 981668282 | INSURANCE | C | 0 | CARIBBEAN PLAZA 2ND FLOOR NORTH B | GEORGE TOWN | CJ | KYL-1102 | CJ | N/A | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART II: | FormAndLineReferenceDesc |
| Explanation | 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 THE HUD ENTITIES. AS SUCH THE HUD ENTITIES ARE NOT LISTED ON SHEPPARD PRATT PHYSICIANS, P.A.'S SCHEDULE R. HUD ENTITIES ARE REFLECTED ON THE SCHEDULE R OF WAY STATION, INC., MOSAIC COMMUNITY SERVICES, INC. AND FAMILY SERVICES, INC. | ExplanationTxt |