2021-05-11T11:10:14-05:00 2020-06-30 412069731 SC&H TAX & ADVISORY SERVICES LLC 910 RIDGEBROOK ROAD SPARKS MD 21152 990 2019-07-01 520591684 SHEPPARD PRATT HEALTH SYSTEM INC SHEP 4109385401 6501 N CHARLES STREET BALTIMORE MD 21204 KELLY SAVOCA CFO 4109385401 2021-05-09 1 LORI S BURGHAUSER P00370694 4104031500 2021-05-09 2019 2022-09-23 18:48:47Z X HARSH K TRIVEDI 6501 N CHARLES STREET BALTIMORE MD 21204 254690212 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. 26 26 3254 143 143960 0 811676 6190773 232402986 217816019 1279063 1105804 10086067 8724262 244579792 233836858 7500 0 0 0 154787115 148810515 0 0 895009 84822015 80626105 239616630 229436620 4963162 4400238 414258907 415003440 240084471 241956072 174174436 173047368 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. 0 0 193791003 224831531 SHEPPARD PRATT HEALTH SYSTEM PROVIDES INPATIENT BEHAVIORAL HEALTH CARE, OUTPATIENT/ANCILLARY CARE, RESIDENTIAL SERVICES, SPECIAL EDUCATION TO STUDENTS AND RESIDENCY TRAINING PROGRAMS. 193791003 1 1 0 1 0 0 1 1 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 265 0 3254 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 26 26 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 0.00 X X 0 0 0 ALFRED SINGER VICE CHAIRPERSON, TRUSTEE 1.00 0.00 X X 0 0 0 MARGARET ALLEN TRUSTEE 1.00 0.00 X 0 0 0 EMILE A BENDIT TRUSTEE 1.00 0.00 X 0 0 0 KEVIN BENSON TRUSTEE 1.00 0.00 X 0 0 0 PENELOPE CORDISH TRUSTEE 1.00 0.00 X 0 0 0 ALAN EVANS TRUSTEE 1.00 0.00 X 0 0 0 SUSAN FENIMORE TRUSTEE 1.00 0.00 X 0 0 0 ELIZABETH FORBUSH TRUSTEE 1.00 0.00 X 0 0 0 ALAN GAMSE TRUSTEE 1.00 0.00 X 0 0 0 PHILLIP H GRANTHAM TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM HAUGH TRUSTEE 1.00 0.00 X 0 0 0 BONITA HEARN TRUSTEE 1.00 0.00 X 0 0 0 TIMOTHY HEARN TRUSTEE (PART YEAR) 1.00 0.00 X 0 0 0 TAMARA JACK TRUSTEE (PART YEAR) 1.00 0.00 X 0 0 0 NORMA PEDEN KILLEBREW TRUSTEE 1.00 0.00 X 0 0 0 MARTHA KIRKLAND TRUSTEE 1.00 0.00 X 0 0 0 ALTON KNIGHT TRUSTEE 1.00 0.00 X 0 0 0 ROBERT KRESSLEIN TRUSTEE 1.00 0.00 X 0 0 0 MITCH LAHR TRUSTEE (PART YEAR) 1.00 0.00 X 0 0 0 CRISTIN C LAMBROS TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM MORTON TRUSTEE 1.00 0.00 X 0 0 0 COLLIN MOTHUPI TRUSTEE 1.00 0.00 X 0 0 0 ROBERT SCHAFTEL TRUSTEE 1.00 0.00 X 0 0 0 GAIL L SHAWE TRUSTEE 1.00 0.00 X 0 0 0 JOHN W STEELE III TRUSTEE 1.00 0.00 X 0 0 0 JIM WIEDERHOLD TRUSTEE 1.00 0.00 X 0 0 0 STEPHEN JUDSON WILLIAMS TRUSTEE 1.00 0.00 X 0 0 0 PAMELA YOUNG TRUSTEE 1.00 0.00 X 0 0 0 HARSH K TRIVEDI MD PRESIDENT & CEO 40.00 5.00 X 1122483 0 64437 ARMANDO E COLOMBO EVP & COO (PART YEAR) 40.00 5.00 X 354718 0 40154 KELLY SAVOCA VP, CFO 40.00 1.00 X 100751 123484 5491 THERESA PEDDICORD ASSISTANT SECRETARY 40.00 1.00 X 75282 0 259 STEPHANIE PROVENZA ASSISTANT SECRETARY (PART YEAR) 40.00 5.00 X 56759 0 17628 TODD E PETERS VP,CHIEF MED OFFICER, MED DIRECTOR 40.00 1.00 X 240146 263280 33978 JENNIFER W WILKERSON SR VP STRATEGY & BUSINESS DVLPMT 40.00 1.00 X 347103 0 44702 DONNA L RICHARDSON VP & CDO 40.00 0.00 X 311729 0 28387 LAURA L WEBB VP & CNO 40.00 0.00 X 226563 0 23469 KAREN ROBERTSON-KECK VP OF HR 40.00 0.00 X 223167 0 7814 CHARLES K MAUST CHIEF OF SCHOOLS 40.00 0.00 X 220418 0 2661 THOMAS D HESS CHIEF OF STAFF 40.00 0.00 X 223947 0 15907 JEFFREY W RICHARDSON VP & COO COMMUNITY BASED PROGRAMS 40.00 0.00 X 197943 239142 41456 GERALD A NOLL TREASURER 40.00 0.00 X 225566 0 41965 ANTONIO DEPAOLO CHIEF TRANSFORMATION OFFIC 40.00 0.00 X 196883 0 31290 SHERRY L MCGRAW STAFF NURSE 40.00 0.00 X 184647 0 16900 RAY R DZIESINSKI FORMER VP, CFO, SEC/TREASURER 0.00 0.00 X 469467 0 27546 ERNESTINE COSBY FORMER VP OF NURSING 40.00 0.00 X 144400 0 11851 4921972 625906 455895 118 1 1 0 STEWART & TATE INC 55 GWYNNS MILL COURT OWINGS MILLS MD 21117 CONSTRUCTION 32066762 BENCHMARK CONSTRUCTION COMPANY INC 4121 OREGON PIKE PO BOX 806 BROWNSTOWN PA 17508 CONSTRUCTION MANAGEMENT 3306721 CENTER FOR EATING DISORDERS PA 6535 N CHARLES ST STE 300 BALTIMORE MD 21204 PROFESSIONAL FEES 2896392 MAXIM STAFFING SOLUTIONS 12558 COLLECTIONS CENTER DR CHICAGO IL 60693 STAFFING 2377342 GBMC 6701 N CHARLES ST BALTIMORE MD 21204 PROFESSIONAL SERVICES 1890170 49 5217373 973400 6190773 PATIENT SERVICE REVENUE 621990 148523420 148523420 EDUCATIONAL SERVICE REVENUE 611600 53080791 53080791 RTC/RESPITE REVENUE 623000 16211808 16211808 217816019 1100593 1100593 392848 0 392848 392848 392848 20834246 24319 20809152 44202 25094 -19883 5211 5211 INTERCORPORATE REVENUE 900099 6335248 6335248 CAFETERIA REVENUE 900099 969186 969186 TELEPSYCHIATRY INCOME 900099 254943 254943 772037 425321 143960 202756 8331414 233836858 224831531 143960 2670594 4657104 4657104 119091995 107508544 10961843 621608 3146762 2751784 379067 15911 12995986 12072452 853732 69802 8918668 7799206 1074367 45095 663397 101953 558756 2688 376321 376321 171160 171160 163657 163657 16052252 14647444 1359949 44859 1611852 1592903 18949 3384363 2888543 467558 28262 4322344 1542372 2779972 9706367 7767451 1893112 45804 230167 215214 14441 512 702503 483846 215151 3506 15479505 14427211 1046697 5597 5366055 650 5365405 INTERCOMPANY CHARGES 9036325 8624246 412079 SUPPLIES 4041860 3881953 159907 REPAIRS AND MAINTENANCE 3554597 2784268 770329 FOOD 3095247 3092819 2428 2668133 1608144 1048624 11365 229436620 193791003 34750608 895009 17302745 33280341 27365020 19789234 7298972 9294946 461001800 226241091 188974775 234760709 20677016 16127923 141257065 87268031 11383314 14482256 414258907 415003440 25944248 32648334 173365000 169261000 40775223 40046738 240084471 241956072 X 160029603 150490937 14144833 22556431 174174436 173047368 414258907 415003440 X 4400238 -4668565 -858741 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 152773 0 1 201193 353966 0 PART II-B, LINE 1: SHEPPARD PRATT RETAINS THREE 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 FY20: $152,773). SHEPPARD PRATT EMPLOYS A CHIEF OF GOVERNMENT RELATIONS WHOSE SALARY IS INCLUDED IN LOBBYING ACTIVITY (TOTAL SALARY AND BENEFITS $182,806). SHEPPARD PRATT ALSO PAYS DUES TO AMERICAN HOSPITAL ASSOCIATION, MARYLAND HOSPITAL ASSOCIATION, NATIONAL ASSOCIATION OF BEHAVIORAL HEALTHCARE, MARYLAND HEALTH ASSOCIATION, MARYLAND BEHAVIORAL HEALTHCOALITION, AND NATIONAL ASSOCIATION OF PSYCHIATRIC HEALTH SYSTEMS. A PORTION OF THE DUES PAID ARE USED TO FUND LOBBYING ACTIVITIES (FY20: $18,387). X 1 0.00 1 0 0 1 0 1.00 0 688357 X X 0 15527252 15527252 264659565 165584978 99074587 63922064 51019019 12903045 116892919 9637094 107255825 234760709 INVESTMENTS LIMITED OR RESTRICTED AS TO USE 48632325 F INTEREST IN NET ASSETS OF FOUNDATION 22556431 F INVESTMENTS IN PARTNERSHIPS/HEDGE FUNDS 16079275 F 87268031 SELF-INSURANCE LIABILITY 8917043 CAPITAL LEASE OBLIGATIONS 4613328 ACCRUED PENSION LIABILITY 24750033 DUE TO AFFILIATES 2237026 DEFERRED FINANCING COSTS -470692 40046738 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. 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 3273974 3273974 0.01430 3273974 3273974 0.01430 44078 44078 0.00020 2559490 378472 2181018 0.00950 1275111 289123 985988 0.00430 257520 257520 0.00110 112013 112013 0.00050 4248212 667595 3580617 0.01560 7522186 667595 6854591 0.02990 196016 14125 181891 0.00080 289384 289384 0.00130 4387 1186747 1186747 0.00520 4387 1672147 14125 1658022 0.00730 1 1267308 14363334 16898468 -2535134 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 ELLICOTT CITY 4100 COLLEGE AVENUE ELLICOTT CITY MD 21041 WWW.SHEPPARDPRATT.ORG 13-002 X SEE NARRATIVE SHEPPARD PRATT HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 1 0 1 X SEE PART V, SECTION C 1 18 1 SEE PART V, SECTION C 0 1 X 300.000000000000 300.000000000000 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 ELLICOTT CITY 2 0 0 1 X X X X X X X X X 18 1 1 0 1 X SEE PART V, SECTION C 1 18 1 SEE PART V, SECTION C 0 1 X 300.000000000000 300.000000000000 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 2019 CHNAS. A MULTI-MODAL APPROACH WAS USED TO CONDUCT THE RESEARCH FOR THE 2019 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 ACTIVITIES KEY STAKEHOLDERS FOR BOTH CHNAS INCLUDED THE FOLLOWING:DR. GREGORY W. BRANCH, MD, MBA, CPE, FACP, DIRECTOR, HEALTH AND HUMAN SERVICES/HEALTH OFFICER, BALTIMORE COUNTY DEPT OF HEALTHMS. BILLIE PENLEY, MBA, CHIEF FINANCIAL OFFICER, ANNE ARUNDEL COUNTY DEPT OF HEALTHLT. MICHELLE DENTON, CAC DIRECTOR, HOWARD COUNTY CHILD ADVOCACY CENTER, THE LISTENING PLACEMS. JANE GEHRING, ASSISTANT DIRECTOR, FAMILY SERVICES, BALTIMORE COUNTY DSS, CHILD PROTECTIVE SERVICESANN MAHLING GEDDES, PHD, DIRECTOR OF PUBLIC POLICY, MARYLAND COALITION OF FAMILIESBARBARA J. BAZRON, PHD, DIRECTOR, DEPT OF BEHAVIORAL HEALTHSUSAN B. HANSELL, DIRECTOR, MARYLAND CHILDREN'S ALLIANCEMS. ADRIENNE MICKLER, EXECUTIVE DIRECTOR, ANNE ARUNDEL COUNTY MENTAL HEALTH AGENCYMS. REBECCA RIENZI, EXECUTIVE DIRECTOR, PATHFINDERS FOR AUTISMMR. ADAM ROSENBERG, EXECUTIVE DIRECTOR, BALTIMORE CHILD ABUSE CENTERDR. JOSHUA SHARFSTEIN, VICE DEAN FOR PUBLIC HEALTH PRACTICE & COMMUNITY ENGAGEMENT, JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTHDR. LETITIA DZLRASA, COMMISSIONER OF HEALTH, BALTIMORE CITY HEALTH DEPTMS. CRISTA TAYLOR, PRESIDENT & CEO, BEHAVIORAL HEALTH SYSTEM BALTIMOREMALLORY CANAMI, POPULATION HEALTH & QUALITY IMPROVEMENT, HARFORD COUNTY HEALTH DEPTBERNARD GYEBI-FOSTER, EXECUTIVE DIRECTOR, TUERK HOUSE SHEPPARD PRATT AT ELLICOTT CITY 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 2019 CHNAS. A MULTI-MODAL APPROACH WAS USED TO CONDUCT THE RESEARCH FOR THE 2019 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 ACTIVITIES KEY STAKEHOLDERS FOR BOTH CHNAS INCLUDED THE FOLLOWING:DR. GREGORY W. BRANCH, MD, MBA, CPE, FACP, DIRECTOR, HEALTH AND HUMAN SERVICES/HEALTH OFFICER, BALTIMORE COUNTY DEPT OF HEALTHMS. BILLIE PENLEY, MBA, CHIEF FINANCIAL OFFICER, ANNE ARUNDEL COUNTY DEPT OF HEALTHLT. MICHELLE DENTON, CAC DIRECTOR, HOWARD COUNTY CHILD ADVOCACY CENTER, THE LISTENING PLACEMS. JANE GEHRING, ASSISTANT DIRECTOR, FAMILY SERVICES, BALTIMORE COUNTY DSS, CHILD PROTECTIVE SERVICESANN MAHLING GEDDES, PHD, DIRECTOR OF PUBLIC POLICY, MARYLAND COALITION OF FAMILIESBARBARA J. BAZRON, PHD, DIRECTOR, DEPT OF BEHAVIORAL HEALTHSUSAN B. HANSELL, DIRECTOR, MARYLAND CHILDREN'S ALLIANCEMS. ADRIENNE MICKLER, EXECUTIVE DIRECTOR, ANNE ARUNDEL COUNTY MENTAL HEALTH AGENCYMS. REBECCA RIENZI, EXECUTIVE DIRECTOR, PATHFINDERS FOR AUTISMMR. ADAM ROSENBERG, EXECUTIVE DIRECTOR, BALTIMORE CHILD ABUSE CENTERDR. JOSHUA SHARFSTEIN, VICE DEAN FOR PUBLIC HEALTH PRACTICE & COMMUNITY ENGAGEMENT, JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTHDR. LETITIA DZLRASA, COMMISSIONER OF HEALTH, BALTIMORE CITY HEALTH DEPTMS. CRISTA TAYLOR, PRESIDENT & CEO, BEHAVIORAL HEALTH SYSTEM BALTIMOREMALLORY CANAMI, POPULATION HEALTH & QUALITY IMPROVEMENT, HARFORD COUNTY HEALTH DEPTBERNARD GYEBI-FOSTER, EXECUTIVE DIRECTOR, TUERK HOUSE 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 ELLICOTT CITY. SHEPPARD PRATT AT ELLICOTT CITY 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 ELLICOTT CITY.SHEPPARD PRATT HOSPITAL:PART V, SECTION B, LINE 7A: HTTPS://WWW.SHEPPARDPRATT.ORG/ABOUT/CHNASHEPPARD PRATT AT ELLICOTT CITY:PART V, SECTION B, LINE 7A: HTTPS://WWW.SHEPPARDPRATT.ORG/ABOUT/CHNA SHEPPARD PRATT HOSPITAL:PART V, SECTION B, LINE 10A: HTTPS://WWW.SHEPPARDPRATT.ORG/ABOUT/CHNASHEPPARD PRATT AT ELLICOTT CITY:PART V, SECTION B, LINE 10A: 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 IN ORDER 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 35 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.NEEDS FOR WHICH SPHS WILL ENHANCE EXISTING PROGRAMS OR ESTABLISH NEW ONES: THE HOSPITAL HAS CURRENT ACTIVITIES THAT MAY BE ABLE TO BE MODIFIED OR EXPANDED TO ADDRESS THE COMMUNITY HEALTH NEED; OR, NEWLY CREATED ACTIVITIES OR INITIATIVES MAY BE REQUIRED TO DO SO.NEEDS SPHS IS ADDRESSING THROUGH EXISTING PROGRAMS AND ACTIVITIES: THE HOSPITAL IS ALREADY ACTIVELY PROVIDING SERVICES TO ADDRESS THE COMMUNITY HEALTH NEED AND MAY FOCUS EFFORTS ON BUILDING AWARENESS OF EXISTING PROGRAMS AND SERVICES.NEEDS THAT SPHS WILL NOT ADDRESS: THE NEED IS EITHER NOT WITHIN THE SPHS PURVIEW OR BEYOND ITS ABILITY TO READILY IMPACT.IN DEVELOPING THE IMPLEMENTATION PLANS, SPHS PROJECT LEADERSHIP TEAM MEMBERS REVIEWED EACH OF THE 35 NEEDS IDENTIFIED IN THE CHNAS, TO DETERMINE THOSE FOR WHICH SPHS HAS, OR MAY ESTABLISH, PROGRAMS TO ADDRESS. THIS WAS DONE ON TWO SCALES:- THE DEGREE OF LOCAL CONTROL (I.E., THE AMOUNT OF INFLUENCE SPHS MAY POSSESS TO AFFECT NEEDS).- TIMELINE (I.E., THE EXPECTED AMOUNT OF TIME IT WOULD TAKE TO IMPACT THE NEED)BASED ON THE ANALYSIS, SPHS CREATED A LIST OF PROGRAM FOCUS AREAS THAT DOES THE FOLLOWING:1. ADDRESSES THE HIGHEST PRIORITY NEEDS2. EXISTS WITHIN SPHS'S ABILITY TO CONTROL, AND3. PROVIDES POSITIVE IMPACT IN THE "ONE-YEAR," "TWO-TO-THREE-YEAR, AND "FOUR YEARS OR LONGER" TIME FRAMES.THE NEEDS FOR WHICH SPHS WILL ENHANCE EXISTING PROGRAMS OR ESTABLISH NEW ONES WITHIN A ONE-YEAR TIMELINE ARE AS FOLLOWS:- INCREASE MENTAL HEALTH FIRST AID TRAINING TO FIRST RESPONDERS, SCHOOLS, PUBLIC SAFETY, AND OTHERS- EXPAND CAPACITY AT THE CRISIS WALK-IN CLINIC- DECREASE STIGMA AROUND MENTAL HEALTH AND SUBSTANCE USE DISORDERS (E.G., MANY OF THE SPHS PROGRAMS AND EDUCATIONAL OUTREACH ACTIVITIES ARE DESIGNED TO EXPLICITLY OR IMPLICITLY FIGHT STIGMA)- INCREASE THE NUMBER OF PROVIDERS WHO ACCEPT MEDICAID CLIENTS (E.G., WHERE POSSIBLE, SPHS WILL CONTINUE TO EXPAND MEDICAID ACCESS TO CARE)THE NEEDS FOR WHICH SPHS WILL ENHANCE EXISTING PROGRAMS OR ESTABLISH NEW ONES WITHIN A TWO-TO-THREE-YEAR TIMELINE ARE AS FOLLOWS:- IMPROVE CARE COORDINATION BETWEEN INPATIENT AND OUTPATIENT PROVIDERS- CREATE A PARENT SUPPORT GROUP FOR PARENTS WITH CHILDREN WITH SEVERE MENTAL ILLNESS (E.G., BY ENGAGING POTENTIAL PARTICIPANTS, LEARNING THEIR INSIGHTS REGARDING IMPORTANT NEEDS / GROUP CONTENT INFORMATION, AND OFFERING ADDITIONAL GROUP MEETING TIMES / DAYS)- INCREASE ACCESS TO FAMILY THERAPY, (E.G., BY OFFERING ADDITIONAL GROUP MEETING TIMES / DAYS / LOCATIONS)- INCREASE APPROVED PATIENT DATA SHARING ACROSS ALL PROVIDERS- INCREASE CONSISTENCY AND THOROUGHNESS OF INPATIENT DISCHARGE FOLLOW-UP (E.G., THROUGH ELECTRONIC, TELEPHONIC, CARE COORDINATION, OR OTHER MEANS)- INCREASE ACCESS TO OUTPATIENT DIALECTICAL BEHAVIORAL THERAPY (DBT) FOR CHILDREN AND ADOLESCENTS- INCREASE SERVICES FOR NEW MOMS WITH SUBSTANCE USE DISORDERSTHE NEEDS FOR WHICH SPHS WILL ENHANCE EXISTING PROGRAMS OR ESTABLISH NEW ONES WITHIN A FOUR YEARS OR LONGER TIMELINE ARE AS FOLLOWS:- PROVIDE NARCAN AND EVZIO TRAINING TO KEY COMMUNITY MEMBERS (I.E., POLICE, FIRE, SCHOOLS)- ENGAGE IN SYSTEM-LEVEL / REGULATORY / POLICY CHANGE ADVOCACY [NOTE THAT ALTHOUGH THIS NEED HAS BEEN AN ONGOING FOCUS FOR SPHS, AND IT IS LIKELY THAT SOME POSITIVE EFFECTS WILL BE SEEN WITHIN ONE YEAR, CONTINUING WORK AND ADDITIONAL PROGRESS WILL BE REQUIRED OVER A LONGER TIME FRAME.]- REVIEW OR INCREASE THE NUMBER OF PEER SUPPORT SPECIALISTS IN HOSPITAL AND OUTPATIENT SETTINGSIDENTIFIED NEEDS ALREADY BEING ADDRESSED BY SPHSTHE SPHS PROJECT LEADERSHIP ALSO DETERMINED THAT SPHS IS CURRENTLY ADDRESSING 16 OF THE IDENTIFIED NEEDS THROUGH EXISTING PROGRAMS. FOR THESE NEEDS, EFFORTS WILL BE MADE TO INCREASE AWARENESS OF SPHS' EXISTING PROGRAMS IN THE COMMUNITY. THESE 16 NEEDS ARE AS FOLLOWS:- IMPROVE REGULATION AROUND ADDICTION COUNSELING- INCREASE RESIDENTIAL OPTIONS FOR TEENS WITH CO-OCCURRING MENTAL HEALTH AND BEHAVIORAL ISSUES- INCREASE AWARENESS OF SERVICES OFFERED AT SPHS LOCATIONS- PROVIDE GREATER SUPPORT FOR COMMUNITY EFFORTS TO INCREASE GENERAL AWARENESS OF SERVICES AVAILABLE IN THE COMMUNITY- PROVIDE ADVOCACY AROUND MENTAL HEALTH AND SUBSTANCE USE DISORDERS (I.E., OPIOID EPIDEMIC)- INCREASE ACCESS TO OUTPATIENT SERVICES FOR PEOPLE IN RURAL AREAS- EXPAND WRAP-AROUND SERVICES FOR THE CHRONICALLY MENTALLY ILL- INCREASE THE NUMBER OF THERAPISTS TRAINED IN TRAUMA-INFORMED CARE- INCREASE THE NUMBER OF MENTAL HEALTH-TRAINED PROVIDERS IN HOSPITAL EMERGENCY DEPARTMENTS ACROSS THE STATE- WORK WITH COMMUNITY SERVICE PROVIDERS AND SPHS SITES TO INCREASE AWARENESS OF SERVICES AVAILABLE AT COUNTY HEALTH DEPARTMENTS- CREATE A MOBILE CRISIS RESPONSE TEAM- PROVIDE EXPANDED DETOX CENTER CAPACITY IN BALTIMORE AND BALTIMORE COUNTY- INCREASE COORDINATION BETWEEN SPHS AND DEPARTMENT OF SOCIAL SERVICES (DSS)- INCREASE ACCESSIBILITY TO WAY STATION PROGRAMS- PROVIDE ADDITIONAL PARENT EDUCATION CLASSES AT NON-TRADITIONAL HOURS FOR WORKING FAMILIES- CREATE SERVICES TO REDUCE SENIOR ISOLATIONIDENTIFIED COMMUNITY NEEDS THAT WILL NOT BE ADDRESSEDWHILE SPHS HAS EXISTING PROGRAMS AND ACTIVITIES THAT ADDRESS A MAJORITY OF THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE FOLLOWING FIVE NEEDS ARE NOT CURRENTLY BEING ADDRESSED BY PROGRAMS AND ACTIVITIES AT SPHS. ALTHOUGH, SPHS IS OPEN TO SUPPORTING INITIATIVES THAT ADDRESS THESE NEEDS, THE FOLLOWING LIST REPRESENTS PRIORITIZED COMMUNITY NEEDS THAT ARE EITHER NOT WITHIN THE SPHS PURVIEW OR ARE BEYOND THE ORGANIZATION'S ABILITY TO READILY IMPACT. - IMPROVE INFORMATION ON PROVIDER NETWORK DIRECTORY LISTS (E.G., LISTS OF OTHER SPHS SERVICES OR NON-AFFILIATED COMMUNITY SERVICE PROVIDERS THAT MAY BE HELPFUL TO THE PATIENT).- DEVELOP A TRAUMA-INFORMED CARE TRAINING PROGRAM FOR PROVIDERS IN MARYLAND- PROVIDE SAFE TRANSPORTATION TO TOWSON FACILITY FOR CHILDREN IN CRISIS- IMPROVE MEDICATION MANAGEMENT EDUCATION FOR OLDER ADULTS- INCREASE THE NUMBER OF PROVIDERS WHO ACCEPT PRIVATE INSURANCE CLIENTS SHEPPARD PRATT AT ELLICOTT CITY 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 IN ORDER 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 35 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.NEEDS FOR WHICH SPHS WILL ENHANCE EXISTING PROGRAMS OR ESTABLISH NEW ONES: THE HOSPITAL HAS CURRENT ACTIVITIES THAT MAY BE ABLE TO BE MODIFIED OR EXPANDED TO ADDRESS THE COMMUNITY HEALTH NEED; OR, NEWLY CREATED ACTIVITIES OR INITIATIVES MAY BE REQUIRED TO DO SO.NEEDS SPHS IS ADDRESSING THROUGH EXISTING PROGRAMS AND ACTIVITIES: THE HOSPITAL IS ALREADY ACTIVELY PROVIDING SERVICES TO ADDRESS THE COMMUNITY HEALTH NEED AND MAY FOCUS EFFORTS ON BUILDING AWARENESS OF EXISTING PROGRAMS AND SERVICES.NEEDS THAT SPHS WILL NOT ADDRESS: THE NEED IS EITHER NOT WITHIN THE SPHS PURVIEW OR BEYOND ITS ABILITY TO READILY IMPACT.IN DEVELOPING THE IMPLEMENTATION PLANS, SPHS PROJECT LEADERSHIP TEAM MEMBERS REVIEWED EACH OF THE 35 NEEDS IDENTIFIED IN THE CHNAS, TO DETERMINE THOSE FOR WHICH SPHS HAS, OR MAY ESTABLISH, PROGRAMS TO ADDRESS. THIS WAS DONE ON TWO SCALES:- THE DEGREE OF LOCAL CONTROL (I.E., THE AMOUNT OF INFLUENCE SPHS MAY POSSESS TO AFFECT NEEDS).- TIMELINE (I.E., THE EXPECTED AMOUNT OF TIME IT WOULD TAKE TO IMPACT THE NEED)BASED ON THE ANALYSIS, SPHS CREATED A LIST OF PROGRAM FOCUS AREAS THAT DOES THE FOLLOWING:1. ADDRESSES THE HIGHEST PRIORITY NEEDS2. EXISTS WITHIN SPHS'S ABILITY TO CONTROL, AND3. PROVIDES POSITIVE IMPACT IN THE "ONE-YEAR," "TWO-TO-THREE-YEAR, AND "FOUR YEARS OR LONGER" TIME FRAMES.THE NEEDS FOR WHICH SPHS WILL ENHANCE EXISTING PROGRAMS OR ESTABLISH NEW ONES WITHIN A ONE-YEAR TIMELINE ARE AS FOLLOWS:- INCREASE MENTAL HEALTH FIRST AID TRAINING TO FIRST RESPONDERS, SCHOOLS, PUBLIC SAFETY, AND OTHERS- EXPAND CAPACITY AT THE CRISIS WALK-IN CLINIC- DECREASE STIGMA AROUND MENTAL HEALTH AND SUBSTANCE USE DISORDERS (E.G., MANY OF THE SPHS PROGRAMS AND EDUCATIONAL OUTREACH ACTIVITIES ARE DESIGNED TO EXPLICITLY OR IMPLICITLY FIGHT STIGMA)- INCREASE THE NUMBER OF PROVIDERS WHO ACCEPT MEDICAID CLIENTS (E.G., WHERE POSSIBLE, SPHS WILL CONTINUE TO EXPAND MEDICAID ACCESS TO CARE)THE NEEDS FOR WHICH SPHS WILL ENHANCE EXISTING PROGRAMS OR ESTABLISH NEW ONES WITHIN A TWO-TO-THREE-YEAR TIMELINE ARE AS FOLLOWS:- IMPROVE CARE COORDINATION BETWEEN INPATIENT AND OUTPATIENT PROVIDERS- CREATE A PARENT SUPPORT GROUP FOR PARENTS WITH CHILDREN WITH SEVERE MENTAL ILLNESS (E.G., BY ENGAGING POTENTIAL PARTICIPANTS, LEARNING THEIR INSIGHTS REGARDING IMPORTANT NEEDS / GROUP CONTENT INFORMATION, AND OFFERING ADDITIONAL GROUP MEETING TIMES / DAYS)- INCREASE ACCESS TO FAMILY THERAPY, (E.G., BY OFFERING ADDITIONAL GROUP MEETING TIMES / DAYS / LOCATIONS)- INCREASE APPROVED PATIENT DATA SHARING ACROSS ALL PROVIDERS- INCREASE CONSISTENCY AND THOROUGHNESS OF INPATIENT DISCHARGE FOLLOW-UP (E.G., THROUGH ELECTRONIC, TELEPHONIC, CARE COORDINATION, OR OTHER MEANS)- INCREASE ACCESS TO OUTPATIENT DIALECTICAL BEHAVIORAL THERAPY (DBT) FOR CHILDREN AND ADOLESCENTS- INCREASE SERVICES FOR NEW MOMS WITH SUBSTANCE USE DISORDERSTHE NEEDS FOR WHICH SPHS WILL ENHANCE EXISTING PROGRAMS OR ESTABLISH NEW ONES WITHIN A FOUR YEARS OR LONGER TIMELINE ARE AS FOLLOWS:- PROVIDE NARCAN AND EVZIO TRAINING TO KEY COMMUNITY MEMBERS (I.E., POLICE, FIRE, SCHOOLS)- ENGAGE IN SYSTEM-LEVEL / REGULATORY / POLICY CHANGE ADVOCACY [NOTE THAT ALTHOUGH THIS NEED HAS BEEN AN ONGOING FOCUS FOR SPHS, AND IT IS LIKELY THAT SOME POSITIVE EFFECTS WILL BE SEEN WITHIN ONE YEAR, CONTINUING WORK AND ADDITIONAL PROGRESS WILL BE REQUIRED OVER A LONGER TIME FRAME.]- REVIEW OR INCREASE THE NUMBER OF PEER SUPPORT SPECIALISTS IN HOSPITAL AND OUTPATIENT SETTINGSIDENTIFIED NEEDS ALREADY BEING ADDRESSED BY SPHSTHE SPHS PROJECT LEADERSHIP ALSO DETERMINED THAT SPHS IS CURRENTLY ADDRESSING 16 OF THE IDENTIFIED NEEDS THROUGH EXISTING PROGRAMS. FOR THESE NEEDS, EFFORTS WILL BE MADE TO INCREASE AWARENESS OF SPHS' EXISTING PROGRAMS IN THE COMMUNITY. THESE 16 NEEDS ARE AS FOLLOWS:- IMPROVE REGULATION AROUND ADDICTION COUNSELING- INCREASE RESIDENTIAL OPTIONS FOR TEENS WITH CO-OCCURRING MENTAL HEALTH AND BEHAVIORAL ISSUES- INCREASE AWARENESS OF SERVICES OFFERED AT SPHS LOCATIONS- PROVIDE GREATER SUPPORT FOR COMMUNITY EFFORTS TO INCREASE GENERAL AWARENESS OF SERVICES AVAILABLE IN THE COMMUNITY- PROVIDE ADVOCACY AROUND MENTAL HEALTH AND SUBSTANCE USE DISORDERS (I.E., OPIOID EPIDEMIC)- INCREASE ACCESS TO OUTPATIENT SERVICES FOR PEOPLE IN RURAL AREAS- EXPAND WRAP-AROUND SERVICES FOR THE CHRONICALLY MENTALLY ILL- INCREASE THE NUMBER OF THERAPISTS TRAINED IN TRAUMA-INFORMED CARE- INCREASE THE NUMBER OF MENTAL HEALTH-TRAINED PROVIDERS IN HOSPITAL EMERGENCY DEPARTMENTS ACROSS THE STATE- WORK WITH COMMUNITY SERVICE PROVIDERS AND SPHS SITES TO INCREASE AWARENESS OF SERVICES AVAILABLE AT COUNTY HEALTH DEPARTMENTS- CREATE A MOBILE CRISIS RESPONSE TEAM- PROVIDE EXPANDED DETOX CENTER CAPACITY IN BALTIMORE AND BALTIMORE COUNTY- INCREASE COORDINATION BETWEEN SPHS AND DEPARTMENT OF SOCIAL SERVICES (DSS)- INCREASE ACCESSIBILITY TO WAY STATION PROGRAMS- PROVIDE ADDITIONAL PARENT EDUCATION CLASSES AT NON-TRADITIONAL HOURS FOR WORKING FAMILIES- CREATE SERVICES TO REDUCE SENIOR ISOLATIONIDENTIFIED COMMUNITY NEEDS THAT WILL NOT BE ADDRESSEDWHILE SPHS HAS EXISTING PROGRAMS AND ACTIVITIES THAT ADDRESS A MAJORITY OF THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE FOLLOWING FIVE NEEDS ARE NOT CURRENTLY BEING ADDRESSED BY PROGRAMS AND ACTIVITIES AT SPHS. ALTHOUGH, SPHS IS OPEN TO SUPPORTING INITIATIVES THAT ADDRESS THESE NEEDS, THE FOLLOWING LIST REPRESENTS PRIORITIZED COMMUNITY NEEDS THAT ARE EITHER NOT WITHIN THE SPHS PURVIEW OR ARE BEYOND THE ORGANIZATION'S ABILITY TO READILY IMPACT. - IMPROVE INFORMATION ON PROVIDER NETWORK DIRECTORY LISTS (E.G., LISTS OF OTHER SPHS SERVICES OR NON-AFFILIATED COMMUNITY SERVICE PROVIDERS THAT MAY BE HELPFUL TO THE PATIENT).- DEVELOP A TRAUMA-INFORMED CARE TRAINING PROGRAM FOR PROVIDERS IN MARYLAND- PROVIDE SAFE TRANSPORTATION TO TOWSON FACILITY FOR CHILDREN IN CRISIS- IMPROVE MEDICATION MANAGEMENT EDUCATION FOR OLDER ADULTS- INCREASE THE NUMBER OF PROVIDERS WHO ACCEPT PRIVATE INSURANCE CLIENTS SHEPPARD PRATT HOSPITAL:PART V, SECTION B, LINES 16A-C: FAP: HTTPS://WWW.SHEPPARDPRATT.ORG/FILES/RESOURCES/FINANCIAL-ASSISTANCE-POLICY-2.PDFAPPLICATION: HTTPS://WWW.SHEPPARDPRATT.ORG/FILES/RESOURCES/SHEPPARD-PRATT-FINANCIAL-ASSISTANCE-APPLICATION.PDFPLAIN LANGUAGE SUMMARY: HTTPS://WWW.SHEPPARDPRATT.ORG/FINANCIAL-ASSISTANCE-POLICY/ SHEPPARD PRATT AT ELLICOTT CITY:PART V, SECTION B, LINES 16A-C: FAP: HTTPS://WWW.SHEPPARDPRATT.ORG/FILES/RESOURCES/FINANCIAL-ASSISTANCE-POLICY-2.PDFAPPLICATION: HTTPS://WWW.SHEPPARDPRATT.ORG/FILES/RESOURCES/SHEPPARD-PRATT-FINANCIAL-ASSISTANCE-APPLICATION.PDFPLAIN LANGUAGE SUMMARY: HTTPS://WWW.SHEPPARDPRATT.ORG/FINANCIAL-ASSISTANCE-POLICY/ 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 ELLICOTT CITY 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, SECTION B, LINE 22D: WITH THE EXCEPTION OF MEDICARE AND MEDICAID, THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION SETS HOSPITAL RATES IN THE STATE OF MARYLAND FOR ALL PAYERS. SHEPPARD PRATT ELLICOTT CITY: PART V, SECTION B, LINE 22D: WITH THE EXCEPTION OF MEDICARE AND MEDICAID, THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION SETS HOSPITAL RATES IN THE STATE OF MARYLAND FOR ALL PAYERS. 16 1 - SHEPPARD PRATT SCHOOL AND RTC - 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 AND RTC-JEFFERSON 2940 POINT OF ROCKS ROAD PO BOX 9 JEFFERSON MD 21755 LICENSED RESIDENTIAL TREATMENT CENTER/SP. ED. SCHOOL 4 - SHEPPARD PRATT SCHOOL - GLYNDON 407 CENTRAL AVENUE REISTERSTOWN MD 21136 12-MTH SPECIAL ED. DAY SCH FOR STUDENTS WITH BEHAVIORAL & EMOTIONAL DISABILI 5 - SHEPPARD PRATT SCHOOL - REISTERSTOWN 12039 REISTERSTOWN ROAD BALTIMORE MD 21136 12-MTH SPECIAL ED. DAY SCHOOL FOR STUDENT WITH BEHAVIORAL & EMOTIONAL DISABI 6 - SHEPPARD PRATT SCHOOL - ROCKVILLE 4915 ASPEN HILL ROAD ROCKVILLE MD 20853 12-MTH SPECIAL ED. DAY SCHOOL FOR STUDENT WITH BEHAVIORAL & EMOTIONAL DISABI 7 - SHEPPARD PRATT SCHOOL - HUNT VALLEY 11201 PEPPER ROAD HUNT VALLEY MD 21031 12-MONTH SPECIAL EDUCATION DAY SCHOOL FOR STUDENTS WITH AUTISM 8 - SHEPPARD PRATT SCHOOL - LANHAM 4819 WALDEN LANE LANHAM MD 20706 12-MONTH SPECIAL EDUCATION DAY SCHOOL FOR STUDENTS WITH AUTISM 9 - SHEPPARD PRATT SCHOOL - CUMBERLAND 10100 COUNTRY CLUB ROAD SOUTHEAST CUMBERLAND MD 21502 12-MTH SPECIAL ED. DAY SCH FOR STUDENTS WITH BEHAVIORAL & EMOTIONAL DISABILI 10 - SHEPPARD PRATT SCHOOL - GAITHERSBURG 610 EAST DIAMOND AVENUE GAITHERSBURG MD 20877 12-MONTH SPECIAL EDUCATION DAY SCHOOL FOR STUDENTS WITH AUTISM 11 - RUXTON HOUSE 1506 LABELLE AVENUE BALTIMORE MD 21204 8-BED LICENSED GROUP HOME 12 - SHEPPARD PRATT SCHOOL - MILLERSVILLE 648 OLD MILL ROAD MILLERSVILLE MD 21108 11-MONTH DAY SCHOOL FOR SPECIAL ED. & RELATED SERVICES IN A PUBLIC SCHOOL 13 - SHEPPARD PRATT SCHOOL - FREDERICK 1285 HILLCREST DRIVE FREDERICK MD 21703 10-MTH DAY SCHOOL FOR SPECIAL ED. & RELATED SERVICES IN A PUBLIC SCHOOL SET 14 - SHEPPARD PRATT SCH- M-VILLE ELEM SCHOOL 1601 MILLERSVILLE ROAD MILLERSVILLE MD 21108 10-MONTH DAY SCHOOL FOR SPECIAL ED. & RELATED SERVICES IN A PUBLIC SCHOOL 15 - SHEPPARD PRATT SCH-SEVERN RIVER MID SCH 241 PENINSULA FARM ROAD ARNOLD MD 21012 10-MONTH DAY SCHOOL FOR SPECIAL ED. & RELATED SERVICES IN A PUBLIC SCHOOL 16 - SHEPPARD PRATT SCH-SEVERNA PARK HIGH SCH 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 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, LN 7A COL(D): MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL, EXCEPT FOR THE GOVERNMENTAL CARVE-OUT FOR PSYCHIATRIC HOSPITALS. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. PART I, LINE 7G: DURING FY20, SHEPPARD PRATT'S RESIDENCY TRAINING PROGRAM CONTINUED TO OFFER THE RESIDENT'S OUTPATIENT CLINIC WHICH PROVIDES SERVICES FREE OF CHARGE, OR FOR A SMALL COPAY. SERVICES INCLUDE AN INITIAL EVALUATION AS WELL AS MEDICATION MANAGEMENT SESSIONS. RECIPIENTS OF THIS PSYCHIATRIC SERVICE AGREE TO BE TREATED BY AN MD PSYCHIATRY RESIDENT WHOSE SERVICE IS SUPERVISED BY A LICENSED PSYCHIATRIST. THE RECIPIENT MUST BE AT LEAST 6 YEARS OF AGE AND AGREE TO BE SCREENED AT THE INTAKE FOR OUTPATIENT TREATMENT CRITERIA. DURING FY20, THE PROGRAM PROVIDED A TOTAL OF 2,434 SERVICES.TELEPSYCHIATRY PROVIDED TO RURAL REGIONS OF MARYLAND: SHEPPARD PRATT'S TELEBEHAVIORAL SERVICES PROGRAM PROVIDES BOTH TELEHEALTH (DISTANCE PROFESSIONAL EDUCATION) AND TELEPSYCHIATRY (REALTIME PSYCHIATRIC SERVICES). SHEPPARD PRATT MAINTAINS ISDN AND IP LINE CONNECTIVITY AND A BRIDGING UNIT TO ENSURE CONNECTIVITY THROUGH ALL CIRCUMSTANCES. UTILIZING VIDEOCONFERENCING EQUIPMENT, SHEPPARD PRATT PROVIDES PSYCHIATRIC TREATMENT SERVICES TO CHILDREN, ADOLESCENT, AND ADULT PATIENTS IN HEALTH DEPARTMENTS AND CLINICS LOCATED IN FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS AND MENTAL HEALTH PROVIDER SHORTAGE AREAS. IN FY20, THERE WERE 905 ACTIVE CLIENTS AT 11 LOCATIONS. THERE WERE 180 NEW CLIENTS SEEN AND 1,346.5 HOURS OF SERVICE WERE PROVIDED, INCLUDING 1,287 FOLLOW UPS. PREVIOUS TO THE TELEPSYCHIATRY SERVICE, MANY CLIENTS WERE FORCED TO USE AREA EMERGENCY ROOMS AFTER THEIR SYMPTOMS BECAME OVERWHELMING; IT WAS ALSO NOT UNCOMMON FOR CLIENTS TO BE JAILED FOR SOME OF THEIR BEHAVIORS. IN THE AREA OF HEALTH PROFESSIONS EDUCATION, SHEPPARD PRATT OFFERED 22 COMPLIMENTARY CME LECTURE SESSIONS, THAT WERE ACCESSIBLE TO A VARIETY OF RURAL LOCATIONS UTILIZING A VIDEOCONFERENCING BRIDGE. IN FY20, THERE WERE 2,088 NON-SHEPPARD PRATT CLINICAL PROFESSIONALS WHO ATTENDED THESE FREE CME SESSIONS, AT LEAST 63% OF WHOM ACCESSED THEM REMOTELY 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 FY20, SHEPPARD PRATT SPONSORED EIGHTEEN EDUCATIONAL EVENTS FOR THE COMMUNITY. TOPICS PRESENTED INCLUDE: BODY IMAGE & MEDIA LITERACY; POSITIVE BODY IMAGE: WHAT IT IS, WHY IT MATTERS AND HOW PARENTS CAN HELP; NUTRITION & BODY IMAGE; ATHLETES & EATING DISORDERS; TREATMENT OF EATING DISORDERS IN LGBTQ+ POPULATION; HELPING OUR KIDS DEVELOP POSITIVE BODY IMAGE; AND, FOOD CULTURE, BODY IMAGE AND GUILT IN AMERICA.TRANSPORTATION SERVICES WERE PROVIDED TO 4,387 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 FY20 COST FOR THESE SERVICES WAS $1,186,747.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. SHEPPARD PRATT ALSO PROVIDES FREE MEETING SPACE TO AREA SUPPORT GROUPS AND OTHER SOCIAL SERVICE NONPROFIT AGENCIES THROUGHOUT THE YEAR. IN FY20, APPROXIMATELY 5,130 INDIVIDUALS BENEFITED FROM THIS SERVICE.IN FY20, SHEPPARD PRATT'S WEBSITE RESOURCE PAGE RECEIVED 32,545 PAGE VIEWS TO ACCESS INFORMATION ON PARENTING AND CHANGING YOUR CHILD'S BEHAVIOR, SCHOOL TRANSITIONS, A PARENT'S INSTRUCTIONAL VIDEO SERIES AS WELL AS INFORMATION ON DIALECTICAL BEHAVIOR THERAPY (DBT), 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 4: IN PRIOR YEARS, PATIENT ACCOUNTS RECEIVABLE WERE REDUCED BY ALLOWANCES FOR BAD DEBTS. HOWEVER DUE TO NEW ACCOUNTING PRONOUNCEMENTS, OUR FOOTNOTE NOW READS:THE FASB ISSUED ASU NO. 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), WHICH ESTABLISHES PRINCIPLES FOR REPORTING USEFUL INFORMATION TO USERS OF FINANCIAL STATEMENTS ABOUT THE NATURE, AMOUNT, TIMING, AND UNCERTAINTY OF REVENUE AND CASH FLOWS ARISING FROM THE ENTITY'S CONTRACTS WITH CUSTOMERS. PARTICULARLY, THAT AN ENTITY RECOGNIZES REVENUE TO DEPICT THE TRANSFER OF PROMISED GOODS OR SERVICES TO CUSTOMERS IN AN AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE ENTITY EXPECTS TO BE ENTITLED IN EXCHANGE FOR THOSE GOODS OR SERVICES. ASU 2014 09 WAS EFFECTIVE FOR FISCAL YEAR 2020 AND WAS ADOPTED ON THE MODIFIED RETROSPECTIVE BASIS. AS A RESULT OF THE ADOPTION OF TOPIC 606, WHAT WAS PREVIOUSLY CLASSIFIED AS THE PROVISION FOR BAD DEBTS IN THE STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS IS NOW REFLECTED AS IMPLICIT PRICE CONCESSIONS (AS DEFINED IN TOPIC 606) AND THEREFORE INCLUDED AS A REDUCTION TO NET PATIENT SERVICE REVENUE. FOR THE YEAR ENDED JUNE 30, 2020, THE COMPANY RECORDED $3.0 MILLION OF IMPLICIT PRICE CONCESSIONS AS A REDUCTION OF NET PATIENT SERVICE REVENUE THAT WOULD HAVE BEEN RECORDED AS BAD DEBT EXPENSE PRIOR TO THE ADOPTION OF TOPIC 606. PART III, LINE 8: UNLIKE ACUTE CARE HOSPITALS, SHEPPARD PRATT AS AN INSTITUTION FOR MENTAL DISORDERS (IMD), IS REIMBURSED UNDER THE MEDICARE PROSPECTIVE PAYMENT SYSTEM. MEDICARE PAYS SHEPPARD PRATT LESS THAN ITS COSTS AS SUPPORTED BY THE FINAL FILED FISCAL 2020 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 WEBSITE, CRISIS WALK IN CLINIC, AND THERAPY REFERRAL SERVICE PROGRAMS.DURING THIS YEAR, SHEPPARD PRATT'S POPULATION HEALTH EFFORTS HAVE EVOLVED; MUCH OF THE EFFORT IN FY20 WAS FOCUSED ON THE CONTINUATION OF A COLLABORATIVE CARE PROJECT WITH THE GREATER BALTIMORE MEDICAL CENTER (GBMC), TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES IN BALTIMORE COUNTY. WE CONTINUED TO PROVIDE BEHAVIORAL HEALTH SERVICES IN 10 PRIMARY CARE MEDICAL HOMES (PCMHS) OPERATED BY GBMC PRIMARY CARE ASSOCIATES. THIS INTEGRATED CARE MODEL IS DESIGNED TO HELP CREATE MORE CAPACITY FOR MENTAL HEALTH SERVICES IN ALLIANCE WITH SOMATIC CARE PROVIDERS, TO REDUCE THE STIGMA THAT IS OFTEN ASSOCIATED WITH SEEKING MENTAL HEALTH TREATMENT, AND TO HELP REDUCE VISITS RELATED TO MENTAL HEALTH CONDITIONS. SHEPPARD PRATT CLINICIANS PROVIDED 6,124 VISITS ACROSS THESE 10 PCMHS SITES IN FY20.PATIENTS DISCHARGED FROM OUR INPATIENT OR DAY HOSPITAL PROGRAMS OFTEN EXPERIENCE A SIGNIFICANT WAIT TIME BEFORE THEY CAN SCHEDULE AN APPOINTMENT WITH AN OUTPATIENT THERAPIST. THE TAP PROGRAM PROVIDES THESE PATIENTS THE ABILITY TO SEE A PSYCHIATRIST FOR UP TO 90 DAYS POST DISCHARGE, UNTIL THEY ARE ABLE TO SEE THEIR OUTPATIENT THERAPIST. THERE WERE 186 VISITS PROVIDED IN THE TAP PROGRAM IN FY20. WE CONTINUE TO SEEK ADDITIONAL PARTNERS FOR COLLABORATIVE CARE, WHICH WE CONSIDER A VIABLE MEANS TO EXPAND ACCESS TO QUALITY MENTAL HEALTH CARE. PART VI, LINE 3: EACH PATIENT IS PROVIDED WITH A PATIENT HANDBOOK UPON ADMISSION. THE PATIENT HANDBOOK OUTLINES POLICIES, RULES, AND BASIC INFORMATION ABOUT THE HOSPITAL INCLUDING INSTRUCTIONS ON HOW TO ACCESS FINANCIAL ASSISTANCE/CHARITY CARE. SIGNAGE IS POSTED IN THE ADMISSIONS SUITE IN BOTH PATIENT AND FAMILY WAITING AREAS INFORMING INTERESTED PARTIES THAT FINANCIAL ASSISTANCE IS AVAILABLE. BECAUSE NO TWO PATIENTS HAVE IDENTICAL TREATMENT NEEDS, ALL PATIENTS ARE URGED TO SPEAK WITH THEIR THERAPIST OR OTHER HOSPITAL STAFF TO LEARN MORE ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. ADDITIONALLY, AS PART OF THE PAYMENT POLICY AND ACTION ON PAST DUE ACCOUNTS, SHEPPARD PRATT'S FINANCIAL OFFICE PERSONNEL ACT AS PATIENT FINANCIAL ADVOCATES AND MAY FORWARD THE FINANCIAL ASSISTANCE PAPERWORK FOR COMPLETION BY ALL RESPONSIBLE PARTIES. FINALLY, PRIOR TO TRANSFER TO A COLLECTION AGENCY, ACCOUNTS ARE REVIEWED AGAIN FOR POSSIBLE FINANCIAL ASSISTANCE. PART VI, LINE 4: SHEPPARD PRATT'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 2000 TO 2015, THERE WAS A SHIFT IN POPULATION OUT OF THE MOST URBAN AREA (BALTIMORE CITY) TO OTHER AREAS. POPULATION GROWTH WAS ESPECIALLY STRONG IN HOWARD AND HARFORD COUNTIES WHERE THE POPULATION GREW OVER 15.83% AND 12.0%, RESPECTIVELY. 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 ELLICOTT CITY 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 (62.80%) BALTIMORE CITY RESIDENTS ARE AFRICAN AMERICAN WHILE ABOUT THREE OF TEN (30.29%) ARE WHITE, YET BALTIMORE COUNTY HAS THE OPPOSITE RACIAL MAKEUP.THE ELLICOTT CITY SERVICE AREA IS LARGELY WHITE WITH POCKETS OF DIVERSITY. HOWEVER, MORE THAN ONE IN FIVE (22.9%) HOWARD COUNTY RESIDENTS SPEAK A PRIMARY LANGUAGE OTHER THAN ENGLISH. (AMERICAN COMMUNITY SURVEY 2010). HARFORD COUNTY IS THE LEAST RACIALLY DIVERSE, WITH APPROXIMATELY 80% 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 (35.0 YEARS) IN BALTIMORE CITY. HARFORD COUNTY HAS THE OLDEST MEDIAN AGE AT 40.6 YEARS. ABOUT ONE IN THREE PEOPLE IN BOTH SERVICE AREAS ARE AGE 25 OR YOUNGER. BALTIMORE COUNTY (16.10%) AND HARFORD COUNTY (14.94%) 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). 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 2020, 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 FY20, SHEPPARD PRATT PROVIDED SERVICE FOR 7,338 INPATIENT ADMISSIONS RESULTING IN SERVICE TO 103,108 INPATIENT DAYS; 38,800 OUTPATIENT AND DAY HOSPITAL VISITS; 28,218 RESIDENTIAL TREATMENT CENTER DAYS; AND, 132,343 STUDENT DAYS. MORE THAN HALF OF THE INPATIENT SERVICES WERE PROVIDED TO MEDICARE OR MEDICAID RECIPIENTS. SHEPPARD PRATT'S CRISIS WALK IN CLINIC (CWIC) CONTINUES TO RESPOND TO THE NEED FOR WALK IN PSYCHIATRIC ASSESSMENTS. CWIC PROVIDES AN EVALUATION OUTSIDE THE RIGORS OF A MEDICAL EMERGENCY ROOM SETTING. THE PROGRAM OPERATES MONDAYS THROUGH FRIDAYS FROM 10:30 AM TO 10:00 PM; AND, SATURDAY 1:00 P.M. TO 5:00 P.M. CWIC PROVIDES A PSYCHIATRIST TO EVALUATE COMMUNITY MEMBERS IN NEED OF CRISIS ASSESSMENT AND TRIAGE. IN FY20, 5,491 COMMUNITY MEMBERS PRESENTED TO THE CLINIC FOR EVALUATION.SHEPPARD PRATT'S FLAGSHIP CAMPUS IS LOCATED AT 6501 NORTH CHARLES STREET, BALTIMORE, MD AND IS THE FOUNDING LOCATION OF THE SYSTEM WITH A MAJORITY OF SERVICES PROVIDED FROM THIS CAMPUS. SERVICES INCLUDE INPATIENT, PARTIAL DAY HOSPITALIZATION, INTENSIVE OUTPATIENT, ELECTRO-CONVULSIVE THERAPY (ECT), CRISIS EVALUATION, TELEPSYCHIATRY, RESIDENTIAL TREATMENT, AND PHYSICIAN OUTPATIENT APPOINTMENTS. A SECOND INPATIENT CAMPUS, SHEPPARD PRATT AT ELLICOTT CITY IS LOCATED AT 4100 COLLEGE AVENUE, IN ELLICOTT CITY, MARYLAND AND PROVIDES BOTH INPATIENT AND PARTIAL DAY HOSPITALIZATION SERVICES. THE TWO INPATIENT HOSPITAL PROGRAMS ARE LICENSED TO OPERATE A TOTAL OF 414 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).THERAPY REFERRAL SERVICES PROGRAMMING (TRS): TRS IS A FREE, CONFIDENTIAL TELEPHONE SERVICE THAT PROVIDES THE PUBLIC WITH REFERRALS TO MENTAL HEALTH RESOURCES FOR THE BALTIMORE METROPOLITAN AREA INCLUDING SHEPPARD PRATT PROGRAMS. IN FY20, THIS PROGRAM PROVIDED THE PUBLIC WITH REFERRAL INFORMATION FOR EXTERNAL PROGRAMS 21,250 TIMES. ADDITIONAL SHEPPARD PRATT PROGRAMMING ACCESSED THROUGH THIS SERVICE INCLUDE URGENT ASSESSMENTS FOR INDIVIDUALS WHO NEED TO BE EVALUATED ON A CRITICAL BASIS WITHIN 48 HRS.; AND THE SCHEDULED CRISIS INTERVENTION PROGRAM WHICH PROVIDES APPOINTMENTS SCHEDULED WITHIN THE SAME DAY AS THE CALL IS RECEIVEDDURING FY20, SHEPPARD PRATT'S RESIDENCY TRAINING PROGRAM CONTINUED TO OFFER THE RESIDENT'S OUTPATIENT CLINIC WHICH PROVIDES SERVICES FREE OF CHARGE, OR FOR A SMALL COPAY. SERVICES INCLUDE AN INITIAL EVALUATION AS WELL AS MEDICATION MANAGEMENT SESSIONS. RECIPIENTS OF THIS PSYCHIATRIC SERVICE AGREE TO BE TREATED BY AN MD PSYCHIATRY RESIDENT WHOSE SERVICE IS SUPERVISED BY A LICENSED PSYCHIATRIST. THE RECIPIENT MUST BE AT LEAST 6 YEARS OF AGE AND AGREE TO BE SCREENED AT THE INTAKE FOR OUTPATIENT TREATMENT CRITERIA. DURING FY20, THE PROGRAM PROVIDED A TOTAL OF 2,434 SERVICES.TELEPSYCHIATRY PROVIDED TO RURAL REGIONS OF MARYLAND: SHEPPARD PRATT'S TELEBEHAVIORAL SERVICES PROGRAM PROVIDES BOTH TELEHEALTH (DISTANCE PROFESSIONAL EDUCATION) AND TELEPSYCHIATRY (REALTIME PSYCHIATRIC SERVICES). SHEPPARD PRATT MAINTAINS ISDN AND IP LINE CONNECTIVITY AND A BRIDGING UNIT TO ENSURE CONNECTIVITY THROUGH ALL CIRCUMSTANCES. UTILIZING VIDEOCONFERENCING EQUIPMENT, SHEPPARD PRATT PROVIDES PSYCHIATRIC TREATMENT SERVICES TO CHILDREN, ADOLESCENT, AND ADULT PATIENTS IN HEALTH DEPARTMENTS AND CLINICS LOCATED IN FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS AND MENTAL HEALTH PROVIDER SHORTAGE AREAS. IN FY20, THERE WERE 905 ACTIVE CLIENTS AT 11 LOCATIONS. THERE WERE 180 NEW CLIENTS SEEN AND 1,346.5 HOURS OF SERVICE WERE PROVIDED, INCLUDING 1,287 FOLLOW UPS. PREVIOUS TO THE TELEPSYCHIATRY SERVICE, MANY CLIENTS WERE FORCED TO USE AREA EMERGENCY ROOMS AFTER THEIR SYMPTOMS BECAME OVERWHELMING; IT WAS ALSO NOT UNCOMMON FOR CLIENTS TO BE JAILED FOR SOME OF THEIR BEHAVIORS.IN THE AREA OF HEALTH PROFESSIONS EDUCATION, SHEPPARD PRATT OFFERED 81 COMPLIMENTARY CME LECTURE SESSIONS, THAT WERE ACCESSIBLE TO A VARIETY OF RURAL LOCATIONS UTILIZING A VIDEOCONFERENCING BRIDGE. IN FY20, THERE WERE 2,088 NON-SHEPPARD PRATT CLINICAL PROFESSIONALS WHO ATTENDED THESE FREE CME SESSIONS. 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 1 1 0 0 0 0 0 0 0 HARSH K TRIVEDI MD PRESIDENT & CEO 943300 0 0 0 179183 0 63750 0 687 0 1186920 0 150000 0 ARMANDO E COLOMBO EVP & COO (PART YEAR) 351989 0 0 0 2729 0 25000 0 15154 0 394872 0 0 0 KELLY SAVOCA VP, CFO 100112 123484 0 0 639 0 1156 2903 379 1053 102286 127440 0 0 TODD E PETERS VP,CHIEF MED OFFICER, MED DIRECTOR 235953 247841 0 10896 4193 4543 4620 5005 11689 12664 256455 280949 0 0 JENNIFER W WILKERSON SR VP STRATEGY & BUSINESS DVLPMT 345625 0 0 0 1478 0 25000 0 19702 0 391805 0 0 0 DONNA L RICHARDSON VP & CDO 307652 0 0 0 4077 0 20000 0 8387 0 340116 0 0 0 LAURA L WEBB VP & CNO 224933 0 0 0 1630 0 0 0 23469 0 250032 0 0 0 KAREN ROBERTSON-KECK VP OF HR 220360 0 0 0 2807 0 0 0 7814 0 230981 0 0 0 CHARLES K MAUST CHIEF OF SCHOOLS 218344 0 0 0 2074 0 634 0 2027 0 223079 0 0 0 THOMAS D HESS CHIEF OF STAFF 218624 0 0 0 5323 0 14971 0 936 0 239854 0 0 0 JEFFREY W RICHARDSON VP & COO COMMUNITY BASED PROGRAMS 195685 239142 0 0 2258 0 16027 5000 9429 11000 223399 255142 0 0 GERALD A NOLL TREASURER 222639 0 0 0 2927 0 18311 0 23654 0 267531 0 0 0 ANTONIO DEPAOLO CHIEF TRANSFORMATION OFFIC 195413 0 0 0 1470 0 11934 0 19356 0 228173 0 0 0 SHERRY L MCGRAW STAFF NURSE 183606 0 0 0 1041 0 15493 0 1407 0 201547 0 0 0 RAY R DZIESINSKI FORMER VP, CFO, SEC/TREASURER 242736 0 0 0 226731 0 25000 0 2546 0 497013 0 0 0 ERNESTINE COSBY FORMER VP OF NURSING 142250 0 0 0 2150 0 4826 0 7025 0 156251 0 0 0 PART I, LINES 4A-B DURING CALENDAR YEAR 2019, THE FOLLOWING OFFICERS RECEIVED PAYMENTS AS PART OF THEIR SEVERANCE: RAY R. DZIESINSKI $225,000 DURING CALENDAR YEAR 2019, THE FOLLOWING EMPLOYEES RECEIVED PAYMENTS AS PART OF THEIR PARTICIPATION IN SHEPPARD PRATT'S 457(F) PLAN: HARSH K. TRIVEDI $176,000 DURING CALENDAR YEAR 2019, THE FOLLOWING PARTICIPATED IN SHEPPARD PRATT'S 457(F) PLAN: HARSH TRIVEDI $ 50,000 RAY DZIESINSKI $ 25,000 ARMANDO COLOMBO $ 25,000 DONNA RICHARDSON $ 20,000 JENNIFER WILKERSON $ 25,000 RAY DZIESINSKI RECEIVED COMPENSATION AS THE FORMER CFO OF SHEPPARD PRATT HEALTH SYSTEM, INC., NOT AS A FORMER DIRECTOR. 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 78747873 CURRENT REFUND 2012A/2012B BONDS 0 0 0 A 1644000 104480171 4444761 69538798 30496612 0 0 0 1 B 7843000 78747872 78747872 2010 0 0 1 1 A 0 0 0 0 0 0 1 B 0 1 1 1 1 1 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 PART I, LINE A & B: THE BONDS DESCRIBED IN LINES A AND B WERE ISSUED AS A SINGLE ISSUE (THE "BONDS"). PURSUANT TO REGULATION SECTIONS 1.141-13(D), 1.148-9(H) AND 1.150-1(C)(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 $104,480,171 INCLUDE CUMULATIVE EARNINGS OF $4,479,963. PART II, LINE 10: THE LENDER REQUIRED THAT THE BORROWER CONTRIBUTE $15,000,000 OF EQUITY BEFORE ANY DRAWS WERE MADE FROM THE CONSTRUCTION FUND. DURING THE FISCAL YEAR ENDED 6/30/2019, THIS THRESHOLD WAS ATTAINED, AND TOTAL DRAWS FOR CONSTRUCTION COSTS AND CAPITALIZED INTEREST TOTALED $73,983,478 THROUGH 6/30/2020. 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. 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. 5,095,022. CHANGES IN PENSION LIABILITY -4,269,719. INTEREST IN ASSETS OF FOUNDATION 8,411,599. ASSETS RELEASED FROM RESTRICTION-SHEPPARD AND ENOCH PRATT FOUNDATION, INC. 1,201,649. TRANSFER TO SHEPPARD PRATT PHYSICIANS PA, INC. -12,587,592. OTHER PERIODIC BENEFIT COST 1,290,300. 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 -20883 61346 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 0 SHEPPARD PRATT INVESTMENT INC PO BOX 6815 BALTIMORE MD 21285 521388935 HOLD AND MANAGE ENDOWMENT FUNDS OF RELATED NONPROFIT ENTITIES MD 501(C)(3) 12A SHEPPARD & ENOCH PRATT FOUNDATION 0 MOSAIC COMMUNITY SERVICES INC 1925 GREENSPRING DRIVE TIMONIUM MD 21093 521388141 PROVIDES THERAPEUTIC RESIDENTIAL REHAB & SUPPORT SERVICES MD 501(C)(3) 7 SHEPPARD & ENOCH PRATT FOUNDATION 0 WAY STATION INC PO BOX 3826 FREDERICK MD 21705 521162749 PROVIDES REHABILITATIVE AND TREATMENT SERVICES MD 501(C)(3) 7 SHEPPARD & ENOCH PRATT FOUNDATION 0 FAMILY SERVICES INC 610 EAST DIAMOND AVE GAITHERSBURG MD 20877 520730225 FOSTER HEALTHY FAMILIES THROUGH EDUCATION, BEHAVIORAL HEALTH SERVICES MD 501(C)(3) 7 SHEPPARD & ENOCH PRATT FOUNDATION 0 REVISIONS COMMUNITY HOUSING DEVELOPMENT ORGANIZATION INC 1925 GREENSPRING DRIVE TIMONIUM MD 21093 521849336 PROVIDE AFFORDABLE HOUSING TO CHRONICALLY MENTALLY DISABLED INDIVIDUALS MD 501(C)(3) 10 MOSAIC COMMUNITY SERVICES INC 0 DULANEY STATION COMMUNITY HOUSING DEVELOPMENT ORGANIZATION INC 1925 GREENSPRING DRIVE TIMONIUM MD 21093 020650286 CREATES AFFORDABLE HOUSING FOR LOW-INCOME ADULTS W/ PSYCHIATRIC DISABILITIES MD 501(C)(3) 10 MOSAIC COMMUNITY SERVICES INC 0 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 0 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 0 BEHAVIORAL HEALTH PARTNERS OF FREDERICK INC PO BOX 6815 BALTIMORE MD 21285 522125435 OUTPATIENT PSYCHIATRIC AND BEHAVIORAL MEDICINE MD 501(C)(3) 3 SHEPPARD PRATT HEALTH SYSTEMS 1 CHILD CENTER AND ADULT SERVICES INC DBA ASPIRE COUNSELING 16220 FREDERICK ROAD NO 502 GAITHERSBURG MD 20877 521120638 MENTAL HEALTH ORGANIZATION MD 501(C)(3) 10 FAMILY SERVICES INC 0 SHEPPARD PRATT PREFERRED RESOURCES INC 6501 N CHARLES STREET TOWSON MD 21285 521757742 INACTIVE MD N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 1 BEHAVIORAL HEALTH PARTNERS INC L 505965 COST 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.