2019-05-14T14:09:14-05:00 2018-06-30 412069731 SC&H TAX & ADVISORY SERVICES LLC 910 RIDGEBROOK ROAD SPARKS MD 21152 990 2017-07-01 520591684 SHEPPARD PRATT HEALTH SYSTEM INC SHEP 4109383344 PO BOX 6815 BALTIMORE MD 21285 ARMANDO E COLOMBO EXECUTIVE VP & CHIEF OP. OFFICER 4109383344 2019-05-10 1 LORI S BURGHAUSER P00370694 4104031500 2019-05-10 50.206.141.66 2019-05-10 14:59:45 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D598169B7B70477E3779F4FD99F3BFF6A447919F 2017 2019-02-21 02:37:17Z ARMANDO E COLOMBO PO BOX 6815 BALTIMORE MD 21285 248432341 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. 25 25 3263 353 331568 222035 2385340 4625891 218330837 222766339 1043844 2305171 8222935 10231745 229982956 239929146 11235 0 0 0 147543470 154329245 0 0 515533 71583737 79758580 219138442 234087825 10844514 5841321 321861312 415217541 157395644 232155031 164465668 183062510 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 202061032 230572327 SHEPPARD PRATT HEALTH SYSTEM PROVIDES INPATIENT BEHAVIORAL HEALTH CARE, OUTPATIENT/ANCILLARY CARE, RESIDENTIAL SERVICES, SPECIAL EDUCATION TO STUDENTS AND RESIDENCY TRAINING PROGRAMS. 202061032 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 0 1 0 0 0 1 364 0 3263 1 1 1 0 0 0 0 0 0 0 0 0 X 25 25 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X DONNA CORBETT 4109383344 6501 N CHARLES STREET TOWSON MD 21204 THE HON J F MOTZ CHAIRPERSON 1.00 0.00 X X 0 0 0 JOSHUA KAKEL VICE CHAIRPERSON, TRUSTEE(PART YEAR) 1.00 0.00 X X 0 0 0 ALFRED SINGER VICE CHAIRPERSON, TRUSTEE 1.00 0.00 X 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 S WINFIELD CAIN 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 BOB HAMILTON TRUSTEE 1.00 0.00 X 0 0 0 BONITA HEARN TRUSTEE 1.00 0.00 X 0 0 0 ROBERT KRESSLEIN TRUSTEE 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 GARY TALLES TRUSTEE 1.00 0.00 X 0 0 0 JIM WIEDERHOLD TRUSTEE 1.00 0.00 X 0 0 0 SUSAN GAY 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 841500 0 139909 RAY R DZIESINSKI VP, CFO, SECRETARY/TREASURER 40.00 5.00 X 380005 0 53820 STEPHANIE PROVENZA ASSISTANT SECRETARY 40.00 1.00 X 63209 0 28875 BONNIE KATZ SR. VP, STRATEGY & BUSINESS 40.00 5.00 X 386448 0 97729 ERNESTINE COSBY VP CLINICAL SERVICES 40.00 0.00 X 270689 0 130041 ARMANDO E COLOMBO EVP & COO 40.00 0.00 X 207334 0 33813 GERALD A NOLL FORMER CFO 40.00 5.00 X 216374 0 57225 THOMAS D HESS CHIEF OF STAFF 40.00 0.00 X 193518 0 77143 SHERRY L MCGRAW STAFF NURSE 40.00 0.00 X 182827 0 14090 ANTONIO DEPAOLO CHIEF TRANSFORMATION OFFICER 40.00 0.00 X 178149 0 29443 DONNA M CORBETT DIR. ACCOUNTING & FINANCIAL RPTG 40.00 0.00 X 168775 0 48270 CATHERINE R DOUGHTY VP HUMAN RESOURCES (FORMER) 0.00 0.00 X 226390 0 259 MARGUERITE KELLEY VP, PHILANTHROPY (FORMER) 40.00 2.00 X 163123 0 4091 3478341 0 714708 98 1 1 0 CENTER FOR EATING DISORDERS PA 6535 N CHARLES ST STE 300 TOWSON MD 21204 PROFESSIONAL MANAGEMENT FEES 2962144 GREATER BALTIMORE MEDICAL CENTER 6701 N CHARLES ST TOWSON MD 21204 LAB & OTHER CLINICAL SERVICES 2168000 UNIVERSITY OF MARYLAND MEDICAL SYSTEM PO BOX 64468-4468 BALTIMORE MD 21264 RESIDENCY TRAINING PROGRAM 2154819 ALLSCRIPTS HEALTHCARE LLC 24630 NETWORK PLACE CHICAGO IL 60673 SYSTEM CONSULTING 1342727 POLLYCHIRP INTERPRETING 3107 W COLORADO AVE COLORADO CO 80904 INTERPRETING SERVICES 932270 46 4625891 4625891 PATIENT SERVICE REVENUE 621990 136186541 136186541 EDUCATIONAL SERVICE REVENUE 611600 53261746 53261746 RTC/RESPITE REVENUE 623000 18351076 18351076 RETREAT REVENUE 621990 14966976 14966976 222766339 1568049 1568049 828120 0 828120 828120 828120 9236184 4133 8309970 193225 926214 -189092 737122 737122 INTERCORPORATE REVENUE 900099 4844731 4844731 OTHER OPERATING REVENUE 900099 4227326 2961257 1266069 OTHER REVENUE - UNRELATED 900002 331568 331568 9403625 239929146 230572327 331568 4399360 3386644 3386644 121027861 111575287 9196865 255709 6135986 5532617 590689 12680 14826960 13974168 820766 32026 8951794 8071539 861757 18498 535828 31789 504039 437212 437212 159009 159009 144297 144297 16745125 14472341 2219464 53320 1598906 192561 1406345 3609322 2758964 840071 10287 3552384 55743 3496641 10121845 8401650 1679227 40968 348020 308391 39605 24 791513 539422 250654 1437 14631614 13399265 1231432 917 1479839 650 1479189 INTERCOMPANY CHARGES 11422658 10622919 799739 REPAIRS AND MAINTENANCE 4207970 3188714 1019256 SUPPLIES 3761300 3697380 63920 FOOD 3489565 3488526 1039 2722173 1749106 883400 89667 234087825 202061032 31511260 515533 60287300 39252413 22030515 24692649 0 296478 7153692 9058369 368397864 199641928 163610053 168755936 20320670 21329179 22846785 143732128 25612297 8100389 321861312 415217541 19834872 22326147 80420179 177329000 57140593 32499884 157395644 232155031 X 156638312 169109341 7827356 13953169 164465668 183062510 321861312 415217541 X 5841321 668410 12087111 X X 0 1 X 1 1 1 X 0 0 0 0 0 0 1 140731 0 1 18278 159009 0 PART II-B, LINE 1: SHEPPARD PRATT RETAINS A LAW FIRM AS A REGISTERED LOBBYIST TO KEEP THE ORGANIZATION INFORMED AS TO ANY NEW LEGISLATION THAT MAY IMPACT THE OPERATIONS OF THE HOSPITAL (TOTAL EXPENSE IN FY18: $140,731). SHEPPARD PRATT ALSO PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION, MARYLAND HOSPITAL ASSOCIATION, NATIONAL ASSOCIATION OF BEHAVIORAL HEALTHCARE, AND NATIONAL ASSOCIATION OF PSYCHIATRIC HEALTH SYSTEMS. A PORTION OF THE DUES PAID IS USED TO FUND LOBBYING ACTIVITIES (FY18: $18,278). X 1 0.00 1 0 0 1 0 1.00 0 688357 X X 0 15527252 15527252 260062472 147041031 113021441 60549601 44524828 16024773 32258539 8076069 24182470 168755936 INVESTMENTS LIMITED OR RESTRICTED AS TO USE 119037892 F INTEREST IN NET ASSETS OF FOUNDATION 13828924 F INVESTMENTS IN PARTNERSHIPS/HEDGE FUNDS 10865312 F 143732128 SELF-INSURANCE LIABILITY 10327660 CAPITAL LEASE OBLIGATIONS 5857884 ACCRUED PENSION LIABILITY 14151723 DUE TO AFFILIATES 2641716 DEFERRED FINANCING COSTS -479099 32499884 239105554 668410 -1536796 -868386 239973940 144297 -189091 -44794 239929146 234132619 189091 189091 233943528 144297 144297 234087825 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTION 963,204. CAPITAL GRANTS -2,500,000. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON SALE OF ASSETS -189,091. PARTS XI AND XII PARTS XI AND XII RECONCILE TO SEPARATE COMPANY FINANCIAL STATEMENTS OF SHEPPARD PRATT HEALTH SYSTEM, INC. 1 1 X 1 X 250.000000000000 1 X 1 1 0 1 1 3483494 3483494 0.01490 3483494 3483494 0.01490 1013078 664377 348701 0.00150 2507497 418986 2088511 0.00890 704950 99129 605821 0.00260 151376 151376 0.00060 112379 112379 0.00050 4489280 1182492 3306788 0.01410 7972774 1182492 6790282 0.02900 14 997 11502 11502 0.00000 19 231668 231668 0.00100 6272 1078473 1078473 0.00460 33 7269 1321643 1321643 0.00560 1 1901017 17024760 20109796 -3085036 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 15 1 1 0 1 X HTTPS://WWW.SHEPPARDPRATT.ORG/CHNA 1 15 1 HTTPS://WWW.SHEPPARDPRATT.ORG/CHNA 0 1 X 250.000000000000 250.000000000000 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 1 X 0 0 SHEPPARD PRATT AT ELLICOTT CITY 2 0 0 1 X X X X X X X X X 15 1 1 0 1 X HTTPS://WWW.SHEPPARDPRATT.ORG/CHNA 1 15 1 HTTPS://WWW.SHEPPARDPRATT.ORG/CHNA 0 1 X 250.000000000000 250.000000000000 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 1 X 0 0 SHEPPARD PRATT HOSPITAL PART V, SECTION B, LINE 5: SHEPPARD PRATT'S COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED INTERVIEWS WITH QUALITATIVE RESEARCH PARTICIPANTS SUCH AS EXPERTS WITH INSIGHT REGARDING THE HEALTH NEEDS OF THE COMMUNITY, HOSPITAL LEADERS, FOCUS GROUPS AND KEY STAKEHOLDERS REPRESENTING PUBLIC HEALTH, MEDICAL SERVICES, NON-PROFIT AND SOCIAL ORGANIZATIONS AS WELL AS CHILDREN AND YOUTH AGENCIES. INFORMATION FROM THESE INTERVIEWS WERE USED TO PRIORITIZE ISSUES IN ORDER TO DEVELOP THE IMPLEMENTATION PLAN. ONE-ON-ONE INTERVIEWEES: MS. DIANE BELL MCCOY, ASSOCIATED BLACK CHARITIES DR. GREGORY W. BRANCH, BALTIMORE COUNTY DEPARTMENT OF HEALTH MS. TRISH CANE, FAMILY NETWORK; PATHFINDERS FOR AUTISM MS. LISA CULP, DEPARTMENT OF SOCIAL SERVICES ANNE ARUNDEL COUNTY LT. MICHELLE DENTON, THE LISTENING PLACE MS. JOAN DRIESSEN, ASSOCIATION OF COMMUNITY SERVICES DR. INGVILD OLSEN, BEHAVIORAL RESOURCES, INC. MS. JANE GEHRING, CHILD ADVOCACY CENTER MS. PHYLLIS HALL, BALTIMORE COUNTY, BUREAU OF BEHAVIORAL HEALTH OF BALTIMORE COUNTY DR. BRIAN HEPBURN, NATIONAL ASSOC. OF STATE MENTAL HEALTH PROGRAMS MS. JESS HONKE, NAMI MARYLAND MS. ADRIENNE MICKLER, ANNE ARUNDEL COUNTY MENTAL HEALTH AGENCY FOCUS GROUP PARTICIPANTS: MS. TORI SHEQUINE, FOUNDER, ALTERNATIVE COUNSELING AND WELLNESS CENTER MS. MELINDA HEIKIN, PSYCHIATRIC LIAISON AT ST. JOSEPH MEDICAL CENTER DR. ANTHONY CHICO, CHILD ADOLESCENT PSYCHIATRIST (PRIVATE PRACTICE AND INPT AT ST. JOSEPHS) OLEG TARKOVSKY, DIRECTOR OF CLINICAL SERVICES AT SHEPPARD PRATT AFFILIATE, MOSAIC COMMUNITY SERVICES CATHERINE BEST, BESTCARE ASSISTED LIVING KAREN BOOTH, HUMANIM RONALD GINSBERG, MD, LEVINDALE ASSISTED LIVING DWIGHT HOLMES, MD, DEPARTMENT OF PSYCHIATRY, BALTIMORE WASHINGTON MEDICAL CENTER JANE KRIMEL, ER PSYCHIATRY, ST. AGNES HOSPITAL DEMI OLASIMBO, HEALTHCARE LIVING FOR FAMILIES DAVID WAMSLEY, EMERGE SERVICES MARK DONOVAN, CONGRUENT COUNSELING SERVICES SHEPPARD PRATT AT ELLICOTT CITY PART V, SECTION B, LINE 5: SHEPPARD PRATT'S COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED INTERVIEWS WITH QUALITATIVE RESEARCH PARTICIPANTS SUCH AS EXPERTS WITH INSIGHT REGARDING THE HEALTH NEEDS OF THE COMMUNITY, HOSPITAL LEADERS, FOCUS GROUPS AND KEY STAKEHOLDERS REPRESENTING PUBLIC HEALTH, MEDICAL SERVICES, NON-PROFIT AND SOCIAL ORGANIZATIONS AS WELL AS CHILDREN AND YOUTH AGENCIES. INFORMATION FROM THESE INTERVIEWS WERE USED TO PRIORITIZE ISSUES IN ORDER TO DEVELOP THE IMPLEMENTATION PLAN.ONE-ON-ONE INTERVIEWEES: MS. DIANE BELL MCKOY, ASSOCIATED BLACK CHARITIES DR. GREGORY W. BRANCH, BALTIMORE COUNTY DEPARTMENT OF HEALTH MS. TRISH CANE, FAMILY NETWORK; PATHFINDERS FOR AUTISM MS. LISA CULP, DEPARTMENT OF SOCIAL SERVICES ANNE ARUNDEL COUNTY LT. MICHELLE DENTON, THE LISTENING PLACE MS. JOAN DRIESSEN, ASSOCIATION OF COMMUNITY SERVICES DR. INGVILD OLSEN, BEHAVIORAL RESOURCES, INC. MS. JANE GEHRING, CHILD ADVOCACY CENTER MS. PHYLLIS HALL, BALTIMORE COUNTY, BUREAU OF BEHAVIORAL HEALTH OF BALTIMORE COUNTY DR. BRIAN HEPBURN, NATIONAL ASSOC. OF STATE MENTAL HEALTH PROGRAMS MS. JESS HONKE, NAMI MARYLAND MS. ADRIENNE MICKLER, ANNE ARUNDEL COUNTY MENTAL HEALTH AGENCY FOCUS GROUP PARTICIPANTS: MS. TORI SHEQUINE, FOUNDER, ALTERNATIVE COUNSELING AND WELLNESS CENTER MS. MELINDA HEIKIN, PSYCHIATRIC LIAISON AT ST. JOSEPH MEDICAL CENTER DR. ANTHONY CHICO, CHILD ADOLESCENT PSYCHIATRIST (PRIVATE PRACTICE AND INPT. AT ST. JOSEPHS) OLEG TARKOVSKY, DIRECTOR OF CLINICAL SERVICES AT SHEPPARD PRATT AFFILIATE, MOSAIC COMMUNITY SERVICES CATHERINE BEST, BESTCARE ASSISTED LIVING KAREN BOOTH, HUMANIM RONALD GINSBERG, MD, LEVINDALE ASSISTED LIVING DWIGHT HOLMES, MD, DEPARTMENT OF PSYCHIATRY, BALTIMORE WASHINGTON MEDICAL CENTER JANE KRIMEL, ER PSYCHIATRY, ST. AGNES HOSPITAL DEMI OLASIMBO, HEALTHCARE LIVING FOR FAMILIES DAVID WAMSLEY, EMERGE SERVICES MARK DONOVAN, CONGRUENT COUNSELING SERVICE SHEPPARD PRATT HOSPITAL PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS A COLLABORATION LED BY SHEPPARD PRATT HEALTH SYSTEM, INC. WHICH 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. WHICH INCLUDED RELATED HOSPITAL FACILITIES, SHEPPARD PRATT HOSPITAL AND SHEPPARD PRATT AT ELLICOTT CITY. SHEPPARD PRATT HOSPITAL PART V, SECTION B, LINE 11: COMMUNITY BENEFIT INITIATIVES TO BE IMPLEMENTED AS A RESULT OF THE FINDINGS OF THE FISCAL YEAR 2016 (TAX YEAR 2015) CHNA-IMPLEMENTATION IN FY 2016. FOR THE TOWSON CAMPUS, THERE WERE 29 IDENTIFIED COMMUNITY BENEFIT INITIATIVES. AS A RESULT OF THE RANKING METHODOLOGY DEPLOYED, THE FOLLOWING SIX INITIATIVES, REPRESENTING ISSUES OF BASIC ACCESS TO CARE, GAPS IN SPECIALIZED SERVICES, AND SYSTEMS ISSUES WERE PRIORITIZED AS THE NEW INITIATIVES ON WHICH TO FOCUS OVER THE NEXT THREE YEAR PERIOD:-OUTPATIENT SERVICES FOR GENERAL PSYCHIATRIC CONDITIONS AND ALL AGE GROUPS (BASIC ACCESS ISSUE)-OUTPATIENT SERVICES FOR TREATMENT OF OPIOID DEPENDENCY (BASIC ACCESS ISSUE)-STIGMA REDUCTION (SYSTEMS ISSUE)-AFTERCARE SERVICES AND CARE COORDINATION POST DISCHARGE (SPECIALIZED SERVICES)-ACCESS TO MENTAL HEALTH SERVICES DELIVERED ON AN INTEGRATED CARE BASIS (I.E., IN PRIMARY CARE SETTINGS) (ACCESS ISSUE)-ADOLESCENT SUBSTANCE ABUSE SERVICES ACROSS THE CONTINUUM OF OP, IP, IOP PHP (SPECIALIZED SERVICES)IN ADDITION TO THESE SIX PRIORITIZED INITIATIVES, 23 ADDITIONAL RECOMMENDATIONS WERE RANKED BY NEED AND FEASIBILITY. THE NEXT SET OF NINE INITIATIVES WERE DETERMINED TO HAVE HIGH NEED AND BENEFIT TO THE COMMUNITY AS WELL AS HIGH FEASIBILITY POTENTIAL. HOWEVER, GIVEN SHEPPARD PRATT'S FINITE RESOURCES AND CAPACITY TO IMPLEMENT THEM, THERE ARE NO PLANS CURRENTLY TO INTRODUCE THESE INITIATIVES, BUT THEY WILL CONTINUE TO BE CONSIDERED OVER TIME. NOTE THAT TWO OF THESE RECOMMENDATIONS ARE CATEGORIZED AS SYSTEMS ISSUES AND REQUIRE SIGNIFICANT INVESTMENT OF TIME IN CREATING PUBLIC POLICY SUPPORT AND REIMBURSEMENT.-24/7 CRISIS RESPONSE SERVICES (BASIC ACCESS ISSUE)-OUTPATIENT SERVICES FOR HOMELESS INDIVIDUALS (BASIC ACCESS ISSUE)-SERVICES FOR INDIVIDUALS WITH BRAIN INJURIES (SPECIALIZED SERVICES)-AUTISM SPECTRUM SERVICES FOR CHILDREN AND FAMILIES INCLUDING SCREENING, OUTPATIENT AND FAMILY SUPPORT (SPECIALIZED SERVICES)-AUTISM SPECTRUM SERVICES FOR OLDER ADOLESCENTS AND YOUNG ADULTS WITH A BEHAVIORAL MANAGEMENT FOCUS (SPECIALIZED SERVICES)-INTEGRATED OUTPATIENT CARE FOR CO-OCCURRING DISORDERS (SUD AND MI) FOR ADULTS (SPECIALIZED SERVICES)-EMERGENCY DEPARTMENT DIVERSION STRATEGIES & SERVICES FOR BEHAVIORAL HEALTH EMERGENCIES (SYSTEMS ISSUE)-IN-HOME BEHAVIORAL HEALTH SERVICES FOR SENIORS (SPECIALIZED SERVICES)-MENTAL HEALTH COURTS IN EVERY COUNTY (SYSTEMS ISSUE)THE REMAINING 14 RECOMMENDATIONS WERE RANKED AS EITHER LOW NEED (DUE TO AVAILABILITY OF COMPARABLE SERVICES) OR LOWER FEASIBILITY IN TERMS OF THE ABILITY TO SUCCESSFULLY IMPLEMENT OR OPERATIONALIZE THE SOLUTION. FOR THESE INITIATIVES, SHEPPARD PRATT WILL NOT IMPLEMENT SOLUTIONS BUT WILL CONTINUE TO CONSIDER MORE VIABLE OPTIONS TO MEET THESE IDENTIFIED NEEDS OVER TIME.-LONG TERM INPATIENT BEDS FOR CHRONIC PSYCHIATRIC CONDITIONS (SYSTEMS ISSUE)-TRANSITIONAL SERVICES FOR ADOLESCENTS SUCH AS INTENSIVE OUTPATIENT, TRANSITIONAL HOUSING (SPECIALIZED SERVICES)-SOBER HOMES (SPECIALIZED SERVICES)-INTENSIVE OUTPATIENT SERVICES FOR GENERAL PSYCHIATRIC CONDITIONS (SPECIALIZED SERVICE) [THIS EXISTS TO SOME DEGREE]-DAY HOSPITAL PROGRAMS FOR SENIORS (SPECIALIZED SERVICES)-INTENSIVE, NON-TRADITIONAL SERVICE DELIVERY FOR INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SYSTEMS ISSUE)-CULTURALLY COMPETENT BEHAVIORAL HEALTH SERVICES FOR GROWING IMMIGRANT POPULATIONS (SPECIALIZED SERVICES)-TRANSPORTATION OPTIONS FOR TREATMENT FACILITY TRANSFERS (SPECIALIZED SERVICES) [THIS EXISTS TO SOME DEGREE]-SCHOOL BASED EARLY INTERVENTION PROGRAMS FOR BEHAVIORAL HEALTH AND SUBSTANCE ABUSE (SPECIALIZED SERVICES)-CHILD PSYCHIATRY SERVICES, ESPECIALLY IN-HOME SERVICES (SPECIALIZED SERVICES)-OUTPATIENT SERVICES FOR TRAUMA (SPECIALIZED SERVICES)-ADOLESCENT WRAP-AROUND SERVICES (SPECIALIZED SERVICES)-CRISIS BEDS FOR CHILDREN (SYSTEMS ISSUE)-TRAUMA SERVICES FOR SPECIAL POPULATIONS: AUTISM SPECTRUM, NON-ENGLISH SPEAKERS, INDIVIDUALS WITH LEARNING DISABILITIES AND DEVELOPMENTALLY DELAYED CHILDREN AND ADULTS (SPECIALIZED SERVICES)OF THE SIX ISSUES PRIORITIZED AS THE NEW INITIATIVES ON WHICH TO FOCUS OVER THE NEXT THREE YEAR PERIOD IN THE TOWSON SERVICE AREA, TO DATE SHEPPARD PRATT HAS FOCUSED ON STIGMA REDUCTION AND ACCESS TO MENTAL HEALTH SERVICES DELIVERED ON AN INTEGRATED CARE BASIS. STIGMA REDUCTIONA SURVEY OF ATTITUDES TOWARD MENTAL ILLNESS WAS CONDUCTED IN LATE FY17 TO ESTABLISH A BASELINE FOR THE DEVELOPMENT OF FUTURE ANTI-STIGMA EDUCATION CAMPAIGNS. THERE WERE 374 SURVEYS COMPLETED WITH AN 87% COMPLETION RATE. A REDUCTION IN STIGMA ASSOCIATED WITH SEEKING MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT IS THE DESIRED OUTCOME AND WILL BE MEASURED BY FUTURE SURVEYS. IN FEBRUARY OF 2018 A FREE COMMUNITY LECTURE ENTITLED "SHATTERING STIGMA, ADVOCATING FOR CHANGE" WAS HELD AT OUR CONFERENCE CENTER IN TOWSON AND WAS ATTENDED BY 150 PEOPLE. ACCESS TO MENTAL HEALTH SERVICES DELIVERED ON AN INTEGRATED CARE BASISPRIMARY RESEARCH CONDUCTED FOR THE FISCAL YEAR 2016 (TAX YEAR 2015) CHNAS FOR BOTH THE TOWSON AND ELLICOTT CITY CAMPUSES IDENTIFIED A LACK OF COMMUNICATION AND COORDINATION BETWEEN MEDICAL AND BEHAVIORAL HEALTH CARE SERVICE PROVIDERS. IT ALSO IDENTIFIED A STIGMA ON THE PART OF SOME MEDICAL SERVICE PROVIDERS THAT RESULTS IN THE INAPPROPRIATE IDENTIFICATION AND REFERRAL OF PATIENTS WHO NEED BEHAVIORAL HEALTH CARE. IN RESPONSE, WE DEVELOPED AN INTEGRATED CARE MODEL IN COLLABORATION WITH PRIMARY CARE ASSOCIATES OF GBMC IN ORDER TO BROADEN ACCESS TO CARE AND SUPPORT THE INTEGRATION OF SOMATIC AND BEHAVIORAL CARE. A SECONDARY OBJECTIVE WAS TO REDUCE STIGMA ON THE PART OF MEDICAL PROVIDERS AND TO REDUCE STIGMA RELATED TO THE UNDERSTANDING AND TREATMENT OF MENTAL ILLNESS AND RELATED CONDITIONS. SERVICES BEGAN IN 9 SEPARATE PRIMARY CARE MEDICAL HOMES IN FY17, AND THE 10TH LOCATION WAS OPENED IN EARLY FY18. THERE WERE 2,031 PATIENTS SEEN IN FY18, FOR A TOTAL OF 5,875 VISITS AT THE 10 SITES. THIS REPRESENTED A 450% INCREASE IN VISITS OVER FY17. SHEPPARD PRATT AT ELLICOTT CITY PART V, SECTION B, LINE 11: COMMUNITY BENEFIT INITIATIVES TO BE IMPLEMENTED AS A RESULT OF THE FINDINGS OF THE FISCAL YEAR 2016 (TAX YEAR 2015) CHNA-IMPLEMENTATION IN FY 2016. THERE WERE 25 IDENTIFIED COMMUNITY BENEFIT INITIATIVES THAT CAME FORWARD FROM THE SHEPPARD PRATT AT ELLICOTT CITY CHNA. AS A RESULT OF THE RANKING METHODOLOGY DEPLOYED, THE FOLLOWING SIX INITIATIVES, REPRESENTING ISSUES OF BASIC ACCESS TO CARE, GAPS IN SPECIALIZED SERVICES AND SYSTEMS ISSUES WERE PRIORITIZED AS THE NEW INITIATIVES ON WHICH TO FOCUS OVER THE THREE YEAR PERIOD WITH PLANNING AND IMPLEMENTATION CURRENTLY UNDERWAY IN FY 2018:-STIGMA REDUCTION (SYSTEMS ISSUE)-AFTERCARE SERVICES AND CARE COORDINATION POST DISCHARGE (SPECIALIZED SERVICES)-OUTPATIENT SERVICES FOR GENERAL PSYCHIATRIC CONDITIONS AND ALL AGE GROUPS. (BASIC ACCESS ISSUE)-ACCESS TO MENTAL HEALTH SERVICES DELIVERED ON AN INTEGRATED CARE BASIS (ACCESS ISSUE)-TRANSITIONAL SERVICES FOR ADOLESCENTS SUCH AS INTENSIVE OUTPATIENT, TRANSITIONAL HOUSING (SPECIALIZED SERVICES)-INTEGRATED CARE FOR COOCCURRING DISORDERS (SUD AND MI) FOR ADULTS- OUTPATIENT (SPECIALIZED SERVICES)IN ADDITION TO THESE SIX PRIORITIZED INITIATIVES, THERE WERE 19 OTHER RECOMMENDATIONS THAT WERE RANKED BY NEED AND FEASIBILITY. BASED ON THE RANKING PROCESS, FOUR OF THESE INITIATIVES WERE DETERMINED TO BE LOW NEED; THOSE RECOMMENDATIONS WILL NOT BE PURSUED. WITH RESPECT TO THE REMAINING 15 RECOMMENDATIONS, BECAUSE OF LIMITED RESOURCES AND THE INTENSITY OF FOCUS ON THE DEVELOPMENT OF THE ELKRIDGE CAMPUS, SHEPPARD PRATT WILL NOT PURSUE THESE OTHER IDENTIFIED NEEDS AT THIS TIME BUT WILL INCORPORATE SOME OF THEM INTO MULTI-YEAR PLANNING FOR THE EXPANDED CAMPUS IN ELKRIDGE.RANKED AS HIGH NEED (WILL BE CONSIDERED WITH LONGER RANGE VISION DUE TO LIMITED HEALTH SYSTEM RESOURCES):-ADOLESCENT WRAP-AROUND SERVICES (SPECIALIZED SERVICES)-MENTAL HEALTH COURTS IN EVERY COUNTY (SYSTEMS ISSUE)-IN-HOME BEHAVIORAL HEALTH SERVICES FOR SENIORS (ELLICOTT CITY - INCLUDES SUBSTANCE ABUSE) - (SPECIALIZED SERVICES)-AUTISM SPECTRUM SERVICES FOR OLDER ADOLESCENTS AND YOUNG ADULTS WITH A BEHAVIORAL MANAGEMENT FOCUS (SPECIALIZED SERVICES)-LONG TERM INPATIENT BEDS FOR CHRONIC PSYCHIATRIC CONDITIONS (SYSTEMS ISSUE)-TRAUMA SERVICES FOR SPECIAL POPULATIONS: AUTISM SPECTRUM, NON-ENGLISH SPEAKERS, INDIVIDUALS WITH LEARNING DISABILITIES AND DEVELOPMENTALLY DELAYED CHILDREN AND ADULTS (SPECIALIZED SERVICES)-SCHOOL BASED EARLY INTERVENTION PROGRAMS FOR BEHAVIORAL HEALTH AND SUBSTANCE ABUSE (SPECIALIZED SERVICES)-CULTURALLY COMPETENT BEHAVIORAL HEALTH SERVICES FOR GROWING IMMIGRANT POPULATIONS-INTENSIVE, NON-TRADITIONAL SERVICE DELIVERY FOR INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SYSTEMS ISSUE)-24/7 CRISIS RESPONSE SERVICES (BASIC ACCESS ISSUE)-OUTPATIENT SERVICES FOR TRAUMA (SPECIALIZED SERVICES)-AUTISM SPECTRUM SERVICES FOR CHILDREN AND FAMILIES INCLUDING SCREENING, OUTPATIENT AND FAMILY SUPPORT (SPECIALIZED SERVICES)-EMERGENCY DEPARTMENT DIVERSION STRATEGIES AND SERVICES FOR BEHAVIORAL HEALTH EMERGENCIES (SYSTEMS ISSUE)-SOBER HOMES (SPECIALIZED SERVICES)FOUR IDENTIFIED NEEDS WILL NOT BE PURSUED AT THIS TIME DUE TO LOW NEED DETERMINATION:-TRANSPORTATION OPTIONS FOR TREATMENT FACILITY TRANSFERS (SPECIALIZED SERVICES)-DAY HOSPITAL PROGRAMS FOR SENIORS (SPECIALIZED SERVICES)-CRISIS BEDS FOR CHILDREN (SYSTEMS ISSUE)-CHILD PSYCHIATRY SERVICES, ESPECIALLY IN-HOME SERVICES (SPECIALIZED SERVICES)OF THE SIX ISSUES PRIORITIZED AS THE NEW INITIATIVES ON WHICH TO FOCUS IN THE ELLICOTT CITY SERVICE AREA OVER THE NEXT THREE YEAR PERIOD, TO DATE WE HAVE FOCUSED ON STIGMA REDUCTION AND OUTPATIENT SERVICES FOR GENERAL PSYCHIATRIC CONDITIONS AND ALL AGE GROUPS.STIGMA REDUCTIONA SURVEY OF ATTITUDES TOWARD MENTAL ILLNESS WAS CONDUCTED IN LATE FY17 TO ESTABLISH A BASELINE FOR THE DEVELOPMENT OF FUTURE ANTI-STIGMA EDUCATION CAMPAIGNS. THERE WERE 374 SURVEYS COMPLETED WITH AN 87% COMPLETION RATE. A REDUCTION IN STIGMA ASSOCIATED WITH SEEKING MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT IS THE DESIRED OUTCOME AND WILL BE MEASURED BY FUTURE SURVEYS.OUTPATIENT SERVICES FOR GENERAL PSYCHIATRIC CONDITIONS AND ALL AGE GROUPSTHE RESEARCH CONDUCTED IN THE DEVELOPMENT OF THE FISCAL YEAR 2016 (TAX YEAR 2015) CHNA FOR SHEPPARD PRATT ELLICOTT CITY REVEALED THAT ALTHOUGH MANY INDIVIDUALS HAVE PRIVATE HEALTH INSURANCE, THERE ARE FEWER PROVIDERS WHO ACCEPT MEDICAID/MEDICARE. CHILD AND GERIATRIC PSYCHIATRY WERE HIGHLIGHTED AS SOME OF THE GREATER AREAS OF NEED AMONG LOWER INCOME HOUSEHOLDS. TO EXPAND THE AVAILABILITY OF OUTPATIENT MENTAL HEALTH SERVICES FOR GENERAL PSYCHIATRIC CONDITIONS, PARTICULARLY FOR THE CHILD AND GERIATRIC POPULATIONS WITH PUBLIC INSURANCE, SHEPPARD PRATT PROVIDED CHILD PSYCHIATRY TIME AT NO CHARGE TO WAY STATION'S HOWARD COUNTY MENTAL HEALTH CLINIC TO HELP THEM MEET THE NEED FOR URGENT CRISIS ASSESSMENT OF CHILDREN. THIS SERVICE, WHICH CONTINUED IN FY18, IS PROVIDED VIA THE MEDIUM OF TELEMEDICINE FROM THE TOWSON LOCATION TO HOWARD COUNTY. THERE WERE 68 PATIENT ENCOUNTERS, AND 37 ACTIVE PATIENTS RECEIVING SERVICES THROUGH THIS PROGRAM IN FY18. SHEPPARD PRATT HOSPITAL:PART V, SECTION B, LINES 16A-C: HTTPS://WWW.SHEPPARDPRATT.ORG/FINANCIAL-ASSISTANCE-POLICY/ SHEPPARD PRATT AT ELLICOTT CITY:PART V, SECTION B, LINES 16A-C: 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 AT 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 - MANN RESID TREATMENT CENTER & SCHOOL 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 LICENSED ASSISTED LIVING PROGRAM 3 - JEFFERSON RESID TREATMENT CTRSCHOOL 2940 POINT OF ROCKS ROAD PO BOX 9 JEFFERSON MD 21755 LICENSED RESIDENTIAL TREATMENT CENTER/SP. ED. SCHOOL 4 - FORBUSH SCHOOL AT GLYNDON HIGH SCHOOL 12039 REISTERSTOWN ROAD BALTIMORE MD 21136 12-MONTH NON-PUBLIC PROGRAM FOR SPECIAL EDUCATION AND RELATED SERVICES 5 - FORBUSH SCHOOL AT GLYNDON 407 CENTRAL AVENUE REISTERSTOWN MD 21136 12-MTH SPECIAL ED. DAY SCH FOR STUDENTS WITH BEHAVIORAL & EMOTIONAL DISABILI 6 - FROST SCHOOL & OAKMONT & LODGE PROG 4915 ASPEN HILL ROAD ROCKVILLE MD 20853 12-MTH SPECIAL ED. DAY SCH FOR STUDENTS WITH BEHAVIORAL & EMOTIONAL DISABILI 7 - FORBUSH SCHOOL AT HUNT VALLEY 11201 PEPPER ROAD HUNT VALLEY MD 21031 12-MONTH SPECIAL EDUCATION DAY SCHOOL FOR STUDENTS WITH AUTISM 8 - FORBUSH SCHOOL AT PRINCE GEORGE'S CO 4819 WALDEN LANE LANHAM MD 20706 12-MONTH SPECIAL EDUCATION DAY SCHOOL FOR STUDENTS WITH AUTISM 9 - JEFFERSON SCHOOL AT FINAN CENTER 10100 COUNTRY CLUB ROAD SOUTHEAST CUMBERLAND MD 21502 12-MTH SPECIAL ED. DAY SCH FOR STUDENTS WITH BEHAVIORAL & EMOTIONAL DISABILI 10 - RUXTON HOUSE 1506 LABELLE AVENUE BALTIMORE MD 21204 8-BED LICENSED GROUP HOME 11 - FORBUSH SCHOOL AT OAKMONT - UPPER 610 EAST DIAMOND AVENUE GAITHERSBURG MD 20877 12-MONTH SPECIAL EDUCATION DAY SCHOOL FOR STUDENTS WITH AUTISM 12 - FORBUSH SCHOOL AT ANNE ARUNDEL 648 OLD MILL ROAD MILLERSVILLE MD 21108 11-MONTH DAY SCHOOL FOR SPECIAL ED. & RELATED SERVICES IN A PUBLIC SCHOOL 13 - HANNAH MORE AT MILLERSVILLE ELEM SCH 1601 MILLERSVILLE ROAD MILLERSVILLE MD 21108 10-MONTH DAY SCHOOL FOR SPECIAL ED. & RELATED SERVICES IN A PUBLIC SCHOOL 14 - HANNAH MORE AT SEVERN MIDDLE SCHOOL 241 PENINSULA FARM ROAD ARNOLD MD 21012 10-MONTH DAY SCHOOL FOR SPECIAL ED. & RELATED SERVICES IN A PUBLIC SCHOOL 15 - HANNAH MORE AT SEVERNA PARK HIGH SCH 60 ROBINSON ROAD SEVERNA PARK MD 21146 10-MONTH DAY SCHOOL FOR SPECIAL ED. & RELATED SERVICES IN A PUBLIC SCHOOL 16 - FORBUSH SCHOOL AT ANNE ARUNDEL SOUTH 140 STEPNY LANE EDGEWATER MD 21037 11-MONTH SPECIAL ED. AND RELATED SERVICES PROGRAM IN A PUBLIC SCH SETTING PART I, LINE 3C: SHEPPARD PRATT HEALTH SYSTEM USES AN ASSET TEST IN CONJUNCTION WITH THE 250% 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 FY 2018, SHEPPARD PRATT'S RESIDENCY TRAINING PROGRAM CONTINUED TO OFFER THE RESIDENT'S OUTPATIENT CLINIC WHICH PROVIDES SERVICES FREE OF CHARGE, OR FOR A SMALL CO-PAY. SERVICES INCLUDE AN INITIAL EVALUATION AS WELL AS MEDICATION MANAGEMENT SESSIONS. RECIPIENTS OF THIS PSYCHIATRIC SERVICE AGREE TO BE TREATED BY A M.D. 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 FY 2018, THE PROGRAM PROVIDED A TOTAL OF 2,909 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 FY18, THERE WERE 907 ACTIVE CLIENTS AT 8 LOCATIONS. THERE WERE 471 NEW CLIENTS SEEN AND 2,135 HOURS OF SERVICE WERE PROVIDED INCLUDING 1,630 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. ADDITIONALLY, SHEPPARD PRATT'S TELEBEHAVIORAL SERVICES, TELEHEALTH COMPONENT HAS PROVIDED RURAL PROVIDERS ACCESS TO SHEPPARD PRATT'S COMPLIMENTARY FY18 PROFESSIONAL EDUCATION: 27 WEDNESDAY AND FRIDAY LECTURE SESSIONS WERE PROVIDED TO A VARIETY OF RURAL LOCATIONS UTILIZING A VIDEOCONFERENCING BRIDGE; 867 NONSHEPPARD PRATT CLINICAL PROFESSIONALS ACCESSED THESE FREE CME SESSIONS VIA VIDEOCONFERENCING WHICH MAY NOT HAVE BEEN OTHERWISE AVAILABLE LOCALLY. 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 FY18, SHEPPARD PRATT SPONSORED SEVEN EDUCATIONAL EVENTS FOR THE COMMUNITY; THESE EVENTS INCLUDED: DR. DREW PATE: ANXIETY & DEPRESSION IN CHILDREN; TEACHER TALK: AUTISM-RELATED DISORDERS; PARENT TALK: CHILDHOOD ANXIETY; SHATTERING STIGMA, ADVOCATING FOR CHANGE; BECOMING RYAN: DOCUMENTING SELF-DISCOVERY THROUGH TRANSITION AND RECOVERY; TALKING ABOUT MENTAL HEALTH; PARENT TALK: SOCIAL MEDIA SAFETY; CHILDREN'S MENTAL HEALTH MATTERS IN PARTNERSHIP WITH NAMI METROPOLITAN BALTIMORE; BODY IMAGE & MEDIA LITERACY; WHEN 'SNAPPING OUT OF IT ISN'T AN OPTION: DEALING WITH DEPRESSION; AND, LOVE YOUR TREE EATING DISORDERS EVENT.SHEPPARD PRATT'S MOBILE CRISIS TEAM RESPONDS TO MENTAL HEALTH EMERGENCIES IN HARFORD COUNTY AT HOMES, WORK OR SCHOOLS. THIS PROGRAM AVERTS UNNECESSARY VISITS TO EMERGENCY ROOMS AND SUBSEQUENT HOSPITALIZATION FOR PERSONS EXPERIENCING A MENTAL HEALTH CRISIS. IN FY18, THE MOBILE CRISIS PROGRAM SPENT 15,726 STAFF HOURS TO SERVE 6,043 INDIVIDUALS THROUGH A VARIETY OF ACTIVITIES. THESE EVENTS INCLUDED CLINICAL CALLS, DURING POLICE CALLS, CRITICAL INCIDENT STRESS INCIDENTS, COMMUNITY EDUCATION EVENTS, AND CRISIS INTERVENTION TRAINING PROGRAMS FOR LAW ENFORCEMENT, LOCAL SCHOOL TEACHERS, AND STAFF AT ABERDEEN PROVING GROUND. TRANSPORTATION SERVICES WERE PROVIDED TO 6,272 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 FY18 COST FOR THESE SERVICES WAS $1,078,473.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 FY18, APPROXIMATELY 9,589 INDIVIDUALS BENEFITED FROM THIS SERVICE.IN FY18, SHEPPARD PRATT'S WEB SITE RESOURCE PAGE RECEIVED MORE THAN 27,000 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. SHEPPARD PRATT ALSO DISTRIBUTES HEAL MAGAZINE WHICH SERVES AS A COMMUNITY RESOURCE. THE MAGAZINE SHARES PATIENT STORIES IN AN EFFORT TO DESTIGMATIZE MENTAL ILLNESS. THE PUBLICATION WAS DISTRIBUTED TO 35,622 HOUSEHOLDS IN FY18. 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: PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY ALLOWANCES FOR BAD DEBTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HEALTH SYSTEM ANALYZES HISTORICAL COLLECTIONS AND WRITE-OFFS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR BAD DEBTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS ITS ESTIMATE AND EVALUATES THE SUFFICIENCY OF THE ALLOWANCE FOR BAD DEBTS. FOR PATIENT ACCOUNTS RECEIVABLE ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES THOSE PATIENTS WITHOUT EXISTING INSURANCE COVERAGE FOR A PORTION OF THE BILL, THE HEALTH SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS FOR PATIENTS THAT ARE UNABLE OR UNWILLING TO PAY FOR THE PORTION OF THE BILL REPRESENTING THEIR FINANCIAL RESPONSIBILITY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED. PART III, LINE 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 2018 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: SHEPPARD PRATT HAS COMPLETED TWO COMMUNITY HEALTH NEEDS ASSESSMENTS (TAX YEAR 2012 AND TAX YEAR 2015). THE FIRST ASSESSMENT WAS PREPARED IN CONJUNCTION WITH GREATER BALTIMORE MEDICAL CENTER AND UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL CENTER (UM-SJMC); THE ASSESSMENT WAS COMPLETED THROUGH A CONTACT WITH HOLLERAN, AN INDEPENDENT RESEARCH FIRM LOCATED IN LANCASTER, PENNSYLVANIA. THIS REPORT PROVIDED HEALTH INFORMATION FROM 18 KEY INFORMANTS AS WELL AS SECONDARY STATISTICAL DATA ABOUT THE POPULATION SERVED IN THE GREATER BALTIMORE AND HOWARD COUNTY AREAS. FOR THE SECOND ASSESSMENT, SHEPPARD PRATT ELECTED TO CONTRACT INDIVIDUALLY WITH CRESCENDO CONSULTING (PORTLAND, MAINE) IN ORDER TO UNCOVER MORE DETAILED INFORMATION ON THE PSYCHIATRIC SERVICE GAPS IN ITS PRIMARY SERVICE AREAS OF BALTIMORE AND HOWARD COUNTIES. TWO SEPARATE REPORTS WERE PREPARED RELEVANT TO THE TOWSON AND ELLICOTT CITY CAMPUSES. THESE REPORTS GATHERED INFORMATION FROM 24 EXPERTS FOR PSYCHIATRIC SERVICES IN THE FIELDS OF PUBLIC HEALTH, HOSPITAL SERVICES, AND COMMUNITY SERVICES. FOR THE IMPLEMENTATION PLAN, IT HAS YIELDED SIX NEW INITIATIVES FOR EACH CAMPUS. SHEPPARD PRATT ALSO CONTINUES TO UTILIZE SERVICE GAP INFORMATION GATHERED THROUGH PATIENT AND FAMILY REQUESTS FOR SERVICE AS RECEIVED THROUGH ITS WEB SITE, CRISIS WALK IN, AND THERAPY REFERRAL SERVICE PROGRAMS. DURING THIS YEAR, SHEPPARD PRATT'S POPULATION HEALTH EFFORTS HAVE EVOLVED; THE LEAD INDIVIDUALS INVOLVED IN THINKING ABOUT POPULATION HEALTH ARE THE VICE PRESIDENT OF MEDICAL AFFAIRS, THE VICE PRESIDENT OF OPERATIONS AND BUSINESS DEVELOPMENT, AND THE COMMUNITY PROGRAMS COORDINATOR. MUCH OF THE EFFORT IN FY18 WAS FOCUSED ON THE IMPLEMENTATION OF A COLLABORATIVE CARE PROJECT WITH THE GREATER BALTIMORE MEDICAL CENTER (GBMC), TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES IN BALTIMORE COUNTY. WE BEGAN PROVIDING BEHAVIORAL HEALTH SERVICES IN 9 PRIMARY CARE MEDICAL HOMES (PCMHS) OPERATED BY GBMC PRIMARY CARE ASSOCIATES. SERVICES BEGAN IN THE 10TH SITE AT THE BEGINNING OF FY18. THIS INTEGRATED CARE MODEL WILL HELP TO CREATE MORE CAPACITY FOR MENTAL HEALTH SERVICES IN ALLIANCE WITH SOMATIC CARE PROVIDERS, WILL HELP TO REDUCE THE STIGMA THAT IS OFTEN ASSOCIATED WITH SEEKING MENTAL HEALTH TREATMENT, AND WILL HELP TO REDUCE VISITS RELATED TO MENTAL HEALTH CONDITIONS. IN ADDITION, FOR A MAJORITY OF THE YEAR WE OPERATED A BEHAVIORAL OBSERVATION SERVICE (BOS) WHICH WAS DEVELOPED WITH THE INTENTION OF REDUCING HOSPITAL REFERRALS FOR PATIENTS PRESENTING FOR CO-OCCURRING (MENTAL HEALTH & ADDICTIONS CARE) AS WELL AS INPATIENT ADMISSIONS FOR SUCH CARE. AFTER BEING MEDICALLY STABILIZED IN OBSERVATION STATUS, PATIENTS CAN THEN BE EVALUATED TO DETERMINE THE MOST APPROPRIATE LEVEL OF CARE. 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 715 VISITS PROVIDED IN THE TAP PROGRAM IN FY18. 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, AND HOWARD COUNTIES. ACCORDING TO U.S. CENSUS BUREAU, AMERICAN COMMUNITY SURVEY, 2010-2014 GEOGRAPHY TRACT ESTIMATES, THE TOTAL POPULATION IN THE GREATER BALTIMORE COMMUNITY IS 1,439,991. THE BALTIMORE CITY/COUNTY AREA (TOWSON CAMPUS) IS 53% FEMALE AND 47% MALE. THE ANNE ARUNDEL/HOWARD COUNTY (ELLICOTT CITY CAMPUS) AREA IS 51% FEMALE AND 49% MALE. NEARLY TWO OF THREE (63.1%) BALTIMORE CITY RESIDENTS ARE AFRICAN AMERICAN WHILE ABOUT THREE OF TEN (30.3%) ARE WHITE. WITHIN THE TOWSON SERVICE AREA, BALTIMORE COUNTY HAS THE OPPOSITE RACIAL MAKEUP. MORE THAN ONE IN FIVE (22.9%) HOWARD COUNTY RESIDENTS SPEAKS A PRIMARY LANGUAGE OTHER THAN ENGLISH. (AMERICAN COMMUNITY SURVEY 2010). BALTIMORE, ANNE ARUNDEL AND HOWARD COUNTIES EACH HAVE A MEDIAN AGE SIMILAR TO THE MARYLAND AVERAGE OF 38.1 YRS WHILE BALTIMORE CITY HAS A LOWER MEDIAN AGE OF 34.5 YRS. REGARDING EDUCATION, CLOSE TO ONE THIRD OF BALTIMORE CITY ADULTS HAVE ONLY A HIGH SCHOOL DIPLOMA (29.1%) WHILE 19.1% HAVE SOME COLLEGE AND CLOSE TO ONE THIRD (32.1%) HAVE A COLLEGE DEGREE. IN HOWARD COUNTY, ONLY 14.5% OF RESIDENTS HAVE ONLY A HIGH SCHOOL DIPLOMA AND 66% HAVE A COLLEGE DEGREE. MARYLAND'S COLLEGE DEGREE RATE IS 43.6% AND ITS HIGH SCHOOL ONLY DEGREE RATE IS 25.7%. IN BALTIMORE CITY, 34.62% OF CHILDREN ARE LIVING BELOW THE FEDERAL POVERTY LEVEL COMPARED TO 11.6% IN BALTIMORE COUNTY, 7.11% IN ANNE ARUNDEL COUNTY, AND 6.14% IN HOWARD COUNTY; THE STATE REPORTS 13.17% OF CHILDREN LIVE UNDER THE FEDERAL POVERTY LEVEL. ACCORDING TO MARYLAND'S VITAL STATISTICS, DEATHS PER 100,000 FROM SUICIDE RANGE FROM A HIGH OF 10.5 IN BALTIMORE COUNTY TO A LOW OF 7.3 IN BALTIMORE CITY.IN THE TOWSON FACILITY SERVICE AREA, THE MEDIAN INCOME IS $66,940 IN BALTIMORE COUNTY AND $41,819 IN BALTIMORE CITY, WHICH ARE BOTH LOWER THAN THE MARYLAND AVERAGE OF $79,149. IN THE ELLICOTT CITY SERVICE AREA, THE MEDIAN INCOME IS $89,031 IN ANNE ARUNDEL COUNTY AND $110,113 IN HOWARD COUNTY. ACCORDING TO THE 2015 MARYLAND BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, THERE IS A GREATER CONCENTRATION OF ADULT (AGES 18+) RESIDENTS IN BALTIMORE COUNTY DIAGNOSED WITH DEPRESSIVE DISORDERS THAN IN BALTIMORE CITY, ANNE ARUNDEL COUNTY, HOWARD COUNTY, OR MARYLAND AS A WHOLE. AT 16.7% EACH, BALTIMORE COUNTY AND HOWARD COUNTY HAVE THE HIGHEST PREVALENCE OF ANXIETY DISORDER WITHIN THE HOSPITAL'S COMBINED SERVICE AREAS. BOTH ARE ALSO HIGHER THAN THE STATEWIDE PREVALENCE RATE OF 13.5 PERCENT. BINGE DRINKING IS DEFINED AS MALES HAVING FIVE OR MORE DRINKS ON ONE OCCASION, OR FEMALES HAVING FOUR OR MORE DRINKS ON ONE OCCASION. EXCESSIVE ALCOHOL CONSUMPTION IN THE TOWSON SERVICE AREA IS RELATIVELY CONSISTENT WITH THE STATE PERCENTAGE (14.2%), ALTHOUGH BALTIMORE CITY'S PERCENTAGE (15.7%) IS SLIGHTLY HIGHER. IN THE ELLICOTT CITY SERVICE AREA THERE IS A SIGNIFICANT DIFFERENCE IN THE PREVALENCE OF BINGE DRINKING BETWEEN THE TWO COUNTIES AND AS COMPARED TO THE STATEWIDE PREVALENCE RATE. HOWARD COUNTY HAS A 9.5% PREVALENCE RATE WHICH IS 4.7% LESS THAN THE STATEWIDE RATE OF 14.2%. ANNE ARUNDEL COUNTY HAS A 18.4% PREVALENCE RATE, WHICH IS 4.2% HIGHER THAN THE STATE AND 8.9% HIGHER THAN HOWARD COUNTY. THERE ARE NO OTHER MENTAL HEALTH HOSPITALS IN THIS GEOGRAPHIC REGION TO SERVE THE AFOREMENTIONED DEMOGRAPHICS. PART VI, LINE 5: SHEPPARD PRATT HAS EVOLVED SERVICES BEYOND THE TRADITIONAL INPATIENT OR OUTPATIENT BOUNDARIES AS IT CONTINUES ITS COMMITMENT TO THE FOUNDERS' CHARTER TO "CARRY FORWARD, IMPROVE, THE AMELIORATED SYSTEM OF TREATMENT OF THE INSANE WITH THOUGHTFUL, PROACTIVE SERVICES". THE SYSTEM PROVIDES A POSITIVE IMPACT ON THOUSANDS OF INDIVIDUALS, THEIR FAMILIES AND COMMUNITIES BY PROVIDING ACCESS TO A CREATIVE MIX OF COMMUNITY BENEFIT-DRIVEN BEHAVIORAL HEALTH SERVICES WHEN, WHERE AND IN WHATEVER FORM IS BEST SUITED TO THOSE IN NEED. IN FY 2016, SHEPPARD PRATT WAS AGAIN RECOGNIZED BY U.S. NEWS AND WORLD REPORT AS ONE OF THE NATION'S TOP TEN HOSPITALS FOR PSYCHIATRIC CARE AND RANKED AS #6, THE ONLY PSYCHIATRIC SPECIALTY HOSPITAL IN THE TOP TEN WHICH IS NOT OTHERWISE AFFILIATED WITH A LARGER GENERAL HOSPITAL SYSTEM. IN FY 2018, SHEPPARD PRATT PROVIDED SERVICE FOR 8,674 INPATIENT ADMISSIONS RESULTING IN SERVICE TO 105,307 INPATIENT DAYS; 87,783 OUTPATIENT AND DAY HOSPITAL VISITS; 37,835 RESIDENTIAL TREATMENT CENTER DAYS; AND, 143,037 STUDENT DAYS. 56% OF INPATIENT SERVICES WERE PROVIDED TO MEDICARE OR MEDICAID RECIPIENTS AND 2% OF THE HOSPITAL'S PATIENTS WERE UNINSURED. 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 FY 2018, 4,212 COMMUNITY MEMBERS PRESENTED TO THE CLINIC FOR EVALUATION. IN ADDITION, THE BEHAVIORAL OBSERVATION SERVICE, WHICH WAS DESIGNED TO REDUCE HOSPITAL EMERGENCY DEPARTMENT REFERRALS FOR PATIENTS PRESENTING FOR ADMISSIONS WITH CO-OCCURRING (MENTAL HEALTH & ADDICTIONS CARE) CONDITIONS. IN FY18 THERE WERE 104 PATIENTS STABILIZED AND EVALUATED THROUGH THIS SERVICE.SHEPPARD PRATT'S FLAGSHIP CAMPUS IS LOCATED AT 6501 NORTH CHARLES STREET, BALTIMORE, MARYLAND 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 FY 2018, THIS PROGRAM PROVIDED THE PUBLIC WITH REFERRAL INFORMATION FOR EXTERNAL PROGRAMS 11,181 TIMES. ADDITIONAL SHEPPARD PRATT PROGRAMMING ACCESSED THROUGH THIS SERVICE INCLUDES URGENT ASSESSMENTS FOR INDIVIDUALS WHO NEED TO BE EVALUATED ON A CRITICAL BASIS WITHIN 48 HRS AND THE SCHEDULED CRISIS INTERVENTION PROGRAM WHICH PROVIDES APPOINTMENTS SCHEDULED WITHIN THE SAME DAY AS THE CALL IS RECEIVED. PART VI, LINE 6: THE AFFILIATE AGENCIES OF SHEPPARD AND ENOCH PRATT FOUNDATION ARE NON-PROFIT HEALTH AND SOCIAL SERVICE AGENCIES FOCUSING THEIR SERVICES AT THE COMMUNITY LEVEL. THEIR COLLECTIVE PRIMARY MISSION IS TO PROVIDE REHABILITATIVE TREATMENT, HOUSING AND VOCATIONAL SUPPORT TO INDIVIDUALS WITH CHRONIC MENTAL ILLNESS. EACH AGENCY OPERATES UNDER THE CONTROL OF A LOCAL BOARD OF DIRECTORS FOCUSED ON THE NEEDS OF THEIR COMMUNITIES. THE AFFILIATES PROVIDE SERVICES IN BALTIMORE, 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 838277 0 0 0 3223 0 109275 0 30634 0 981409 0 0 0 RAY R DZIESINSKI VP, CFO, SECRETARY/TREASURER 376038 0 0 0 3967 0 36899 0 16921 0 433825 0 0 0 BONNIE KATZ SR. VP, STRATEGY & BUSINESS 378920 0 0 0 7528 0 79995 0 17734 0 484177 0 0 0 ERNESTINE COSBY VP CLINICAL SERVICES 262146 0 0 0 8543 0 119521 0 10520 0 400730 0 0 0 ARMANDO E COLOMBO EVP & COO 204543 0 0 0 2791 0 10356 0 23457 0 241147 0 0 0 GERALD A NOLL FORMER CFO 214049 0 0 0 2325 0 34564 0 22661 0 273599 0 0 0 THOMAS D HESS CHIEF OF STAFF 189435 0 0 0 4083 0 76222 0 921 0 270661 0 0 0 SHERRY L MCGRAW STAFF NURSE 179290 0 2722 0 815 0 14030 0 60 0 196917 0 0 0 ANTONIO DEPAOLO CHIEF TRANSFORMATION OFFICER 176581 0 0 0 1568 0 9358 0 20085 0 207592 0 0 0 DONNA M CORBETT DIR. ACCOUNTING & FINANCIAL RPTG 166590 0 0 0 2185 0 36100 0 12170 0 217045 0 0 0 CATHERINE R DOUGHTY VP HUMAN RESOURCES (FORMER) 94779 0 0 0 131611 0 0 0 259 0 226649 0 0 0 MARGUERITE KELLEY VP, PHILANTHROPY (FORMER) 66696 0 0 0 96427 0 0 0 4091 0 167214 0 0 0 PART I, LINES 4A-B DURING CALENDAR YEAR 2017, THE FOLLOWING EMPLOYEES RECEIVED A SEVERANCE PAYMENT: CATHERINE DOUGHTY $130,500 MARGUERITE KELLEY $96,000 DURING CALENDAR YEAR 2017, THE FOLLOWING PARTICIPATED IN SHEPPARD PRATT'S 457(F) PLAN: HARSH TRIVEDI $100,000 RAY DZIESINKI $ 25,000 BONNIE KATZ $ 25,000 GERALD A. NOLL $ 21,314 ARMANDO COLOMBO $ 10,356 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 89000 100664881 100664881 0 0 0 1 B 1330000 78747873 78747873 2010 1 0 1 1 A 0 0 0 0 0 0 1 B 0 1 1 1 1 1 0 0 1 A 0 1 0 0 1 0 0 1 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): SERIES 2003A BONDS - 05/29/2003 PART I, LINE B, COLUMN (F): SERIES 2003A BONDS - 05/29/2003; SERIES 2009 BONDS - 12/17/2009 PART II, COLUMN A, LINE 3: PROCEEDS OF $100,664,881 INCLUDE INVESTMENT EARNINGS OF $664,673. 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. AS OF 6/30/2018 TOTAL CONSTRUCTION EXPENDITURES HAD NOT YET REACHED $15,000,000. 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 11B THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES 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 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. 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. 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. 4,373,568. CHANGES IN PENSION LIABILITY 8,639,418. INTEREST IN ASSETS OF FOUNDATION 6,125,812. ASSETS RELEASED FROM RESTRICTION-SHEPPARD AND ENOCH PRATT FOUNDATION, INC. 1,038,313. TRANSFER TO SHEPPARD PRATT PHYSICIANS PA, INC. -8,090,000. 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 & 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 SHEPPARD PRATT PREFERRED RESOURCES INC 6501 N CHARLES STREET TOWSON MD 21285 521757742 INACTIVE MD N/A C 0 0 0 1 1 0 0 0 0 0 1 1 0 1 1 1 0 1 1 1 SHEPPARD PRATT INVESTMENTS INC C 4373568 FMV SHEPPARD PRATT INVESTMENTS INC D 2633998 FMV SCHEDULE R, PART II: SHEPPARD PRATT HEALTH SYSTEM, INC. WORKS WITH NUMEROUS HUD ENTITIES TO CARRY OUT ITS EXEMPT PURPOSE. WHILE THERE IS BOARD OVERLAP THE ULTIMATE CONTROL RESIDES WITH THE HUD ENTITIES. 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 AND MOSAIC COMMUNITY SERVICES INC.