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        <ReturnReference>Explanation of Other Lobbying Activities:</ReturnReference>
        <Explanation>Sheppard Pratt retains a law firm as a registered lobbyist for $33,505 to keep the organization informed as to any new legislation that may impact the operations of the hospital. Sheppard Pratt also pays dues to the Maryland Hospital Association. A portion of those dues ($3,016) are used for lobbying activities.</Explanation>
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        <Description>Investments limited or restricted a</Description>
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        <Identifier>Part III, Line 4:</Identifier>
        <Explanation>THE ART COLLECTION OF SHEPPARD PRATT EXEMPLIFIES the healing aspects of art, both for the creator and the observer. THIS UNIQUELY THEMED COLLECTION CELEBRATES THE CAPACITY FOR ARtISTIC ENDEAVOR TO TRANSCEND AND TRIUMPH OVER THE MENTAL ILLNESS AND ADDICtion.</Explanation>
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        <Identifier>Part X:</Identifier>
        <ReturnReference>Description of Uncertain Tax Positions Under FIN 48:</ReturnReference>
        <Explanation>SHEPPARD PRATT HEALTH SYSTEM WAS INCLUDED IN AN AUDIT OF THE CONSOLIDATED GROUP KNOWN AS SHEPPARD AND ENOCH PRATT FOUNDATION, INC. AND SUBSIDIARIES. AN AUDIT WAS PERFORMED AND AUDITED FINANCIAL STATEMENTS WERE ISSUED FOR SHEPPARD AND ENOCH PRATT FOUNDATION, INC. AND SUBSIDIARIES ON A CONSOLIDATED BASIS. AUDITED FINANCIAL STATEMENTS WERE NOT PREPARED ON A SEPARATE BASIS FOR EACH ENTITY. FOR THE YEAR ENDED JUNE 30, 2010 THERE WAS NO NOTE DISCLOSURE FOR ASC-740 IN THE CONSOLIDATED FINANCIAL STATEMENTS.</Explanation>
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        <Identifier>Part XI, Line 8 - Other Adjustments:</Identifier>
        <Explanation>transfers from affiliates: 2112909. unrealized loss - pension liability: -10998679. net assets released from restriction: -485087. interest in net assets of foundation: -95053.</Explanation>
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        <Explanation>RESTRICTED CONTRIBUTIONS: 303693. INVESTMENT INCOME ON TEMPORARILY RESTRICTED ASSETS: 94888. REALIZED loss ON TEMPORARILY RESTRICTED ASSETS: 111635. GIFT RECEIVED ON BEHALF OF AFFILIATE: 580000.</Explanation>
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        <Explanation>Bond issue costs: 390286.</Explanation>
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      <CostOfCareReimbursedByMedicare>8632746</CostOfCareReimbursedByMedicare>
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        <CostToChargeRatio>X</CostToChargeRatio>
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      <Form990ScheduleHPartV>
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        </Name>
        <Address>
          <AddressLine1>6501 N CHARLES STREET</AddressLine1>
          <City>TOWSON</City>
          <State>MD</State>
          <ZIPCode>21204</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <TeachingHospital>X</TeachingHospital>
        <Other>see narrative</Other>
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          <AddressLine1>4100 COLLEGE AVENUE</AddressLine1>
          <City>ELLICOTT CITY</City>
          <State>MD</State>
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        <LicensedHospital>X</LicensedHospital>
        <Other>see narrative</Other>
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      <Form990ScheduleHPartVI>
        <CostingMethodUsed>Part I, Line 7: Ratio of Cost to Charges was the methodology used in calculating items listed in Part I, Line 7.</CostingMethodUsed>
        <PercentOfTotalExpenseExpln>Part I, Line 7f: The portion of bad debt expense included on Form 990, Part IX, line 25 and removed from Line 7 column f is $3,390,455.</PercentOfTotalExpenseExpln>
        <BadDebtFootnote>Part III, Line 4: Footnote in the consolidated financial statements regarding allowance for bad debt expense: Foundation's policy is to write off all accounts that have been identified as uncollectible. An allowance for uncollectibles 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. Accounts receivable from third-party payors have been adjusted to reflect the difference between charges and the estimated reimbursable amounts.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>Part III, Line 8: Under the Medicare Prospective Payment System, Medicare is paying Sheppard Pratt less than its cost as supported by the final filed Fiscal 2010 Cost Report. Sheppard Pratt treats all medically appropriate Medicare patients as required by the Conditions of Participation and EMTALA.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>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 and not transferring accounts to collections when applicable. Additionally, the Health System does not charge interest, late fees, or penalties on any accounts and does not permit its contracted collection agencies to report accounts to credit reporting agencies.</DebtCollectionPolicy>
        <NumberOfFacilityTypeExpln>Part V: Sheppard Pratt operates two residential programs (RTC) for adolescents with longer term treatment needs in an out-of-home therapeutic setting and one High Intensity Respite program. In FY 2010, these programs provided 43,159 days of service. The Mann RTC and High Intensity Respite Program operate on the flagship campus and provide a long term treatment setting for children and/or adolescents requiring a structured therapeutic setting. Additionally, a second residential treatment program, the Jefferson Residential Treatment Program and School, operates in Frederick Maryland. The programs encompass 121 licensed RTC beds and 24 Respite beds. Sheppard Pratt also operates twelve special education schools, located in seven Maryland counties, serving approximately 650 students whose emotional or behavioral disabilities prevent them from accessing education in their community schools. Ten of the schools educate more than 200 students with autism. And, two of the schools serve 120 Mann or Jefferson residential students. The ultimate goal of Sheppard Pratt's schools is always to return students to the community and sometimes to their community schools. In FY 2010, 129,698 student days of service were provided with 43 students graduating. Of the 43 graduates, 38 students received full Maryland high school diplomas and 5 received certificates of completion.</NumberOfFacilityTypeExpln>
        <NeedsAssessment>Part VI, Line 2: Sheppard Pratt accomplishes its Needs Assessment through a multi-pronged effort with input from the community, professionals, local and national advocacy agencies, and Sheppard Pratt's Board of Trustees. First, Sheppard Pratt's Community Advisory Council provides a vehicle for community members to provide feedback on the Health System's current and future services. During FY2010, thirteen volunteer Community Advisory Council members and three health system staff participated in planning, advocacy, and communication with the Health System. This group reflects the cultural, socioeconomic and ethnic profile of the communities served. Council members may be individuals who may have been served by a mental health program, they may be members of a mental health advocacy organization or may live in neighborhoods in which programs are located. The Advisory Council meets about five times annually and has a direct liaison through the Office of the President with the Health System Executive Group and Board of Trustees so that articulated community needs can be relayed to the Health System for action. Additionally, in reaction to the needs of this Advisory Council and the community they represent, the Health System has restructured this council for FY2011 enabling an enhanced view into community need. Second, the Health System's Professional Education Department routinely collects information on educational needs from community providers through past continuing education surveys and on-line surveys such as SurveyMonkey. This collective data identifies and defines areas of knowledge, competency and performance gaps where providers can most benefit from community education. Community Education provided by Sheppard Pratt includes the Wednesday Lecture Series which is provided free to the community of medical and mental health professionals. Topics are developed that will improve community professional practice knowledge, enhance their competency or actually change professional practice as it relates to the identified topic. Additionally, survey data as well a participant response during lecture sessions illuminates areas of education or service that may be lacking in the community. Third, Sheppard Pratt's advocacy with local and national care agencies is another method for gathering information regarding services needed for overlooked or niche populations such as adolescents suffering from autistic spectrum disorders, residential or school services as well as services for transition age youth. Lastly, Sheppard Pratt's volunteer Board of Trustees participates annually in strategic planning initiatives as well as program-specific projects. With input from the Community Advisory Group, the Professional Education surveys, feedback from executive and management's advocacy efforts with government and community resources, the Sheppard Pratt Board of Trustees works purposefully with executives to sculpt the Health System's service array so that members of the community can access information or treatment thereby experiencing an improved quality of life.</NeedsAssessment>
        <PatientEducationAssistance>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 also 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 programs or 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 also 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 may be reviewed again for possible financial assistance.</PatientEducationAssistance>
        <CommunityInformation>Part VI, Line 4: Sheppard Pratt, a not-for-profit behavioral health system, is dedicated to the improvement of quality of life in communities by serving the behavioral health and special education needs of individuals, families and organizations. Eighty-five percent of Sheppard Pratt's clients are referred from the central Maryland area including Baltimore City and County, Anne Arundel, Carroll, Harford, and Howard Counties whose combined population encompasses 2,623,334 individuals. This central Maryland population is 48 percent male and 52 percent female with 64 percent of residents report being white, 29 percent report being of African American origin, and 7 percent reported being of another racial origin. Median age by jurisdiction ranged from a low of 34.3 years in Baltimore City to a high of 39.3 years in Carroll County. Central Maryland experiences a broad range of estimated median family income for the 6 jurisdictions with a low of $38,738 in Baltimore City and a high of $101,003 in Howard County. (Source: U. S. Census Bureau; 2005 to 2009 American Community Survey.) Sheppard Pratt strives to meet the mental health needs of this diverse community through the provision of community benefit programming as well as traditional treatment modalities so that the most vulnerable of our community have access to information, activities and/or treatment. Several other general acute hospitals serve this same community; however, Sheppard Pratt Health System is the only psychiatric specialty health system hospital serving the central Maryland area. A more detailed description of the depth and breadth of services provided to this population are described in the Part VI, line 6 narrative.</CommunityInformation>
        <CommunityBuildingActivities>Part VI, Line 5: Community Support: In addition to community support offered through Sheppard Pratt's Speakers' Bureau, its web site and free psychiatric literature, six community events occurred during FY 2010 covering a wide variety of perspectives on mental health topics and issues. Sheppard Pratt Health System attends local, regional and national conferences in order to reach a broad spectrum of the community with general psychiatric educational literature. In FY 2010, Sheppard Pratt provided educational information to the community by attending 29 conferences and thereby reaching over 4,000 conference attendees. A sample conference list included the Maryland Mental Health Association Town Fair, the Psychotherapy Networker conference, the Senior Expo, the Suicide Prevention Conference and the Brain Injury Association. In FY 2010, Sheppard Pratt's Speakers Bureau arranged ten mental health-related presentations to interested groups throughout the community; conservatively estimated, approximately 150 people were able to access free mental health information and education through these presentations. Sheppard Pratt's Web Site received 655,000 visitors in FY 2010; visitors have free access to mental health articles and links to other general, non-profit mental health resources. A portion of the web site is also devoted publicizing the Art (The Collection) and History (The Gibson Museum) installations at the Health System's main campus which are designed to reduce the stigma of mental illness. The Gibson Museum tells the story of the evolution of Sheppard Pratt as one of America's foremost private psychiatry hospitals. The Collection of Sheppard Pratt is comprised of the works of nearly 100 professionally trained artists whose life experiences have been impacted by mental illness or addictions. The Museum is open to the public Tuesdays from 9:30 a.m. until 1 p.m. and other times by appointment; the Collection is displayed throughout the public areas of the main campus with a self guided program available. Web site visitors may also view the artists' works on line. Free mental health education literature is available through both electronic web site and personal requests. In FY 2010, approximately 2,500 requests were fulfilled. A sample of topics includes: "A Parent's Guide to Childhood and Adolescence", "Aging Matters: A Guide for Older Adults and Their Children"; "Feelings After Birth: Postpartum Adjustment"; and, "Help and Hope: When Bad Things Happen" (A guide to coping with incidents of disaster and terrorism).A total of six free community educational events were held in FY 2010. -Annual Open Forum in October 2009: Drs. Jacqueline Olds and Richard Schwartz provided a detailed view of social isolationism in our society.-Goodbye Ed; Hello Me in October 2009: Author and inspirational speaker Jenni Schaefer spoke to the community regarding life after recovery from an eating disorder. -Mental Health Community Form in December 2010: Secretary Kathleen Sebelius addressed members of the community about impending health reform and the impact on mental health care delivery and financing. -Promoting Self Esteem and Positive Body Image in January 2010: Sheppard Pratt in collaboration with Jewish Community Services and Hadassah provided the opportunity for the community to join a day of free discussion groups and interactive workshops focusing on positive relationships with food, healthy living, and self esteem. -National Eating Disorders Awareness Week in February 2010: Rosalind Wiseman spoke to interested community members on positive parenting for a healthy self image-Living Tobacco Free in April 2010: Patrick Reynolds, grandson of tobacco magnate RJ Reynolds and an outspoken critic of smoking presented to a large community gathering regarding the value of smoking cessation for one's personal health as well as the general physical and financial health of our community. Sheppard Pratt's TeleBehavioral Services Program provides distance professional education and real-time telepsychiatry services. In FY 2010, approximately 186 clients received their psychiatric consultation and medication management services through this medium. Additionally, as part of Sheppard Pratt's Complementary FY 2010 Professional Education, Wednesday Lecture Series, 816 non-staff clinical professionals in rural areas accessed these free CME sessions through this same videoconferencing medium. Coalition BuildingCorporate volunteerism is a critical value at Sheppard Pratt and allows for coalition building opportunities. Sheppard Pratt leverages its coalition relationships to share its knowledge and experience with other, smaller non-profit organizations. Both executive and management staff participate on various community boards whose missions are dedicated to improving quality of life for all they serve. While in service to local and national non-profit organizations, Sheppard Pratt staff also have the opportunity to gather important needs assessment data critical to the development of community benefit programming.</CommunityBuildingActivities>
        <OtherInformation>Part VI, Line 6: Sheppard Pratt Health System continues its commitment to the founders' charter to "carry forward, and improve, the ameliorated system of treatment of the Insane with thoughtful, proactive services." Since its inception, Sheppard Pratt has evolved its services beyond the traditional inpatient or outpatient boundaries to provide a positive impact on thousands of individuals, their families and communities by providing access to a creative mix of community benefit-driven behavioral services with support when, where, and in whatever form is best suited to those in need. In FY 2010, 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 FY 2010, Sheppard Pratt provided service for 8,397 inpatient admissions resulting in service to 93,644 inpatient days, 74,350 outpatient and day hospital visits, 43,159 RTC/Respite days, and 129,698 student days. Sixty percent of inpatient services were provided to Medicare or Medicaid recipients. While a majority of patients were drawn from central Maryland, Sheppard Pratt's diverse programming also attracts patients nationally. Sheppard Pratt's flagship campus is located at 6501 North Charles Street, Baltimore, MD. As the founding location of the system, a majority of services are provided from this campus; services include inpatient, partial day hospitalization, intensive outpatient, Electro-Convulsive Therapy (ECT), crisis evaluation, residential treatment and respite centers, as well as 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 hospital services. The two inpatient hospital programs operate a total of 300 beds. Inpatient services include units specified 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).Sheppard Pratt's volunteer board of trustees is charged with governing the health system; trustees serve on the Health System's Foundation board providing a breadth and depth of community representation, wisdom and experience thereby insuring that Sheppard Pratt continues to provide a benefit to the public as outlined by its founders. A total of 34 Trustees (27 members and 7 officers) provide this oversight attending 6 standard meetings annually, and by participating on several of 13 committees. Committees meet on a varied schedule ranging from six times annually to twice per year. Additionally, select board committees provide needs assessment data to further guide the Health System in developing its service and community benefit programming. As part of its continued commitment to the community, Sheppard Pratt works to reduce the stigma of mental illness thereby easing the path to treatment for many. In addition to The Collection at Sheppard Pratt and the Gibson Museum available for viewing on line as well as in person, Sheppard Pratt also maintains the Evolution of Treatment hallway which works to provide the public with a view of the historical background of psychiatric treatment and hope for the future. In FY 2010, Sheppard Pratt continued to serve as a training resource for Positive Behavioral Interventions and Supports (PBIS), a grant-funded program provided in partnership with the Maryland Department of Education and Johns Hopkins University's Center for Prevention of Youth Violence. Sheppard Pratt trains educators in PBIS which enhances the capacity of schools to educate children in a safer and more effective environment. Institutes and special teams were also provided with PBIS training, which develops research-based, school wide and classroom discipline systems. In FY 2010, 20 trainings were provided to educators around the country to nearly 100 school personnel. To date in FY 2010, 817 schools have completed PBIS training.The Mobile Crisis Team is operated by Sheppard Pratt Health System to respond to mental health emergencies in Harford County at locations of occurrence, such as homes, work, schools, and emergency rooms. The program averts unnecessary visits to hospital emergency rooms and subsequent hospitalization of persons experiencing mental health crises. Teams of specially-trained mental health clinicians provide on-site assessments and crisis stabilization through therapeutic interventions. The program also provides access to more appropriate, effective and economical care in the community utilizing other resources such as outpatient counseling and rehabilitative services. Services are often consumed by individuals unwilling or unable to seek outpatient services as well as to law enforcement officers as they encounter psychiatric emergencies. In FY 2010, the program served 4,534 individuals as well as providing 5 public education sessions and 24 disaster assistance responses.</OtherInformation>
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          <BusinessNameLine1>BONNIE KATZ</BusinessNameLine1>
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          <BusinessNameLine1>JAMES TRUSCELLO</BusinessNameLine1>
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          <BusinessNameLine1>M THOMAS GRAHAM</BusinessNameLine1>
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          <BusinessNameLine1>PAUL D LIVELLI</BusinessNameLine1>
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          <BusinessNameLine1>DIANA RAMSAY</BusinessNameLine1>
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      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 1a</ReturnReference>
        <Explanation>Compensation is paid per contract.</Explanation>
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      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4a</ReturnReference>
        <Explanation>DIANA RAMSAY SEVERANCE OF $99,511. LINE 4B: THE ORGANIZATION IMPLEMENTED A 457(F) RETIREMENT PLAN DURING THE YEAR. PATRICIA PINKERTON Was a PARTICIPANT IN THIS PLAN. THE PLAN WAS NOT FUNDED IN CALENDAR YEAR 2009. DIANA RAMSAY WAS ALSO A PARTICIPANT IN THE PLAN AND WAS PAID OUT HER VESTED PORTION OF $10,417.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
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        </IssuerName>
        <IssuerEIN>520936091</IssuerEIN>
        <CUSIPNumber>574217KL8</CUSIPNumber>
        <DateIssued>2003-05-29</DateIssued>
        <IssuePrice>45590000</IssuePrice>
        <DescriptionOfPurpose>CONSTRUCT NEW HSPTL, RENOVATE EXISTING HSPTL, &amp; REFUND PREVIOUS BOND ISSUES</DescriptionOfPurpose>
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        <DateIssued>2003-05-29</DateIssued>
        <IssuePrice>45550000</IssuePrice>
        <DescriptionOfPurpose>CONSTRUCT NEW HSPTL, RENOVATE EXISTING HSPTL, &amp; REFUND PREVIOUS BOND ISSUES</DescriptionOfPurpose>
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        <IssuerEIN>520936091</IssuerEIN>
        <DateIssued>2009-12-01</DateIssued>
        <IssuePrice>22597549</IssuePrice>
        <DescriptionOfPurpose>PURCHASE OF SCHOOL BUILDING AND PROPERTY FOR NEW HOSPITAL</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
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        <TotalProceeds>46205991</TotalProceeds>
        <AmountInReserveFund>3725513</AmountInReserveFund>
        <IssuanceCostsFromProceeds>518250</IssuanceCostsFromProceeds>
        <CapitalExpenditures>41962228</CapitalExpenditures>
        <YearOfSubstCompletion>2005</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
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        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
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        <CapitalExpenditures>17899230</CapitalExpenditures>
        <YearOfSubstCompletion>2005</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
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        <CapitalExpenditures>22597594</CapitalExpenditures>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
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        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
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    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Hearn Burkley</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Timothy HEARN HAS AN OWNERSHIP INTEREST IN HEARN-BUrKLEY</Relationship>
        <AmountOfTransaction>350000</AmountOfTransaction>
        <DescriptionOfTransaction>HEARN-BURKLEY RECIEVED A COMMISsION ON THE SALE OF LAND.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
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        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>4</NumberOfContributions>
        <NoncashContribsRptdF990>394</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>fair market value</MethodOfDeterminingRevenues>
      </WorksOfArt>
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        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>3</NumberOfContributions>
        <NoncashContribsRptdF990>5055</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>stock exchange</MethodOfDeterminingRevenues>
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        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>donations for on-line auction for CFK event</Description>
        <NumberOfContributions>47</NumberOfContributions>
        <NoncashContribsRptdF990>32532</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>fair market value</MethodOfDeterminingRevenues>
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    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 4</Identifier>
        <Explanation>The organization amended its bylaws during the year. The changes are summarized below: 1. THE PREAMBLE WAS REVISED TO MORE ACCURATELY REFLECT THE MISSION OF THE HEALTH SYSTEM, AND TO MAKE EXPRESS REFERENCE TO SHEPPARD &amp; ENOCH PRATT FOUNDATION'S SOLE MEMBERSHIP ROLE WITH RESPECT TO THE HEALTH SYSTEM. 2. A SECTION NOW PROVIDES CLARIFICAtiON THAT SHEPPARD &amp; ENOCH PRATT FOUNDATION ELECTS HEALTH SYSTEM TRUSTEES. 3. THE PROHIBiTION OF TRUSTEE SERVICE BEYOND AGE 75 IS ABOLISHED. THE ANTI-DISCRIMINATION PROVISION IS EXPANDED BY INCLUDING ADDITIONAL CATEGORIES. 4. A SECTION WAS CORRECTED TO PROVIDE THAT THE FOUNDATION FILLS HEALTH SYSTEM BOARD VACANCIES. 5. A SECTION WAS UPDATED TO ALIGN MEETING REQUIREMENTS WITH CURRENT PRACTICES. 6. THE NUMBER OF TRUSTEES NEEDED TO CALL FOR A SPECIAL MEETING WAS INCREASED FROM TWO TO THREE, AND TRUSTEE REQUESTS FOR SPECIAL MEETINGS NOW GO TO THE CHAIRPERSON RATHER THAN THE SECRETARY. 7. A NEW SECTION WAS ADDED RELATED TO participation by electronic means TO REFLECT MODERN PRACTICE AND IS DERVIED FROM THE MARYLAND CODE. 8. A FORMER SECTION WAS AMENDED SO AS TO ELIMINATE POSSIBLE CONFUSION OVER WHEN A VOTE IS REQUIRED OR NOT REQUIRED. PROXY VOTING IS NOT PERMITTED. 9. A NEW SECTION CONFIRMS THAT REMOVAL OF A HEALTH SYSTEM TRUSTEE IS A POWER EXERCISABLE ONLY BY SHEPPARD &amp; ENOCH PRATT FOUNDATION. 10. THE CATEGORY OF THE PRESIDENT, SECRETARY AND TREASURER WAS CHANGED FROM "EXECUTIVE OFFICERS" TO "ELECTIVE OFFICERS". 11. A SECTION IS RENUMBERED AND AMENDED TO RESTRICT TO SHEPPARD &amp; ENOCH PRATT FOUNDATION THE POWER TO REMOVE THE PRESIDENT. THE TRUSTEES RETAIN POWER TO REMOVE ANY OTHER OFFICER BUT RECOGNIZES THE CONCURRENT POWER OF THE PRESIDENT TO REMOVE ANY APPOINTIVE OFFICER. 12. The section dealing with indemnification was modified so that trustees, associate trustees and officers are indemnified to the fullest extent required or permitted by Maryland law.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>SHEPPARD &amp; ENOCH PRATT FOUNDATION, INC. IS THE SOLE MEMBER OF THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>Sheppard &amp; Enoch Pratt Foundation holds reserved rights which include the powers to appoint board members.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>Sheppard &amp; Enoch Pratt Foundation holds reserved rights which include the powers to appoint and remove board members. The foundation also holds the right to approve certain select transactions of its subsidiaries.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES WILL REVIEW AND APPROVE THE 990. THE FINANCE COMMITTEE WILL THEN PRESENT THE 990 TO THE BOARD OF TRUSTEES AND RECOMMEND THEIR APPROVAL. FOLLOWING BOARD APPROVAL, THE 990 WILL BE FILED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>THE ORGANIZATION REQUIRES ALL TRUSTEES AND KEY EXECUTIVE PERSONNEL TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE CFO WHO SUMMARIZES THE REPORTED CONFLICTS. THIS INFORMATION IS THEN PRESENTED TO THE CEO AND TO THE CHAIRMAN OF THE BOARD FOR REVIEW. CONFLICTS ARE REPORTED AT BOARD MEETINGS AS APPROPRIATE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>SALARIES OF THE CEO AND TOP MANAGEMENT/PHYSICIANS ARE REVIEWED BY THE EMPLOYEE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THIS COMMITTEE IS COMPRISED OF INDEPENDENT TRUSTEES. THE TRUSTEES REVIEW COMPENSATION FOR REASONABLENESS. THEY USE COMPARATIVE INDUSTRY DATA IN THEIR REVIEW PROCESS. THE PROCESS FOR EMPLOYEE COMPENSATION INCLUDES DEVELOPMENT OF COMPENSATION RECOMMENDATIONS BASED ON MARKET SURVEYS AND OTHER COMPARATIVE INDUSTRY DATA. THE SALARY INFORMATION FOR THIS GROUP IS OBTAINED BY A CONSULTANT THAT IS EMPLOYED BY THE EXECUTIVE COMPENSATION COMMITTEE. THIS CONSULTANT USES CURRENT MARKET COMPENSATION SURVEYS AND OTHER COMPARATIVE INDUSTRY DATA TO MAKE RECOMMENDATIONS. THE RECOMMENDATIONS ARE THEN PRESENTED TO THE EXECUTIVE COMPENSATION COMMITTEE FOR APPROVAL. THE EXECUTIVE COMPENSATION COMMITTEE REPORTS THAT COMPENSATION WAS APPROVED TO THE FULL BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>THE ORGANIZATION POSTS ITS FINANCIAL STATEMENTS QUARTERLY ON THE DAC WEBSITE. FINANCIAL STATEMENTS AND OTHER POLICIES ARE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>990 PART XI, 2C</Identifier>
        <Explanation>THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SHEPPARD &amp; ENOCH PRATT FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 6815</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21285</ZIPCode>
        </AddressUS>
        <EIN>521357109</EIN>
        <PrimaryActivities>CONDUCT FUNDRAISING ACTIVITIES TO SUPPORT AFFILIATED ORGANIZATIONS</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SHEPPARD PRATT PHYSICIANS PA INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 6815</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21285</ZIPCode>
        </AddressUS>
        <EIN>521392214</EIN>
        <PrimaryActivities>PROVIDE HEALTH CARE TO PATIENTS &amp; RESIDENCY TRAINING TO MEDICAL PROFESSIONAL</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHEPPARD &amp; ENOCH PRATT FOUNDATION</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SHEPPARD PRATT INVESTMENT INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 6815</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21285</ZIPCode>
        </AddressUS>
        <EIN>521388935</EIN>
        <PrimaryActivities>HOLD AND MANAGE ENDOWMENT FUNDS OF RELATED NONPROFIT ENTITIES</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHEPPARD &amp; ENOCH PRATT FOUNDATION</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MOSAIC COMMUNITY SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1925 GREENSPRING DRIVE</AddressLine1>
          <City>TIMONIUM</City>
          <State>MD</State>
          <ZIPCode>21093</ZIPCode>
        </AddressUS>
        <EIN>521388141</EIN>
        <PrimaryActivities>PROVIDES COMMUNITY BASED THERAPEUTIC RESIDENTIAL, REHABILITATIVE SUPPORT</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHEPPARD &amp; ENOCH PRATT FOUNDATION</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>WAY STATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 3826</AddressLine1>
          <City>FREDERICK</City>
          <State>MD</State>
          <ZIPCode>21705</ZIPCode>
        </AddressUS>
        <EIN>521162749</EIN>
        <PrimaryActivities>PROVIDES REHABILITATIVE AND TREATMENT SERVICES</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHEPPARD &amp; ENOCH PRATT FOUNDATION</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FAMILY SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>610 EAST DIAMOND AVE</AddressLine1>
          <City>GAITHERSBURG</City>
          <State>MD</State>
          <ZIPCode>20877</ZIPCode>
        </AddressUS>
        <EIN>520730225</EIN>
        <PrimaryActivities>FOSTER STRONG &amp; HEALTHY INDIVIDUALS AND FAMILIES THROUGH EDUCATION</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHEPPARD &amp; ENOCH PRATT FOUNDATION</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BEHAVIORAL HEALTH PARTNERS OF FREDERICK INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 6815</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21285</ZIPCode>
        </AddressUS>
        <EIN>522125435</EIN>
        <PrimaryActivities>OUTPATIENT BEHAVIORAL HEALTH CARE SERVICES</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHEPPARD &amp; ENOCH PRATT FOUNDATION</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>REVISIONS COMMUNITY DEVELOPMENT ORG ING</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1925 GREENSPRING DRIVE</AddressLine1>
          <City>TIMONIUM</City>
          <State>MD</State>
          <ZIPCode>21093</ZIPCode>
        </AddressUS>
        <EIN>521849336</EIN>
        <PrimaryActivities>PROVIDE AFFORDABLE HOUSING TO CHRONICALLY MENTALLY DISABLED</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MOSAIC COMMUNITY SERVICES INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>NORTH BALTIMORE CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2225 NORTH CHARLES STREET</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21218</ZIPCode>
        </AddressUS>
        <EIN>520900071</EIN>
        <PrimaryActivities>COMMUNITY HEALTH FACILITY PROVIDING OUTPATIENT SERVICES</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MOSAIC COMMUNITY SERVICES INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DULANEY STATION COMMUNITY HOUSING DEVELOPMENT ORGANIZATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1925 GREENSPRING DRIVE</AddressLine1>
          <City>TIMONIUM</City>
          <State>MD</State>
          <ZIPCode>21093</ZIPCode>
        </AddressUS>
        <EIN>020650286</EIN>
        <PrimaryActivities>CREATE UNITS OF DECENT, AFFORDABLE HOUSING FOR LOW-INCOME ADULTS</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MOSAIC COMMUNITY SERVICES INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TURNING POINT OF WASHINGTON COUNTY INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>25 E NORTH AVE</AddressLine1>
          <City>hagerstown</City>
          <State>MD</State>
          <ZIPCode>21740</ZIPCode>
        </AddressUS>
        <EIN>521190659</EIN>
        <PrimaryActivities>PROVIDE EDUCATIONAL, VOCATIONAL, SOCIAL,RESIDENTIAL SUPPORT FOR MENTALLY ILl</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHEPPARD &amp; ENOCH PRATT FOUNDATION</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SHEPPARD PRATT PREFERRED RESOURCES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6501 N CHARLES STREET</AddressLine1>
          <City>TOWSON</City>
          <State>MD</State>
          <ZIPCode>21285</ZIPCode>
        </AddressUS>
        <EIN>521757742</EIN>
        <PrimaryActivity>INACTIVE</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ATLANTIC RECYCLED PAPER COMPANY INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1925 GREENSPRING AVE</AddressLine1>
          <City>TIMONIUM</City>
          <State>MD</State>
          <ZIPCode>21093</ZIPCode>
        </AddressUS>
        <EIN>521737872</EIN>
        <PrimaryActivity>INACTIVE</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>1</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>