TY 2017 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) THE HON J F MOTZ...................................................................... CHAIRPERSON	1.00 ................. 0.00	X	X
(2) JOSHUA KAKEL...................................................................... VICE CHAIRPERSON, TRUSTEE(PART YEAR)	1.00 ................. 0.00	X	X
(3) ALFRED SINGER...................................................................... VICE CHAIRPERSON, TRUSTEE	1.00 ................. 0.00	X	X
(4) EMILE A BENDIT...................................................................... TRUSTEE	1.00 ................. 0.00	X
(5) KEVIN BENSON...................................................................... TRUSTEE	1.00 ................. 0.00	X
(6) S WINFIELD CAIN...................................................................... TRUSTEE	1.00 ................. 0.00	X
(7) PENELOPE CORDISH...................................................................... TRUSTEE	1.00 ................. 0.00	X
(8) ALAN EVANS...................................................................... TRUSTEE	1.00 ................. 0.00	X
(9) SUSAN FENIMORE...................................................................... TRUSTEE	1.00 ................. 0.00	X
(10) ELIZABETH FORBUSH...................................................................... TRUSTEE	1.00 ................. 0.00	X
(11) ALAN GAMSE...................................................................... TRUSTEE	1.00 ................. 0.00	X
(12) PHILLIP H GRANTHAM...................................................................... TRUSTEE	1.00 ................. 0.00	X
(13) BOB HAMILTON...................................................................... TRUSTEE	1.00 ................. 0.00	X
(14) BONITA HEARN...................................................................... TRUSTEE	1.00 ................. 0.00	X
(15) ROBERT KRESSLEIN...................................................................... TRUSTEE	1.00 ................. 0.00	X
(16) CRISTIN C LAMBROS...................................................................... TRUSTEE	1.00 ................. 0.00	X
(17) WILLIAM MORTON...................................................................... TRUSTEE	1.00 ................. 0.00	X

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) COLLIN MOTHUPI........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0
(19) ROBERT SCHAFTEL........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0
(20) GAIL L SHAWE........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0
(21) JOHN W STEELE III........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0
(22) GARY TALLES........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0
(23) JIM WIEDERHOLD........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0
(24) SUSAN GAY WILLIAMS........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0
(25) PAMELA YOUNG........................................................................ TRUSTEE	1.00 .......................0.00	X					0	0
(26) HARSH K TRIVEDI MD........................................................................ PRESIDENT & CEO	40.00 .......................5.00		X				841,500	139,909
(27) RAY R DZIESINSKI........................................................................ VP, CFO, SECRETARY/TREASURER	40.00 .......................5.00		X				380,005	53,820
(28) STEPHANIE PROVENZA........................................................................ ASSISTANT SECRETARY	40.00 .......................1.00		X				63,209	28,875
(29) BONNIE KATZ........................................................................ SR. VP, STRATEGY & BUSINESS	40.00 .......................5.00			X			386,448	97,729
(30) ERNESTINE COSBY........................................................................ VP CLINICAL SERVICES	40.00 .......................0.00			X			270,689	130,041
(31) ARMANDO E COLOMBO........................................................................ EVP & COO	40.00 .......................0.00			X			207,334	33,813
(32) GERALD A NOLL........................................................................ FORMER CFO	40.00 .......................5.00				X		216,374	57,225
(33) THOMAS D HESS........................................................................ CHIEF OF STAFF	40.00 .......................0.00				X		193,518	77,143
(34) SHERRY L MCGRAW........................................................................ STAFF NURSE	40.00 .......................0.00				X		182,827	14,090
(35) ANTONIO DEPAOLO........................................................................ CHIEF TRANSFORMATION OFFICER	40.00 .......................0.00				X		178,149	29,443
(36) DONNA M CORBETT........................................................................ DIR. ACCOUNTING & FINANCIAL RPTG	40.00 .......................0.00				X		168,775	48,270
(37) CATHERINE R DOUGHTY........................................................................ VP HUMAN RESOURCES (FORMER)	0.00 .......................0.00					X	226,390	259
(38) MARGUERITE KELLEY........................................................................ VP, PHILANTHROPY (FORMER)	40.00 .......................2.00					X	163,123	4,091

(A) Name and business address	(B) Description of services	(C) Compensation
CENTER FOR EATING DISORDERS PA 6535 N CHARLES ST STE 300 TOWSON,MD21204	PROFESSIONAL MANAGEMENT FEES	2,962,144
GREATER BALTIMORE MEDICAL CENTER 6701 N CHARLES ST TOWSON,MD21204	LAB & OTHER CLINICAL SERVICES	2,168,000
UNIVERSITY OF MARYLAND MEDICAL SYSTEM PO BOX 64468-4468 BALTIMORE,MD21264	RESIDENCY TRAINING PROGRAM	2,154,819
ALLSCRIPTS HEALTHCARE LLC 24630 NETWORK PLACE CHICAGO,IL60673	SYSTEM CONSULTING	1,342,727
POLLYCHIRP INTERPRETING 3107 W COLORADO AVE COLORADO,CO80904	INTERPRETING SERVICES	932,270
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 46

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

SHEPPARD PRATT HEALTH SYSTEM INC

Employer identification number

52-0591684

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2018. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2018. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2019 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

SHEPPARD PRATT HEALTH SYSTEM INC

Employer identification number

52-0591684

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization SHEPPARD PRATT HEALTH SYSTEM INC

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization SHEPPARD PRATT HEALTH SYSTEM INC		Employer identification number 52-0591684

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization SHEPPARD PRATT HEALTH SYSTEM INC			Employer identification number 52-0591684
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

SHEPPARD PRATT HEALTH SYSTEM INC

Employer identification number

52-0591684

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2019

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2019

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

140,731

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

18,278

Total. Add lines 1c through 1i ....................................................................................................

159,009

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
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).

Return Reference

Explanation

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).

Schedule C (Form 990 or 990EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

SHEPPARD PRATT HEALTH SYSTEM INC

Employer identification number

52-0591684

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.

			Held at the End of the Year
a	Total number of conservation easements ......................	2a	1
b	Total acreage restricted by conservation easements ....................	2b	0.00
c	Number of conservation easements on a certified historic structure included in (a) .....	2c	1
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d	0

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

1.00

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

$ 0

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

$ 688,357

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2019

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	15,527,252		15,527,252
b	Buildings ....	260,062,472	147,041,031	113,021,441
c	Leasehold improvements
d	Equipment ....	60,549,601	44,524,828	16,024,773
e	Other .....	32,258,539	8,076,069	24,182,470
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				168,755,936

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) INVESTMENTS LIMITED OR RESTRICTED AS TO USE	119,037,892	F
(B) INTEREST IN NET ASSETS OF FOUNDATION	13,828,924	F
(C) INVESTMENTS IN PARTNERSHIPS/HEDGE FUNDS	10,865,312	F
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	143,732,128

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	32,499,884
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	239,105,554
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	668,410
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-1,536,796
e	Add lines 2a through 2d .....................			2e	-868,386
3	Subtract line 2e from line 1..................			3	239,973,940
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	144,297
b	Other (Describe in Part XIII.) ...........	4b	-189,091
c	Add lines 4a and 4b....................			4c	-44,794
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	239,929,146

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	234,132,619
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c	189,091
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................			2e	189,091
3	Subtract line 2e from line 1...................			3	233,943,528
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	144,297
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................			4c	144,297
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	234,087,825

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
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.

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

SHEPPARD PRATT HEALTH SYSTEM INC

Employer identification number

52-0591684

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 25000.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	3,483,494		3,483,494	1.490 %
b	Medicaid (from Worksheet 3, column a) . . . . .
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	3,483,494		3,483,494	1.490 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,013,078	664,377	348,701	0.150 %
f	Health professions education (from Worksheet 5) . . .	2,507,497	418,986	2,088,511	0.890 %
g	Subsidized health services (from Worksheet 6) . . . .	704,950	99,129	605,821	0.260 %
h	Research (from Worksheet 7) .	151,376		151,376	0.060 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	112,379		112,379	0.050 %
j	Total. Other Benefits . .	4,489,280	1,182,492	3,306,788	1.410 %
k	Total. Add lines 7d and 7j .	7,972,774	1,182,492	6,790,282	2.900 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	14	997	11,502	11,502	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	19		231,668	231,668	0.100 %
7	Community health improvement advocacy		6,272	1,078,473	1,078,473	0.460 %
8	Workforce development
9	Other
10	Total	33	7,269	1,321,643	1,321,643	0.560 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

1,901,017

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

17,024,760

Enter Medicare allowable costs of care relating to payments on line 5.....

20,109,796

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-3,085,036

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2019

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)				Other (describe)
1	SHEPPARD PRATT HOSPITAL 6501 N CHARLES STREET TOWSON,MD21204 WWW.SHEPPARDPRATT.ORG 03-039	X	X	SEE NARRATIVE
2	SHEPPARD PRATT AT ELLICOTT CITY 4100 COLLEGE AVENUE ELLICOTT CITY,MD21041 WWW.SHEPPARDPRATT.ORG 13-002	X		SEE NARRATIVE

Schedule H (Form 990) 2019

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	SHEPPARD PRATT HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTPS://WWW.SHEPPARDPRATT.ORG/CHNA

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTPS://WWW.SHEPPARDPRATT.ORG/CHNA

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	SHEPPARD PRATT HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000%
and FPG family income limit for eligibility for discounted care of 250.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V - SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V - SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V - SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	SHEPPARD PRATT HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	SHEPPARD PRATT HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	SHEPPARD PRATT AT ELLICOTT CITY
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTPS://WWW.SHEPPARDPRATT.ORG/CHNA

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTPS://WWW.SHEPPARDPRATT.ORG/CHNA

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	SHEPPARD PRATT AT ELLICOTT CITY
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000%
and FPG family income limit for eligibility for discounted care of 250.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V - SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V - SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V - SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	SHEPPARD PRATT AT ELLICOTT CITY
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	SHEPPARD PRATT AT ELLICOTT CITY
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
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.

Schedule H (Form 990) 2019

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?16
Name and address		Type of Facility (describe)
1	1 - MANN RESID TREATMENT CENTER & SCHOOL 6501 NORTH CHARLES STREET BALTIMORE,MD21204	LICENSED RESIDENTIAL TREATMENT CENTER/SP. ED. SCHOOL
2	2 - THE RETREAT AT SHEPPARD PRATT 6501 NORTH CHARLES STREET BALTIMORE,MD21204	16-BED LICENSED ASSISTED LIVING PROGRAM
3	3 - JEFFERSON RESID TREATMENT CTRSCHOOL 2940 POINT OF ROCKS ROAD PO BOX 9 JEFFERSON,MD21755	LICENSED RESIDENTIAL TREATMENT CENTER/SP. ED. SCHOOL
4	4 - FORBUSH SCHOOL AT GLYNDON HIGH SCHOOL 12039 REISTERSTOWN ROAD BALTIMORE,MD21136	12-MONTH NON-PUBLIC PROGRAM FOR SPECIAL EDUCATION AND RELATED SERVICES
5	5 - FORBUSH SCHOOL AT GLYNDON 407 CENTRAL AVENUE REISTERSTOWN,MD21136	12-MTH SPECIAL ED. DAY SCH FOR STUDENTS WITH BEHAVIORAL & EMOTIONAL DISABILI
6	6 - FROST SCHOOL & OAKMONT & LODGE PROG 4915 ASPEN HILL ROAD ROCKVILLE,MD20853	12-MTH SPECIAL ED. DAY SCH FOR STUDENTS WITH BEHAVIORAL & EMOTIONAL DISABILI
7	7 - FORBUSH SCHOOL AT HUNT VALLEY 11201 PEPPER ROAD HUNT VALLEY,MD21031	12-MONTH SPECIAL EDUCATION DAY SCHOOL FOR STUDENTS WITH AUTISM
8	8 - FORBUSH SCHOOL AT PRINCE GEORGE'S CO 4819 WALDEN LANE LANHAM,MD20706	12-MONTH SPECIAL EDUCATION DAY SCHOOL FOR STUDENTS WITH AUTISM
9	9 - JEFFERSON SCHOOL AT FINAN CENTER 10100 COUNTRY CLUB ROAD SOUTHEAST CUMBERLAND,MD21502	12-MTH SPECIAL ED. DAY SCH FOR STUDENTS WITH BEHAVIORAL & EMOTIONAL DISABILI
10	10 - RUXTON HOUSE 1506 LABELLE AVENUE BALTIMORE,MD21204	8-BED LICENSED GROUP HOME
11	11 - FORBUSH SCHOOL AT OAKMONT - UPPER 610 EAST DIAMOND AVENUE GAITHERSBURG,MD20877	12-MONTH SPECIAL EDUCATION DAY SCHOOL FOR STUDENTS WITH AUTISM
12	12 - FORBUSH SCHOOL AT ANNE ARUNDEL 648 OLD MILL ROAD MILLERSVILLE,MD21108	11-MONTH DAY SCHOOL FOR SPECIAL ED. & RELATED SERVICES IN A PUBLIC SCHOOL
13	13 - HANNAH MORE AT MILLERSVILLE ELEM SCH 1601 MILLERSVILLE ROAD MILLERSVILLE,MD21108	10-MONTH DAY SCHOOL FOR SPECIAL ED. & RELATED SERVICES IN A PUBLIC SCHOOL
14	14 - HANNAH MORE AT SEVERN MIDDLE SCHOOL 241 PENINSULA FARM ROAD ARNOLD,MD21012	10-MONTH DAY SCHOOL FOR SPECIAL ED. & RELATED SERVICES IN A PUBLIC SCHOOL
15	15 - HANNAH MORE AT SEVERNA PARK HIGH SCH 60 ROBINSON ROAD SEVERNA PARK,MD21146	10-MONTH DAY SCHOOL FOR SPECIAL ED. & RELATED SERVICES IN A PUBLIC SCHOOL
16	16 - FORBUSH SCHOOL AT ANNE ARUNDEL SOUTH 140 STEPNY LANE EDGEWATER,MD21037	11-MONTH SPECIAL ED. AND RELATED SERVICES PROGRAM IN A PUBLIC SCH SETTING

Schedule H (Form 990) 2019

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
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

Schedule H (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

SHEPPARD PRATT HEALTH SYSTEM INC

Employer identification number

52-0591684

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2019

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1HARSH K TRIVEDI MD PRESIDENT & CEO	(i) (ii)	838,277 ------------- 0	0 ------------- 0	3,223 ------------- 0	109,275 ------------- 0	30,634 ------------- 0	981,409 ------------- 0	0 ------------- 0
2RAY R DZIESINSKI VP, CFO, SECRETARY/TREASURER	(i) (ii)	376,038 ------------- 0	0 ------------- 0	3,967 ------------- 0	36,899 ------------- 0	16,921 ------------- 0	433,825 ------------- 0	0 ------------- 0
3BONNIE KATZ SR. VP, STRATEGY & BUSINESS	(i) (ii)	378,920 ------------- 0	0 ------------- 0	7,528 ------------- 0	79,995 ------------- 0	17,734 ------------- 0	484,177 ------------- 0	0 ------------- 0
4ERNESTINE COSBY VP CLINICAL SERVICES	(i) (ii)	262,146 ------------- 0	0 ------------- 0	8,543 ------------- 0	119,521 ------------- 0	10,520 ------------- 0	400,730 ------------- 0	0 ------------- 0
5ARMANDO E COLOMBO EVP & COO	(i) (ii)	204,543 ------------- 0	0 ------------- 0	2,791 ------------- 0	10,356 ------------- 0	23,457 ------------- 0	241,147 ------------- 0	0 ------------- 0
6GERALD A NOLL FORMER CFO	(i) (ii)	214,049 ------------- 0	0 ------------- 0	2,325 ------------- 0	34,564 ------------- 0	22,661 ------------- 0	273,599 ------------- 0	0 ------------- 0
7THOMAS D HESS CHIEF OF STAFF	(i) (ii)	189,435 ------------- 0	0 ------------- 0	4,083 ------------- 0	76,222 ------------- 0	921 ------------- 0	270,661 ------------- 0	0 ------------- 0
8SHERRY L MCGRAW STAFF NURSE	(i) (ii)	179,290 ------------- 0	2,722 ------------- 0	815 ------------- 0	14,030 ------------- 0	60 ------------- 0	196,917 ------------- 0	0 ------------- 0
9ANTONIO DEPAOLO CHIEF TRANSFORMATION OFFICER	(i) (ii)	176,581 ------------- 0	0 ------------- 0	1,568 ------------- 0	9,358 ------------- 0	20,085 ------------- 0	207,592 ------------- 0	0 ------------- 0
10DONNA M CORBETT DIR. ACCOUNTING & FINANCIAL RPTG	(i) (ii)	166,590 ------------- 0	0 ------------- 0	2,185 ------------- 0	36,100 ------------- 0	12,170 ------------- 0	217,045 ------------- 0	0 ------------- 0
11CATHERINE R DOUGHTY VP HUMAN RESOURCES (FORMER)	(i) (ii)	94,779 ------------- 0	0 ------------- 0	131,611 ------------- 0	0 ------------- 0	259 ------------- 0	226,649 ------------- 0	0 ------------- 0
12MARGUERITE KELLEY VP, PHILANTHROPY (FORMER)	(i) (ii)	66,696 ------------- 0	0 ------------- 0	96,427 ------------- 0	0 ------------- 0	4,091 ------------- 0	167,214 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
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

Schedule J (Form 990) 2019

Additional Data

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
SHEPPARD PRATT HEALTH SYSTEM INC

Employer identification number
52-0591684

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MD HEALTH & HIGHER EDUCATIONAL FACILITIES	52-0936091		12-20-2017	100,000,127	CONSTRUCT HOSPITAL, OTHER CAPITAL PROJECTS		X		X		X
B	MD HEALTH & HIGHER EDUCATIONAL FACILITIES	52-0936091		12-20-2017	78,747,873	CURRENT REFUND 2012A/2012B BONDS		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	89,000		1,330,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	100,664,881		78,747,873
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............
11 Other spent proceeds .............			78,747,873
12 Other unspent proceeds .............	100,664,881
13 Year of substantial completion .............			2010
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? ........
16 Has the final allocation of proceeds been made? ..........		X	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2019

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X	X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?			X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X	X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?			X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X
b Exception to rebate? ........		X		X
c No rebate due? .........		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2019

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?	X			X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
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.

Schedule K (Form 990) 2019

Additional Data

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SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

SHEPPARD PRATT HEALTH SYSTEM INC

Employer identification number

52-0591684

Return Reference	Explanation
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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

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SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

SHEPPARD PRATT HEALTH SYSTEM INC

Employer identification number

52-0591684

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)SHEPPARD & ENOCH PRATT FOUNDATION PO BOX 6815 BALTIMORE,MD21285 52-1357109	CONDUCT FUNDRAISING ACTIVITIES TO SUPPORT AFFILIATED ORGANIZATIONS	MD	501(C)(3)	7	N/A		No
(2)SHEPPARD PRATT PHYSICIANS PA PO BOX 6815 BALTIMORE,MD21285 52-1392214	PROVIDE HEALTHCARE TO PATIENTS & RESIDENCY TRAINING TO MEDICAL PROF.	MD	501(C)(3)	10	SHEPPARD & ENOCH PRATT FOUNDATION		No
(3)SHEPPARD PRATT INVESTMENT INC PO BOX 6815 BALTIMORE,MD21285 52-1388935	HOLD AND MANAGE ENDOWMENT FUNDS OF RELATED NONPROFIT ENTITIES	MD	501(C)(3)	12A	SHEPPARD & ENOCH PRATT FOUNDATION		No
(4)MOSAIC COMMUNITY SERVICES INC 1925 GREENSPRING DRIVE TIMONIUM,MD21093 52-1388141	PROVIDES THERAPEUTIC RESIDENTIAL REHAB & SUPPORT SERVICES	MD	501(C)(3)	7	SHEPPARD & ENOCH PRATT FOUNDATION		No
(5)WAY STATION INC PO BOX 3826 FREDERICK,MD21705 52-1162749	PROVIDES REHABILITATIVE AND TREATMENT SERVICES	MD	501(C)(3)	7	SHEPPARD & ENOCH PRATT FOUNDATION		No
(6)FAMILY SERVICES INC 610 EAST DIAMOND AVE GAITHERSBURG,MD20877 52-0730225	FOSTER HEALTHY FAMILIES THROUGH EDUCATION, BEHAVIORAL HEALTH SERVICES	MD	501(C)(3)	7	SHEPPARD & ENOCH PRATT FOUNDATION		No
(7)REVISIONS COMMUNITY HOUSING DEVELOPMENT ORGANIZATION INC 1925 GREENSPRING DRIVE TIMONIUM,MD21093 52-1849336	PROVIDE AFFORDABLE HOUSING TO CHRONICALLY MENTALLY DISABLED INDIVIDUALS	MD	501(C)(3)	10	MOSAIC COMMUNITY SERVICES INC		No
(8)DULANEY STATION COMMUNITY HOUSING DEVELOPMENT ORGANIZATION INC 1925 GREENSPRING DRIVE TIMONIUM,MD21093 02-0650286	CREATES AFFORDABLE HOUSING FOR LOW-INCOME ADULTS W/ PSYCHIATRIC DISABILITIES	MD	501(C)(3)	10	MOSAIC COMMUNITY SERVICES INC		No
(9)ALLIANCE INC 8003 CORPORATE DRIVE NOTTINGHAM,MD21236 52-1277262	EDUC., VOC., & RESID. SERVICES FOR INDIVIDUALS WITH DISABILITIES	MD	501(C)(3)	7	MOSAIC COMMUNITY SERVICES INC		No
(10)WAY STATION FOUNDATION INC 230 W PATRICK ST PO BOX 3826 FREDERICK,MD21705 52-1857765	SOLICIT AND ACCEPT FUNDS AND PROPERTY TO SUPPORT AFFILIATED ORGANIZATION	MD	501(C)(3)	7	WAY STATION INC		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2019

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) SHEPPARD PRATT PREFERRED RESOURCES INC 6501 N CHARLES STREET TOWSON,MD21285 52-1757742	INACTIVE	MD	N/A	C				No

Schedule R (Form 990) 2019

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) SHEPPARD PRATT INVESTMENTS INC	C	4,373,568	FMV
(2) SHEPPARD PRATT INVESTMENTS INC	D	2,633,998	FMV

Schedule R (Form 990) 2019

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2019

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. (see instructions).

Return Reference	Explanation
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.

Schedule R (Form 990) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PROVIDE INPATIENT BEHAVIORAL HEALTH CARE. PROVIDE RELATED BEHAVIORAL, SPECIAL EDUCATION, AND RESIDENTIAL CARE FOR CHILDREN/ADOLESCENTS. SPONSOR RESIDENCY TRAINING PROGRAMS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	25
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	25
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	3,263
6	Total number of volunteers (estimate if necessary) .............	6	353
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	331,568
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	222,035

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,385,340	4,625,891
9	Program service revenue (Part VIII, line 2g) .........	218,330,837	222,766,339
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,043,844	2,305,171
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	8,222,935	10,231,745
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	229,982,956	239,929,146
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	11,235	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	147,543,470	154,329,245
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 515,533
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	71,583,737	79,758,580
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	219,138,442	234,087,825
19	Revenue less expenses. Subtract line 18 from line 12.......	10,844,514	5,841,321
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	321,861,312	415,217,541
21	Total liabilities (Part X, line 26).............	157,395,644	232,155,031
22	Net assets or fund balances. Subtract line 21 from line 20.....	164,465,668	183,062,510

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 202,061,032 including grants of $ ) (Revenue $ 230,572,327 )
	SHEPPARD PRATT HEALTH SYSTEM PROVIDES INPATIENT BEHAVIORAL HEALTH CARE, OUTPATIENT/ANCILLARY CARE, RESIDENTIAL SERVICES, SPECIAL EDUCATION TO STUDENTS AND RESIDENCY TRAINING PROGRAMS.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses202,061,032

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	3,478,341	0	714,708

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	4,625,891

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		4,625,891

		Business Code
2a	PATIENT SERVICE REVENUE	621990	136,186,541	136,186,541
b	EDUCATIONAL SERVICE REVENUE	611600	53,261,746	53,261,746
c	RTC/RESPITE REVENUE	623000	18,351,076	18,351,076
d	RETREAT REVENUE	621990	14,966,976	14,966,976
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		222,766,339

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,568,049			1,568,049
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		828,120	6a
b	Less: rental expenses		0	6b
c	Rental income or (loss)		828,120	6c
d	Net rental income or (loss).......			828,120			828,120
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	4,133	9,236,184	7a
b	Less: cost or other basis and sales expenses	193,225	8,309,970	7b
c	Gain or (loss)	-189,092	926,214	7c
d	Net gain or (loss).........			737,122			737,122
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	INTERCORPORATE REVENUE		900099	4,844,731	4,844,731
b	OTHER OPERATING REVENUE		900099	4,227,326	2,961,257		1,266,069
c	OTHER REVENUE - UNRELATED		900002	331,568		331,568
d	All other revenue ....
e	Total. Add lines 11a–11d ......			9,403,625
12	Total revenue. See instructions.....			239,929,146	230,572,327	331,568	4,399,360

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	3,386,644		3,386,644
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	121,027,861	111,575,287	9,196,865	255,709
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	6,135,986	5,532,617	590,689	12,680
9	Other employee benefits .......	14,826,960	13,974,168	820,766	32,026
10	Payroll taxes ...........	8,951,794	8,071,539	861,757	18,498
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	535,828	31,789	504,039
c	Accounting ...........	437,212		437,212
d	Lobbying ...........	159,009		159,009
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	144,297		144,297
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	16,745,125	14,472,341	2,219,464	53,320
12	Advertising and promotion ....	1,598,906	192,561	1,406,345
13	Office expenses .......	3,609,322	2,758,964	840,071	10,287
14	Information technology ......	3,552,384	55,743	3,496,641
15	Royalties ..
16	Occupancy ...........	10,121,845	8,401,650	1,679,227	40,968
17	Travel ............	348,020	308,391	39,605	24
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	791,513	539,422	250,654	1,437
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	14,631,614	13,399,265	1,231,432	917
23	Insurance ...	1,479,839	650	1,479,189
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	INTERCOMPANY CHARGES	11,422,658	10,622,919	799,739
b	REPAIRS AND MAINTENANCE	4,207,970	3,188,714	1,019,256
c	SUPPLIES	3,761,300	3,697,380	63,920
d	FOOD	3,489,565	3,488,526	1,039
e	All other expenses	2,722,173	1,749,106	883,400	89,667
25	Total functional expenses. Add lines 1 through 24e	234,087,825	202,061,032	31,511,260	515,533
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			60,287,300	1	39,252,413
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			22,030,515	4	24,692,649
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			0	7	296,478
8	Inventories for sale or use ............				8
9	Prepaid expenses and deferred charges ......			7,153,692	9	9,058,369
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	368,397,864
b	Less: accumulated depreciation	10b	199,641,928	163,610,053	10c	168,755,936
11	Investments—publicly traded securities .			20,320,670	11	21,329,179
12	Investments—other securities. See Part IV, line 11 .....			22,846,785	12	143,732,128
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			25,612,297	15	8,100,389
16	Total assets. Add lines 1 through 15 (must equal line 33)...			321,861,312	16	415,217,541

17	Accounts payable and accrued expenses .....	19,834,872	17	22,326,147
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	80,420,179	20	177,329,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	57,140,593	25	32,499,884
26	Total liabilities. Add lines 17 through 25..	157,395,644	26	232,155,031

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	164,465,668	32	183,062,510
33	Total liabilities and net assets/fund balances ........	321,861,312	33	415,217,541