Sheppard Pratt Health System Annual Report | FY17

FORWARD

together

S H E P P A R D P R A T T H E A LT H S Y S T E M ANNUAL REPORT 2017

SHEPPARD PRATT ANNUAL REPORT 2017

1 Message from our Board Chair 3 Sheppard Pratt Health System 5 Message from our President and CEO 6 Integrated Behavioral Health 7 Smoking Cessation 8 Health Home Program 9 Complex Care Management 10 Offsite Counseling 11 Assertive Community Treatment Program 12 Supporting Families 13 Supporting Veterans 14 Telepsychiatry Program 15 Leadership and Boards of Trustees 16 Sheppard Pratt’s Footprint 18 Statistics and Financials 21 Philanthropy Update 22 2017 Donors

message from our chair of the board of trustees Dear Friends, Sheppard Pratt Health System was founded in 1853 on a set of four core Quaker values: to meet a need, to lead, to care, and to respect. As we have grown from a single hospital in Towson to the largest private, non-profit provider of mental health, substance use, special education, and social services in the nation, we have remained true to our mission.

I believe that the one in five Americans living with mental illness deserves access to the best, highest quality treatment available. As I reflect on the past year, I am encouraged by our incredible achievements.

We were once again named the top freestanding psychiatric hospital in the nation by U.S. News & World Report. We are earnestly moving forward with our plans to build a brand new, state-of-the-art facility, ensuring that we can serve even more people.

And, we are working to advance care for all by leading the development of the nation's first comprehensive mental health registry with the American Psychiatric Association.

As Chairman of the Board, I am gratified to see that, as much as we have evolved and grown, we have remained committed to delivering the best care.

We are working tirelessly to meet needs that might otherwise not be met. We appreciate your partnership and support as we move ForwardTogether.

Sincerely,

The Honorable J. Frederick Motz Chair, Board of Trustees

SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT 1

providing

world-class, innovative & compassionate care across a comprehensive continuum of services.

2 SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT

a year of hope and healing

1

#

163 16

private, non-proďŹ t provider of psychiatric services in the nation

programs across

Maryland counties

patients from

42 6 states and

countries served

387 sites of service

largest provider of non-public special education programming in Maryland

Recipient of 2017 Recognition of Excellence in Wellness

by SAMHSA

SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT 3

4 SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT

AMAZED that, even after 160 years, our patient-centered treatment approach has

remained the same as when we first opened our doors. Our founder, Moses Sheppard

envisioned a place that treated patients with dignity and respect, with a window in eac room and soothing grounds to look at through the window. And while our treatments and therapies have always been modern and ahead of their time, our commitment to

providing compassionate care has never changed. Each of the 5,161 employees across our health system ask themselves one question on a daily basis: “Is this the care I

would want if this were my loved one?” Answering “yes” to this fundamental question i

message

what ensures that, even today, as the nation’s largest non-profit provider of mental health, substance use, special education, and social support services, we continue to carry out Sheppard’s dream of improving the quality of life of those we serve.

GRATEFUL for the wisdom and bold leadership of those that came before me and

of those that help to guide me. Despite the ever-changing healthcare landscape,

from our president and ceo

Sheppard Pratt has always found a way to broaden our mission, expand our impact,

and thrive so that we can continue to help more and more people. Much of this growth is thanks to the civic-mindedness of the board of trustees to whom I report, and the foresight of the five presidents who preceded me. I am thankful that the board of trustees and senior leaders at Sheppard Pratt have put their faith in me to help guide

Innovators. Lifesavers. Changemakers. We are driven by an insatiable desire to improve outcomes for those we serve. And as we continue to innovate and broaden our footprint, the definition of those we serve continues to expand.

In 1853, we were founded by Moses Sheppard as a single psychiatric hospital devoted to compassionately serving the mental health needs of our patients. Today, we are still devoted to this mission of compassion.

Over the past 20 years, we have substantially expanded

us into the future.

You will see how we work to keep families together,

EXCITED for what is to come. We will continue to stay true to our mission, as

in their homes, and thriving, supported through our special

Moses Sheppard originally intended, to provide the best, most compassionate and

education and social services.

comprehensive care. We will lead the way by innovating the field with our research to

In this rapidly transforming world, we will continue to

develop better treatments and therapies. We will further expand our ability to define

for the greater good. continue to are. provide whatinnovate world-class mental health careWe andwill treatment truly We will do this while

lifesaving care that impacts people as possible. partnering, educating, and trainingas tomany have the greatest impact on the lives of as many Weas will continue toisthink beyond convention. We are people possible.

This our duty.

changemakers, the good of of mental health care.

I look forward to implementing working with allchange of you tofor define the future Andthose that future has never been brighter. we serve.

Sincerely,

our community-based services. Our robust system of care innovatively weaves across communities to provide support close to where people live, work, and attend school. We have grown from a single, inpatient

Harsh K. Trivedi, M.D., MBA

psychiatric hospital to the largest private, non-profit

Harsh K. Trivedi, MD, MBA

provider of mental health, substance use, special

President and CEO

education, and social services in the country. Beyond

Sheppard Pratt Health System

President and CEO

Sheppard Pratt Health System

scale, we provide the quality of care that you would expect for your loved one.

SHEPPARD PRATT

2

ANNUAL REPORT

This year’s annual report focuses on the incredible work Sheppard Pratt Health System is doing within our communities. You will learn about how we are advancing care in our programs, hospitals, and partner organizations to keep people well. You will read about the partnership we have developed with Greater Baltimore Medical Center (GBMC), where we have embedded mental health and addictions specialists into many of their primary care practices, treating the whole person. You will learn about the work we are doing to provide housing and career development programs for homeless veterans.

SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT 5

INTEGRATED BEHAVIORAL HEALTH

bringing Sheppard Pratt

expertise

to your primary care doctor's office

T

wenty-nine percent of all patients with medical

physician is able to receive more comprehensive care

issues also have mental health issues. For many

if they have a pre-existing issue. Collaboration enables

people, it is difficult to find mental health resources

providers to better coordinate care and to work together

in the community; and often, an appointment may not be

to develop ways to treat patients based on utilizing the

available for four to six weeks. It makes more sense for a

other’s skill set.

primary care practice to partner with a national resource

“Our consultants are integral team members who

such as Sheppard Pratt to provide behavioral health

attend to all the patient’s needs,” Dr. Robert P. Roca, Vice

services, rather than relying on patients to make the call

President and Chief Medical Officer at Sheppard Pratt says.

to a referred practice or avoiding making the appointment

“It’s a very collaborative approach; together we arrive at

altogether due to the stigma or fear of judgment.

a plan to make sure no one slips through the cracks.”

Research shows people are more open to receiving

“Patients only succeed when artificial silos are broken

treatment when offered in a familiar setting, and results

down and you examine the physical, medical, biological,

indicate this is an effective way to address behavioral

and social aspects,” says Dr. Catherine Harrison-Restelli, a

health disorders occurring for certain patients.

psychiatrist with Sheppard Pratt Health System and Chair

In November 2016, we began earnestly rolling out

of the Department of Psychiatry at GBMC. “Only when we

Sheppard Pratt Integrated Behavioral Health at GBMC,

take a whole patient-centered approach, as we’re doing

a program that integrates behavioral health services into

with Sheppard Pratt Integrated Behavioral Health

patient-centered medical home primary care practices.

at GBMC, can we get the best outcomes.”

As of today, we have a full-time Sheppard Pratt behavioral

In the little over a year this partnership has been

health consultant at nine of 10 primary care practices to

running, it works. Based on 2,000 assessments since

provide mental health evaluations and treatments. Now,

January 2017, we have reduced anxiety scores by 52

when a primary care physician notices a patient has

percent and depression scores by 36 percent. Eighty-six

symptoms of a behavioral health issue, instead of making

percent of behavioral health appointments have been

a referral in the community, the patient has access to a

completed in these primary care practices, compared

high-quality Sheppard Pratt provider right down the hall.

to 50 percent nationally. ◗

Having behavioral health consultants in the primary care practices is the answer to a number of problems: first and foremost, keeping patients healthy and out of the hospital as much as possible. More than counseling, a patient who is already working with a primary care

36%

AMONG 2,000 INTEGRATED BEHAVIORAL HEALTH PATIENTS, decrease in depression scores WE FOUND A:

6 SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT

52% 67%

86%

decrease in anxiety scores

completion rate for behavioral health appointments

completion rate for substance abuse appointments

SMOKING CESSATION

improving

medical outcomes

in our Sheppard Pratt patients

A

greater likelihood of smoking than the general

one-on-one counseling, and nicotine replacement

population according to the Centers for Disease

therapy (NRT), as well as group, peer, and one-to-one

Control and Prevention. People with serious mental illness

staff support. By customizing a plan for each person, we

die, on average, 25 years earlier than those without mental

are able to ensure that they’re receiving the resources and

illness. All too often, smoking is a contributing factor to

support they need across the continuum, from inpatient

this problem, with tobacco-related illnesses including

hospitalization to outpatient and community-based care.

mericans with mental illness have a 70 percent

This can include a combination of tobacco education,

cancer and lung disease being some of the main causes of death in this population.

At Sheppard Pratt Health System, we are working

We also work to remove temptation by making almost all of our commercial campuses and buildings smoke-free.

In our community-based programs, we regularly hold

to provide people with the tools they need to successfully

wellness events to promote healthy lifestyles. Smoking

quit smoking as part of their recovery process. By

cessation is a recurring theme in group therapy.

integrating smoking cessation treatment into ongoing

By working with our patients on kicking the habit

treatment, we are able to more effectively help our

throughout their entire journey of care, our innovative

patients quit and remain smoke-free. The first step we take

approach is helping them to live longer, healthier lives. ◗

is to screen all patients for tobacco use, an integral part of patient intake. We then design a personalized smoking cessation plan for each individual who needs it.

OUR SMOKING CESSATION PROGRAM RECEIVED the Substance Abuse and Mental

Health Services Association (SAMHSA)

2017 Recognition of Excellence in Wellness. SAMHSA described our program as “exemplary in innovation, replicability, and impact.”

SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT 7

HEALTH HOME PROGRAM

empowering

patients

to reduce emergency department visits

C

arol, a 50-year-old woman who suffers from chronic health issues and an anxiety disorder, often finds that anxiety prevents her from visiting her

primary care physician. In early March, Carol was headed toward a medical crisis due to medical issues that had gone untreated.

Through Mosaic Community Services' Health Home Program, Carol receives weekly visits from her Nurse Care Manager to discuss and measure all components of her health.

The Health Home is not a physical place—it is a model of care that provides enhanced services and support to people—like Carol—who deal with both physical and mental illness. The Health Home uses a whole-person approach to address all of an individual’s health care needs—behavioral, physical, and social.

For these clients, it is imperative that we are proactive, comprehensive, and intentional, so our program offers

THROUGH OUR HEALTH HOME PROGRAM:

We helped

90%

of clients avoid Emergency Department visits last year for physical or mental health issues.

We served

1,328 Maryland residents

6

across counties and Baltimore city.

complete care management.

This model empowers clients and facilitates pro-health behaviors that prevent visits to the Emergency Department, or at least reduce their frequency and length. Work has included developing weight loss plans, supporting smoking cessation efforts, tackling anxiety issues, and assisting with a variety of other healthy lifestyle changes. The Health Home Program made it possible for 90 percent of our clients to avoid Emergency Department visits last year for a physical or mental health issue.

By proactively managing her health care with the support of our team, Carol has been able to focus on living a healthier and more fulfilling life. ◗

8 SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT

COMPLEX CARE MANAGEMENT

navigating

care

to decrease medical readmissions

F

or people with severe mental illness, everyday

has been able to access the necessary supports to raise

responsibilities can feel overwhelming. This was

her daughter on her own. Rodney has been granted peace

the case for Rebecca, a 26-year-old woman with

of mind knowing that he does not have to tackle a mental

schizophrenia, who was struggling to cope after learning she was pregnant. Rodney, a 50-year-old man with bipolar

illness, physical challenges, and financial issues by himself.

When our clients’ health improves, they are able to

disorder, was also struggling to pay bills and manage

do what matters most to them as engaged members of

his diabetes.

society. When we provide personalized, compassionate

Support came from Chesapeake Connections, Mosaic Community Services' innovative program that helps clients

care to individuals who need it most, it impacts whole communities for the better. ◗

in Baltimore City who live with severe mental illness and chronic health conditions navigate life’s challenges. While all clients at Chesapeake Connections receive mental health care, additional assistance can take on many forms depending on a person’s specific needs. We work with clients to set up doctor’s appointments, arrange transportation, assist with employment or housing, connect with substance use treatment, and foster a sense of community through support groups, volunteer opportunities, and social outings.

Programs like Chesapeake Connections are critical for people with severe mental illness—a population that visits the Emergency Department at twice the rate of healthy adults. Keeping clients mentally and physically healthy enough to avoid visiting the Emergency Department not only means an improved quality of life for the people we serve, but it also means fewer hours (and dollars) wasted on avoidable emergency care.

Last year, our Chesapeake Connections program arranged 534 doctors’ visits for the 169 program participants enrolled, and the result of this preventative care was a significant drop in Emergency Department visits for clients across the program, averaging less than one visit per client last year.

For Rebecca and Rodney, preventing Emergency Department visits means more than just saved time and money, it is an opportunity to live independent, stable, and fulfilling lives. Through Chesapeake Connections, Rebecca

LAST YEAR THROUGH CHESAPEAKE CONNECTIONS:

We served

We averaged

adults in Baltimore City.

less than visit per client to Emergency Departments.

169

1

SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT 9

OFFSITE COUNSELING

removing clinic walls to provide treatment when & where it is

needed

Our Offsite Counseling Program, offered through Mosaic Community Services, is a mobile program that provides evaluation, therapy, and medication management to children and families when and where they need it.

Oftentimes, this means traveling to homes or schools to address crises in real time and in environments where the client feels most comfortable.

We often work with individuals in their homes. Adam sought support to address his crippling anxiety, the cause of poor grades and social isolation. Now, after receiving in-home services through the Offsite Counseling Program, he has learned coping mechanisms, is able to express his thoughts and feelings freely with his therapist, and uses problem solving to minimize his public anxiety. And, this past June, Adam passed all of his classes.

“

When necessary, our Offsite Counseling Program fills an immediate need at school, while families and

our offsite

counseling program helps those in need reach

”

their full potential…

A

administrators develop long-term support plans. After an Offsite Counseling therapist started working with Katie three times a week in school, she progressed from running out of class to participating in lessons within a special education classroom. Through the support of her Offsite Counseling therapist and a long-term plan created by her family and school, Katie is now learning and succeeding in school.

Providing access to a counselor in familiar and accessible environments means much-needed services are more easily available without facing common barriers like location or transportation. For the many children

dam, a 14-year-old with an anxiety disorder, often

across Maryland like Adam and Katie, these programs can

shut down and isolated himself indoors. Katie,

mean the difference between falling behind in school and

a first grader with severe ADHD, frequently

struggling at home, or receiving the emotional, social,

distracted classmates and frustrated teachers. While both

and academic supports they need to set them up for

had the potential to thrive, they needed extra support

a successful future. ◗

to be successful at home and at school.

10 SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT

ASSERTIVE COMMUNITY TREATMENT PROGRAM

mobilizing

treatment

to improve access & prevent crises

V

ernon, an 80-year-old man from West Baltimore,

illness, to meet the basic needs and enhance quality

is a caretaker for his 77-year-old sister Pearl, who

of life, to improve functioning in adult social and

lives with bipolar disorder. They share a rowhome

employment roles, to enhance an individual’s ability to live

where he is able to keep an eye on her when her condition

independently in his/her own community, and to lessen

leaves her listless, or a bout of mania renders her sleepless

the family’s burden of providing care. The ACT teams are

and dancing outside under the midnight streetlights. But

able to observe and care for people in their day-to-day

Vernon walks with a cane and doesn’t drive, so he cannot

environments. By treating individuals in a setting familiar

escort Pearl to appointments around the city.

to them, team members can provide clear, easy, and

Stories like Vernon and Pearl’s are common, as individuals with serious mental illness often face obstacles such as mobility, transportation, or symptoms

immediately actionable suggestions to which clients are more likely to respond.

For Vernon, ACT is a critical resource as he acts as

like depression and mania that make traveling to

Pearl’s caretaker. Vernon relies on the consistent visits, and

appointments particularly difficult. We believe that people,

guidance from the ACT team members to help him keep

like Vernon and Pearl, receive better care when their

Pearl healthy. Without the ACT team, he’s not sure how

mental health treatment team works together to deliver

Pearl would manage to juggle appointments, medications,

services. We offer Assertive Community Treatment

and social opportunities—or whether he’d be able to care

(ACT), a team-based treatment model that provides

for her at all. This type of collaborative care makes all the

multidisciplinary, flexible treatment and support to people

difference on the path to healing. ◗

with mental illness. ACT team members from Way Station help individuals in Frederick, Howard, and Washington Counties. ACT team members from Mosaic Community Services help individuals in Baltimore City. They work with clients to address every aspect of their life, from medication management to therapy to social support, employment, and housing.

ACT is an evidence-based practice that improves outcomes for people with severe mental illness who are most at-risk of psychiatric crisis and hospitalization,

STUDIES SHOW THAT WITH ACT PROGRAMMING:

We can reduce hospitalizations for patients with serious mental illness by

20%.

and involvement in the criminal justice system.

To provide comprehensive and highly individualized care, each ACT team includes a case manager, clinical social worker, nurse, psychiatrist, peer specialist, supportive employment specialist, and substance use counselor.

The ACT team members work collaboratively to deliver care whenever and wherever it is needed.

ACT strives to lessen or eliminate the debilitating symptoms of mental illness each client experiences, to minimize or prevent recurrent acute episodes of the

SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT 11

SUPPORTING FAMILIES

providing early childhood & family programs to

strengthen

R

communities

aising a child can be tough for anyone. Without a

service for first-time parents, we provide developmental

support system and a high school diploma, it can

screenings, coaching for positive parent-child interaction,

be even more challenging. Throw in the stressors of

assistance with access to medical care, and connections

being new to a country, not knowing the native language, or being a teen mom trying to finish high school, and it

to community resources.

Thanks to these supports, new parents and recent

can feel impossible. We believe that when families get the

immigrants Aviva and Omar were able to recognize early

support they need to learn how to raise healthy children

indicators of autism and proactively sought assistance for

and stay together, our communities can continue to grow

their son, Joseph. Now, Joseph is making incredible strides

and thrive.

through weekly in-home therapy. And, Aviva and Omar

That is why, through Family Services, we provide a breadth of early childhood and family programs that promote education and support for the whole family.

have learned how to properly care for Joseph so that he continues to grow and thrive.

For other families, our programs help children

Our services foster health and well-being in the home,

stay happy, healthy, and prepared to meet their full

school, and community, whether through multilingual

potential. Through Family Discovery Center (FDC), a

home visits; free parenting classes, employment training,

multi-generational program promoting adult learning

and English for Speakers of Other Languages (ESOL)

and healthy child development, we offer parent/child

lessons; developmental screenings; in-home visits and

activities and field trips; developmental screenings;

therapy; or access to community resources. When families

employment readiness training; and linkages to medical

have access to these types of programs they are better

and community resources, among other services.

equipped to improve family functioning, support children’s

When young, single mother Sofia began attending

healthy development, and connect with the appropriate

FDC a few years ago, her son struggled in school, her

community resources.

infant daughter demonstrated delayed communication skills, and Sofia herself lagged behind in her ESOL class.

Sofia received assistance in scheduling an eye exam

SERVING OUR FAMILIES:

We served more than 6,500 clients in Montgomery and Prince George’s County with nearly 8,000 home visits to deliver services.

and obtaining glasses, and is now excelling in class. She learned how to implement goals for her daughter and engage in her son’s Individualized Education Program planning. Now, Sofia’s daughter speaks in full sentences and her son attends regular therapy sessions to maintain his scholastic success.

All families, regardless of means or background, deserve a chance to raise their children in a way that allows them to reach their fullest potentials. Through Family Services' family support programs, we are helping

For some, our programs ensure children receive

to create better health, educational, and social outcomes

life-changing treatment through early intervention.

for the next generation, so that we can continue to

Through Healthy Families Montgomery, a home-visiting

improve communities today and for years to come. ◗

12 SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT

SUPPORTING VETERANS

providing housing & job training to connect veterans with

V

care

eterans are 50 percent more likely to become

Our case managers help veterans navigate the process

homeless than other Americans due to a shortage

of receiving services through the U.S. Department of

of affordable housing and available jobs. While

Veterans’ Affairs.

these factors alone are distressing, they are frequently

We know that homelessness and unemployment

compounded with service-related post-traumatic stress

go hand in hand. Through Alliance, we have developed

disorders, substance use issues, major depression, and

comprehensive vocational programs. We focus our

a lack of support networks.

vocational training on three high-growth industries in

Mental health services and social services are

Maryland with companies that have committed to hiring

essential in order to help our returning veterans recover

veterans. Working with male and female veterans, we

and reestablish their lives. At Sheppard Pratt, we work with

offer an entrée into industries with a wide variety of work

veterans to find permanent and affordable housing, secure

options and career-path potential, helping to better

employment, address their mental health needs, and

prepare veterans for a successful future. ◗

assist them in accessing health care services.

To immediately address issues of homelessness, Way Station maintains transitional housing in Frederick and Washington Counties. We also offer employment services, training, and support in developing independent living skills.

SERVING OUR VETERANS:

20,000

services provided to

883

veterans this past year.

SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT 13

TELEPSYCHIATRY PROGRAM

using telemedicine to

expand

access to Sheppard Pratt providers

I

n the United States, there is approximately one

In communities across Maryland, we are constantly

psychiatrist for every 11,236 people. More surprising,

developing innovative solutions and utilizing the latest

more than half of all U.S. counties do not have access

technologies to improve patients’ experiences and provide

to any mental health professionals.

We believe that someone’s geography should not

the best, most compassionate care—because when patients receive the best care, we see the best outcomes. ◗

dictate whether they receive the services they need.

Sheppard Pratt Health System’s Telepsychiatry Program has opened access to care and allowed us to provide patients with the support they need in real time, irrespective of location. Telepsychiatry relies on

STUDIES SHOW THAT:

video-conference technology to connect patients with psychiatrists and licensed mental health providers.

We provide the experience of a typical doctor’s visit from a convenient location.

Through partnerships in some of the most rural areas across Maryland, where provider shortages are common, Sheppard Pratt psychiatrists are able to provide therapy and medication management. The patients who receive these services do not have a provider within their

More than

50% of U.S. counties have no mental health professionals.

community and do not have access to high quality mental health care. Last year, we helped 1,100 patients in six counties, including Worcester and Garrett Counties— the state’s easternmost and westernmost regions.

While the Towson hospital reaches Maryland’s rural populations, Mosaic Community Services is supporting individuals within the Baltimore Metropolitan Area via secure video-conferencing. This service eliminates commute time for therapists, and has allowed Mosaic to increase the number of clients they serve by 20 percent over the past year. In fact, there has been such demand for telepsychiatry services that three additional therapists were hired to provide Baltimore City residents with even greater access to mental health care this year.

14 SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT

Our telepsychiatry program creates access from inner city Baltimore to rural areas across Maryland.

leadership & boards of trustees OFFICERS AND EXECUTIVE STAFF Harsh K. Trivedi, MD, MBA President & Chief Executive Officer

Ray Dziesinski, MBA, F-HFMA, F-NACD Vice President & Chief Financial Officer

Thomas D. Hess, M.Ed., MBA Chief of Staff

Jessica Kapustin Chief Marketing Officer

Armando E. Colombo Vice President & Chief Operating Officer

Bonnie Katz Senior Vice President, Strategy & Business Development

Ernestine Y. Cosby, PMH-APRN Vice President & Chief Nursing Officer Antonio DePaolo, Ph.D. Chief Transformation Officer

Robert P. Roca, MD, MPH, MBA Vice President & Chief Medical Officer

Karen Robertson-Keck, SPHR, SHRM-SCP Vice President, Human Resources Jeff Richardson, LCSW, MBA Executive Director, Mosaic Community Services Scott Rose Executive Director, Way Station Kylie McCleaf, MA, CPRP Executive Director, Family Services

BOARD OF TRUSTEES The Honorable J. Frederick Motz (Chair)

Joshua Kakel

ASSOCIATE TRUSTEES

Margaret Allen

Norma Peden Killebrew

Timothy R. Hearn

Emile A. Bendit

Robert Kresslein

Kenneth Jones

S. Winfield Cain

Brian Le Gette

Richard A. Lamond

Penelope Cordish

William Morton

Holly Lanigan

Alan Evans

Robert Schaftel

Wyatt Lee

Susan Fenimore

Gail L. Shawe

Wayne Lingafelter

Alan Gamse

Alfred Singer

Susan Gay Williams

Philip H. Grantham

John W. Steele, III

Robert Hamilton

Gary Talles

Bonita Hearn

Pamela P. Young

BOARD OF DIRECTORS OF THE AFFILIATE AGENCIES OF SHEPPARD PRATT HEALTH SYSTEM Mosaic, Inc.

Way Station, Inc.

Family Services, Inc.

Alton Knight (Chair)

Martha Kirkland (Chair)

Marie Schram (Chair)

Babette Bierman

Bethamy Beam

Kevin Byron

Ellen Callegary

Elliott Dickler

Roxanne Dryden-Edwards

Joe Foss

Lindsay Hardesty

Diane M. Ennist

Philip Grantham

William L. Haugh, Jr.

Darryck L. Farmer Sr.

Kathy LaViña

Frederic Hinze

Leslie J. Graham

Michael LaViña

Robert Kresslein

Suzanne J. Harvey

Alicia Lucksted

Connie Pauley

Carol Hayes

Mark McGlone

Richard Seidel

Tamara Jack

Robert Roca

Andrew L. Woolard

Mitchell J. Lahr

Michael Schuck

Danielle LaSure-Bryant

Peggy Sparr

Dean Manson

Jud Williams

Joseph N. McBride

Rob Williams

Andrew Milisits

Crystal Willoughby

R. Manny Montero

Pamela Young

Gerald A. Noll Dana Pauley William A. Reinsch Makale Sy Harsh K. Trivedi Peggy Van Ness

SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT 15

27 GARRETT

ALLEGANY 1 1

26

Sheppard Pratt’s

footprint

Located throughout Maryland, Sheppard Pratt Health System provides the most comprehensive continuum of mental health, substance use, special education, and social services in the country. Recognized nationally and internationally for the excellence of our programs, we are proud to be named by U.S. News & World Report as a top hospital for the 27th consecutive year.

ALLEGANY COUNTY

BALTIMORE COUNTY

FREDERICK COUNTY

1 The Jefferson School at Finan Center

8 Sheppard & Enoch Pratt Hospital

23 The Jefferson Residential Program & Day School

9 Sheppard Pratt at GBMC

24 Way Station

10 The Forbush School at Glyndon

25 Behavioral Health Partners of Frederick

11 The Forbush School at Hunt Valley

GARRETT COUNTY

ANNE ARUNDEL COUNTY 2 The Forbush School at Anne Arundel 3 The Forbush School at Anne Arundel — South 4 Hannah More at Millersville Elementary School 5 Hannah More at Severn River Middle School 6 Hannah More at Severna Park High School

12 The Forbush School at Glyndon — Hannah More Campus 13 The Mann Residential Treatment Center 14 Mosaic — Catonsville 15 Mosaic — Dundalk 16 Mosaic — Northwest 17 Mosaic — Timonium

BALTIMORE CITY

18 Alliance

7 Mosaic — North Baltimore Center

19 The Retreat at Sheppard Pratt 20 Ruxton House CARROLL COUNTY

26 Telepsychiatry Clinic 27 Telepsychiatry Clinic HARFORD COUNTY 28 Mosaic — Bel Air, Belcamp 29 Harford County Mobile Crisis Team — Bel Air HOWARD COUNTY 30 Sheppard Pratt at Ellicott City 31 Way Station at Howard County 32 Telepsychiatry Clinic

21 Mosaic — Granite House, Westminster

MONTGOMERY COUNTY

CECIL COUNTY

34 The Forbush School at Oakmont Upper

22 Telepsychiatry Clinic

16 SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT

33 Family Services

35 The Frost School

WASHINGTON 38 8

CARROLL FREDERICK

21

1

9

25

13

12 16

33

HOWARD

MONTGOMERY 34

30

BALTIMORE CITY

7

31

32 35

14

CECIL

28

BALTIMORE 17

24

23

HARFORD

11

10

22 29 18 19 20 15

2

3

ANNE ARUNDEL 36 PRINCE GEORGE’S

5

4 6

37

WICOMICO PRINCE GEORGE’S COUNTY

39

36 The Forbush School at Prince George’s County 37 Family Services WASHINGTON COUNTY 38 Way Station — Turning Point

42 WORCESTER 40 41

WICOMICO COUNTY 39 Telepsychiatry Clinic WORCESTER COUNTY 40 Telepsychiatry Clinic 41 Telepsychiatry Clinic 42 Telepsychiatry Clinic

SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT 17

fiscal year 2017: expanding

access

HEALTH SYSTEM EMPLOYEES & VOLUNTEERS

5,265

1,213

employees

volunteers

HEALTH SYSTEM STATISTICS

105,307 inpatient days

to care

123,925 volunteer hours

143,332

BEST PRACTICE IMPLEMENTATION

student days

23 countries 50 states

NUMBER OF SERVICES PROVIDED TO

Severely Mentally Ill Adults

Individuals with Co-Occurring Disorders

Individuals with Substance Use Issues

Children with Autism Spectrum Disorder

Adults with Autism Spectrum Disorder

Children (Ages 1–12)

Adolescents (Ages 12–18)

Adults (Ages 18–64)

Older Adults (65+)

Veterans

Social Services

774,942 39,743

20,757

25,473

66,086 19,757

18 SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT

37,799

296,934 18,100

13,219

206,615

HEALTH SYSTEM SYSTEM FINANCIAL HIGHLIGHTS Net revenues increased 2.3% in 2017, from $359.7 million to $367.9 million, while operating profits decreased from $5.3M in 2016 to $4.5M in 2017.

NET REVENUES (in millions of dollars)

SHEPPARD PRATT HEALTH SYSTEM

FY 16

FY 17

$359.7

$367.9

WHOLLY-OWNED SUBSIDIARIES: MOSAIC COMMUNITY SERVICES, INC.*

$35.9

$62.8

WAY STATION, INC.

$33.6

$35.4

FAMILY SERVICES, INC.

$22.4

$23.7

*Alliance, Inc. merged with Mosaic Community Services, Inc. during FY 17, resulting in a substantial increase to net revenue.

SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT 19

20 SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT

philanthropy update

Dear Friends,

Through the ongoing support of our grateful patients and families, community donors, foundations,

In my new role as Chair of the Sheppard Pratt Health

corporations, trustees, and employees, we have the

System Philanthropy Committee of the Board of Trustees,

great fortune to meet unmet needs, grow our services,

I am reminded time and again of our community’s

and introduce innovation on many fronts. We are deeply

generosity. I am proud to say that thanks to donors like

appreciative of the support we have received, and look

you, Sheppard Pratt is able to go above and beyond to

forward to continued opportunities to engage our donors

deliver the highest quality, most compassionate care.

as our partners for the present and the future.

Among the fundraising highlights of the past year, our two major events, the Care for Kids benefit and the Stride 5K run and 1-mile walk, raised a combined $440,000.

Sincerely,

Our parent-organized fundraising events brought in an additional $50,000.

The dollars we’ve raised have had a real impact on those we serve. In our ongoing effort to assure that

Penny Cordish

unrestricted donations to Sheppard Pratt go directly

Chair, Philanthropy Committee

to those we care for, the Grants Committee of the Board

Sheppard Pratt Health System Board of Trustees

of Trustees approved more than $375,000 in response to nearly 140 internal grants for care-related improvements and materials. The funds have enabled youth in our Mann Residential Treatment Center to experience what a real prom is like. Your generosity has provided important aftercare support to patients in our Trauma Disorders Program. The donations have enabled us to purchase clothes and basic necessities for patients returning home.

This past year we also focused on the importance of supporting our own employees in their time of need.

After the Ellicott City Flood damaged and destroyed the homes of so many of our employees and neighbors this past summer, we established the Ellicott City Flood Relief Fund. We also established an Employee Hardship Fund to provide financial support to all

SHEPPARD PRATT HEALTH SYSTEM RAISED:

$23

million in fiscal year 2017.

employees facing unexpected financial challenges due to a catastrophic event.

SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT 21

2017 donors MEMBERS OF THE 1853 SOCIETY The 1853 Society recognizes individuals who have made the gift of a lifetime by including Sheppard Pratt Health System in their estate plans.

Anonymous (3) Emile A. Bendit, M.D. Ms. Mikki Buchness John and Sue Carnell* Mr.* and Mrs. J. Howard Eager, III Dr. W. Byron Forbush II* and Mrs. Betsy Forbush Mrs. Louise A. Hager Ms. Joan S. Harris Charles E. “Ted” Herget, Jr. Mr. George E. Kostritsky Jane Cox Larson Ms. Janet E. Lowman Lila E. O’Meara Patricia A. Prugh Dr. Jonas Rappeport Mrs. Sally Rooney Donald R. Ross, M.D. and Eileen K. Steinberger, M.D. Marilyn and Robert Schaftel Drs. Margaret and Steven Sharfstein Dr. and Mrs. Edward Sienkilewski Jean and Gordon Wells & Family Dr. and Mrs. Clifford R. Wheeless Gay and Jud Williams GATEHOUSE SOCIETY The Gatehouse Society recognizes in perpetuity those who have made contributions totaling $10,000 or more to Sheppard Pratt Health System.

Listed in the societies below are members as of June 30, 2017.

MOSES SHEPPARD SOCIETY Cumulative Support of $1 Million or More France-Merrick Foundation Evelyn Feldman* and Mildren Kern* Howard County Maryland Rollins-Luetkemeyer Foundation, Inc. The Stanley Medical Research Institute The State of Maryland The Leonard & Helen R. Stulman Charitable Foundation The Harry & Jeanette Weinberg Foundation Jean and Gordon Wells & Family The Whiting-Turner Contracting Co.

ENOCH PRATT SOCIETY Cumulative Support of $500,000 - 999,999 CareFirst BlueCross BlueShield Benno and Elayne Hurwitz Family Foundation, Inc. The Lagemann Foundation The Estate of Parsons Newman Sheppard Pratt Auxiliary U.S. Department of Labor The Estate of Wilhelmina Hahn Waidner Women’s Hospital Foundation PRESIDENT’S SOCIETY Cumulative Support of $250,000 - 499,999 Anonymous (2) The Abell Foundation The Jacob and Hilda Blaustein Foundation, Inc. Alice D. Burke* The Estate of Ruth Corbett Dalio Family Foundation, Inc. Mr. Hal Donofrio Health Resources and Services Administration (HRSA) Harley W. Howell Charitable Foundation The Kresge Foundation Joseph & Harvey Meyerhoff Family Charitable Funds Mr. & Mrs. William Nicholson* The Nicholson Foundation Gail and Stephen Shawe Earle & Annette Shawe Family Foundation The Estate of Mary Elizabeth Zumstein CHARTER SOCIETY Cumulative Support of $100,000 - 249,999 Anonymous (4) Allied Telephone and Data Corporation ARAMARK Corporation Bank of America Merrill Lynch Mr. and Mrs. Edward H. Berge, Jr. The Lois and Irving Blum Foundation Brown Advisory Lorraine* and Winfield Cain The Center for Eating Disorders, P.A. Nancy B. and Howard K. Cohen Constellation Energy The Charles Crane Family Foundation Timothy R. and Joyce Hearn Heery International, Inc. Dale* and Marie Hess Hoffberger Foundation, Inc. Mr. H. Thomas Howell* and Mrs. Aliceann Howell Marion I. & Henry J. Knott Foundation, Inc. The Abraham & Ruth Krieger Family Foundation

22 SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT

Zanvyl and Isabelle Krieger Fund Mrs. Donald S. Levinson* Lewis Contractors, LLC Jack Luetkemeyer Louise D. and Morton J. Macks Family Foundation The Leroy M. Merritt Charitable Trust The Mirmiran Foundation Morgan-Keller Construction Oakwood Construction Services, LLC Lila E. O’Meara The Estate of Ms. Ruth T. Ravenel The Marvin Schapiro Family Foundation, Inc. Drs. Margaret and Steven Sharfstein In honor of Julie Moss Silver SunTrust Foundation Bruce T. Taylor, M.D. Taylor Foundation, Inc. Toys “R” Us Children’s Fund Verizon Foundation Roger and Xandy Waesche Philip Franklin Wagley, M.D.* Mr. and Mrs. Andrew J. Walter & Family Karen Wendell and Doyle Skeels FRIENDS SOCIETY Cumulative Support of $50,000 - 99,999 Anonymous (6) Allegeant, LLC William G. Baker, Jr. Memorial Fund The Herbert Bearman Foundation, Inc. The Bendit Family Foundation The Campbell Foundation, Inc. The Estate of Patricia Castillo The Charlesmead Foundation Colliers International Baltimore Corporate Office Properties Trust The Estate of Laura DuPont Electrico, Inc. Dr. W. Byron Forbush II* and Mrs. Betsy Forbush Frederick News Post GBMC HealthCare System Robert Gibson, M.D.* and Mrs. Diane Gibson Philip L. Graham Fund Mr. I. H. Hammerman, II* and Mrs. Lois Hammerman Mrs. Howard Head Hittman Family Foundation Kassolis Family Foundation The Estate of John and Dora Kerr Pedie and Bob Killebrew Bernt and Maria Killingstad Patricia and Donald Kirk Audrey S. Knewstub Foundation

KPMG LLP Legg Mason & Co., LLC Leonard Paper Company Lord Baltimore Capital Corporation M&T Bank The Estate of Eleanor R. and W. Berkeley Mann The Estate of Helen B. McAllister Montgomery County Office of the County Executive Diana and Fred Motz The Thomas F. & Clementine L. Mullan Foundation, Inc. Mr. and Mrs. George K. Reynolds, III Riggs, Counselman, Michaels & Downes, Inc. Jacob S. Shapiro Foundation, Jane and Stanley Rodbell & James R. Shapiro The Henry & Ruth Blaustein Rosenberg Foundation Donald R. Ross, M.D. and Eileen K. Steinberger, M.D. The Rouse Company Foundation Marjorie F. Scott Semmes, Bowen & Semmes, P.C. Siemens Industry, Inc. The Estate of Marvel Elizabeth Steven Tzedakah Foundation Venable, LLP The Wilbur Family Thomas Wilson Sanitarium for Children of Baltimore City A.A. Windesheim Charitable Foundation TOWER SOCIETY Cumulative Support of $25,000 - 49,999 Anonymous (7) 3W Cleaning Services, LLC Ms. Margaret Allen and Mr. Philip Perkins Aon Bancroft Foundation Mrs. Erin Becker Bruce and Polly Behrens Benedicto Borja, M.D. and daughters Chrysalis Borja, Cara Borja, Caroline Borja in memory of Czarina A. Santos-Borja, M.D. John and Sue Carnell* The W.D. ‘Pete’ Class Foundation, Ltd. The Cordish Family Critical Systems by Schneider Electric Daft-McCune-Walker, Inc. The Family of Kathryn Hill DeTurck Forbush School at Hunt Valley PTO The Estate of Dorothy S. Fuller Gallagher, Evelius & Jones, LLP

Mr. and Mrs. Francis P. Galletti Barbara and Alan Gamse W. R. Grace & Company The Harry Greenstein Memorial Award Ms. Joan S. Harris Mr. and Mrs.* Charles Hathaway HDR Architecture, Inc. The Sylvan C. Herman Foundation, Inc. Thomas D. Hess Frederic F. Hinze and Georgia C. Coleman* The David & Barbara B. Hirschhorn Foundation The Emmert Hobbs Foundation, Inc. Mr. Samuel Hopkins* and Mrs. Anne Hopkins Jordan and Sarah Hymowitz, Craig and Alexa Hymowitz & Family Ironmark, Inc. Mr. and Mrs. Mark K. Joseph Kassolis Family Foundation Ewing Marion Kauffman Foundation John J. (Jack) Kent, Jr. and Ernie Kent Annabella and Peter Lapera Willard Lennox & Family Kim and Keith Lewis Richard J. Loewenstein, M.D. Burton H. Lohnes, Ph.D. Michael G. Mann Fund for Children MCA Architecture John and Elizabeth Miklos Mr. and Mrs. Frederick O. Mitchell Mount Vernon Associates, Inc. Natural Concerns, Inc. Mr. and Mrs.* James P. O’Conor Mr.* and Mrs. James D. Peacock Pat Pinkerton and Art Wieland PNC Bank D. Brent Pogue Procter & Gamble Cosmetics Foundation, Inc. Provident Bank of Maryland Alison and Arnold Richman Robert P. Roca, M.D. and Breon Gilleran, M.F.A. Mr. George A. Roche Sally A. Rooney The Ben and Esther Rosenbloom Foundation Ruppert Landscape Mr.* and Mrs. William M. Saterlie Marilyn and Robert Schaftel Marvin S. Schapiro & Family I.D. Shapiro* The Kathy and Sandy Shapiro Family Shawe & Rosenthal, LLP R. Champlin* & Debbie Sheridan The Estate of Mary Louise Hamlin Siess

In memory of Michael I. Smith Dr. and Mrs.* Solomon H. Snyder Sodexo Health Care Black & Decker, Inc. State Farm Companies Foundation Mr. and Mrs. John W. Steele, III Robert A.M. Stern Architects, LLP Aaron Straus and Lillie Straus Foundation, Inc. Mr. and Mrs. Peter S. Welles Jud and Gay Williams York Mechanical, Inc. CUPOLA SOCIETY Cumulative Support of $10,000 - 24,999 Anonymous (18) Dr. and Mrs. Scott T. Aaronson Vi G. Aaronson, R.N.* AEGON USA, Inc. Alban Tractor Company Bonnie and David Allan Allied Pharmaceutical Services, Inc. American Office Mary and Jack Andrulewicz Mr. and Mrs. Matthew D. Arnold Atlantic Welders Phyllis L. & Leonard J. Attman Foundation Beth Babikow The Baltimore Life Companies Baltimore Sun Charities M. Nelson Barnes & Sons, Inc. Dr. Leonard P. Berger Mr. John P. Boogher* John Boronow, M.D. C & H Mechanical Corporation Dr. and Mrs. Jorge Camacho CannonDesign Edmund J. Cashman, Jr.* and Susan Cashman The Community Foundation of Frederick County Christine and Nick Constantinides Esther L. Cooperman Ernestine Y. Cosby, APRN, BC William M. and Julie E. Cox David C. and Sarah M. Daneker Mr. and Mrs. Alonzo G. Decker, Jr.* Delaplaine Foundation, Inc. Mr.* and Mrs. J. Howard Eager, III Michael V. Edelstein, M.D.* Evapco, Inc. The Family Foundation, Inc. Farmers & Mechanics Bank FCNB Bank Joel D. Fedder* and Ellen S. Fedder Feinberg Foundation, Inc. First Potomac Realty Trust Frankel Automotive Group

SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT 23

Thomas N. Franklin, M.D. and Kimberly U. Franklin Fredericktown Bank & Trust Frederick Mutual Insurance Company Samuel Freeman Charitable Trust Gamble Gillison Family Fund Greenspring Health Services Guernsey, Inc. Dr. Robert Y. Hamilton Thomas and Barbara Harr The Hearst Foundation Charles E. “Ted” Herget, Jr. Mr. John Heselden David and Jan Hoffberger Rick and Taber Hook IBM International Foundation International Society for the Study of Trauma & Dissociation/Donors to the Treatment of Patients with Dissociative Disorders Study Leonard Jed* and Bluma F. Jed Kenneth and Linda Jones Kaiser Foundation Health Plan Bonnie and David Katz Kelly & Associates Insurance Group/ KELLY Payroll (KELLY) Mr. Douglas W. Kincaid* The Kinsley Foundation Chuck and Ellen Knudsen Kramon & Graham, P.A. Jeffrey and Harriet Legum The Family of Benjamin and Fannie Levine Macht Philanthropic Fund MacKenzie Commercial Real Estate Services, LLC Barbara and Richard Magid Manekin LLC Harold, Francine, Brigitte, and Donald Manekin Families The Luv u Wall, in memory of Carolyn C. Mattingly Ronald McDonald House Charities of Baltimore, Inc. Dr. Marsden McGuire and Mary E. O’Byrne Mercer Investment Management Merrill Lynch & Co. Foundation, Inc. The Harvey M. & Lyn P. Meyerhoff Fund, Inc. MGH, Inc. Middendorf Foundation, Inc. Miles & Stockbridge PC Mr. Matthew D. Miller and Mr. Myles W. Miller Mr. John J. Neubauer, Jr.* and Mrs. Beth Neubauer The Family of Walter Patton Miss Joan M. Pristas*

Diana L. Ramsay and Michael Greene Claire A. Richardson Richardson, Myers & Donofrio Ryland Group, Inc. SAGE Dining Services Mr. and Mrs. Sheldon Sandler M. Sigmund and Barbara K. Shapiro Dr. and Mrs. Edward Sienkilewski Skyline Technology Solutions Mr. Murray Slatkin* Will and Jada Smith Family Foundation Edward F. Snyder St. John Properties, Inc. Mr. and Mrs. Michael Strouse Sullivan Family Foundation Gary and Susan Talles The Estate of Dorothy J. Towner Mr. and Mrs. Edward J. Trojan United Healthcare Group Fred and Amey Upton Drs. Samson and Meena Vimalananda VSC Fire & Security W.B. Mason, Inc. Susan B. Wait, M.D. In Honor of Betsy-Lou Waldman Dr. and Mrs. Clifford R. Wheeless The Estate of William T. Whiteley Windsor Electric Co., Inc. Worcester Eisenbrandt, Inc. Pamela P. Young, Ph.D. GIFT IN KIND DONORS The donors listed below donated a product or service valued at $100 or more between July 1, 2016 and June 30, 2017.

Delaware North Company, Inc. Dover Downs Hotel & Casino Earth Treks Climbing Centers FX Studios General Motors Technology Donation Program Gibby Seafood Mr. Bill Hoffmaster Kay Jewelers Marguerite O. Kelley Liberty Mountain Resort Lularoe Styles by Stina Magooby’s Joke House Once On This Island Brenda and Paul Putnam Ryleigh’s Oyster

24 SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT

HONOR AND MEMORIAL GIFTS The donors listed below made a gift of $100 or more between July 1, 2016 and June 30, 2017.

In honor of Scott Aaronson, M.D. Ms. D.R. Giamette In memory of Samuel David Amitin Dr. Sigmund Amitin In memory of Danny Bovey CBIZ, Inc. In memory of Jane Lucy Bray Phyllis, Jeff, Matt and Sophie Lavine Ms. Rebecca M. Rubenstein In memory of Georgia C. Coleman Bonnie and David Katz In honor of Dr. Penny Cordish Ms. Susan Leviton In memory of R. Joseph G. Vallabna Dasi Dr. and Mrs. Neal Aronson In memory of Kate DeTurck The Family of Kathryn Hill DeTurck Dr. and Mrs. Kevin Tomany In honor of Bonnie Dicapua Mr. John Sullivan In memory of Stacy Dorsch George and Karen Benson Mr. John Daniels Mr. and Mrs. Gregory A. Farno Ms. Marie Kramer Richard and Marsha Manekin Ms. Anne Porterfield Dr. and Mrs. James Porterfield In memory of Michael V. Edelstein, M.D. Sarah Jane Schwing In memory of Dr. W. Byron Forbush II Anonymous Dr. and Mrs. Thomas E. Allen Ms. Patricia H. Blanchard Ms. Bernice B. Howe Mrs. Lori Jones The Wooster Education Association Tom and Marian Fletcher Drs. Paul and Nancy Gordon-Lipkin Mr. and Mrs. Frederick O. Mitchell Marjorie F. Scott The Volunteers of the Bargain Nook (Keats Smith, Doris Stevens, Fay Hagwood, Laura Silverman and Bluma Jed) Pamela P. Young, Ph.D. In memory of Evan Frank Bonnie and David Katz In honor of Thomas N. Franklin, M.D. Ms. Tina Holleman Miles S. Quaytman, M.D.

In memory of Cyrus Friedman, M.D. Richard J. Loewenstein, M.D. In honor of Alan Gamse Mr. and Mrs. Jim Dickman Mr. and Mrs. Roy Gamse Ms. Ilene Lockman Mr. Robert E. Meyerhoff Mr. J. Mark Schapiro and Family Ms. Lorraine Schapiro Ms. Donna Senft Mr. and Mrs. Michael Snyder Mrs. Helaine Witman In memory of Esther Gingrich Anonymous In memory of David Gompf Mr. and Mrs. Jim Fortune In memory of Kelly Theresa Gottschall Ms. Ellen Polignano In honor of Bryce Greenberg Anonymous Renee and Bill Enright In memory of Elizabeth A. Haines Anonymous In memory of Norma Hartman-Berns Ms. Emily Stern Pinetree Foundation In memory of Edna Henry Jane and Michael Glick In honor of Timothy Hoag Mr. and Mrs. Benjamin Proctor In honor of Jonathan H. Holt, M.D. Mr. Robert Wise In honor of the Sheppard Pratt Human Resources staff Mrs. Patti Arkuszeski In memory of Sylvia Kapustin Dr. and Mrs. Mitchell Petusevsky In memory of Sheldon Kapustin Dr. and Mrs. Mitchell Petusevsky In honor of Bonnie B. Katz The Harry & Jeanette Weinberg Foundation, Inc. In honor of Sunil Khushalani, M.D. Sarah Jane Schwing In honor of Pedie and Bob Killebrew Mr. and Mrs. Benjamin S. Schapiro In memory of Mr. Collin King Mrs. Anna King In honor of Gary Kohler Dr. and Mrs. Mitchell Petusevsky In honor of The LaGuardia Family Ms. Hilary Becker In memory of Kathy Lentz Ms. Lisa Hartman In memory of Bruce Leopold, M.D. Ms. Dawn S. Biggs Mr. John P. Biggs

In honor of The Lessin Family Dr. and Mrs. Michael Kramer In honor of Eli Marshall Julie and Dave Marshall In memory of Ian McDonald Mr. and Mrs. Nathan Silver In memory of Kenneth C. Menser Mr. and Mrs. Rick Loeffler Mrs. Patricia Menser Mr. and Mrs. Bernard Mose Mr. and Mrs. Joseph Pfarr In honor of Jenny Murphy Mr. David Bennett Ms. Crystal Francis Mr. and Mrs. Jose Garzon Ms. Cristina Herrera Ms. Lori Reilly In honor of Mr. Ted Murphy Ms. Deb Boehling In honor of The Murphy Family Mr. Hernando Herrera In memory of Clyde Edith Murphy Dr. and Mrs. Clifford R. Wheeless In memory of Barbra Ostraw Mr. and Mrs. Harvey Lempert In honor of Carolyn Patterson Mr. Robert Wieder In honor of Mr. and Mrs. Charles Phillips, III Gail and Miles Smith In honor of Michael Robinson Mr. and Mrs. Andrew D. Levy In honor of Marty Scanlan Anonymous In memory of Clarence Schulz Donald R. Ross, M.D. and Eileen K. Steinberger, M.D. In memory of Dr. Harold E. Schwing and Mrs. Sarah S. Schwing Sarah Jane Schwing In honor of Joseph Seng Dr. Neal Devitt Josh and Megan Lustig Ms. Beth Montgomery Mrs. Joyce Seng Ms. Courtney Shaffer Jonathan and Susan Wilson In memory of Katrina Sevich Mr. Mitchell Karpman In honor of Marlene Shapiro Judith and Johannes de Swart In honor of Steven S. Sharfstein, M.D. Dr. Carolyn Ericson In memory of Courtney Sheetz Lori Kingsley, D.O. In honor of Jenny Silver Anonymous

In honor of Gail and Miles Smith Wendy and Charles Phillips In memory of Michael I. Smith Alison Beck and Larry Chernikoff Goldwin I. Smith, Nancy Schiffer, and Grant and Amelia Howerton In honor of Bill and Fay Steinberger Donald R. Ross, M.D. and Eileen K. Steinberger, M.D. In honor of the Trauma Disorders Unit’s staff Lori Kingsley, D.O. In honor of Harsh K. Trivedi, M.D. The Harry & Jeanette Weinberg Foundation, Inc. In honor of Lois Turner-Feig Donald R. Ross, M.D. and Eileen K. Steinberger, M.D. In honor of Meg Upton Ms. Amey Upton In honor of Tyler Walsh Mr. Ken Walsh In honor of Anna Weinfield The Harry & Jeanette Weinberg Foundation, Inc. In memory of R. Wieder Mr. Robert Wieder In memory of Walter G. York Ms. Elizabeth P. Brown Ms. Helen Cohen Ms. Mary Jacobs Ms. Marjay G. Laske L. Melvin Mr. Albert H. Michaels, Jr. Mr. Gilbert Sandler Mr. and Mrs. Mark S. Snyder Barbara Styrt and Mary Styrt Baltimore Hebrew Congregation Bernstein Management Corporation In honor of Marc H. Zisselman, M.D. Mr. Robert Wise ANNUAL GIVING CIRCLE OF FRIENDS Annual Giving Circle of Friends recognizes new pledges and gifts received between July 1, 2016 and June 30, 2017 POWER PLANT CLUB Annual Support of $1,000 or More Anonymous (5) 3W Cleaning Services, LLC Bonnie and David Allan Allegeant, LLC Ms. Margaret Allen and Mr. Philip Perkins Allied Telephone and Data Corporation Aon

SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT 25

Dr. and Mrs. Neal Aronson David and Deborah Astrove Beth Babikow Bank of America Merrill Lynch BDP International, Inc. The Lois and Irving Blum Foundation Deborah A. Boggs Benedicto Borja, M.D. The Family of Kathryn Hill DeTurck Brown Advisory Mr. S. Winfield Cain The Campbell Foundation, Inc. CannonDesign CareFirst BlueCross BlueShield Centric Business Systems Christine and Nick Constantinides Constellation Energy The Cordish Family Critical Systems by Schneider Electric CTS Services Daft-McCune-Walker, Inc. DeCosta Construction Specialties Mr. Samuel M. Dell, III Ms. Sandra Douglass Electrico, Inc. Foley & Lardner LLP Forbush School at Hunt Valley PTO Thomas N. Franklin, M.D. and Kimberly U. Franklin Mr. and Mrs. Francis P. Galletti Gamble Gillison Family Fund GBMC HealthCare System Frederic F. Hinze and Georgia C. Coleman* Howard County Maryland IBM International Foundation Ironmark, Inc. JLL Kenneth and Linda Jones Kassolis Family Foundation Bonnie and David Katz Marguerite O. Kelley Kelly & Associates Insurance Group/ KELLY Payroll Pedie and Bob Killebrew Mrs. Anna King Audrey S. Knewstub Foundation Chuck and Ellen Knudsen Dr. and Mrs. George Kolodner KPMG LLP Margo Kraftson Kramon & Graham, P.A. Leach Wallace Associates, Inc. Leonard Paper Company Lewis Contractors Kim and Keith Lewis M&T Bank

Kinsley Companies and MacKenzie Companies Barton Malow Foundation MCA Architecture Ms. Karen McGovern The Estate of Jane McKewen Mercer Investment Management John and Elizabeth Miklos Morgan-Keller Construction In honor of Julie Moss Silver Diana and Fred Motz Mount Vernon Associates, Inc. Oakwood Construction Services, LLC Mrs. Megan Parsons Mr. and Mrs. Luther Petry PNC Foundation PollyChirp Interpeting T. Rowe Price Prime, Buchholz & Associates, Inc. Quest Diagnostics, Inc. RCM&D, Inc. Donald R. Ross, M.D. and Eileen K. Steinberger, M.D. Dr. Donald J. Ross, II Ruppert Landscape Mr. and Mrs. Sheldon Sandler SC&H Group Mr. and Mrs. Benjamin S. Schapiro Goldwin I. Smith, Nancy Schiffer, and Grant and Amelia Howerton Marjorie F. Scott M. Sigmund and Barbara K. Shapiro Jacob S. Shapiro Foundation, Jane and Stanley Rodbell & James R. Shapiro Gail and Stephen Shawe Earle & Annette Shawe Family Foundation Shawe & Rosenthal LLP Siemens Industry, Inc. Skyline Technology Solutions Ms. Claire M. Smith Sodexo Health Care Spears/Votta & Associates, Inc. John and Peggy Steele Mr. and Mrs. Michael Strouse The SunTrust Foundation Taylor Foundation, Inc. Transamerica Retirement Solutions Urmi and Harsh Trivedi Mr. and Mrs. Edward J. Trojan Fred and Amey Upton Stephen E. Upton & Elizabeth Vial Upton Charitable Lead Trust VSC Fire & Security W.B. Mason Susan B. Wait, M.D. Mr. and Mrs. David F. Wallace

26 SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT

Walmart Wancowicz & Associates PA Crystal C. Watkins, M.D. Wegmans Food Markets, Inc. The Harry & Jeanette Weinberg Foundation Jean and Gordon Wells & Family Western Maryland Health System, Employee’s Caring Funds A. A. Windesheim Charitable Foundation Worcester Eisenbrandt, Inc. Pamela P. Young, Ph.D. CASINO CLUB Annual Support of $500 - $999 Anonymous (2) Jason Addison, M.D. Allegany County Human Resources Development Commission, Inc. Dr. and Mrs. Thomas E. Allen Ms. Amy Bachelder Mr. Clay M. Barnes Bernstein Management Corporation Donald and Janet Boardman Family Fund Susan and Robert Bodansky Mr. Steve Chop Mrs. Claire A. Cohen Mr. and Mrs. Warren Corbett Corridor Flooring Associates Ernestine Y. Cosby, APRN, BC Mr. Alma E. Dade Mr. John Daniels Ms. Wendy Enderson Mr. Alan Evans and Ms. Anita Langford Dr. W. Byron Forbush II* and Mrs. Betsy Forbush Amy Furstenberg Mr. and Mrs. Roy Gamse Barbara and Alan Gamse Geico Philanthropic Foundation Kirsten George Mrs. Kimberly Gordon Mr. Milton T. Graham Dr. Robert Hamilton Thomas D. Hess Brian Hoover, SPHR, SHRM-SCP Iliff, Meredith, Wildberger & Brennan, PC Bluma F. Jed John J. (Jack) Kent, Jr. and Ernie Kent Vassilis Koliatsos, M.D. Mrs. Holly B. Lanigan Jody Latimer Margo Lauterbach, M.D. Richard J. Loewenstein, M.D. Burton H. Lohnes, Ph.D. Diane Maistros Mrs. Maureen McGuire

Mr. Robert E. Meyerhoff Mr. and Mrs. Frederick O. Mitchell Mosaic Community Services, Inc. Ms. Marjan Naghavi Marina Nikhinson and Brian Wasserman Gayle Olano Hurt Parsons Excavating Drew A. Pate, M.D. Miles S. Quaytman, M.D. Robert P. Roca, M.D. and Breon Gilleran, M.F.A. Marilyn and Robert Schaftel The Marvin Schapiro Family Foundation, Inc. Ms. Lorraine Schapiro Mrs. Joyce Seng Mrs. Nicole D. Stuckey Ms. Laurie Sweitzer Jim J. Truscello Drs. Samson and Meena Vimalananda William and Christiane Walker Gay and Jud Williams Ms. Tonya R. Wilt Robert W. Wisner-Carlson, M.D. WINDY BRAE CLUB Annual Support of $250 - $499 Anonymous (6) Jeffrey and Mary Jane Alperin Mrs. Patti Arkuszeski Ms. Gloria Beal Ms. Dagenais Boggs Ms. Michele L. Brill Liam and C. Buck Ms. Diann L. Butler Mrs. Lynn M. Canterbury John Carroll’s Breakfast Club CBIZ, Inc. Ms. Denise Chatham Ms. Cynthia F. Clarke Mr. Steve Cohen The Community Foundation of Frederick County Corporations 4 Communities SocialToaster for Kelsey Reinboldt Mr. Mark Cyzyk Mr. and Mrs. Branislav Djolevic James A. Dunbar and Kathleen O. Gavin Mr. Ray Dziesinski Mr. Gerald Eichner Renee and Bill Enright Carrie H. Etheridge Mr. Charles Evans Ms. Catherine Field Ms. Kathy A. Flannery Tom and Marian Fletcher David and Sheila Fox

Frederick Mutual Insurance Company F. Paul Galeone Photographers, Inc. GoodFellowship Club Auxiliary Mr. and Mrs. Philip H. Grantham Mr. John Hill Rick and Taber Hook Mr. Dan Klein Dr. Michael and Mrs. Peg Kramer Ms. Andrea B. Laporte Mr. and Mrs. Andrew D. Levy Dr. and Mrs. Paul D. Livelli Julie and Dave Marshall Mr. Mark P. Mathews Ms. Raelene Meneses Merritt Properties, LLC Mr. William A. Morton, Jr. North Carroll Community Foundation Ms. Kathleen A. Ourand Mr. Glynn I. Owens Pharma Resolutions, LLC Pinetree Foundation Portraits On The Way Abby L. Potter Mr. and Mrs. Benjamin Proctor Ms. Tonya Richardson Pam and Theron Russell Mr. Timothy Schnupp Sarah Jane Schwing Sanjeev Singhal, M.D. Gail and Miles Smith Ms. Emily Stern Mr. Darby M. Subotich Mr. Michael VanderVat Dr. and Mrs. J. Ken Walters Mr. Robert Wieder MT. AIRY CLUB Annual Support of $100 - $249 Anonymous (7) Ms. Arlene Abrams Anne E. Alaoglu, M.D. Ms. Marina Allen American Legion Auxiliary #52 American Legion Post 13 Dr. Sigmund Amitin Yeshitila and Peggy Araya Richard August, Jr.* and Mrs. Roxanne August Mr. and Mrs. Thomas Bailliere Mr. Michael L. Baker Karyn and Kenneth Bauer Ms. Mary C. Bazarnic Ms. Dawn Beachley Alison Beck and Larry Chernikoff Beechwood Coal Ms. Jane A. Belt M. Therese Bennett

Ms. Carissa Bennett Mr. David Bennett George and Karen Benson Ms. Shannon Bergeron Mr. Ray Besold Bethel Sunday School Dawn S. Biggs Mr. John P. Biggs Ms. Heather T. Billings Ms. Teresa Bittinger Black Sapphire C Cumberland 2014, Inc. Ms. Andrea M. Blackmon Ms. Patricia H. Blanchard Mr. James D. Blum Ms. Deb Boehling Ms. Zsakiara Boggs Mr. Edward Bracken Mr. Herbert C. Brown Ms. Barbara Brown Ms. Karen Burd Ms. Allison Calvert Ms. Natanya Cambridge Mr. Gregory Carlo Ms. Nadine Centineo CHP Mr. Glenn Clayton Ms. Suzanne F. Cohen Lisa, Chris, and Ayda Cosby Michael and Mary Kay Cunningham Mr. Pat Cunningham Ms. Mary S. Cunningham Mr. Michael J. Cunningham Ms. Melissa Cutter D&A Transport LLC David C. and Sarah M. Daneker Kathi and Alan Danielson Melissa M. Davidson Mr. William Dell Donald & Martha Dewees Foundation Mr. and Mrs. Jim Dickman Ms. Sandra L. Doggett Linda C. Doty, RN, LCSW-C Ms. Pam Dudek Eat Sleep Run Grow Ms. Michelle Faison Farm Women’s Club Dr. Rolfe B. Finn Ms. Iris E. Fisher Flagship Rehabilitation Bernard and Ann Flynn Mrs. Vicki Follett Mr. and Mrs. Jim Fortune Sean Fradiska Tammy and Christopher Fraley Mr. R. James Fritsch Ms. Jen l. Fritsch Gap Foundation

SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT 27

Ms. Joan T. Gavin Mr. and Mrs. Wilfried K. Gehne Richard and Elizabeth Geiger D.R. Giamette Ms. Susanne V. Giannitti Mr. and Mrs. John B. Gillett Deoroop Gurprasad, M.D. Ms. Sonia Gusky Ms. Barbara Hanna Ms. Marcy Hardinger Mr. Rick Harshman Julia and Merwin Hast Mr. John M. Hayes Mr. Hamilton Holt Ms. Bernice B. Howe Mr. Mark Ilyes Sandra and Richard Jackson John and Barbara Jackson Mr. Craig Johnson Ms. Cassandra Johnson Ms. Sheryl Jones-Henderson Ms. Mareena S. Joseph Daniel W. Kakuska, M.D. Mr. Mitchell Karpman Dr. Lisa Kebejian Mr. and Mrs. Brian J. Kelly Mitchell and Tanya Kent Lori Kingsley, D.O. Bob and Darlene Kirk Mr. David A. Klaus Mr. and Mrs. Matt Knudsen Kay Pak Koller, M.D. Ms. Esther Konig Mr. and Mrs. Donald W. Kraftson The Kremen Family Mr. and Mrs. Robert A. Lagas Mr. and Mrs. Kaj Larsson Mr. Thomas R. Lauer Mr. Rik Lee Janet and Sheldon Leibowitz The Lessin Family Ms. Susan Leviton Dr. and Mrs. John R. Lion Lt. Kyle A. Lumbowe John and Carla Lurz Merle C. McCann, M.D. Mr. Frank H. McCully Ms. Annette McGann Mr. and Mrs. Chris McGovern L. Melvin Mrs. Patricia Menser Ms. Mary Anne Meyers Mr. Albert H. Michaels, Jr. Ms. Debi Mikolowsky Bettie and John Modrak Mr. Enoch Moon Dr. Maria Mouratidis

Mr. and Mrs. Michael Murphy Ms. Rebecca E. Nanney Dr. Supriya Narang Karen and Paul Newman Mr. and Mrs. Jerry Noll Jeff and Linda Norris Maurice O’Leary Ms. Marie Ourand P & S Enterprises Rashad and Amie Page Ms. Gayle Page Mr. Kimahni Peele Wendy and Charles Phillips Dr. and Mrs. James Porterfield Ms. Anne Porterfield Mrs. Stephanie S. Provenza Dr. Jonas R. Rappeport Elizabeth and David Reed Ms. Lori Reilly Ms. Pam Reynolds Ritchie Trucking & Excavating Mr. Patrick J. Rowe Ms. Rebecca M. Rubenstein Rebecca and Thomas Ruppert Ms. Kathryn Rush Mr. Paul Sallach Mr. Robert I. Scheer Robert Schloesser, M.D. Dr. and Mrs. Clarence G. Schulz* Ms. Connie Schulz Ms. Donna Senft Ms. Courtney Shaffer Ms. Esther Sharp Annabelle and Richard Sher Davis Shingleton, M.D. Mr. and Mrs. John Shirk Holly Slapinski Sloan Septic Service Volunteers of the Bargain Nook (Keats Smith, Doris Stevens, Fay Hagwood, Laura Silverman and Bluma Jed) Sons of the American Legion Mr. Stuart Sponaugle Mr. Edward Steinhouse Carl I. Thistel Mr. Sidney Thomas Dr. and Mrs. Kevin Tomany Mr. Onur Unal Ms. Amey Upton Mr. Michael Vastano Charles Emerson Walker, Ph.D. Mr. and Mrs. Rick M. Wallace Ms. Bonnie J. Walters Ms. Heather Warnick Nanny and Jack Warren Steve and Melpa Warres

28 SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT

Mr. Justin Wheeler Jamie M. Williams Teresa K. Wilpers Jonathan and Susan Wilson Alvin Winters Ms. Colette Wolf Ms. Susan M. Wolski-Vincenzes Woodmen of the World, Lodge 6081 Mrs. Janet Yoder Mr. and Mrs. Alan M. Young *deceased

ABOUT SHEPPARD PRATT HEALTH SYSTEM Sheppard Pratt Health System is the largest non-profit provider of mental health, substance use, special education, and social services in the country.

A nationwide resource, Sheppard Pratt provides 2.3 million services annually across a comprehensive continuum of care, spanning both hospital- and community-based resources. Since its founding in 1853, Sheppard Pratt has been innovating the field through research, best practice implementation, and a focus on improving the quality of mental health care on a global level. Sheppard Pratt has been consistently ranked as a top national psychiatric hospital by U.S. News & World Report for the past 27 years.

30 SHEPPARD PRATT HEALTH SYSTEM 2017 ANNUAL REPORT

hope

sheppardpratt.org

Facebook.com/SheppardPratt |

@SheppardPratt |

@SheppardPrattHealthSystem