This final report is a compilation of research efforts ? funded by the US Department of Energy Wind and Water Power Technologies Office over a four-year period from FY11 through FY14. The goals of this research program were to develop and evaluate technical innovations with promise for maximizing revenues and reducing levelized cost of energy (LCOE) for offshore wind plants ? more specifically the goals of the Structural Health and Prognostics Management (SHPM) program were to reduce O&M costs and increase energy capture through use of SHPM-based technologies. A technology roadmap was developed at the start of the project to guide the research efforts. This roadmap identified and outlined six major research thrust areas each having five stages of maturity. Research was conducted in each of these thrust areas, as documented throughout this report, although a major focus was on development of damage detection strategies for the most frequent blade damage conditions and damage mitigation and life-extension strategies via changes in turbine operations (smart loads management). The work summarized in this compilation report is the product of the work of many researchers. A summary of the major findings, status of the SHPM Technology Roadmap and recommendations for future work are also provided.