PHYSICIAN ENTERPRISE LLC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- PHYSICIAN ENTERPRISE LLC (EIN 27-0263214)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-12
- IRS object ID
- 202141329349300749
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-12T08:26:58-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 205991824 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SC&H GROUP INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 RIDGEBROOK ROAD | AddressLine1Txt |
| City | SPARKS | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21152 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 270263214 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHYSICIAN ENTERPRISE LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PHYS | BusinessNameControlTxt |
| Phone | 4434811308 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 MEDICAL PARKWAY NO 606 | AddressLine1Txt |
| City | ANNAPOLIS | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21401 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEVIN L SMITH | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4434811308 | PhoneNum |
| Signature | 2021-05-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LORI S BURGHAUSER | PreparerPersonNm |
| PTIN | P00370694 | PTIN |
| Phone | 4104031500 | PhoneNum |
| Preparation | 2021-05-07 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | VICTORIA BAYLESS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 MEDICAL PARKWAY NO 606 | AddressLine1Txt |
| City | ANNAPOLIS | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $178,945,425 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.AAHS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2009 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE PHYSICIAN, DIAGNOSTIC, AND OTHER HEALTH CARE SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 495 | TotalEmployeeCnt |
| Total Volunteers | 88 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,064,616 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,789,109 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $171,300,938 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $174,794,296 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $792,996 | PYOtherRevenueAmt |
| CY Other Revenue | $362,020 | CYOtherRevenueAmt |
| PY Total Revenue | $173,158,550 | PYTotalRevenueAmt |
| CY Total Revenue | $178,945,425 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $128,330,929 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $131,808,091 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $57,383,362 | PYOtherExpensesAmt |
| CY Other Expenses | $67,834,277 | CYOtherExpensesAmt |
| PY Total Expenses | $185,714,291 | PYTotalExpensesAmt |
| CY Total Expenses | $199,642,368 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$12,555,741 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$20,696,943 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $25,999,460 | TotalAssetsBOYAmt |
| Total Assets EOY | $46,488,758 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $21,687,618 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $42,176,916 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,311,842 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,311,842 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PHYSICIAN ENTERPRISE, LLC IS A NON-PROFIT PROVIDER OF PHYSICIAN, DIAGNOSTIC, THERAPUETIC, AND OTHER HEALTH CARE SERVICES THAT FURTHERS THE EXEMPT PURPOSES OF LUMINIS HEALTH, INC. (FKA ANNE ARUNDEL HEALTH SYSTEM, INC.) | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $48,000,361 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $41,766,530 | RevenueAmt |
| Desc | MEDICINE- PROVIDES A VARIETY OF SPECIALTY HEALTHCARE SERVICES SUCH AS CARDIOLOGY, DIABETES ENDOCRINE AND NEUROLOGY SERVICES TO THE COMMUNITY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $46,649,108 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $42,025,596 | RevenueAmt |
| Desc | ORTHOPEDICS - SERVICES INCLUDING ORTHOPEDIC SURGERY, PHYSICAL THERAPY, AND ORTHOTICS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $35,583,893 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $31,519,599 | RevenueAmt |
| Desc | WOMEN AND CHILDREN- PROVIDE OBSTETRICS AND GYNAECOLOGY SERVICES TO THE COMMUNITY. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $38,923,092 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $59,844,591 | RevenueAmt |
| Desc | OTHER PROGRAM SERVICES PROVIDED IN ACCORDANCE WITH THE ORGANIZATION'S MISSION STATEMENT AND TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $38,923,092 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $59,844,591 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $169,156,454 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 71 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 495 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEVIN L SMITH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4434811308 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 MEDICAL PARKWAY SUITE 606 | AddressLine1Txt |
| City | ANNAPOLIS | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21401 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| VICTORIA W BAYLESS | |||||||||
| CHAIR, CEO | 1.00 | 49.00 | Yes (X) | Yes (X) | $0 | $2,033,908 | $213,200 | ||
| MITCHELL SCHWARTZ MD | |||||||||
| VICE CHAIR, PRESIDENT | 20.00 | 26.00 | Yes (X) | Yes (X) | $0 | $858,058 | $89,524 | ||
| STEPHEN CLARKE | |||||||||
| SECRETARY/TREASURER (PART YEAR) | 3.00 | 40.00 | Yes (X) | Yes (X) | $0 | $423,145 | $27,694 | ||
| MAULIK JOSHI | |||||||||
| BOARD MEMBER (PART YEAR) | 2.00 | 40.00 | Yes (X) | $0 | $892,738 | $69,098 | |||
| PETER ODENWALD | |||||||||
| BOARD MEMBER | 40.00 | 0.00 | Yes (X) | $448,129 | $0 | $38,883 | |||
| SHERRY PERKINS | |||||||||
| BOARD MEMBER | 1.00 | 48.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT REILLY | |||||||||
| CHEIF FINANCIAL OFFICER | 1.00 | 46.00 | Yes (X) | $0 | $781,763 | $30,257 | |||
| PAUL KING MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,129,992 | $0 | $45,808 | Yes (X) | |||
| JEFFREY GELFAND MD | |||||||||
| MEDICAL DIRECTOR ORTHOPEDIC SERVICES | 40.00 | 0.00 | $1,027,016 | $0 | $8,250 | Yes (X) | |||
| CYRUS LASHGARI MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,019,797 | $0 | $31,692 | Yes (X) | |||
| BENJAMIN PETRE MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $978,791 | $0 | $38,931 | Yes (X) | |||
| JAMES MACDONALD MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $974,257 | $0 | $41,041 | Yes (X) | |||
| PATRICIA CZAPP MD | |||||||||
| FORMER BOARD MEMBER | 0.00 | 40.00 | $0 | $122,597 | $0 | Yes (X) | |||
| BARRY MEISENBERG MD | |||||||||
| FORMER BOARD MEMBER | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,577,982 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,112,209 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $634,378 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 287 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ADFINITAS HEALTH CONTRACTED PHYSICIANS | |||||
| 7250 PARKWAY STE 500 | HANOVER | MD | 21076 | CONTRACTED PHYSICIANS | $1,701,216 |
| DOCTORS EMERGENCY SERVICE PA | |||||
| 2001 MEDICAL PARKWAY | ANNAPOLIS | MD | 21401 | CONTRACTED PHYSICIANS | $474,000 |
| JOHNS HOPKINS UNIVERSITY | |||||
| 600 NORTH WOLFE STREET | BALTIMORE | MD | 21287 | CONTRACTED PHYSICIANS | $117,273 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $539,622 | RelatedOrganizationsAmt |
| Government Grants | $3,249,487 | GovernmentGrantsAmt |
| Total Contributions | $3,789,109 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 621110 | $138,210,917 | $138,210,917 |
| HOSPITAL SERVICE REVENUE | 621110 | $33,035,532 | $33,035,532 |
| MANAGEMENT SERVICES | 812900 | $1,714,763 | $1,714,763 |
| DIRECTORSHIP | 812900 | $1,658,101 | $1,658,101 |
| RESEARCH REVENUE | 541700 | $174,983 | $174,983 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $174,794,296 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CAPITATION AND MEANINGFUL USE REV | 900099 | $164,811 | $164,811 |
| CLINICIANS INCENTIVE INCOME | 900099 | $77,098 | $77,098 |
| CORD BLOOD BANKING | 900099 | $35,000 | $35,000 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $85,111 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $85,111 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $362,020 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $178,945,425 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $175,156,316 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $487,014 | TotalAmt |
| Program Services | $438,313 | ProgramServicesAmt |
| Management And General | $48,701 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,367,127 | TotalAmt |
| Program Services | $106,530,414 | ProgramServicesAmt |
| Management And General | $11,836,713 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,015,185 | TotalAmt |
| Program Services | $1,813,666 | ProgramServicesAmt |
| Management And General | $201,519 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,597,771 | TotalAmt |
| Program Services | $5,937,994 | ProgramServicesAmt |
| Management And General | $659,777 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,340,994 | TotalAmt |
| Program Services | $3,906,895 | ProgramServicesAmt |
| Management And General | $434,099 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,691,590 | TotalAmt |
| Program Services | $7,259,465 | ProgramServicesAmt |
| Management And General | $1,432,125 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,479 | TotalAmt |
| Management And General | $72,479 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,427,578 | TotalAmt |
| Program Services | $22,884,820 | ProgramServicesAmt |
| Management And General | $2,542,758 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,129,070 | TotalAmt |
| Program Services | $1,016,163 | ProgramServicesAmt |
| Management And General | $112,907 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,704,186 | TotalAmt |
| Program Services | $10,533,767 | ProgramServicesAmt |
| Management And General | $1,170,419 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $477,567 | TotalAmt |
| Program Services | $429,810 | ProgramServicesAmt |
| Management And General | $47,757 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,066 | TotalAmt |
| Program Services | $99,959 | ProgramServicesAmt |
| Management And General | $11,107 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,348 | TotalAmt |
| Management And General | $3,348 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,009,303 | TotalAmt |
| Program Services | $1,808,373 | ProgramServicesAmt |
| Management And General | $200,930 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,632,446 | TotalAmt |
| Program Services | $5,969,201 | ProgramServicesAmt |
| Management And General | $663,245 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| BILLING EXPENSE | $10,594,558 | $10,594,558 | |
| RECRUITMENT | $334,581 | $334,581 | |
| DUES & SUBSCRIPTIONS | $287,583 | $31,980 | $255,603 |
| COLLECTION FEES | $209,230 | $20,923 | $188,307 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,692 | TotalAmt |
| Program Services | $83,704 | ProgramServicesAmt |
| Management And General | $65,988 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,642,368 | TotalAmt |
| Program Services | $169,156,454 | ProgramServicesAmt |
| Management And General | $30,485,914 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,028,007 | BOYAmt |
| EOY | $715,887 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,763,766 | BOYAmt |
| EOY | $10,519,009 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $851,943 | BOYAmt |
| EOY | $524,850 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,029,869 | BOYAmt |
| EOY | $2,104,564 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $27,375,686 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $14,740,438 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,934,473 | BOYAmt |
| EOY | $12,635,248 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,224,402 | BOYAmt |
| EOY | $1,224,402 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,000 | BOYAmt |
| EOY | $18,764,798 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,999,460 | BOYAmt |
| EOY | $46,488,758 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,019,018 | BOYAmt |
| EOY | $15,200,112 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $668,600 | BOYAmt |
| EOY | $26,976,804 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,687,618 | BOYAmt |
| EOY | $42,176,916 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,311,842 | BOYAmt |
| EOY | $4,311,842 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,311,842 | BOYAmt |
| EOY | $4,311,842 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,999,460 | BOYAmt |
| EOY | $46,488,758 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$20,696,943 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $20,696,943 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,999,384 | OtherCostOrOtherBasisAmt |
| Depreciation | $272,999 | DepreciationAmt |
| Book Value | $3,726,385 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,669,243 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,880,971 | DepreciationAmt |
| Book Value | $5,788,272 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,586,068 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,586,468 | DepreciationAmt |
| Book Value | $1,999,600 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,120,991 | OtherCostOrOtherBasisAmt |
| Book Value | $1,120,991 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,635,248 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER ASSETS | $167,000 |
| RIGHT OF USE ASSET LONG TERM | $18,597,798 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $18,764,798 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| CONTINGENT LIABILITY FOR LAWSUITS | $167,000 |
| ADVANCES FROM THIRD PARTY PAYORS | $7,976,940 |
| LEASE LIABILITY | $18,832,864 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $26,976,804 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | UNDER THE REQUIREMENTS OF ASC 740, INCOME TAXES, TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. LUMINIS HEALTH, INC. AND SUBSIDIARIES (THE "GROUP") HAS DETERMINED THAT IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THROUGH JUNE 30, 2020. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VICTORIA W BAYLESS | ||||||||||||||
| CHAIR, CEO | $0 | $958,976 | $0 | $642,339 | $0 | $432,593 | $0 | $213,200 | $0 | $0 | $0 | $2,247,108 | $0 | $345,800 |
| MITCHELL SCHWARTZ MD | ||||||||||||||
| VICE CHAIR, PRESIDENT | $0 | $501,349 | $0 | $262,501 | $0 | $94,208 | $0 | $66,721 | $0 | $22,803 | $0 | $947,582 | $0 | $60,540 |
| STEPHEN CLARKE | ||||||||||||||
| SECRETARY/TREASURER (PART YEAR) | $0 | $284,563 | $0 | $113,130 | $0 | $25,452 | $0 | $11,573 | $0 | $16,121 | $0 | $450,839 | $0 | $0 |
| MAULIK JOSHI | ||||||||||||||
| BOARD MEMBER (PART YEAR) | $0 | $449,486 | $0 | $309,247 | $0 | $134,005 | $0 | $37,207 | $0 | $31,891 | $0 | $961,836 | $0 | $46,178 |
| PETER ODENWALD | ||||||||||||||
| BOARD MEMBER | $299,095 | $0 | $125,311 | $0 | $23,723 | $0 | $23,582 | $0 | $15,301 | $0 | $487,012 | $0 | $0 | $0 |
| ROBERT REILLY | ||||||||||||||
| CHEIF FINANCIAL OFFICER | $0 | $468,159 | $0 | $285,150 | $0 | $28,454 | $0 | $12,600 | $0 | $17,657 | $0 | $812,020 | $0 | $0 |
| PAUL KING MD | ||||||||||||||
| PHYSICIAN | $1,129,137 | $0 | $0 | $0 | $855 | $0 | $8,400 | $0 | $37,408 | $0 | $1,175,800 | $0 | $0 | $0 |
| JEFFREY GELFAND MD | ||||||||||||||
| MEDICAL DIRECTOR ORTHOPEDIC SERVICES | $1,025,705 | $0 | $0 | $0 | $1,311 | $0 | $8,250 | $0 | $0 | $0 | $1,035,266 | $0 | $0 | $0 |
| CYRUS LASHGARI MD | ||||||||||||||
| PHYSICIAN | $1,018,942 | $0 | $0 | $0 | $855 | $0 | $8,400 | $0 | $23,292 | $0 | $1,051,489 | $0 | $0 | $0 |
| BENJAMIN PETRE MD | ||||||||||||||
| PHYSICIAN | $978,221 | $0 | $0 | $0 | $570 | $0 | $10,490 | $0 | $28,441 | $0 | $1,017,722 | $0 | $0 | $0 |
| JAMES MACDONALD MD | ||||||||||||||
| PHYSICIAN | $972,946 | $0 | $0 | $0 | $1,311 | $0 | $12,600 | $0 | $28,441 | $0 | $1,015,298 | $0 | $0 | $0 |
| PATRICIA CZAPP MD | ||||||||||||||
| FORMER BOARD MEMBER | $0 | $0 | $0 | $0 | $0 | $122,597 | $0 | $0 | $0 | $0 | $0 | $122,597 | $0 | $102,503 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE TOP MANAGEMENT OFFICIALS ARE UNCOMPENSATED BY THE REPORTING ORGANIZATION. THE REPORTING ORGANIZATION RELIES ON LUMINIS HEALTH, INC., A RELATED ORGANIZATION, TO ESTABLISH COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS. |
| PART I, LINE 4B | THE FOLLOWING PARTICIPATED IN THE ORGANIZATION'S 457(F) PLAN: VICTORIA BAYLESS $200,600 MITCHELL SCHWARTZ $ 58,321 PETER ODENWALD $ 15,182 MAULIK JOSHI $ 28,807 DURING THE YEAR, THE FOLLOWING RECEIVED PAYMENTS AS PART OF THEIR PARTICIPATION IN THE ORGANIZATION'S 457(F) PLAN: VICTORIA BAYLESS $345,800 MITCHELL SCHWARTZ $ 60,540 MAULIK JOSHI $ 46,178 |
| FORM 990, PART VII, LINE 3 - DISCLOSURE INFORMATION | PATRICIA CZAPP WAS COMPENSATED DURING THE CALENDAR YEAR 2019 FOR HER SERVICES TO A RELATED ORGANIZATION NOT FOR HER CAPACITY AS A FORMER BOARD MEMBER. |
| FORM 990, PART VII, LINE 5 - DISCLOSURE INFORMATION | THE ORGANIZATION AND ITS AFFILIATES PAID JOHNS HOPKINS MEDICINE $481,060 DURING THE CALENDAR YEAR 2019 FOR DR. BARRY MEISENBERG'S SERVICES. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | ANNE ARUNDEL FAST CARE, LLC WAS FORMALLY DISSOLVED ON OCTOBER 24, 2019. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE STOCKHOLDER OF THE ORGANIZATION IS LUMINIS HEALTH, INC., A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED HEALTH SYSTEM. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE STOCKHOLDER OF THE ORGANIZATION IS LUMINIS HEALTH, INC., A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED HEALTH SYSTEM. LUMINIS HEALTH HAS THE EXPRESS POWER AND RESPONSIBILITY TO ELECT AND REMOVE THE BOARD OF DIRECTORS AND OFFICERS OF THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE STOCKHOLDER OF THE ORGANIZATION IS LUMINIS HEALTH, INC., A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED HEALTH SYSTEM. LUMINIS HEALTH HAS THE EXPRESS POWER AND RESPONSIBILITY TO APPROVE CERTAIN DECISIONS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 10A: THE POLICIES DESCRIBED IN PART VI, SECTION B, LINES 10A-16B APPLY TO PHYSICIAN ENTERPRISE, LLC AND ITS AFFILIATES AS LISTED BELOW: LUMINIS HEALTH MEDICAL GROUP, ORTHOPEDIC PHYSICIANS OF ANNAPOLIS, INC. LUMINIS HEALTH COMMUNITY CLINICS, LLC ANNE ARUNDEL FAST CARE, LLC LHMG PHYSICAL THERAPY, LLC CARECONNECTNOW, LLC |
| FORM 990, PART VI, SECTION B, LINE 11B | RESPONSIBILITY FOR THE DETAILED REVIEW OF THE FORM 990 HAS BEEN ASSIGNED TO THE AUDIT AND COMPLIANCE COMMITTEE OF LUMINIS HEALTH, INC. THE AUDIT AND COMPLIANCE COMMITTEE REVIEWS THE FORM 990 AND PROVIDES SUMMARY INFORMATION TO THE FULL BOARD. THE FORM 990 IS MADE AVAILABLE TO THE FULL BOARD FOR REVIEW PRIOR TO ITS FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REQUIRES THAT SENIOR EXECUTIVE LEADERS AND EACH MEMBER OF THE BOARD REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS AND RETURN AN ACKNOWLEDGEMENT OF RECEIPT AND DISCLOSURE OF ANY POTENTIAL CONFLICTS OF INTEREST. SUBSEQUENT TO THE COMPLETION OF THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, IF A COVERED INDIVIDUAL BECOMES AWARE OF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THE COVERED INDIVIDUAL SHALL PROMPTLY DISCLOSE IT TO THE PRESIDENT OF LUMINIS HEALTH, INC.. IF LUMINIS HEALTH HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED INDIVIDUAL HAS FAILED TO DISCLOSE A POTENTIAL CONFLICT OF INTEREST, IT SHALL INFORM THE COVERED INDIVIDUAL OF THE BASIS FOR SUCH BELIEF AND PROVIDE THE COVERED INDIVIDUAL AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. AFTER DISCLOSURE OF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST BY A MEMBER OF THE BOARD OF TRUSTEES OR AN OFFICER OR SENIOR EXECUTIVE, THE EXECUTIVE COMMITTEE OF THE LUMINIS HEALTH BOARD SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF THE INTERESTED PERSON IS A MEMBER OF THE EXECUTIVE COMMITTEE, AFTER ANY DISCUSSION WITH THE INTERESTED MEMBER SUCH MEMBER SHALL LEAVE THE EXECUTIVE COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE EXECUTIVE COMMITTEE MAY REQUEST THAT LEGAL COUNSEL OR OTHER ADVISORS ASSIST AND ADVISE THE COMMITTEE IN CONNECTION WITH THE INVESTIGATION AND DETERMINATION OF ANY CONFLICT OF INTEREST ISSUE. IF A CONFLICT OR POTENTIAL CONFLICT IS DEEMED TO EXIST, THE MEMBER MUST REMOVE HIMSELF OR HERSELF FROM THE ROOM DURING ANY DISCUSSION OF THE MATTER, REFRAIN FROM PARTICIPATING IN DISCUSSION AND VOTING UPON OR OTHER DECISION MAKING IN REGARD TO THE MATTER, AVOID USING HIS OR HER PERSONAL INFLUENCE, AVOID MAKING AN ADMINISTRATIVE DECISION ON THE MATTER, AND, IN THE CASE OF A DIRECTOR, MUST NOT BE COUNTED IN DETERMINING THE QUORUM FOR ACTION ON THE MATTER, EVEN WHERE PERMITTED BY THE BY-LAWS. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE EXECUTIVE COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION AND SHALL MAKE ITS DECISIONS AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. IF THE EXECUTIVE COMMITTEE DETERMINES THAT THE TRANSACTION IS IN THE BEST INTEREST OF LUMINIS HEALTH, THE COMMITTEE MAY IMPOSE SUCH CONDITIONS OR REQUIREMENTS ON THE COVERED INDIVIDUAL INCLUDING, BUT NOT LIMITED TO REQUIRING THAT THE COVERED INDIVIDUAL RECUSE HER/HIMSELF FROM DELIBERATIONS AND DECISIONS RELATING TO THOSE MATTERS WHERE THE INDIVIDUAL HAS A PERSONAL INTEREST WHICH COULD CONFLICT, OR APPEAR TO CONFLICT, WITH HER/HIS DUTY OF LOYALTY TO THE BEST INTERESTS OF THE ORGANIZATION AND LUMINIS HEALTH. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION IS DETERMINED BY REVIEWING COMPARABLE INDEPENDENT MARKET DATA. UPDATED DATA IS OBTAINED AT LEAST ONCE ANNUALLY TO ENSURE COMPENSATION REMAINS CONSISTENT WITH OVERALL MARKET TRENDS. THIS REVIEW IS PERFORMED BY THE VP OF PHYSICIAN SERVICES, WITH COMPENSATION LEVELS APPROVED BY THE PRESIDENT. LUMINIS HEALTH, INC.'S EXECUTIVE COMPENSATION COMMITTEE DETERMINES THE PRESIDENT'S AND CEO'S COMPENSATION FOLLOWING THE IRC SECTION REBUTTABLE PRESUMPTION TEST. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE FORM 990 IS AVAILABLE BY REQUEST TO THE FINANCIAL SERVICES OFFICE OR CAN BE OBTAINED ONLINE VIA WWW.GUIDESTAR.ORG. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE RETAINED IN THE FINANCE OFFICE AND ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | TRANSFER/RECAPITALIZATION FROM AFFILIATES 20,696,943. |
| FORM 990, PAGE 12, PART XII, LINE 2C: | THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| LUMINIS HEALTH MEDICAL GROUP LLC | |||||||||
| 2000 MEDICAL PARKWAY SUITE 606 | ANNAPOLIS | MD | 21401 | 201838374 | PHYSICIAN SERVICES | MD | $135,984,427 | $31,308,521 | PHYSICIAN ENTERPRISE LLC |
| ORTHOPEDIC PHYSICIANS OF ANNAPOLIS INC | |||||||||
| 2000 MEDICAL PARKWAY SUITE 606 | ANNAPOLIS | MD | 21401 | 264046246 | PHYSICIAN SERVICES | MD | $32,493,289 | $7,705,708 | PHYSICIAN ENTERPRISE LLC |
| LUMINIS HEALTH COMMUNITY CLINICS LLC | |||||||||
| 2000 MEDICAL PARKWAY SUITE 606 | ANNAPOLIS | MD | 21401 | 364760974 | PROVIDE PRIMARY CARE TO THE WORKING POOR | MD | $934,246 | $572,571 | PHYSICIAN ENTERPRISE LLC |
| ANNE ARUNDEL FAST CARE LLC | |||||||||
| 2000 MEDICAL PARKWAY SUITE 606 | ANNAPOLIS | MD | 21401 | 364778738 | PROVIDE CONVENIENT PHYSICIAN CARE | MD | $0 | $0 | PHYSICIAN ENTERPRISE LLC |
| LHMG PHYSICAL THERAPY LLC | |||||||||
| 2000 MEDICAL PARKWAY SUITE 606 | ANNAPOLIS | MD | 21401 | 611756240 | ORTHOPEDIC SERVICES | MD | $9,532,307 | $6,901,672 | PHYSICIAN ENTERPRISE LLC |
| CARECONNECTNOW LLC | |||||||||
| 2000 MEDICAL PARKWAY SUITE 606 | ANNAPOLIS | MD | 21401 | 611930552 | TELEMEDICINE | MD | $1,155 | $285 | PHYSICIAN ENTERPRISE LLC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LUMINIS HEALTH INC | |||||||||||
| 2000 MEDICAL PARKWAY SUITE 606 | ANNAPOLIS | MD | 21401 | 521622253 | SUPPORT HEALTH CARE RELATED ENTITIES | MD | 501(C)(3) | LINE 10 | N/A | 0 | |
| LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER FOUNDATION INC | |||||||||||
| 2000 MEDICAL PARKWAY SUITE 606 | ANNAPOLIS | MD | 21401 | 521331298 | SUPPORTING ORGANIZATION OF LUMINIS HEALTH, INC. AND SUBSIDIARIES | MD | 501(C)(3) | LINE 12B, II | 0 | LUMINIS HEALTH INC | |
| LUMINIS HEALTH IMAGING INC | |||||||||||
| 2000 MEDICAL PARKWAY SUITE 606 | ANNAPOLIS | MD | 21401 | 521467734 | OUTPATIENT DIAGNOSTICS AND IMAGING SERVICES | MD | 501(C)(3) | LINE 3 | 0 | LUMINIS HEALTH INC | |
| LUMINIS HEALTH RESEARCH INSTITUTE INC | |||||||||||
| 2000 MEDICAL PARKWAY SUITE 606 | ANNAPOLIS | MD | 21401 | 263038406 | MEDICAL RESEARCH | MD | 501(C)(3) | LINE 4 | 0 | LUMINIS HEALTH INC | |
| LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER INC | |||||||||||
| 2000 MEDICAL PARKWAY SUITE 606 | ANNAPOLIS | MD | 21401 | 521169362 | MEDICAL/HOSPITAL SERVICES | MD | 501(C)(3) | LINE 3 | 0 | LUMINIS HEALTH INC | |
| LUMINIS HEALTH PATHWAYS INC | |||||||||||
| 2000 MEDICAL PARKWAY SUITE 606 | ANNAPOLIS | MD | 21401 | 521722088 | ALCOHOL & DRUG ABUSE TREATMENT SERVICES | MD | 501(C)(3) | LINE 3 | 0 | LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER INC | |
| LUMINIS HEALTH REAL ESTATE HOLDING COMPANY INC | |||||||||||
| 2000 MEDICAL PARKWAY SUITE 606 | ANNAPOLIS | MD | 21401 | 521622251 | REAL ESTATE HOLDING COMPANY | MD | 501(C)(2) | 0 | LUMINIS HEALTH INC | ||
| LUMINIS HEALTH J KENT MCNEW FAMILY MEDICAL CENTER INC | |||||||||||
| 2000 MEDICAL PARKWAY SUITE 606 | ANNAPOLIS | MD | 21401 | 833856917 | MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES | MD | 501(C)(3) | LINE 3 | 0 | LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER INC | |
| LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER INC | |||||||||||
| 8118 GOOD LUCK ROAD | LANHAM | MD | 20706 | 521638026 | HOSPITAL | MD | 501(C)(3) | LINE 3 | 0 | LUMINIS HEALTH INC | |
| LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER FOUNDATION INC | |||||||||||
| 8118 GOOD LUCK ROAD | LANHAM | MD | 20706 | 521712338 | SUPPORTING ORGANIZATION OF LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER | MD | 501(C)(3) | LINE 12A, I | 0 | LUMINIS HEALTH INC | |
| DOCTORS HEALTH SYSTEM INC | |||||||||||
| 8118 GOOD LUCK ROAD | LANHAM | MD | 20706 | 371908564 | SUPPORTING ORGANIZATION OF LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER | MD | 501(C)(3) | LINE 12B, II | 0 | LUMINIS HEALTH INC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| ANNAPOLIS EXCHANGE LOT IV LLC | |||||||
| 2000 MEDICAL PARKWAY SUITE 606 | ANNAPOLIS | MD | 21401 | 522020156 | COMMERCIAL REAL ESTATE LEASING | MD | N/A |
| ANNAPOLIS EXCHANGE LOT V LLC | |||||||
| 2000 MEDICAL PARKWAY SUITE 606 | ANNAPOLIS | MD | 21401 | 522020157 | MEDICAL REAL ESTATE LEASING | MD | N/A |
| MEDICAL OFFICE LLC | |||||||
| 2000 MEDICAL PARKWAY SUITE 606 | ANNAPOLIS | MD | 21401 | 202290229 | MEDICAL REAL ESTATE LEASING | MD | N/A |
| KENT ISLAND MEDICAL ARTS LLC | |||||||
| 2000 MEDICAL PARKWAY SUITE 606 | ANNAPOLIS | MD | 21401 | 260623450 | MEDICAL REAL ESTATE LEASING | MD | N/A |
| ANNE ARUNDEL - SCA SURGICENTER LLC | |||||||
| 2000 MEDICAL PARKWAY SUITE 606 | ANNAPOLIS | MD | 21401 | 824763728 | AMBULATORY SURGICENTER | MD | N/A |
| ANNE ARUNDEL - SCA HOLDINGS LLC | |||||||
| 2000 MEDICAL PARKWAY SUITE 606 | ANNAPOLIS | MD | 21401 | 825124069 | AMBULATORY SURGICENTER HOLDING COMPANY | MD | N/A |
| DOCTORS REGIONAL CANCER CENTER LLC | |||||||
| 8118 GOOD LUCK ROAD | LANHAM | MD | 20706 | 208889327 | CANCER TREATMENT SERVICES FOR RESIDENTS OF PRINCE GEORGE'S COUNTY | MD | N/A |
| MAGNOLIA GARDENS NURSING HOME | |||||||
| 8200 GOOD LUCK ROAD | LANHAM | MD | 20706 | 521961563 | NURSING HOME | MD | N/A |
| SOUTHERN MARYLAND INTEGRATED CARE LLC | |||||||
| 8118 GOOD LUCK ROAD | LANHAM | MD | 20706 | 455627098 | MEDICARE SHARED SAVINGS | MD | N/A |
| UNIVERSITY CENTER FOR AMBULATORY SURGICAL SERVICES CENTER LLC | |||||||
| 6505 KENILWORTH AVE | RIVERDALE | MD | 20737 | 522149129 | SURGERY CENTER | MD | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAVILION PARK INC | ||||||||||||||
| 2000 MEDICAL PARKWAY SUITE 606 | ANNAPOLIS | MD | 21401 | 521890034 | REAL ESTATE LEASING | MD | N/A | C | 0 | |||||
| LUMINIS HEALTH CARE SERVICES INC | ||||||||||||||
| 2000 MEDICAL PARKWAY SUITE 606 | ANNAPOLIS | MD | 21401 | 521646304 | MEDICAL SERVICES | MD | N/A | C | 0 | |||||
| COTTAGE INSURANCE COMPANY LTD | ||||||||||||||
| 980461499 | CAPTIVE INSURER - PROFESSIONAL LIABILITY INSURANCE | N/A | C | 0 | PO BOX 1109 | GRAND CAYMAN | CJ | CJ KY1-110 | CJ | |||||
| DOCTORS COMMUNITY HEALTH VENTURES INC | ||||||||||||||
| 8118 GOOD LUCK ROAD | LANHAM | MD | 20706 | 521884380 | WHOLLY OWNED FOR PROFIT ENTITY OF LUMINIS HEALTH DOCTORS COMMUNITY MED CTR | MD | N/A | C | 0 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MEDICAL OFFICE LLC | ||
| K | $1,934,651 | FMV |
| KENT ISLAND MEDICAL ARTS LLC | ||
| K | $562,201 | FMV |
| LUMINIS HEALTH REAL ESTATE HOLDING COMPANY INC (BLUE BUILDING) | ||
| K | $3,289,314 | FMV |
| LUMINIS HEALTH CARE SERVICES INC | ||
| K | $7,938,790 | FMV |
| LUMINIS HEALTH CARE SERVICES INC | ||
| O | $25,682,672 | FMV |
| LUMINIS HEALTH CARE SERVICES INC | ||
| P | $10,594,558 | FMV |