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ObjectId: 201721319349302057 - Submission: 2017-05-11
TIN: 27-0263214
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Information about Schedule R (Form 990) and its instructions is at
www.irs.gov/form990
.
OMB No. 1545-0047
20
15
Open to Public Inspection
Name of the organization
PHYSICIAN ENTERPRISE LLC
Employer identification number
27-0263214
Part I
Identification of Disregarded Entities
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
(1)
ANNE ARUNDEL PHYSICIANS GROUP LLC
2001 MEDICAL PARKWAY
ANNAPOLIS
,
MD
21401
20-1838374
PHYSICIAN SERVICES
MD
84,945,715
4,965,750
PHYSICIAN ENTERPRISE LLC
(2)
ORTHOPEDIC PHYSICIANS OF ANNAPOLIS INC
2001 MEDICAL PARKWAY
ANNAPOLIS
,
MD
21401
26-4046246
PHYSICIAN SERVICES
MD
30,404,288
3,765,227
PHYSICIAN ENTERPRISE LLC
(3)
AAMC COMMUNITY CLINICS LLC
2001 MEDICAL PARKWAY
ANNAPOLIS
,
MD
21401
36-4760974
PROVIDE PRIMARY CARE TO THE WORKING POOR
MD
1,104,795
553,778
PHYSICIAN ENTERPRISE LLC
(4)
ANNE ARUNDEL FAST CARE LLC
2001 MEDICAL PARKWAY
ANNAPOLIS
,
MD
21401
36-4778738
PROVIDE CONVENIENT PHYSICIAN CARE
MD
410,621
65,093
PHYSICIAN ENTERPRISE LLC
(5)
AAMG PHYSICAL THERAPY LLC
2001 MEDICAL PARKWAY
ANNAPOLIS
,
MD
21401
61-1756240
ORTHOPEDIC SERVICES
MD
5,329,071
398,668
PHYSICIAN ENTERPRISE LLC
Part II
Identification of Related Tax-Exempt Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
ANNE ARUNDEL HEALTH SYSTEM INC
2001 MEDICAL PARKWAY
ANNAPOLIS
,
MD
21401
52-1622253
SUPPORT HEALTH CARE RELATED ENTITIES
MD
501(C)(3)
9
N/A
No
(2)
ANNE ARUNDEL MEDICAL CENTER FOUNDATION INC
2001 MEDICAL PARKWAY
ANNAPOLIS
,
MD
21401
52-1331298
SUPPORTING ORGANIZATION OF AAHS,INC. AND SUBSIDIARIES
MD
501(C)(3)
11B
ANNE ARUNDEL HEALTH SYSTEM INC
No
(3)
ANNE ARUNDEL HEALTH CARE SERVICES INC
2001 MEDICAL PARKWAY
ANNAPOLIS
,
MD
21401
52-1467734
OUTPATIENT DIAGNOSTICS AND IMAGING SERVICES
MD
501(C)(3)
3
ANNE ARUNDEL MEDICAL CENTER INC
No
(4)
ANNE ARUNDEL HEALTH SYSTEM RESEARCH INSTITUTE INC
2001 MEDICAL PARKWAY
ANNAPOLIS
,
MD
21401
26-3038406
MEDICAL RESEARCH
MD
501(C)(3)
4
ANNE ARUNDEL HEALTH SYSTEM INC
No
(5)
ANNE ARUNDEL MEDICAL CENTER INC
2001 MEDICAL PARKWAY
ANNAPOLIS
,
MD
21401
52-1169362
MEDICAL/HOSPITAL SERVICES
MD
501(C)(3)
3
ANNE ARUNDEL HEALTH SYSTEM INC
No
(6)
ANNE ARUNDEL GENERAL TREATMENT SERVICES INC
2001 MEDICAL PARKWAY
ANNAPOLIS
,
MD
21401
52-1722088
ALCOHOL & DRUG ABUSE TREATMENT SERVICES
MD
501(C)(3)
3
ANNE ARUNDEL MEDICAL CENTER INC
No
(7)
ANNE ARUNDEL REAL ESTATE HOLDING COMPANY INC
2001 MEDICAL PARKWAY
ANNAPOLIS
,
MD
21401
52-1622251
REAL ESTATE HOLDING COMPANY
MD
501(C)(2)
ANNE ARUNDEL HEALTH SYSTEM INC
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2015
Page 2
Schedule R (Form 990) 2015
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
(1)
ANNAPOLIS EXCHANGE LOT IV LLC
2001 MEDICAL PARKWAY
ANNAPOLIS
,
MD
21401
52-2020156
COMMERCIAL REAL ESTATE LEASING
MD
N/A
(2)
ANNAPOLIS EXCHANGE LOT V LLC
2001 MEDICAL PARKWAY
ANNAPOLIS
,
MD
21401
52-2020157
MEDICAL REAL ESTATE LEASING
MD
N/A
(3)
MEDICAL OFFICE LLC
2001 MEDICAL PARKWAY
ANNAPOLIS
,
MD
21401
20-2290229
MEDICAL REAL ESTATE LEASING
MD
N/A
(4)
KENT ISLAND MEDICAL ARTS LLC
2001 MEDICAL PARKWAY
ANNAPOLIS
,
MD
21401
26-0623450
MEDICAL REAL ESTATE LEASING
MD
N/A
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
(1)
PAVILION PARK INC
2001 MEDICAL PARKWAY
ANNAPOLIS
,
MD
21401
52-1890034
REAL ESTATE LEASING
MD
N/A
C
No
(2)
ANNE ARUNDEL HEALTH CARE ENTERPRISES INC
2001 MEDICAL PARKWAY
ANNAPOLIS
,
MD
21401
52-1646304
MEDICAL SERVICES
MD
N/A
C
No
(3)
COTTAGE INSURANCE COMPANY LTD
PO BOX 1109
GRAND CAYMAN
CJ KY1-110
CJ
98-0461499
CAPTIVE INSURER - PROFESSIONAL LIABILITY INSURANCE
CJ
N/A
C
No
Schedule R (Form 990) 2015
Page 3
Schedule R (Form 990) 2015
Page
3
Part V
Transactions With Related Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.....................
1a
No
b
Gift, grant, or capital contribution to related organization(s)
............................
1b
No
c
Gift, grant, or capital contribution from related organization(s)
............................
1c
Yes
d
Loans or loan guarantees to or for related organization(s)
............................
1d
No
e
Loans or loan guarantees by related organization(s)
............................
1e
No
f
Dividends from related organization(s)
............................
1f
No
g
Sale of assets to related organization(s)
............................
1g
No
h
Purchase of assets from related organization(s)
............................
1h
No
i
Exchange of assets with related organization(s)
............................
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.......................
1j
No
k
Lease of facilities, equipment, or other assets from related organization(s)
......................
1k
Yes
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
No
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
No
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
...................
1n
No
o
Sharing of paid employees with related organization(s)
............................
1o
Yes
p
Reimbursement paid to related organization(s) for expenses
............................
1p
Yes
q
Reimbursement paid by related organization(s) for expenses
............................
1q
Yes
r
Other transfer of cash or property to related organization(s)
............................
1r
Yes
s
Other transfer of cash or property from related organization(s)
............................
1s
Yes
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1)
MEDICAL OFFICE LLC
K
1,691,728
FMV
(2)
KENT ISLAND MEDICAL ARTS LLC
K
386,569
FMV
(3)
ANNE ARUNDEL REAL ESTATE HOLDING COMPANY INC (BLUE BUILDING)
K
1,570,722
FMV
(4)
ANNE ARUNDEL HEALTH CARE ENTERPRISES INC
K
1,513,767
FMV
(5)
ANNE ARUNDEL HEALTH CARE ENTERPRISES INC
O
19,076,985
FMV
(6)
ANNE ARUNDEL HEALTH CARE ENTERPRISES INC
P
101,141,400
FMV
Schedule R (Form 990) 2015
Page 4
Schedule R (Form 990) 2015
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2015
Page 5
Schedule R (Form 990) 2015
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference
Explanation
Schedule R (Form 990) 2015
Additional Data
Software ID:
Software Version: