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ObjectId: 201803189349304600 - Submission: 2018-11-14
TIN: 71-0236856
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.
Go to
www.irs.gov/Form990
for the latest information.
OMB No. 1545-0047
20
17
Open to Public Inspection
Name of the organization
BAPTIST HEALTH
Employer identification number
71-0236856
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)
BAPTIST HEALTH PHYSICIAN PARTNERS
9601 BAPTIST HEALTH DRIVE
LITTLE ROCK
,
AR
72205
46-1692255
HEALTHCARE
AR
-1,881,973
1,406,886
BAPTIST HLTH
(2)
DIAMOND RISK INSURANCE LLC
9601 BAPTIST HEALTH DRIVE
LITTLE ROCK
,
AR
72205
71-0236856
INSURANCE
AR
332,725
23,837,280
BAPTIST HLTH
(3)
A1 ACO LLC
9601 BAPTIST HEALTH DR
LITTLE ROCK
,
AR
72205
82-1581126
HEALTHCARE
AR
BAPTIST HLTH
(4)
A3 ACO LLC
9601 BAPTIST HEALTH DR
LITTLE ROCK
,
AR
72205
82-1602035
HEALTHCARE
AR
BAPTIST HLTH
(5)
A4 ACO LLC
9601 BAPTIST HEALTH DR
LITTLE ROCK
,
AR
72205
82-1621150
HEALTHCARE
AR
BAPTIST HLTH
(6)
A5 ACO LLC
9601 BAPTIST HEALTH DR
LITTLE ROCK
,
AR
72205
82-1639608
HEALTHCARE
AR
BAPTIST HLTH
(7)
A6 ACO LLC
9601 BAPTIST HEALTH DR
LITTLE ROCK
,
AR
72205
82-1655092
HEALTHCARE
AR
BAPTIST HLTH
(8)
A7 ACO LLC
9601 BAPTIST HEALTH DR
LITTLE ROCK
,
AR
72205
82-1666848
HEALTHCARE
AR
BAPTIST HLTH
(9)
A8 ACO LLC
9601 BAPTIST HEALTH DR
LITTLE ROCK
,
AR
72205
82-1685991
HEALTHCARE
AR
BAPTIST HLTH
(10)
A9 ACO LLC
9601 BAPTIST HEALTH DR
LITTLE ROCK
,
AR
72205
82-1699413
HEALTHCARE
AR
BAPTIST HLTH
(11)
BH MEDICAL EDUCATION CONSORTIUM LLC
9601 BAPTIST HEALTH DRIVE
LITTLE ROCK
,
AR
72205
HEALTHCARE
AR
BAPTIST HLTH
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)
BAPTIST HEALTH FOUNDATION
9601 BAPTIST HEALTH DRIVE
LITTLE ROCK
,
AR
72205
23-7169407
SUPPORT
AR
501(C) (3)
7
BAPTIST HLTH
Yes
(2)
PARKWAY HEALTH CENTER INC
14324 CHENAL PKWY
LITTLE ROCK
,
AR
72211
71-0675933
LTC NURSING
AR
501(C) (3)
12A
BAPTIST HLTH
Yes
(3)
PARKWAY VILLAGE INC
14300 CHENAL PARKWAY
LITTLE ROCK
,
AR
72211
71-0574341
RETIREMENT
AR
501(C) (3)
10
BAPTIST HLTH
Yes
(4)
ARKANSAS HEALTH GROUP
11001 EXECUTIVE CENTER DRIVE SUITE
LITTLE ROCK
,
AR
72211
71-0781138
HEALTHCARE
AR
501(C) (3)
10
BAPTIST HLTH
Yes
(5)
BAPTIST HEALTH EXTENDED CARE
9601 BAPTIST HEALTH DRIVE
LITTLE ROCK
,
AR
72205
26-1286647
MEDICAL CTR.
AR
501(C) (3)
3
BAPTIST HLTH
Yes
(6)
TWIN RIVERS MEDICAL CENTER
3050 TWIN RIVERS DR
ARKADELPHIA
,
AR
71923
71-0541647
MEDICAL CTR.
AR
501(C) (3)
3
BAPTIST HLTH
Yes
(7)
BAPTIST HEALTH HOSPITALS
9601 BAPTIST HEALTH DRIVE
LITTLE ROCK
,
AR
72205
61-1570855
MEDICAL CTR.
AR
501(C) (3)
3
BAPTIST HLTH
Yes
(8)
CONWAY COMMUNITY SERVICES
9601 BAPTIST HEALTH DRIVE
LITTLE ROCK
,
AR
72205
46-1629800
MEDICAL CTR.
AR
501 (C) (3)
3
BAPTIST HLTH
Yes
(9)
COMPLETE HEALTH WITH PACE
9601 BAPTIST HEALTH DRIVE
LITTLE ROCK
,
AR
72205
47-2101351
HEALTHCARE
AR
501 (C) (3)
10
BAPTIST HLTH
Yes
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2017
Page 2
Schedule R (Form 990) 2017
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)
ORTHOARK SURGERY
10301 KANIS ROAD
LITTLE ROCK
,
AR
72205
71-0818555
ORTHOPEDIC
AR
BAPTIST HEALTH
RELATED
1,026,906
167,575
No
0
No
51.000 %
(2)
AUTUMN ROAD LLC
PO BOX 3730
LITTLE ROCK
,
AR
72203
71-0786625
REAL ESTATE
AR
NA
N/A
No
No
(3)
MAUMELLE FAMILY
11001 EXECUTIVE CENTER DRIVE SUITE
LITTLE ROCK
,
AR
72211
71-0824329
MEDICAL CARE
AR
NA
N/A
No
No
(4)
AMERICAN DATA NTWK
10809 EXECUTIVE CENTER DRIVE
LITTLE ROCK
,
AR
72211
71-0849746
DATA SERVICES
AR
BAPTIST HEALTH
RELATED
58,932
1,224,562
No
0
Yes
57.417 %
(5)
SPRINGHILL SURGERY CENTER
3401 SPRINGHILL DR STE 155
NORTH LITTLE ROCK
,
AR
72117
62-1712554
SURGERY SERVI
AR
BAPTIST HEALTH
UNRELATED
685,845
2,260,444
No
No
52.356 %
(6)
TWO FINANCIAL CENTRE HOLDING CO LLC
9601 BAPTIST HEALTH DRIVE
LITTLE ROCK
,
AR
72205
81-4970489
REAL ESTATE
AR
NA
N/A
No
No
(7)
BH CENTER FOR CLINICAL RESEARCH LLC
9601 BAPTIST HEALTH DR STE 250
LITTLE ROCK
,
AR
72205
45-5503799
CLINICAL RESE
AR
NA
N/A
No
No
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
(1)
MULTIMANAGEMENT SERVICES INC
9601 BAPTIST HEALTH DRIVE
LITTLE ROCK
,
AR
722057299
71-0599194
MANAGEMENT
AR
BAPTIST HEALTH
C CORPORATION
-3,037,441
129,783,192
100.000 %
Yes
(2)
BAPTIST MEDCARE INC
9601 BAPTIST HEALTH DRIVE
LITTLE ROCK
,
AR
72205
71-0678160
MEDICAL CARE
AR
NA
C CORPORATION
Yes
(3)
HOTEL PROPERTIES INC
9601 BAPTIST HEALTH DRIVE
LITTLE ROCK
,
AR
72205
71-0599198
HOTELS
AR
NA
C CORPORATION
Yes
(4)
SERVICE FINANCE CORPORATION
9601 BAPTIST HEALTH DRIVE
LITTLE ROCK
,
AR
72205
71-0333251
FINANCE SERVI
AR
NA
C CORPORATION
Yes
(5)
WESTSIDE PROPERTIES INC
9601 BAPTIST HEALTH DRIVE
LITTLE ROCK
,
AR
72205
71-0532013
REAL ESTATE
AR
NA
C CORPORATION
Yes
(6)
BAPTIST MEDICAL SYSTEMS HMO INC
9601 BAPTIST HEALTH DRIVE
LITTLE ROCK
,
AR
72205
71-0622925
HEALTHCARE SR
AR
NA
C CORPORATION
Yes
Schedule R (Form 990) 2017
Page 3
Schedule R (Form 990) 2017
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
Yes
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
Yes
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
Yes
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
No
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
No
s
Other transfer of cash or property from related organization(s)
............................
1s
No
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)
MULTIMANAGEMENT SERVICES INC
A
525,664
FMV
(2)
BAPTIST HEALTH EXTENDED CARE HOSPITAL
A
903,405
FMV
(3)
BAPTIST HEALTH FOUNDATION
C
11,551,760
FMV
(4)
ARKANSAS HEALTH GROUP
D
7,388,043
FMV
(5)
MULTIMANAGEMENT SERVICES INC
D
8,017,511
FMV
(6)
ARKANSAS HEALTH GROUP
J
773,025
FMV
(7)
MULTIMANAGEMENT SERVICES INC
J
260,580
FMV
(8)
ARKANSAS HEALTH GROUP
K
57,120
FMV
(9)
ARKANSAS HEALTH GROUP
O
41,839,204
FMV
(10)
BAPTIST HEALTH EXTENDED CARE HOSPITAL
O
2,082,512
FMV
(11)
BAPTIST HEALTH HOSPITALS
O
423,688
FMV
(12)
BAPTIST HEALTH EXTENDED CARE HOSPITAL
Q
2,042,315
FMV
(13)
BAPTIST HEALTH HOSPITALS
Q
2,875,521
FMV
(14)
CONWAY COMMUNITY SERVICES
Q
11,617,117
FMV
(15)
PARKWAY VILLAGE INC
Q
748,510
FMV
(16)
PARKWAY HEALTH CENTER INC
Q
149,129
FMV
(17)
BAPTIST HEALTH FOUNDATION
Q
274,049
FMV
(18)
MULTIMANAGEMENT SERVICES INC
Q
825,205
FMV
Schedule R (Form 990) 2017
Page 4
Schedule R (Form 990) 2017
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) 2017
Page 5
Schedule R (Form 990) 2017
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) 2017
Additional Data
Software ID:
Software Version: