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ObjectId: 201842269349301059 - Submission: 2018-08-14
TIN: 59-0192265
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
16
Open to Public Inspection
Name of the organization
Baptist Health Care Foundation Inc
Employer identification number
59-0192265
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
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 CARE CORPORATION
1717 N E STREET
PENSACOLA
,
FL
32501
59-2425151
HEALTHCARE
FL
501(c)(3)
12c
NA
No
(2)
LAKEVIEW CENTER INC
1221 WEST LAKEVIEW AVENUE
PENSACOLA
,
FL
32501
59-0737872
HEALTHCARE
FL
501(c)(3)
7
BHC
Yes
(3)
BAPTIST HOSPITAL INC
1000 WEST MORENO STREET
PENSACOLA
,
FL
32501
59-0657322
HEALTHCARE
FL
501(c)(3)
3
BHC
Yes
(4)
CMHC HERNANDEZ HOUSE INC
1221 WEST LAKEVIEW AVE
PENSACOLA
,
FL
32501
59-2041794
LOW COST APT.
FL
501(c)(3)
10
LCI
Yes
(5)
JAY HOSPITAL INC
14114 ALABAMA STREET
JAY
,
FL
32565
59-2425149
HEALTHCARE
FL
501(c)(3)
3
BHC
Yes
(6)
LAKEVIEW PLACE INC
1221 WEST LAKEVIEW AVE
PENSACOLA
,
FL
32501
59-2804577
LOW COST APT.
FL
501(c)(3)
10
LCI
Yes
(7)
LAKEVIEW VILLA INC
1221 WEST LAKEVIEW AVE
PENSACOLA
,
FL
32501
59-2842486
LOW COST APT.
FL
501(c)(3)
10
LCI
Yes
(8)
GLOBAL CONNECTIONS TO EMPLOYMENT INC
1221 WEST LAKEVIEW AVENUE
PENSACOLA
,
FL
32501
47-2592811
VOC TRAINING
FL
501(C)(3)
7
LCI
Yes
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2016
Page 2
Schedule R (Form 990) 2016
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)
BAPTIST MEDICAL PARK SURGERY CENTER LLC
9400 UNIVERSITY PKWY
PENSACOLA
,
FL
32514
59-3535262
AMBULATORY SURG.
FL
NA
No
0
(2)
ANDREWS INSTITUTE ASC LLC
1040 GULF BREEZE PKWY
GULF BREEZE
,
FL
32561
35-2274952
AMBULATORY SURG.
FL
BHI
No
0
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)
BAPTIST HEALTH VENTURES INC
1717 NORTH E ST
PENSACOLA
,
FL
32501
59-2415910
ADMINISTRATIVE
FL
BHC
C CORP
Yes
(2)
PENSACOLA POB INC
1717 NORTH E ST
PENSACOLA
,
FL
32501
59-2462399
LEASING AGENT
FL
BHV
C CORP
Yes
(3)
MOBILE DIAGNOSTICS INC
1717 NORTH E ST
PENSACOLA
,
FL
32501
59-2864191
MEDICAL SERVICES
FL
BHV
C CORP
Yes
(4)
MEDICAL PROFESSIONAL AGENCY INC
1717 NORTH E ST
PENSACOLA
,
FL
32501
59-2555835
MEDICAL SERVICES
FL
BHV
C CORP
Yes
(5)
THE TOWERS PHARMACY INC
1717 NORTH E ST
PENSACOLA
,
FL
32501
59-2667929
RETAIL SALES
FL
BHV
C CORP
Yes
(6)
LANGHORNE CARDIOLOGY CONSULTANTS INC
1717 NORTH E ST
PENSACOLA
,
FL
32501
59-2874324
MEDICAL SERVICES
FL
BHI
C CORP
Yes
(7)
LAKEVIEW ASSOCIATED ENTERPRISES-PHASE I
1221 W LAKEVIEW AVE
PENSACOLA
,
FL
32501
61-1711170
franchising
FL
BHV
C CORP
Yes
(8)
LAKEVIEW ASSOCIATED ENTERPRISES-PHASE II
1221 WEST LAKEVIEW AVENUE
PENSACOLA
,
FL
32501
46-5458197
FRANCHISING
FL
BHV
C CORP
Yes
(9)
PARCEL 27 LAND CONDOMINIUM ASSOC INC
1221 WEST LAKEVIEW AVE
PENSACOLA
,
FL
32501
82-1313799
CONDO ASSOCATION
FL
LAE
C CORP
Yes
Schedule R (Form 990) 2016
Page 3
Schedule R (Form 990) 2016
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
Yes
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
Yes
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
No
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
Yes
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
Yes
o
Sharing of paid employees with related organization(s)
............................
1o
Yes
p
Reimbursement paid to related organization(s) for expenses
............................
1p
No
q
Reimbursement paid by related organization(s) for expenses
............................
1q
No
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)
Baptist Hospital Inc
B
502,916
FMV
(2)
Lakeview Center Inc
B
306,440
FMV
(3)
Baptist Hospital Inc
C
284,934
FMV
(4)
BAPTIST HOSPITAL INC
E
140,500
FMV
Schedule R (Form 990) 2016
Page 4
Schedule R (Form 990) 2016
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) 2016
Page 5
Schedule R (Form 990) 2016
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) 2016
Additional Data
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