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ObjectId: 202101069349300045 - Submission: 2021-04-16
TIN: 74-1303720
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 instructions and the latest information.
OMB No. 1545-0047
20
19
Open to Public Inspection
Name of the organization
Baptist Hospitals of Southeast Texas
Employer identification number
74-1303720
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 PHYSICIAN NETWORK
3080 COLLEGE ST
BEAUMONT
,
TX
77701
76-0453250
PRIMARY CARE
TX
501(c)(3)
3
BHSET
Yes
(2)
SOUTHWEST COMMUNITY HOSPITAL INC
7800 N DALLAS PKWY STE 200
PLANO
,
TX
75024
75-2725353
SUPPORT ORG
TX
501(c)(3)
12C-III-FI
CHC
No
(3)
YOAKUM COMMUNITY HOSPITAL
1200 CARL RAMERT DR
YOAKUM
,
TX
77995
74-2323822
HOSPITAL
TX
501(c)(3)
3
CHC
No
(4)
CONTINUECARE HOSPITAL OF TYLER
800 E DAWSON ST
TYLER
,
TX
75701
20-0991990
HOSPITAL
DE
501(c)(3)
3
CCC
No
(5)
CONTINUECARE HOSPITAL OF SOUTHEAST TEXAS
7800 N DALLAS PKWY STE 200
PLANO
,
TX
75024
20-1150480
HOSPITAL
TX
501(c)(3)
3
CCC
No
(6)
ST MARK'S MEDICAL CENTER
ONE ST MARKS PLACE
LA GRANGE
,
TX
78945
74-3019849
HOSPITAL
TX
501(c)(3)
3
CHC
No
(7)
CHC COMMUNITY CARE LLC
7800 N DALLAS PKWY STE 200
PLANO
,
TX
75024
37-1485773
SUPPORT ORG
DE
501(c)(3)
12C-III-FI
CHC
No
(8)
CONTINUECARE HOSPITAL OF MIDLAND
4214 ANDREWS HIGHWAY
MIDLAND
,
TX
79703
46-3053684
HOSPITAL
DE
501(c)(3)
3
CCC
No
(9)
CONTINUECARE HOSP AT HENDRICK MED CTR
1900 PINE ST 5TH FL
ABILENE
,
TX
79601
46-3607347
HOSPITAL
DE
501(c)(3)
3
CCC
No
(10)
CONTINUECARE HOSP BPTST HLT MADISONVILLE
900 HOSPITAL DRIVE 4TH FLOOR
MADISONVILLE
,
KY
42431
46-5033192
HOSPITAL
DE
501(c)(3)
3
CCC
No
(11)
CONTINUECARE HOSP AT BAPTIST HLT PADUCAH
2501 KENTUCKY AVENUE 5TH FL
PADUCAH
,
KY
42003
46-5032999
HOSPITAL
DE
501(c)(3)
3
CCC
No
(12)
CONTINUECARE HOSPITAL AT BAPTIST HEALTH
1 TRILLIUM WAY
CORBIN
,
KY
40701
20-0925675
HOSPITAL
KY
501(c)(3)
3
CCC
No
(13)
CRAWLEY MEMORIAL HOSPITAL
706 KINGS STREET
KINGS MOUNTAIN
,
NC
28086
56-0691100
HOSPITAL
NC
501(c)(3)
3
CAR CC
No
(14)
CAROLINAS COMMUNITY CARE LLC
7800 N DALLAS PKWY STE 200
PLANO
,
TX
75024
46-5590355
SUPPORT ORG
DE
501(c)(3)
12B-II
CHC
No
(15)
JELLICO COMMUNITY HOSPITAL INC
188 HOSPITAL LANE
JELLICO
,
TN
37762
62-0924706
HOSPITAL
TN
501(c)(3)
3
CHC
No
(16)
CONTINUECARE HOSPITAL AT ODESSA INC
500 W 4TH STREET
ODESSA
,
TX
79761
47-3539943
HOSPITAL
DE
501(c)(3)
3
CCC
No
(17)
YOAKUM COMMUNITY HOSPITAL FOUNDATION
1200 CARL RAMERT DRIVE
YOAKUM
,
TX
77995
45-3609830
SUPPORT ORG
TX
501(c)(3)
12A-1
YCH
No
(18)
BHSETX FOUNDATION
810 HOSPITAL DRIVE 235
BEAUMONT
,
TX
77701
61-1557670
SUPPORT ORG
TX
501(c)(3)
7
BHSET
Yes
(19)
MERCY RESTORATIVE CARE HOSPITAL INC
10648 PARK ROAD
CHARLOTTE
,
NC
28210
75-3054855
HOSPITAL
NC
501(c)(3)
3
CAR CC
No
(20)
RURAL AND COMMUNITY HEALTHCARE COLLABORA
7800 N DALLAS PKWY STE 200
PLANO
,
TX
75024
81-4337246
SUPPORT ORG
TX
501(c)(3)
7
CHC
No
(21)
CONTINUECARE HOSPITAL AT PALMETTO HEALTH
7800 N DALLAS PKWY STE 200
PLANO
,
TX
75024
81-3048423
HOSPITAL
TX
501(c)(3)
3
CCC
No
(22)
COMMUNITY HOSPITAL CORPORATION
7800 N DALLAS PKWY STE 200
PLANO
,
TX
75024
75-2638469
SUPPORT ORG
TX
501(C)(3)
12C-III-FI
NA
No
(23)
GAINESVILLE COMMUNITY HOSPITAL INC
1900 HOSPITAL BLVD
GAINESVILLE
,
TX
76240
83-1683025
HOSPITAL
TX
501(C)(3)
3
CHC
No
(24)
HUNTSVILLE COMMUNITY HOSPITAL INC
110 MEMORIAL HOSPITAL DRIVE
HUNTSVILLE
,
TX
77340
84-3654542
HOSPITAL
TX
501(C)(3
3
CHC
No
(25)
HMH PHYSICIAN ORGANIZATION
110 MEMORIAL HOSPITAL DRIVE
HUNTSVILLE
,
TX
77340
76-0500960
PUBLIC CHARI.
TX
501(C)(3)
10
HUNTSVILLE
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Page 2
Schedule R (Form 990) 2019
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
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)
COMMUNITY HEALTH ASSURANCE SPC LTD
POB 69GT
GRAND CAYMAN
CJ
CAPTIVE INSURANCE
CJ
CHC
C Corp
No
(2)
COMMUNITY HOSPITAL CONSULTING INC
7800 N DALLAS PARKWAY SUITE 200
PLANO
,
TX
75024
20-4710183
MGMT CONSULTING
TX
CHC
C Corp
No
Schedule R (Form 990) 2019
Page 3
Schedule R (Form 990) 2019
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
No
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)
BAPTIST PHYSICIAN NETWORK
q
5,534,956
COST
(2)
BHSETX FOUNDATION
C
464,808
COST
(3)
COMMUNITY HOSPITAL CORPORATION
p
8,728,290
COST
Schedule R (Form 990) 2019
Page 4
Schedule R (Form 990) 2019
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) 2019
Page 5
Schedule R (Form 990) 2019
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) 2019
Additional Data
Software ID:
Software Version: