SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
right arrowComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
right arrowAttach to Form 990.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
Behavioral Health Management Services Inc
 
Employer identification number

59-3279573
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)BAYCARE HEALTH SYSTEM INC
2985 DREW ST

CLEARWATER,FL337593012
59-2796965
SUPPORT SERVICES FL 501(c)(3) Type I NA
 
 
No
(2)BAYCARE BEHAVIORAL HEALTH INC
7809 MASSACHUSETTS AVE

NEW PORT RICHEY,FL346533028
59-1371752
HEALTH SERVICES FL 501(c)(3) 7 BCHS
 
 
No
(3)BAYCARE EMERGENCY ASSISTANCE PROGRAM INC
2985 DREW ST

CLEARWATER,FL337593012
59-2697770
EMERGENCY FUND FL 501(c)(3) 10 BCHS
 
 
No
(4)BAYCARE HOME CARE INC
8452 118TH AVE NORTH

LARGO,FL337735007
59-3582520
HOME HEALTH FL 501(c)(3) 10 BCHS
 
 
No
(5)WINTER HAVEN HOSPITAL INC
200 AVENUE F NE

Winter Haven,FL338814131
59-0724462
HEALTH SERVICES FL 501(c)(3) 3 BCHS
 
 
No
(6)BAYCARE MEDICAL GROUP INC
300 S PARK PLACE BLVD

Clearwater,FL337594931
59-3140335
PHYSICIANS FL 501(c)(3) 10 BCHS
 
 
No
(7)BARTOW REGIONAL MEDICAL CENTER INC
2200 OSPREY BLVD

BARTOW,FL338303308
47-5387418
HOSPITAL FL 501(c)(3) 3 BCHS
 
 
No
(8)BAYCARE SELECT HEALTH PLANS INC
2985 DREW STREET

CLEARWATER,FL337593012
81-0795815
MCR ADVANTAGE FL 501(c)(4)   BCHS
 
 
No
(9)BAYCARE PASCO INC
4501 BRUCE B DOWNS BLVD

WESLEY CHAPEL,FL33544
83-2099849
HOSPITAL FL 501(c)(3) 3 BCHS
 
 
No
(10)BAYCARE MANATEE INC
2985 Drew Street

Clearwater,FL33759
86-3276411
POTENTIAL HOSPITAL FL 501(c)(3) 3 BCHS
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2022
Page 2
Schedule R (Form 990) 2022
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) BC PURCHASING PARTNERS LLC

2985 Drew Street
Clearwater,FL33759
64-0950837
PURCHASING ORG FL NA
 
N/A       No     No  
(2) BC SURGERY CENTER LLC

8452 118TH AVE N
LARGO,FL337735007
46-0591430
SURGERY CENTER FL 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) BCHS INSURANCE LTD

720 W BAY RD
BUCKINGHAM SQUARE,GRAND CAYMANKY11102
CJ
INSURANCE CAPTIVE CJ NA
 
C Corporation         No
(2) MEDSPECIALISTS INC

PO BOX 210
CLEARWATER,FL33757
68-0587533
PAYROLL SERVICES FL NA
 
C Corporation         No










Schedule R (Form 990) 2022
Page 3
Schedule R (Form 990) 2022
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
 
No
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
Yes
 
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
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
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





Schedule R (Form 990) 2022
Page 4
Schedule R (Form 990) 2022
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) 2022
Page 5
Schedule R (Form 990) 2022
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) 2022

Additional Data


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