2024-08-08T19:46:10-05:00 2023-09-30 440160260 FORVIS MAZARS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-10-01 823883114 SOUTH OF BROAD HEALTHCARE SOUT 8435225140 955 RIBAULT ROAD BEAUFORT SC 29902 KENNETH MILLER CFO 8435225140 2024-08-08 1 0 AMY BIBBY P00445891 8282542254 2024-08-08 2022 2024-08-08 14:25:15Z RUSSELL BAXLEY 955 RIBAULT ROAD BEAUFORT SC 29902 0 0 X UNDER DEVELOPMENT X 2018 SC SOUTH OF BROAD HEALTHCARE HAS BEEN CREATED TO OPERATE EXCLUSIVELY FOR BENEVOLENT, EDUCATIONAL, SCIENTIFIC, AND CHARITABLE PURPOSES. 8 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47420 33542 47420 33542 -47420 -33542 3185409 3154937 25000 28071 3160409 3126866 SOUTH OF BROAD HEALTHCARE HAS BEEN CREATED TO OPERATE EXCLUSIVELY FOR BENEVOLENT, EDUCATIONAL, SCIENTIFIC, AND CHARITABLE PURPOSES. 0 0 ONCE OPERATIONAL, THE ORGANIZATION WILL OPERATE A MICROHOSPITAL WHICH WILL CONSIST OF APPROXIMATELY 20 INPATIENT BEDS AND AN EMERGENCY DEPARTMENT. 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X THE ORGANIZATION 8435225142 955 RIBAULT ROAD BEAUFORT SC 29902 PAUL MAZZEO MD DIRECTOR 1.00 X 0 0 0 STEVEN MEYER DIRECTOR 1.00 X 0 0 0 PATRICK CAWLEY MD MHM FACHE DIRECTOR 1.00 X 0 0 0 LISA GOODLETT CPA MBA FACHE DIRECTOR 1.00 X 0 0 0 EUGENE HONG MD DIRECTOR 1.00 X 0 0 0 MATT SEVERANCE DIRECTOR 1.00 X 0 0 0 E RUSSELL BAXLEY III MHA DIRECTOR 1.00 55.00 X 0 869238 50508 KENNETH MILLER DIRECTOR 1.00 55.00 X 0 445328 69662 0 1314566 120170 0 0 1 0 0 0 0 0 0 X 17761 17761 7053 7053 8728 8728 33542 0 33542 0 211193 180721 2974216 2974216 2974216 3185409 3154937 25000 28071 25000 28071 X 3160409 3126866 3160409 3126866 3185409 3154937 -33542 0 X X 0 1 X 1 0 X 2974216 2974216 2974216 X PART X, LINE 2: BEAUFORT MEMORIAL HOSPITAL, BROAD RIVER HEALTHCARE, INC., SOUTH OF BROAD HEALTHCARE, INC, AND BEAUFORT MEMORIAL HOSPITAL ENDOWMENT FOUNDATION ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE ORGANIZATIONS HAVE DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2023. 0 0 0 0 0 0 0 0 0 E RUSSELL BAXLEY III MHA DIRECTOR 0 869238 0 0 0 0 0 50508 0 0 0 919746 0 0 KENNETH MILLER DIRECTOR 0 445328 0 0 0 0 0 50508 0 19154 0 514990 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE CORPORATION WILL RECEIVE MANAGEMENT SERVICES FROM BMH, WHICH IS A POLITICAL SUBDIVISION OF THE STATE OF SOUTH CAROLINA. BMH IS RECOGNIZED AS AN ORGANIZATION EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE CODE FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION WILL HAVE BROAD RIVER HEALTHCARE AS THE SOLE MEMBER OF THE ORGANIZATION FORM 990, PART VI, SECTION A, LINE 7A MEDICAL UNIVERSITY OF SOUTH CAROLINA WILL HAVE THE RIGHT TO APPOINT 4 (50%) NON-VOTING MEMBERS OF THE BOARD OF DIRECTORS. BROAD RIVER HEALTHCARE, INC WILL APPOINT 4 (50%) OF THE BOARD REPRESENTING THE VOTING BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY MANAGEMENT AND THEN DISTRIBUTED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C ANY DIRECTOR, COMMITTEE MEMBER, OR OFFICER HAVING A FINANCIAL INTEREST SHALL MAKEA PROMPT, FULL, AND FRANK DISCLOSURE OF HIS OR HER FINANCIAL INTEREST TO THE PRESIDENT/CEO AND THE BOARD OF DIRECTORS (IN THE CASE OF DIRECTORS OR OFFICERS) OR COMMITTEE AT THE FIRST MEETING OF THE BOARD OF DIRECTORS OR COMMITTEE IN EACH YEAR OR PRIOR TO ITS ACTING ON SUCH TRANSACTION OR ARRANGEMENT. SUCH DISCLOSURE SHALL INCLUDE ANY RELEVANT AND MATERIAL FACTS KNOWN TO SUCH PERSON WHICH MIGHT REASONABLY BE CONSTRUED TO BE ADVERSE TO OR POTENTIALLY ADVERSE TO THE CORPORATION'S INTEREST. FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. FORM 990, PART IX, LINE 11G CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,006. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,006. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,047. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,047. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. BEAUFORT MEMORIAL HOSPITAL 955 RIBAUT ROAD BEAUFORT SC 29902 576000094 HEALTHCARE SC 501(C)(3) LINE 3 N/A 0 BEAUFORT MEMORIAL HOSPITAL FOUNDATION PO BOX 2233 BEAUFORT SC 29901 570792360 FUNDRAISING SC 501(C)(3) LINE 7 BEAUFORT MEMORIAL HOSPITAL 0 BEAUFORT PHYSICIAN PARTNERS 955 RIBAUT ROAD BEAUFORT SC 29902 271641164 HEALTHCARE SC 501(C)(3) LINE 3 BEAUFORT MEMORIAL HOSPITAL 0 BROAD RIVER HEALTHCARE 955 RIBAUT ROAD BEAUFORT SC 29902 571005108 HEALTHCARE SC 501(C)(3) LINE 3 BEAUFORT MEMORIAL HOSPITAL 0 BEAUFORT MEDICAL IMAGING LLC 955 RIBAUT ROAD BEAUFORT SC 29902 204212690 HEALTHCARE SC N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0