0001889209-23-000001.txt : 20230530 0001889209-23-000001.hdr.sgml : 20230530 20230530165634 ACCESSION NUMBER: 0001889209-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230530 DATE AS OF CHANGE: 20230530 EFFECTIVENESS DATE: 20230530 FILER: COMPANY DATA: COMPANY CONFORMED NAME: USA Baldwin County ASC, LLC CENTRAL INDEX KEY: 0001889209 IRS NUMBER: 844335937 STATE OF INCORPORATION: AL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-482902 FILM NUMBER: 23977386 BUSINESS ADDRESS: STREET 1: 310 SEVEN SPRINGS WAY, SUITE 500 CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: (615) 234-5900 MAIL ADDRESS: STREET 1: 310 SEVEN SPRINGS WAY, SUITE 500 CITY: BRENTWOOD STATE: TN ZIP: 37027 D 1 primary_doc.xml X0708 D LIVE 0001889209 USA Baldwin County ASC, LLC 340 SEVEN SPRINGS WAY Suite 600 BRENTWOOD TN TENNESSEE 37027 (615) 234-5900 ALABAMA None None Limited Liability Company true 2019 . USA BC ASC Holdco, LLC 340 Seven Springs Way Suite 600 Brentwood TN TENNESSEE 37027 Promoter Administrative Member of the Issuer . South Alabama Health Care Authority 2451 University Hospital Drive Mobile AL ALABAMA 36617 Promoter 51% owner of the Administrative Member . Surgery Center Holdings, Inc 340 Seven Springs Way Suite 600 Brentwood TN TENNESSEE 37027 Promoter 49% owner of the Administrative Member . Surgery Partners, Inc 340 Seven Springs Way Suite 600 Brentwood TN TENNESSEE 37027 Promoter Indirect 100% owner of Surgery Center Holdings, Inc. Jennifer Baldock 340 Seven Springs Way Suite 600 Brentwood TN TENNESSEE 37027 Executive Officer Vice President and Secretary of the Administrative Member Owen Bailey 2451 University Hospital Drive Mobile AL ALABAMA 36617 Executive Officer Manager of the Issuer Shannon Scaturro 2451 University Hospital Drive Mobile AL ALABAMA 36617 Promoter Manager of the Issuer Michael Chang 2451 University Hospital Drive Mobile AL ALABAMA 36617 Promoter Manager of the Issuer Harrison Bane 340 Seven Springs Way Suite 600 Brentwood TN TENNESSEE 37027 Promoter Manager of the Issuer Philip Meador 340 Seven Springs Way Suite 600 Brentwood TN TENNESSEE 37027 Promoter Manager of the Issuer Other Health Care Decline to Disclose 06b false 2023-05-24 false true false 25000 525000 150000 375000 false 1 0 0 0 false USA Baldwin County ASC, LLC /s/ Jennifer Baldock Jennifer Baldock Vice President and Secretary of the Administrative Member 2023-05-30