0001171568-24-000004.txt : 20240110 0001171568-24-000004.hdr.sgml : 20240110 20240110100357 ACCESSION NUMBER: 0001171568-24-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20240110 DATE AS OF CHANGE: 20240110 EFFECTIVENESS DATE: 20240110 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SAINT LUKE'S SURGICENTER-LEE'S SUMMIT, LLC CENTRAL INDEX KEY: 0001171568 ORGANIZATION NAME: IRS NUMBER: 470853481 STATE OF INCORPORATION: MO FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-502019 FILM NUMBER: 24525207 BUSINESS ADDRESS: STREET 1: 120 NE SAINT LUKE'S BLVD. CITY: LEE'S SUMMIT STATE: MO ZIP: 64086 BUSINESS PHONE: 816-932-3729 MAIL ADDRESS: STREET 1: 120 NE SAINT LUKE'S BLVD. CITY: LEE'S SUMMIT STATE: MO ZIP: 64086 FORMER COMPANY: FORMER CONFORMED NAME: SAINT LUKES SURGICENTER LEES SUMMIT LLC DATE OF NAME CHANGE: 20020418 D 1 primary_doc.xml X0708 D LIVE 0001171568 SAINT LUKE'S SURGICENTER-LEE'S SUMMIT, LLC 120 NE SAINT LUKE'S BLVD. LEE'S SUMMIT MO MISSOURI 64086 816-932-3729 MISSOURI SAINT LUKES SURGICENTER LEES SUMMIT LLC Limited Liability Company true Larry Frevert, M.D. 120 NE Saint Luke's Blvd. Lee's Summit MO MISSOURI 64086 Director Chairperson of the Management Board James S. McIntosh, M.D. 120 NE Saint Luke's Blvd. Lee's Summit MO MISSOURI 64086 Director Board member Matt Marino 120 NE Saint Luke's Blvd. Lee's Summit MO MISSOURI 64086 Director Board member Taylor Warwick 120 NE Saint Luke's Blvd. Lee's Summit MO MISSOURI 64086 Director Board member Mike Powell 120 NE Saint Luke's Blvd. Lee's Summit MO MISSOURI 64086 Director Board member Frank J. Totta, D.O. 120 NE Saint Luke's Blvd. Lee's Summit MO MISSOURI 64086 Director Board member Hospitals and Physicians Decline to Disclose 06b false 2023-12-31 false true false 0 Indefinite 2029681 Indefinite false 3 0 0 0 false SAINT LUKE'S SURGICENTER-LEE'S SUMMIT, LLC Larry Frevert, M.D. Larry Frevert, M.D. Chairperson of the Management Board 2024-01-10