0001375733-22-000001.txt : 20220527 0001375733-22-000001.hdr.sgml : 20220527 20220527160646 ACCESSION NUMBER: 0001375733-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220527 DATE AS OF CHANGE: 20220527 EFFECTIVENESS DATE: 20220527 FILER: COMPANY DATA: COMPANY CONFORMED NAME: HAVASU REGIONAL MEDICAL CENTER, LLC CENTRAL INDEX KEY: 0001375733 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-447372 FILM NUMBER: 22977385 BUSINESS ADDRESS: STREET 1: 330 SEVEN SPRINGS WAY CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 615-920-7000 MAIL ADDRESS: STREET 1: 330 SEVEN SPRINGS WAY CITY: BRENTWOOD STATE: TN ZIP: 37027 FORMER COMPANY: FORMER CONFORMED NAME: HAVASU REGIONAL MEDICAL CENTER LLC DATE OF NAME CHANGE: 20060918 D 1 primary_doc.xml X0708 D LIVE 0001375733 HAVASU REGIONAL MEDICAL CENTER, LLC 330 SEVEN SPRINGS WAY BRENTWOOD TN TENNESSEE 37027 615-920-7000 DELAWARE HAVASU REGIONAL MEDICAL CENTER LLC Limited Liability Company true Sandy Podley 330 Seven Springs Way Brentwood TN TENNESSEE 37027 Executive Officer Director Michael Patterson 101 Civic Center Lane Lake Havas City AZ ARIZONA 86403 Director Bob Barrett 330 Seven Springs Way Brentwood TN TENNESSEE 37027 Executive Officer Director Terrence Gleason 101 Civic Center Lane Lake Havasu City AZ ARIZONA 86403 Director Kyle Kilgore 101 Civic Center Lane Lake Havasu City AZ ARIZONA 86403 Director Devin Cunning 101 Civic Center Lane Lake Havasu City AZ ARIZONA 86403 Director J Michael Grooms 330 Seven Springs Way Brentwood TN TENNESSEE 37027 Executive Officer Mark Poppell 330 Seven Springs Way Brentwood TN TENNESSEE 37027 Executive Officer . PHC-Lake Havasu, Inc. 330 Seven Springs Way Brentwood TN TENNESSEE 37027 Promoter . Province Healthcare Company, LLC 330 Seven Springs Way Brentwood TN TENNESSEE 37027 Promoter . LifePoint Health, Inc. 330 Seven Springs Way Brentwood TN TENNESSEE 37027 Promoter . Legacy LifePoint Health, Inc. 330 Seven Springs Way Brentwood TN TENNESSEE 37027 Promoter Hospitals and Physicians Decline to Disclose 06b false true false true false 22900 The Securities Group, LLC 118148 Robert Parrish 1525898 6465 North Quail Hollow Road Memphis TN TENNESSEE 38120 AZ ARIZONA false 5106700 0 5106700 false 0 50000 0 5106700 Proceeds from the sale of Class A units in this offering will be used to redeem units in the Issuer from PHC-Lake Havasu, Inc. false HAVASU REGIONAL MEDICAL CENTER, LLC /s/ Sandy Podley Sandy Podley President 2022-05-27