0001410277-19-000003.txt : 20191028 0001410277-19-000003.hdr.sgml : 20191028 20191028165504 ACCESSION NUMBER: 0001410277-19-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191028 DATE AS OF CHANGE: 20191028 EFFECTIVENESS DATE: 20191028 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ST. LUKE'S LAKESIDE HOSPITAL, LLC CENTRAL INDEX KEY: 0001410277 IRS NUMBER: 300427437 STATE OF INCORPORATION: TX FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-352014 FILM NUMBER: 191173655 BUSINESS ADDRESS: STREET 1: 17400 ST. LUKE'S WAY CITY: THE WOODLANDS STATE: TX ZIP: 77384 BUSINESS PHONE: (936) 266-9000 MAIL ADDRESS: STREET 1: 17400 ST. LUKE'S WAY CITY: THE WOODLANDS STATE: TX ZIP: 77384 FORMER COMPANY: FORMER CONFORMED NAME: St. Luke's Lakeside Hospital LLC DATE OF NAME CHANGE: 20070821 D 1 primary_doc.xml X0708 D LIVE 0001410277 ST. LUKE'S LAKESIDE HOSPITAL, LLC 17400 ST. LUKE'S WAY THE WOODLANDS TX TEXAS 77384 (936) 266-9000 TEXAS St. Luke's Lakeside Hospital LLC Limited Liability Company true JAMES PARISI 17400 ST. LUKE'S WAY THE WOODLANDS TX TEXAS 77384 Executive Officer Director CEO OF ST. LUKE'S LAKESIDE HOSPITAL, LLC DAVID STRICKLER 17400 ST. LUKE'S WAY THE WOODLANDS TX TEXAS 77384 Executive Officer CFO OF ST. LUKE'S LAKESIDE HOSPITAL, LLC SYED RAZA 17400 ST. LUKE'S WAY THE WOODLANDS TX TEXAS 77384 Executive Officer CMO OF ST. LUKE'S LAKESIDE HOSPITAL, LLC VINCENT AQUINO 17400 ST. LUKE'S WAY THE WOODLANDS TX TEXAS 77384 Director MANAGER OF ST. LUKE'S LAKESIDE HOSPITAL, LLC CHRISTOPHER LAVERGNE 17400 ST. LUKE'S WAY THE WOODLANDS TX TEXAS 77384 Director MANAGER OF ST. LUKE'S LAKESIDE HOSPITAL, LLC KEVIN MORAN 17400 ST. LUKE'S WAY THE WOODLANDS TX TEXAS 77384 Director MANAGER OF ST. LUKE'S LAKESIDE HOSPITAL, LLC PETER SHEDDEN 17400 ST. LUKE'S WAY THE WOODLANDS TX TEXAS 77384 Director MANAGER OF ST. LUKE'S LAKESIDE HOSPITAL, LLC Hospitals and Physicians Decline to Disclose 06b false 2019-10-17 false true false 180000 Indefinite 360000 Indefinite false 1 0 0 0 false ST. LUKE'S LAKESIDE HOSPITAL, LLC James Parisi James Parisi CEO of St. Luke's Lakeside Hospital, LLC 2019-10-25