-----BEGIN PRIVACY-ENHANCED MESSAGE-----
Proc-Type: 2001,MIC-CLEAR
Originator-Name: webmaster@www.sec.gov
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MIC-Info: RSA-MD5,RSA,
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<SEC-DOCUMENT>0001463991-09-000003.txt : 20090921
<SEC-HEADER>0001463991-09-000003.hdr.sgml : 20090921
<ACCEPTANCE-DATETIME>20090921115011
ACCESSION NUMBER:		0001463991-09-000003
CONFORMED SUBMISSION TYPE:	D/A
PUBLIC DOCUMENT COUNT:		1
ITEM INFORMATION:		Rule 504(b)(1) (not (i), (ii) or (iii))
FILED AS OF DATE:		20090921
DATE AS OF CHANGE:		20090921
EFFECTIVENESS DATE:		20090921

FILER:

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			Saddleback Outpatient Surgery Center, LLC
		CENTRAL INDEX KEY:			0001463991
		IRS NUMBER:				000000000
		STATE OF INCORPORATION:			DE

	FILING VALUES:
		FORM TYPE:		D/A
		SEC ACT:		1933 Act
		SEC FILE NUMBER:	021-133019
		FILM NUMBER:		091078238

	BUSINESS ADDRESS:	
		STREET 1:		3000 RIVERCHASE GALLERIA
		STREET 2:		SUITE 500
		CITY:			BIRMINGHAM
		STATE:			AL
		ZIP:			35244
		BUSINESS PHONE:		9494720244

	MAIL ADDRESS:	
		STREET 1:		24302 PASEO DE VALENCIA
		CITY:			LAGUNA HILLS
		STATE:			CA
		ZIP:			92653
</SEC-HEADER>
<DOCUMENT>
<TYPE>D/A
<SEQUENCE>1
<FILENAME>primary_doc.xml
<TEXT>
<XML>
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<edgarSubmission>

    <schemaVersion>X0502</schemaVersion>

    <submissionType>D/A</submissionType>

    <testOrLive>LIVE</testOrLive>

    <primaryIssuer>
        <cik>0001463991</cik>
        <entityName>Saddleback Outpatient Surgery Center, LLC</entityName>
        <issuerAddress>
            <street1>24302 Paseo de Valencia</street1>
            <street2></street2>
            <city>Laguna Hills</city>
            <stateOrCountry>CA</stateOrCountry>
            <zipCode>92653</zipCode>
        </issuerAddress>
        <issuerPhoneNumber>949-472-0244</issuerPhoneNumber>
        <issuerPreviousNameList>
            <value>None</value>
        </issuerPreviousNameList>
        <jurisdictionOfInc>DELAWARE</jurisdictionOfInc>
        <entityType>Limited Liability Company</entityType>
        <yearOfInc>
            <overFiveYears>true</overFiveYears>
        </yearOfInc>
    </primaryIssuer>

    <relatedPersonsList>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>N/A</firstName>
                <middleName>N/A</middleName>
                <lastName>SCA Surgicare of Laguna Hills, LLC</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3000 Riverchase Galleria</street1>
                <street2>Suite 500</street2>
                <city>Birmingham</city>
                <stateOrCountry>AL</stateOrCountry>
                <zipCode>35244</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
                <relationship>Director</relationship>
                <relationship>Promoter</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification>Managing Member</relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>N/A</firstName>
                <middleName>N/A</middleName>
                <lastName>Surgery Center Holding, LLC</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3000 Riverchase Galleria</street1>
                <street2>Suite 500</street2>
                <city>Birmingham</city>
                <stateOrCountry>AL</stateOrCountry>
                <zipCode>35244</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Promoter</relationship>
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            <relationshipClarification></relationshipClarification>
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        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Andrew</firstName>
                <middleName>P.</middleName>
                <lastName>Hayek</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3000 Riverchase Galleria</street1>
                <street2>Suite 500</street2>
                <city>Birmingham</city>
                <stateOrCountry>AL</stateOrCountry>
                <zipCode>35244</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Joseph</firstName>
                <middleName>T.</middleName>
                <lastName>Clark</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3000 Riverchase Galleria</street1>
                <street2>Suite 500</street2>
                <city>Birmingham</city>
                <stateOrCountry>AL</stateOrCountry>
                <zipCode>35244</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Richard</firstName>
                <middleName>L.</middleName>
                <lastName>Sharff, Jr.</lastName>
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            <relatedPersonAddress>
                <street1>3000 Riverchase Galleria</street1>
                <street2>Suite 500</street2>
                <city>Birmingham</city>
                <stateOrCountry>AL</stateOrCountry>
                <zipCode>35244</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Michael</firstName>
                <middleName>A.</middleName>
                <lastName>Rucker</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3000 Riverchase Galleria</street1>
                <street2>Suite 500</street2>
                <city>Birmingham</city>
                <stateOrCountry>AL</stateOrCountry>
                <zipCode>35244</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Steven</firstName>
                <middleName>J.</middleName>
                <lastName>Hutkai</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3000 Riverchase Galleria</street1>
                <street2>Suite 500</street2>
                <city>Birmingham</city>
                <stateOrCountry>AL</stateOrCountry>
                <zipCode>35244</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Jody</firstName>
                <middleName>B.</middleName>
                <lastName>Martin</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3000 Riverchase Galleria</street1>
                <street2>Suite 500</street2>
                <city>Birmingham</city>
                <stateOrCountry>AL</stateOrCountry>
                <zipCode>35244</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>N/A</firstName>
                <middleName>N/A</middleName>
                <lastName>Surgical Care Affiliates, LLC</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3000 Riverchase Galleria</street1>
                <street2>Suite 500</street2>
                <city>Birmingham</city>
                <stateOrCountry>AL</stateOrCountry>
                <zipCode>35244</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Promoter</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Kevin</firstName>
                <middleName></middleName>
                <lastName>Becker, MD</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>24302 Paseo de Valencia</street1>
                <street2></street2>
                <city>Laguna Hills</city>
                <stateOrCountry>CA</stateOrCountry>
                <zipCode>92653</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Kenneth</firstName>
                <middleName></middleName>
                <lastName>Deck, MD</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>24302 Paseo de Valencia</street1>
                <street2></street2>
                <city>Laguna Hills</city>
                <stateOrCountry>CA</stateOrCountry>
                <zipCode>92653</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Wes</firstName>
                <middleName></middleName>
                <lastName>Nottage, MD</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>24302 Paseo de Valencia</street1>
                <street2></street2>
                <city>Laguna Hills</city>
                <stateOrCountry>CA</stateOrCountry>
                <zipCode>92653</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Marc</firstName>
                <middleName></middleName>
                <lastName>Winter, MD</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>24302 Paseo de Valencia</street1>
                <street2></street2>
                <city>Laguna Hills</city>
                <stateOrCountry>CA</stateOrCountry>
                <zipCode>92653</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Donald</firstName>
                <middleName></middleName>
                <lastName>Walls, MD</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>24302 Paseo de Valencia</street1>
                <street2></street2>
                <city>Laguna Hills</city>
                <stateOrCountry>CA</stateOrCountry>
                <zipCode>92653</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
    </relatedPersonsList>

    <offeringData>
        <industryGroup>
            <industryGroupType>Other Health Care</industryGroupType>
        </industryGroup>
        <issuerSize>
            <revenueRange>Decline to Disclose</revenueRange>
        </issuerSize>
        <federalExemptionsExclusions>
            <item>04</item>
        </federalExemptionsExclusions>
        <typeOfFiling>
            <newOrAmendment>
                <isAmendment>true</isAmendment>
                <previousAccessionNumber>0001463991-09-000002</previousAccessionNumber>
            </newOrAmendment>
            <dateOfFirstSale>
                <value>2009-08-21</value>
            </dateOfFirstSale>
        </typeOfFiling>
        <durationOfOffering>
            <moreThanOneYear>false</moreThanOneYear>
        </durationOfOffering>
        <typesOfSecuritiesOffered>
            <isEquityType>true</isEquityType>
        </typesOfSecuritiesOffered>
        <businessCombinationTransaction>
            <isBusinessCombinationTransaction>false</isBusinessCombinationTransaction>
            <clarificationOfResponse></clarificationOfResponse>
        </businessCombinationTransaction>
        <minimumInvestmentAccepted>0</minimumInvestmentAccepted>
        <salesCompensationList>
            <recipient>
                <recipientName>SCA Development, LLC</recipientName>
                <recipientCRDNumber>35451</recipientCRDNumber>
                <associatedBDName>Lisa Mayfield Byrd</associatedBDName>
                <associatedBDCRDNumber>4292697</associatedBDCRDNumber>
                <recipientAddress>
                    <street1>3000 Riverchase Galleria</street1>
                    <street2>Suite 500</street2>
                    <city>Birmingham</city>
                    <stateOrCountry>AL</stateOrCountry>
                    <zipCode>35244</zipCode>
                </recipientAddress>
                <statesOfSolicitationList>
                    <state>CA</state>
                </statesOfSolicitationList>
            </recipient>
        </salesCompensationList>
        <offeringSalesAmounts>
            <totalOfferingAmount>269999</totalOfferingAmount>
            <totalAmountSold>0</totalAmountSold>
            <totalRemaining>269999</totalRemaining>
            <clarificationOfResponse></clarificationOfResponse>
        </offeringSalesAmounts>
        <investors>
            <hasNonAccreditedInvestors>true</hasNonAccreditedInvestors>
            <numberNonAccreditedInvestors>1</numberNonAccreditedInvestors>
            <totalNumberAlreadyInvested>3</totalNumberAlreadyInvested>
        </investors>
        <salesCommissionsFindersFees>
            <salesCommissions>
                <dollarAmount>10799</dollarAmount>
                <isEstimate>true</isEstimate>
            </salesCommissions>
            <findersFees>
                <dollarAmount>0</dollarAmount>
            </findersFees>
            <clarificationOfResponse></clarificationOfResponse>
        </salesCommissionsFindersFees>
        <useOfProceeds>
            <grossProceedsUsed>
                <dollarAmount>259200</dollarAmount>
                <isEstimate>true</isEstimate>
            </grossProceedsUsed>
            <clarificationOfResponse>Payment to Managing Member in consideration of the dilution of its ownership interest in the Company assuming the offering is fully subscribed.</clarificationOfResponse>
        </useOfProceeds>
        <signatureBlock>
            <authorizedRepresentative>false</authorizedRepresentative>
            <signature>
                <issuerName>Saddleback Outpatient Surgery Center, LLC</issuerName>
                <signatureName>Jody B. Martin</signatureName>
                <nameOfSigner>Jody B. Martin</nameOfSigner>
                <signatureTitle>Vice President</signatureTitle>
                <signatureDate>2009-09-21</signatureDate>
            </signature>
        </signatureBlock>
    </offeringData>
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</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
-----END PRIVACY-ENHANCED MESSAGE-----