-----BEGIN PRIVACY-ENHANCED MESSAGE-----
Proc-Type: 2001,MIC-CLEAR
Originator-Name: webmaster@www.sec.gov
Originator-Key-Asymmetric:
 MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen
 TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB
MIC-Info: RSA-MD5,RSA,
 G3tUdIyzYd9KFGFrK9PYmIZCZ6aZg7DaxqD4iCMF9WRflJRNJ2aoEgY+0kfW/mFi
 lqHrsV6UnXEZTGzqgkxjZw==

<SEC-DOCUMENT>0001470605-09-000005.txt : 20090925
<SEC-HEADER>0001470605-09-000005.hdr.sgml : 20090925
<ACCEPTANCE-DATETIME>20090925094732
ACCESSION NUMBER:		0001470605-09-000005
CONFORMED SUBMISSION TYPE:	D/A
PUBLIC DOCUMENT COUNT:		1
ITEM INFORMATION:		Rule 506
FILED AS OF DATE:		20090925
DATE AS OF CHANGE:		20090925
EFFECTIVENESS DATE:		20090925

FILER:

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			ProMedica Cardiovascular Co-Management Company, LLC
		CENTRAL INDEX KEY:			0001470605
		IRS NUMBER:				270962366
		STATE OF INCORPORATION:			OH

	FILING VALUES:
		FORM TYPE:		D/A
		SEC ACT:		1933 Act
		SEC FILE NUMBER:	021-134627
		FILM NUMBER:		091086475

	BUSINESS ADDRESS:	
		STREET 1:		2142 N. COVE BLVD
		CITY:			TOLEDO
		STATE:			OH
		ZIP:			43606
		BUSINESS PHONE:		419-291-7460

	MAIL ADDRESS:	
		STREET 1:		2142 N. COVE BLVD
		CITY:			TOLEDO
		STATE:			OH
		ZIP:			43606

	FORMER COMPANY:	
		FORMER CONFORMED NAME:	Toledo Hospital
		DATE OF NAME CHANGE:	20090818
</SEC-HEADER>
<DOCUMENT>
<TYPE>D/A
<SEQUENCE>1
<FILENAME>primary_doc.xml
<TEXT>
<XML>
<?xml version="1.0"?>
<edgarSubmission>

    <schemaVersion>X0502</schemaVersion>

    <submissionType>D/A</submissionType>

    <testOrLive>LIVE</testOrLive>

    <primaryIssuer>
        <cik>0001470605</cik>
        <entityName>ProMedica Cardiovascular Co-Management Company, LLC</entityName>
        <issuerAddress>
            <street1>2142 N. COVE BLVD</street1>
            <street2></street2>
            <city>TOLEDO</city>
            <stateOrCountry>OH</stateOrCountry>
            <zipCode>43606</zipCode>
        </issuerAddress>
        <issuerPhoneNumber>419-291-7460</issuerPhoneNumber>
        <issuerPreviousNameList>
            <previousName>Toledo Hospital</previousName>
        </issuerPreviousNameList>
        <jurisdictionOfInc>OHIO</jurisdictionOfInc>
        <entityType>Limited Liability Company</entityType>
        <yearOfInc>
            <withinFiveYears>true</withinFiveYears>
            <value>2009</value>
        </yearOfInc>
    </primaryIssuer>

    <relatedPersonsList>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Barbara</firstName>
                <middleName></middleName>
                <lastName>Steele</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>2121 Hughes Drive, Suite HMT-4</street1>
                <street2></street2>
                <city>Toledo</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43606</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Paul</firstName>
                <middleName></middleName>
                <lastName>Berlacher, M.D.</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>2940 N. McCord Road</street1>
                <street2></street2>
                <city>Toledo</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43615</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Ahed</firstName>
                <middleName></middleName>
                <lastName>Nahhas, M.D.</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>4235 Secor Road</street1>
                <street2></street2>
                <city>Toledo</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43623</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Michael</firstName>
                <middleName></middleName>
                <lastName>Moront, M.D.</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>2109 Hughes Drive- #720</street1>
                <street2></street2>
                <city>Toledo</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43606</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Kevin</firstName>
                <middleName></middleName>
                <lastName>Webb</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>2121 Hughes Drive- HMT E</street1>
                <street2></street2>
                <city>Toledo</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43606</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>James</firstName>
                <middleName></middleName>
                <lastName>Bingle, M.D.</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>2940 N. McCord Road</street1>
                <street2></street2>
                <city>Toledo</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43615</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Praveen</firstName>
                <middleName></middleName>
                <lastName>Tamirisa, M.D.</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>2702 Navarre Avenue</street1>
                <street2></street2>
                <city>Oregon</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43616</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>John</firstName>
                <middleName></middleName>
                <lastName>Pigott, M.D.</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>2109 Hughes Drive #450</street1>
                <street2></street2>
                <city>Toledo</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43606</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Ken</firstName>
                <middleName></middleName>
                <lastName>Armstrong</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>2121 Hughes Drive, HMT-4</street1>
                <street2></street2>
                <city>Toledo</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43606</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Gopinath</firstName>
                <middleName></middleName>
                <lastName>Upamaka, M.D.</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>2940 N. McCord Road</street1>
                <street2></street2>
                <city>Toledo</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43615</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Daniel</firstName>
                <middleName></middleName>
                <lastName>Cassavar, M.D.</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>1601 Brigham Drive #120</street1>
                <street2></street2>
                <city>Perrysburg</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43551</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Anthony</firstName>
                <middleName></middleName>
                <lastName>Comerota, M.D.</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>2109 Hughes Dr. #450</street1>
                <street2></street2>
                <city>Toledo</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43606</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Jeffrey</firstName>
                <middleName></middleName>
                <lastName>Kuhn</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>1801 Richards Rd.</street1>
                <street2></street2>
                <city>Toledo</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43607</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Kathy</firstName>
                <middleName></middleName>
                <lastName>Hanley</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>1801 Richards Rd.</street1>
                <street2></street2>
                <city>Toledo</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43607</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
    </relatedPersonsList>

    <offeringData>
        <industryGroup>
            <industryGroupType>Other Health Care</industryGroupType>
        </industryGroup>
        <issuerSize>
            <revenueRange>No Revenues</revenueRange>
        </issuerSize>
        <federalExemptionsExclusions>
            <item>06</item>
        </federalExemptionsExclusions>
        <typeOfFiling>
            <newOrAmendment>
                <isAmendment>true</isAmendment>
                <previousAccessionNumber>0001470605-09-000004</previousAccessionNumber>
            </newOrAmendment>
            <dateOfFirstSale>
                <value>2009-09-15</value>
            </dateOfFirstSale>
        </typeOfFiling>
        <durationOfOffering>
            <moreThanOneYear>false</moreThanOneYear>
        </durationOfOffering>
        <typesOfSecuritiesOffered>
            <isOtherType>true</isOtherType>
            <descriptionOfOtherType>LLC Membership Interests</descriptionOfOtherType>
        </typesOfSecuritiesOffered>
        <businessCombinationTransaction>
            <isBusinessCombinationTransaction>false</isBusinessCombinationTransaction>
            <clarificationOfResponse></clarificationOfResponse>
        </businessCombinationTransaction>
        <minimumInvestmentAccepted>7500</minimumInvestmentAccepted>
        <salesCompensationList>
            <recipient>
                <recipientName>None</recipientName>
                <recipientCRDNumber>None</recipientCRDNumber>
                <associatedBDName>None</associatedBDName>
                <associatedBDCRDNumber>None</associatedBDCRDNumber>
                <recipientAddress>
                    <street1>None</street1>
                    <street2></street2>
                    <city>None</city>
                    <stateOrCountry>XX</stateOrCountry>
                    <zipCode>None</zipCode>
                </recipientAddress>
                <statesOfSolicitationList>
                    <state>OH</state>
                </statesOfSolicitationList>
            </recipient>
        </salesCompensationList>
        <offeringSalesAmounts>
            <totalOfferingAmount>307500</totalOfferingAmount>
            <totalAmountSold>7500</totalAmountSold>
            <totalRemaining>300000</totalRemaining>
            <clarificationOfResponse></clarificationOfResponse>
        </offeringSalesAmounts>
        <investors>
            <hasNonAccreditedInvestors>false</hasNonAccreditedInvestors>
            <totalNumberAlreadyInvested>1</totalNumberAlreadyInvested>
        </investors>
        <salesCommissionsFindersFees>
            <salesCommissions>
                <dollarAmount>0</dollarAmount>
            </salesCommissions>
            <findersFees>
                <dollarAmount>0</dollarAmount>
            </findersFees>
            <clarificationOfResponse></clarificationOfResponse>
        </salesCommissionsFindersFees>
        <useOfProceeds>
            <grossProceedsUsed>
                <dollarAmount>0</dollarAmount>
            </grossProceedsUsed>
            <clarificationOfResponse></clarificationOfResponse>
        </useOfProceeds>
        <signatureBlock>
            <authorizedRepresentative>false</authorizedRepresentative>
            <signature>
                <issuerName>ProMedica Cardiovascular Co-Management Company, LLC</issuerName>
                <signatureName>Ken Armstrong</signatureName>
                <nameOfSigner>Ken Armstrong</nameOfSigner>
                <signatureTitle>Administrator</signatureTitle>
                <signatureDate>2009-09-25</signatureDate>
            </signature>
        </signatureBlock>
    </offeringData>
</edgarSubmission>
</XML>
</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
-----END PRIVACY-ENHANCED MESSAGE-----