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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>0001478192-09-000001.txt : 20091208
<SEC-HEADER>0001478192-09-000001.hdr.sgml : 20091208
<ACCEPTANCE-DATETIME>20091208163443
ACCESSION NUMBER:		0001478192-09-000001
CONFORMED SUBMISSION TYPE:	D
PUBLIC DOCUMENT COUNT:		1
ITEM INFORMATION:		Rule 506
ITEM INFORMATION:		Securities Act Section 4(6)
FILED AS OF DATE:		20091208
DATE AS OF CHANGE:		20091208
EFFECTIVENESS DATE:		20091208

FILER:

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			Gateway Ambulatory Surgery Center, LLC
		CENTRAL INDEX KEY:			0001478192
		IRS NUMBER:				202106989
		STATE OF INCORPORATION:			NC
		FISCAL YEAR END:			1231

	FILING VALUES:
		FORM TYPE:		D
		SEC ACT:		1933 Act
		SEC FILE NUMBER:	021-136753
		FILM NUMBER:		091229011

	BUSINESS ADDRESS:	
		STREET 1:		1025 NORTHEAST GATEWAY COURT, NE
		CITY:			CONCORD
		STATE:			NC
		ZIP:			28025
		BUSINESS PHONE:		704-920-7027

	MAIL ADDRESS:	
		STREET 1:		1025 NORTHEAST GATEWAY COURT, NE
		CITY:			CONCORD
		STATE:			NC
		ZIP:			28025
</SEC-HEADER>
<DOCUMENT>
<TYPE>D
<SEQUENCE>1
<FILENAME>primary_doc.xml
<TEXT>
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    <primaryIssuer>
        <cik>0001478192</cik>
        <entityName>Gateway Ambulatory Surgery Center, LLC</entityName>
        <issuerAddress>
            <street1>1025 NORTHEAST GATEWAY COURT, NE</street1>
            <city>CONCORD</city>
            <stateOrCountry>NC</stateOrCountry>
            <zipCode>28025</zipCode>
        </issuerAddress>
        <issuerPhoneNumber>704-920-7027</issuerPhoneNumber>
        <jurisdictionOfInc>NORTH CAROLINA</jurisdictionOfInc>
        <issuerPreviousNameList>
            <value>None</value>
        </issuerPreviousNameList>
        <edgarPreviousNameList>
            <value>None</value>
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        <entityType>Limited Liability Company</entityType>
        <yearOfInc>
            <withinFiveYears>true</withinFiveYears>
            <value>2004</value>
        </yearOfInc>
    </primaryIssuer>

    <relatedPersonsList>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Mark</firstName>
                <lastName>Nantz</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>920 Church Street N</street1>
                <city>Concord</city>
                <stateOrCountry>NC</stateOrCountry>
                <zipCode>28025</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Francis</firstName>
                <middleName>Johns</middleName>
                <lastName>Langford</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>128 Cedar Grove Circle</street1>
                <city>Davidson</city>
                <stateOrCountry>NC</stateOrCountry>
                <zipCode>28036</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Richard</firstName>
                <lastName>Pence</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>15950 N. Dallas Parkway</street1>
                <street2>Suite 775</street2>
                <city>Dallas</city>
                <stateOrCountry>TX</stateOrCountry>
                <zipCode>75248</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Brian</firstName>
                <lastName>Moore</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>750 Williamsburg Court</street1>
                <city>Concord</city>
                <stateOrCountry>NC</stateOrCountry>
                <zipCode>28025</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>James</firstName>
                <lastName>Skahen, III</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>640 Wilhelm Place</street1>
                <city>Concord</city>
                <stateOrCountry>NC</stateOrCountry>
                <zipCode>28025</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>David</firstName>
                <lastName>Rhodes</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>4025 Alshire Lane</street1>
                <city>Concord</city>
                <stateOrCountry>NC</stateOrCountry>
                <zipCode>28025</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Alex</firstName>
                <lastName>Barker</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>920 Church Street N</street1>
                <city>Concord</city>
                <stateOrCountry>NC</stateOrCountry>
                <zipCode>28025</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Craig</firstName>
                <lastName>Bryan</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>1025 Northeast Gateway Court, NE</street1>
                <city>Concord</city>
                <stateOrCountry>NC</stateOrCountry>
                <zipCode>28025</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Charlotte-Mecklenburg</firstName>
                <lastName>Hospital Authority</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>920 Church Street North</street1>
                <city>Concord</city>
                <stateOrCountry>NC</stateOrCountry>
                <zipCode>28025</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Promoter</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification>This is an entity named Charlotte-Mecklenburg Hospital Authority</relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Concord</firstName>
                <lastName>NSC, LLC</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>191 N. Wacker Drive</street1>
                <city>Chicago</city>
                <stateOrCountry>IL</stateOrCountry>
                <zipCode>60606</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Promoter</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification>This is an entity named Concord NSC, LLC</relationshipClarification>
        </relatedPersonInfo>
    </relatedPersonsList>

    <offeringData>
        <industryGroup>
            <industryGroupType>Hospitals and Physicians</industryGroupType>
        </industryGroup>
        <issuerSize>
            <revenueRange>$5,000,001 - $25,000,000</revenueRange>
        </issuerSize>
        <federalExemptionsExclusions>
            <item>06</item>
            <item>46</item>
        </federalExemptionsExclusions>
        <typeOfFiling>
            <newOrAmendment>
                <isAmendment>false</isAmendment>
            </newOrAmendment>
            <dateOfFirstSale>
                <yetToOccur>true</yetToOccur>
            </dateOfFirstSale>
        </typeOfFiling>
        <durationOfOffering>
            <moreThanOneYear>false</moreThanOneYear>
        </durationOfOffering>
        <typesOfSecuritiesOffered>
            <isEquityType>true</isEquityType>
        </typesOfSecuritiesOffered>
        <businessCombinationTransaction>
            <isBusinessCombinationTransaction>false</isBusinessCombinationTransaction>
            <clarificationOfResponse></clarificationOfResponse>
        </businessCombinationTransaction>
        <minimumInvestmentAccepted>0</minimumInvestmentAccepted>
        <salesCompensationList></salesCompensationList>
        <offeringSalesAmounts>
            <totalOfferingAmount>869422</totalOfferingAmount>
            <totalAmountSold>0</totalAmountSold>
            <totalRemaining>869422</totalRemaining>
            <clarificationOfResponse></clarificationOfResponse>
        </offeringSalesAmounts>
        <investors>
            <hasNonAccreditedInvestors>false</hasNonAccreditedInvestors>
            <totalNumberAlreadyInvested>0</totalNumberAlreadyInvested>
        </investors>
        <salesCommissionsFindersFees>
            <salesCommissions>
                <dollarAmount>0</dollarAmount>
            </salesCommissions>
            <findersFees>
                <dollarAmount>0</dollarAmount>
            </findersFees>
            <clarificationOfResponse></clarificationOfResponse>
        </salesCommissionsFindersFees>
        <useOfProceeds>
            <grossProceedsUsed>
                <dollarAmount>896422</dollarAmount>
            </grossProceedsUsed>
            <clarificationOfResponse>This amount is proposed to be paid to purchase an interest in the issuer held by an affiliate of some of the executive officers and directors.</clarificationOfResponse>
        </useOfProceeds>
        <signatureBlock>
            <authorizedRepresentative>false</authorizedRepresentative>
            <signature>
                <issuerName>Gateway Ambulatory Surgery Center, LLC</issuerName>
                <signatureName>Craig Bryan</signatureName>
                <nameOfSigner>Craig Bryan</nameOfSigner>
                <signatureTitle>Administrator</signatureTitle>
                <signatureDate>2009-12-08</signatureDate>
            </signature>
        </signatureBlock>
    </offeringData>
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</TEXT>
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</SEC-DOCUMENT>
-----END PRIVACY-ENHANCED MESSAGE-----