0001523265-15-000001.txt : 20150401 0001523265-15-000001.hdr.sgml : 20150401 20150401130359 ACCESSION NUMBER: 0001523265-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150401 DATE AS OF CHANGE: 20150401 EFFECTIVENESS DATE: 20150401 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Animas Surgical Hospital, LLC CENTRAL INDEX KEY: 0001523265 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-237104 FILM NUMBER: 15742271 BUSINESS ADDRESS: STREET 1: 40 BURTON HILLS BOULEVARD STREET 2: SUITE 500 CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-234-5900 MAIL ADDRESS: STREET 1: 40 BURTON HILLS BOULEVARD STREET 2: SUITE 500 CITY: NASHVILLE STATE: TN ZIP: 37215 D 1 primary_doc.xml X0707 D LIVE 0001523265 Animas Surgical Hospital, LLC 40 BURTON HILLS BOULEVARD SUITE 500 NASHVILLE TN TENNESSEE 37215 615-234-5900 DELAWARE None None Limited Liability Company true . Symbion, Inc. 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Promoter . Surgery Partners 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Promoter . SymbionARC Management Services, Inc. 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Promoter . SMBIMS Durango, LLC 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Promoter Administrative Member of Issuer Mark Forrest. M.D. 575 Rivergate Lane Durango CO COLORADO 81301 Director Class A Governing Board Member of Issuer Eric Meyer, M.D. 575 Rivergate Lane Durango CO COLORADO 81301 Director Class A Governing Board Member of Issuer Brinceton Phipps, M.D. 575 Rivergate Lane Durango CO COLORADO 81301 Director Class A Governing Board Member of Issuer David Silva, D.O. 575 Rivergate Lane Durango CO COLORADO 81301 Director Class A Governing Board Member of Issuer Phil Wiley, M.D. 575 Rivergate Lane Durango CO COLORADO 81301 Director Class A Governing Board Member of Issuer John Crysel 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Director Class B Governing Board Member of Issuer Brett Gosney 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Director Class B Governing Board Member of Issuer Christopher Laitala 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer President of Administrative Member Michael T. Doyle 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Chief Financial Officer of Administrative Member Teresa F. Sparks 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Executive Vice President and Chief Financial Officer of Administrative Member Dennis Dean 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Executive Vice President and Corporate Controller of Administrative Member Jennifer B. Baldock 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Senior Vice President and Secretary of Administrative Member Hospitals and Physicians Decline to Disclose 06b false true false true false 107476 429904 0 429904 false 0 0 0 0 The gross proceeds from the sale of the Units by the Issuer will be used to redeem from the Class B Member the same number of Units as are sold in the offering at a price equal to the price at which such Units are purchased. false Animas Surgical Hospital, LLC Jennifer B. Baldock Jennifer B. Baldock Senior Vice President and Secretary of Administrative Member 2015-04-01