0001684503-16-000001.txt : 20160913 0001684503-16-000001.hdr.sgml : 20160913 20160913142713 ACCESSION NUMBER: 0001684503-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160913 DATE AS OF CHANGE: 20160913 EFFECTIVENESS DATE: 20160913 FILER: COMPANY DATA: COMPANY CONFORMED NAME: St. Mary's Hospital Surgical Co-Management, LLC CENTRAL INDEX KEY: 0001684503 IRS NUMBER: 000000000 STATE OF INCORPORATION: AZ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-270521 FILM NUMBER: 161882653 BUSINESS ADDRESS: STREET 1: 1601 WEST SAINT MARY'S ROAD CITY: TUCSON STATE: AZ ZIP: 85745 BUSINESS PHONE: 520-872-3000 MAIL ADDRESS: STREET 1: 1601 WEST SAINT MARY'S ROAD CITY: TUCSON STATE: AZ ZIP: 85745 D 1 primary_doc.xml X0707 D LIVE 0001684503 St. Mary's Hospital Surgical Co-Management, LLC 1601 WEST SAINT MARY'S ROAD TUCSON AZ ARIZONA 85745 520-872-3000 ARIZONA None None Limited Liability Company true 2016 Amy Elizabeth Beiter 1651 East Lind Road Tucson AZ ARIZONA 85719 Executive Officer Director Theresa Ann Mouton 1731 Banaghen Drive Melbourne FL FLORIDA 32940 Director Martha Benson Gerganoff 5040 E Camino Bosque Tucson AZ ARIZONA 85718 Director Kyle Barton Bennion 2847 E Austin Drive Gilbert AZ ARIZONA 85296 Director Hospitals and Physicians No Revenues 06b false 2016-08-31 false true false 5000 225000 95000 130000 true 4 19 0 0 0 false St. Mary's Hospital Surgical Co-Management, LLC /s/ Amy Beiter, MD Amy Beiter, MD Executive Officer and Board Chairman 2016-09-13