0001692826-18-000001.txt : 20180104 0001692826-18-000001.hdr.sgml : 20180104 20180103174905 ACCESSION NUMBER: 0001692826-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180104 DATE AS OF CHANGE: 20180103 EFFECTIVENESS DATE: 20180104 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Surgery Center at St. Vincent, LLC CENTRAL INDEX KEY: 0001692826 IRS NUMBER: 813129674 STATE OF INCORPORATION: OR FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-302292 FILM NUMBER: 18507086 BUSINESS ADDRESS: STREET 1: 9135 SW BARNES ROAD CITY: PORTLAND STATE: OR ZIP: 97225 BUSINESS PHONE: 205-545-2734 MAIL ADDRESS: STREET 1: 569 BROOKWOOD VILLAGE, SUITE 901 CITY: BIRMINGHAM STATE: AL ZIP: 35209 FORMER COMPANY: FORMER CONFORMED NAME: Portland Surgery Center, LLC DATE OF NAME CHANGE: 20161221 D 1 primary_doc.xml X0708 D LIVE 0001692826 Surgery Center at St. Vincent, LLC 9135 SW BARNES ROAD PORTLAND OR OREGON 97225 205-545-2734 OREGON Portland Surgery Center, LLC Limited Liability Company true 2016 Tony Kilgore 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 Director Bill Pethick 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 Director Richard L. Sharff, Jr. 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Theron Park 4400 NE Halsey Street Portland OR OREGON 97213 Director Thomas Lorish, M.D. 4400 NE Halsey Street Portland OR OREGON 97213 Director Brad Henry 4400 NE Halsey Street Portland OR OREGON 97213 Director Dave Underriner 4400 NE Halsey Street Portland OR OREGON 97213 Executive Officer Other Health Care Decline to Disclose 06b false 2017-12-22 false true false 40000 SCA Development, LLC 35451 None None 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 OR OREGON false 1960000 80000 1880000 false 1 15000 true 0 0 false Surgery Center at St. Vincent, LLC Richard L. Sharff, Jr. Richard L. Sharff, Jr. Secretary of Sole Member 2018-01-02