0001692826-24-000001.txt : 20240426 0001692826-24-000001.hdr.sgml : 20240426 20240425173242 ACCESSION NUMBER: 0001692826-24-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20240426 DATE AS OF CHANGE: 20240425 EFFECTIVENESS DATE: 20240426 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Surgery Center at St. Vincent, LLC CENTRAL INDEX KEY: 0001692826 ORGANIZATION NAME: IRS NUMBER: 813129674 STATE OF INCORPORATION: OR FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-511647 FILM NUMBER: 24877721 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 Erin Hardwick 9135 SW Barnes Road Suite 161 Portland OR OREGON 97225 Executive Officer Director Jon Katz 9135 SW Barnes Road Suite 161 Portland OR OREGON 97225 Executive Officer Director Martin Baggenstos 9135 SW Barnes Road Suite 161 Portland OR OREGON 97225 Director Sarah Boyles 9135 SW Barnes Road Suite 161 Portland OR OREGON 97225 Director Daniel Janoff 9135 SW Barnes Road Suite 161 Portland OR OREGON 97225 Director Brad Geiger 9135 SW Barnes Road Suite 161 Portland OR OREGON 97225 Director Other Health Care Decline to Disclose 06b false true false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 OR OREGON false 404640 0 404640 false 0 0 0 0 false Surgery Center at St. Vincent, LLC /s/ Meagan O. Jones Meagan O. Jones Attorney for Issuer 2024-04-25