0001793287-24-000001.txt : 20240229 0001793287-24-000001.hdr.sgml : 20240229 20240229145501 ACCESSION NUMBER: 0001793287-24-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20240229 DATE AS OF CHANGE: 20240229 EFFECTIVENESS DATE: 20240229 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Park Hill Surgery Center, LLC CENTRAL INDEX KEY: 0001793287 ORGANIZATION NAME: IRS NUMBER: 451484375 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-506429 FILM NUMBER: 24702931 BUSINESS ADDRESS: STREET 1: 3455 LOCKE AVENUE, SUITE 100 CITY: FORT WORTH STATE: TX ZIP: 76107 BUSINESS PHONE: 817-585-1900 MAIL ADDRESS: STREET 1: 3455 LOCKE AVENUE, SUITE 100 CITY: FORT WORTH STATE: TX ZIP: 76107 D 1 primary_doc.xml X0708 D LIVE 0001793287 Park Hill Surgery Center, LLC 3455 LOCKE AVENUE SUITE 100 FORT WORTH TX TEXAS 76107 817-585-1900 TEXAS None None Limited Liability Company true Michael H Boothby 3455 Locke Avenue Suite 100 Fort Worth TX TEXAS 76107 Director Jawad Qureshi 3455 Locke Avenue Suite 100 Fort Worth TX TEXAS 76107 Director Julie Elsey 3455 Locke Avenue Suite 100 Fort Worth TX TEXAS 76107 Director Amy Papst 3455 Locke Avenue Suite 100 Fort Worth TX TEXAS 76107 Director Corey Wilson 3455 Locke Avenue Suite 100 Fort Worth TX TEXAS 76107 Director John Birbari 3455 Locke Avenue Suite 100 Fort Worth TX TEXAS 76107 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 TX TEXAS false 833247 0 833247 false 0 0 0 0 false Park Hill Surgery Center, LLC /s/ Meagan O. Jones Meagan O. Jones Attorney for Issuer 2024-02-29