0001015325-19-000039.txt : 20191218 0001015325-19-000039.hdr.sgml : 20191218 20191218112003 ACCESSION NUMBER: 0001015325-19-000039 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191218 DATE AS OF CHANGE: 20191218 EFFECTIVENESS DATE: 20191218 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sacred Heart ASC, LLC CENTRAL INDEX KEY: 0001797018 IRS NUMBER: 830521940 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-355777 FILM NUMBER: 191291702 BUSINESS ADDRESS: STREET 1: 5151 NORTH 9TH AVENUE CITY: PENSACOLA STATE: FL ZIP: 32504 BUSINESS PHONE: 205-545-2734 MAIL ADDRESS: STREET 1: 569 BROOKWOOD VILLAGE, SUITE 901 CITY: BIRMINGHAM STATE: AL ZIP: 35209 D 1 primary_doc.xml X0708 D LIVE 0001797018 Sacred Heart ASC, LLC 5151 NORTH 9TH AVENUE PENSACOLA FL FLORIDA 32504 205-545-2734 FLORIDA None None Limited Liability Company true 2018 Sole Member SVHC-SCA Florida, JV, LLC c/o Sacred Heart ASC, LLC 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 Director Coy Wells c/o Sacred Heart ASC, LLC 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Other Health Care Decline to Disclose 06b false 2019-12-03 false true false 0 SCA Development, LLC 35451 None None 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 FL FLORIDA false 1470000 547500 922500 false 7 25000 0 0 false Sacred Heart ASC, LLC /s/ Coy Wells Coy Wells President 2019-12-18