0001340317-19-000039.txt : 20191220 0001340317-19-000039.hdr.sgml : 20191220 20191220100920 ACCESSION NUMBER: 0001340317-19-000039 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191220 DATE AS OF CHANGE: 20191220 EFFECTIVENESS DATE: 20191220 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Presbyterian Hospital ASC, LLC CENTRAL INDEX KEY: 0001797045 IRS NUMBER: 842748057 STATE OF INCORPORATION: NM FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-356079 FILM NUMBER: 191298012 BUSINESS ADDRESS: STREET 1: 201 CEDAR ST SE, #7650 STREET 2: ATTN: MANAGER CITY: ALBUQUERQUE STATE: NM ZIP: 87106 BUSINESS PHONE: 505-923-6596 MAIL ADDRESS: STREET 1: 9521 SAN MATEO BLVD NE STREET 2: ATTN: GENERAL COUNSEL CITY: ALBUQUERQUE STATE: NM ZIP: 87113 D 1 primary_doc.xml X0708 D LIVE 0001797045 Presbyterian Hospital ASC, LLC 201 CEDAR ST SE #7650 ALBUQUERQUE NM NEW MEXICO 87106 505-923-6596 NEW MEXICO None None Limited Liability Company true 2019 Dale Maxwell 9521 San Mateo Blvd NE Albuquerque NM NEW MEXICO 87113 Executive Officer Director Promoter President of Issuer; President and CEO of Presbyterian Healthcare Services, Issuer's manager and sole member Roger Larsen 9521 San Mateo Blvd NE Albuquerque NM NEW MEXICO 87113 Executive Officer Director Promoter Vice President of Issuer; SVP and CFO of Presbyterian Healthcare Services, Issuer's manager and sole member Clay Holderman 9521 San Mateo Blvd NE Albuquerque NM NEW MEXICO 87113 Executive Officer Director Promoter Vice President of Issuer; EVP and COO of Presbyterian Healthcare Services, Issuer's manager and sole member Lauren Cates 9521 San Mateo Blvd NE Albuquerque NM NEW MEXICO 87113 Executive Officer Promoter Vice President of Issuer Other Health Care Decline to Disclose 06b false 2019-12-11 false true false 32000 The Securities Group, LLC 118148 Betty Strother Gearhart 735679 6465 North Quail Hollow Road Suite 400 Memphis TN TENNESSEE 38120 NM NEW MEXICO false The Securities Group 118148 Donna Greer Greene 2905227 6465 North Quail Hollow Road Memphis TN TENNESSEE 38120 NM NEW MEXICO false 3200000 128000 3072000 false 1 20000 0 0 false Presbyterian Hospital ASC, LLC /s/ Roger Larsen Roger Larsen VP of Issuer 2019-12-19