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  5. SKYLINE SURGERY CENTER, LLC

SKYLINE SURGERY CENTER, LLC

Company Details

Name: SKYLINE SURGERY CENTER, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 16 Jul 2012 (13 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 355370
Place of Formation: IDAHO
File Number: 355370
ZIP code: 83201
County: Bannock County
Principal Address: 285 VISTA DR POCATELLO, ID 83201-4987

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SKYLINE SURGERY CENTER, LLC RETIREMENT PLAN 2023 262792159 2024-09-03 SKYLINE SURGERY CENTER, LLC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-05-01
Business code 622000
Sponsor’s telephone number 2084781704
Plan sponsor’s address 285 VISTA, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2024-09-03
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
SKYLINE SURGERY CENTER, LLC RETIREMENT PLAN 2022 262792159 2023-07-17 SKYLINE SURGERY CENTER, LLC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-05-01
Business code 622000
Sponsor’s telephone number 2084781704
Plan sponsor’s address 285 VISTA, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2023-07-17
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
SKYLINE SURGERY CENTER, LLC RETIREMENT PLAN 2021 262792159 2022-03-24 SKYLINE SURGERY CENTER, LLC 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-05-01
Business code 622000
Sponsor’s telephone number 2084781704
Plan sponsor’s address 285 VISTA, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2022-03-24
Name of individual signing RYAN HOPE
Valid signature Filed with authorized/valid electronic signature
SKYLINE SURGERY CENTER, LLC RETIREMENT PLAN 2020 262792159 2021-03-17 SKYLINE SURGERY CENTER, LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-05-01
Business code 622000
Sponsor’s telephone number 2084781704
Plan sponsor’s address 285 VISTA, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2021-03-17
Name of individual signing RYAN HOPE
Valid signature Filed with authorized/valid electronic signature
SKYLINE SURGERY CENTER, LLC RETIREMENT PLAN 2019 262792159 2020-06-24 SKYLINE SURGERY CENTER, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-05-01
Business code 622000
Sponsor’s telephone number 2084781704
Plan sponsor’s address 285 VISTA, POCATELLO, ID, 83201

Plan administrator’s name and address
Administrator’s EIN 262792159
Plan administrator’s name SKYLINE SURGERY CENTER,
Plan administrator’s address 285 VISTA, POCATELLO, ID, 83201
Administrator’s telephone number 2084781704

Signature of
Role Plan administrator
Date 2020-06-24
Name of individual signing JANELLE LARSEN
Valid signature Filed with authorized/valid electronic signature
SKYLINE SURGERY CENTER, LLC RETIREMENT PLAN 2018 262792159 2019-07-31 SKYLINE SURGERY CENTER, LLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-05-01
Business code 622000
Sponsor’s telephone number 2084781704
Plan sponsor’s address 285 VISTA, POCATELLO, ID, 83201

Plan administrator’s name and address
Administrator’s EIN 262792159
Plan administrator’s name SKYLINE SURGERY CENTER,
Plan administrator’s address 285 VISTA, POCATELLO, ID, 83201
Administrator’s telephone number 2084781704

Signature of
Role Plan administrator
Date 2019-07-31
Name of individual signing JANELLE LARSEN
Valid signature Filed with authorized/valid electronic signature
SKYLINE SURGERY CENTER, LLC RETIREMENT PLAN 2017 262792159 2018-06-13 SKYLINE SURGERY CENTER, LLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-05-01
Business code 622000
Sponsor’s telephone number 2084781704
Plan sponsor’s address 285 VISTA, POCATELLO, ID, 83201

Plan administrator’s name and address
Administrator’s EIN 262792159
Plan administrator’s name SKYLINE SURGERY CENTER,
Plan administrator’s address 285 VISTA, POCATELLO, ID, 83201
Administrator’s telephone number 2084781704

Signature of
Role Plan administrator
Date 2018-06-13
Name of individual signing RYAN HOPE
Valid signature Filed with authorized/valid electronic signature
SKYLINE SURGERY CENTER, LLC RETIREMENT PLAN 2016 262792159 2017-09-13 SKYLINE SURGERY CENTER, LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-05-01
Business code 622000
Sponsor’s telephone number 2084781704
Plan sponsor’s address 285 VISTA, POCATELLO, ID, 83201

Plan administrator’s name and address
Administrator’s EIN 262792159
Plan administrator’s name SKYLINE SURGERY CENTER,
Plan administrator’s address 285 VISTA, POCATELLO, ID, 83201
Administrator’s telephone number 2084781704

Signature of
Role Plan administrator
Date 2017-09-13
Name of individual signing RYAN HOPE
Valid signature Filed with authorized/valid electronic signature
SKYLINE SURGERY CENTER, LLC RETIREMENT PLAN 2015 262792159 2016-05-05 SKYLINE SURGERY CENTER, LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-05-01
Business code 622000
Sponsor’s telephone number 2084781704
Plan sponsor’s address 285 VISTA, POCATELLO, ID, 83201

Plan administrator’s name and address
Administrator’s EIN 262792159
Plan administrator’s name SKYLINE SURGERY CENTER,
Plan administrator’s address 285 VISTA, POCATELLO, ID, 83201
Administrator’s telephone number 2084781704

Signature of
Role Plan administrator
Date 2016-05-05
Name of individual signing RYAN HOPE
Valid signature Filed with authorized/valid electronic signature
SKYLINE SURGERY CENTER, LLC RETIREMENT PLAN 2014 262792159 2015-09-16 SKYLINE SURGERY CENTER, LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-05-01
Business code 622000
Sponsor’s telephone number 2084781704
Plan sponsor’s address 285 VISTA, POCATELLO, ID, 83201

Plan administrator’s name and address
Administrator’s EIN 262792159
Plan administrator’s name SKYLINE SURGERY CENTER,
Plan administrator’s address 285 VISTA, POCATELLO, ID, 83201
Administrator’s telephone number 2084781704

Signature of
Role Plan administrator
Date 2015-09-16
Name of individual signing RYAN HOPE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Deborah L Meyer Agent 285 VISTA DRIVE, C, POCATELLO, ID 83201

Member

Name Role Address Appointed On Resigned On
Skyline ASC Holdings, LLC Member 777 HOSPITAL WAY, POCATELLO, ID 83201 2021-06-23 2022-06-03
Skyline ASC Holdings Inc Member 285 VISTA DRIVE, POCATELLO, ID 83201 2024-06-04 No data

Filing

Filing Name Filing Number Filing date
Annual Report 0005758762 2024-06-04
Application for Reinstatement 0005502566 2023-12-07
Dissolution/Revocation - Administrative 0005426448 2023-10-04
Annual Report 0004767744 2022-06-03
Annual Report 0004323068 2021-06-23
Annual Report 0003914368 2020-06-23
Annual Report 0003533636 2019-06-07
Annual Report 0002517643 2018-05-21
Annual Report 0002517641 2017-05-23
Annual Report 0002517639 2016-06-01

Court Cases Opinions

Package ID Category Cause Nature Of Suit
USCOURTS-idd-4_13-cv-00064 Judicial Publications - Antitrust
Collection United States Courts Opinions
SuDoc JU 4.15
Court Type District
Court Name United States District Court District of Idaho
Circuit 9th
Office Location Pocatello - Eastern
Case Type civil

Parties
Name John Abreu
Role Defendant
Name LHP Hospital Group
Role Defendant
Name LHP Hospital Partners
Role Defendant
Name LHP Management Services
Role Defendant
Name LHP POCATELLO, LLC
Role Defendant
Name Legacy Hospital Partners (Holdings)
Role Defendant
Name POCATELLO HEALTH SERVICES, INC.
Role Defendant
Name Pocatello Health System
Role Defendant
Name POCATELLO HOSPITAL, LLC
Role Defendant
Name Portneuf Health Care Foundation
Role Defendant
Name Norman Stephens
Role Defendant
Name SKYLINE SURGERY CENTER, LLC
Role Movant
Name Terry Elquist
Role Plaintiff
Name ROCKY MOUNTAIN MEDICAL MANAGEMENT LLC
Role Plaintiff

Opinions
Opinion ID USCOURTS-idd-4_13-cv-00064-0
Date 2013-09-30
Notes MEMORANDUM DECISION AND ORDER granting in part and denying in part 4 Motion to Dismiss for Failure to State a Claim; granting in part and denying in part 16 Motion to Dismiss for Failure to State a Claim; granting in part and denying in part 25 Motion to Dismiss for Failure to State a Claim; finding as moot 32 Motion to Strike. Further, the newly added defendants, Portneuf Health Care Foundation, Inc., LHP Management Services, LLC, Pocatello Hospital, LLC, Pocatello Health System, LLC, Pocatello Health Services, LLC, LHP Pocatello, LLC, and LHP Hospital Partners, Inc. are DISMISSED WITHOUT PREJUDICE from this action. The original Defendants Norman Stephens, John Abreuand LHP Hospital Group remain in this action. Pursuant to this Courts 4/3/2013 order, Defendants have 21 days from the date of entry of this order to respond to non-party Skylines Motion to Quash (Dkt. 7). Signed by Judge Edward J. Lodge. (caused to be mailed to non Registered Participants at the addresses listed on the Notice of Electronic Filing (NEF) by (cjm)
View View File
Opinion ID USCOURTS-idd-4_13-cv-00064-1
Date 2013-12-09
Notes MEMORANDUM DECISION AND ORDER granting in part and denying in part 7 Non-party Skyline's Motion to Quash. Signed by Judge Edward J. Lodge. (caused to be mailed to non Registered Participants at the addresses listed on the Notice of Electronic Filing (NEF) by (cjm)
View View File

Related by officers

No related officers

Related by address

285 VISTA DR POCATELLO, ID 83201-4987

Golden Investors, LLC

Date of last update: 05 Apr 2025

Sources: Idaho Secretary of State

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