UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Notice of Effectiveness
Effectiveness Date:	October 27, 2011 10:00 A.M.

Form:	S-4
CIK: 0001091312 Company Name: SYMBION INC/TN File Number: 333-177236
CIK: 0001441170 Company Name: Physicians Surgical Care, Inc. File Number: 333-177236-78
CIK: 0001441211 Company Name: Ambulatory Resource Centres Investment Company, LLC File Number: 333-177236-77
CIK: 0001441208 Company Name: Ambulatory Resource Centres of Texas, Inc. File Number: 333-177236-76
CIK: 0001441207 Company Name: Ambulatory Resource Centres of Washington, Inc. File Number: 333-177236-75
CIK: 0001441206 Company Name: Ambulatory Resource Centres of Wilmington, Inc. File Number: 333-177236-74
CIK: 0001441204 Company Name: ARC Development CORP File Number: 333-177236-73
CIK: 0001441196 Company Name: ARC Financial Services CORP File Number: 333-177236-72
CIK: 0001528862 Company Name: Austin Surgical Holdings, LLC File Number: 333-177236-71
CIK: 0001441202 Company Name: ASC of Hammond, Inc. File Number: 333-177236-70
CIK: 0001441198 Company Name: ASC of New Albany, LLC File Number: 333-177236-69
CIK: 0001441197 Company Name: Houston PSC - I, Inc. File Number: 333-177236-68
CIK: 0001441185 Company Name: Lubbock Surgicenter, Inc. File Number: 333-177236-67
CIK: 0001441181 Company Name: MediSphere Health Partners - Oklahoma City, Inc. File Number: 333-177236-66
CIK: 0001441177 Company Name: MediSphere Health Partners Management of Tennessee, Inc. File Number: 333-177236-65
CIK: 0001441175 Company Name: NSC Edmond, Inc. File Number: 333-177236-64
CIK: 0001445122 Company Name: NeoSpine Surgery of Nashville, LLC File Number: 333-177236-63
CIK: 0001445121 Company Name: NeoSpine Surgery of Puyallup, LLC File Number: 333-177236-62
CIK: 0001445120 Company Name: NeoSpine Surgery, LLC File Number: 333-177236-61
CIK: 0001441166 Company Name: PSC Development Company, LLC File Number: 333-177236-60
CIK: 0001441163 Company Name: PSC of New York, L.L.C. File Number: 333-177236-59
CIK: 0001441160 Company Name: PSC Operating Company, LLC File Number: 333-177236-58
CIK: 0001441154 Company Name: SARC/Asheville, Inc. File Number: 333-177236-57
CIK: 0001441149 Company Name: SARC/Circleville, Inc. File Number: 333-177236-56
CIK: 0001441144 Company Name: SARC/Deland, Inc. File Number: 333-177236-55
CIK: 0001441142 Company Name: SARC/Ft. Myers, Inc. File Number: 333-177236-54
CIK: 0001441140 Company Name: SARC/FW, Inc. File Number: 333-177236-53
CIK: 0001441138 Company Name: SARC/Georgia, Inc. File Number: 333-177236-52
CIK: 0001441137 Company Name: SARC/Jacksonville, Inc. File Number: 333-177236-51
CIK: 0001441133 Company Name: SARC/Knoxville, Inc. File Number: 333-177236-50
CIK: 0001441135 Company Name: SARC/Providence, LLC File Number: 333-177236-49
CIK: 0001441136 Company Name: SARC/San Antonio, LLC File Number: 333-177236-48
CIK: 0001441108 Company Name: SARC/Savannah,Inc. File Number: 333-177236-47
CIK: 0001441110 Company Name: SARC/St. Charles, Inc. File Number: 333-177236-46
CIK: 0001528863 Company Name: SMBI Great Falls, LLC File Number: 333-177236-45
CIK: 0001528864 Company Name: SMBI Gresham, LLC File Number: 333-177236-44
CIK: 0001441117 Company Name: SMBI Havertown, LLC File Number: 333-177236-43
CIK: 0001528865 Company Name: SMBI Idaho, LLC File Number: 333-177236-42
CIK: 0001441152 Company Name: SMBI Portsmouth, LLC File Number: 333-177236-41
CIK: 0001441156 Company Name: SMBIMS Birmingham, Inc. File Number: 333-177236-40
CIK: 0001441158 Company Name: SMBIMS Durango, LLC File Number: 333-177236-39
CIK: 0001441165 Company Name: SMBIMS Florida I, LLC File Number: 333-177236-38
CIK: 0001441168 Company Name: SMBIMS Greenville, LLC File Number: 333-177236-37
CIK: 0001441169 Company Name: SMBIMS Kirkwood, LLC File Number: 333-177236-36
CIK: 0001441596 Company Name: SMBIMS Novi, LLC File Number: 333-177236-35
CIK: 0001441595 Company Name: SMBIMS Orange City, LLC File Number: 333-177236-34
CIK: 0001441594 Company Name: SMBIMS Steubenville, Inc. File Number: 333-177236-33
CIK: 0001441591 Company Name: SMBIMS Tuscaloosa, Inc. File Number: 333-177236-32
CIK: 0001441590 Company Name: SMBIMS Wichita, LLC File Number: 333-177236-31
CIK: 0001441588 Company Name: SMBISS Beverly Hills, LLC File Number: 333-177236-30
CIK: 0001441586 Company Name: SMBISS Encino, LLC File Number: 333-177236-29
CIK: 0001441585 Company Name: SMBISS Irvine, LLC File Number: 333-177236-28
CIK: 0001441178 Company Name: SMBISS Thousand Oaks, LLC File Number: 333-177236-27
CIK: 0001528866 Company Name: SSC Provider Network, LLC File Number: 333-177236-26
CIK: 0001441182 Company Name: Surgicare of Deland, Inc. File Number: 333-177236-25
CIK: 0001441183 Company Name: Symbion Ambulatory Resource Centres, Inc. File Number: 333-177236-24
CIK: 0001441186 Company Name: SymbionARC Management Services, Inc. File Number: 333-177236-23
CIK: 0001441187 Company Name: SymbionARC Support Services, LLC File Number: 333-177236-22
CIK: 0001441188 Company Name: Texarkana Surgery Center GP, Inc. File Number: 333-177236-21
CIK: 0001441190 Company Name: UniPhy Healthcare of Johnson City VI, LLC File Number: 333-177236-20
CIK: 0001441191 Company Name: UniPhy Healthcare of Louisville, Inc. File Number: 333-177236-19
CIK: 0001441192 Company Name: UniPhy Healthcare of Maine I, Inc. File Number: 333-177236-18
CIK: 0001441023 Company Name: UniPhy Healthcare of Memphis I, LLC File Number: 333-177236-17
CIK: 0001441024 Company Name: UniPhy Healthcare of Memphis II, Inc. File Number: 333-177236-16
CIK: 0001441193 Company Name: UniPhy Healthcare of Memphis III, LLC File Number: 333-177236-15
CIK: 0001441194 Company Name: UniPhy Healthcare of Memphis IV, LLC File Number: 333-177236-14
CIK: 0001441583 Company Name: VASC, Inc. File Number: 333-177236-13
CIK: 0001441195 Company Name: Village Surgicenter, Inc. File Number: 333-177236-12
CIK: 0001441587 Company Name: SMBISS Chesterfield, LLC File Number: 333-177236-11
CIK: 0001441114 Company Name: SARC/Worcester, Inc. File Number: 333-177236-10
CIK: 0001441129 Company Name: SARC/Metairie, Inc. File Number: 333-177236-09
CIK: 0001445119 Company Name: Quahog Holding Company, LLC File Number: 333-177236-08
CIK: 0001441210 Company Name: Ambulatory Resource Centres of Florida, Inc. File Number: 333-177236-07
CIK: 0001441209 Company Name: Ambulatory Resource Centres of Massachusetts, Inc. File Number: 333-177236-06
CIK: 0001441167 Company Name: Premier Ambulatory Surgery of Duncanville, Inc. File Number: 333-177236-05
CIK: 0001441134 Company Name: SARC/Kent, LLC File Number: 333-177236-04
CIK: 0001441130 Company Name: SARC/Largo, Inc. File Number: 333-177236-03
CIK: 0001441111 Company Name: SARC/Vincennes, Inc. File Number: 333-177236-02
CIK: 0001441131 Company Name: SARC/Largo Endoscopy, Inc. File Number: 333-177236-01