X0101 EFFECT 33 LIVE 2011-10-27 10:00:00

S-4

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