0001141890-16-000002.txt : 20160407 0001141890-16-000002.hdr.sgml : 20160407 20160407164856 ACCESSION NUMBER: 0001141890-16-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160407 DATE AS OF CHANGE: 20160407 EFFECTIVENESS DATE: 20160407 FILER: COMPANY DATA: COMPANY CONFORMED NAME: NORTH HILLS SURGERY CENTER LLC CENTRAL INDEX KEY: 0001141890 IRS NUMBER: 710807771 STATE OF INCORPORATION: AR FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-260878 FILM NUMBER: 161560568 BUSINESS ADDRESS: STREET 1: 3271 WIMBERLY DRIVE CITY: FAYETTEVEILLE STATE: AR ZIP: 72703 BUSINESS PHONE: 479-713-6100 MAIL ADDRESS: STREET 1: 3271 WIMBERLY DRIVE CITY: FAYETTEVILLE STATE: AR ZIP: 72703 D 1 primary_doc.xml X0707 D LIVE 0001141890 NORTH HILLS SURGERY CENTER LLC 3271 WIMBERLY DRIVE FAYETTEVEILLE AR ARKANSAS 72703 479-713-6100 ARKANSAS None None Limited Liability Company true Stephen Cashman, M.D. 3271 Wimberly Drive Fayetteville AR ARKANSAS 72703 Executive Officer Director Dawn Ashby 3271 Wimberly Drive Fayetteville AR ARKANSAS 72703 Executive Officer Andy Heinzelmann, M.D. 3271 Wimberly Drive Fayetteville AR ARKANSAS 72703 Director Kellye Smith, M.D. 3271 Wimberly Drive Fayetteville AR ARKANSAS 72703 Director Jeffrey Kellar, M.D. 3271 Wimberly Drive Fayetteville AR ARKANSAS 72703 Director Jon Berry, M.D. 3271 Wimberly Drive Fayetteville AR ARKANSAS 72703 Director Paul Henry, M.D. 3271 Wimberly Drive Fayetteville AR ARKANSAS 72703 Director Larry Shackelford 3271 Wimberly Drive Fayetteville AR ARKANSAS 72703 Director Mark Bever, M.D. 3271 Wimberly Drive Fayetteville AR ARKANSAS 72703 Director Hospitals and Physicians Decline to Disclose 06b false 2016-04-01 false true false 0 n/a None None None n/a n/a n/a AR ARKANSAS 72701 AR ARKANSAS false 570000 224200 345800 false 3 0 0 0 false NORTH HILLS SURGERY CENTER LLC Stephen Cashman, M.D. Stephen Cashman, M.D. Chairman, Board of Managers 2016-04-07