0001428871-23-000006.txt : 20230130
0001428871-23-000006.hdr.sgml : 20230130
20230130124605
ACCESSION NUMBER: 0001428871-23-000006
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20230130
DATE AS OF CHANGE: 20230130
EFFECTIVENESS DATE: 20230130
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: NORTHWEST INDIANA HEALTH SYSTEM, LLC
CENTRAL INDEX KEY: 0001428871
IRS NUMBER: 208445754
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-472131
FILM NUMBER: 23566379
BUSINESS ADDRESS:
STREET 1: 4000 MERIDIAN BLVD.
CITY: FRANKLIN
STATE: TN
ZIP: 46383
BUSINESS PHONE: 615-465-7000
MAIL ADDRESS:
STREET 1: 4000 MERIDIAN BLVD.
CITY: FRANKLIN
STATE: TN
ZIP: 46383
FORMER COMPANY:
FORMER CONFORMED NAME: NORTHWEST INDIANA HEALTH SYSTEM LLC
DATE OF NAME CHANGE: 20080305
D
1
primary_doc.xml
X0708
D
LIVE
0001428871
NORTHWEST INDIANA HEALTH SYSTEM, LLC
4000 MERIDIAN BLVD.
FRANKLIN
TN
TENNESSEE
37067
615-465-7000
DELAWARE
NORTHWEST INDIANA HEALTH SYSTEM LLC
Limited Liability Company
true
-
FRANKFORT HEALTH PARTNER, INC.
4000 MERIDIAN BLVD.
FRANKLIN
TN
TENNESSEE
37067
Director
Managing Member of the Issuer
KEVIN
J.
HAMMONS
C/O NORTHWEST INDIANA HEALTH SYSTEM, LLC
4000 MERIDIAN BLVD.
FRANKLIN
TN
TENNESSEE
37067
Executive Officer
W.
BRADLEY
CASH
C/O NORTHWEST INDIANA HEALTH SYSTEM, LLC
4000 MERIDIAN BLVD.
FRANKLIN
TN
TENNESSEE
37067
Executive Officer
JUSTIN
D.
PITT
C/O NORTHWEST INDIANA HEALTH SYSTEM, LLC
4000 MERIDIAN BLVD.
FRANKLIN
TN
TENNESSEE
37067
Executive Officer
JASON
K.
JOHNSON
C/O NORTHWEST INDIANA HEALTH SYSTEM, LLC
4000 MERIDIAN BLVD.
FRANKLIN
TN
TENNESSEE
37067
Executive Officer
R.
GABRIEL
OTTINGER
C/O NORTHWEST INDIANA HEALTH SYSTEM, LLC
4000 MERIDIAN BLVD.
FRANKLIN
TN
TENNESSEE
37067
Executive Officer
CHRISTOPHER
G.
COBB
C/O NORTHWEST INDIANA HEALTH SYSTEM, LLC
4000 MERIDIAN BLVD.
FRANKLIN
TN
TENNESSEE
37067
Executive Officer
Hospitals and Physicians
Decline to Disclose
- 06b
false
2023-01-20
false
true
false
22000
1556500
1556500
0
false
26
0
0
0
false
NORTHWEST INDIANA HEALTH SYSTEM, LLC
/s/ Justin D. Pitt
Justin D. Pitt
Executive Vice President and Assistant Secretary
2023-01-26