-----BEGIN PRIVACY-ENHANCED MESSAGE-----
Proc-Type: 2001,MIC-CLEAR
Originator-Name: webmaster@www.sec.gov
Originator-Key-Asymmetric:
 MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen
 TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB
MIC-Info: RSA-MD5,RSA,
 JDHlj72utpTBBB5gdyNcT6xkMobJnMNHOse/mYQ8fTIhV0PWj21tElhNc08LeNtW
 m+OPXKUx/eW+MPPtpm9jZA==

<SEC-DOCUMENT>0001474373-09-000001.txt : 20091014
<SEC-HEADER>0001474373-09-000001.hdr.sgml : 20091014
<ACCEPTANCE-DATETIME>20091014163231
ACCESSION NUMBER:		0001474373-09-000001
CONFORMED SUBMISSION TYPE:	D
PUBLIC DOCUMENT COUNT:		1
ITEM INFORMATION:		Rule 506
FILED AS OF DATE:		20091014
DATE AS OF CHANGE:		20091014
EFFECTIVENESS DATE:		20091014

FILER:

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			Hospital Billing & Collection Service, Ltd.
		CENTRAL INDEX KEY:			0001474373
		IRS NUMBER:				222559860
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			0930

	FILING VALUES:
		FORM TYPE:		D
		SEC ACT:		1933 Act
		SEC FILE NUMBER:	021-135293
		FILM NUMBER:		091119455

	BUSINESS ADDRESS:	
		STREET 1:		118 LUKENS DRIVE
		CITY:			NEW CASTLE
		STATE:			DE
		ZIP:			19720
		BUSINESS PHONE:		302-552-8057

	MAIL ADDRESS:	
		STREET 1:		118 LUKENS DRIVE
		CITY:			NEW CASTLE
		STATE:			DE
		ZIP:			19720
</SEC-HEADER>
<DOCUMENT>
<TYPE>D
<SEQUENCE>1
<FILENAME>primary_doc.xml
<TEXT>
<XML>
<?xml version="1.0"?>
<edgarSubmission>

    <schemaVersion>X0603</schemaVersion>

    <submissionType>D</submissionType>

    <testOrLive>LIVE</testOrLive>

    <primaryIssuer>
        <cik>0001474373</cik>
        <entityName>Hospital Billing &amp; Collection Service, Ltd.</entityName>
        <issuerAddress>
            <street1>118 LUKENS DRIVE</street1>
            <city>NEW CASTLE</city>
            <stateOrCountry>DE</stateOrCountry>
            <zipCode>19720</zipCode>
        </issuerAddress>
        <issuerPhoneNumber>302-552-8057</issuerPhoneNumber>
        <jurisdictionOfInc>DELAWARE</jurisdictionOfInc>
        <issuerPreviousNameList>
            <value>None</value>
        </issuerPreviousNameList>
        <edgarPreviousNameList>
            <value>None</value>
        </edgarPreviousNameList>
        <entityType>Corporation</entityType>
        <yearOfInc>
            <overFiveYears>true</overFiveYears>
        </yearOfInc>
    </primaryIssuer>

    <relatedPersonsList>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Francis</firstName>
                <middleName>John</middleName>
                <lastName>Byrnes</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>909b Cloister Road</street1>
                <city>Wilmington</city>
                <stateOrCountry>DE</stateOrCountry>
                <zipCode>19809</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Kevin</firstName>
                <middleName>R</middleName>
                <lastName>Haggerty</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>419 Karen Lane</street1>
                <city>Wallingford</city>
                <stateOrCountry>PA</stateOrCountry>
                <zipCode>19086</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Robert</firstName>
                <middleName>V</middleName>
                <lastName>Siensa</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>206 Wiltshire Drive</street1>
                <city>Kennett Square</city>
                <stateOrCountry>PA</stateOrCountry>
                <zipCode>19348</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Brian</firstName>
                <middleName>J</middleName>
                <lastName>Wasilewski</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>118 Carpenter Row</street1>
                <city>Wilmington</city>
                <stateOrCountry>DE</stateOrCountry>
                <zipCode>19807</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Joanne</firstName>
                <middleName>M</middleName>
                <lastName>Courtney</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>5 Franklin Road RD2</street1>
                <city>Landenberg</city>
                <stateOrCountry>PA</stateOrCountry>
                <zipCode>19350</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Maureen</firstName>
                <middleName>E</middleName>
                <lastName>DiEleuterio</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>10 Bromley Court</street1>
                <city>Wilmington</city>
                <stateOrCountry>DE</stateOrCountry>
                <zipCode>19810</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Victoria</firstName>
                <lastName>Ostrow</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>211 Odessa Way</street1>
                <city>Newark</city>
                <stateOrCountry>DE</stateOrCountry>
                <zipCode>19711</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Kathleen</firstName>
                <middleName>J</middleName>
                <lastName>Maher</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>197 Eighth Street #628</street1>
                <city>Charlestown</city>
                <stateOrCountry>MA</stateOrCountry>
                <zipCode>02129</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Thomas</firstName>
                <middleName>J</middleName>
                <lastName>Lazear</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>Archway Systems</street1>
                <street2>2134 Main Street Suite 160</street2>
                <city>Huntington Beach</city>
                <stateOrCountry>CA</stateOrCountry>
                <zipCode>92648</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Michael</firstName>
                <middleName>T</middleName>
                <lastName>Manning</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>Partners Healthcare</street1>
                <street2>101 Merrimac Street 4th Floor</street2>
                <city>Boston</city>
                <stateOrCountry>MA</stateOrCountry>
                <zipCode>02114</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Robert Jr.</firstName>
                <middleName>C</middleName>
                <lastName>Cole</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>PO Box 701</street1>
                <city>Mendenhall</city>
                <stateOrCountry>PA</stateOrCountry>
                <zipCode>19357</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Teri</firstName>
                <lastName>Grayson-Fontenot</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>Woman's Hospital Foundation</street1>
                <street2>9050 Airline Highway PO Box 95009</street2>
                <city>Baton Rouge</city>
                <stateOrCountry>LA</stateOrCountry>
                <zipCode>70815-9009</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>William</firstName>
                <middleName>D</middleName>
                <lastName>McGuire</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>6 Clubhouse Green</street1>
                <city>San Antonio</city>
                <stateOrCountry>TX</stateOrCountry>
                <zipCode>78257</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Stanley</firstName>
                <middleName>F</middleName>
                <lastName>Hupfeld</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>INTEGRIS Health</street1>
                <street2>3366 Northwest Expressway</street2>
                <city>Oklahoma City</city>
                <stateOrCountry>OK</stateOrCountry>
                <zipCode>73112-4418</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Blaine</firstName>
                <middleName>J</middleName>
                <lastName>O'Connell</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>Froedtert and Community Health</street1>
                <street2>9200 West Wisconsin Ave</street2>
                <city>Milwaukee</city>
                <stateOrCountry>WI</stateOrCountry>
                <zipCode>53226</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Geoffery</firstName>
                <middleName>B</middleName>
                <lastName>Shields</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>Vermont Law School</street1>
                <street2>PO Box 96</street2>
                <city>South Royalton</city>
                <stateOrCountry>VT</stateOrCountry>
                <zipCode>05068</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Douglas</firstName>
                <middleName>S</middleName>
                <lastName>Peters</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>8379 Rasberry Lane</street1>
                <city>Charlevoix</city>
                <stateOrCountry>MI</stateOrCountry>
                <zipCode>49720</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
    </relatedPersonsList>

    <offeringData>
        <industryGroup>
            <industryGroupType>Other Health Care</industryGroupType>
        </industryGroup>
        <issuerSize>
            <revenueRange>$25,000,001 - $100,000,000</revenueRange>
        </issuerSize>
        <federalExemptionsExclusions>
            <item>06</item>
        </federalExemptionsExclusions>
        <typeOfFiling>
            <newOrAmendment>
                <isAmendment>false</isAmendment>
            </newOrAmendment>
            <dateOfFirstSale>
                <value>2009-10-01</value>
            </dateOfFirstSale>
        </typeOfFiling>
        <durationOfOffering>
            <moreThanOneYear>false</moreThanOneYear>
        </durationOfOffering>
        <typesOfSecuritiesOffered>
            <isEquityType>true</isEquityType>
            <isOtherType>true</isOtherType>
            <descriptionOfOtherType>Preferred stock, convertible to common stock</descriptionOfOtherType>
        </typesOfSecuritiesOffered>
        <businessCombinationTransaction>
            <isBusinessCombinationTransaction>false</isBusinessCombinationTransaction>
            <clarificationOfResponse></clarificationOfResponse>
        </businessCombinationTransaction>
        <minimumInvestmentAccepted>0</minimumInvestmentAccepted>
        <salesCompensationList></salesCompensationList>
        <offeringSalesAmounts>
            <totalOfferingAmount>20688056</totalOfferingAmount>
            <totalAmountSold>18336720</totalAmountSold>
            <totalRemaining>2351336</totalRemaining>
            <clarificationOfResponse>The offering response deadline was September 30, 2009, therefore there will be no additional sales.  Amounts provided are estimates.</clarificationOfResponse>
        </offeringSalesAmounts>
        <investors>
            <hasNonAccreditedInvestors>false</hasNonAccreditedInvestors>
            <totalNumberAlreadyInvested>32</totalNumberAlreadyInvested>
        </investors>
        <salesCommissionsFindersFees>
            <salesCommissions>
                <dollarAmount>0</dollarAmount>
            </salesCommissions>
            <findersFees>
                <dollarAmount>0</dollarAmount>
            </findersFees>
            <clarificationOfResponse></clarificationOfResponse>
        </salesCommissionsFindersFees>
        <useOfProceeds>
            <grossProceedsUsed>
                <dollarAmount>0</dollarAmount>
            </grossProceedsUsed>
            <clarificationOfResponse></clarificationOfResponse>
        </useOfProceeds>
        <signatureBlock>
            <authorizedRepresentative>false</authorizedRepresentative>
            <signature>
                <issuerName>Hospital Billing &amp; Collection Service, Ltd.</issuerName>
                <signatureName>Kevin R. Haggerty</signatureName>
                <nameOfSigner>Kevin R. Haggerty</nameOfSigner>
                <signatureTitle>VP Administration &amp; Cheif Financial Officer</signatureTitle>
                <signatureDate>2009-10-14</signatureDate>
            </signature>
        </signatureBlock>
    </offeringData>
</edgarSubmission>
</XML>
</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
-----END PRIVACY-ENHANCED MESSAGE-----