0001602367-16-000004.txt : 20161121 0001602367-16-000004.hdr.sgml : 20161121 20161121171551 ACCESSION NUMBER: 0001602367-16-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161121 DATE AS OF CHANGE: 20161121 EFFECTIVENESS DATE: 20161121 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Adeptus Health Inc. CENTRAL INDEX KEY: 0001602367 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOSPITALS [8060] IRS NUMBER: 465037387 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-274914 FILM NUMBER: 162011045 BUSINESS ADDRESS: STREET 1: 2941 SOUTH LAKE VISTA CITY: LEWISVILLE STATE: TX ZIP: 75067 BUSINESS PHONE: 9728996666 MAIL ADDRESS: STREET 1: 2941 SOUTH LAKE VISTA CITY: LEWISVILLE STATE: TX ZIP: 75067 D 1 primary_doc.xml X0707 D LIVE 0001602367 Adeptus Health Inc. 2941 SOUTH LAKE VISTA LEWISVILLE TX TEXAS 75067 (972) 899-6666 DELAWARE None None Corporation true 2014 GREGORY W. SCOTT 2941 SOUTH LAKE VISTA LEWISVILLE TX TEXAS 75067 Executive Officer Director GRAHAM B. CHERRINGTON 2941 SOUTH LAKE VISTA LEWISVILLE TX TEXAS 75067 Executive Officer FRANK R. WILLIAMS 2941 SOUTH LAKE VISTA LEWISVILLE TX TEXAS 75067 Executive Officer ANDREW JORDAN 2941 SOUTH LAKE VISTA LEWISVILLE TX TEXAS 75067 Executive Officer TRACI BOWEN 2941 SOUTH LAKE VISTA LEWISVILLE TX TEXAS 75067 Executive Officer RICHARD COVERT 2941 SOUTH LAKE VISTA LEWISVILLE TX TEXAS 75067 Director DANIEL HOSLER 2941 SOUTH LAKE VISTA LEWISVILLE TX TEXAS 75067 Director STEVEN V. NAPOLITANO 2941 SOUTH LAKE VISTA LEWISVILLE TX TEXAS 75067 Director DANIEL W. ROSENBERG 2941 SOUTH LAKE VISTA LEWISVILLE TX TEXAS 75067 Director RONALD L. TAYLOR 2941 SOUTH LAKE VISTA LEWISVILLE TX TEXAS 75067 Director JEFFREY S. VENDER 2941 SOUTH LAKE VISTA LEWISVILLE TX TEXAS 75067 Director STEPHEN M. MENGERT 2941 SOUTH LAKE VISTA LEWISVILLE TX TEXAS 75067 Director Hospitals and Physicians Decline to Disclose 06b false 2016-11-07 false true false 0 27500000 27500000 0 false 5 0 0 125000 The proceeds from the offering will be used for general working capital purposes including the payment of payroll. Officers listed in item 3 will be among the Issuer's employees who may receive a portion of regularly scheduled salary from such proceeds. false Adeptus Health Inc. /s/ Timothy M. Mueller Timothy M. Mueller Senior Vice President and General Counsel 2016-11-21