0001967907-23-000002.txt : 20230328 0001967907-23-000002.hdr.sgml : 20230328 20230328114358 ACCESSION NUMBER: 0001967907-23-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230328 DATE AS OF CHANGE: 20230328 EFFECTIVENESS DATE: 20230328 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Interstate Health Systems, Inc. CENTRAL INDEX KEY: 0001967907 IRS NUMBER: 842029023 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-477099 FILM NUMBER: 23767306 BUSINESS ADDRESS: STREET 1: 4022 ARNO ROAD CITY: FRANKLIN STATE: TN ZIP: 37064 BUSINESS PHONE: 615-957-1080 MAIL ADDRESS: STREET 1: 4022 ARNO ROAD CITY: FRANKLIN STATE: TN ZIP: 37064 D 1 primary_doc.xml X0708 D LIVE 0001967907 Interstate Health Systems, Inc. 4022 ARNO ROAD FRANKLIN TN TENNESSEE 37064 615-957-1080 DELAWARE Interstate Health Systems, LLC None Corporation true 2019 Jeff Seraphine 4022 Arno Road Franklin TN TENNESSEE 37064 Executive Officer Monty Lankford 4022 Arno Road Franklin TN TENNESSEE 37064 Executive Officer Other Health Care Decline to Disclose 06b false 2022-09-07 false true false 100000 5000000 2000000 3000000 false 13 0 0 0 false Interstate Health Systems, Inc. /s/ Jeff Seraphine Jeff Seraphine CEO 2023-03-17