Ownership Submission
FORM 3
 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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(Print or Type Responses)
1. Name and Address of Reporting Person *
  CARTEE Paul E
 2. Date of Event Requiring Statement (Month/Day/Year)
02/17/2009		 3. Issuer Name and Ticker or Trading Symbol
NightHawk Radiology Holdings Inc [NHWK]
(Last)
(First)
(Middle)
601 FRONT AVENUE, STE. 502		 4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
Sr. VP, General Counsel & Sec.
 5. If Amendment, Date Original Filed(Month/Day/Year)
(Street)

COEUR D'ALENE, ID 83814		 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
(City)
(State)
(Zip)
Table I - Non-Derivative Securities Beneficially Owned
1.Title of Security
(Instr. 4)		 2. Amount of Securities Beneficially Owned
(Instr. 4)		 3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)		 4. Nature of Indirect Beneficial Ownership
(Instr. 5)
Common Stock 2,001
D
 

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. SEC 1473 (7-02)
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 4)		 2. Date Exercisable and Expiration Date
(Month/Day/Year)		 3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)		 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)		 6. Nature of Indirect Beneficial Ownership
(Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Options   (1) 02/19/2018 Common Stock 30,000 $ 12.23 D  
Stock Options   (2) 02/19/2017 Common Stock 72,000 $ 21.75 D  
Stock Options   (3) 03/17/2015 Common Stock 7,779 $ 3.63 D  

Reporting Owners

Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
CARTEE Paul E
601 FRONT AVENUE
STE. 502
COEUR D'ALENE, ID 83814		       Sr. VP, General Counsel & Sec.  

Signatures

Paul E. Cartee, Attorney-in-Fact 02/18/2009
**Signature of Reporting Person Date

Explanation of Responses:

* If the form is filed by more than one reporting person, see Instruction 5(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
(1) One-third of the shares subject to this option will vest on February 19, 2009. 1/36 of the shares will vest monthly thereafter, such that the grant will be fully vested on on February 19, 2011.
(2) One-third of the shares subject to this option vested on February 21, 2008. 1/36 of the shares began to vest monthly thereafter, such that the grant will be fully vested on on February 21, 2010.
(3) The shares subject to this option are fully vested.

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