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  5. ADVENTIST MIDWEST HEALTH

ADVENTIST MIDWEST HEALTH

Headquarter

Company Details

Entity Name: ADVENTIST MIDWEST HEALTH
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 01 Nov 1904
Company Number: CORP_09407154
File Number: 09407154
Type of Business: Not for Profit
Place of Formation: ILLINOIS

Links between entities

Type Company Name Company Number State
Headquarter of ADVENTIST MIDWEST HEALTH, KENTUCKY 0061840 KENTUCKY

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
UB9KFRLGQ3E9 2025-02-26 120 N OAK ST, HINSDALE, IL, 60521, 3829, USA P.O. BOX 775248, CHICAGO, IL, 60677, 5280, USA

Business Information
Congressional District 04
State/Country of Incorporation IL, USA
Activation Date 2024-02-29
Initial Registration Date 2010-07-07
Entity Start Date 1904-11-01
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name DESTIN HARCUS
Address 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714, USA
Government Business
Title PRIMARY POC
Name MICHAEL SPEELMAN
Address 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMITA HEALTH LEGAL SERVICES PLAN 2021 362276984 2022-10-05 ADVENTIST MIDWEST HEALTH No data
File View Page
Three-digit plan number (PN) 512
Effective date of plan 2018-01-01
Business code 622000
Sponsor’s telephone number 6303125000
Plan sponsor’s mailing address 120 N OAK ST, HINSDALE, IL, 605213829
Plan sponsor’s address 120 N OAK ST, HINSDALE, IL, 605213829

Number of participants as of the end of the plan year
Active participants 511

Signature of
Role Plan administrator
Date 2022-10-05
Name of individual signing LYNN ADDISCOTT
Valid signature Filed with authorized/valid electronic signature
ADVENTIST MIDWEST HEALTH/AMITA HEALTH EMPLOYEE BENEFITS PLAN 2021 362276984 2022-10-19 ADVENTIST MIDWEST HEALTH 3336
File View Page
Three-digit plan number (PN) 510
Effective date of plan 2018-01-01
Business code 622000
Sponsor’s telephone number 6303125000
Plan sponsor’s mailing address 120 N OAK ST, HINSDALE, IL, 605213829
Plan sponsor’s address 120 N OAK ST, HINSDALE, IL, 605213829

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2022-10-19
Name of individual signing LYNN ADDISCOTT
Valid signature Filed with authorized/valid electronic signature
AMITA HEALTH SEVERANCE BENEFITS PLAN TIER 4 ASSOCIATES 2021 362276984 2022-10-13 ADVENTIST MIDWEST HEALTH 3442
File View Page
Three-digit plan number (PN) 511
Effective date of plan 2019-02-28
Business code 622000
Sponsor’s telephone number 6303125000
Plan sponsor’s mailing address 120 N OAK ST, HINSDALE, IL, 605213829
Plan sponsor’s address 120 N OAK ST, HINSDALE, IL, 605213829

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing LYNN ADDISCOTT
Valid signature Filed with authorized/valid electronic signature
ADVENTIST MIDWEST HEALTH/AMITA HEALTH EMPLOYEE BENEFITS PLAN 2021 362276984 2022-10-13 ADVENTIST MIDWEST HEALTH 3334
File View Page
Three-digit plan number (PN) 510
Effective date of plan 2018-01-01
Business code 622000
Sponsor’s telephone number 6303125000
Plan sponsor’s mailing address 120 N OAK ST, HINSDALE, IL, 605213829
Plan sponsor’s address 120 N OAK ST, HINSDALE, IL, 605213829

Number of participants as of the end of the plan year
Active participants 3336
Retired or separated participants receiving benefits 39

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing LYNN ADDISCOTT
Valid signature Filed with authorized/valid electronic signature
AMITA HEALTH SEVERANCE BENEFITS PLAN TIER 4 ASSOCIATES 2021 362276984 2022-10-13 ADVENTIST MIDWEST HEALTH 3444
File View Page
Three-digit plan number (PN) 511
Effective date of plan 2019-02-28
Business code 622000
Sponsor’s telephone number 6303125000
Plan sponsor’s mailing address 120 N OAK ST, HINSDALE, IL, 605213829
Plan sponsor’s address 120 N OAK ST, HINSDALE, IL, 605213829

Number of participants as of the end of the plan year
Active participants 3442

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing LYNN ADDISCOTT
Valid signature Filed with authorized/valid electronic signature
AMITA HEALTH LEGAL SERVICES PLAN 2020 362276984 2022-10-05 ADVENTIST MIDWEST HEALTH 520
File View Page
Three-digit plan number (PN) 512
Effective date of plan 2018-01-01
Business code 622000
Sponsor’s telephone number 6303125000
Plan sponsor’s mailing address 120 N OAK ST, HINSDALE, IL, 605213829
Plan sponsor’s address 120 N OAK ST, HINSDALE, IL, 605213829

Number of participants as of the end of the plan year
Active participants 496

Signature of
Role Plan administrator
Date 2022-10-05
Name of individual signing LYNN ADDISCOTT
Valid signature Filed with authorized/valid electronic signature
AMITA HEALTH LEGAL SERVICES PLAN 2019 362276984 2022-10-05 ADVENTIST MIDWEST HEALTH 514
File View Page
Three-digit plan number (PN) 512
Effective date of plan 2018-01-01
Business code 622000
Sponsor’s telephone number 6303125000
Plan sponsor’s mailing address 120 N OAK ST, HINSDALE, IL, 605213829
Plan sponsor’s address 120 N OAK ST, HINSDALE, IL, 605213829

Number of participants as of the end of the plan year
Active participants 505

Signature of
Role Plan administrator
Date 2022-10-05
Name of individual signing LYNN ADDISCOTT
Valid signature Filed with authorized/valid electronic signature
FLINN & DREFFEIN EMPLOYEES PROFIT SHARING AND 401(K) PLAN 2010 362029300 2011-06-17 FLINN & DREFFEIN ENGINEERING CO 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1959-01-31
Business code 541330
Sponsor’s telephone number 8472726370
Plan sponsor’s address 3520 COMMERCIAL AVE, NORTHBROOK, IL, 600621888

Plan administrator’s name and address
Administrator’s EIN 362029300
Plan administrator’s name FLINN & DREFFEIN ENGINEERING CO
Plan administrator’s address 3520 COMMERCIAL AVE, NORTHBROOK, IL, 600621888
Administrator’s telephone number 8472726370

Signature of
Role Plan administrator
Date 2011-06-17
Name of individual signing JOYCE FREDRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-17
Name of individual signing JOSEPH BALAZ
Valid signature Filed with authorized/valid electronic signature
FLINN & DREFFEIN EMPLOYEES PROFIT SHARING AND 401(K) PLAN 2009 362029300 2010-06-21 FLINN & DREFFEIN ENGINEERING CO 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1959-01-31
Business code 541330
Sponsor’s telephone number 8472726370
Plan sponsor’s address 3520 COMMERCIAL AVE, NORTHBROOK, IL, 600621888

Plan administrator’s name and address
Administrator’s EIN 362029300
Plan administrator’s name FLINN & DREFFEIN ENGINEERING CO
Plan administrator’s address 3520 COMMERCIAL AVE, NORTHBROOK, IL, 600621888
Administrator’s telephone number 8472726370

Signature of
Role Plan administrator
Date 2010-06-21
Name of individual signing JOYCE FREDRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-21
Name of individual signing JOSEPH BALAZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
THE CORPORATION COMPANY, 600 S 2ND ST STE 104, SPRINGFIELD, 62704, SANGAMON Agent 2024-05-22

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PHARMACY 054022481 No data No data LICENSED PHARMACY No data 2023-11-13 2023-11-13 2024-03-31
PHARMACY 054022480 No data No data LICENSED PHARMACY No data 2023-10-16 2024-02-08 2026-03-31
PHARMACY 054022482 No data No data LICENSED PHARMACY No data 2023-10-05 2024-01-20 2026-03-31
PHARMACY 054019679 No data No data LICENSED PHARMACY No data 2016-01-29 2020-01-22 2022-03-31
PHARMACY 054017331 No data No data LICENSED PHARMACY No data 2010-03-03 2024-02-03 2026-03-31
PHARMACY 054017033 No data No data LICENSED PHARMACY No data 2010-02-02 2012-03-09 2014-03-31
PHARMACY 054017020 No data No data LICENSED PHARMACY No data 2010-02-01 2022-03-05 2024-03-31
PHARMACY 054017051 No data No data LICENSED PHARMACY No data 2010-02-01 2022-03-11 2024-03-31
PHARMACY 099000008 No data No data LICENSED DIVISION VI PHARMACY No data 2007-11-07 2008-01-10 2010-03-31
PHARMACY 093013415 No data No data LICENSED DIVISION V PHARMACY No data 1999-12-23 1999-12-23 2002-03-31

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
UCHICAGO MEDICINE ADVENTHEALTH GYNECOLOGIC ONCOLOGY HINSDALE NFP Assume Name 2024-10-11 No data No data No data
UCHICAGO MEDICINE ADVENTHEALTH SURGICAL ONCOLOGY HINSDALE NFP Assume Name 2024-10-11 No data No data No data
UCHICAGO MEDICINE ADVENTHEALTH BARIATRIC SURGERY CENTER LA GRANGE NFP Assume Name 2024-10-07 No data No data No data
PT SOLUTIONS PHYSICAL THERAPY HINSDALE NFP Assume Name 2024-10-07 No data No data No data
UCHICAGO MEDICINE ADVENTHEALTH IMAGING SALT CREEK NFP Assume Name 2024-10-07 No data No data No data
UCHICAGO MEDICINE ADVENTHEALTH PHARMACY HINSDALE NFP Assume Name 2024-10-07 No data No data No data
PT SOLUTIONS PHYSICAL THERAPY WESTCHESTER NFP Assume Name 2024-10-07 No data No data No data
UCHICAGO MEDICINE ADVENTHEALTH NEW DAY CENTER FOR ADDICTIONS WESTMONT NFP Assume Name 2024-10-07 No data No data No data
UCHICAGO MEDICINE ADVENTHEALTH WOUND CARE CENTER LA GRANGE NFP Assume Name 2024-10-07 No data No data No data
UCHICAGO MEDICINE ADVENTHEALTH CARDIOPULMONARY REHAB CENTER LA GRANGE NFP Assume Name 2024-10-07 No data No data No data

Historical Names

Name Change Date
ADVENTIST HINSDALE HOSPITAL 2015-01-23
HINSDALE HOSPITAL 2004-11-17
HINSDALE SANITARIUM AND HOSPITAL 1983-10-21

Related by officers

THE CORPORATION COMPANY, 600 S 2ND ST STE 104, SPRINGFIELD, 62704, SANGAMON

ADVOCATE SHERMAN HOSPITAL ADVOCATE HEALTH AND HOSPITALS CORPORATION ADVOCATE HEALTH CARE NETWORK AMEREN ILLINOIS COMPANY SERVICE LEAGUE OF ADVOCATE LUTHERAN GENERAL HOSPITAL AND ADVOCATE CHILDREN'S HOSPITAL-PARK RIDGE EHS HOME HEALTH CARE SERVICE INC. MERIDIAN HOSPICE SCHNEIDER NATIONAL LEASING, INC. ADVENTIST GLENOAKS HOSPITAL EVANGELICAL SERVICES CORPORATION

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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