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  5. NORTHWEST COMMUNITY HOSPITAL

NORTHWEST COMMUNITY HOSPITAL

Company Details

Entity Name: NORTHWEST COMMUNITY HOSPITAL
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 09 Nov 1953
Company Number: CORP_34082316
File Number: 34082316
Type of Business: Not for Profit
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
LG47MK5JWGT1 2025-02-27 800 W CENTRAL RD, ARLINGTON HEIGHTS, IL, 60005, 2349, USA 800 WEST CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005, USA

Business Information
URL http://www.nch.org
Congressional District 05
State/Country of Incorporation IL, USA
Activation Date 2024-03-01
Initial Registration Date 2007-10-18
Entity Start Date 1959-12-01
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name CHRISSIE ERDMANN
Role CONTROLLER
Address 3040 SALT CREEK RD., ARLINGTON HEIGHTS, IL, 60005, 2349, USA
Government Business
Title PRIMARY POC
Name CHRISSIE ERDMANN
Role CONTROLLER
Address 800 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005, 2349, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHWEST COMMUNITY HOSPITAL EMPLOYEES RETIREMENT PLAN 2023 362340313 2024-10-01 NORTHWEST COMMUNITY HOSPITAL 1264
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1965-11-01
Business code 622000
Sponsor’s telephone number 8475705365
Plan sponsor’s mailing address 1301 CENTRAL STREEET, EVANSTON, IL, 602011613
Plan sponsor’s address 1301 CENTRAL STREET, EVANSTON, IL, 602011613

Number of participants as of the end of the plan year
Active participants 557
Retired or separated participants receiving benefits 225
Other retired or separated participants entitled to future benefits 382
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 16
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
NORTHWEST COMMUNITY HOSPITAL EMPLOYEES RETIREMENT 2022 362340313 2023-10-02 NORTHWEST COMMUNITY HOSPITAL 1327
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1965-11-01
Business code 622000
Sponsor’s telephone number 8476181000
Plan sponsor’s mailing address 800 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 600059998
Plan sponsor’s address 800 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 600059998

Number of participants as of the end of the plan year
Active participants 607
Retired or separated participants receiving benefits 219
Other retired or separated participants entitled to future benefits 421
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 17
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
NORTHWEST COMMUNITY HOSPITAL EMPLOYEES RETIREMENT 2021 362340313 2022-10-06 NORTHWEST COMMUNITY HOSPITAL 1436
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1965-11-01
Business code 622000
Sponsor’s telephone number 8476181000
Plan sponsor’s mailing address 800 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 600059998
Plan sponsor’s address 800 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 600059998

Number of participants as of the end of the plan year
Active participants 660
Retired or separated participants receiving benefits 212
Other retired or separated participants entitled to future benefits 438
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 17
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
NORTHWEST COMMUNITY HEALTHCARE EMPLOYEES RETIREMENT PLAN 2012 362340313 2013-10-15 NORTHWEST COMMUNITY HOSPITAL 4391
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 622000
Sponsor’s telephone number 8476185145
Plan sponsor’s mailing address 800 WEST CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 600052349
Plan sponsor’s address 800 WEST CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 600052349

Plan administrator’s name and address
Administrator’s EIN 362340313
Plan administrator’s name NORTHWEST COMMUNITY HOSPITAL
Plan administrator’s address 800 WEST CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 600052349
Administrator’s telephone number 8476185145

Number of participants as of the end of the plan year
Active participants 3751
Retired or separated participants receiving benefits 14
Other retired or separated participants entitled to future benefits 534
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 6
Number of participants with account balances as of the end of the plan year 4178
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing STEPHEN SCOGNA
Valid signature Filed with authorized/valid electronic signature
NORTHWEST COMMUNITY HEALTHCARE EMPLOYEES RETIREMENT PLAN 2011 362340313 2012-10-10 NORTHWEST COMMUNITY HOSPITAL 4392
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 622000
Sponsor’s telephone number 8476185145
Plan sponsor’s mailing address 800 WEST CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 600052349
Plan sponsor’s address 800 WEST CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 600052349

Plan administrator’s name and address
Administrator’s EIN 362340313
Plan administrator’s name NORTHWEST COMMUNITY HOSPITAL
Plan administrator’s address 800 WEST CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 600052349
Administrator’s telephone number 8476185145

Number of participants as of the end of the plan year
Active participants 4386
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 5
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 3587
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing STEPHEN SCOGNA
Valid signature Filed with authorized/valid electronic signature
NORTHWEST COMMUNITY HEALTHCARE EMPLOYEES RETIREMENT PLAN 2010 362340313 2011-10-12 NORTHWEST COMMUNITY HOSPITAL 4623
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 622000
Sponsor’s telephone number 8476185146
Plan sponsor’s mailing address 800 WEST CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 600052349
Plan sponsor’s address 800 WEST CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 600052349

Plan administrator’s name and address
Administrator’s EIN 362340313
Plan administrator’s name NORTHWEST COMMUNITY HOSPITAL
Plan administrator’s address 800 WEST CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 600052349
Administrator’s telephone number 8476185146

Number of participants as of the end of the plan year
Active participants 4074
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 3
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 3497
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing STEPHEN SCOGNA
Valid signature Filed with authorized/valid electronic signature
NORTHWEST COMMUNITY HEALTHCARE EMPLOYEES RETIREMENT PLAN 2009 362340313 2010-10-12 NORTHWEST COMMUNITY HOSPITAL 4674
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 622000
Sponsor’s telephone number 8476185146
Plan sponsor’s mailing address 800 WEST CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 600052349
Plan sponsor’s address 800 WEST CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 600052349

Plan administrator’s name and address
Administrator’s EIN 362340313
Plan administrator’s name NORTHWEST COMMUNITY HOSPITAL
Plan administrator’s address 800 WEST CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 600052349
Administrator’s telephone number 8476185146

Number of participants as of the end of the plan year
Active participants 3791
Retired or separated participants receiving benefits 9
Other retired or separated participants entitled to future benefits 823
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 3643
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-10-08
Name of individual signing MICHAEL ZENN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SHIVANI BAUTISTA, 800 W CENTRAL RD, ARLINGTON HEIGHTS, 60005, COOK-NOT IN CITY OF CHICAGO Agent 2023-03-30

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PHARMACY 054020483 No data No data LICENSED PHARMACY No data 2017-10-13 2024-03-13 2026-03-31
OCCUPATIONAL THERAPY 224000170 No data No data OCCUPATIONAL THERAPY CONTINUING EDUCATION SPONSOR No data 2016-04-12 2023-10-03 2025-12-31
PHARMACY 054017067 No data No data LICENSED PHARMACY No data 2010-01-29 2024-03-13 2026-03-31
PHARMACY 059002985 No data No data LICENSED DIVISION III PHARMACY No data 1997-01-01 2008-01-10 2010-03-31

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
ENDEAVOR HEALTH NORTHWEST COMMUNITY HOSPITAL NFP Assume Name 2024-05-08 No data No data No data
NORTHWEST COMMUNITY HOSPITAL, PART OF ENDEAVOR HEALTH No data 2023-12-06 2024-05-08 Voluntary Cancellation No data
NORTHWEST COMMUNITY PHARMACY NFP Assume Name 2017-05-31 No data No data No data
NORTHWEST CLINICAL LABORATORIES NFP Assume Name 2016-01-12 No data No data No data
NORTHWEST COMMUNITY HOME HEALTHCARE NFP Assume Name 2008-02-29 No data No data No data
NORTHWEST COMMUNITY HOSPITAL HOME CARE NFP Assume Name 2008-02-29 No data No data No data
NORTHWEST COMMUNITY HEALTH PARTNERS No data 1996-07-19 2014-07-08 Voluntary Cancellation No data
HOME HEALTH CARE OF NORTHWEST COMMUNITY HOSPITAL No data 1996-01-19 1996-04-01 Involuntary Cancellation No data

Related by officers

SHIVANI BAUTISTA, 800 W CENTRAL RD, ARLINGTON HEIGHTS, 60005, COOK-NOT IN CITY OF CHICAGO

NORTHWEST COMMUNITY HEALTHCARE NORTHWEST COMMUNITY HOSPITAL FOUNDATION NORTHWEST COMMUNITY HEALTH SERVICES, INC.

Related by address

No related companies by address

Date of last update: 23 Jan 2025

Sources: Illinois Office of the Secretary of State

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