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  5. MEMORIAL HEALTH SYSTEM

MEMORIAL HEALTH SYSTEM

Company Details

Entity Name: MEMORIAL HEALTH SYSTEM
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 21 Aug 1981
Company Number: CORP_52486173
File Number: 52486173
Type of Business: Not for Profit
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
GR61V9ZWU251 2024-11-20 340 W MILLER ST, SPRINGFIELD, IL, 62702, 4923, USA 340 W. MILLER STREET, SPRINGFIELD, IL, 62702, USA

Business Information
Doing Business As MEMORIAL HEALTH
URL memorial.health
Congressional District 13
State/Country of Incorporation IL, USA
Activation Date 2023-11-23
Initial Registration Date 2002-02-11
Entity Start Date 1981-08-21
Fiscal Year End Close Date Sep 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name CASSIE CLEMENS
Role LEGAL COORDINATOR
Address 340 W. MILLER STREET, SPRINGFIELD, IL, 62702, USA
Title ALTERNATE POC
Name KATHRYN J. KEIM
Address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 62781, 0001, USA
Government Business
Title PRIMARY POC
Name CASSIE CLEMENS
Role LEGAL COORDINATOR
Address 340 W. MILLER STREET, SPRINGFIELD, IL, 62702, USA
Title ALTERNATE POC
Name KATHRYN J KEIM
Address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 62781, USA
Past Performance
Title PRIMARY POC
Name KATHRYN J KEIM
Address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 62781, USA
Title ALTERNATE POC
Name AMY FISHER
Address 701 N 1ST ST, SPRINGFIELD, IL, 62781, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEMORIAL HEALTH SYSTEM EMPLOYEE PENSION PLAN 2013 371110690 2014-10-14 MEMORIAL HEALTH SYSTEM 6110
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-12-15
Business code 622000
Sponsor’s telephone number 2177884068
Plan sponsor’s mailing address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 627810001
Plan sponsor’s address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 627810001

Number of participants as of the end of the plan year
Active participants 3094
Retired or separated participants receiving benefits 1307
Other retired or separated participants entitled to future benefits 1420
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 78
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 113

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing ROBERT W. KAY SENIOR VP & CFO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-14
Name of individual signing ROBERT W. KAY SENIOR VP & CFO
Valid signature Filed with authorized/valid electronic signature
MEMORIAL HEALTH SYSTEM PENSION PLAN 2012 371110690 2013-10-11 MEMORIAL HEALTH SYSTEM 6448
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-12-15
Business code 622000
Sponsor’s telephone number 2177884068
Plan sponsor’s mailing address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 627810001
Plan sponsor’s address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 627810001

Number of participants as of the end of the plan year
Active participants 3387
Retired or separated participants receiving benefits 1215
Other retired or separated participants entitled to future benefits 1412
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 96
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 190

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing ROBERT W. KAY SENIOR VP & CFO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-11
Name of individual signing ROBERT W. KAY SENIOR VP & CFO
Valid signature Filed with authorized/valid electronic signature
MEMORIAL HEALTH SYSTEM PENSION PLAN 2011 371110690 2012-10-15 MEMORIAL HEALTH SYSTEM 6260
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-12-15
Business code 622000
Sponsor’s telephone number 2177883922
Plan sponsor’s mailing address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 627810001
Plan sponsor’s address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 627810001

Plan administrator’s name and address
Administrator’s EIN 371110690
Plan administrator’s name MEMORIAL HEALTH SYSTEM
Plan administrator’s address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 627810001

Number of participants as of the end of the plan year
Active participants 3850
Retired or separated participants receiving benefits 1127
Other retired or separated participants entitled to future benefits 1377
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 94
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 175

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing ROBERT W. KAY SENIOR VP & CFO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-15
Name of individual signing ROBERT W. KAY SENIOR VP & CFO
Valid signature Filed with authorized/valid electronic signature
MEMORIAL HEALTH SYSTEM PENSION PLAN 2010 371110690 2011-10-14 MEMORIAL HEALTH SYSTEM 5916
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-12-15
Business code 622000
Sponsor’s telephone number 2177883922
Plan sponsor’s mailing address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 627810001
Plan sponsor’s address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 627810001

Plan administrator’s name and address
Administrator’s EIN 371110690
Plan administrator’s name MEMORIAL HEALTH SYSTEM
Plan administrator’s address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 627810001
Administrator’s telephone number 2177883922

Number of participants as of the end of the plan year
Active participants 3772
Retired or separated participants receiving benefits 1056
Other retired or separated participants entitled to future benefits 1375
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 57
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 126

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing ROBERT W. KAY SENIOR VP CFO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-14
Name of individual signing ROBERT W. KAY SENIOR VP CFO
Valid signature Filed with authorized/valid electronic signature
MEMORIAL HEALTH SYSTEM PENSION PLAN 2009 371110690 2010-10-13 MEMORIAL HEALTH SYSTEM 5662
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-12-15
Business code 622000
Sponsor’s telephone number 2177883922
Plan sponsor’s mailing address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 627810001
Plan sponsor’s address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 627810001

Plan administrator’s name and address
Administrator’s EIN 371110690
Plan administrator’s name MEMORIAL HEALTH SYSTEM
Plan administrator’s address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 627810001
Administrator’s telephone number 2177883922

Number of participants as of the end of the plan year
Active participants 3502
Retired or separated participants receiving benefits 977
Other retired or separated participants entitled to future benefits 1384
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 53
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 95

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing ROBERT W. KAY SENIOR VP CFO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing ROBERT W. KAY SENIOR VP CFO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ANNA EVANS, 340 W. MILLER STREET, SPRINGFIELD, 62702, SANGAMON Agent 2022-08-22

President

Name and Address Role
EDGAR CURTIS 701 N 1ST ST SPRINGFIELD 62781 President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
DIETETIC AND NUTRITION 199000118 No data No data DIETITIAN/NUTRITION COUNSELOR CONTINUING EDUCATION SPONSOR No data 2013-11-26 2023-08-29 2025-10-31
SPEECH-LANGUAGE PATH 202000195 No data No data SPEECH LANGUAGE PATHOLOGY/AUDIOLOGY CE SPONSOR No data 2012-02-07 2023-09-20 2025-10-31
OCCUPATIONAL THERAPY 224000110 No data No data OCCUPATIONAL THERAPY CONTINUING EDUCATION SPONSOR No data 2008-05-21 2023-10-03 2025-12-31
RESPIRATORY CARE 195000022 No data No data RESPIRATORY CARE PRACTIONER CE SPONSOR No data 2006-09-19 2023-08-03 2025-10-31
PHYSICAL THERAPY 216000136 No data No data PHYSICAL THERAPY CONTINUING EDUCATION SPONSOR No data 2005-05-02 2024-07-02 2026-09-30
PUBLIC ACCOUNTANT 158002164 No data No data PUBLIC ACCOUNTANT CE SPONSOR No data 2003-12-02 2023-06-12 2023-12-31
PROF. COUNSELOR 197000015 No data No data PROFESSIONAL COUNSELOR CE SPONSOR No data 1998-10-05 2023-01-06 2025-03-31

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
PERFORMANCE ENHANCEMENT PROGRAM No data 2001-01-19 2008-11-03 Voluntary Cancellation No data
SPORTSCARE OF ILLINOIS PERFORMANCE ENHANCEMENT PROGRAM No data 2001-01-19 2008-11-03 Voluntary Cancellation No data
WOMEN'S HEALTHCARE No data 1998-08-04 2008-09-10 Voluntary Cancellation No data
NORTH STAR CLINIC No data 1998-08-03 2005-07-08 Expired No data

Historical Names

Name Change Date
MEMORIAL MEDICAL CENTER SYSTEM 1993-10-08

Related by officers

ANNA EVANS, 340 W. MILLER STREET, SPRINGFIELD, 62702, SANGAMON

DECATUR MEMORIAL HOSPITAL THE PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION MEMORIAL HOME SERVICES, NFP THE ABRAHAM LINCOLN MEMORIAL HOSPITAL TAYLORVILLE MEMORIAL HOSPITAL MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS MEMORIAL MEDICAL CENTER FOUNDATION DECATUR MEMORIAL HEALTH FOUNDATION MEMORIAL PHYSICIAN SERVICES MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS, INC.

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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