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  5. ILLINOIS HEALTH AND SCIENCE

ILLINOIS HEALTH AND SCIENCE

Company Details

Entity Name: ILLINOIS HEALTH AND SCIENCE
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 08 Nov 1984
Company Number: CORP_53642659
File Number: 53642659
Type of Business: Charitable or benevolent
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DECATUR MEMORIAL HOSPITAL FLEXIBLE BENEFITS PLAN 2015 371169606 2019-10-03 ILLINOIS HEALTH AND SCIENCE 1666
File View Page
Three-digit plan number (PN) 507
Effective date of plan 1985-10-01
Business code 622000
Sponsor’s telephone number 2178766101
Plan sponsor’s mailing address 2300 NORTH EDWARD STREET, DECATUR, IL, 62526
Plan sponsor’s address 2300 NORTH EDWARD STREET, DECATUR, IL, 62526

Number of participants as of the end of the plan year
Active participants 1697
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2019-10-03
Name of individual signing KEVIN HORATH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-03
Name of individual signing KEVIN HORATH
Valid signature Filed with authorized/valid electronic signature
DECATUR MEMORIAL HOSPITAL DENTAL INSURANCE PLAN 2015 371169606 2016-10-14 ILLINOIS HEALTH AND SCIENCE 1411
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1976-01-01
Business code 622000
Sponsor’s telephone number 2178766101
Plan sponsor’s mailing address 2300 NORTH EDWARD STREET, DECATUR, IL, 62526
Plan sponsor’s address 2300 NORTH EDWARD STREET, DECATUR, IL, 62526

Number of participants as of the end of the plan year
Active participants 1346
Retired or separated participants receiving benefits 17

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing KEVIN HORATH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-14
Name of individual signing KEVIN HORATH
Valid signature Filed with authorized/valid electronic signature
DECATUR MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2015 371169606 2016-10-14 ILLINOIS HEALTH AND SCIENCE 1359
File View Page
Three-digit plan number (PN) 506
Effective date of plan 1983-04-01
Business code 622000
Sponsor’s telephone number 2178766101
Plan sponsor’s mailing address 2300 NORTH EDWARD STREET, DECATUR, IL, 62526
Plan sponsor’s address 2300 NORTH EDWARD STREET, DECATUR, IL, 62526

Number of participants as of the end of the plan year
Active participants 1396
Retired or separated participants receiving benefits 12
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing KEVIN HORATH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-14
Name of individual signing KEVIN HORATH
Valid signature Filed with authorized/valid electronic signature
DECATUR MEMORIAL HOSPITAL FLEXIBLE BENEFITS PLAN 2015 371169606 2016-10-14 ILLINOIS HEALTH AND SCIENCE 1666
Three-digit plan number (PN) 507
Effective date of plan 1985-10-01
Business code 622000
Sponsor’s telephone number 2178766101
Plan sponsor’s mailing address 2300 NORTH EDWARD STREET, DECATUR, IL, 62526
Plan sponsor’s address 2300 NORTH EDWARD STREET, DECATUR, IL, 62526

Number of participants as of the end of the plan year
Active participants 1697
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing KEVIN HORATH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-14
Name of individual signing KEVIN HORATH
Valid signature Filed with authorized/valid electronic signature
DECATUR MEMORIAL HOSPITAL DENTAL INSURANCE PLAN 2014 371169606 2015-07-27 ILLINOIS HEALTH AND SCIENCE 1480
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1976-01-01
Business code 622000
Sponsor’s telephone number 2178766101
Plan sponsor’s mailing address 2300 NORTH EDWARD STREET, DECATUR, IL, 62526
Plan sponsor’s address 2300 NORTH EDWARD STREET, DECATUR, IL, 62526

Number of participants as of the end of the plan year
Active participants 1420
Retired or separated participants receiving benefits 12

Signature of
Role Plan administrator
Date 2015-07-27
Name of individual signing KEVIN HORATH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-27
Name of individual signing KEVIN HORATH
Valid signature Filed with authorized/valid electronic signature
DECATUR MEMORIAL HOSPITAL FLEXIBLE BENEFITS PLAN 2014 371169606 2015-07-27 ILLINOIS HEALTH AND SCIENCE 1746
File View Page
Three-digit plan number (PN) 507
Effective date of plan 1985-10-01
Business code 622000
Sponsor’s telephone number 2178766101
Plan sponsor’s mailing address 2300 NORTH EDWARD STREET, DECATUR, IL, 62526
Plan sponsor’s address 2300 NORTH EDWARD STREET, DECATUR, IL, 62526

Number of participants as of the end of the plan year
Active participants 1741
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2015-07-27
Name of individual signing KEVIN HORATH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-27
Name of individual signing KEVIN HORATH
Valid signature Filed with authorized/valid electronic signature
DECATUR MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2014 371169606 2015-07-27 ILLINOIS HEALTH AND SCIENCE 1398
File View Page
Three-digit plan number (PN) 506
Effective date of plan 1983-04-01
Business code 622000
Sponsor’s telephone number 2178766101
Plan sponsor’s mailing address 2300 NORTH EDWARD STREET, DECATUR, IL, 62526
Plan sponsor’s address 2300 NORTH EDWARD STREET, DECATUR, IL, 62526

Number of participants as of the end of the plan year
Active participants 1411
Retired or separated participants receiving benefits 5
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2015-07-27
Name of individual signing KEVIN HORATH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-27
Name of individual signing KEVIN HORATH
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
STEVEN R. GROHNE, 1353 E MOUND RD #300, DECATUR, 62526, MACON Agent 2020-12-30

President

Name and Address Role
JOHN WADDOCK 130 N WATER ST DECATUR IL 62523 President

Historical Names

Name Change Date
DMH HEALTH SYSTEMS 2013-07-08

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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