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  5. RICHLAND MEMORIAL HOSPITAL, INC.

RICHLAND MEMORIAL HOSPITAL, INC.

Company Details

Entity Name: RICHLAND MEMORIAL HOSPITAL, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 30 Sep 1996
Company Number: CORP_59058029
File Number: 59058029
Type of Business: Not for Profit
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
NJH1XTLBADP8 2024-08-15 800 E LOCUST ST, OLNEY, IL, 62450, 2598, USA 800 E LOCUST ST, OLNEY, IL, 62450, 2598, USA

Business Information
Congressional District 12
State/Country of Incorporation IL, USA
Activation Date 2023-08-28
Initial Registration Date 2013-05-20
Entity Start Date 1953-07-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621112, 622110
Product and Service Codes AN11

Points of Contacts
Electronic Business
Title PRIMARY POC
Name SCOTT HENDRIE
Role VP OF FINANCE AND TREASURY
Address 611 W PARK ST, FA3-ACCT, URBANA, IL, 61801, USA
Title ALTERNATE POC
Name BONNIE J DENNY
Role TREASURY DIRECTOR
Address 611 W PARK ST, FA3-ACCT, URBANA, IL, 61801, USA
Government Business
Title PRIMARY POC
Name DENNIS P HESCH
Role EXEC VP AND CFO
Address 611 W PARK ST, URBANA, IL, 61801, USA
Title ALTERNATE POC
Name SCOTT HENDRIE
Role VP OF FINANCE AND TREASURY
Address 7611 W PARK ST, FA3-ACCT, URBANA, IL, 61801, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RICHLAND MEMORIAL HOSPITAL 401(K) RETIREMENT PLAN 2019 371363001 2022-02-28 RICHLAND MEMORIAL HOSPITAL 559
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1997-02-01
Business code 622000
Sponsor’s telephone number 6183952131
Plan sponsor’s mailing address 800 E LOCUST ST, OLNEY, IL, 624502553
Plan sponsor’s address 800 E LOCUST ST, OLNEY, IL, 624502553

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
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 0
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 2022-02-28
Name of individual signing MARSHA HEATH
Valid signature Filed with authorized/valid electronic signature
RICHLAND MEMORIAL HOSPITAL HEALTH AND WELFARE PLAN 2018 371363001 2019-11-04 CARLE-RICHLAND MEMORIAL HOSPITAL 366
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1992-04-07
Business code 622000
Sponsor’s telephone number 6183952131
Plan sponsor’s mailing address 800 EAST LOCUST STREET, OLNEY, IL, 62450
Plan sponsor’s address 800 EAST LOCUST STREET, OLNEY, IL, 62450

Number of participants as of the end of the plan year
Active participants 337

Signature of
Role Plan administrator
Date 2019-11-04
Name of individual signing MARSHA HEATH
Valid signature Filed with authorized/valid electronic signature
RICHLAND MEMORIAL HOSPITAL HEALTH AND WELFARE PLAN 2010 371363001 2011-12-30 RICHLAND MEMORIAL HOSPITAL No data
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1992-04-07
Business code 622000
Sponsor’s telephone number 6183952131
Plan sponsor’s mailing address 800 EAST LOCUST STREET, OLNEY, IL, 62450
Plan sponsor’s address 800 EAST LOCUST STREET, OLNEY, IL, 62450

Plan administrator’s name and address
Administrator’s EIN 371363001
Plan administrator’s name RICHLAND MEMORIAL HOSPITAL
Plan administrator’s address 800 EAST LOCUST STREET, OLNEY, IL, 62450
Administrator’s telephone number 6183952131

Signature of
Role Plan administrator
Date 2011-12-30
Name of individual signing JILL VANHYNING
Valid signature Filed with authorized/valid electronic signature
RICHLAND MEMORIAL HOSPITAL HEALTH AND WELFARE PLAN 2010 371363001 2011-12-30 RICHLAND MEMORIAL HOSPITAL No data
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1992-04-07
Business code 622000
Sponsor’s telephone number 6183952131
Plan sponsor’s mailing address 800 EAST LOCUST STREET, OLNEY, IL, 62450
Plan sponsor’s address 800 EAST LOCUST STREET, OLNEY, IL, 62450

Plan administrator’s name and address
Administrator’s EIN 371363001
Plan administrator’s name RICHLAND MEMORIAL HOSPITAL
Plan administrator’s address 800 EAST LOCUST STREET, OLNEY, IL, 62450
Administrator’s telephone number 6183952131

Signature of
Role Plan administrator
Date 2011-12-30
Name of individual signing JILL VANHYNING
Valid signature Filed with authorized/valid electronic signature
RICHLAND MEMORIAL HOSPITAL HEALTH AND WELFARE PLAN 2010 371363001 2011-12-30 RICHLAND MEMORIAL HOSPITAL No data
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1992-04-07
Business code 622000
Sponsor’s telephone number 6183952131
Plan sponsor’s mailing address 800 EAST LOCUST STREET, OLNEY, IL, 62450
Plan sponsor’s address 800 EAST LOCUST STREET, OLNEY, IL, 62450

Plan administrator’s name and address
Administrator’s EIN 371363001
Plan administrator’s name RICHLAND MEMORIAL HOSPITAL
Plan administrator’s address 800 EAST LOCUST STREET, OLNEY, IL, 62450
Administrator’s telephone number 6183952131

Number of participants as of the end of the plan year
Active participants 269

Signature of
Role Plan administrator
Date 2011-12-30
Name of individual signing JILL VANHYNING
Valid signature Filed with authorized/valid electronic signature
RICHLAND MEMORIAL HOSPITAL HEALTH AND WELFARE PLAN 2010 371363001 2011-12-30 RICHLAND MEMORIAL HOSPITAL 269
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1992-04-07
Business code 622000
Sponsor’s telephone number 6183952131
Plan sponsor’s mailing address 800 EAST LOCUST STREET, OLNEY, IL, 62450
Plan sponsor’s address 800 EAST LOCUST STREET, OLNEY, IL, 62450

Plan administrator’s name and address
Administrator’s EIN 371363001
Plan administrator’s name RICHLAND MEMORIAL HOSPITAL
Plan administrator’s address 800 EAST LOCUST STREET, OLNEY, IL, 62450
Administrator’s telephone number 6183952131

Number of participants as of the end of the plan year
Active participants 284

Signature of
Role Plan administrator
Date 2011-12-30
Name of individual signing JILL VANHYNING
Valid signature Filed with authorized/valid electronic signature
RICHLAND MEMORIAL HOSPITAL HEALTH AND WELFARE PLAN 2010 371363001 2011-12-30 RICHLAND MEMORIAL HOSPITAL 284
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1992-04-07
Business code 622000
Sponsor’s telephone number 6183952131
Plan sponsor’s mailing address 800 EAST LOCUST STREET, OLNEY, IL, 62450
Plan sponsor’s address 800 EAST LOCUST STREET, OLNEY, IL, 62450

Plan administrator’s name and address
Administrator’s EIN 371363001
Plan administrator’s name RICHLAND MEMORIAL HOSPITAL
Plan administrator’s address 800 EAST LOCUST STREET, OLNEY, IL, 62450
Administrator’s telephone number 6183952131

Number of participants as of the end of the plan year
Active participants 277

Signature of
Role Plan administrator
Date 2011-12-30
Name of individual signing JILL VANHYNING
Valid signature Filed with authorized/valid electronic signature
RICHLAND MEMORIAL HOSPITAL HEALTH AND WELFARE PLAN 2010 371363001 2011-12-30 RICHLAND MEMORIAL HOSPITAL 280
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1992-04-07
Business code 622000
Sponsor’s telephone number 6183952131
Plan sponsor’s mailing address 800 EAST LOCUST STREET, OLNEY, IL, 62450
Plan sponsor’s address 800 EAST LOCUST STREET, OLNEY, IL, 62450

Plan administrator’s name and address
Administrator’s EIN 371363001
Plan administrator’s name RICHLAND MEMORIAL HOSPITAL
Plan administrator’s address 800 EAST LOCUST STREET, OLNEY, IL, 62450
Administrator’s telephone number 6183952131

Number of participants as of the end of the plan year
Active participants 280

Signature of
Role Plan administrator
Date 2011-12-30
Name of individual signing JILL VANHYNING
Valid signature Filed with authorized/valid electronic signature
RICHLAND MEMORIAL HOSPITAL HEALTH AND WELFARE PLAN 2010 371363001 2011-12-30 RICHLAND MEMORIAL HOSPITAL 277
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1992-04-07
Business code 622000
Sponsor’s telephone number 6183952131
Plan sponsor’s mailing address 800 EAST LOCUST STREET, OLNEY, IL, 62450
Plan sponsor’s address 800 EAST LOCUST STREET, OLNEY, IL, 62450

Plan administrator’s name and address
Administrator’s EIN 371363001
Plan administrator’s name RICHLAND MEMORIAL HOSPITAL
Plan administrator’s address 800 E. LOCUST STREET, OLNEY, IL, 62450
Administrator’s telephone number 6183952131

Number of participants as of the end of the plan year
Active participants 280

Signature of
Role Plan administrator
Date 2011-12-30
Name of individual signing JILL VANHYNING
Valid signature Filed with authorized/valid electronic signature
RICHLAND MEMORIAL HOSPITAL HEALTH & WELFARE PLAN 2010 371363001 2011-12-30 RICHLAND MEMORIAL HOSPITAL 288
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1992-04-07
Business code 622000
Sponsor’s telephone number 6183952131
Plan sponsor’s mailing address 800 EAST LOCUST STREET, OLNEY, IL, 62450
Plan sponsor’s address 800 EAST LOCUST STREET, OLNEY, IL, 62450

Plan administrator’s name and address
Administrator’s EIN 371363001
Plan administrator’s name RICHLAND MEMORIAL HOSPITAL
Plan administrator’s address 800 EAST LOCUST STREET, OLNEY, IL, 62450
Administrator’s telephone number 6183952131

Number of participants as of the end of the plan year
Active participants 311

Signature of
Role Plan administrator
Date 2011-12-30
Name of individual signing JILL VANHYNING
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JAMES C LEONARD MD, 611 W PARK ST, URBANA, 61801, CHAMPAIGN Agent 2018-01-12

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PHARMACY 054021337 No data No data LICENSED PHARMACY No data 2019-10-09 2024-03-12 2026-03-31
PHARMACY 054016980 No data No data LICENSED PHARMACY No data 2010-02-01 2024-03-11 2026-03-31
PHARMACY 093013432 No data No data LICENSED DIVISION V PHARMACY No data 2001-05-01 2001-05-01 2006-03-31
PHARMACY 059013386 No data No data LICENSED DIVISION III PHARMACY No data 1997-02-26 2008-01-10 2010-03-31

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
CARLE HEALTH WEST SALEM NFP Assume Name 2025-01-02 No data No data No data
CARLE HEALTH APOTHECARY SHOPPE NFP Assume Name 2025-01-02 No data No data No data
CARLE HEALTH OLNEY NFP Assume Name 2025-01-02 No data No data No data
CARLE HEALTH RICHLAND MEMORIAL HOSPITAL NFP Assume Name 2024-05-06 No data No data No data
THE APOTHECARY SHOPPE NFP Assume Name 2019-09-20 No data No data No data
CARLE OLNEY NFP Assume Name 2019-04-29 No data No data No data
CARLE WEST SALEM NFP Assume Name 2019-04-29 No data No data No data
RMH FAMILY PRATICE No data 2018-04-27 2020-07-31 Voluntary Cancellation No data
CARLE RMH PRIMARY CARE No data 2018-04-27 2020-07-31 Voluntary Cancellation No data
CARLE RICHLAND MEMORIAL HOSPITAL NFP Assume Name 2017-04-14 No data No data No data

Related by officers

No related officers

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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