Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Coles
    4. ›
  4. 61938
    5. ›
  5. SARAH BUSH LINCOLN HEALTH CENTER

SARAH BUSH LINCOLN HEALTH CENTER

Company Details

Entity Name: SARAH BUSH LINCOLN HEALTH CENTER
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 18 May 1970
Company Number: CORP_49665261
File Number: 49665261
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SARAH BUSH LINCOLN HEALTH CENTER WELFARE BENEFIT PLAN 2023 237098532 2024-08-19 SARAH BUSH LINCOLN HEALTH CENTER 2357
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1988-01-01
Business code 622000
Sponsor’s telephone number 2172582513
Plan sponsor’s mailing address 1000 HEALTH CENTER DRIVE, MATTOON, IL, 61938
Plan sponsor’s address 1000 HEALTH CENTER DRIVE, MATTOON, IL, 61938

Number of participants as of the end of the plan year
Active participants 2471
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2024-08-19
Name of individual signing DEBBIE SADDORIS
Valid signature Filed with authorized/valid electronic signature
SARAH BUSH LINCOLN HEALTH CENTER EMPLOYEE RETIREMENT PLAN 2023 237098532 2024-10-14 SARAH BUSH LINCOLN HEALTH CENTER 3333
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-05-01
Business code 622000
Sponsor’s telephone number 2172582501
Plan sponsor’s mailing address 1000 HEALTH CENTER DRIVE, MATTOON, IL, 619380372
Plan sponsor’s address 1000 HEALTH CENTER DRIVE, MATTOON, IL, 619380372

Number of participants as of the end of the plan year
Active participants 3157
Retired or separated participants receiving benefits 32
Other retired or separated participants entitled to future benefits 557
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 3450
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 107

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing DEBBIE SADDORIS
Valid signature Filed with authorized/valid electronic signature
SARAH BUSH LINCOLN HEALTH CENTER EMPLOYEE RETIREMENT PLAN 2022 237098532 2024-10-14 SARAH BUSH LINCOLN HEALTH CENTER 3145
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-05-01
Business code 622000
Sponsor’s telephone number 2172582501
Plan sponsor’s mailing address 1000 HEALTH CENTER DRIVE, MATTOON, IL, 619380372
Plan sponsor’s address 1000 HEALTH CENTER DRIVE, MATTOON, IL, 619380372

Number of participants as of the end of the plan year
Active participants 2744
Retired or separated participants receiving benefits 30
Other retired or separated participants entitled to future benefits 558
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 3065
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 114

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing DEBBIE SADDORIS
Valid signature Filed with authorized/valid electronic signature
SARAH BUSH LINCOLN HEALTH CENTER WELFARE BENEFIT PLAN 2022 237098532 2023-10-16 SARAH BUSH LINCOLN HEALTH CENTER 2226
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1988-01-01
Business code 622000
Sponsor’s telephone number 2172582513
Plan sponsor’s mailing address 1000 HEALTH CENTER DRIVE, MATTOON, IL, 61938
Plan sponsor’s address 1000 HEALTH CENTER DRIVE, MATTOON, IL, 61938

Number of participants as of the end of the plan year
Active participants 2357
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing DEBBIE SADDORIS
Valid signature Filed with authorized/valid electronic signature
SARAH BUSH LINCOLN HEALTH CENTER EMPLOYEE RETIREMENT PLAN 2022 237098532 2023-10-16 SARAH BUSH LINCOLN HEALTH CENTER 3145
Three-digit plan number (PN) 003
Effective date of plan 1990-05-01
Business code 622000
Sponsor’s telephone number 2172582501
Plan sponsor’s mailing address 1000 HEALTH CENTER DRIVE, MATTOON, IL, 619380372
Plan sponsor’s address 1000 HEALTH CENTER DRIVE, MATTOON, IL, 619380372

Number of participants as of the end of the plan year
Active participants 2744
Retired or separated participants receiving benefits 30
Other retired or separated participants entitled to future benefits 558
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 3065
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 114

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing DEBBIE SADDORIS
Valid signature Filed with authorized/valid electronic signature
SARAH BUSH LINCOLN HEALTH CENTER EMPLOYEE RETIREMENT PLAN 2021 237098532 2022-10-04 SARAH BUSH LINCOLN HEALTH CENTER 2911
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-05-01
Business code 622000
Sponsor’s telephone number 2172582501
Plan sponsor’s mailing address 1000 HEALTH CENTER DRIVE, MATTOON, IL, 619380372
Plan sponsor’s address 1000 HEALTH CENTER DRIVE, MATTOON, IL, 619380372

Number of participants as of the end of the plan year
Active participants 2662
Retired or separated participants receiving benefits 31
Other retired or separated participants entitled to future benefits 450
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 2861
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 119

Signature of
Role Plan administrator
Date 2022-10-04
Name of individual signing DEBBIE SADDORIS
Valid signature Filed with authorized/valid electronic signature
SARAH BUSH LINCOLN HEALTH CENTER EMPLOYEE RETIREMENT PLAN 2020 237098532 2021-10-12 SARAH BUSH LINCOLN HEALTH CENTER 2766
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-05-01
Business code 622000
Sponsor’s telephone number 2172582501
Plan sponsor’s mailing address 1000 HEALTH CENTER DRIVE, MATTOON, IL, 619380372
Plan sponsor’s address 1000 HEALTH CENTER DRIVE, MATTOON, IL, 619380372

Number of participants as of the end of the plan year
Active participants 2480
Retired or separated participants receiving benefits 17
Other retired or separated participants entitled to future benefits 412
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 2632
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 121

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing DEBBIE SADDORIS
Valid signature Filed with authorized/valid electronic signature
SARAH BUSH LINCOLN HEALTH CENTER EMPLOYEE RETIREMENT PLAN 2019 237098532 2020-09-28 SARAH BUSH LINCOLN HEALTH CENTER 2673
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-05-01
Business code 622000
Sponsor’s telephone number 2172582501
Plan sponsor’s mailing address 1000 HEALTH CENTER DRIVE, MATTOON, IL, 619380372
Plan sponsor’s address 1000 HEALTH CENTER DRIVE, MATTOON, IL, 619380372

Number of participants as of the end of the plan year
Active participants 2404
Retired or separated participants receiving benefits 26
Other retired or separated participants entitled to future benefits 335
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 2467
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 115

Signature of
Role Plan administrator
Date 2020-09-28
Name of individual signing DEBBIE SADDORIS
Valid signature Filed with authorized/valid electronic signature
SARAH BUSH LINCOLN HEALTH CENTER EMPLOYEE RETIREMENT PLAN 2018 237098532 2019-10-03 SARAH BUSH LINCOLN HEALTH CENTER 2589
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-05-01
Business code 622000
Sponsor’s telephone number 2172582513
Plan sponsor’s mailing address 1000 HEALTH CENTER DRIVE, MATTOON, IL, 619380372
Plan sponsor’s address 1000 HEALTH CENTER DRIVE, MATTOON, IL, 619380372

Number of participants as of the end of the plan year
Active participants 2374
Retired or separated participants receiving benefits 18
Other retired or separated participants entitled to future benefits 280
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 2359
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 98

Signature of
Role Plan administrator
Date 2019-10-03
Name of individual signing DEBBIE SADDORIS
Valid signature Filed with authorized/valid electronic signature
SARAH BUSH LINCOLN HEALTH CENTER EMPLOYEE RETIREMENT PLAN 2017 237098532 2018-10-12 SARAH BUSH LINCOLN HEALTH CENTER 2514
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-05-01
Business code 622000
Sponsor’s telephone number 2172582513
Plan sponsor’s mailing address 1000 HEALTH CENTER DRIVE, MATTOON, IL, 619380372
Plan sponsor’s address 1000 HEALTH CENTER DRIVE, MATTOON, IL, 619380372

Number of participants as of the end of the plan year
Active participants 2298
Retired or separated participants receiving benefits 17
Other retired or separated participants entitled to future benefits 272
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 2189
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 86

Signature of
Role Plan administrator
Date 2018-10-12
Name of individual signing ERIC BENSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KIMBERLY UPHOFF, 1000 HEALTH CENTER DRIVE, MATTOON, 61938, COLES Agent 2023-04-26

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PHARMACY 054022327 No data No data LICENSED PHARMACY No data 2022-12-14 2024-01-09 2026-03-31
HME AND SERVICES PROV 203002523 No data No data HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER No data 2020-02-25 2024-01-04 2027-03-31
HME AND SERVICES PROV 203001989 No data No data HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER No data 2018-03-29 2024-01-04 2027-03-31
HME AND SERVICES PROV 203001988 No data No data HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER No data 2018-03-29 2024-01-04 2027-03-31
PHARMACY 054017372 No data No data LICENSED PHARMACY No data 2010-03-12 2024-01-16 2026-03-31
PHARMACY 059005911 No data No data LICENSED DIVISION III PHARMACY No data 1997-01-01 2008-01-10 2010-03-31
PHARMACY 093005911 No data No data LICENSED DIVISION V PHARMACY No data 1997-01-01 No data 1992-03-31
PUBLIC ACCOUNTANT 158001220 No data No data PUBLIC ACCOUNTANT CE SPONSOR No data 1994-01-29 No data 1997-01-01

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
SARAH BUSH LINCOLN FAYETTE COUNTY HOSPITAL NFP Assume Name 2022-05-10 No data No data No data
SARAH BUSH LINCOLN HOME CARE NFP Assume Name 2022-04-11 No data No data No data
SARAH BUSH LINCOLN HOSPICE NFP Assume Name 2022-04-08 No data No data No data
SARAH BUSH LINCOLN HOME MEDICAL EQUIPMENT NFP Assume Name 2022-04-08 No data No data No data
LINCOLNLAND HOME MEDICAL EQUIPMENT NFP Assume Name 2018-02-15 2020-06-05 No data No data
PRAIRIE MEDICAL PHARMACY NFP Assume Name 2018-02-15 No data No data No data
LINCOLNLAND HOMEMAKER'S No data 2016-03-28 2020-06-05 Voluntary Cancellation No data
LINCOLNLAND HOME CARE NFP Assume Name 2013-08-08 No data No data No data
LINCOLNLAND HOSPICE NFP Assume Name 2013-08-08 No data No data No data
SARAH'S HOMEMAKERS OF SARAH BUSH LINCOLN = No data 2012-08-06 2015-04-27 Voluntary Cancellation No data

Historical Names

Name Change Date
AREA E-7 HOSPITAL ASSOCIATION 1989-12-29

Related by officers

KIMBERLY UPHOFF, 1000 HEALTH CENTER DRIVE, MATTOON, 61938, COLES

SARAH BUSH LINCOLN HEALTH FOUNDATION HEARTLAND HEALTH SYSTEM, INC.

Related by address

No related companies by address

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2024 illinoiscompanysearch.com, Part of Big Data Integrated