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Anderson Regional Medical Center

Headquarter

Company Details

Name: Anderson Regional Medical Center
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 23 Apr 1928 (97 years ago)
Business ID: 307823
ZIP code: 39301
County: Lauderdale
State of Incorporation: MISSISSIPPI
Principal Office Address: 2124 14Th StreetMeridian, MS 39301
Fictitious names: Baptist Anderson Regional Medical Center
Baptist Anderson Regional Medical Center-South
Baptist Anderson Tom C. Maynor Rehabilitation Center
Baptist Anderson Senior Behavioral Health Center
Baptist Anderson Swing Bed Unit
Baptist Anderson Regional Medical Center-Professional Fees EKG
Baptist Anderson Regional Medical Center-Professional Fees Vascular
Baptist Anderson Family Medical Center-Meridian
Baptist Anderson Family Medical Center-Airpark
Baptist Anderson Family Medical Center-Enterprise
Baptist Anderson Children's Medical Center
Baptist Anderson Professional Services
Baptist Medical Group-Medical Arts Surgical Group
Baptist Anderson Digestive Health
Anderson Regional Health System
Historical names: ANDERSON INFIRMARY BENEVOLENT ASSOCIATION
Jeff Anderson Regional Medical Center
Anderson Health System
Anderson Regional Health System
Baptist Anderson Regional Medical Center

Links between entities

Type Company Name Company Number State
Headquarter of Anderson Regional Medical Center, ALABAMA 000-033-293 ALABAMA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JEFF ANDERSON REGIONAL MEDICAL CENTER LIFE INSURANCE PLAN 2023 640362400 2024-05-02 ANDERSON REGIONAL MEDICAL CENTER 993
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1981-02-01
Business code 622000
Sponsor’s telephone number 6015536000
Plan sponsor’s mailing address 2124 14TH ST, MERIDIAN, MS, 393014040
Plan sponsor’s address 2124 14TH ST, MERIDIAN, MS, 393014040

Number of participants as of the end of the plan year

Active participants 1043

Signature of

Role Plan administrator
Date 2024-05-01
Name of individual signing STEVEN BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-01
Name of individual signing STEVEN BROWN
Valid signature Filed with authorized/valid electronic signature
ANDERSON REGIONAL MEDICAL CENTER HEALTH BENEFIT PLAN 2023 640362400 2024-05-20 ANDERSON REGIONAL MEDICAL CENTER 761
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1981-02-01
Business code 622000
Sponsor’s telephone number 6015536000
Plan sponsor’s mailing address 2124 14TH ST, MERIDIAN, MS, 393014040
Plan sponsor’s address 2124 14TH ST, MERIDIAN, MS, 393014040

Number of participants as of the end of the plan year

Active participants 806

Signature of

Role Plan administrator
Date 2024-05-17
Name of individual signing STEVEN BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-17
Name of individual signing STEVEN BROWN
Valid signature Filed with authorized/valid electronic signature
JEFF ANDERSON REGIONAL MEDICAL CENTER LIFE INSURANCE PLAN 2022 640362400 2023-12-21 ANDERSON REGIONAL MEDICAL CENTER 993
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1981-02-01
Business code 622000
Sponsor’s telephone number 6015536000
Plan sponsor’s mailing address 2124 14TH ST, MERIDIAN, MS, 393014040
Plan sponsor’s address 2124 14TH ST, MERIDIAN, MS, 393014040

Number of participants as of the end of the plan year

Active participants 993

Signature of

Role Plan administrator
Date 2023-12-21
Name of individual signing STEVEN BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-12-21
Name of individual signing STEVEN BROWN
Valid signature Filed with authorized/valid electronic signature
ANDERSON REGIONAL MEDICAL CENTER HEALTH BENEFIT PLAN 2022 640362400 2023-12-15 ANDERSON REGIONAL MEDICAL CENTER 855
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1981-02-01
Business code 622000
Sponsor’s telephone number 6015536000
Plan sponsor’s mailing address 2124 14TH ST, MERIDIAN, MS, 393014040
Plan sponsor’s address 2124 14TH ST, MERIDIAN, MS, 393014040

Number of participants as of the end of the plan year

Active participants 793
Retired or separated participants receiving benefits 0

Signature of

Role Plan administrator
Date 2023-12-14
Name of individual signing STEVEN BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-12-14
Name of individual signing STEVEN BROWN
Valid signature Filed with authorized/valid electronic signature
ANDERSON REGIONAL MEDICAL CENTER HEALTH BENEFIT PLAN 2022 640362400 2023-07-18 ANDERSON REGIONAL MEDICAL CENTER 855
Three-digit plan number (PN) 501
Effective date of plan 1981-02-01
Business code 622000
Sponsor’s telephone number 6015536000
Plan sponsor’s mailing address 2124 14TH ST, MERIDIAN, MS, 393014040
Plan sponsor’s address 2124 14TH ST, MERIDIAN, MS, 393014040

Number of participants as of the end of the plan year

Active participants 793
Retired or separated participants receiving benefits 0

Signature of

Role Plan administrator
Date 2023-07-18
Name of individual signing STEVEN BROWN
Valid signature Filed with authorized/valid electronic signature
ANDERSON REGIONAL MEDICAL CENTER HEALTH BENEFIT PLAN 2021 640362400 2023-12-19 ANDERSON REGIONAL MEDICAL CENTER 856
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1981-02-01
Business code 622000
Sponsor’s telephone number 6015536000
Plan sponsor’s mailing address 2124 14TH ST, MERIDIAN, MS, 393014040
Plan sponsor’s address 2124 14TH ST, MERIDIAN, MS, 393014040

Number of participants as of the end of the plan year

Active participants 826

Signature of

Role Plan administrator
Date 2023-12-19
Name of individual signing STEVEN BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-12-19
Name of individual signing STEVEN BROWN
Valid signature Filed with authorized/valid electronic signature
ANDERSON REGIONAL MEDICAL CENTER HEALTH LIFE BENEFITS 2021 640362400 2023-12-19 ANDERSON REGIONAL MEDICAL CENTER 1121
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1981-02-01
Business code 622000
Sponsor’s telephone number 6015536000
Plan sponsor’s mailing address 2124 14TH ST, MERIDIAN, MS, 393014040
Plan sponsor’s address 2124 14TH ST, MERIDIAN, MS, 393014040

Number of participants as of the end of the plan year

Active participants 1121

Signature of

Role Plan administrator
Date 2023-12-19
Name of individual signing STEVEN BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-12-19
Name of individual signing STEVEN BROWN
Valid signature Filed with authorized/valid electronic signature
JEFF ANDERSON REGIONAL MEDICAL CENTER LIFE INSURANCE PLAN 2021 640362400 2023-12-21 ANDERSON REGIONAL MEDICAL CENTER 1121
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1981-02-01
Business code 622000
Sponsor’s telephone number 6015536000
Plan sponsor’s mailing address 2124 14TH ST, MERIDIAN, MS, 393014040
Plan sponsor’s address 2124 14TH ST, MERIDIAN, MS, 393014040

Number of participants as of the end of the plan year

Active participants 1121

Signature of

Role Plan administrator
Date 2023-12-21
Name of individual signing STEVEN BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-12-21
Name of individual signing STEVEN BROWN
Valid signature Filed with authorized/valid electronic signature
ANDERSON REGIONAL MEDICAL CENTER HEALTH BENEFIT PLAN 2021 640362400 2022-07-27 ANDERSON REGIONAL MEDICAL CENTER 856
Three-digit plan number (PN) 501
Effective date of plan 1981-02-01
Business code 622000
Sponsor’s telephone number 6015536000
Plan sponsor’s mailing address 2124 14TH ST, MERIDIAN, MS, 393014040
Plan sponsor’s address 2124 14TH ST, MERIDIAN, MS, 393014040

Number of participants as of the end of the plan year

Active participants 826

Signature of

Role Plan administrator
Date 2022-07-26
Name of individual signing STEVEN BROWN
Valid signature Filed with authorized/valid electronic signature
ANDERSON REGIONAL MEDICAL CENTER HEALTH BENEFIT PLAN 2020 640362400 2021-12-14 ANDERSON REGIONAL MEDICAL CENTER 863
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1981-02-01
Business code 622000
Sponsor’s telephone number 6015536000
Plan sponsor’s mailing address 2124 14TH ST, MERIDIAN, MS, 393014040
Plan sponsor’s address 2124 14TH ST, MERIDIAN, MS, 393014040

Number of participants as of the end of the plan year

Active participants 842

Signature of

Role Plan administrator
Date 2021-12-14
Name of individual signing STEVEN BROWN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/26/20190926084554P030036603969001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1981-02-01
Business code 622000
Sponsor’s telephone number 6015536000
Plan sponsor’s mailing address 2124 14TH ST, MERIDIAN, MS, 393014040
Plan sponsor’s address 2124 14TH ST, MERIDIAN, MS, 393014040

Number of participants as of the end of the plan year

Active participants 1010
Retired or separated participants receiving benefits 4
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2019-09-25
Name of individual signing CASEY MAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/28/20190928161340P030041442961001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1981-02-01
Business code 622000
Sponsor’s telephone number 6015536000
Plan sponsor’s mailing address 2124 14TH ST, MERIDIAN, MS, 393014040
Plan sponsor’s address 2124 14TH ST, MERIDIAN, MS, 393014040

Number of participants as of the end of the plan year

Active participants 834
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2019-09-28
Name of individual signing CASEY MAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/26/20190926084901P040039557009001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1981-02-01
Business code 622000
Sponsor’s telephone number 6015536000
Plan sponsor’s mailing address 2124 14TH ST, MERIDIAN, MS, 393014040
Plan sponsor’s address 2124 14TH ST, MERIDIAN, MS, 393014040

Number of participants as of the end of the plan year

Active participants 1072
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2019-09-26
Name of individual signing CASEY MAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/26/20190926084805P040039555617001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1981-02-01
Business code 622000
Sponsor’s telephone number 6015536000
Plan sponsor’s mailing address 2124 14TH ST, MERIDIAN, MS, 393014040
Plan sponsor’s address 2124 14TH ST, MERIDIAN, MS, 393014040

Number of participants as of the end of the plan year

Active participants 851
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2019-09-25
Name of individual signing CASEY MAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/26/20190926084719P040039554561001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1981-02-01
Business code 622000
Sponsor’s telephone number 6015536000
Plan sponsor’s mailing address 2124 14TH ST, MERIDIAN, MS, 393014040
Plan sponsor’s address 2124 14TH ST, MERIDIAN, MS, 393014040

Number of participants as of the end of the plan year

Active participants 905
Retired or separated participants receiving benefits 10
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2019-09-25
Name of individual signing CASEY MAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/02/20110502162508P030245435168001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1975-12-01
Business code 622000
Sponsor’s telephone number 6015536000
Plan sponsor’s mailing address 2124 14TH STREET, MERIDIAN, MS, 39301
Plan sponsor’s address 2124 14TH STREET, MERIDIAN, MS, 39301

Plan administrator’s name and address

Administrator’s EIN 640362400
Plan administrator’s name JEFF ANDERSON REGIONAL MEDICAL CENTER
Plan administrator’s address 2124 14TH STREET, MERIDIAN, MS, 39301
Administrator’s telephone number 6015536000

Number of participants as of the end of the plan year

Active participants 965
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

Signature of

Role Plan administrator
Date 2011-05-02
Name of individual signing KATRINA S. CHAMBLEE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Donna Herrington Agent 2124 14Th Street, Meridian, MS 39301

Filings

Type Status Filed Date Description
Fictitious Name Registration Filed 2024-03-18 Fictitious Name Registration For Anderson Regional Medical Center
Fictitious Name Registration Filed 2024-03-15 Fictitious Name Registration For Anderson Regional Medical Center
Correction Amendment Form Filed 2024-01-08 Correction For Anderson Regional Medical Center
Restate Articles of Incorporation Filed 2024-01-02 Restatement For Anderson Regional Medical Center
Fictitious Name Registration Filed 2023-12-01 Fictitious Name Registration For Anderson Regional Medical Center
Fictitious Name Withdrawal Filed 2023-12-01 Fictitious Name Withdrawal For Anderson Regional Medical Center
Fictitious Name Registration Filed 2015-08-05 Fictitious Name Registration For Anderson Regional Medical Center
Amendment Form Filed 2014-09-03 Amendment For Anderson Regional Medical Center
Formation Form Filed 2012-04-24 Formation
Formation Form Filed 2011-06-29 Formation

Date of last update: 13 Dec 2024

Sources: Mississippi Secretary of State