401k Plan data: PERSHING HEALTH SYSTEM MEDICAL PLAN plan

PERSHING HEALTH SYSTEM MEDICAL PLAN 401k Plan overview

Plan Name	PERSHING HEALTH SYSTEM MEDICAL PLAN
Plan identification number	501

PERSHING HEALTH SYSTEM MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

GENERAL JOHN J. PERSHING MEMORIAL HOSPITAL ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name: GENERAL JOHN J. PERSHING MEMORIAL HOSPITAL ASSOCIATION

Employer identification number (EIN): 430715842

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PERSHING HEALTH SYSTEM MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 KARLA CLUBINE 2024-03-08
501 2022-01-01 KARLA CLUBINE 2023-07-31
501 2021-01-01 KARLA CLUBINE 2022-06-08
501 2020-01-01 PHIL HAMILTON 2021-08-20
501 2019-01-01 GARY TANDY 2020-10-05
501 2018-01-01
501 2017-01-01
501 2016-01-01
501 2015-01-01 PHIL HAMILTON
501 2014-01-01 PHIL HAMILTON
501 2013-01-01 PHIL HAMILTON
501 2012-01-01 PHIL HAMILTON
501 2011-01-01 GARY TANDY
501 2010-01-01 GARY TANDY

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2023-01-01	KARLA CLUBINE	2024-03-08
501	2022-01-01	KARLA CLUBINE	2023-07-31
501	2021-01-01	KARLA CLUBINE	2022-06-08
501	2020-01-01	PHIL HAMILTON	2021-08-20
501	2019-01-01	GARY TANDY	2020-10-05
501	2018-01-01
501	2017-01-01
501	2016-01-01
501	2015-01-01	PHIL HAMILTON
501	2014-01-01	PHIL HAMILTON
501	2013-01-01	PHIL HAMILTON
501	2012-01-01	PHIL HAMILTON
501	2011-01-01	GARY TANDY
501	2010-01-01	GARY TANDY

Plan Statistics for PERSHING HEALTH SYSTEM MEDICAL PLAN

401k plan membership statisitcs for PERSHING HEALTH SYSTEM MEDICAL PLAN

Measure Date Value
2023: PERSHING HEALTH SYSTEM MEDICAL PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 231
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 209
Number of retired or separated participants receiving benefits 2023-01-01 0
Number of other retired or separated participants entitled to future benefits 2023-01-01 0
Total of all active and inactive participants 2023-01-01 209
2022: PERSHING HEALTH SYSTEM MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 131
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 130
Total of all active and inactive participants 2022-01-01 130
2021: PERSHING HEALTH SYSTEM MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 99
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 97
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 97
2020: PERSHING HEALTH SYSTEM MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 128
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 126
Number of retired or separated participants receiving benefits 2020-01-01 2
Number of other retired or separated participants entitled to future benefits 2020-01-01 6
Total of all active and inactive participants 2020-01-01 134
2019: PERSHING HEALTH SYSTEM MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 122
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 102
Number of retired or separated participants receiving benefits 2019-01-01 20
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 122
2018: PERSHING HEALTH SYSTEM MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 106
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 108
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 8
Total of all active and inactive participants 2018-01-01 116
2017: PERSHING HEALTH SYSTEM MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 102
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 107
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 107
2016: PERSHING HEALTH SYSTEM MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 110
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 100
Number of retired or separated participants receiving benefits 2016-01-01 1
Number of other retired or separated participants entitled to future benefits 2016-01-01 2
Total of all active and inactive participants 2016-01-01 103
2015: PERSHING HEALTH SYSTEM MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 107
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 110
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 110
2014: PERSHING HEALTH SYSTEM MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 111
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 109
Number of retired or separated participants receiving benefits 2014-01-01 1
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 110
2013: PERSHING HEALTH SYSTEM MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 105
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 108
Total of all active and inactive participants 2013-01-01 108
2012: PERSHING HEALTH SYSTEM MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 109
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 105
Total of all active and inactive participants 2012-01-01 105
2011: PERSHING HEALTH SYSTEM MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 107
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 106
Total of all active and inactive participants 2011-01-01 106
2010: PERSHING HEALTH SYSTEM MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 101
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 101
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 101

Measure	Date	Value
2023: PERSHING HEALTH SYSTEM MEDICAL PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	231
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	209
Number of retired or separated participants receiving benefits	2023-01-01	0
Number of other retired or separated participants entitled to future benefits	2023-01-01	0
Total of all active and inactive participants	2023-01-01	209
2022: PERSHING HEALTH SYSTEM MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	131
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	130
Total of all active and inactive participants	2022-01-01	130
2021: PERSHING HEALTH SYSTEM MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	99
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	97
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	97
2020: PERSHING HEALTH SYSTEM MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	128
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	126
Number of retired or separated participants receiving benefits	2020-01-01	2
Number of other retired or separated participants entitled to future benefits	2020-01-01	6
Total of all active and inactive participants	2020-01-01	134
2019: PERSHING HEALTH SYSTEM MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	122
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	102
Number of retired or separated participants receiving benefits	2019-01-01	20
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	122
2018: PERSHING HEALTH SYSTEM MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	106
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	108
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	8
Total of all active and inactive participants	2018-01-01	116
2017: PERSHING HEALTH SYSTEM MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	102
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	107
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	107
2016: PERSHING HEALTH SYSTEM MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	110
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	100
Number of retired or separated participants receiving benefits	2016-01-01	1
Number of other retired or separated participants entitled to future benefits	2016-01-01	2
Total of all active and inactive participants	2016-01-01	103
2015: PERSHING HEALTH SYSTEM MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	107
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	110
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	110
2014: PERSHING HEALTH SYSTEM MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	111
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	109
Number of retired or separated participants receiving benefits	2014-01-01	1
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	110
2013: PERSHING HEALTH SYSTEM MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	105
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	108
Total of all active and inactive participants	2013-01-01	108
2012: PERSHING HEALTH SYSTEM MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	109
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	105
Total of all active and inactive participants	2012-01-01	105
2011: PERSHING HEALTH SYSTEM MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	107
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	106
Total of all active and inactive participants	2011-01-01	106
2010: PERSHING HEALTH SYSTEM MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	101
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	101
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	101

Form 5500 Responses for PERSHING HEALTH SYSTEM MEDICAL PLAN

2023: PERSHING HEALTH SYSTEM MEDICAL PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2022: PERSHING HEALTH SYSTEM MEDICAL PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: PERSHING HEALTH SYSTEM MEDICAL PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: PERSHING HEALTH SYSTEM MEDICAL PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: PERSHING HEALTH SYSTEM MEDICAL PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: PERSHING HEALTH SYSTEM MEDICAL PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: PERSHING HEALTH SYSTEM MEDICAL PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: PERSHING HEALTH SYSTEM MEDICAL PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: PERSHING HEALTH SYSTEM MEDICAL PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: PERSHING HEALTH SYSTEM MEDICAL PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: PERSHING HEALTH SYSTEM MEDICAL PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: PERSHING HEALTH SYSTEM MEDICAL PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: PERSHING HEALTH SYSTEM MEDICAL PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: PERSHING HEALTH SYSTEM MEDICAL PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	GENERAL JOHN J. PERSHING MEMORIAL HOSPITAL ASSOCIATION
Employer identification number (EIN):	430715842
NAIC Classification:	622000
NAIC Description:	Hospitals