DOL Form 5500 · JSON-LD · Markdown

BARSTOW COMMUNITY HOSPITAL GROUP MEDICAL PLAN

Sponsored by HOSPITAL OF BARSTOW, INC. · EIN 760385534 · TN

Participants
110
Active
109
Retired/sep receiving
0

Welfare benefits

4A Health (other than dental or vision)

Sponsor + Administrator

SponsorHOSPITAL OF BARSTOW, INC.
Sponsor EIN760385534
Address1573 MALLORY LANE, SUITE 100, BRENTWOOD, TN, 37027
Phone6152213804
Business code (NAICS)622000
AdministratorQHCCS, LLC (EIN 383980467)
Plan number501
Plan effective2016-01-01
Filed for year2024
FundingGeneral assets

External sources

Source: DOL EBSA Form 5500 disclosure. Public domain.