Original filing (PDF)20230803134422NAL0027155888001

PROFESSIONAL SURGICAL ASSISTANTS DB

Name: PROFESSIONAL SURGICAL ASSISTANTS DB — PROFESSIONAL SURGICAL ASSISTANTS DB MEDOVA LIFESTYLE HEALTH PLAN, Form 5500 (2022)
Creator: PROFESSIONAL SURGICAL ASSISTANTS DB

Form 5500-SF

FILING_RECEIVED

PROFESSIONAL SURGICAL ASSISTANTS DB MEDOVA LIFESTYLE HEALTH PLAN

Health & welfare plan

Active participants

Accounts w/ balance

—

Plan assets (EOY)

Net assets (EOY)

-$37K

Plan health score (directional)

/ 100

Grade A

Top-tier plan health

Directional indicator computed from public Form 5500 data — compliance, concentration, cost, vendor stack and participation. Not a fiduciary tool.

Compliance & disclosures

100

Concentration risk

Total plan cost

Vendor stack

100

Participation health

Decision-maker contacts

CFO / Head of HR / Benefits Manager — verified email + LinkedIn for PROFESSIONAL SURGICAL ASSISTANTS DB.

Plan sponsor

Name

PROFESSIONAL SURGICAL ASSISTANTS DB

EIN

31-1604753

Address

1945 SCOTTSVILLE RD STE B2 PMB 397 · BOWLING GREEN, KY · 421045836

Phone

(270) 781-4828

Industry

Health Care & Social Assistancesee all

Plan administrator

Name

RECEIVERSHIP MANAGEMENT INC

EIN

20-0200514

City

MADISON, TN

Phone

(615) 370-0051

Plan characteristics

Plan number

501

Plan year

2022

Plan year begin

2022-01-01

Tax period

2022-12-31

Filed

2023-08-03

Welfare benefit codes

4A · Health (other than dental or vision)

Audit & trust (Schedule H)

Auditor

—

Trustee / custodian

—

Trustee phone

—

Small plan (5500-SF) — Schedule H data not available.

Service providers (Schedule C)

Small plans don't disclose service providers

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