2023 Form 5500 filing — Adventist Health And Rideout Employee Welfare Plan 501
Plain-English filing summary
According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20241010202238NAL0020836193005) for Adventist Health And Rideout Employee Welfare Plan 501, reported by Rideout Memorial Hospital under EIN 94-1387866 and plan number 501. It reports 1,992 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241010202238NAL0020836193005
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Rideout Memorial Hospital
- EIN
- 94-1387866
- Plan number
- 501
- Location
- Yuba City, CA
- Participants
- 1,992
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $4,489,406
- Total liabilities (EOY)
- $5,565,085
- Net assets (EOY)
- -$1,075,679
- Employer contributions
- $29,678,807
- Participant contributions
- $3,052,446
- Total income / additions
- $32,863,071
- Benefits paid
- $34,088,371
- Administrative expenses
- $1,956,936
- Total expenses
- $36,045,307
- Net increase / (decrease)
- -$3,182,236
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Adventist Health System/West | AFFILIATE | $1,781,169 | not reported in the loaded dataset |
| Moss Adams Llp | N/A | $41,686 | not reported in the loaded dataset |
| Livongo, Health Inc. | N/A | $20,235 | not reported in the loaded dataset |