2023 Form 5500 filing — One Community Health 401(K) Plan
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 20241014114304NAL0026065761001) for One Community Health 401(K) Plan, reported by One Community Health under EIN 93-0910794 and plan number 001. It reports 270 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
Form 5500 2 · 2023
Filing snapshot
Net assets (EOY)$9.8MReported net assets$9,792,967
Participants270
Provider compensation$28.4K3 Schedule C row(s)$28,415
Schedules filedSchedule H, Schedule CLoaded schedules
- EFAST2 acknowledgement
- 20241014114304NAL0026065761001
- Plan sponsor
- One Community Health
- EIN
- 93-0910794
- Plan number
- 001
- Location
- Hood River, OR
- Received date
- not reported in the loaded dataset
Schedule H · 2023
Reported financial snapshot
Reported figures as filed, in whole dollars. Only fields the filing reports are shown.
Reported balance (end of year)$9.8M total assets
Net assets$9.8MLiabilities$0
Full reported line items
- Total assets (EOY)
- $9,792,967
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $9,792,967
- Employer contributions
- $633,250
- Participant contributions
- $1,150,857
- Total income / additions
- $3,546,325
- Benefits paid
- $718,056
- Administrative expenses
- $28,415
- Total expenses
- $745,513
- Net increase / (decrease)
- $2,800,812
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Empower Annuity Insurance Company | RECORDKEEPER | $16,339 | $0 |
| Cambridge Investment Group | INVESTMENT ADVISOR | $11,816 | not reported in the loaded dataset |
| Empower Advisory Group, LLC | INVESTMENT MGMT | $260 | not reported in the loaded dataset |