2023 Form 5500 filing — San Antonio Regional Hospital, Inc. Welfare Benefits Plan (Formerly San Antonio Community Hospital
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 20241014130657NAL0014971955001) for San Antonio Regional Hospital, Inc. Welfare Benefits Plan (Formerly San Antonio Community Hospital, reported by San Antonio Regional Hospital under EIN 95-1183919 and plan number 501. It reports 2,291 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241014130657NAL0014971955001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- San Antonio Regional Hospital
- EIN
- 95-1183919
- Plan number
- 501
- Location
- Upland, CA
- Participants
- 2,291
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $2,105,827
- Total liabilities (EOY)
- $1,977,297
- Net assets (EOY)
- $128,530
- Employer contributions
- $18,202,204
- Participant contributions
- $7,251,107
- Total income / additions
- $25,453,311
- Benefits paid
- $23,985,336
- Administrative expenses
- $1,444,630
- Total expenses
- $25,429,966
- Net increase / (decrease)
- $23,345
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Aetna Life Insurance Company | CONTRACT ADMINISTRATION | $919,453 | not reported in the loaded dataset |
| Ropes & Gray | CONSULTANT | $388,442 | not reported in the loaded dataset |
| Welldynerx Inc | ADMINISTRATION | $102,843 | not reported in the loaded dataset |
| Benefit Resource | ADMINISTRATION | $42,955 | not reported in the loaded dataset |