2023 Form 5500 filing — Santiam Memorial Hospital 401(K) Retirement 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 20241015172642NAL0016965139001) for Santiam Memorial Hospital 401(K) Retirement Plan, reported by Santiam Memorial Hospital under EIN 93-0415219 and plan number 003. It reports 784 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241015172642NAL0016965139001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Santiam Memorial Hospital
- EIN
- 93-0415219
- Plan number
- 003
- Location
- Stayton, OR
- Participants
- 784
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $35,017,139
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $35,017,139
- Employer contributions
- $1,458,010
- Participant contributions
- $2,879,559
- Total income / additions
- $9,920,607
- Benefits paid
- $2,741,458
- Administrative expenses
- $35,450
- Total expenses
- $2,789,059
- Net increase / (decrease)
- $7,131,548
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Empower Annuity Ins Co Of America | RECORDKEEPER | $47,364 | $0 |