2023 Form 5500 filing — Coffee Regional Medical Ctr Inc Employee Savings & Retirement
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 20250430164250NAL0003145472001) for Coffee Regional Medical Ctr Inc Employee Savings & Retirement, reported by Coffee Regional Medical Center under EIN 65-0543088 and plan number 002. It reports 1,093 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250430164250NAL0003145472001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Coffee Regional Medical Center
- EIN
- 65-0543088
- Plan number
- 002
- Location
- Douglas, GA
- Participants
- 1,093
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $51,376,309
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $51,376,309
- Participant contributions
- $3,273,698
- Total income / additions
- $11,068,106
- Benefits paid
- $6,140,800
- Administrative expenses
- $94,406
- Total expenses
- $6,235,206
- Net increase / (decrease)
- $4,832,900
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Empower Annuity Insurance Company | RECORDKEEPER | $93,958 | $0 |