San Gorgonio Memorial Hospital Tax Sheltered Annuity Plan — Form 5500 plan (San Gorgonio Memorial Hospital)

Plain-English plan 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, San Gorgonio Memorial Hospital Tax Sheltered Annuity Plan is a benefit plan reported by San Gorgonio Memorial Hospital under EIN 33-0420041 and plan number 001. The latest loaded filing year is 2023. The filing reports 696 participants and $33,062,221 in end-of-year plan assets, where available in the loaded dataset.

Key reported metrics

Plan sponsor
San Gorgonio Memorial Hospital
EIN
33-0420041
Plan number
001
Plan type
2
Location
Banning, CA
Latest filing year
2023
Participants
696
End-of-year plan assets
$33,062,221

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
2023696H, C20250127175916NAL0013294017001

Reported financial statement (2023 · Schedule H)

Net assets

Total assets (EOY)
$33,062,221
Total liabilities (EOY)
$0
Net assets (EOY)
$33,062,221
Net assets (BOY)
$29,237,290

Income & contributions

Employer contributions
$1,327,665
Participant contributions
$2,443,189
Total contributions
$3,851,662
Total income / additions
$7,809,656

Expenses & distributions

Benefits paid
$4,121,708
Administrative expenses
$60,460
Total expenses
$4,185,388
Net increase / (decrease)
$3,624,268

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Voya Retirement Insurance & AnnuitySERVICE PROVIDER$41,553$02023

Related Form 5500 pages