Sidney Regional Medical Center Salary Reduction Plan — Form 5500 plan (Cheyenne County Hospital Association, Inc)

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, Sidney Regional Medical Center Salary Reduction Plan is a benefit plan reported by Cheyenne County Hospital Association, Inc under EIN 47-0408242 and plan number 002. The latest loaded filing year is 2023. The filing reports 455 participants and $30,507,609 in end-of-year plan assets, where available in the loaded dataset.

Key reported metrics

Plan sponsor
Cheyenne County Hospital Association, Inc
EIN
47-0408242
Plan number
002
Plan type
2
Location
Sidney, NE
Latest filing year
2023
Participants
455
End-of-year plan assets
$30,507,609

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
2023455H, C20240920103653NAL0007302785002

Reported financial statement (2023 · Schedule H)

Net assets

Total assets (EOY)
$30,507,609
Net assets (EOY)
$30,507,609
Net assets (BOY)
$25,674,700

Income & contributions

Employer contributions
$978,471
Participant contributions
$1,763,816
Total contributions
$2,836,546
Total income / additions
$7,676,428

Expenses & distributions

Benefits paid
$2,783,436
Administrative expenses
$60,083
Total expenses
$2,843,519
Net increase / (decrease)
$4,832,909

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Principal Life Insurance CompanyCONTRACT ADMINISTRATOR$60,083$02023
Usi Advisors, Inc.INVESTMENT ADVISORY$0$10,0002023

Related Form 5500 pages