Evans Memorial Hospital 401(K) Retirement Plan — Form 5500 plan (Evans 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, Evans Memorial Hospital 401(K) Retirement Plan is a benefit plan reported by Evans Memorial Hospital under EIN 58-0979172 and plan number 001. The latest loaded filing year is 2023. The filing reports 133 participants and $3,707,258 in end-of-year plan assets, where available in the loaded dataset.
Key reported metrics
- Plan sponsor
- Evans Memorial Hospital
- EIN
- 58-0979172
- Plan number
- 001
- Plan type
- 2
- Location
- Claxton, GA
- Latest filing year
- 2023
- Participants
- 133
- End-of-year plan assets
- $3,707,258
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 133 | H, C | 20241015074257NAL0027774097001 |
Reported financial statement (2023 · Schedule H)
Net assets
- Total assets (EOY)
- $3,707,258
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $3,707,258
- Net assets (BOY)
- $3,439,477
Income & contributions
- Participant contributions
- $219,159
- Total contributions
- $219,159
- Total income / additions
- $696,527
Expenses & distributions
- Benefits paid
- $426,692
- Administrative expenses
- $2,054
- Total expenses
- $428,746
- Net increase / (decrease)
- $267,781
Service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| Principal Life Insurance Company | CONTRACT ADMINISTRATOR | $2,053 | $0 | 2023 |
| Odell, Kevin S. | OTHER SERVICES | $0 | $862 | 2023 |