Plan5500

Siu Pacific District Seafarers' Medical Center Fund — Form 5500 plan (Board Of Trustees Of Siu Pacific District Seafarers' Medical Center)

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, Siu Pacific District Seafarers' Medical Center Fund is a benefit plan reported by Board Of Trustees Of Siu Pacific District Seafarers' Medical Center under EIN 94-2430964 and plan number 501. The latest loaded filing year is 2023. The filing reports 418 participants and $165,707 in end-of-year plan assets, where available in the loaded dataset.

Form 5500 plan profile · 2023

Key reported metrics

Net assets (EOY)-$58.6KPlan net assets, end of year-$58,565
Participants418Covered participants reported
Assets / participant$396Computed: assets ÷ participants$396 (computed)
Provider compensation$664.5K13 Schedule C provider row(s)$664,542
Plan sponsor
Board Of Trustees Of Siu Pacific District Seafarers' Medical Center
EIN
94-2430964
Plan number
501
Plan type
1
Location
San Francisco, CA
Latest filing year
2023
How to read this plan profile
  • Net assets = total assets minus total liabilities, end of year (Schedule H/I).
  • Assets / participant is computed (assets ÷ reported participants) — a ratio, not a filed figure.
  • Schedule chips (Sch H / I / C) show which schedules each filing includes.
  • Fields a filing did not report are labeled not reported in the loaded dataset — never estimated.
  • Figures are reported as filed, in whole dollars; verify against the official DOL/EBSA record before relying on them.
EFAST2 filings

Form 5500 filing history

Each loaded annual filing for this plan. Open one for its full reported snapshot.

  1. 2023
    418 participants · 1Sch HSch C
    View filing →
Schedule H · 2023

Reported financial statement

Reported figures as filed, in whole dollars. Only fields the filing reports are shown; others are marked not reported.

Reported balance (end of year)$165.7K total assets
Net assets-$58.6KLiabilities$224.3K
Money in vs. money out
Total income / additions$775.2K
Total expenses$824K
Benefits paid / distributions$533.9K
Contributions
Employer$774.9K
ParticipantNot reported
Full reported line items

Net assets

Total assets (EOY)
$165,707
Total liabilities (EOY)
$224,272
Net assets (EOY)
-$58,565
Net assets (BOY)
-$9,724

Income & contributions

Employer contributions
$774,864
Total contributions
$774,864
Total income / additions
$775,157

Expenses & distributions

Benefits paid
$533,928
Administrative expenses
$290,070
Total expenses
$823,998
Net increase / (decrease)
-$48,841
Computed from reported fields

Reported ratios

Derived only from this plan's own reported figures — comparisons within the filing, not benchmarks, estimates, or national averages.

Benefits paid ÷ total income69%Computed ratio
Schedule C

Service provider compensation

Reported direct + indirect compensation per provider, ranked. Bars show relative scale.

  1. 1
    Siu Pd Supp Benefits Fund, Inc.$160.4K
    COMMON TRUSTEES · Direct $160.4K
  2. 2
    Ruslana Boychuk$117.1K
    EMPLOYEE · Direct $117.1K
  3. 3
    Occupational Health Centers Of - Co$91.7K
    NONE · Direct $91.7K
  4. 4
    Norma Ambriz$82.6K
    EMPLOYEE · Direct $82.6K
  5. 5
    Mercy Doctors Medical Group$48.7K
    NONE · Direct $48.7K
  6. 6
    Urgent Care Clinic Of Waikiki$40.2K
    NONE · Direct $40.2K
  7. 7
    Kaiser Foundation Health Plan Of Wa$38.1K
    NONE · Direct $38.1K
  8. 8
    Make You Well$24.2K
    NONE · Direct $24.2K
  9. 9
    Medtox Labs$17.9K
    NONE · Direct $17.9K
  10. 10
    Withumsmith+Brown, Pc$17K
    NONE · Direct $17K
  11. 11
    Dr. Carl Bricca, Do$12K
    NONE · Direct $12K
  12. 12
    Bay Area Networking$9.2K
    NONE · Direct $9.2K
  13. 13
    U.S Bank$5.4K
    NONE · Direct $5.4K

What to inspect next

Frequently asked questions

Who sponsors the Siu Pacific District Seafarers' Medical Center Fund?
Siu Pacific District Seafarers' Medical Center Fund is reported as sponsored by Board Of Trustees Of Siu Pacific District Seafarers' Medical Center (EIN 94-2430964, plan number 501) in public Form 5500 filings.
What is the most recent Form 5500 filing year for Siu Pacific District Seafarers' Medical Center Fund?
The latest Form 5500 filing year loaded for Siu Pacific District Seafarers' Medical Center Fund is 2023.
How many participants does Siu Pacific District Seafarers' Medical Center Fund report?
Siu Pacific District Seafarers' Medical Center Fund reports 418 participants in its latest loaded Form 5500 filing.
What are the reported plan assets for Siu Pacific District Seafarers' Medical Center Fund?
Siu Pacific District Seafarers' Medical Center Fund reports $165,707 in end-of-year plan assets in its latest loaded Form 5500 filing.
Form 5500 terms, in plain English
Form 5500
The annual report most U.S. employee benefit plans file with the Department of Labor through the EFAST2 system. It documents the plan sponsor, participants, finances, and service-provider compensation.
Schedule H
The financial statement for larger plans (generally 100+ participants): assets, liabilities, net assets, income, expenses, and the net change.
Schedule I
The condensed financial statement for smaller plans, covering the same kinds of figures in less detail.
Schedule C
Reports compensation paid to the plan’s service providers — both direct and indirect.
Net assets
Total assets minus total liabilities at the end of the year — what the plan holds for participants.
Employer / participant contributions
Money contributed to the plan by the employer and by participants during the year.

Figures are reported as filed and may contain errors or omissions. Verify against the official DOL/EBSA record before relying on any value.

Related Form 5500 pages