2023 Form 5500 filing — Mad River Community Hospital
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 20240731211647NAL0035324064001) for Mad River Community Hospital, reported by Mad River Community Hospital under EIN 94-1698406 and plan number 501. It reports 325 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240731211647NAL0035324064001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Mad River Community Hospital
- EIN
- 94-1698406
- Plan number
- 501
- Location
- Arcata, CA
- Participants
- 325
- Schedules available
- Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
This 2023 filing is loaded, but detailed Schedule H/I financial figures are not present for it in the current loaded dataset. Participant counts and filing identity above are reported; asset and contribution detail comes from the financial schedules where filed.
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Healthcomp Administrators | CONTRACT ADMIN | $126,030 | not reported in the loaded dataset |
| Blue Cross | PPO/UR VENDOR | $75,480 | not reported in the loaded dataset |
| Verus Insurance Services, LLC | BROKER | $2,802 | not reported in the loaded dataset |