2023 Form 5500 filing — Good Samaritan Hospital Retirement Plan
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 20241002172315NAL0015022352001) for Good Samaritan Hospital Retirement Plan, reported by Good Samaritan Hospital Corvallis under EIN 93-0391573 and plan number 001. It reports 1,102 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241002172315NAL0015022352001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Good Samaritan Hospital Corvallis
- EIN
- 93-0391573
- Plan number
- 001
- Location
- Corvallis, OR
- Participants
- 1,102
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $101,012,604
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $101,012,604
- Employer contributions
- $2,000,000
- Total income / additions
- $9,875,019
- Benefits paid
- $6,912,344
- Administrative expenses
- $34,111
- Total expenses
- $6,946,455
- Net increase / (decrease)
- $2,928,564
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| U.S. Bank N.A. | NONE | $34,111 | not reported in the loaded dataset |