2023 Form 5500 filing — Tri-Cities Community Health 403b 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 20241003115626NAL0009796513001) for Tri-Cities Community Health 403b Plan, reported by Tri-Cities Community Health under EIN 91-1138675 and plan number 002. It reports 541 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241003115626NAL0009796513001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Tri-Cities Community Health
- EIN
- 91-1138675
- Plan number
- 002
- Location
- Pasco, WA
- Participants
- 541
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $13,202,303
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $13,202,303
- Employer contributions
- $422,439
- Participant contributions
- $1,040,172
- Total income / additions
- $3,626,998
- Benefits paid
- $1,917,338
- Administrative expenses
- $70,311
- Total expenses
- $1,987,345
- Net increase / (decrease)
- $1,639,653
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Voya Retirement Insurance & Annuity | SERVICE PROVIDER | $70,311 | not reported in the loaded dataset |
| Cambridge Investment Research Inc | BROKER/DEALER | $0 | $34,312 |