2023 Form 5500 filing — Caribou Medical Center Employee 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 20241015104847NAL0047439840001) for Caribou Medical Center Employee Retirement Plan, reported by Caribou Medical Center Plan under EIN 82-6004046 and plan number 001. It reports 204 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).

Form 5500 2 · 2023

Filing snapshot

Net assets (EOY)$12.1MReported net assets$12,117,790
Participants204
Provider compensation$73.2K2 Schedule C row(s)$73,203
Schedules filedSchedule H, Schedule CLoaded schedules
EFAST2 acknowledgement
20241015104847NAL0047439840001
Plan sponsor
Caribou Medical Center Plan
EIN
82-6004046
Plan number
001
Location
Soda Springs, ID
Received date
not reported in the loaded dataset
How to read this filing
  • This is a single annual Form 5500 filing, identified by its EFAST2 acknowledgement id.
  • Schedule chips (Sch H / I / C) show which schedules this filing includes.
  • Net assets = total assets minus total liabilities (Schedule H/I).
  • Fields a filing did not report are labeled not reported in the loaded dataset — never estimated.
  • For the plan's full history, open the plan profile.
Schedule H · 2023

Reported financial snapshot

Reported figures as filed, in whole dollars. Only fields the filing reports are shown.

Reported balance (end of year)$12.1M total assets
Net assets$12.1MLiabilities$0
Money in vs. money out
Total income / additions$3.4M
Total expenses$3.3M
Benefits paid / distributions$3.3M
Contributions
Employer$649.8K
Participant$839.4K
Full reported line items
Total assets (EOY)
$12,117,790
Total liabilities (EOY)
$0
Net assets (EOY)
$12,117,790
Employer contributions
$649,758
Participant contributions
$839,397
Total income / additions
$3,387,883
Benefits paid
$3,261,626
Administrative expenses
$65,904
Total expenses
$3,346,120
Net increase / (decrease)
$41,763
Schedule C

Reported service provider compensation

Compensation reported on the 2023 filing, ranked by reported total.

  1. 1
    CONTRACT ADMINISTRATOR · Direct $65.9K · Indirect $0
  2. 2
    OTHER SERVICES · Direct $0 · Indirect $7.3K

What to inspect next

Frequently asked questions

What does EFAST2 acknowledgement 20241015104847NAL0047439840001 cover?
It is the 2023 Form 5500 filing for Caribou Medical Center Employee Retirement Plan, reported by Caribou Medical Center Plan (EIN 82-6004046).
Which Form 5500 schedules are attached to this 2023 filing?
Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).

Related Form 5500 pages