2023 Form 5500 filing — Mad River Community Hospital 401(K) 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 20250123090913NAL0003657315001) for Mad River Community Hospital 401(K) Plan, reported by Mad River Community Hospital under EIN 94-1698406 and plan number 001. It reports 507 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250123090913NAL0003657315001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Mad River Community Hospital
- EIN
- 94-1698406
- Plan number
- 001
- Location
- Arcata, CA
- Participants
- 507
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $14,014,912
- Total liabilities (EOY)
- $66,841
- Net assets (EOY)
- $13,948,071
- Participant contributions
- $1,060,492
- Total income / additions
- $3,135,367
- Benefits paid
- $2,467,042
- Administrative expenses
- $56,141
- Total expenses
- $2,590,024
- Net increase / (decrease)
- $545,343
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Kingsview Wealth Management LLC | INVESTMENT ADVISOR | $46,915 | not reported in the loaded dataset |
| Jordan & Associates Retirement Serv | CONTRACT ADMIN | $16,962 | not reported in the loaded dataset |
| Capital Group Retirement Plan Servi | RECORDKEEPER | $3,482 | $0 |
| San Diego Pension Cnsultants | CONTRACT ADMIN | $180 | not reported in the loaded dataset |