2023 Form 5500 filing — Coffee Regional Medical Ctr Inc Employee Savings & Retirement
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 20250430164250NAL0003145472001) for Coffee Regional Medical Ctr Inc Employee Savings & Retirement, reported by Coffee Regional Medical Center under EIN 65-0543088 and plan number 002. It reports 1,093 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)$51.4MReported net assets$51,376,309
Participants1.1K1,093
Provider compensation$94K1 Schedule C row(s)$93,958
Schedules filedSchedule H, Schedule CLoaded schedules
- EFAST2 acknowledgement
- 20250430164250NAL0003145472001
- Plan sponsor
- Coffee Regional Medical Center
- EIN
- 65-0543088
- Plan number
- 002
- Location
- Douglas, GA
- Received date
- not reported in the loaded dataset
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)$51.4M total assets
Net assets$51.4MLiabilities$0
Full reported line items
- Total assets (EOY)
- $51,376,309
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $51,376,309
- Participant contributions
- $3,273,698
- Total income / additions
- $11,068,106
- Benefits paid
- $6,140,800
- Administrative expenses
- $94,406
- Total expenses
- $6,235,206
- Net increase / (decrease)
- $4,832,900
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Empower Annuity Insurance Company | RECORDKEEPER | $93,958 | $0 |