Health Benefits For Employees Of Tomah Memorial Hospital — Form 5500 plan (Tomah Memorial Hospital)
Plain-English plan 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, Health Benefits For Employees Of Tomah Memorial Hospital is a benefit plan reported by Tomah Memorial Hospital under EIN 39-0799566 and plan number 506. The latest loaded filing year is 2023. The filing reports 199 participants and not reported in the loaded dataset in end-of-year plan assets, where available in the loaded dataset.
Key reported metrics
- Plan sponsor
- Tomah Memorial Hospital
- EIN
- 39-0799566
- Plan number
- 506
- Plan type
- 2
- Location
- Tomah, WI
- Latest filing year
- 2023
- Participants
- 199
- End-of-year plan assets
- not reported in the loaded dataset
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 199 | C | 20240529175000NAL0025097698001 |
Reported financial statement
This plan is loaded, but Schedule H / I financial-statement detail is not present for it in the current loaded dataset.
Service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| Ingenio Rx Inc | NONE | not reported in the loaded dataset | $229,626 | 2023 |
| Compcare Health Services Insurance | NONE | $87,832 | not reported in the loaded dataset | 2023 |