Bacon County Hospital Tax Sheltered Annuity Plan — Form 5500 plan (Bacon County Health Services, Inc.)

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, Bacon County Hospital Tax Sheltered Annuity Plan is a benefit plan reported by Bacon County Health Services, Inc. under EIN 58-2224545 and plan number 002. The latest loaded filing year is 2023. The filing reports 575 participants and $9,972,500 in end-of-year plan assets, where available in the loaded dataset.

Key reported metrics

Plan sponsor
Bacon County Health Services, Inc.
EIN
58-2224545
Plan number
002
Plan type
2
Location
Alma, GA
Latest filing year
2023
Participants
575
End-of-year plan assets
$9,972,500

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
2023575H, C20240925191648NAL0014870785001

Reported financial statement (2023 · Schedule H)

Net assets

Total assets (EOY)
$9,972,500
Total liabilities (EOY)
$0
Net assets (EOY)
$9,972,500
Net assets (BOY)
$8,645,818

Income & contributions

Employer contributions
$288,506
Participant contributions
$626,089
Total contributions
$914,595
Total income / additions
$2,378,767

Expenses & distributions

Benefits paid
$968,917
Administrative expenses
$83,168
Total expenses
$1,052,085
Net increase / (decrease)
$1,326,682

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Edward JonesINVESTMENT ADVISORY$0$29,0052023
Orenda RetirementCONTRACT ADMINISTRATOR$4,650$7,2842023
Principal Life Insurance CompanyCONTRACT ADMINISTRATOR$0$02023
Wilshire Associates IncorporatedINVESTMENT ADVISORY$0$02023

Related Form 5500 pages