Clark Fork Valley Hospital 403(B) Plan — Form 5500 plan (Plains Hospital, 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, Clark Fork Valley Hospital 403(B) Plan is a benefit plan reported by Plains Hospital, Inc. under EIN 81-0475376 and plan number 001. The latest loaded filing year is 2023. The filing reports 276 participants and $11,728,199 in end-of-year plan assets, where available in the loaded dataset.

Key reported metrics

Plan sponsor
Plains Hospital, Inc.
EIN
81-0475376
Plan number
001
Plan type
2
Location
Plains, MT
Latest filing year
2023
Participants
276
End-of-year plan assets
$11,728,199

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
2023276H, C20240930084027NAL0010798002001

Reported financial statement (2023 · Schedule H)

Net assets

Total assets (EOY)
$11,728,199
Total liabilities (EOY)
$25,630
Net assets (EOY)
$11,702,569
Net assets (BOY)
$9,946,281

Income & contributions

Employer contributions
$178,461
Participant contributions
$609,360
Total contributions
$839,854
Total income / additions
$2,620,767

Expenses & distributions

Benefits paid
$860,302
Administrative expenses
$2,512
Total expenses
$864,479
Net increase / (decrease)
$1,756,288

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Raymond James & AssociatesINVESTMENT ADVISOR$36,337not reported in the loaded dataset2023
Randall & Hurley, Inc.CONTRACT ADMIN$11,239not reported in the loaded dataset2023
WipfliAUDIT$8,819not reported in the loaded dataset2023
Capital Group Retirement Plan ServiRECORDKEEPER$1,088$02023

Related Form 5500 pages