Mt. San Rafael Hospital Matching Retirement Plan — Form 5500 plan (Trinidad Area Health Association)
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, Mt. San Rafael Hospital Matching Retirement Plan is a benefit plan reported by Trinidad Area Health Association under EIN 84-0586742 and plan number 001. The latest loaded filing year is 2023. The filing reports 273 participants and $2,529,271 in end-of-year plan assets, where available in the loaded dataset.
Form 5500 plan profile · 2023
Key reported metrics
Net assets (EOY)$2.5MPlan net assets, end of year$2,529,271
Participants273Covered participants reported
Assets / participant$9.3KComputed: assets ÷ participants$9,265 (computed)
Provider compensation$7.8K1 Schedule C provider row(s)$7,793
- Plan sponsor
- Trinidad Area Health Association
- EIN
- 84-0586742
- Plan number
- 001
- Plan type
- 2
- Location
- Trinidad, CO
- Latest filing year
- 2023
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 273 | H, C | 20241015121123NAL0029559169001 |
Schedule H · 2023
Reported financial statement
Reported figures as filed, in whole dollars. Only fields the filing reports are shown; others are marked not reported.
Reported balance (end of year)$2.5M total assets
Net assets$2.5MLiabilities$0
Full reported line items
Net assets
- Total assets (EOY)
- $2,529,271
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $2,529,271
- Net assets (BOY)
- $2,116,579
Income & contributions
- Employer contributions
- $291,045
- Participant contributions
- $0
- Total contributions
- $291,045
- Total income / additions
- $632,156
Expenses & distributions
- Benefits paid
- $206,258
- Administrative expenses
- $3,517
- Total expenses
- $219,464
- Net increase / (decrease)
- $412,692
Computed from reported fields
Reported ratios
Derived only from this plan's own reported figures — comparisons within the filing, not benchmarks, estimates, or national averages.
100%
Employer 100%Participant 0%
Total expenses ÷ net assets9%Computed ratio
Benefits paid ÷ total income33%Computed ratio
Provider comp. ÷ net assets0%Computed ratio
Service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| American United Life Insurance Co | NONE | $155 | $7,638 | 2023 |