California Pacific Medical Center Employee Savings Incentive Deferral Plan (Esip Iii) — Form 5500 plan (Sutter Bay Hospitals)

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, California Pacific Medical Center Employee Savings Incentive Deferral Plan (Esip Iii) is a benefit plan reported by Sutter Bay Hospitals under EIN 94-0562680 and plan number 005. The latest loaded filing year is 2023. The filing reports 1,230 participants and $67,236,715 in end-of-year plan assets, where available in the loaded dataset.

Form 5500 plan profile · 2023

Key reported metrics

Net assets (EOY)$67MPlan net assets, end of year$67,008,615
Participants1.2KCovered participants reported1,230
Assets / participant$54.7KComputed: assets ÷ participants$54,664 (computed)
Provider compensation$10.3K3 Schedule C provider row(s)$10,319
Plan sponsor
Sutter Bay Hospitals
EIN
94-0562680
Plan number
005
Plan type
2
Location
San Francisco, CA
Latest filing year
2023

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
20231,230H, C20241014113954NAL0014857091003
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)$67.2M total assets
Net assets$67MLiabilities$228.1K
Money in vs. money out
Total income / additions$8.8M
Total expenses$4.1M
Benefits paid / distributions$4.1M
Full reported line items

Net assets

Total assets (EOY)
$67,236,715
Total liabilities (EOY)
$228,100
Net assets (EOY)
$67,008,615
Net assets (BOY)
$62,340,319

Income & contributions

Total income / additions
$8,813,799

Expenses & distributions

Benefits paid
$4,133,865
Administrative expenses
$10,319
Total expenses
$4,144,184
Net increase / (decrease)
$4,669,615
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.

Total expenses ÷ net assets6%Computed ratio
Benefits paid ÷ total income47%Computed ratio
Provider comp. ÷ net assets0%Computed ratio

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Variable Annuity Life Insurance Co.NONE$10,214$02023
Lincoln National CorporationNONE$75$02023
Metropolitan Life Insurance CompanyNONE$30$02023

Related Form 5500 pages