California Pacific Medical Center Voluntary Plan — 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 Voluntary Plan is a benefit plan reported by Sutter Bay Hospitals under EIN 94-0562680 and plan number 010. The latest loaded filing year is 2023. The filing reports 974 participants and $43,686,182 in end-of-year plan assets, where available in the loaded dataset.
Form 5500 plan profile · 2023
Key reported metrics
Net assets (EOY)$43.5MPlan net assets, end of year$43,460,202
Participants974Covered participants reported
Assets / participant$44.9KComputed: assets ÷ participants$44,852 (computed)
Provider compensation$7.8K3 Schedule C provider row(s)$7,823
- Plan sponsor
- Sutter Bay Hospitals
- EIN
- 94-0562680
- Plan number
- 010
- Plan type
- 2
- Location
- San Francisco, CA
- Latest filing year
- 2023
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 974 | H, C | 20241014114123NAL0052091538001 |
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)$43.7M total assets
Net assets$43.5MLiabilities$226K
Full reported line items
Net assets
- Total assets (EOY)
- $43,686,182
- Total liabilities (EOY)
- $225,980
- Net assets (EOY)
- $43,460,202
- Net assets (BOY)
- $40,869,521
Income & contributions
- Total income / additions
- $5,869,121
Expenses & distributions
- Benefits paid
- $3,270,378
- Administrative expenses
- $7,823
- Total expenses
- $3,278,201
- Net increase / (decrease)
- $2,590,920
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 assets8%Computed ratio
Benefits paid ÷ total income56%Computed ratio
Provider comp. ÷ net assets0%Computed ratio
Service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| Variable Annuity Life Insurance Co. | NONE | $6,522 | $0 | 2023 |
| Lincoln National Corporation | NONE | $701 | $0 | 2023 |
| Metlife Insurance Company | NONE | $600 | $0 | 2023 |
Related Form 5500 pages
- All Form 5500 plans for Sutter Bay Hospitals
- 2023 Form 5500 filing
- Form 5500 filings in CA
- 401(k) and benefit plan filings in San Francisco, CA
- Variable Annuity Life Insurance Co. — Schedule C compensation
- Lincoln National Corporation — Schedule C compensation
- Metlife Insurance Company — Schedule C compensation