Mad River Community Hospital — Form 5500 plan (Mad River Community Hospital)
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, Mad River Community Hospital is a benefit plan reported by Mad River Community Hospital under EIN 94-1698406 and plan number 501. The latest loaded filing year is 2023. The filing reports 325 participants and not reported in the loaded dataset in end-of-year plan assets, where available in the loaded dataset.
Key reported metrics
- Plan sponsor
- Mad River Community Hospital
- EIN
- 94-1698406
- Plan number
- 501
- Plan type
- 2
- Location
- Arcata, CA
- Latest filing year
- 2023
- Participants
- 325
- End-of-year plan assets
- not reported in the loaded dataset
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 325 | C | 20240731211647NAL0035324064001 |
Reported financial statement
This plan is loaded, but Schedule H / I financial-statement detail is not present for it in the current loaded dataset.
Service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| Healthcomp Administrators | CONTRACT ADMIN | $126,030 | not reported in the loaded dataset | 2023 |
| Blue Cross | PPO/UR VENDOR | $75,480 | not reported in the loaded dataset | 2023 |
| Verus Insurance Services, LLC | BROKER | $2,802 | not reported in the loaded dataset | 2023 |