Community Hospital Of San Bernardino Tax Sheltered Annuity Plan — Form 5500 plan (Community Hospital Of San Bernardino)

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, Community Hospital Of San Bernardino Tax Sheltered Annuity Plan is a benefit plan reported by Community Hospital Of San Bernardino under EIN 95-1643373 and plan number 001. The latest loaded filing year is 2023. The filing reports 401 participants and $5,066,168 in end-of-year plan assets, where available in the loaded dataset.

Key reported metrics

Plan sponsor
Community Hospital Of San Bernardino
EIN
95-1643373
Plan number
001
Plan type
2
Location
San Bernardino, CA
Latest filing year
2023
Participants
401
End-of-year plan assets
$5,066,168

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
2023401H, C20241013155139NAL0024893153001

Reported financial statement (2023 · Schedule H)

Net assets

Total assets (EOY)
$5,066,168
Net assets (EOY)
$5,066,168
Net assets (BOY)
$5,080,159

Income & contributions

Total income / additions
$566,021

Expenses & distributions

Benefits paid
$579,937
Administrative expenses
$75
Total expenses
$580,012
Net increase / (decrease)
-$13,991

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Unum Life Ins. Co. Of AmericaNONE$0$752023

Related Form 5500 pages