Retirement plan

SKY LAKES MEDICAL CENTER 401(K)

Name: SKY LAKES MEDICAL CENTER, INC. - SKY LAKES MEDICAL CENTER 401(K) (2020) Form 5500
Creator: SKY LAKES MEDICAL CENTER, INC.
License: https://www.dol.gov/general/disclaim
Keywords: Form 5500, ERISA, retirement plan, SKY LAKES MEDICAL CENTER 401(K), SKY LAKES MEDICAL CENTER, INC.

SKY LAKES MEDICAL CENTER, INC.EIN 93-0508781Plan #003PY 2020

2865 DAGGETT AVENUE - KLAMATH FALLS, OR 97601541-882-6311skylakes.orgLinkedIn501-1000 employeeshospital & health care

Other plans on this EIN

1 filing

#002Retirement--

Prospect flagsFailed to provide benefitCorrective distributions

Top hat statement on fileNQDC

Filed March 7, 2025 (most recent of 2 filings on file)

Plan administrator

Plan administrator name— Sign in and upgrade to view

2865 Daggett Avenue

Klamath Falls, OR 97601

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Plans declared (1)

Sky Lakes Medical Center 457(f) Deferred Compensation Plan6 emp

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Total assets (EOY)

$108M

+209.9% from 2019

Total participants

1,779

+14.0% from 2019

Average account balance

$62,868

+173.9% from 2019

Annual return

190.95%

-1833.11 pp from 2019

Benchmarks

See 1,342 peers

Peer group

Industry62 - Health Care and Social Assistance

Plan typeDefined contribution

Participants1,000-4,999

Cohort1,342 peers

Snapshot2020

Free accounts unlock saves, downloads, and 3-year history.

Analytics

Total assets (EOY)

Plan-year ending balance

$164.71M

Not enough data

1 years with asset history on file

Average account balance

Total assets / participants with a balance (line 6g)

$78K

Not enough data

1 years with per-participant data

Participants with account balance

Stacked by status: active / separated vested / retired or beneficiary. Total = line 6g.

2,125

Not enough data

1 years with headcount on file

Eligible Participants and Participation

Bars: eligible actives (line 6a). Line: derived rate = active employees with a balance / 6a.

95.6%

Not enough data

1 years with eligibility data

Contributions (total)

Employer and participant dollars contributed each year

$17.08M

Not enough data

1 years with contributions on file

Contributions per participant

Average employer and participant contribution per enrolled participant

$10K

Not enough data

1 years with per-participant contribution data

Asset flow

BOY + contributions + return - distributions = EOY

Year

Annual return

Diverging bars; negative years highlighted

+15.46%

Not enough data

1 years with return on file

Admin fee / account holder

Total admin expenses / participants with a balance (line 6g)

$35

Not enough data

1 years with admin cost on file

Asset composition

Cash / stocks / bonds / mutual funds / real estate / loans over time

Not enough data

1 years with F_SCH_H allocation on file

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Service providers

Top 2 by compensation

Provider	Service type	Compensation
FIDELITY INVESTMENTS INSTITUTIONAL2+ years Service code 60 · EIN 04-2647786	Sub-TA Fees	$47,360
STRATEGIC ADVISORS, INC.1 year Service code 27 · EIN 04-2654524	Advisory (Plan)	$18,997

Plan features & details

Pension benefit codes3H2T2J2F2G3D2R

Plan features

2F
ERISA section 404(c) plan
This plan or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1 (shifting investment responsibility to participants).
2G
Total participant-directed account plan
Participants have the opportunity to direct the investment of all of the assets allocated to their individual accounts regardless of whether 29 CFR 2550.404c-1 is intended to be met.
2J
Code section 401(k) feature
Cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan under which employees may elect to defer part of their compensation or receive these amounts in cash.
2R
Participant-directed brokerage accounts
Participant-directed brokerage accounts provided as an investment option under the plan.
2T
Default investment account
Total or partial participant-directed account plan where plan uses a default investment account for participants who fail to direct assets in their account.
3D
Pre-approved pension plan
A master prototype or volume submitter plan that is the subject of a favorable opinion or advisory letter from the IRS.
3H
Controlled group member
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b) (c) or (m)).

Opportunity flags

2 tripped

ComplianceFailed to provide benefit
Form 5500 reported that benefits due were not provided when due.
ComplianceCorrective distributions
Plan reported corrective distributions (failed ADP/ACP testing).

Expense breakdown

Schedule H Part II

Admin total

$66K

$46 / participant

Investment mgmt$19K28.6%
Other / not subdivided$47K71.4%

% of EOY assets

0.061%

all-in expense ratio

Categories reported

1 / 9

subdivided buckets used

Audit opinion

Schedule H Part III

Unqualified opinion

Auditor signed off without reservation - the cleanest possible opinion.

Auditor firm: MOSS ADAMS, LLP
Auditor EIN: 910189318
Audit fees: (not subdivided)
Opinion code: Unqualified

Metric

This plan

Peer set

Industry

Size

Avg account balance

$62,868

$56,095+12.1%

$178,503-64.8%

$90,274-30.4%

Participation rate

95.8%

65.6%+30.2pp

81.9%+13.9pp

73.4%+22.4pp

Annual return

190.95%

28.81%+162.1pp

151.12%+39.8pp

53.97%+137.0pp

Employer contribution / active EE

$3,751

$1,572+138.6%

$5,011-25.1%

$2,523+48.7%

Participant deferral / active EE

$4,610

$2,669+72.7%

$5,202-11.4%

$4,231+9.0%

Admin fee / account holder

$39

$101-61.6%

$13,987-99.7%

$114-66.1%

Provider

Service type

Compensation

FIDELITY INVESTMENTS INSTITUTIONAL2+ years

Service code 60 · EIN 04-2647786

Sub-TA Fees

$47,360

STRATEGIC ADVISORS, INC.1 year

Service code 27 · EIN 04-2654524

Advisory (Plan)

$18,997

SKY LAKES MEDICAL CENTER 401(K)

Top hat statement on fileNQDC

Plan administrator

Plans declared (1)

Summary metrics

Benchmarksi

Analytics

Service providersi

Plan features & details

Opportunity flagsi

Expense breakdowni

Audit opinioni

SKY LAKES MEDICAL CENTER 401(K)

Top hat statement on fileNQDC

Plan administrator

Plans declared (1)

Summary metrics

Benchmarksi

Analytics

Service providersi

Plan features & details

Opportunity flagsi

Expense breakdowni

Audit opinioni

Benchmarks

Service providers

Opportunity flags

Expense breakdown

Audit opinion

Benchmarks

Service providers

Opportunity flags

Expense breakdown

Audit opinion