California › Health care and social assistance › 100 to 249 participants
Form 5500 statement · plan year 1 Jan 2021 to 31 Dec 2021
Northeastern Rural Health Clinics 403(b) Plan
Sponsored by Northeastern Rural Health Clinics, Susanville, CA
Form 5500 information is as filed by the plan administrator with the Department of Labor and may be amended. Figures reflect the plan year shown, not current balances. Form 5500 contains no individual account balances. Look up the original filing at EFAST2.
Northeastern Rural Health Clinics 403(b) Plan is a 403(b) plan sponsored by Northeastern Rural Health Clinics of Susanville, California. For the plan year ending 31 Dec 2021 it reported 162 participants, 116 of them active, and net assets of $2.6M.
Net assets came to $15,991 per participant, well below the $60,185 median for defined contribution plans with 100 to 249 participants and well below the $30,764 median for defined contribution plans in health care and social assistance. The figure is an average across everyone in the plan, including former employees with small balances; Form 5500 holds no individual account data.
The employer contributed $23K during the year, or $196 per active participant against a same-size median of $2,447; participants contributed $183K. Benefits paid out totalled $226K.
Schedule C lists 1 service provider organisation paid $5,000 or more, with reported compensation of $18K: $111 per participant, well below the same-size median of $194. Administrative expenses charged to the plan were $0. Schedule C does not capture every cost: fees netted from fund returns and fees the employer pays directly are outside it.
Across the filings on record, net assets went from $1.1M in 2011 to $2.6M in 2024 (up 128%), and participants from 125 to 162 (up 30%).
The independent accountant's opinion on the financial statements was unmodified (unqualified), from an audit whose scope was limited under ERISA section 103(a)(3)(C) to exclude investment information certified by a bank or insurer.
Compared with similar plans
| Measure | This plan | Same size | Same industry | All US DC plans |
|---|---|---|---|---|
| Net assets per participant | $15,991 | $60,185 | $30,764 | $53,102 |
| Employer contributions per active participant | $196 | $2,447 | $1,536 | $2,175 |
| Schedule C compensation per participant | $111 | $194 | $93.85 | $123 |
| Schedule C compensation, share of net assets | 0.70% | 0.32% | 0.31% | 0.26% |
| Administrative expenses per participant | — | $176 | $86.53 | $116 |
Peer columns are medians for plan year 2024 across defined contribution plans with 100 or more participants: 100 to 249 participants (21,996 plans), health care and social assistance (9,402) and all US plans (63,460). Fee medians cover plans that report an amount.
Trend by plan year
| Plan year | Participants | Net assets | Per participant | Employer contributions | Participant contributions | Schedule C compensation |
|---|---|---|---|---|---|---|
| 2024 | 162 | $2.6M | $15,994 | $23K | $183K | $18K |
| 2022 | 164 | $2.0M | $12,183 | $24K | $195K | $1,000 |
| 2020 | 151 | $2.4M | $15,603 | $25K | $215K | $17K |
| 2019 | 144 | $2.2M | $15,479 | $25K | $193K | $17K |
| 2018 | 159 | $1.8M | $11,340 | $25K | $204K | $17K |
| 2017 | 141 | $1.8M | $12,574 | $22K | $175K | $15K |
| 2016 | 132 | $1.4M | $10,864 | $22K | $137K | $13K |
| 2015 | 126 | $1.3M | $10,357 | $28K | $140K | $12K |
| 2013 | 115 | $1.5M | $13,009 | $28K | $120K | $57K |
| 2012 | 110 | $1.3M | $11,791 | $35K | $129K | $53K |
| 2011 | 125 | $1.1M | $9,104 | $35K | $113K | $56K |
Years in which the plan filed the full Form 5500 with 100 or more participants, from 2009. Plan year is the year in which the plan year began.
Statement for the year
- Net assets, beginning of year$2,355,620
- Employer contributions$22,700
- Participant contributions$183,010
- Rollovers and other contributions—
- Total contributions$205,710
- Total income, including investment results$460,443
- Benefits paid$225,520
- Administrative expenses$0
- Total expenses$225,520
- Net income$234,923
- Net transfers$0
- Net assets, end of year$2,590,543
Participants
- Active participants116
- Retired or separated, receiving benefits24
- Retired or separated, entitled to future benefits22
- Participants with account balances88
- Total participants, end of year162
Fees and service providers
| Organisation | Services reported | Direct | Indirect |
|---|---|---|---|
| Nationwide | Participant loan processing | $18,041 | $0 |
Schedule C, Part I line 2: providers that received $5,000 or more, with the form's own service codes. Individuals named on Schedule C (plan employees, individual trustees) are never shown and their compensation is excluded. Eligible indirect compensation disclosed by formula carries no dollar amount. See how to read Schedule C fees.
Investment structure
Assets at year end by Schedule H category. The form shows the kind of vehicle holding the money, not the funds on the menu.
- Registered investment companies (mutual funds)$2.6M · 100.0%
Audit and compliance answers, as filed
- Accountant's opinionUnmodified (unqualified)
- Audit scope limited under ERISA section 103(a)(3)(C)Yes
- Accounting firmMoss Adams LLP
- Participant contributions reported as transmitted lateYes, $8,299
- Covered by a fidelity bondYes, $250,000
- Blackout period during the yearNo
These are the plan administrator's own answers on Schedule H, Part IV. A reported late transmittal is the filer's disclosure of a timing lapse, usually corrected through the Department of Labor's voluntary program; the amount is the total involved, not a loss.
Plan characteristics
2FERISA section 404(c) plan2GTotal participant-directed account plan2LCode section 403(b)(1) arrangement (annuity contracts)2MCode section 403(b)(7) accounts (custodial accounts for regulated investment company stock)2TTotal or partial participant-directed account plan with a default investment account
Codes entered on Form 5500 line 8a, with the labels from the official instructions. Business code 621498: All Other Outpatient Care Centers.
Similar plans in California
| Plan | Sponsor | Participants | Net assets | Per participant |
|---|---|---|---|---|
| Jumpstartmd, Inc. 401(k) Profit Sharing Plan & Trust | Jumpstartmd, Inc. | 162 | $6.3M | $39,102 |
| H.M. Providers, Inc. 401(k) Profit Sharing Plan | H.M. Providers, Inc. | 161 | $39.4M | $244,618 |
| 401(k) Profit Sharing Plan for Employees of Information & Referral Federation of Los Angeles County | Information & Referral Federation of Los Angeles County | 163 | $8.4M | $51,717 |
| Medwatchers, Inc. 401(k) Plan | Medwatchers, Inc. | 160 | $4.4M | $27,486 |
| Jamboor Medical Corp. 401(k) P/s Plan | Jamboor Medical Corp. | 164 | $5.4M | $32,790 |
| Central Coast Pediatric Dental Group Profit Sharing 401(k) Plan | Central Coast Pediatric Dental Group | 160 | $18.3M | $114,557 |
Defined contribution plans in health care and social assistance closest in size.
Questions and answers
How big is Northeastern Rural Health Clinics 403(b) Plan?
162 participants at the end of the plan year ending 31 Dec 2021, of whom 116 were active employees, with net assets of $2,590,543. Among defined contribution plans that places it in the 100 to 249 participants band, which held 21,996 plans in plan year 2024.
What does Northeastern Rural Health Clinics contribute per participant?
The filing reports $22,700 in employer contributions for the year, which is $196 per active participant; the median for plans of the same type and size was $2,447 in plan year 2024. Form 5500 reports the total only. It does not state the match formula, and the per-participant figure is an average, not any one person's contribution.
What fees does the plan pay and how do they compare?
Schedule C reports $18,041 in compensation to service provider organisations, $111 per participant or 0.70% of net assets. The same-size median among plans reporting any Schedule C compensation was $194 per participant. Administrative expenses on Schedule H were $0. Investment costs deducted inside mutual funds and other pooled vehicles are not itemised on Form 5500, so these figures are a floor rather than a full cost.
Who runs the plan?
The sponsor is Northeastern Rural Health Clinics. Recordkeeping or administration: Nationwide. The financial statements were audited by Moss Adams LLP. Form 5500 also names the plan administrator's signer and other individuals; this site publishes organisations only.
Was the audit opinion unqualified?
The filing reports an unmodified (unqualified) opinion from a limited-scope audit, in which the accountant did not audit investment information certified by a bank or insurance company. Unmodified (formerly "unqualified") is the standard clean opinion.
How current is this, and does it show my balance?
This is the Form 5500 for the plan year 1 Jan 2021 to 31 Dec 2021, received by the Department of Labor on 31 Mar 2025. Filings are due seven months after the plan year ends, or nine and a half with an extension, so the public record always runs a year or more behind. It contains plan-level totals only: no individual balances, contributions or names of participants exist in the data.
Provenance
Source: U.S. Department of Labor, Employee Benefits Security Administration, Form 5500 research files (Form 5500, Schedule H, Schedule C) for plan years 2009 to 2025, public domain, with filings received through 24 Aug 2026. This page shows the latest filing on record for EIN 94-2492609, plan 001, received 31 Mar 2025; an amended filing replaces it at the next build. Medians and percentiles are computed by this site; see the methodology. Report an error through corrections.