2023 Form 5500 filing — Good Samaritan Hospital Association 401(K) Plan
Plain-English filing 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, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20240715090924NAL0001477537001) for Good Samaritan Hospital Association 401(K) Plan, reported by Good Samaritan Hospital Association under EIN 45-0226419 and plan number 001. It reports 368 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
Form 5500 2 · 2023
Filing snapshot
Net assets (EOY)$16.4MReported net assets$16,370,518
Participants368
Provider compensation$66K2 Schedule C row(s)$65,991
Schedules filedSchedule H, Schedule CLoaded schedules
- EFAST2 acknowledgement
- 20240715090924NAL0001477537001
- Plan sponsor
- Good Samaritan Hospital Association
- EIN
- 45-0226419
- Plan number
- 001
- Location
- Rugby, ND
- Received date
- not reported in the loaded dataset
Schedule H · 2023
Reported financial snapshot
Reported figures as filed, in whole dollars. Only fields the filing reports are shown.
Reported balance (end of year)$16.4M total assets
Net assets$16.4MLiabilities$67.1K
Full reported line items
- Total assets (EOY)
- $16,437,635
- Total liabilities (EOY)
- $67,117
- Net assets (EOY)
- $16,370,518
- Employer contributions
- $290,378
- Participant contributions
- $872,001
- Total income / additions
- $3,855,419
- Benefits paid
- $2,168,573
- Administrative expenses
- $65,990
- Total expenses
- $2,240,865
- Net increase / (decrease)
- $1,614,554
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Alerus Financial, N.A. | NONE | $49,399 | $0 |
| Alerus Investment Advisors, Inc. | NONE | $16,592 | $0 |