2023 Form 5500 filing — Park Nicollet Health Services 403(B) Retirement Savings 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 20241010113723NAL0009952035003) for Park Nicollet Health Services 403(B) Retirement Savings Plan, reported by Park Nicollet Health Services under EIN 36-3465840 and plan number 005. It reports 1,780 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241010113723NAL0009952035003
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Park Nicollet Health Services
- EIN
- 36-3465840
- Plan number
- 005
- Location
- St. Louis Park, MN
- Participants
- 1,780
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $176,234,684
- Net assets (EOY)
- $176,234,684
- Employer contributions
- $1,680,116
- Participant contributions
- $11,197,457
- Total income / additions
- $41,354,191
- Benefits paid
- $11,237,426
- Administrative expenses
- $116,071
- Total expenses
- $11,353,497
- Net increase / (decrease)
- $30,000,694
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Fidelity Investments | RECORDKEEPER | $30,650 | $0 |
| Cliftonlarsonallen Llp | ACCOUNTANT | $0 | $12,108 |
| Park Nicollet Health Services | PLAN SPONSOR | $9,872 | $0 |
| Pavilion Advisory Group, Inc | INVESTMENT ADVISOR | $0 | $5,172 |