2023 Form 5500 filing — Van Wert County Hospital Profit Sharing 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 20241014145130NAL0026464241001) for Van Wert County Hospital Profit Sharing Plan, reported by Van Wert County Hospital Association under EIN 34-4429514 and plan number 002. It reports 453 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241014145130NAL0026464241001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Van Wert County Hospital Association
- EIN
- 34-4429514
- Plan number
- 002
- Location
- Van Wert, OH
- Participants
- 453
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $8,252,280
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $8,252,280
- Employer contributions
- $0
- Participant contributions
- $0
- Total income / additions
- $1,040,484
- Benefits paid
- $1,417,254
- Administrative expenses
- $50,781
- Total expenses
- $1,473,960
- Net increase / (decrease)
- -$433,476
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Empower Advisory Group, LLC | INVESTMENT MGMT | $34,414 | not reported in the loaded dataset |
| Empower Annuity Insurance Company O | RECORDKEEPER | $17,167 | $0 |