2023 Form 5500 filing — Kaniksu Health Services 401k 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 20241014180227NAL0053448546001) for Kaniksu Health Services 401k Plan, reported by Boundary Regional Community Health Center, Inc. under EIN 04-3634356 and plan number 001. It reports 202 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241014180227NAL0053448546001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Boundary Regional Community Health Center, Inc.
- EIN
- 04-3634356
- Plan number
- 001
- Location
- Sandpoint, ID
- Participants
- 202
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $4,442,009
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $4,442,009
- Employer contributions
- $270,704
- Participant contributions
- $485,579
- Total income / additions
- $1,340,347
- Benefits paid
- $488,819
- Administrative expenses
- $56,099
- Total expenses
- $544,918
- Net increase / (decrease)
- $795,429
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Edward D Jones & Co | RIA | $18,490 | not reported in the loaded dataset |
| John Hancock Life Insurance Company | RECORDKEEPER | $1,881 | not reported in the loaded dataset |
| Wilshire Associates, Inc.(Usa) | RIA | $775 | not reported in the loaded dataset |