2023 Form 5500 filing — Kittson Memorial Hospital Association Dba Kittson Healthcare Tax Deferred Annuity 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 20241015094423NAL0056841762001) for Kittson Memorial Hospital Association Dba Kittson Healthcare Tax Deferred Annuity Plan, reported by Kittson Memorial Hospital Association under EIN 41-0724034 and plan number 003. It reports 255 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241015094423NAL0056841762001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Kittson Memorial Hospital Association
- EIN
- 41-0724034
- Plan number
- 003
- Location
- Hallock, MN
- Participants
- 255
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $4,712,630
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $4,712,630
- Employer contributions
- $0
- Participant contributions
- $329,663
- Total income / additions
- $1,010,172
- Benefits paid
- $577,237
- Administrative expenses
- $1,211
- Total expenses
- $578,448
- Net increase / (decrease)
- $431,724
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| American United Life Insurance Co | NONE | $1,361 | $21,855 |