2023 Form 5500 filing — Section 403(B) Retirement Plan For Othello Community Hospital
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 20241015160217NAL0015033667001) for Section 403(B) Retirement Plan For Othello Community Hospital, reported by Othello Community Hospital under EIN 91-6016170 and plan number 001. It reports 193 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241015160217NAL0015033667001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Othello Community Hospital
- EIN
- 91-6016170
- Plan number
- 001
- Location
- Othello, WA
- Participants
- 193
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $15,940,528
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $15,940,528
- Employer contributions
- $435,935
- Participant contributions
- $635,650
- Total income / additions
- $3,011,569
- Benefits paid
- $70,249
- Administrative expenses
- $85,257
- Total expenses
- $155,506
- Net increase / (decrease)
- $2,856,063
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Security Financial Resources | NONE | $85,257 | $0 |
| Metropolitan Life Insurance Company | RECORDKEEPER | $0 | $0 |