Amberwell Health 403(B) Plan — Form 5500 plan (Hiawatha Community Hospital)
Plain-English plan 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, Amberwell Health 403(B) Plan is a benefit plan reported by Hiawatha Community Hospital under EIN 48-0577658 and plan number 001. The latest loaded filing year is 2023. The filing reports 426 participants and $15,552,734 in end-of-year plan assets, where available in the loaded dataset.
Key reported metrics
- Plan sponsor
- Hiawatha Community Hospital
- EIN
- 48-0577658
- Plan number
- 001
- Plan type
- 2
- Location
- Hiawatha, KS
- Latest filing year
- 2023
- Participants
- 426
- End-of-year plan assets
- $15,552,734
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 426 | H, C | 20241015201517NAL0030838769001 |
Reported financial statement (2023 · Schedule H)
Net assets
- Total assets (EOY)
- $15,552,734
- Net assets (EOY)
- $15,552,734
- Net assets (BOY)
- $13,711,714
Income & contributions
- Employer contributions
- $212,607
- Participant contributions
- $690,420
- Total contributions
- $915,230
- Total income / additions
- $3,014,537
Expenses & distributions
- Benefits paid
- $1,104,121
- Administrative expenses
- $60,949
- Total expenses
- $1,173,517
- Net increase / (decrease)
- $1,841,020
Service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| Variable Annuity Life Insurance Co. | NONE | $36,290 | $0 | 2023 |
| Valic Retirement Services Company | NONE | $24,161 | $0 | 2023 |