2023 Form 5500 filing — Hazen Memorial Hospital Association 401(K) Retirement 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 20240830115546NAL0008353075001) for Hazen Memorial Hospital Association 401(K) Retirement Plan, reported by Sakakawea Medical Center under EIN 45-0308379 and plan number 002. It reports 178 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240830115546NAL0008353075001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Sakakawea Medical Center
- EIN
- 45-0308379
- Plan number
- 002
- Location
- Hazen, ND
- Participants
- 178
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $12,046,941
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $12,046,941
- Employer contributions
- $239,859
- Participant contributions
- $561,348
- Total income / additions
- $2,507,817
- Benefits paid
- $235,587
- Administrative expenses
- $80,161
- Total expenses
- $315,748
- Net increase / (decrease)
- $2,192,069
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Bravera Wealth | TRUSTEE/ RECORDKEEPER | $48,432 | $0 |
| Planningteam, Inc. | NONE | $31,305 | not reported in the loaded dataset |