2023 Form 5500 filing — Ninnescah Valley Health Systems 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 20240919150216NAL0003654259001) for Ninnescah Valley Health Systems Retirement Plan, reported by Ninnescah Valley Health Systems Dba Kingman Healthcare Center under EIN 48-0761700 and plan number 002. It reports 138 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240919150216NAL0003654259001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Ninnescah Valley Health Systems Dba Kingman Healthcare Center
- EIN
- 48-0761700
- Plan number
- 002
- Location
- Kingman, KS
- Participants
- 138
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $5,665,879
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $5,665,879
- Employer contributions
- $125,077
- Participant contributions
- $420,068
- Total income / additions
- $1,391,738
- Benefits paid
- $497,239
- Administrative expenses
- $19,859
- Total expenses
- $517,098
- Net increase / (decrease)
- $874,640
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Valic | RECORDKEEPER | $14,684 | $0 |
| Two West Capital Advisors | NONE | $3,145 | not reported in the loaded dataset |
| Tiaa Teachers Insurance And Annuity | NONE | $943 | $0 |