2023 Form 5500 filing — Madison Community Hospital Employees' 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 20240927174549NAL0001238675003) for Madison Community Hospital Employees' Retirement Plan, reported by Madison Community Hospital under EIN 46-0228038 and plan number 005. It reports 373 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240927174549NAL0001238675003
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Madison Community Hospital
- EIN
- 46-0228038
- Plan number
- 005
- Location
- Madison, SD
- Participants
- 373
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $12,050,390
- Net assets (EOY)
- $12,050,390
- Employer contributions
- $682,843
- Total income / additions
- $2,117,710
- Benefits paid
- $413,058
- Administrative expenses
- $11,700
- Total expenses
- $424,758
- Net increase / (decrease)
- $1,692,952
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| American United Life Insurance Co | SERVICE PROVIDER | $160 | $35,000 |
| Gallagher Fiduciary Advisors LLC | SERVICE PROVIDER | $11,258 | not reported in the loaded dataset |