2023 Form 5500 filing — Sage Memorial Hospital Tax Sheltered Annuity
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 20241008113313NAL0009594163001) for Sage Memorial Hospital Tax Sheltered Annuity, reported by Navajo Health Foundation Dba Sage Memorial Hospital under EIN 23-7314364 and plan number 002. It reports 316 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241008113313NAL0009594163001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Navajo Health Foundation Dba Sage Memorial Hospital
- EIN
- 23-7314364
- Plan number
- 002
- Location
- Ganado, AZ
- Participants
- 316
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $2,522,331
- Net assets (EOY)
- $2,522,331
- Employer contributions
- $0
- Participant contributions
- $464,430
- Total income / additions
- $705,052
- Benefits paid
- $177,215
- Administrative expenses
- $27,925
- Total expenses
- $205,140
- Net increase / (decrease)
- $499,912
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Hunnex & Shoemaker, Inc. | NONE | $26,318 | $775 |
| Nationwide | NONE | $15,782 | $0 |
| Morgan Stanley Smith Barney LLC | NONE | $0 | $11,037 |
| Mgks | NONE | $790 | $484 |