2023 Form 5500 filing — Clara Barton Hospital Tax Deferred Annuity 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 20241008151644NAL0017863537001) for Clara Barton Hospital Tax Deferred Annuity Plan, reported by Clara Barton Hospital under EIN 48-0576039 and plan number 002. It reports 344 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241008151644NAL0017863537001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Clara Barton Hospital
- EIN
- 48-0576039
- Plan number
- 002
- Location
- Hoisington, KS
- Participants
- 344
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $13,353,014
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $13,353,014
- Employer contributions
- $467,426
- Participant contributions
- $1,009,430
- Total income / additions
- $3,370,303
- Benefits paid
- $653,836
- Administrative expenses
- $17,135
- Total expenses
- $670,971
- Net increase / (decrease)
- $2,699,332
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| American United Life Insurance Co | NONE | $0 | $87,325 |
| Gallaagher Benefit Svcs Inc | NONE | $31,299 | not reported in the loaded dataset |
| Future Capital | NONE | $17,135 | not reported in the loaded dataset |