2023 Form 5500 filing — Community 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 20241015090736NAL0027904769001) for Community Hospital Tax Deferred Annuity Plan, reported by Community Hospital under EIN 47-0533373 and plan number 003. It reports 364 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).

Form 5500 2 · 2023

Filing snapshot

Net assets (EOY)$13.7MReported net assets$13,688,813
Participants364
Provider compensation$22.8K1 Schedule C row(s)$22,845
Schedules filedSchedule H, Schedule CLoaded schedules
EFAST2 acknowledgement
20241015090736NAL0027904769001
Plan sponsor
Community Hospital
EIN
47-0533373
Plan number
003
Location
Mccook, NE
Received date
not reported in the loaded dataset
How to read this filing
  • This is a single annual Form 5500 filing, identified by its EFAST2 acknowledgement id.
  • Schedule chips (Sch H / I / C) show which schedules this filing includes.
  • Net assets = total assets minus total liabilities (Schedule H/I).
  • Fields a filing did not report are labeled not reported in the loaded dataset — never estimated.
  • For the plan's full history, open the plan profile.
Schedule H · 2023

Reported financial snapshot

Reported figures as filed, in whole dollars. Only fields the filing reports are shown.

Reported balance (end of year)$13.7M total assets
Net assets$13.7MLiabilities$0
Money in vs. money out
Total income / additions$3.5M
Total expenses$318.9K
Benefits paid / distributions$312.9K
Contributions
Employer$0
Participant$1.2M
Full reported line items
Total assets (EOY)
$13,688,813
Total liabilities (EOY)
$0
Net assets (EOY)
$13,688,813
Employer contributions
$0
Participant contributions
$1,182,137
Total income / additions
$3,478,441
Benefits paid
$312,915
Administrative expenses
$6,022
Total expenses
$318,937
Net increase / (decrease)
$3,159,504
Schedule C

Reported service provider compensation

Compensation reported on the 2023 filing, ranked by reported total.

  1. 1
    NONE · Direct $6K · Indirect $16.8K

What to inspect next

Frequently asked questions

What does EFAST2 acknowledgement 20241015090736NAL0027904769001 cover?
It is the 2023 Form 5500 filing for Community Hospital Tax Deferred Annuity Plan, reported by Community Hospital (EIN 47-0533373).
Which Form 5500 schedules are attached to this 2023 filing?
Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).

Related Form 5500 pages