2023 Form 5500 filing — Section 403(B) Retirement Plan For Othello Community Hospital
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 20241015160217NAL0015033667001) for Section 403(B) Retirement Plan For Othello Community Hospital, reported by Othello Community Hospital under EIN 91-6016170 and plan number 001. It reports 193 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)$15.9MReported net assets$15,940,528
Participants193
Provider compensation$85.3K2 Schedule C row(s)$85,257
Schedules filedSchedule H, Schedule CLoaded schedules
- EFAST2 acknowledgement
- 20241015160217NAL0015033667001
- Plan sponsor
- Othello Community Hospital
- EIN
- 91-6016170
- Plan number
- 001
- Location
- Othello, WA
- Received date
- not reported in the loaded dataset
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)$15.9M total assets
Net assets$15.9MLiabilities$0
Full reported line items
- Total assets (EOY)
- $15,940,528
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $15,940,528
- Employer contributions
- $435,935
- Participant contributions
- $635,650
- Total income / additions
- $3,011,569
- Benefits paid
- $70,249
- Administrative expenses
- $85,257
- Total expenses
- $155,506
- Net increase / (decrease)
- $2,856,063
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Security Financial Resources | NONE | $85,257 | $0 |
| Metropolitan Life Insurance Company | RECORDKEEPER | $0 | $0 |