2023 Form 5500 filing — North Country Healthcare, Inc. 401(K) 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 20241015162445NAL0030331969001) for North Country Healthcare, Inc. 401(K) Retirement Plan, reported by North Country Healthcare, Inc. under EIN 86-0663432 and plan number 001. It reports 779 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241015162445NAL0030331969001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- North Country Healthcare, Inc.
- EIN
- 86-0663432
- Plan number
- 001
- Location
- Flagstaff, AZ
- Participants
- 779
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $23,721,164
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $23,721,164
- Employer contributions
- $902,203
- Participant contributions
- $2,112,282
- Total income / additions
- $7,030,421
- Benefits paid
- $2,850,838
- Administrative expenses
- $11,134
- Total expenses
- $2,861,972
- Net increase / (decrease)
- $4,168,449
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Ameritas Life Insurance Corp | RECORDKEEPER | $11,134 | $0 |