2023 Form 5500 filing — Ida County Iowa Community Hospital Inc. Dba Horn Memorial 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 20241205120341NAL0004997681001) for Ida County Iowa Community Hospital Inc. Dba Horn Memorial Hospital Tax Deferred Annuity Plan, reported by Ida County Iowa Community Hospital Inc. under EIN 42-0843389 and plan number 002. It reports 260 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241205120341NAL0004997681001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Ida County Iowa Community Hospital Inc.
- EIN
- 42-0843389
- Plan number
- 002
- Location
- Ida Grove, IA
- Participants
- 260
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $7,064,934
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $7,064,934
- Employer contributions
- $0
- Participant contributions
- $637,365
- Total income / additions
- $1,575,279
- Benefits paid
- $299,942
- Administrative expenses
- $2,881
- Total expenses
- $302,823
- Net increase / (decrease)
- $1,272,456
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| American United Life Insurance Co | NONE | $2,122 | $27,151 |
| American United Life Insurance Co | NONE | $200 | $3,074 |