Plan5500

Ksb Hospital Veba Health Savings Plan — Form 5500 plan (Katherine Shaw Bethea Hospital)

Plain-English plan 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, Ksb Hospital Veba Health Savings Plan is a benefit plan reported by Katherine Shaw Bethea Hospital under EIN 36-1000540 and plan number 516. The latest loaded filing year is 2023. The filing reports 371 participants and $0 in end-of-year plan assets, where available in the loaded dataset.

Key reported metrics

Plan sponsor
Katherine Shaw Bethea Hospital
EIN
36-1000540
Plan number
516
Plan type
2
Location
Dixon, IL
Latest filing year
2023
Participants
371
End-of-year plan assets
$0

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
2023371H, C20241015144934NAL0014880387001

Reported financial statement (2023 · Schedule H)

Net assets

Total assets (EOY)
$0
Total liabilities (EOY)
$0
Net assets (EOY)
$0
Net assets (BOY)
$1,699,957

Income & contributions

Participant contributions
$2,983
Total contributions
$2,983
Total income / additions
$3,527

Expenses & distributions

Benefits paid
$1,702,641
Administrative expenses
$843
Total expenses
$1,703,484
Net increase / (decrease)
-$1,699,957

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Total Administrative Services Corp.NONE$843not reported in the loaded dataset2023

Related Form 5500 pages