Plan5500

Ely-Bloomenson Community Hospital Tax Deferred Annuity Plan — Form 5500 plan (Ely-Bloomenson Community 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, Ely-Bloomenson Community Hospital Tax Deferred Annuity Plan is a benefit plan reported by Ely-Bloomenson Community Hospital under EIN 41-0808719 and plan number 010. The latest loaded filing year is 2023. The filing reports 157 participants and $10,924,005 in end-of-year plan assets, where available in the loaded dataset.

Form 5500 plan profile · 2023

Key reported metrics

Net assets (EOY)$10.9MPlan net assets, end of year$10,924,005
Participants157Covered participants reported
Assets / participant$69.6KComputed: assets ÷ participants$69,580 (computed)
Provider compensation$38.8K1 Schedule C provider row(s)$38,766
Plan sponsor
Ely-Bloomenson Community Hospital
EIN
41-0808719
Plan number
010
Plan type
2
Location
Ely, MN
Latest filing year
2023
How to read this plan profile
  • Net assets = total assets minus total liabilities, end of year (Schedule H/I).
  • Assets / participant is computed (assets ÷ reported participants) — a ratio, not a filed figure.
  • Schedule chips (Sch H / I / C) show which schedules each filing includes.
  • Fields a filing did not report are labeled not reported in the loaded dataset — never estimated.
  • Figures are reported as filed, in whole dollars; verify against the official DOL/EBSA record before relying on them.
EFAST2 filings

Form 5500 filing history

Each loaded annual filing for this plan. Open one for its full reported snapshot.

  1. 2023
    157 participants · 2Sch HSch C
    View filing →
Schedule H · 2023

Reported financial statement

Reported figures as filed, in whole dollars. Only fields the filing reports are shown; others are marked not reported.

Reported balance (end of year)$10.9M total assets
Net assets$10.9MLiabilities$0
Money in vs. money out
Total income / additions$2.6M
Total expenses$1.6M
Benefits paid / distributions$1.6M
Contributions
Employer$322.3K
Participant$751.5K
Full reported line items

Net assets

Total assets (EOY)
$10,924,005
Total liabilities (EOY)
$0
Net assets (EOY)
$10,924,005
Net assets (BOY)
$7,866,935

Income & contributions

Employer contributions
$322,318
Participant contributions
$751,550
Total contributions
$1,118,865
Total income / additions
$2,566,386

Expenses & distributions

Benefits paid
$1,559,288
Administrative expenses
$549
Total expenses
$1,559,837
Net increase / (decrease)
$1,006,549
Computed from reported fields

Reported ratios

Derived only from this plan's own reported figures — comparisons within the filing, not benchmarks, estimates, or national averages.

Contribution share (employer vs. participant)
Employer 30%Participant 70%
Total expenses ÷ net assets14%Computed ratio
Benefits paid ÷ total income61%Computed ratio
Provider comp. ÷ net assets0%Computed ratio
Schedule C

Service provider compensation

Reported direct + indirect compensation per provider, ranked. Bars show relative scale.

  1. 1
    American United Life Insurance Co$38.8K
    NONE · Direct $624 · Indirect $38.1K

What to inspect next

Frequently asked questions

Who sponsors the Ely-Bloomenson Community Hospital Tax Deferred Annuity Plan?
Ely-Bloomenson Community Hospital Tax Deferred Annuity Plan is reported as sponsored by Ely-Bloomenson Community Hospital (EIN 41-0808719, plan number 010) in public Form 5500 filings.
What is the most recent Form 5500 filing year for Ely-Bloomenson Community Hospital Tax Deferred Annuity Plan?
The latest Form 5500 filing year loaded for Ely-Bloomenson Community Hospital Tax Deferred Annuity Plan is 2023.
How many participants does Ely-Bloomenson Community Hospital Tax Deferred Annuity Plan report?
Ely-Bloomenson Community Hospital Tax Deferred Annuity Plan reports 157 participants in its latest loaded Form 5500 filing.
What are the reported plan assets for Ely-Bloomenson Community Hospital Tax Deferred Annuity Plan?
Ely-Bloomenson Community Hospital Tax Deferred Annuity Plan reports $10,924,005 in end-of-year plan assets in its latest loaded Form 5500 filing.
Form 5500 terms, in plain English
Form 5500
The annual report most U.S. employee benefit plans file with the Department of Labor through the EFAST2 system. It documents the plan sponsor, participants, finances, and service-provider compensation.
Schedule H
The financial statement for larger plans (generally 100+ participants): assets, liabilities, net assets, income, expenses, and the net change.
Schedule I
The condensed financial statement for smaller plans, covering the same kinds of figures in less detail.
Schedule C
Reports compensation paid to the plan’s service providers — both direct and indirect.
Net assets
Total assets minus total liabilities at the end of the year — what the plan holds for participants.
Employer / participant contributions
Money contributed to the plan by the employer and by participants during the year.

Figures are reported as filed and may contain errors or omissions. Verify against the official DOL/EBSA record before relying on any value.

Related Form 5500 pages