Good Samaritan Hospital Association 401(K) Plan — Form 5500 plan (Good Samaritan Hospital Association)
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, Good Samaritan Hospital Association 401(K) Plan is a benefit plan reported by Good Samaritan Hospital Association under EIN 45-0226419 and plan number 001. The latest loaded filing year is 2023. The filing reports 368 participants and $16,437,635 in end-of-year plan assets, where available in the loaded dataset.
Form 5500 plan profile · 2023
Key reported metrics
Net assets (EOY)$16.4MPlan net assets, end of year$16,370,518
Participants368Covered participants reported
Assets / participant$44.7KComputed: assets ÷ participants$44,667 (computed)
Provider compensation$66K2 Schedule C provider row(s)$65,991
- Plan sponsor
- Good Samaritan Hospital Association
- EIN
- 45-0226419
- Plan number
- 001
- Plan type
- 2
- Location
- Rugby, ND
- Latest filing year
- 2023
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 368 | H, C | 20240715090924NAL0001477537001 |
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)$16.4M total assets
Net assets$16.4MLiabilities$67.1K
Full reported line items
Net assets
- Total assets (EOY)
- $16,437,635
- Total liabilities (EOY)
- $67,117
- Net assets (EOY)
- $16,370,518
- Net assets (BOY)
- $14,755,964
Income & contributions
- Employer contributions
- $290,378
- Participant contributions
- $872,001
- Total contributions
- $1,375,663
- Total income / additions
- $3,855,419
Expenses & distributions
- Benefits paid
- $2,168,573
- Administrative expenses
- $65,990
- Total expenses
- $2,240,865
- Net increase / (decrease)
- $1,614,554
Service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| Alerus Financial, N.A. | NONE | $49,399 | $0 | 2023 |
| Alerus Investment Advisors, Inc. | NONE | $16,592 | $0 | 2023 |