Form 5500 · Retirement plan · ELBOW LAKE, MN
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES
The filing calls this plan PRAIRIE RIDGE HOSPITAL 403(B) PLAN.
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES of ELBOW LAKE, MN files a Form 5500 for its retirement plan. Schedule A discloses 1 annuity or guaranteed-interest contract held by the plan, written by RIVERSOURCE LIFE INSURANCE COMPANY. These are investment and funding contracts, not group health or welfare coverage. No medical, dental or life benefit is reported on this filing.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 41-1763968 · plan 001 · plan year 2024, filed Mar 26, 2025
Plan brief
Schedule A lists 1 insurance contract held by the plan — an annuity, a guaranteed-interest account or a similar funding vehicle, with RIVERSOURCE LIFE INSURANCE COMPANY.
The contracts held $1,115,671 at the end of the plan year, as reported on Schedule A.
$3,437 in agent commissions is disclosed across the contracts; SAM M STEIDL is the agent of record.
A Schedule A is filed for a retirement plan when plan assets sit in an insurance company contract. It reports the contract's balances and any agent commission. It does not report a health, dental or life premium, and it does not give a group renewal date.
The contract year ended in September.
Schedule A insurance contracts
| Carrier | Contract type | Covered | Year ends | Contract value | Commission |
|---|---|---|---|---|---|
| RIVERSOURCE LIFE INSURANCE COMPANY | Annuity / GIC | 0 | September | $4,649 | $3,437 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 910 employees, 26 recordable cases, 214 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
What the plan holds
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule I
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