2023 Form 5500 filing — The Jane Pauley Community Health
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 20240501110444NAL0030831216001) for The Jane Pauley Community Health, reported by The Jane Pauley Community Health under EIN 01-0945309 and plan number 001. It reports 129 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240501110444NAL0030831216001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- The Jane Pauley Community Health
- EIN
- 01-0945309
- Plan number
- 001
- Location
- Indianapolis, IN
- Participants
- 129
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $7,443,413
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $7,443,413
- Employer contributions
- $757,970
- Participant contributions
- $1,073,607
- Total income / additions
- $3,048,078
- Benefits paid
- $631,280
- Administrative expenses
- $10,137
- Total expenses
- $644,872
- Net increase / (decrease)
- $2,403,206
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Adp, Inc. | RECORD KEEPER | $10,136 | $0 |
| Adp, Inc. | RECORD KEEPER | $4,285 | $0 |
| Adp, LLC | RECORD KEEPER | $3,469 | $0 |
| Adp, LLC | RECORD KEEPER | $2,565 | $0 |
| Adp Broker-Dealer | RECORD KEEPER | $0 | $0 |