2023 Form 5500 filing — Rochester Primary Care Network 403(B) Plan
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 20241014081856NAL0025712577001) for Rochester Primary Care Network 403(B) Plan, reported by Mosaic Health under EIN 16-1293681 and plan number 001. It reports 240 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241014081856NAL0025712577001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Mosaic Health
- EIN
- 16-1293681
- Plan number
- 001
- Location
- Rochester, NY
- Participants
- 240
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $6,594,638
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $6,594,638
- Employer contributions
- $279,447
- Participant contributions
- $598,729
- Total income / additions
- $2,090,674
- Benefits paid
- $512,210
- Administrative expenses
- $38,617
- Total expenses
- $550,827
- Net increase / (decrease)
- $1,539,847
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Ascensus, Inc. | RECORD KEEPER | $38,617 | not reported in the loaded dataset |