2023 Form 5500 filing — Sibley Memorial Hospital 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 20241015140106NAL0016563107001) for Sibley Memorial Hospital 403(B) Plan, reported by Sibley Memorial Hospital under EIN 53-0196602 and plan number 003. It reports 2,437 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
Form 5500 2 · 2023
Filing snapshot
Net assets (EOY)$9.8MReported net assets$9,760,962
Participants2.4K2,437
Provider compensation$32.8K1 Schedule C row(s)$32,808
Schedules filedSchedule H, Schedule CLoaded schedules
- EFAST2 acknowledgement
- 20241015140106NAL0016563107001
- Plan sponsor
- Sibley Memorial Hospital
- EIN
- 53-0196602
- Plan number
- 003
- Location
- Washington, DC
- Received date
- not reported in the loaded dataset
Schedule H · 2023
Reported financial snapshot
Reported figures as filed, in whole dollars. Only fields the filing reports are shown.
Reported balance (end of year)$9.8M total assets
Net assets$9.8MLiabilities$0
Full reported line items
- Total assets (EOY)
- $9,760,962
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $9,760,962
- Participant contributions
- $794,231
- Total income / additions
- $2,431,017
- Benefits paid
- $1,722,556
- Administrative expenses
- $32,820
- Total expenses
- $1,763,877
- Net increase / (decrease)
- $667,140
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Principal Life Insurance Company | CONTRACT ADMINISTRATOR | $32,808 | $0 |