2023 Form 5500 filing — Ph - Clearfield 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 20241015152002NAL0030141825004) for Ph - Clearfield Hospital 403(B) Plan, reported by Dubois Regional Medical Center Inc under EIN 25-1490707 and plan number 004. It reports 583 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241015152002NAL0030141825004
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Dubois Regional Medical Center Inc
- EIN
- 25-1490707
- Plan number
- 004
- Location
- Dubois, PA
- Participants
- 583
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $25,540,990
- Net assets (EOY)
- $25,540,990
- Employer contributions
- $282,802
- Participant contributions
- $545,897
- Total income / additions
- $4,460,937
- Benefits paid
- $2,322,764
- Administrative expenses
- $36,272
- Total expenses
- $2,404,765
- Net increase / (decrease)
- $2,056,172
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Transamerica Retirement Solutions | RECORD KEEPER | $36,072 | $0 |
| National Financial Services | SECURITIES BROKER | $0 | $0 |