2023 Form 5500 filing — Hackettstown Imaging Services, LLC Employee Benefit 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 20251010114909NAL0008092641001) for Hackettstown Imaging Services, LLC Employee Benefit Plan, reported by Hackettstown Imaging Services, LLC under EIN 20-5972964 and plan number 502. It reports 224 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)-$192KReported net assets-$191,970
Participants224
Provider compensation$84.6K4 Schedule C row(s)$84,642
Schedules filedSchedule H, Schedule CLoaded schedules
- EFAST2 acknowledgement
- 20251010114909NAL0008092641001
- Plan sponsor
- Hackettstown Imaging Services, LLC
- EIN
- 20-5972964
- Plan number
- 502
- Location
- Hackettstown, NJ
- 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)$143.9K total assets
Net assets-$192KLiabilities$335.9K
Full reported line items
- Total assets (EOY)
- $143,911
- Total liabilities (EOY)
- $335,881
- Net assets (EOY)
- -$191,970
- Employer contributions
- $739,295
- Participant contributions
- $273,438
- Total income / additions
- $1,013,490
- Benefits paid
- $963,974
- Administrative expenses
- $84,643
- Total expenses
- $1,048,617
- Net increase / (decrease)
- -$35,127
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| World Insurance Associates LLC | BROKER | $50,760 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $20,177 | not reported in the loaded dataset |
| Meritain Health, An Aetna Company | ADMIN | $7,727 | not reported in the loaded dataset |
| Connectcare3 | PATIENT ADVOCATE | $5,978 | not reported in the loaded dataset |