2023 Form 5500 filing — Jackson Park Hospital 403(B) Retirement Program
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 20260518154649NAL0000212241001) for Jackson Park Hospital 403(B) Retirement Program, reported by Jackson Park Hospital Foundation under EIN 36-2448028 and plan number 001. It reports 726 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20260518154649NAL0000212241001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Jackson Park Hospital Foundation
- EIN
- 36-2448028
- Plan number
- 001
- Location
- Chicago, IL
- Participants
- 726
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $10,450,021
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $10,450,021
- Employer contributions
- $318,859
- Participant contributions
- $793,567
- Total income / additions
- $2,172,595
- Benefits paid
- $966,990
- Administrative expenses
- $31,456
- Total expenses
- $1,007,051
- Net increase / (decrease)
- $1,165,544
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Metlife Life Insurance Company | RECORDKEEPER | $18,721 | $0 |
| David Gotsch | OTHER | $12,735 | not reported in the loaded dataset |