Rochester Primary Care Network 403(B) Plan — Form 5500 plan (Mosaic Health)

Plain-English plan 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, Rochester Primary Care Network 403(B) Plan is a benefit plan reported by Mosaic Health under EIN 16-1293681 and plan number 001. The latest loaded filing year is 2023. The filing reports 240 participants and $6,594,638 in end-of-year plan assets, where available in the loaded dataset.

Key reported metrics

Plan sponsor
Mosaic Health
EIN
16-1293681
Plan number
001
Plan type
2
Location
Rochester, NY
Latest filing year
2023
Participants
240
End-of-year plan assets
$6,594,638

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
2023240H, C20241014081856NAL0025712577001

Reported financial statement (2023 · Schedule H)

Net assets

Total assets (EOY)
$6,594,638
Total liabilities (EOY)
$0
Net assets (EOY)
$6,594,638
Net assets (BOY)
$5,054,791

Income & contributions

Employer contributions
$279,447
Participant contributions
$598,729
Total contributions
$1,130,221
Total income / additions
$2,090,674

Expenses & distributions

Benefits paid
$512,210
Administrative expenses
$38,617
Total expenses
$550,827
Net increase / (decrease)
$1,539,847

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Ascensus, Inc.RECORD KEEPER$38,617not reported in the loaded dataset2023

Related Form 5500 pages