Village Discount Outlet, Inc. Participant Benefit Health Plan — Form 5500 plan (Village Discount Outlet, Inc.)

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, Village Discount Outlet, Inc. Participant Benefit Health Plan is a benefit plan reported by Village Discount Outlet, Inc. under EIN 36-2472377 and plan number 501. The latest loaded filing year is 2023. The filing reports 72 participants and $0 in end-of-year plan assets, where available in the loaded dataset.

Form 5500 plan profile · 2023

Key reported metrics

Net assets (EOY)$0Plan net assets, end of year
Participants72Covered participants reported
Assets / participant$0Computed: assets ÷ participants$0 (computed)
Provider compensation$612.7K24 Schedule C provider row(s)$612,687
Plan sponsor
Village Discount Outlet, Inc.
EIN
36-2472377
Plan number
501
Plan type
2
Location
Blue Island, IL
Latest filing year
2023

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
202372I, C20250226094400NAL0000498179001
Schedule I · 2023

Reported financial statement

Reported figures as filed, in whole dollars. Only fields the filing reports are shown; others are marked not reported.

Money in vs. money out
Total income / additions$661.6K
Total expenses$699.2K
Benefits paid / distributions$699.2K
Contributions
Employer$11.3K
Participant$650.3K
Full reported line items

Net assets

Total assets (EOY)
$0
Net assets (EOY)
$0
Net assets (BOY)
$37,648

Income & contributions

Employer contributions
$11,271
Participant contributions
$650,283
Total income / additions
$661,554

Expenses & distributions

Benefits paid
$699,202
Total expenses
$699,202
Net increase / (decrease)
-$37,648
Computed from reported fields

Reported ratios

Derived only from this plan's own reported figures — comparisons within the filing, not benchmarks, estimates, or national averages.

Contribution share (employer vs. participant)
Employer 2%Participant 98%
Benefits paid ÷ total income106%Computed ratio

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Optum Rx, IncPHARMACY BENEFIT MANAGEM$106,858$4722023
Osf Little Company Of Mary MedNONE$82,464not reported in the loaded dataset2023
Northwestern Mem HospNONE$65,053not reported in the loaded dataset2023
Umr, Inc.CLAIMS PROCESSING$62,374$4722023
Loyola University Med CtNONE$35,715not reported in the loaded dataset2023
Advocate Illinois MasonicNONE$33,109not reported in the loaded dataset2023
Presence Saints Mary And ElizaNONE$29,978not reported in the loaded dataset2023
Central Nursing HomeNONE$28,339not reported in the loaded dataset2023
The Community HospitalNONE$23,693not reported in the loaded dataset2023
University Of Chicago MedicalNONE$23,138not reported in the loaded dataset2023
Franciscan Health Olympia FielNONE$19,607not reported in the loaded dataset2023
Presence Saint Francis HospitalNONE$12,264not reported in the loaded dataset2023
Dupage Medical Group LtdNONE$10,213not reported in the loaded dataset2023
Swedish HospitalNONE$8,722not reported in the loaded dataset2023
Erie Family Health CtrNONE$8,291not reported in the loaded dataset2023
Macneal HospitalNONE$7,850not reported in the loaded dataset2023
Midwest Pulmonary And CriticalNONE$7,682not reported in the loaded dataset2023
Gallagher Benefit Services IncBROKER$7,650not reported in the loaded dataset2023
Northshore University HealthsyNONE$7,515not reported in the loaded dataset2023
Laboratory Corporation Of AmerNONE$6,937not reported in the loaded dataset2023
Quest Diagnostics Wood DaNONE$6,575not reported in the loaded dataset2023
Pediatric Faculty FoundationNONE$6,194not reported in the loaded dataset2023
John H Stroger HospitalNONE$6,072not reported in the loaded dataset2023
Eldin KaraikovicNONE$5,450not reported in the loaded dataset2023

Related Form 5500 pages