Family Health Center 403(B) Plan — Form 5500 plan (Good Samaritan Family Health Center)
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, Family Health Center 403(B) Plan is a benefit plan reported by Good Samaritan Family Health Center under EIN 82-2966384 and plan number 001. The latest loaded filing year is 2023. The filing reports 185 participants and $1,001,531 in end-of-year plan assets, where available in the loaded dataset.
Key reported metrics
- Plan sponsor
- Good Samaritan Family Health Center
- EIN
- 82-2966384
- Plan number
- 001
- Plan type
- 2
- Location
- Vincennes, IN
- Latest filing year
- 2023
- Participants
- 185
- End-of-year plan assets
- $1,001,531
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 185 | H, C | 20251014153850NAL0001627955001 |
Reported financial statement (2023 · Schedule H)
Net assets
- Total assets (EOY)
- $1,001,531
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $1,001,531
- Net assets (BOY)
- $0
Income & contributions
- Employer contributions
- $136,802
- Participant contributions
- $260,253
- Total contributions
- $951,291
- Total income / additions
- $1,011,713
Expenses & distributions
- Benefits paid
- $9,268
- Administrative expenses
- $914
- Total expenses
- $10,182
- Net increase / (decrease)
- $1,001,531
Service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| Empower Annuity Insurance Company | RECORDKEEPER | $905 | $0 | 2023 |
| Empower Advisory Group, LLC | INVESTMENT MGMT | $9 | not reported in the loaded dataset | 2023 |