2023 Form 5500 filing — Fairfield Memorial Hospital Association Employees Retirement 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 20241011151913NAL0012686803001) for Fairfield Memorial Hospital Association Employees Retirement Plan, reported by Fairfield Memorial Hospital Association under EIN 37-0661202 and plan number 002. It reports 464 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241011151913NAL0012686803001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Fairfield Memorial Hospital Association
- EIN
- 37-0661202
- Plan number
- 002
- Location
- Fairfield, IL
- Participants
- 464
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $11,300,192
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $11,300,192
- Employer contributions
- $175,629
- Participant contributions
- $830,659
- Total income / additions
- $2,654,447
- Benefits paid
- $1,168,991
- Administrative expenses
- $362
- Total expenses
- $1,169,353
- Net increase / (decrease)
- $1,485,094
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| American United Life Insurance Co | NONE | $362 | $52,426 |
| Gallagher Benefit Svcs Inc | NONE | $0 | $12,351 |