2023 Form 5500 filing — Pomerene Hospital 403(B) Match 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 20241015140734NAL0016581843001) for Pomerene Hospital 403(B) Match Plan, reported by Pomerene Hospital under EIN 31-1518658 and plan number 001. It reports 537 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241015140734NAL0016581843001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Pomerene Hospital
- EIN
- 31-1518658
- Plan number
- 001
- Location
- Millersburg, OH
- Participants
- 537
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $13,225,596
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $13,225,596
- Employer contributions
- $568,917
- Participant contributions
- $949,358
- Total income / additions
- $3,638,601
- Benefits paid
- $425,604
- Administrative expenses
- $82,708
- Total expenses
- $508,312
- Net increase / (decrease)
- $3,130,289
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Principal Life Insurance Company | CONTRACT ADMINISTRATOR | $82,708 | $0 |
| Gallagher Fiduciary Advisors, LLC | INVESTMENT ADVISORY | $0 | $27,224 |