2023 Form 5500 filing — The Good Samaritan Hospital 401(K) Retirement Savings 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 20241015181606NAL0017030659001) for The Good Samaritan Hospital 401(K) Retirement Savings Plan, reported by Pih Health Good Samaritan Hospital under EIN 95-1656366 and plan number 002. It reports 1,982 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241015181606NAL0017030659001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Pih Health Good Samaritan Hospital
- EIN
- 95-1656366
- Plan number
- 002
- Location
- Los Angeles, CA
- Participants
- 1,982
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $211,725,595
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $211,725,595
- Employer contributions
- $0
- Participant contributions
- $7,413,506
- Total income / additions
- $41,847,395
- Benefits paid
- $28,017,159
- Administrative expenses
- $130,165
- Total expenses
- $28,304,607
- Net increase / (decrease)
- $13,542,788
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Fidelity Investments Institutional | RECORDKEEPER | $81,881 | $0 |
| Strategic Advisors, Inc. | ADVISOR | $34,584 | not reported in the loaded dataset |
| Pension Assurance | ACCOUNTANT/AUDITOR | $14,000 | not reported in the loaded dataset |