2023 Form 5500 filing — Mid-State Health Center 403(B) 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 20241112095124NAL0017468273001) for Mid-State Health Center 403(B) Plan, reported by Mid-State Health Center under EIN 02-0487172 and plan number 001. It reports 200 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241112095124NAL0017468273001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Mid-State Health Center
- EIN
- 02-0487172
- Plan number
- 001
- Location
- Plymouth, NH
- Participants
- 200
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $7,874,817
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $7,874,817
- Employer contributions
- $272,349
- Participant contributions
- $882,648
- Total income / additions
- $2,399,230
- Benefits paid
- $1,618,819
- Administrative expenses
- $118,762
- Total expenses
- $1,737,581
- Net increase / (decrease)
- $661,649
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Principal Life Insurance Company | CONTRACT ADMINISTRATOR | $8,656 | $0 |