2023 Form 5500 filing — Excelsior Springs City Hospital Welfare Benefit 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 20240809081108NAL0003194739001) for Excelsior Springs City Hospital Welfare Benefit Plan, reported by Excelsior Springs City Hospital under EIN 43-1080811 and plan number 505. It reports 170 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240809081108NAL0003194739001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Excelsior Springs City Hospital
- EIN
- 43-1080811
- Plan number
- 505
- Location
- Excelsior Springs, MO
- Participants
- 170
- Schedules available
- Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
This 2023 filing is loaded, but detailed Schedule H/I financial figures are not present for it in the current loaded dataset. Participant counts and filing identity above are reported; asset and contribution detail comes from the financial schedules where filed.
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Meritain Health | MEDICAL PLAN TPA | $103,968 | $0 |
| Bukaty Companies | AGENT/BROKER | $57,600 | $0 |