2023 Form 5500 filing — Critical Access Healthcare 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 20240829115002NAL0006418051001) for Critical Access Healthcare Benefit Plan, reported by Gpch,LLC Dba Golden Plains Community Hospital under EIN 26-0328929 and plan number 501. It reports 192 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240829115002NAL0006418051001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Gpch,LLC Dba Golden Plains Community Hospital
- EIN
- 26-0328929
- Plan number
- 501
- Location
- Borger, TX
- Participants
- 192
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Employer contributions
- $3,679,897
- Participant contributions
- $622,083
- Total income / additions
- $4,301,980
- Benefits paid
- $4,200,597
- Administrative expenses
- $101,383
- Total expenses
- $4,301,980
- Net increase / (decrease)
- $0
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Insurance Management Services | THIRD PARTY ADMINISTRATOR | $76,686 | not reported in the loaded dataset |