2023 Form 5500 filing — Providence Medical Group Inc 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 20241010100624NAL0035422112004) for Providence Medical Group Inc Welfare Benefit Plan, reported by Providence Medical Group, Inc. under EIN 42-1534506 and plan number 501. It reports 268 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241010100624NAL0035422112004
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Providence Medical Group, Inc.
- EIN
- 42-1534506
- Plan number
- 501
- Location
- Dayton, OH
- Participants
- 268
- 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. |
|---|---|---|---|
| Umr, Inc | CLAIMS PROCESSING | $119,183 | $2,481 |
| Mcgohan Brabender Agency Inc | BROKER | $30,082 | not reported in the loaded dataset |