2023 Form 5500 filing — Chambersburg Hospital Bargaining 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 20241014154150NAL0015231395001) for Chambersburg Hospital Bargaining 403(B) Plan, reported by Wellspan Health under EIN 22-2517863 and plan number 011. It reports 2,019 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241014154150NAL0015231395001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Wellspan Health
- EIN
- 22-2517863
- Plan number
- 011
- Location
- York, PA
- Participants
- 2,019
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $71,054,575
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $71,054,575
- Employer contributions
- $0
- Participant contributions
- $4,907,718
- Total income / additions
- $15,350,995
- Benefits paid
- $3,054,583
- Administrative expenses
- $188,035
- Total expenses
- $3,242,618
- Net increase / (decrease)
- $12,108,377
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Empower Annuity Company Of America | RECORDKEEPER | $136,398 | $0 |
| Wellspan Health | PLAN ADMINSITRATOR | $26,450 | not reported in the loaded dataset |
| Stambaugh Ness, Inc. | AUDITOR | $12,288 | not reported in the loaded dataset |
| Empower Advisory Group, LLC | INVESTMENT MANAGEMENT | $10,094 | not reported in the loaded dataset |
| Alokdeshpande Dba/ Smartpath | INVESTMENT ADVISORY | $2,805 | not reported in the loaded dataset |
| Td Ameritrade Inc. | BROKERAGE SERVICES | $0 | not reported in the loaded dataset |
| Charles Schwab & Co., Inc. | SECURITIES BROKERAGE | $0 | not reported in the loaded dataset |