2023 Form 5500 filing — Employee Health Plan Of Caritas Medical Center

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 20250102090722NAL0002010945001) for Employee Health Plan Of Caritas Medical Center, reported by Caritas Medical Center under EIN 20-5891449 and plan number 501. It reports 11 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials).

Form 5500 2 · 2023

Filing snapshot

Net assets (EOY)$0Reported net assets
Participants11
Provider compensationNone reported
Schedules filedSchedule ILoaded schedules
EFAST2 acknowledgement
20250102090722NAL0002010945001
Plan sponsor
Caritas Medical Center
EIN
20-5891449
Plan number
501
Location
Stockbridge, GA
Received date
not reported in the loaded dataset
Schedule I · 2023

Reported financial snapshot

Reported figures as filed, in whole dollars. Only fields the filing reports are shown.

Money in vs. money out
Total income / additions$170.8K
Total expenses$178.4K
Benefits paid / distributions$91.7K
Contributions
Employer$170.8K
ParticipantNot reported
Full reported line items
Net assets (EOY)
$0
Employer contributions
$170,765
Total income / additions
$170,765
Benefits paid
$91,741
Total expenses
$178,355
Net increase / (decrease)
-$7,590

Related Form 5500 pages