2023 Form 5500 filing — Foursquare Healthcare, Ltd. Benefits Trust
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 20250314180508NAL0012056163001) for Foursquare Healthcare, Ltd. Benefits Trust, reported by Foursquare Healthcare, Ltd. under EIN 26-4219383 and plan number 502. It reports 329 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250314180508NAL0012056163001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Foursquare Healthcare, Ltd.
- EIN
- 26-4219383
- Plan number
- 502
- Location
- Rockwall, TX
- Participants
- 329
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $981,179
- Total liabilities (EOY)
- $264,606
- Net assets (EOY)
- $716,573
- Employer contributions
- $1,966,801
- Participant contributions
- $1,319,008
- Total income / additions
- $3,285,809
- Benefits paid
- $2,700,467
- Administrative expenses
- $412,796
- Total expenses
- $3,113,263
- Net increase / (decrease)
- $172,546
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Cigna | CLAIMS PROCESSING | $307,587 | not reported in the loaded dataset |
| Allied Benefit Systems, Inc | CLAIMS PROCESSING | $63,154 | not reported in the loaded dataset |
| Huselton, Morgan & Maultsby, Pc | ACCOUNTANT | $20,360 | not reported in the loaded dataset |
| Sterling Health Services, Inc | FORM 1095 CONSULTANT | $12,985 | not reported in the loaded dataset |
| Bank Of Texas | BANK | $9,711 | not reported in the loaded dataset |
| Flores And Associates | CONSULTANT | $8,054 | not reported in the loaded dataset |