2023 Form 5500 filing — Fernandina Beach Rehab Medical 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 20240214122542NAL0013200641001) for Fernandina Beach Rehab Medical Plan, reported by Fernandina Beach Rehab LLC under EIN 83-2715074 and plan number 501. It reports 989 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240214122542NAL0013200641001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Fernandina Beach Rehab LLC
- EIN
- 83-2715074
- Plan number
- 501
- Location
- Brooklyn, NY
- Participants
- 989
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $5,574,767
- Total liabilities (EOY)
- $3,473,914
- Net assets (EOY)
- $2,100,853
- Employer contributions
- $6,951,971
- Participant contributions
- $1,666,256
- Total income / additions
- $8,618,227
- Benefits paid
- $5,713,450
- Administrative expenses
- $587,242
- Total expenses
- $6,300,692
- Net increase / (decrease)
- $2,317,535
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Uhp Administrators Inc. | CONTRACT ADMINISTRATOR | $556,332 | not reported in the loaded dataset |
| Uhp Administrators Inc. | CONTRACT ADMINISTRATOR | $90,280 | not reported in the loaded dataset |
| Fasten Halberstam Llp | AUDITOR | $30,000 | not reported in the loaded dataset |