2023 Form 5500 filing — Archbold Medical Center, Inc. Employee Health 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 20240712140010NAL0036057234001) for Archbold Medical Center, Inc. Employee Health Plan, reported by Archbold Medical Center Inc under EIN 58-1552650 and plan number 501. It reports 1,986 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240712140010NAL0036057234001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Archbold Medical Center Inc
- EIN
- 58-1552650
- Plan number
- 501
- Location
- Thomasville, GA
- Participants
- 1,986
- 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. |
|---|---|---|---|
| Georgia Ads | CONTRACTOR | $386,863 | not reported in the loaded dataset |
| Ventegra | PHARMACY BENEFIT MANAGER | $367,151 | not reported in the loaded dataset |
| First Health Network | CONTRACTOR | $121,030 | not reported in the loaded dataset |
| Broker - Usi | CONTRACTOR | $70,503 | not reported in the loaded dataset |
| Ebix | CONTRACTOR | $52,435 | not reported in the loaded dataset |
| Jms | CONTRACTOR | $1,101 | not reported in the loaded dataset |