2023 Form 5500 filing — Community Health Systems Group 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 20240802092031NAL0024759905001) for Community Health Systems Group Health Plan, reported by Chs/Community Health Systems, Inc. under EIN 76-0137985 and plan number 501. It reports 41,601 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240802092031NAL0024759905001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Chs/Community Health Systems, Inc.
- EIN
- 76-0137985
- Plan number
- 501
- Location
- Franklin, TN
- Participants
- 41,601
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $125,207,632
- Total liabilities (EOY)
- $91,444,043
- Net assets (EOY)
- $33,763,589
- Employer contributions
- $495,400,106
- Participant contributions
- $158,823,685
- Total income / additions
- $654,224,115
- Benefits paid
- $624,681,779
- Administrative expenses
- $26,600,066
- Total expenses
- $651,281,845
- Net increase / (decrease)
- $2,942,270
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Blue Cross Blue Shield Of Tn | CONTRACT ADMNISTRATOR | $5,539,822 | $0 |
| Umr, Inc. | CONTRACT ADMNISTRATOR | $2,323,307 | $0 |
| Bluecross Blueshield Of Al | CONTRACT ADMINISTRATOR | $2,002,510 | $0 |
| Medpartners | CONTRACT ADMINISTRATOR | $1,666,655 | $0 |
| Optumrx | CONTRACT ADMINISTRATOR | $873,758 | $0 |
| Delta Dental | CONTRACT ADMINISTRATOR | $807,011 | $0 |
| Highmark, Inc. | CONTRACT ADMINISTRATOR | $765,888 | $0 |
| Independence Administrators | CONTRACT ADMINISTRATOR | $228,250 | $0 |
| Carelon Behavioral Health, Inc. | CONTRACT ADMINISTRATOR | $226,549 | $0 |
| Businessolver | CONTRACT ADMINISTRATOR | $132,486 | $0 |