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)

Compensation reported on the 2023 filing
ProviderServiceDirect comp.Indirect comp.
Blue Cross Blue Shield Of TnCONTRACT ADMNISTRATOR$5,539,822$0
Umr, Inc.CONTRACT ADMNISTRATOR$2,323,307$0
Bluecross Blueshield Of AlCONTRACT ADMINISTRATOR$2,002,510$0
MedpartnersCONTRACT ADMINISTRATOR$1,666,655$0
OptumrxCONTRACT ADMINISTRATOR$873,758$0
Delta DentalCONTRACT ADMINISTRATOR$807,011$0
Highmark, Inc.CONTRACT ADMINISTRATOR$765,888$0
Independence AdministratorsCONTRACT ADMINISTRATOR$228,250$0
Carelon Behavioral Health, Inc.CONTRACT ADMINISTRATOR$226,549$0
BusinessolverCONTRACT ADMINISTRATOR$132,486$0

Related Form 5500 pages