2023 Form 5500 filing — Ellis Hospital 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 20240927104124NAL0003401088001) for Ellis Hospital Medical Plan, reported by Ellis Hospital under EIN 14-1338428 and plan number 501. It reports 2,116 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240927104124NAL0003401088001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Ellis Hospital
- EIN
- 14-1338428
- Plan number
- 501
- Location
- Schenectady, NY
- Participants
- 2,116
- 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. |
|---|---|---|---|
| Mvp Select Care | CLAIM ADMINISTRATOR | $324,290 | not reported in the loaded dataset |