2023 Form 5500 filing — Dialysis Clinic, Inc. Health & Welfare 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 20241004160705NAL0006835683001) for Dialysis Clinic, Inc. Health & Welfare Plan, reported by Dialysis Clinic, Inc. under EIN 62-0850498 and plan number 501. It reports 4,443 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
Form 5500 2 · 2023
Filing snapshot
Net assets (EOY)$10.8MReported net assets$10,842,597
Participants4.4K4,443
Provider compensation$2.3M2 Schedule C row(s)$2,337,407
Schedules filedSchedule H, Schedule CLoaded schedules
- EFAST2 acknowledgement
- 20241004160705NAL0006835683001
- Plan sponsor
- Dialysis Clinic, Inc.
- EIN
- 62-0850498
- Plan number
- 501
- Location
- Nashville, TN
- Received date
- not reported in the loaded dataset
Schedule H · 2023
Reported financial snapshot
Reported figures as filed, in whole dollars. Only fields the filing reports are shown.
Reported balance (end of year)$13.4M total assets
Net assets$10.8MLiabilities$2.6M
Full reported line items
- Total assets (EOY)
- $13,402,597
- Total liabilities (EOY)
- $2,560,000
- Net assets (EOY)
- $10,842,597
- Employer contributions
- $36,436,349
- Participant contributions
- $12,073,561
- Total income / additions
- $49,190,566
- Benefits paid
- $48,226,283
- Administrative expenses
- $5,518,609
- Total expenses
- $53,744,892
- Net increase / (decrease)
- -$4,554,326
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Bluecross Blueshield Of Tennessee | ADMINISTRATOR | $1,850,693 | $366,294 |
| Bluecross Blueshield Of Tennessee | ADMINISTRATOR | $120,420 | not reported in the loaded dataset |