2023 Form 5500 filing — Community Hospitals Of Indiana Replacement 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 20241015104417NAL0047421696001) for Community Hospitals Of Indiana Replacement Plan, reported by Community Health Network, Inc. under EIN 35-0983617 and plan number 003. It reports 1,303 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241015104417NAL0047421696001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Community Health Network, Inc.
- EIN
- 35-0983617
- Plan number
- 003
- Location
- Indianapolis, IN
- Participants
- 1,303
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $10,465,091
- Total liabilities (EOY)
- $17,795
- Net assets (EOY)
- $10,447,296
- Employer contributions
- $2,805,728
- Total income / additions
- $4,170,378
- Benefits paid
- $3,524,306
- Administrative expenses
- $622,725
- Total expenses
- $4,147,031
- Net increase / (decrease)
- $23,347
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Mercer | ACTUARY | $212,777 | not reported in the loaded dataset |
| Mercer | ACTUARY | $177,345 | not reported in the loaded dataset |
| Mercer | ACTUARY | $167,951 | not reported in the loaded dataset |
| Northern Trust | TRUSTEE | $46,149 | not reported in the loaded dataset |
| Northern Trust | TRUSTEE | $29,666 | not reported in the loaded dataset |