2023 Form 5500 filing — Kci Holding Usa, Inc. Employee Health Care 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 20241015163014NAL0030346849013) for Kci Holding Usa, Inc. Employee Health Care Plan, reported by Kci Holding Usa, Inc. under EIN 76-0432472 and plan number 501. It reports 2,085 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241015163014NAL0030346849013
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Kci Holding Usa, Inc.
- EIN
- 76-0432472
- Plan number
- 501
- Location
- Springfield, OH
- Participants
- 2,085
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $8,528,950
- Net assets (EOY)
- $8,528,950
- Employer contributions
- $34,591,962
- Participant contributions
- $2,942,929
- Total income / additions
- $37,594,827
- Benefits paid
- $33,656,121
- Administrative expenses
- $2,494,286
- Total expenses
- $36,150,407
- Net increase / (decrease)
- $1,444,420
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Allegiance Benefit Plan Mgmt, Inc. | BENEFIT ADMINISTRATOR | $539,438 | $4,396 |
| Cvs Health | PRESCRIPTION ADMIN | $155,133 | not reported in the loaded dataset |
| Delta Dental Of Ohio | BENEFIT ADMINISTRATOR | $76,649 | not reported in the loaded dataset |
| Allegiance Cobra Services, Inc. | BENEFIT ADMINISTRATOR | $33,027 | not reported in the loaded dataset |
| Lincoln National Life Insurance Co | BENEFIT ADMINISTRATOR | $12,483 | not reported in the loaded dataset |
| Allegiance Care Management, Inc. | BENEFIT ADMINISTRATOR | $733 | not reported in the loaded dataset |