2023 Form 5500 filing — Calvary Fellowship Homes, Inc. Group Medical Plan (503)
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 20241106143647NAL0009083921001) for Calvary Fellowship Homes, Inc. Group Medical Plan (503), reported by Calvary Fellowship Homes, Inc. under EIN 23-1606038 and plan number 503. It reports 77 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241106143647NAL0009083921001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Calvary Fellowship Homes, Inc.
- EIN
- 23-1606038
- Plan number
- 503
- Location
- Lancaster, PA
- Participants
- 77
- Schedules available
- Schedule I, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $130,509
- Total liabilities (EOY)
- $90,374
- Net assets (EOY)
- $40,135
- Employer contributions
- $1,131,146
- Participant contributions
- $121,575
- Total income / additions
- $1,255,923
- Benefits paid
- $779,928
- Administrative expenses
- $10,111
- Total expenses
- $1,291,603
- Net increase / (decrease)
- -$35,680
- Schedule source
- Schedule I
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Assured Partners (Central Pa) | BROKER | $31,045 | not reported in the loaded dataset |
| Highmark Blue Shield (Central) | ADMIN | $19,311 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $14,406 | not reported in the loaded dataset |
| Lr Webber | BROKER | $8,759 | not reported in the loaded dataset |
| Connectcare3 | PATIENT ADVOCATE | $3,548 | not reported in the loaded dataset |