2023 Form 5500 filing — Chambersburg Hospital 401(A) Plan And Trust
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 20250414101623NAL0000706819001) for Chambersburg Hospital 401(A) Plan And Trust, reported by Wellspan Health under EIN 22-2517863 and plan number 010. It reports 1,736 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250414101623NAL0000706819001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Wellspan Health
- EIN
- 22-2517863
- Plan number
- 010
- Location
- Newyork, PA
- Participants
- 1,736
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $5,288,682
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $5,288,682
- Employer contributions
- $1,236,761
- Participant contributions
- $0
- Total income / additions
- $1,889,602
- Benefits paid
- $263,182
- Administrative expenses
- $17,846
- Total expenses
- $281,028
- Net increase / (decrease)
- $1,608,574
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Stambaugh Ness, Inc. | AUDITOR | $10,900 | not reported in the loaded dataset |
| Empower Annuity Insurance Company | RECORDKEEPER | $5,895 | $0 |
| Empower Advisory Group, LLC | INVESTMENT MANAGEMENT | $1,051 | not reported in the loaded dataset |
| Td Ameritrade, Inc. | BROKERAGE SERVICES | $0 | $0 |
| Charles Schwab & Co., Inc. | SECRUITIES BROKER | $0 | not reported in the loaded dataset |