Original filing (PDF)20251015130743NAL0009390626001

Bertrand Chaffee Hospital, Inc.

Name: Bertrand Chaffee Hospital, Inc. — Bertrand Chaffee, Form 5500 (2024)
Creator: Bertrand Chaffee Hospital, Inc.
License: https://www.usa.gov/government-works

Form 5500

FILING_RECEIVED

Bertrand Chaffee Hospital 403 B Retirement Plan

403(b) retirement plan · Bertrand Chaffee Hospital, Inc.'s Bertrand Chaffee Hospital 403 B Retirement Plan held $8.5M in plan assets for 217 participants in 2024, with Voya as recordkeeper.

Signals · 3

Late participant contributionsNon-clean audit opinion11% employer stock

Active participants

217

Accounts w/ balance

265

Plan assets (EOY)

$8.5M

Net assets (EOY)

$8.5M

How this plan invests

This plan

28 securities

funds · stocks · CUSIPs

Holdings are itemized directly on this plan's Schedule of Assets, below.

Plan health score

Above-average plan

Directional indicator from public Form 5500 data — compliance & integrity, total plan cost, participant health and vendor stack, benchmarked against same-size peers. Not a fiduciary tool.

Compliance & integrity

Total plan cost

Plan health

Vendor & structure

100

Knocking points off

Delinquent participant contributions reported (Schedule H 4a) — 28K (2% of contributions).
Auditor issued a qualified / adverse / disclaimer opinion.

Decision-maker contacts

One unlock reveals every key decision-maker — plan signer, CFO, HR & Benefits — with verified email + LinkedIn for BERTRAND CHAFFEE HOSPITAL, INC..

Plan sponsor

Name

BERTRAND CHAFFEE HOSPITAL, INC.

EIN

16-0743921all filings

Address

224 EAST MAIN STREET · SPRINGVILLE, NY · 14141

Phone

(716) 592-2871

Industry

Health Care & Social Assistance

Plan administrator

Same as plan sponsor.

Plan characteristics

Plan number

002

Plan year

2024

Plan year begin

2024-01-01

Tax period

2024-12-31

Filed

2025-10-15

Pension benefit codes

2F · ERISA section 404(c)

2G · Total participant-directed accounts

2L · 403(b)(1) annuity

2M · 403(b)(7) custodial accounts

2R · Participant-directed brokerage (SDBA)

Audit & trust (Schedule H)

Auditor

FREED MAXICK P.C.

Trustee / custodian

—

Trustee phone

—

Service providers (Schedule C)

2 rows

Recordkeeper

Name	EIN	Location	Relation	Direct comp	Indirect comp
VOYA RETIREMENT INSURANCE & ANNUITY	71-0294708	—	SERVICE PROVIDER	$52K	—

Broker

Name	EIN	Location	Relation	Direct comp	Indirect comp
MML INSURANCE AGENCY, LLC	—	BOSTON, MA	BROKER/DEALER	$0	—

Investments

28 direct securities· $8.5M(100% of reported assets)

Mutual Funds

$7.0M

17 holdings

Common Stocks

$911K

1 holding

Common Collective Trusts

$270K

5 holdings

Other securities

$174K

4 holdings

Bonds / Notes

$133K

1 holding

					% of plan
American Funds American Funds Washington Mutual Investors Fund	Mutual Funds	—	—	$1.6M	18.3%
Voya Retirement Insurance and Annuity Company* Voya Fixed Plus Account III	Common Stocks	—	—	$911K	10.7%
Vanguard Target Retirement 2060 Fund	Mutual Funds	—	—	$889K	10.5%
Vanguard Target Retirement 2050 Fund	Mutual Funds	—	—	$778K	9.2%
Vanguard LifeStrategy Moderate Growth Fund	Mutual Funds	—	—	$639K	7.5%
Vanguard Target Retirement 2035 Fund	Mutual Funds	—	—	$619K	7.3%
Nuveen Large-Cap Growth Fund R6	Mutual Funds	—	—	$468K	5.5%
Vanguard Target Retirement 2025 Fund	Mutual Funds	—	—	$389K	4.6%
Vanguard LifeStrategy Growth Fund	Mutual Funds	—	—	$388K	4.6%
Vanguard Target Retirement 2030 Fund	Mutual Funds	—	—	$358K	4.2%
Vanguard Target Retirement 2055 Fund	Mutual Funds	—	—	$207K	2.4%
Vanguard Target Retirement 2045 Fund	Mutual Funds	—	—	$157K	1.9%
Vanguard Target Retirement Income Fund	Mutual Funds	—	—	$156K	1.8%
Vanguard Target Retirement 2040 Fund	Mutual Funds	—	—	$149K	1.8%
Bertrand Chaffee Hospital 403(b) Retirement Plan * Participant loans (interest rates from 4.25% to 9.50%)	Bonds / Notes	—	—	$133K	1.6%
Vanguard Mid-Cap Index Fund - Admiral	Common Collective Trusts	—	—	$129K	1.5%
Voya* Voya Intermediate Bond Fund R6	Other securities	—	—	$108K	1.3%
Vanguard Target Retirement 2070 Fund	Mutual Funds	—	—	$102K	1.2%
Vanguard 500 Index Fund - Admiral	Common Collective Trusts	—	—	$89K	1.1%
American Funds American Funds New Perspective Fund - R6	Mutual Funds	—	—	$55K	0.6%
Vanguard Target Retirement 2020 Fund	Mutual Funds	—	—	$55K	0.6%
Vanguard Small-Cap Value Index Fund - Admiral	Common Collective Trusts	—	—	$41K	0.5%
Vanguard Lifestrat Cns Gr Fund Inv	Mutual Funds	—	—	$31K	0.4%
Victory Sycamore Established Value Fund - R6	Other securities	—	—	$26K	0.3%
PGIM High Yield Fund Q	Other securities	—	—	$22K	0.3%
Eaton Vance Eaton Vance-Atlanta Capital SMID-Cap Fund - R6	Other securities	—	—	$18K	0.2%
Vanguard Small-Cap Index Fund - Admiral	Common Collective Trusts	—	—	$8K	<0.1%
Vanguard Intermediate Term Bond Index Fund - Admiral	Common Collective Trusts	—	—	$3K	<0.1%