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Original filing (PDF)20250812151155NAL0023229426001
SAMARITAN BETHANY, INC.
Form 5500
FILING_RECEIVED
SAMARITAN BETHANY, INC. 403(B) RETIREMENT PLAN
403(b) retirement plan
Active participants
136
Accounts w/ balance
235
Plan assets (EOY)
$5.8M
Net assets (EOY)
$5.8M
How this plan invests
This plan
26 pooled trusts
Schedule D
46 securities
funds · stocks · CUSIPs
Holdings are itemized directly on this plan's Schedule of Assets, below.
Plan health score (directional)
95
/ 100
Grade A
Top-tier plan health
Directional indicator computed from public Form 5500 data — compliance, concentration, cost, vendor stack and participation. Not a fiduciary tool.
Compliance & disclosures
100
Concentration risk
100
Total plan cost
80
Vendor stack
100
Participation health
100
Knocking points off
- 63 bps in Schedule C fees — modestly above peer band of 52 bps.
Decision-maker contacts
CFO / Head of HR / Benefits Manager — verified email + LinkedIn for SAMARITAN BETHANY, INC..
Plan sponsor
Name
SAMARITAN BETHANY, INC.
EIN
41-1373420
Address
101 7TH STREET NW · PO BOX 5947 · ROCHESTER, MN · 55903
Phone
(507) 289-5042
Industry
Health Care & Social Assistancesee all
Plan administrator
Same as plan sponsor.
Plan characteristics
Plan number
001
Plan year
2024
Plan year begin
2024-01-01
Tax period
2024-12-31
Filed
2025-08-12
Pension benefit codes
2E · Profit-sharing
2F · ERISA section 404(c)
2G · Total participant-directed accounts
2K · 401(m) arrangement
2M · 403(b)(7) custodial accounts
2T · Default investment account (QDIA)
3D · Pre-approved plan (master / prototype / VS)
Audit & trust (Schedule H)
Auditor
CLIFTONLARSONALLEN LLP
Trustee / custodian
—
Trustee phone
—
Service providers (Schedule C)
2 rowsRecordkeeper
1| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| PENSERV PLAN SERVICES, INC. | — | WEST COLUMBIA, SC | RECORDKEEPER | $9K | — |
Advisor / Consultant
1| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| EFS ADVISOR | — | CAMBRIDGE, MN | ADVISOR | $28K | — |
Investments
31 direct securities · 26 pooled funds· $5.8M(100% of reported assets)
Rows tagged as a trust or pooled fund hold many underlying securities. Their holdings are itemized on each fund’s own Form 5500.
Uncategorized
$5.5M
31 holdings
Pooled Separate Account
$311K
26 holdings
| PI | Investment | Type | Shares / units | Cost | Current value | % of plan |
|---|---|---|---|---|---|---|
| PRUDENTIAL GUARANTEED INCOME FUND 42 | — | — | — | $983K | 16.8% | |
| VANGUARD WELLINGTON ADMIRAL | — | — | — | $959K | 16.4% | |
| VANGUARD TOTAL STOCK MKT IDX ADM | — | — | — | $646K | 11.1% | |
| VANGUARD SMALL CAP INDEX ADM | — | — | — | $376K | 6.4% | |
| VANGUARD TARGET RETIREMENT 2035 INV | — | — | — | $363K | 6.2% | |
| VANGUARD TARGET RETIREMENT 2050 INV | — | — | — | $350K | 6.0% | |
| VANGUARD TARGET RETIREMENT 2030 INV | — | — | — | $288K | 4.9% | |
| VANGUARD TARGET RETIREMENT 2040 INV | — | — | — | $205K | 3.5% | |
| SCHWAB US MID-CAP INDEX MATRIX | — | — | — | $198K | 3.4% | |
| VALIC FIXED ACCOUNT PLUS | — | — | — | $191K | 3.3% | |
| VANGUARD TARGET RETIREMENT 2055 INV | — | — | — | $136K | 2.3% | |
| T. ROWE PRICE TARGET 2060 I | — | — | — | $134K | 2.3% | |
| FIDELITY INTERNATIONAL INDEX MATRIX | — | — | — | $115K | 2.0% | |
| VANGUARD WELLINGTON FUND INC VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $109K | 1.9% | |
| VANGUARD TARGET RETIREMENT 2045 INV | — | — | — | $98K | 1.7% | |
| VANGUARD TARGET RETIREMENT INCOME INV 9 VANGUARD VALUE INDEX ADM | — | — | — | $85K | 1.5% | |
| VANGUARD SHORT-TERM INFLATION PROTECTED SEC INDEX ADM | — | — | — | $64K | 1.1% | |
| Participants Participant Loans Rates from 5.25-10.50% | — | — | — | $62K | 1.1% | |
| DFA US VECTOR EQUITY MATRIX | — | — | — | $43K | 0.7% | |
| GS VIT GOV MONEY MKT FD INST VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $37K | 0.6% | |
| VANGUARD EXPLORER ADM | — | — | — | $36K | 0.6% | |
| GROWTH FUND VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $31K | 0.5% | |
| MID CAP INDEX FUND VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $29K | 0.5% | |
| VANGUARD EMERGING MARKETS STOCK INDEX ADM | — | — | — | $27K | 0.5% | |
| VANGUARD TARGET RETIREMENT 2025 INV | — | — | — | $25K | 0.4% | |
| VANGUARD LIFESTRATEGY MODERA VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $24K | 0.4% | |
| VANGUARD TARGET RETIREMENT 2020 INV | — | — | — | $24K | 0.4% | |
| Similar Party Description of Investment Value ** Value VANGUARD INTERM-TERM BOND INDEX ADM | — | — | — | $22K | 0.4% | |
| VALIC SHORT TERM FIXED ACCOUNT | — | — | — | $22K | 0.4% | |
| VANGUARD WINDSOR II VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $21K | 0.4% | |
| VANGUARD 500 INDEX MATRIX | — | — | — | $20K | 0.3% | |
| VANGUARD SMALL CAP VALUE INDEX ADMIRAL | — | — | — | $17K | 0.3% | |
| STOCK INDEX FUND VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $14K | 0.2% | |
| EMERGING ECONOMIES VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $14K | 0.2% | |
| T. ROWE PRICE INTL BD (USD HDCD) I | — | — | — | $10K | 0.2% | |
| VANGUARD GROWTH INDEX ADMIRAL | — | — | — | $10K | 0.2% | |
| VC I CONSERV GROWTH LIFESTYLE VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $9K | 0.1% | |
| VANGUARD MID-CAP GROWTH INDEX ADMIRAL | — | — | — | $8K | 0.1% | |
| MODERATE GROWTH LIFESTYLE VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $6K | <0.1% | |
| CORE BOND FUND VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $5K | <0.1% | |
| VANGUARD TOTAL BOND MARKET INDEX ADM | — | — | — | $5K | <0.1% | |
| VANGUARD INFORMATION TECHNOLOGY INDEX MATRIX | — | — | — | $4K | <0.1% | |
| SYSTEMATIC GROWTH FUND VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $3K | <0.1% | |
| VANGUARD LIFESTRATEGY CONSER VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $3K | <0.1% | |
| SYSTEMATIC VALUE VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $2K | <0.1% | |
| INTERNATL EQUITIES INDEX FUND VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $1K | <0.1% | |
| SMALL CAP INDEX FUND VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $629 | <0.1% | |
| INFLATION PROTECTED FUND VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $589 | <0.1% | |
| AGGRESSIVE GROWTH LIFESTYLE VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $242 | <0.1% | |
| INTERNATIONAL VALUE FUND VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $156 | <0.1% | |
| INTL OPPORTUNITIES VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $127 | <0.1% | |
| SMALL CAP GROWTH FUND VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $89 | <0.1% | |
| SCIENCE & TECHNOLOGY FUND VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $32 | <0.1% | |
| MID CAP STRATEGIC GWTH VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $4 | <0.1% | |
| MID CAP VALUE FUND VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $3 | <0.1% | |
| SMALL CAP SPECIAL VALUE FUND VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $3 | <0.1% | |
| VANGUARD LONG-TERM TREASURY VARIABLE ANNUITY LIFE INSURANCE CO. · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $2 | <0.1% |
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