Back to filter
Original filing (PDF)20251015134713NAL0004719361001
TRI STATE COMMUNITY HEALTH CENTER
Form 5500
FILING_RECEIVED
TRI STATE COMMUNITY HEALTH CENTER TAX SHELTERED SAVINGS PLAN
403(b) retirement plan
Signals · 1
6 service providers
Active participants
155
Accounts w/ balance
244
Plan assets (EOY)
$9.1M
Net assets (EOY)
$9.1M
How this plan invests
This plan
42 securities
funds · stocks · CUSIPs
Holdings are itemized directly on this plan's Schedule of Assets, below.
Plan health score (directional)
100
/ 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
100
Vendor stack
100
Participation health
100
Decision-maker contacts
CFO / Head of HR / Benefits Manager — verified email + LinkedIn for TRI STATE COMMUNITY HEALTH CENTER.
Plan sponsor
Name
TRI STATE COMMUNITY HEALTH CENTER
EIN
52-1516829
Address
109 RAYLOC DRIVE · HANCOCK, MD · 21750
Phone
(301) 678-5187
Industry
Offices of Physicians· 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
2025-10-15
Pension benefit codes
2L · 403(b)(1) annuity
2T · Default investment account (QDIA)
2G · Total participant-directed accounts
Audit & trust (Schedule H)
Auditor
SMITH ELLIOTT KEARNS & COMPANY, LLC
Trustee / custodian
—
Trustee phone
—
Service providers (Schedule C)
6 rowsRecordkeeper
2| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| NATIONWIDE | — | COLUMBUS, OH | RECORDKEEPER | $39K | — |
| NATIONWIDE | 31-4156830 | — | RECORD KEEPER | $898 | — |
Advisor / Consultant
3| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| PROACCOUNT | 73-0988442 | COLUMBUS, OH | INVESTMENT ADVISORY | $10K | — |
| WILSHIRE ASSOCIATES INC. | — | SANTA MONICA, CA | INVESTMENT ADVISORY | $4K | — |
| RBC CAPITAL MARKETS LLC | — | MINNEAPOLIS, MN | INVESTMENT ADVISER | $0 | — |
TPA / Administrator
1| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| CBIZ BENEFITS & INSURANCE SERVICES | 31-1582098 | — | TPA | $2K | — |
Investments
41 direct securities· $8.4M(92% of reported assets)
| PI | Investment | Type | Shares / units | Cost | Current value | % of plan |
|---|---|---|---|---|---|---|
| American Funds American Funds 2030 Target Date Retirement Fund R6 | — | — | — | $985K | 10.8% | |
| American Funds American Funds 2020 Target Date Retirement Fund R6 | — | — | — | $819K | 9.0% | |
| American Funds American Funds 2045 Target Date Retirement Fund R6 | — | — | — | $765K | 8.4% | |
| American Funds American Funds 2055 Target Date Retirement Fund R6 | — | — | — | $706K | 7.7% | |
| Fidelity 500 Index Fund | — | — | — | $669K | 7.3% | |
| American Funds American Funds 2035 Target Date Retirement Fund R6 | — | — | — | $664K | 7.3% | |
| Federated Hermes Federated Hermes Government Obligations Fund Premier | — | — | — | $616K | 6.7% | |
| American Funds American Funds 2060 Target Date Retirement Fund R6 | — | — | — | $492K | 5.4% | |
| American Funds American Funds 2025 Target Date Retirement Fund R6 | — | — | — | $270K | 2.9% | |
| American Funds American Funds 2040 Target Date Retirement Fund R6 | — | — | — | $228K | 2.5% | |
| Fidelity U.S. Bond Index Fund | — | — | — | $192K | 2.1% | |
| BlackRock Total Return K | — | — | — | $190K | 2.1% | |
| Participant Loans Interest ranging from 4.25%-9.50% 0 | — | — | — | $177K | 1.9% | |
| PGIM Funds (Prudential) PGIM Total Return Bond R6 | — | — | — | $118K | 1.3% | |
| Dodge & Cox Dodge & Cox International Stock Fund | — | — | — | $101K | 1.1% | |
| Goldman Sachs Goldman Sachs GQG Ptnrs Intl Opps R6 | — | — | — | $99K | 1.1% | |
| JPMorgan Equity Income R5 | — | — | — | $97K | 1.1% | |
| PIMCO Real Return Instl | — | — | — | $92K | 1.0% | |
| Fidelity Inflation Protected Bond Index Fund | — | — | — | $90K | 1.0% | |
| Nationwide Loomis All Cap Gr R6 | — | — | — | $90K | 1.0% | |
| Fidelity International Index Fund | — | — | — | $87K | 0.9% | |
| American Funds American Funds 2065 Target Date Retirement Fund R6 | — | — | — | $84K | 0.9% | |
| Avantis U.S. Large Cap Value Inst | — | — | — | $83K | 0.9% | |
| JPMorgan Large Cap Growth R6 | — | — | — | $83K | 0.9% | |
| BlackRock High Yield Bond Portfolio K | — | — | — | $77K | 0.8% | |
| Avantis Emerging Markets Equity Fund - Inst | — | — | — | $75K | 0.8% | |
| Fidelity Total International Index Fund | — | — | — | $68K | 0.7% | |
| Fidelity Mid Cap Index Fund | — | — | — | $45K | 0.5% | |
| MFS Investment Management MFS Mid Cap Growth Fund Class R6 | — | — | — | $44K | 0.5% | |
| Diamond Hill Funds Diamond Hill Mid Cap Fund Class I | — | — | — | $44K | 0.5% | |
| Principal Funds Principal Global Real Estate Sec R6 | — | — | — | $43K | 0.5% | |
| Franklin Templeton Legal & General Commodity Strategy Fund - Inst | — | — | — | $38K | 0.4% | |
| AllianceBerstein AB Global Bond Fund - Class Z | — | — | — | $38K | 0.4% | |
| PGIM Funds (Prudential) PGIM High Yield Fund Class R6 | — | — | — | $38K | 0.4% | |
| Avantis U.S. Small Cap Value Inst | — | — | — | $29K | 0.3% | |
| Vanguard Explorer Adm | — | — | — | $27K | 0.3% | |
| # The difference of $20,539 compared to the balance on the statement of net assets available for plan benefits | — | — | — | $21K | 0.2% | |
| Dimensional Fund Advisors DFA Inflation-Protected Securities I | — | — | — | $17K | 0.2% | |
| Principal Funds Principal Global Real Estate Institutional Fund | — | — | — | $2K | <0.1% | |
| Vanguard Short Term Bond Index Adm | — | — | — | $1K | <0.1% | |
| American Funds American Funds EuroPacific Growth R6 | — | — | — | $1K | <0.1% |