Original filing (PDF)20251014152634NAL0003281809001

GOOD SAMARITAN FAMILY HEALTH CENTER INC.

Name: GOOD SAMARITAN FAMILY HEALTH CENTER INC. — FAMILY HEALTH CENTER 403(B) PLAN, Form 5500 (2024)
Creator: GOOD SAMARITAN FAMILY HEALTH CENTER INC.

Form 5500

FILING_RECEIVED

FAMILY HEALTH CENTER 403(B) PLAN

403(b) retirement plan

Signals · 1

Possibly inadequate fidelity bond

Active participants

240

Accounts w/ balance

235

Plan assets (EOY)

$2.1M

Net assets (EOY)

$2.1M

How this plan invests

This plan

1 pooled trust

Schedule D

44 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

Fidelity bond appears below the 10%-of-assets requirement.

Decision-maker contacts

One unlock reveals every key decision-maker — plan signer, CFO, HR & Benefits — with verified email + LinkedIn for GOOD SAMARITAN FAMILY HEALTH CENTER INC..

Plan sponsor

Name

GOOD SAMARITAN FAMILY HEALTH CENTER INC.

EIN

82-2966384

Address

702 OLD WHEATLAND ROAD · VINCENNES, IN · 47591

Phone

(812) 494-9501

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

2025-10-14

Pension benefit codes

2F · ERISA section 404(c)

2G · Total participant-directed accounts

2L · 403(b)(1) annuity

2M · 403(b)(7) custodial accounts

2S · Automatic enrollment

2T · Default investment account (QDIA)

3D · Pre-approved plan (master / prototype / VS)

Audit & trust (Schedule H)

Service providers (Schedule C)

2 rows

Recordkeeper

Name	EIN	Location	Relation	Direct comp	Indirect comp
EMPOWER ANNUITY INSURANCE COMPANY	—	GREENWOOD VILLAGE, CO	RECORDKEEPER	$10K	—
EMPOWER ADVISORY GROUP, LLC	—	GREENWOOD VILLAGE, CO	INVESTMENT MGMT	$673	—

Investments

44 direct securities · 1 pooled fund· $3.0M(100% of reported assets)

Rows tagged as a trust or pooled fund hold many underlying securities. Click one to drill into its own Schedule of Assets — where the individual funds, shares, and CUSIPs live.

Other securities

$3.0M

42 holdings

Participant loans

$7K

2 holdings

Pooled Separate Account

$2K

1 holding

					% of plan
T Rowe Price Retirement 2040 I Mutual fund	Other securities	—	—	$512K	24.9%
T Rowe Price Retirement 2035 I Mutual fund	Other securities	—	—	$328K	16.0%
T. Rowe Price Retirement I 2040 I Mutual fund	Other securities	—	—	$309K	15.0%
T Rowe Price Retirement 2050 I Mutual fund	Other securities	—	—	$222K	10.8%
T Rowe Price Retirement 2045 I Mutual fund	Other securities	—	—	$167K	8.1%
T Rowe Price Retirement 2030 I Mutual fund	Other securities	—	—	$166K	8.1%
T. Rowe Price Retirement I 2035 I Mutual fund	Other securities	—	—	$148K	7.2%
T Rowe Price Retirement 2055 I Mutual fund	Other securities	—	—	$101K	4.9%
T. Rowe Price Retirement I 2020 I Mutual fund	Other securities	—	—	$95K	4.6%
T Rowe Price Retirement 2025 I Mutual fund	Other securities	—	—	$94K	4.5%
T. Rowe Price Retirement I 2050 I Mutual fund	Other securities	—	—	$87K	4.2%
Fidelity 500 Index Mutual fund	Other securities	—	—	$81K	4.0%
T. Rowe Price Retirement I 2030 I Mutual fund	Other securities	—	—	$77K	3.8%
T Rowe Price Retirement 2060 I Mutual fund	Other securities	—	—	$74K	3.6%
T. Rowe Price Retirement I 2060 I Mutual fund	Other securities	—	—	$70K	3.4%
T Rowe Price Retirement 2065 I Mutual fund	Other securities	—	—	$65K	3.2%
T Rowe Price Retirement 2020 I Mutual fund	Other securities	—	—	$61K	3.0%
T. Rowe Price Retirement I 2045 I Mutual fund	Other securities	—	—	$48K	2.3%
T. Rowe Price Retirement I 2055 I Mutual fund	Other securities	—	—	$31K	1.5%
Fidelity Total International Index Mutual fund	Other securities	—	—	$31K	1.5%
MFS Intl Diversification R6 Mutual fund	Other securities	—	—	$29K	1.4%
Fidelity 500 Index Mutual fund	Other securities	—	—	$27K	1.3%
T. Rowe Price Retirement I 2025 I Mutual fund	Other securities	—	—	$26K	1.3%
Fidelity Extended Market Index Mutual fund	Other securities	—	—	$24K	1.2%
T. Rowe Price Retirement I 2065 I Mutual fund	Other securities	—	—	$22K	1.1%
Fidelity US Bond Index Mutual fund	Other securities	—	—	$21K	1.0%
Blackrock Advantage Small Cap Core K Mutual fund	Other securities	—	—	$17K	0.8%
JP Morgan Mid Cap Equity R6 Mutual fund	Other securities	—	—	$16K	0.8%
Pimco Total Return Instl Mutual fund	Other securities	—	—	$15K	0.7%
Fidelity US Bond Index Mutual fund	Other securities	—	—	$11K	0.5%
Fidelity Total International Index Mutual fund	Other securities	—	—	$9K	0.4%
MFS Intl Diversification R6 Mutual fund	Other securities	—	—	$8K	0.4%
JP Morgan US Equity R6 Mutual fund	Other securities	—	—	$8K	0.4%
Pimco Real Return Instl Mutual fund	Other securities	—	—	$6K	0.3%
Fidelity Extended Market Index Mutual fund	Other securities	—	—	$6K	0.3%
JP Morgan Mid Cap Equity R6 Mutual fund	Other securities	—	—	$5K	0.3%
JP Morgan US Equity R6 Mutual fund	Other securities	—	—	$5K	0.3%
Blackrock Advantage Small Cap Core K Mutual fund	Other securities	—	—	$5K	0.2%
Pimco Total Return Instl Mutual fund	Other securities	—	—	$5K	0.2%
Participant loans maturing in 2027) -0-	Participant loans	—	—	$4K	0.2%
Participant loans maturing in 2027) -0-	Participant loans	—	—	$3K	0.1%
Pimco Real Return Instl Mutual fund	Other securities	—	—	$2K	0.1%
Empower Secure Foundation Bal Inst Pooled separate account	Other securities	—	—	$2K	0.1%
FUTUREFUNDS SERIES ACCOUNT II OF GR EMPOWER ANNUITY INSURANCE COMPANY OF AMERICA · EIN 84-0467907 / PN 003	Pooled Separate Account	—	—	$2K	0.1%
^ EI Fixed Account - Series Class V FBRIC	Other securities	—	—	$2K	<0.1%