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Wisconsin › Health care and social assistance › 100 to 249 participants

Form 5500 statement · plan year 1 Jan 2024 to 31 Dec 2024

Orthopedic & Sports Institute of the Fox Valley SC 401(k) Profit Sharing Plan

Sponsored by Orthopedic & Sports Institute of the Fox Valley SC, Appleton, WI

401(k) plan

Form 5500 information is as filed by the plan administrator with the Department of Labor and may be amended. Figures reflect the plan year shown, not current balances. Form 5500 contains no individual account balances. Look up the original filing at EFAST2.

$25.5Mnet assets, end of plan year+17% on the year
142participants75 active
$179,464net assets per participantsame-size median $60,185
$7,447employer contributions per active participantsame-size median $2,447

Orthopedic & Sports Institute of the Fox Valley SC of Appleton, Wisconsin sponsors Orthopedic & Sports Institute of the Fox Valley SC 401(k) Profit Sharing Plan, a 401(k) plan. Its Form 5500 for the plan year ending 31 Dec 2024 shows 142 participants (75 active) and $25.5M in net assets.

Net assets came to $179,464 per participant, well above the $60,185 median for defined contribution plans with 100 to 249 participants and well above the $30,764 median for defined contribution plans in health care and social assistance. The figure is an average across everyone in the plan, including former employees with small balances; Form 5500 holds no individual account data.

The employer contributed $559K during the year, or $7,447 per active participant against a same-size median of $2,447; participants contributed $510K and $341K arrived as rollovers and other contributions. Benefits paid out totalled $730K.

Schedule C lists 4 service provider organisations paid $5,000 or more, with reported compensation of $85K: $600 per participant, well above the same-size median of $194. Administrative expenses charged to the plan were $94K. Schedule C does not capture every cost: fees netted from fund returns and fees the employer pays directly are outside it.

Across the filings on record, net assets went from $16.8M in 2022 to $25.5M in 2024 (up 51%), and participants from 137 to 142 (up 4%).

The independent accountant's opinion on the financial statements was unmodified (unqualified), from an audit whose scope was limited under ERISA section 103(a)(3)(C) to exclude investment information certified by a bank or insurer.

Compared with similar plans

MeasureThis planSame sizeSame industryAll US DC plans
Net assets per participant$179,464$60,185$30,764$53,102
Employer contributions per active participant$7,447$2,447$1,536$2,175
Schedule C compensation per participant$600$194$93.85$123
Schedule C compensation, share of net assets0.33%0.32%0.31%0.26%
Administrative expenses per participant$659$176$86.53$116

Peer columns are medians for plan year 2024 across defined contribution plans with 100 or more participants: 100 to 249 participants (21,996 plans), health care and social assistance (9,402) and all US plans (63,460). Fee medians cover plans that report an amount.

Trend by plan year

2022: $16.8M2023: $21.8M2024: $25.5M$16.8M$25.5M20222024
Net assets at year end
2022: 1372023: 1402024: 14213714220222024
Participants at year end
Plan yearParticipantsNet assetsPer participantEmployer contributionsParticipant contributionsSchedule C compensation
2024142$25.5M$179,465$559K$510K$85K
2023140$21.8M$155,593$655K$541K$67K
2022137$16.8M$122,818$668K$617K$43K

Years in which the plan filed the full Form 5500 with 100 or more participants, from 2009. Plan year is the year in which the plan year began.

Statement for the year

  • Net assets, beginning of year$21,782,698
  • Employer contributions$558,547
  • Participant contributions$509,755
  • Rollovers and other contributions$340,654
  • Total contributions$1,408,956
  • Total income, including investment results$4,524,542
  • Benefits paid$729,797
  • Administrative expenses$93,594
  • Total expenses$823,391
  • Net income$3,701,151
  • Net transfers$0
  • Net assets, end of year$25,483,849

Participants

  • Active participants75
  • Retired or separated, receiving benefits0
  • Retired or separated, entitled to future benefits67
  • Participants with account balances142
  • Total participants, end of year142

Fees and service providers

$85KSchedule C compensation to organisations$85K direct · $0 indirect
$600per participantsame-size median $194
0.33%of net assetssame-size median 0.32%
$94Kadministrative expenses charged to the plan$659 per participant
OrganisationServices reportedDirectIndirect
North Star Asset Management, Inc.Investment management$53,059$0
CliftonLarsonAllen Wealth AdvisorsInvestment advisory (participants); Investment advisory (plan); Investment management$23,601$0
American Trust CompanyRecordkeeping and information management$6,957$0
Map Retirement USA LLCRecordkeeping and information management$1,600$0

Schedule C, Part I line 2: providers that received $5,000 or more, with the form's own service codes. Individuals named on Schedule C (plan employees, individual trustees) are never shown and their compensation is excluded. Eligible indirect compensation disclosed by formula carries no dollar amount. See how to read Schedule C fees.

Administrative expenses on Schedule H

  • Investment advisory and management fees$85,037
  • Recordkeeping fees$8,557
  • Total administrative expenses$93,594

Investment structure

Assets at year end by Schedule H category. The form shows the kind of vehicle holding the money, not the funds on the menu.

  • Registered investment companies (mutual funds)$24.9M · 97.8%
  • Receivables$559K · 2.2%
  • Other loans$4,497 · 0.0%

Audit and compliance answers, as filed

  • Accountant's opinionUnmodified (unqualified)
  • Audit scope limited under ERISA section 103(a)(3)(C)Yes
  • Participant contributions reported as transmitted lateNo
  • Covered by a fidelity bondYes, $1,000,000
  • Blackout period during the yearNo

These are the plan administrator's own answers on Schedule H, Part IV. A reported late transmittal is the filer's disclosure of a timing lapse, usually corrected through the Department of Labor's voluntary program; the amount is the total involved, not a loss.

Plan characteristics

  • 2EProfit-sharing plan
  • 2FERISA section 404(c) plan
  • 2GTotal participant-directed account plan
  • 2JCode section 401(k) feature
  • 2KCode section 401(m) arrangement
  • 2RParticipant-directed brokerage accounts provided as an investment option under the plan
  • 3DPre-approved pension plan

Codes entered on Form 5500 line 8a, with the labels from the official instructions. Business code 621399: Offices of all Other Miscellaneous Health Practitioners.

Similar plans in Wisconsin

PlanSponsorParticipantsNet assetsPer participant
Fox Valley Surgical Associates Ltd. 401(k) PlanFox Valley Surgical Associates, Ltd.143$25.5M$178,575
Defined Contribution Pension Plan for Employees of Attic Correctional Services, Inc.Attic Correctional Services, Inc.141$4.2M$29,609
Green Bay Oncology, Ltd. Employees Profit Sharing 401(k) PlanGreen Bay Oncology, Ltd.144$23.0M$160,033
Matthias Academy 401(k) PlanMatthias Academy Corporation139$267K$1,918
403(b) Thrift Plan for Employees of Sojourner Family Peace Center, Inc.Sojourner Family Peace Center, Inc.145$4.0M$27,833
Rainbow Hospice Care 401(k) PlanRainbow Hospice Care, Inc.138$6.3M$45,385

Defined contribution plans in health care and social assistance closest in size.

Questions and answers

How big is Orthopedic & Sports Institute of the Fox Valley SC 401(k) Profit Sharing Plan?

142 participants at the end of the plan year ending 31 Dec 2024, of whom 75 were active employees, with net assets of $25,483,849. Among defined contribution plans that places it in the 100 to 249 participants band, which held 21,996 plans in plan year 2024.

What does Orthopedic & Sports Institute of the Fox Valley SC contribute per participant?

The filing reports $558,547 in employer contributions for the year, which is $7,447 per active participant; the median for plans of the same type and size was $2,447 in plan year 2024. Form 5500 reports the total only. It does not state the match formula, and the per-participant figure is an average, not any one person's contribution.

What fees does the plan pay and how do they compare?

Schedule C reports $85,217 in compensation to service provider organisations, $600 per participant or 0.33% of net assets. The same-size median among plans reporting any Schedule C compensation was $194 per participant. Administrative expenses on Schedule H were $93,594. Investment costs deducted inside mutual funds and other pooled vehicles are not itemised on Form 5500, so these figures are a floor rather than a full cost.

Who runs the plan?

The sponsor is Orthopedic & Sports Institute of the Fox Valley SC. Recordkeeping or administration: American Trust Company and Map Retirement USA LLC. Investment advisory or management: North Star Asset Management, Inc. and CliftonLarsonAllen Wealth Advisors. Form 5500 also names the plan administrator's signer and other individuals; this site publishes organisations only.

Was the audit opinion unqualified?

The filing reports an unmodified (unqualified) opinion from a limited-scope audit, in which the accountant did not audit investment information certified by a bank or insurance company. Unmodified (formerly "unqualified") is the standard clean opinion.

How current is this, and does it show my balance?

This is the Form 5500 for the plan year 1 Jan 2024 to 31 Dec 2024, received by the Department of Labor on 13 Oct 2025. Filings are due seven months after the plan year ends, or nine and a half with an extension, so the public record always runs a year or more behind. It contains plan-level totals only: no individual balances, contributions or names of participants exist in the data.

Provenance

Source: U.S. Department of Labor, Employee Benefits Security Administration, Form 5500 research files (Form 5500, Schedule H, Schedule C) for plan years 2009 to 2025, public domain, with filings received through 24 Aug 2026. This page shows the latest filing on record for EIN 16-1625172, plan 001, received 13 Oct 2025; an amended filing replaces it at the next build. Medians and percentiles are computed by this site; see the methodology. Report an error through corrections.