Arizona › Health care and social assistance › 250 to 499 participants
Form 5500 statement · plan year 1 Jan 2024 to 31 Dec 2024
Sage Memorial Hospital Tax Sheltered Annuity
Sponsored by Navajo Health Foundation - Sage Memorial Hospital, Inc., Ganado, AZ
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.
Navajo Health Foundation - Sage Memorial Hospital, Inc. of Ganado, Arizona sponsors Sage Memorial Hospital Tax Sheltered Annuity, a 403(b) plan. Its Form 5500 for the plan year ending 31 Dec 2024 shows 357 participants (300 active) and $2.1M in net assets.
Net assets came to $5,869 per participant, well below the $48,746 median for defined contribution plans with 250 to 499 participants and well below 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.
Schedule C lists 5 service provider organisations paid $5,000 or more, with reported compensation of $21K: $58.95 per participant, well below the same-size median of $141. Administrative expenses charged to the plan were $10K. 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 $1.2M in 2010 to $2.1M in 2024 (up 73%), and participants from 207 to 357 (up 72%).
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
| Measure | This plan | Same size | Same industry | All US DC plans |
|---|---|---|---|---|
| Net assets per participant | $5,869 | $48,746 | $30,764 | $53,102 |
| Employer contributions per active participant | — | $2,017 | $1,536 | $2,175 |
| Schedule C compensation per participant | $58.95 | $141 | $93.85 | $123 |
| Schedule C compensation, share of net assets | 1.0% | 0.30% | 0.31% | 0.26% |
| Administrative expenses per participant | $28.65 | $133 | $86.53 | $116 |
Peer columns are medians for plan year 2024 across defined contribution plans with 100 or more participants: 250 to 499 participants (17,456 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
| Plan year | Participants | Net assets | Per participant | Employer contributions | Participant contributions | Schedule C compensation |
|---|---|---|---|---|---|---|
| 2024 | 357 | $2.1M | $5,868 | — | $391K | $21K |
| 2023 | 318 | $2.5M | $7,931 | $0 | $464K | $55K |
| 2022 | 316 | $2.0M | $6,399 | $0 | $390K | $37K |
| 2021 | 300 | $2.2M | $7,363 | — | $388K | $15K |
| 2020 | 286 | $2.1M | $7,434 | — | $344K | $14K |
| 2019 | 275 | $1.8M | $6,491 | — | $275K | $14K |
| 2018 | 274 | $1.3M | $4,909 | $1,000 | $162K | $12K |
| 2017 | 212 | $1.3M | $6,033 | — | $129K | $17K |
| 2016 | 200 | $1.1M | $5,720 | — | $106K | $10K |
| 2015 | 207 | $1.1M | $5,551 | $0 | $93K | $12K |
| 2014 | 219 | $1.4M | $6,292 | — | $61K | $12K |
| 2013 | 239 | $1.3M | $5,485 | — | $96K | $15K |
| 2012 | 246 | $1.2M | $4,809 | — | $95K | $20K |
| 2011 | 220 | $1.0M | $4,695 | — | $91K | $1,000 |
| 2010 | 207 | $1.2M | $5,855 | — | $121K | $1,000 |
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$2,522,331
- Employer contributions—
- Participant contributions$390,663
- Rollovers and other contributions$88,445
- Total contributions$479,108
- Total income, including investment results$652,855
- Benefits paid$1,061,323
- Administrative expenses$10,228
- Total expenses$1,080,090
- Net income−$427,235
- Net transfers$0
- Net assets, end of year$2,095,096
Participants
- Active participants300
- Retired or separated, receiving benefits0
- Retired or separated, entitled to future benefits57
- Participants with account balances223
- Total participants, end of year357
Fees and service providers
| Organisation | Services reported | Direct | Indirect |
|---|---|---|---|
| Hunnex & Shoemaker, Inc. | Contract Administrator | $7,329 | $2,259 |
| McCauley Investment Advisory, LLC | Recordkeeping and information management | $5,600 | $0 |
| Nationwide | Sales loads (front end and deferred); Recordkeeping fees; Other investment fees and expenses | $3,833 | $0 |
| Lincoln National Corporation | Recordkeeping and information management | $1,145 | $0 |
| Morgan Stanley Smith Barney LLC | Investment advisory (participants); Investment advisory (plan); Investment management | $0 | $879 |
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
- Contract administrator fees$10,228
- Total administrative expenses$10,228
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)$2.0M · 93.8%
- Participant loans$131K · 6.2%
Audit and compliance answers, as filed
- Accountant's opinionUnmodified (unqualified)
- Audit scope limited under ERISA section 103(a)(3)(C)Yes
- Accounting firmBaker Tilly US, LLP
- Participant contributions reported as transmitted lateYes, $195,085
- Covered by a fidelity bondYes, $220,000
- Blackout period during the yearYes
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
2FERISA section 404(c) plan2GTotal participant-directed account plan2LCode section 403(b)(1) arrangement (annuity contracts)2MCode section 403(b)(7) accounts (custodial accounts for regulated investment company stock)2TTotal or partial participant-directed account plan with a default investment account3DPre-approved pension plan
Codes entered on Form 5500 line 8a, with the labels from the official instructions. Business code 622000: Hospitals.
Other plans of Navajo Health Foundation - Sage Memorial Hospital, Inc.
| Plan | Participants | Net assets |
|---|---|---|
| Sage Memorial Hospital 401(k) Plan | 323 | $2.2M |
Similar plans in Arizona
| Plan | Sponsor | Participants | Net assets | Per participant |
|---|---|---|---|---|
| CPR 401(k) Plan | Crisis Preparation and Recovery, Inc. | 358 | $13.0M | $36,437 |
| La Paz Regional Hospital 403(b) Retirement Savings Plan | La Paz Regional Hospital | 355 | $12.4M | $34,964 |
| Arrowhead Health Management LLC 401(k) Profit Sharing Plan | Arrowhead Health Management LLC | 363 | $4.2M | $11,557 |
| Neurosurgical Associates, Ltd. Profit Sharing Plan | Neurosurgical Associates, Ltd. | 353 | $62.5M | $176,990 |
| 401(k) Profit-Sharing Plan for Employees of Child & Family Resources, | Child & Family Resources, Inc. | 368 | $4.9M | $13,276 |
| Atlantic Home Healthcare, LLC 401(k) Plan | Atlantic Home Healthcare, LLC | 350 | $353K | $1,009 |
Defined contribution plans in health care and social assistance closest in size.
Questions and answers
How big is Sage Memorial Hospital Tax Sheltered Annuity?
357 participants at the end of the plan year ending 31 Dec 2024, of whom 300 were active employees, with net assets of $2,095,096. Among defined contribution plans that places it in the 250 to 499 participants band, which held 17,456 plans in plan year 2024.
What does Navajo Health Foundation - Sage Memorial Hospital, Inc. contribute per participant?
This filing has no Schedule H financial statement, so employer contributions are not reported here.
What fees does the plan pay and how do they compare?
Schedule C reports $21,045 in compensation to service provider organisations, $58.95 per participant or 1.0% of net assets. The same-size median among plans reporting any Schedule C compensation was $141 per participant. Administrative expenses on Schedule H were $10,228. 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 Navajo Health Foundation - Sage Memorial Hospital, Inc.. Recordkeeping or administration: Hunnex & Shoemaker, Inc., McCauley Investment Advisory, LLC and Nationwide. Investment advisory or management: Morgan Stanley Smith Barney LLC. The financial statements were audited by Baker Tilly US, LLP. 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 18 Dec 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 23-7314364, plan 002, received 18 Dec 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.