Commonspirit Health 401(k) Review & Grade
Commonspirit Health 401(k) Retirement Savings Plan
Erlanger, KYHealth Care & Social Assistance91,161 active participantsPlan year 2024✓ Auto-enroll
Estimate from the plan's Form 5500 filing · How we grade
$3,800Employer $ per active participant
$6,389Employee $ saved per active participant
0.02%Direct admin cost, % of plan assets
$8.8BNet plan assets, end of year
–Average balance per account (account count looks misreported)
Score breakdown
- Employer generosity41.2 / 5082th percentile for employer $ per participant
- Low cost22.0 / 2588th percentile for low admin cost vs. same-size plans
- Employee saving12.1 / 1581th percentile for employee $ per participant
- Plan features10 / 10Auto-enrollment, Default investment
- Red-flag deductions-3 pts1 issue reported on the filing
Total score82 / 100 · Grade A
This plan vs. peers
Peers: Health Care & Social Assistance plans with 10,000+ active participants (115 plans).
| Measure | Percentile |
|---|---|
| Employer $ per participant | 82th |
| Lower admin cost | 88th |
| Employee saving | 81th |
| Peers that auto-enroll | 52% |
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Red flags from the filing
Corrective distributions: the plan refunded $297,221 in contributions, which usually means it failed annual nondiscrimination testing.
What to do if you're in this plan
- Commonspirit Health put in about $3,800 per active participant, more than the typical peer ($2,086). Contribute at least enough to collect the full match. Skipping it leaves part of your pay on the table.
- The filing shows total dollars, not the match formula. Ask HR for the Summary Plan Description so you know the exact match and vesting schedule.
- Fund expense ratios aren't in the filing. Look them up in your 404(a)(5) fee disclosure and favor low-cost index or target-date funds.
- The plan auto-enrolls employees. Check your default contribution rate. Defaults are often lower than what it takes to get the full match.
- Changing jobs? You can usually leave the money in the plan, move it to your new employer's plan, or roll it into an IRA. Don't cash out: you'd owe taxes and possibly a 10% penalty.
The raw numbers from the filing
| Employer contributions | $346,450,378 |
| Participant (employee) contributions | $582,472,826 |
| Other contributions (incl. rollovers in) | $91,828,696 |
| Administrative expenses paid from the plan | $2,030,348 |
| Other admin expenses | $57,904 |
| Benefits paid out | $806,842,485 |
| Net assets, start / end of year | $7.9B / $8.8B |
| Active participants, start / end of year | 90,345 / 91,977 |
| Participants with account balances | 16,860 |
| Auto-enrollment (feature code 2S) | Yes |
| Auditor | Ernst & Young LLP |
Largest service providers (Schedule C)
| Fid Invest Inst Ops Co | $3,477,670 reported compensation |
| Commonspirit Health | $37,760 reported compensation |
| Polsinelli PC | $37,760 reported compensation |
Source: DOL EFAST2 Form 5500 filing, acknowledgment ID 20251010135955NAL0018181538001, received 2025-10-10, EIN 47-0617373, plan #002, plan year 2024-01-01 to 2024-12-31. Verify at efast.dol.gov.