US Acute Care Solutions 401(k) Review & Grade
US Acute Care Solutions Profit Sharing/401(k) Plan and Trust
Canton, OHHealth Care & Social Assistance6,646 active participantsPlan year 2024
Estimate from the plan's Form 5500 filing · How we grade
$14,031Employer $ per active participant
$11,073Employee $ saved per active participant
0.03%Direct admin cost, % of plan assets
$1.9BNet plan assets, end of year
$199,180Average balance per account
Score breakdown
- Employer generosity49.7 / 5099th percentile for employer $ per participant
- Low cost22.5 / 2590th percentile for low admin cost vs. same-size plans
- Employee saving14.6 / 1597th percentile for employee $ per participant
- Plan features3 / 10Default investment
- Red-flag deductions-13 pts2 issues reported on the filing
Total score77 / 100 · Grade A
This plan vs. peers
Peers: Health Care & Social Assistance plans with 2,500–9,999 active participants (312 plans).
| Measure | Percentile |
|---|---|
| Employer $ per participant | 99th |
| Lower admin cost | 90th |
| Employee saving | 97th |
| Peers that auto-enroll | 38% |
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Red flags from the filing
Benefits not paid when due: the plan reported failing to pay some benefits on time.
Corrective distributions: the plan refunded $523,936 in contributions, which usually means it failed annual nondiscrimination testing.
What to do if you're in this plan
- US Acute Care Solutions put in about $14,031 per active participant, more than the typical peer ($800). 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.
- 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 | $93,249,380 |
| Participant (employee) contributions | $73,594,145 |
| Other contributions (incl. rollovers in) | $41,138,262 |
| Administrative expenses paid from the plan | $528,736 |
| Contract administrator fees | $4,200 |
| Investment advisory & management fees | $149,470 |
| Other admin expenses | $129,425 |
| Benefits paid out | $139,610,389 |
| Net assets, start / end of year | $1.6B / $1.9B |
| Active participants, start / end of year | 6,665 / 6,627 |
| Participants with account balances | 9,720 |
| Auto-enrollment (feature code 2S) | Not reported |
| Auditor | Meaden and Moore LTD |
Largest service providers (Schedule C)
| Fidelity Investments Institutional | $235,107 reported compensation |
| Strategic Advisors, Inc. | $149,470 reported compensation |
| Sageview | $113,925 reported compensation |
Source: DOL EFAST2 Form 5500 filing, acknowledgment ID 20250912132205NAL0001984160001, received 2025-09-12, EIN 34-1807694, plan #001, plan year 2024-01-01 to 2024-12-31. Verify at efast.dol.gov.