Tri-State Orthopaedic Surgeons, INC. 401(k) Plan

Form 5500 filing data for plan year 2025.

Plan Snapshot

  • Plan Sponsor: Tri-State Orthopaedic Surgeons, INC.
  • Sponsor EIN: 351284898
  • Sponsor Address: 225 CROSSLAKE DRIVE, EVANSVILLE, IN, 47715
  • Plan Type: 401(k)
  • Plan Number: 001
  • Total Participants: 252
  • Total Assets: $53.5M

Key Plan Design Features

  • Auto-Enrollment: Yes
  • Auto-Escalation: No
  • Allows Roth Contributions: Yes
  • Participant Loans: Yes
  • Participant-Directed Investments: Yes
  • ERISA Section 404(c) Fiduciary Safe Harbor: No

Plan Financials by Year

YearParticipantsTotal AssetsEmployer Contrib.Employee Contrib.
2025252$53.5M$0$0
2024191$44.0M$1.6M$1.3M
2023192$39.8M$1.5M$1.1M
2022167$34.7M$1.3M$1.0M

Service Providers (Schedule C)

Vendors paid $5,000 or more for services to the plan, ranked by total compensation (direct + indirect fees).

Provider Name Role Direct Compensation Indirect Compensation Total Fees
FORVIS MAZARS, LLPAuditor——$0

Plan Fees & Expenses

Annual service provider fees and administrative expenses sourced from DOL Form 5500 filings.

  • Total Service Provider Fees: $0

Historical Administrative Expenses

Breakdown of administrative expense categories reported on Form 5500 filings.

Year Total Admin Expenses Investment Mgmt Fees Contract Admin Fees IQPA Audit Fees Professional Fees
2025$886,888————
2024$165————
2023$826————
2022$1,290————

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