Main Street Rural Health LLC 401(k) Review & Grade
Main Street Rural Health LLC 401(k) Plan
Nashville, TNHealth Care & Social Assistance759 active participantsPlan year 2024
Estimate from the plan's Form 5500 filing · How we grade
$0Employer $ per active participant
$2,458Employee $ saved per active participant
0.40%Direct admin cost, % of plan assets
$5.4MNet plan assets, end of year
–Average balance per account (account count looks misreported)
Score breakdown
- Employer generosity3.4 / 507th percentile for employer $ per participant
- Low cost7.7 / 2531th percentile for low admin cost vs. same-size plans
- Employee saving7.3 / 1548th percentile for employee $ per participant
- Plan features3 / 10Default investment
- Red-flag deductions-13 pts2 issues reported on the filing
Total score8 / 100 · Grade F
This plan vs. peers
Peers: Health Care & Social Assistance plans with 500–2,499 active participants (1,427 plans).
| Measure | Percentile |
|---|---|
| Employer $ per participant | 7th |
| Lower admin cost | 31th |
| Employee saving | 48th |
| Peers that auto-enroll | 36% |
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Red flags from the filing
Late deposits: the filing says some employee contributions were not sent to the plan on time ($1,539 reported). That's money taken from paychecks that sat with the employer longer than the law allows.
Corrective distributions: the plan refunded $1,884 in contributions, which usually means it failed annual nondiscrimination testing.
What to do if you're in this plan
- Main Street Rural Health put in about $0 per active participant, below the typical peer ($976). Any match is still an instant return, so contribute enough to get all of it.
- 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.
- Direct plan expenses (0.40% of assets) are well above similar-size plans (0.23%). Check your annual fee disclosure, choose low-cost index funds if you can, and think about whether savings beyond the match belong in an IRA.
- The plan reported late deposits of employee contributions. Compare your pay stubs with your account statements, and contact the plan administrator if money shows up late.
- 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 | $326 |
| Participant (employee) contributions | $1,865,823 |
| Other contributions (incl. rollovers in) | $619,747 |
| Administrative expenses paid from the plan | $16,589 |
| Investment advisory & management fees | $7,397 |
| Benefits paid out | $491,134 |
| Net assets, start / end of year | $2.9M / $5.4M |
| Active participants, start / end of year | 716 / 802 |
| Participants with account balances | 338 |
| Auto-enrollment (feature code 2S) | Not reported |
| Auditor | Lbmc, PC |
Largest service providers (Schedule C)
| Adp, Inc. | $9,215 reported compensation |
| Gallagher Benefit Services | $7,373 reported compensation |
Source: DOL EFAST2 Form 5500 filing, acknowledgment ID 20250910050222NAL0020878529001, received 2025-09-10, EIN 87-0917282, plan #001, plan year 2024-01-01 to 2024-12-31. Verify at efast.dol.gov.