Author: Joel Schofer, MD, MBA, CPE
Multiple Leadership Positions at Walter Reed
Walter Reed has three board positions available in the summer of 2021.
PDs are here:
Anyone who applies need PERS clearance to do so from their Detailer.
Navy Times – Sailors Will Now Have an Alternative Rank Insignia Option for Navy Woodland Cammies
Here’s a link to this article:
Sailors Will Now Have an Alternative Rank Insignia Option for Navy Woodland Cammies
Here’s a link to the NAVADMIN:
https://www.public.navy.mil/bupers-npc/reference/messages/Documents/NAVADMINS/NAV2020/NAV20292.txt
2021 TSP Contribution Limits Unchanged and Finance Friday Articles
Here’s a link to the TSP article:
TSP Investment Limits to Be Unchanged for 2021
Here are this week’s articles:
- 7 Reasons Not to Use a 100% Stock Portfolio
- Are We Trading Our Happiness for Modern Comforts? As society gets richer, people chase the wrong things.
- Doing Good
- Look Under the Hood (note that Tesla is included in the TSP S fund)
- The Importance of Diversification in Achieving Long-Term Goals
- The Taxman Cometh
- Why You Shouldn’t Max Out Your 401(k)
Throwback Thursday Classic Post – Thrift Savings Plan Fund Deep Dive – The S Fund
There are only five investments available in the Thrift Savings Plan (TSP), so let’s take a detailed look at them one at a time. In this post we’ll cover the S Fund. You can combine the S Fund with the C Fund to invest in the entire US stock market.
Inception Date
1 MAY 2001
Fund Management
The Federal Retirement Thrift Investment Board currently contracts BlackRock Institutional Trust Company, N.A. (BlackRock) to manage the S Fund assets. The S Fund remains invested regardless of the performance of the securities markets or the overall economy.
Investment Strategy
The S Fund is invested in a stock index fund that invests in small to medium-sized U.S. companies that are not included in the C Fund. The S Fund’s objective is to match the performance of the Dow Jones U.S. Completion TSM Index, which means that when you combine the S Fund and C Fund you are investing in the entire US stock market. Also, some of the money in the S Fund is temporarily invested in the G Fund and earns the G Fund return.
The S Fund is a passively managed fund that remains invested according to its indexed investment strategy regardless of stock market movements or general economic conditions.
What is the Risk?
Your investment in the S Fund is subject to market risk because the prices of the stocks it invests in rise and fall. You are also exposed to inflation risk, meaning your S Fund investment may not grow enough to offset inflation.
What is the Benefit?
Historically, this increased risk has been rewarded with an increased return. It offers the opportunity to experience gains from equity ownership of small and medium-sized US company stocks. Here is all the performance data as of 24 OCT 2020:

Types of Earnings
The S Fund changes in value as the market price of its stocks change. In addition, the S Fund makes money for its investors when those stocks pay dividends. Unlike a traditional mutual fund, though, income from dividends is included in the share price calculation. It is not paid directly to participants’ accounts.
It also makes some money on interest on short-term investments and securities lending income.
BlackRock credits interest and dividend income each business day. This income is then reflected in the TSP share prices.
Share Price Calculations
The value of your account is determined each business day based on the daily share price and the number of shares you hold. At the end of each business day, after the stock and bond markets have closed, the total value of the funds’ holdings (net of accrued administrative expenses) is divided by the total number of shares outstanding to determine the share price for that day. The daily change in TSP share prices reflects all investment income (interest on short-term investments, dividends, capital gains or losses, and securities lending income) net of TSP administrative expenses.
Expenses
The net expenses paid by investors is 0.042% or 4.2 basis points, which like all the TSP funds is ridiculously low and is a major benefit of the TSP. It cost $0.42 for each $1,000 invested.
How Should I Use the S Fund in my TSP Account?
The S Fund can be useful in a portfolio that also contains stock funds that track other indexes such as the C Fund (which tracks an index of large U.S. company stocks) and the I Fund (which tracks an index of international stocks). The C, S, and I Funds track different segments of the overall stock market without overlapping. This is important because the prices of stocks in each market segment don’t always move in the same direction or by the same amount at the same time. By investing in all segments of the stock market (as opposed to just one), you reduce your exposure to market risk.
The S Fund can also be useful in a portfolio that contains bonds. Again, it is because the prices of stocks and bonds don’t always move in the same direction or by the same amount at the same time. So a retirement portfolio that contains a bond fund like the F Fund, along with other stock funds, like the C and I Funds, will tend to be less volatile than one that contains stock funds alone.
Advice from My Favorite Short Investing Book
Here is what my favorite investing book, The Elements of Investing: Easy Lessons for Every Investor, says about small and mid-cap funds like the S Fund:
The S&P 500 [C Fund in the TSP] represents only about 70 percent of the total value of all stocks traded in the United States. It excludes the 30 percent made up of smaller companies [which are in the S Fund], many of which are the most entrepreneurial and capable of the fastest future growth.
If you want to invest in the entire US stock market, you just combine the C Fund with the S Fund in a 3:1 ratio. To see how I use the S Fund, read the Crush the TSP series.
One Navy Medicine – SG’s Message from Tidewater
Esteemed Colleagues,
Last week I had the pleasure of visiting our One Navy Medicine Team in the Tidewater area and it is very rewarding and encouraging to see the Fleet side, NMRTC/NMC Portsmouth and Navy and Marine Corps Public Health Center all working together as One Navy Medicine to ensure the readiness of our warfighters. Take a look at the attached short video for a look at an example of our new Platforms headed to the fleet in the next few years!
MilSuite Link (Gov Computers)– https://www.milsuite.mil/video/36662
YouTube Link – https://youtu.be/5kKt2_aY_9A
Transcript here (If you don’t have the bandwidth for video):
SG Sends
V/r,
Bruce L. Gillingham, MD, CPE, AOA
RADM, MC, USN
Surgeon General, U.S. Navy
Chief, Bureau of Medicine and Surgery
Fidelity’s Free Mutual Funds
If you read financial blogs or follow the financial news, you’ve probably read multiple articles about Fidelity’s free index mutual funds. Yes…completely free with a 0% expense ratio.
What does this mean for the military investor? Let’s take a look…
What Happened?
All of the major investment companies – Fidelity, Schwab, and Vanguard – are competing for your business by lowering their investment fees. Vanguard has been the low cost leader and used that focus and their unique non-profit structure to become the largest investment company, managing over $5 trillion. For comparison, Fidelity oversees $2.5 trillion. Yes, TRILLION.
Vanguard’s mantra emphasizes the following central tenets of investing:
- The lower your investment fees, the more of the investment return you get to keep.
- Costs last forever.
- You should invest with low cost, broadly diversified index funds.
As you might have guessed, this is what I do at Vanguard and with my Thrift Savings Plan (TSP) accounts.
In 2018, Fidelity announced that they were offering two new mutual funds at no cost – free – to investors with no investment minimums. The funds are the:
- Fidelity ZERO Total Market Index Fund (FZROX) – a diversified US stock index fund
- Fidelity ZERO International Index Fund (FZILX) – a diversified international stock index fund
Everyone was waiting for one of these investment giants to offer free mutual funds. Fidelity became the first.
Fidelity Mania
When this announcement came out, there were countless news articles and blog posts about the free funds. People have been clamoring to switch to Fidelity funds, but a closer look will show you that switching to Fidelity is not guaranteed to be a good move or even what most people trying to minimize their fees should do.
They’re Free! Why Not Switch?
First, Fidelity is not a stupid company. There is no such thing as a free lunch (except for the Thrift Savings Plan G Fund), and they are going to make money from their customers somehow. One way would be by luring you to Fidelity for these free funds, but charging you more on other investments. As the author of this article on Morningstar stated:
But, ultimately, no companies toil for free. What they give away in one place, they recoup in another.
They’ll make up the difference with other funds or brokerage services.
In addition, The White Coat Investor wrote one heck of an article that deep dives on expense ratios and the new Fidelity funds. In it he points out that when you look at equivalent Vanguard, Schwab, and Fidelity funds you’ll see that Vanguard seems to win even with slightly higher expenses and they have a tax efficiency advantage that Schwab and Fidelity don’t have. As he notes:
It just turns out that Vanguard is better at indexing than Fidelity and Schwab. Is that really a surprise to anyone?
I hate to reinvent the wheel, so those interested in the details should really read his article.
What Does This Mean for Investors?
If you are already a Fidelity investor, their drive to compete with Vanguard is going to give you some really useful low cost investment opportunities.
If you are not already a Fidelity investor, realize that if you sell any investments in a regular taxable account (outside of a tax advantaged retirement account like a 401k, IRA, or the TSP), you will have to pay taxes on any capital gains you have. Unless selling won’t generate any taxes (you don’t have any gains) or what you are invested in is an extremely poor choice, I wouldn’t give Uncle Sam some of your money just to save a few hundredths of a percentage point on your expense ratio.
Here’s a good quote from another Morningstar article about the new Fidelity funds that demonstrates how little of a difference these small percentages can have on your bottom line:
To illustrate the modest stakes for your portfolio, let’s look at the growth of a $10,000 investment in Fidelity Total Market Index (FSKAX), Schwab Total Stock Market Index (SWTSX), and Vanguard Total Stock Market Index (VTSAX). Over the years, the three have changed leadership on fees, and investment minimums have changed, too. For the past 10 years, $10,000 in Vanguard Total Stock Market Index would have grown to $28,520, while the Schwab fund would have grown to $28,460 and the Fidelity fund to $28,350. And the differences at times were greater than they are today. So, keep costs low and save as best you can, but don’t worry too much about a couple of basis points.
In addition, you can’t underestimate the benefit of simplicity when it comes to your investment portfolio. I had the TSP and Vanguard. That was it. Then my wife changed employers and now we have a less than optimal 401k with Fidelity that drives me nuts.
While I keep track of everything with a Google spreadsheet and that makes it pretty easy, having yet another website (Fidelity) I have to log in to when I want to make changes is kind of a pain. Don’t underestimate the peace of mind that comes with simplicity, and adding Fidelity to the mix for a few basis points might not be worth the hassle.
If you are just starting out as an investor or you haven’t invested outside of the TSP yet, just realize that you really can’t go wrong with Fidelity, Schwab, or Vanguard as long as you focus on their low cost funds. At Vanguard, all the funds are low cost, so that simplifies your investing life, but Schwab and Fidelity are fine as well.
What’s the Bottom Line?
- If you’re already invested with Fidelity, enjoy the new free funds and use them for your US and international stock investments.
- If you haven’t picked an investment company outside the TSP yet, Fidelity is certainly one to consider but I’d still go with Vanguard if it was up to me.
- You probably should not switch from another company just for free funds, and certainly should not sell anything that would trigger a capital gain just to switch.
The White Coat Investor summarized the strategy you’d employ no matter what company you pick in his article about the Fidelity funds:
There is no new investing strategy going on here. It’s the same old, same old investing strategy – buy all the stocks, hold them, keep your costs and taxes down, and in the long run, your money grows at the same rate as the market and if you save enough, you become financially independent
October Message from ASD(HA)
MHS Team:
Over the past month, our Military and the Nation has continued to respond and meet the unique challenges presented during the COVID-19 pandemic. The Military Health System (MHS) has been central to this effort in numerous ways, both as an organization and through individual accomplishments. And while supporting the pandemic response we also have continued to advance an array of other MHS initiatives. Updates on a few of these efforts include:
MHS GENESIS Go-Live. The rollout of MHS GENESIS continues to make enormous strides leveraging lessons learned from the previous execution of the Initial Operational Capability sites on the West Coast and Wave Travis. On September 26, 2020, the Nellis Wave went live at the following bases: Beale AFB, Edwards AFB, Los Angeles AFB, Nellis AFB, Vandenberg AFB, Fort Irwin Army Base, and the United States Marine Corps Air Ground Combat Center. The volume of WAVE Nellis requirements was two times the size of any previous roll out. Leadership at each facility reported no show stoppers and provided positive feedback. Lessons learned from previous sites were instrumental to a seamless release and resulted in a significantly reduced number of initial trouble tickets requiring action. The next deployment will be WAVE Pendleton and the “Go-Live” is 31 October.
National Influenza Vaccine Modernization Strategy (NIVMS). To help ensure we are prepared to address the impacts of seasonal and pandemic influenza viruses, DoD and HHS co-hosted a series of stakeholder listening sessions. I had the chance to provide a welcome video for those attending these virtual sessions. This effort is a collaboration among industry, academia and government to support the strategy released 8 June to implement the Executive Order to modernize the flu vaccine and promote national security and public health. Exciting advances will most certainly result from this enlightened collaboration. We discussed the role of federal and non-federal partners in NIVMS, and solicited feedback and viewpoints from external stakeholders. I’d like to thank COL Jennifer Kishimori, Director, CBRN Medical Countermeasures Policy of Health Readiness Policy and Oversight in Health Affairs, for representing the Department during this effort. Anything we can do to increase the effectiveness of flu vaccine development and distribution will improve military readiness and capability.
Speaking of the flu vaccine, we are in the beginning of the 2020-21 flu season. Flu vaccination will help reduce the overall impact of respiratory illnesses on the population and decrease the burden on the health care system during the COVID-19 pandemic. We encourage all of you to get the flu vaccine. Beneficiaries can also get a flu vaccine at no cost by visiting a TRICARE participating network pharmacy. Visit www.tricare.mil/flu to learn about TRICARE coverage and the flu vaccine.
COVID Convalescent Plasma: At the onset of the pandemic, the DoD developed a convalescent plasma (CCP) collection strategy to ensure we were able to independently support advanced COVID-19 illness within the force. We were charged by the Secretary of Defense to collect 10,000 units by September 30, 2020. Thanks to our dedicated Service members, their families, and our beneficiaries, we exceeded our 10,000 unit goal by collecting 10,745 units by the close of the fiscal year. Critical research continues to study the science on the impact of CCP on moderately and critically ill patients and how the DoD can protect our operational forces with the availability of CCP for use in remote locations. Thank you to everyone that made this possible, especially those working with COL Audra Taylor in the Armed Services Blood Program.
AMSUS Update: We are working with AMSUS representatives to support this year’s virtual conference by planning to highlight the MHS pandemic response through participation in the plenary session and breakout presentations. The conference will occur virtually 6 – 10 December, and the MHS Plenary will be held on 8 December. We are excited to announce that Deputy Secretary of Defense HON David Norquist and Dr. Matt Hepburn, JPEO CBRN and SME on vaccines for Operation Warp Speed will both be speaking during the plenary. Please save the date!
Women’s Reproductive Health Survey: The DoD Women’s Reproductive Health Survey is available for female active-duty Service members. The survey assesses reproductive health and well-being and examines behaviors and experiences that may impact readiness. The survey is voluntary, confidential and .anonymous and takes about 15 minutes. Participation is by invitation only, so if you were invited to participation please take a few minutes to complete this important assessment. The results will be used to improve policies, programs and services. This is the first time in nearly 30 years that a DoD-wide study of only female service members’ experiences has been completed. Some service members may have seen some of these questions on other surveys in the past. But because those studies were of limited groups of women, and because of confidentiality protections, that information cannot be used to provide a complete picture of service women’s experiences, reproductive health and well-being. Please visit the site before 3 November and use your military email to determine your eligibility to participate: https://dodwomenshealth.com.
National Physician Assistant’s (PA) Week. The US Military played a critical role in the development of the PA profession. The vision of Dr. Eugene Stead Jr, a doctor who served in WWII, to solve a growing shortage of primary care providers in the 1960’s led to the launch of the profession. The first graduating PA class, created at Duke University in 1967, consisted of three former US Navy corpsmen. I had the opportunity to visit the Fort Belvoir Community Hospital to celebrate National PA Week and personally thank the 14 PA’s assigned to the hospital and recognize all active duty, reserve, civil service and contractor PAs serving our military, their dependents, and all beneficiaries. Thank you to CAPT Cynthia Judy, Director of FBCH and CAPT Saira Aslam, Chief of Staff of FBCH, and their incredible staff for their hospitality in giving me a chance to highlight the remarkable work of our amazing MHS corps of PAs.
MHS STAFF IN THE SPOTLIGHT
On 15 October, during a Health Affairs Town Hall, I had the honor to present the Secretary of Defense Medal for Meritorious Civilian Service to Dr. Mark A. Hamilton, recognizing his exceptional leadership, invaluable contributions, and extraordinary performance across the MHS as Health System Transformation Office, Chief of Staff, for the Office of the Assistant Secretary of Defense for Health Affairs from October 2017 until October 2019. Well done, Dr. Hamilton!
COL(Ret)/Dr. Paul Pasquina, Professor and Chair of the Department of Physical Medicine & Rehabilitation (PM&R) at the Uniformed Services University of the Health Sciences, is the 2020 recipient of the AMSUS Lifetime Achievement Award. Congratulations Dr. Pasquina!
As we head into the final weeks of 2020, I want to say how proud I am of this remarkable team and all we have accomplished together, especially amidst the challenges faced operating in a Covid-19 environment. Thanks for all you do for the Military Health System and those we serve.
Tom