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Original filing (PDF)20260209073049NAL0000998593001
PROVISION HEALTH PARTNERS, LLC
Form 5500
FILING_RECEIVED
PROVISION HEALTH PARTNERS 401(K) PLAN
401(k) retirement plan
Signals · 3
1 failed disclosureLate filing · 2.8 mo31% in single holding
Active participants
53
Accounts w/ balance
119
Plan assets (EOY)
$11.6M
Net assets (EOY)
$11.6M
How this plan invests
This plan
7 pooled trusts
Schedule D
16 securities
funds · stocks · CUSIPs
Holdings are itemized directly on this plan's Schedule of Assets, below.
Plan health score (directional)
80
/ 100
Grade B
Above-average plan
Directional indicator computed from public Form 5500 data — compliance, concentration, cost, vendor stack and participation. Not a fiduciary tool.
Compliance & disclosures
74
Concentration risk
85
Total plan cost
65
Vendor stack
100
Participation health
100
Knocking points off
- 1 Schedule C provider failed to disclose compensation.
- Filed 2.8 months past the 10.5-month grace window.
- Top holding "BlackRock Blkrk Lp Idx 2030 K (1)" is 31% of plan.
- 57 bps in Schedule C fees — 96% above peer band of 29 bps.
Decision-maker contacts
CFO / Head of HR / Benefits Manager — verified email + LinkedIn for PROVISION HEALTH PARTNERS, LLC.
Plan sponsor
Name
PROVISION HEALTH PARTNERS, LLC
EIN
41-2136525
Address
2095 LAKESIDE CENTRE WAY · SUITE 101 · KNOXVILLE, TN · 37922
Phone
(865) 770-7000
Industry
Other Services (ex. Public Admin)see all
Plan administrator
Same as plan sponsor.
Plan characteristics
Plan number
001
Plan year
2024
Plan year begin
2024-01-01
Tax period
2024-12-31
Filed
2026-02-09
Pension benefit codes
2E · Profit-sharing
2F · ERISA section 404(c)
2T · Default investment account (QDIA)
3D · Pre-approved plan (master / prototype / VS)
3B · Covers self-employed individuals
2A · Age/service weighted or new comparability
2G · Total participant-directed accounts
2J · 401(k) feature
2K · 401(m) arrangement
Audit & trust (Schedule H)
Auditor
COULTER & JUSTUS
Trustee / custodian
—
Trustee phone
—
Service providers (Schedule C)
2 rowsRecordkeeper
1| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| FIDELITY INVESTMENTS INSTITUTIONAL | 04-2647786 | — | RECORDKEEPER | $2K | — |
TPA / Administrator
1| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| PRINCIPAL LIFE INSURANCE COMPANY | 42-0127290 | — | CONTRACT ADMINISTRATOR | $64K | — |
Failed / refused disclosures (Sched C Part 2)
| Provider | Nondisclosure info |
|---|---|
| — | — |
Investments
15 direct securities · 7 pooled funds· $11.6M(100% of reported assets)
Rows tagged as a trust or pooled fund hold many underlying securities. Click one to drill into its own Schedule of Assets — where the individual funds, shares, and CUSIPs live.
Uncategorized
$11.6M
15 holdings
Common Collective Trust
$7K
3 holdings
Pooled Separate Account
$0
4 holdings
| PI | Investment | Type | Shares / units | Cost | Current value | % of plan |
|---|---|---|---|---|---|---|
| BlackRock Blkrk Lp Idx 2030 K (1) | — | — | — | $3.5M | 30.5% | |
| BlackRock Blkrk Lp Idx 2035 K (1) | — | — | — | $2.7M | 23.7% | |
| BlackRock Blkrk Lp Idx Rtmt K (1) | — | — | — | $1.4M | 11.8% | |
| BlackRock Blkrk Lp Idx 2040 K (1) | — | — | — | $1.3M | 11.1% | |
| BlackRock Blkrk Lp Idx 2055 K (1) | — | — | — | $807K | 7.0% | |
| BlackRock Blkrk Lp Idx 2050 K (1) | — | — | — | $747K | 6.4% | |
| BlackRock Blkrk Lp Idx 2045 K (1) | — | — | — | $594K | 5.1% | |
| Fidelity Management Trust Company FID 500 Index (1) | — | — | — | $204K | 1.8% | |
| Fidelity Management Trust Company FID Lg Cap Gr Idx (1) | — | — | — | $95K | 0.8% | |
| BlackRock Blkrk Lp Idx 2060 K (1) | — | — | — | $76K | 0.7% | |
| BlackRock Blkrk Lp Idx 2065 K (1) | — | — | — | $34K | 0.3% | |
| to 9.25%, to be repaid through 2029 – | — | — | — | $25K | 0.2% | |
| Macquarie Mgl Smcp Val R6 (1) | — | — | — | $25K | 0.2% | |
| Causeway Intl Val Is (1) | — | — | — | $21K | 0.2% | |
| Fidelity Management Trust Company FID Infl Pr Bd Idx (1) | — | — | — | $12K | 0.1% | |
| MORLEY STABLE VALUE PRINCIPAL GLOBAL INVESTORS TRUST CO · EIN 93-6274329 / PN 001 | Common Collective Trust | — | — | $7K | <0.1% | |
| PRIN CORE FIX INC SEP ACCT-Z PRINCIPAL LIFE INSURANCE COMPANY · EIN 42-0127290 / PN 118 | Pooled Separate Account | — | — | $0 | <0.1% | |
| PRIN LGCP S&P 500 INDEX SA-Z PRINCIPAL LIFE INSURANCE COMPANY · EIN 42-0127290 / PN 016 | Pooled Separate Account | — | — | $0 | <0.1% | |
| PRIN MIDCAP S&P 400 IDX SA-Z PRINCIPAL LIFE INSURANCE COMPANY · EIN 42-0127290 / PN 023 | Pooled Separate Account | — | — | $0 | <0.1% | |
| PRIN SMCAP S&P 600 INDEX SA-Z PRINCIPAL LIFE INSURANCE COMPANY · EIN 42-0127290 / PN 028 | Pooled Separate Account | — | — | $0 | <0.1% | |
| PRINCIPAL STABLE VALUE Z FUND PRINCIPAL GLOBAL INVESTORS TRUST CO · EIN 63-6274328 / PN 001 | Common Collective Trust | — | — | $0 | <0.1% | |
| GS STABLE VAL INST1 GOLDMAN SACHS TRUST COMPANY NA · EIN 13-4166989 / PN 025 | Common Collective Trust | — | — | $0 | <0.1% |