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Original filing (PDF)20251015205228NAL0002879859001
PROVIDENCE HEALTH & SERVICES
Form 5500
FILING_RECEIVED
PROVIDENCE HEALTH & SERVICES 403(B) VALUE PLAN
401(k) retirement plan
Signals · 2
1 failed disclosure99% in single holding
Active participants
39,977
Accounts w/ balance
60,131
Plan assets (EOY)
$6.5B
Net assets (EOY)
$6.5B
How this plan invests
This plan
2 pooled trusts
Schedule D
5 securities
funds · stocks · CUSIPs
Holdings are itemized directly on this plan's Schedule of Assets, below.
Plan health score (directional)
91
/ 100
Grade A
Top-tier plan health
Directional indicator computed from public Form 5500 data — compliance, concentration, cost, vendor stack and participation. Not a fiduciary tool.
Compliance & disclosures
85
Concentration risk
75
Total plan cost
100
Vendor stack
100
Participation health
100
Knocking points off
- 1 Schedule C provider failed to disclose compensation.
- Top holding "Interest Held in Master Trust Various (includes Registered" is 99% of plan.
Helping the score
- Below-peer total fees (3 bps vs 5 bps peer median).
Decision-maker contacts
CFO / Head of HR / Benefits Manager — verified email + LinkedIn for PROVIDENCE HEALTH & SERVICES.
Plan sponsor
Name
PROVIDENCE HEALTH & SERVICES
EIN
51-0216586
Address
1801 LIND AVE SW · RENTON, WA · 980579016
Phone
(888) 687-3753
Industry
Health Care & Social Assistancesee all
Plan administrator
Same as plan sponsor.
Plan characteristics
Plan number
002
Plan year
2024
Plan year begin
2024-01-01
Tax period
2024-12-31
Filed
2025-10-15
Pension benefit codes
2G · Total participant-directed accounts
2J · 401(k) feature
2K · 401(m) arrangement
2L · 403(b)(1) annuity
2R · Participant-directed brokerage (SDBA)
2T · Default investment account (QDIA)
3H · Sponsor in controlled / affiliated group
2F · ERISA section 404(c)
Audit & trust (Schedule H)
Auditor
CLARK NUBER P.S
Trustee / custodian
—
Trustee phone
—
Service providers (Schedule C)
5 rowsRecordkeeper
1| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| FIDELITY | 04-2647786 | — | RECORDKEEPER | $507K | — |
Advisor / Consultant
3| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| STRATEGIC ADVISORS, INC. | 04-2654524 | — | ADVISOR | $915K | — |
| SEVEN SIMPLE MACHINES | 20-4028622 | — | CONSULTANT | $231K | — |
| MILLIMAN, INC. | 91-0675641 | — | CONSULTANT | $181K | — |
Accountant / Auditor
1| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| CLARK NUBER P.S | 91-1194016 | — | ACCOUNTANT/AUDITOR | $52K | — |
Failed / refused disclosures (Sched C Part 2)
| Provider | Nondisclosure info |
|---|---|
| — | — |
Investments
5 direct securities · 2 pooled funds· $13.0B(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
$6.5B
5 holdings
Master Trust
$6.5B
1 holding
Pooled Separate Account
$164K
1 holding
| PI | Investment | Type | Shares / units | Cost | Current value | % of plan |
|---|---|---|---|---|---|---|
| Interest Held in Master Trust Various (includes Registered | — | — | — | $6.5B | 99.1% | |
| PROVIDENCE ST JOSEPH HEALTH GROUP PROVIDENCE HEALTH & SERVICES · EIN 84-3089200 / PN 001 | Master Trust | — | — | $6.5B | 99.1% | |
| Participant loans Interest rates from 3.25% - 10.50% - 0 - | — | — | — | $61.0M | 0.9% | |
| Maturity Value * Variable Annuity Life Insurance Co. 403(b) annuity contracts | — | — | — | $187K | <0.1% | |
| Variable Annuity Life Insurance Co. Pooled Separate Account | — | — | — | $164K | <0.1% | |
| VALIC FIXED ACCOUNT VARIABLE ANNUITY LIFE INSURANCE CO · EIN 74-1625348 / PN 000 | Pooled Separate Account | — | — | $164K | <0.1% | |
| Variable Annuity Life Insurance Co. General Insurance Contracts | — | — | — | $23K | <0.1% |