Is ULTRA HEALTH LLC active?

No — ULTRA HEALTH LLC is no longer active. The South Dakota registry lists it as dissolved, as of the 2026-07-17 source snapshot. The status is republished verbatim from the Secretary of State record.

Where is ULTRA HEALTH LLC registered?

ULTRA HEALTH LLC is registered in South Dakota under company number DL046302, first registered on December 18, 2015.

What type of company is ULTRA HEALTH LLC?

ULTRA HEALTH LLC is registered as an LLC with the South Dakota Secretary of State.

How many employees does ULTRA HEALTH LLC have?

ULTRA HEALTH LLC reports a workforce of 100 to 499 employees in its E-Verify enrollment with USCIS, hiring at 200 sites across 9 states (last updated 2 June 2026). Workforce size is self-reported by the employer at enrollment.

Does ULTRA HEALTH LLC have UCC liens?

No UCC financing statements name ULTRA HEALTH LLC as debtor in the indexed state registries.

Is ULTRA HEALTH LLC a federal contractor?

ULTRA HEALTH LLC appears in 2 federal recipient records (SAM.gov), indicating registration to receive federal awards. Obligation totals are not available for these records.

Does ULTRA HEALTH LLC hold any licenses?

160 license and credential records are matched to ULTRA HEALTH LLC (100 federal, 1 state). Each license, its type and issuing authority is listed in the Licenses section above.

What public records are linked to ULTRA HEALTH LLC?

172 public records are linked to ULTRA HEALTH LLC: 1 in Filings, 160 in Licenses & authorities, 1 in Loans, 2 in E-Verify, 8 in 401(k) — matched across federal, state and municipal registers by its registered legal names.

Where does this data come from?

Every fact on this profile is republished from official public registers — Secretary of State filings, UCC indexes and federal datasets. Each section names its issuing register and the snapshot Netstate last retrieved (latest: 2026-07-17).

ULTRA HEALTH LLC — South Dakota LLC No. DL046302: Dissolved, 1 filing

ULTRA HEALTH LLC is a South Dakota LLC, registered on December 18, 2015. It is based at 101 S. REID STREET, SUITE 307, SIOUX FALLS, SD, 57103. The company has since been marked dissolved on the South Dakota register and is registered under company number DL046302. Its E-Verify enrollment reports a workforce of 100 to 499 employees, hiring at 200 sites across 9 states. Public records for the company include 1 SoS registration, 1 license, 2 federal contracts, 1 loan record, 2 E-Verify records, 159 Medicare provider records and 8 Form 5500 filings. Every fact here is republished from an official public register and traces back to a primary source document.

Registered agent
Legal entity name	ULTRA HEALTH LLC
Principal address	101 S. REID STREET, SUITE 307SIOUX FALLS57103SDUnited States
Registration state	South Dakota
Status	Dissolved
Registered	18 December 2015 (over 10 years ago)
Dissolved	2018-05-04
Entity type	LLC
Standing	not compliant
Company number	DL046302
Workforce size	100 to 499 employees · updated 2 June 2026
Hiring sites	200 sites across 9 states

Source registry	South Dakota Secretary of State · updated 15 June 2026

Public records	1 SoS registration

Federal contractor	Yes · 2 federal recipient records (SAM)
SBA loans	$787K · approved amounts

State	Business name	Filed	Registered agent	Officers	Status
South DakotaTHIS	ULTRA HEALTH LLC	2015-12-18	PACIFIC REGISTERED AGENTS, INC	—	Dissolved
Filing ID DL046302 Jurisdiction Domestic · LLC Principal address 101 S. REID STREET, SUITE 307, SIOUX FALLS, SD, 57103 Registered agent PACIFIC REGISTERED AGENTS, INC Officers Not reported

State	License / ID	Type	Issued	Status
—	1285153072	Medicare / NPI provider	09/13/2017	Unknown
credential — deactivation date — entity type code 2 enumeration date 09/13/2017 first name — last name — last update date 03/01/2019 mailing address 1 PO BOX 289 mailing address 2 — mailing city CEDAR BLUFF mailing country US mailing postal code 246090289 mailing state VA middle name — npi 1285153072 organization name ULTRA HEALTH LLC practice address 1 1107 RIVERVIEW ST practice city GRUNDY practice postal code 246149481 practice state VA reactivation date — taxonomy code 1 207RE0101X Source: NPI registry · document npi/
—	1922469543	Medicare / NPI provider	03/09/2016	Unknown
credential — deactivation date — entity type code 2 enumeration date 03/09/2016 first name — last name — last update date 02/18/2026 mailing address 1 PO BOX 269084 mailing address 2 DEPT 1102 mailing city OKLAHOMA CITY mailing country US mailing postal code 73126 mailing state OK middle name — npi 1922469543 organization name ULTRA HEALTH LLC practice address 1 4128 OLD JACKSON RD practice city BELLS practice postal code 380064261 practice state TN reactivation date — taxonomy code 1 101YM0800X Source: NPI registry · document npi/
—	1457891145	Medicare / NPI provider	03/01/2017	Unknown
credential — deactivation date — entity type code 2 enumeration date 03/01/2017 first name — last name — last update date 02/16/2024 mailing address 1 PO BOX 489 mailing address 2 — mailing city POUNDING MILL mailing country US mailing postal code 246370489 mailing state VA middle name — npi 1457891145 organization name ULTRA HEALTH LLC practice address 1 1039 MAYBERRY CROSSING DR STE A&B practice city MONETA practice postal code 241216413 practice state VA reactivation date — taxonomy code 1 261QU0200X Source: NPI registry · document npi/
Kentucky	BL-001194	—	—	Issued

Kentucky	1366138190	NURSE PRACTITIONER	—	Unknown
address id KY408310014HA200XXDRXX400 address line 1 200 MEDICAL CTR DR address line 2 — address line 2 suppressed — city HARLAN credential — facility name ULTRA HEALTH LLC first name COURTNEY gender F graduation year 2022 group accepts assignment Y individual accepts assignment Y individual enrollment id I20240411000454 individual pac id 1153769021 last name GROSS medical school OTHER middle name ACENA npi 1366138190 num organization members 148 organization pac id 6800186602 primary specialty NURSE PRACTITIONER secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state KY suffix — telehealth — telephone number 7313941145 zip code 408310014 Source: CMS medicare providers · document cms-medicare/
Georgia	1194061150	HOSPITALIST	—	Unknown
address id GA306065548AT1400XLNXX401 address line 1 1400 LIVE OAK LN address line 2 BLDG 100 address line 2 suppressed — city ATHENS credential MD facility name ULTRA HEALTH LLC first name YOLIN gender M graduation year 2008 group accepts assignment Y individual accepts assignment Y individual enrollment id I20161104001148 individual pac id 4486932894 last name BUENO medical school OTHER middle name — npi 1194061150 num organization members 148 organization pac id 6800186602 primary specialty HOSPITALIST secondary specialty 1 INTERNAL MEDICINE secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all INTERNAL MEDICINE state GA suffix — telehealth — telephone number 7313941145 zip code 306065548 Source: CMS medicare providers · document cms-medicare/
Georgia	1255400784	INTERNAL MEDICINE	—	Unknown
address id GA306065548AT1400XLNXX401 address line 1 1400 LIVE OAK LN address line 2 BLDG 100 address line 2 suppressed — city ATHENS credential MD facility name ULTRA HEALTH LLC first name JAIDEEP gender M graduation year 1999 group accepts assignment Y individual accepts assignment Y individual enrollment id I20060103000735 individual pac id 5092737148 last name PATEL medical school UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE middle name K npi 1255400784 num organization members 148 organization pac id 6800186602 primary specialty INTERNAL MEDICINE secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state GA suffix — telehealth — telephone number 7313941145 zip code 306065548 Source: CMS medicare providers · document cms-medicare/
Georgia	1316463565	NURSE PRACTITIONER	—	Unknown
address id GA306065548AT1400XLNXX401 address line 1 1400 LIVE OAK LN address line 2 BLDG 100 address line 2 suppressed — city ATHENS credential — facility name ULTRA HEALTH LLC first name INZA gender F graduation year 2017 group accepts assignment Y individual accepts assignment Y individual enrollment id I20241219004380 individual pac id 0042747628 last name OWUSU-YAW medical school OTHER middle name — npi 1316463565 num organization members 148 organization pac id 6800186602 primary specialty NURSE PRACTITIONER secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state GA suffix — telehealth — telephone number 7313941145 zip code 306065548 Source: CMS medicare providers · document cms-medicare/
Georgia	1770958589	NURSE PRACTITIONER	—	Unknown
address id GA306065548AT1400XLNXX401 address line 1 1400 LIVE OAK LN address line 2 BLDG 100 address line 2 suppressed — city ATHENS credential — facility name ULTRA HEALTH LLC first name MARY gender F graduation year 2015 group accepts assignment Y individual accepts assignment Y individual enrollment id I20160108001151 individual pac id 5597067447 last name SCHNEE medical school OTHER middle name GAYLE npi 1770958589 num organization members 148 organization pac id 6800186602 primary specialty NURSE PRACTITIONER secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state GA suffix — telehealth Y telephone number 7313941145 zip code 306065548 Source: CMS medicare providers · document cms-medicare/
Mississippi	1083488043	NURSE PRACTITIONER	—	Unknown
address id MS388215509AM1215XBLVD400 address line 1 1215 EARL FRYE BLVD address line 2 — address line 2 suppressed — city AMORY credential NP facility name ULTRA HEALTH LLC first name DIAMOND gender F graduation year 2023 group accepts assignment Y individual accepts assignment Y individual enrollment id I20250222000242 individual pac id 1658719521 last name PITTMAN medical school OTHER middle name — npi 1083488043 num organization members 148 organization pac id 6800186602 primary specialty NURSE PRACTITIONER secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state MS suffix — telehealth — telephone number 7313941145 zip code 388215509 Source: CMS medicare providers · document cms-medicare/

State

License / ID

Type

Issued

Status

—

1285153072

Medicare / NPI provider

09/13/2017

Unknown

credential

—

deactivation date

—

entity type code

enumeration date

09/13/2017

first name

—

last name

—

last update date

03/01/2019

mailing address 1

PO BOX 289

mailing address 2

—

mailing city

CEDAR BLUFF

mailing country

mailing postal code

246090289

mailing state

middle name

—

npi

1285153072

organization name

ULTRA HEALTH LLC

practice address 1

1107 RIVERVIEW ST

practice city

GRUNDY

practice postal code

246149481

practice state

reactivation date

—

taxonomy code 1

207RE0101X

Source: NPI registry · document npi/

—

1922469543

Medicare / NPI provider

03/09/2016

Unknown

credential

—

deactivation date

—

entity type code

enumeration date

03/09/2016

first name

—

last name

—

last update date

02/18/2026

mailing address 1

PO BOX 269084

mailing address 2

DEPT 1102

mailing city

OKLAHOMA CITY

mailing country

mailing postal code

73126

mailing state

middle name

—

npi

1922469543

organization name

ULTRA HEALTH LLC

practice address 1

4128 OLD JACKSON RD

practice city

BELLS

practice postal code

380064261

practice state

reactivation date

—

taxonomy code 1

101YM0800X

Source: NPI registry · document npi/

—

1457891145

Medicare / NPI provider

03/01/2017

Unknown

credential

—

deactivation date

—

entity type code

enumeration date

03/01/2017

first name

—

last name

—

last update date

02/16/2024

mailing address 1

PO BOX 489

mailing address 2

—

mailing city

POUNDING MILL

mailing country

mailing postal code

246370489

mailing state

middle name

—

npi

1457891145

organization name

ULTRA HEALTH LLC

practice address 1

1039 MAYBERRY CROSSING DR STE A&B

practice city

MONETA

practice postal code

241216413

practice state

reactivation date

—

taxonomy code 1

261QU0200X

Source: NPI registry · document npi/

Kentucky

BL-001194

—

Issued

Kentucky

1366138190

NURSE PRACTITIONER

—

Unknown

address id

KY408310014HA200XXDRXX400

address line 1

200 MEDICAL CTR DR

address line 2

—

address line 2 suppressed

—

city

HARLAN

credential

—

facility name

ULTRA HEALTH LLC

first name

COURTNEY

gender

graduation year

2022

group accepts assignment

individual accepts assignment

individual enrollment id

I20240411000454

individual pac id

1153769021

last name

GROSS

medical school

OTHER

middle name

ACENA

npi

1366138190

num organization members

148

organization pac id

6800186602

primary specialty

NURSE PRACTITIONER

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

—

telephone number

7313941145

zip code

408310014

Source: CMS medicare providers · document cms-medicare/

Georgia

1194061150

HOSPITALIST

—

Unknown

address id

GA306065548AT1400XLNXX401

address line 1

1400 LIVE OAK LN

address line 2

BLDG 100

address line 2 suppressed

—

city

ATHENS

credential

facility name

ULTRA HEALTH LLC

first name

YOLIN

gender

graduation year

2008

group accepts assignment

individual accepts assignment

individual enrollment id

I20161104001148

individual pac id

4486932894

last name

BUENO

medical school

OTHER

middle name

—

npi

1194061150

num organization members

148

organization pac id

6800186602

primary specialty

HOSPITALIST

secondary specialty 1

INTERNAL MEDICINE

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

INTERNAL MEDICINE

state

suffix

—

telehealth

—

telephone number

7313941145

zip code

306065548

Source: CMS medicare providers · document cms-medicare/

Georgia

1255400784

INTERNAL MEDICINE

—

Unknown

address id

GA306065548AT1400XLNXX401

address line 1

1400 LIVE OAK LN

address line 2

BLDG 100

address line 2 suppressed

—

city

ATHENS

credential

facility name

ULTRA HEALTH LLC

first name

JAIDEEP

gender

graduation year

1999

group accepts assignment

individual accepts assignment

individual enrollment id

I20060103000735

individual pac id

5092737148

last name

PATEL

medical school

UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE

middle name

npi

1255400784

num organization members

148

organization pac id

6800186602

primary specialty

INTERNAL MEDICINE

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

—

telephone number

7313941145

zip code

306065548

Source: CMS medicare providers · document cms-medicare/

Georgia

1316463565

NURSE PRACTITIONER

—

Unknown

address id

GA306065548AT1400XLNXX401

address line 1

1400 LIVE OAK LN

address line 2

BLDG 100

address line 2 suppressed

—

city

ATHENS

credential

—

facility name

ULTRA HEALTH LLC

first name

INZA

gender

graduation year

2017

group accepts assignment

individual accepts assignment

individual enrollment id

I20241219004380

individual pac id

0042747628

last name

OWUSU-YAW

medical school

OTHER

middle name

—

npi

1316463565

num organization members

148

organization pac id

6800186602

primary specialty

NURSE PRACTITIONER

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

—

telephone number

7313941145

zip code

306065548

Source: CMS medicare providers · document cms-medicare/

Georgia

1770958589

NURSE PRACTITIONER

—

Unknown

address id

GA306065548AT1400XLNXX401

address line 1

1400 LIVE OAK LN

address line 2

BLDG 100

address line 2 suppressed

—

city

ATHENS

credential

—

facility name

ULTRA HEALTH LLC

first name

MARY

gender

graduation year

2015

group accepts assignment

individual accepts assignment

individual enrollment id

I20160108001151

individual pac id

5597067447

last name

SCHNEE

medical school

OTHER

middle name

GAYLE

npi

1770958589

num organization members

148

organization pac id

6800186602

primary specialty

NURSE PRACTITIONER

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

telephone number

7313941145

zip code

306065548

Source: CMS medicare providers · document cms-medicare/

Mississippi

1083488043

NURSE PRACTITIONER

—

Unknown

address id

MS388215509AM1215XBLVD400

address line 1

1215 EARL FRYE BLVD

address line 2

—

address line 2 suppressed

—

city

AMORY

credential

facility name

ULTRA HEALTH LLC

first name

DIAMOND

gender

graduation year

2023

group accepts assignment

individual accepts assignment

individual enrollment id

I20250222000242

individual pac id

1658719521

last name

PITTMAN

medical school

OTHER

middle name

—

npi

1083488043

num organization members

148

organization pac id

6800186602

primary specialty

NURSE PRACTITIONER

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

—

telephone number

7313941145

zip code

388215509

Source: CMS medicare providers · document cms-medicare/

Amount	Approved	Lender	Jobs	Status
$786,700	04/14/2020	Security Bank	43	Paid in Full
borrower address 36 PEMBERTON CV borrower city JACKSON borrower name ULTRA HEALTH LLC borrower state TN borrower zip 38305-5514 business age description Existing or more than 2 years old business type Limited Liability Company(LLC) congressional district TN-08 current approval amount 786700 date approved 04/14/2020 debt interest proceed — ethnicity Unknown/NotStated forgiveness amount 793081.01 forgiveness date 02/09/2021 franchise name — gender Unanswered health care proceed — hubzone indicator N initial approval amount 786700 jobs reported 43 lmi indicator N loan number 6938217105 loan status Paid in Full loan status date 03/13/2021 mortgage interest proceed — naics code 621399 non profit — originating lender Security Bank originating lender city NEWBERN originating lender location id 68731 originating lender state TN payroll proceed 786700 processing method PPP project city JACKSON project county name MADISON project state TN project zip 38305-5514 race Unanswered refinance eidl proceed — rent proceed — rural urban indicator U sba guaranty percentage 100 sba office code 0474 servicing lender address 602 W Main St servicing lender city NEWBERN servicing lender location id 68731 servicing lender name Security Bank servicing lender state TN servicing lender zip 38059-1439 term 24 undisbursed amount 0 utilities proceed — veteran Unanswered Source: SBA PPP loans · document sba-ppp/6938217105

State	Workforce	Hiring sites	Enrolled	Industry	Status
9 states	100 to 499	200	2/17/2026	HEALTH CARE AND SOCIAL ASSISTANCE (62)	Open

Tennessee	20 to 99	1	3/5/2020	HEALTH CARE AND SOCIAL ASSISTANCE (62)	Open

Plan	Plan year	Participants	EIN
ULTRA HEALTH PROVIDERS 401(K) PLAN	—	—	—
ack id 20200515094817NAL0000607392001 admin ein — admin name — business code 621399 date received 2020-05-15 filing status FILING_RECEIVED filing year 2019 form type 5500_SF is 401k plan — pension benefit code 2A2E2J2K2G2T3D plan effective date 2018-01-01 plan name ULTRA HEALTH PROVIDERS 401(K) PLAN plan number 001 plan year begin date 2019-01-01 sponsor address1 36 PEMBERTON COVE sponsor address2 — sponsor city JACKSON sponsor dba name — sponsor ein 811665429 sponsor name ULTRA HEALTH LLC sponsor phone 7132348120 sponsor state TN sponsor zip 38305 tax period 2019-12-31 total assets boy 17194 total assets eoy 88983 total participants boy 8 welfare benefit code — Source: DOL form 5500 · document dol-5500/
ULTRA HEALTH PROVIDERS 401(K) PLAN	—	—	—
ack id 20210416140442NAL0009446113001 admin ein — admin name — business code 621399 date received 2021-04-16 filing status FILING_RECEIVED filing year 2020 form type 5500_SF is 401k plan — pension benefit code 3D2E2J2K2G2T plan effective date 2018-01-01 plan name ULTRA HEALTH PROVIDERS 401(K) PLAN plan number 001 plan year begin date 2020-01-01 sponsor address1 36 PEMBERTON COVE sponsor address2 — sponsor city JACKSON sponsor dba name — sponsor ein 811665429 sponsor name ULTRA HEALTH LLC sponsor phone 7132348120 sponsor state TN sponsor zip 38305 tax period 2020-12-31 total assets boy 88983 total assets eoy 479342 total participants boy 26 welfare benefit code — Source: DOL form 5500 · document dol-5500/
ULTRA HEALTH PROVIDERS 401(K) PLAN	—	—	—
ack id 20220622131016NAL0001266850001 admin ein — admin name — business code 621399 date received 2022-06-22 filing status FILING_RECEIVED filing year 2021 form type 5500_SF is 401k plan — pension benefit code 3D2E2J2K2G2T plan effective date 2018-01-01 plan name ULTRA HEALTH PROVIDERS 401(K) PLAN plan number 001 plan year begin date 2021-01-01 sponsor address1 36 PEMBERTON COVE sponsor address2 — sponsor city JACKSON sponsor dba name — sponsor ein 811665429 sponsor name ULTRA HEALTH LLC sponsor phone 7132348120 sponsor state TN sponsor zip 38305 tax period 2021-12-31 total assets boy 479342 total assets eoy 668904 total participants boy 51 welfare benefit code — Source: DOL form 5500 · document dol-5500/
ULTRA HEALTH LLC 401(K) PLAN	—	—	—
ack id 20260609144912NAL0004488403001 active participants 126 admin ein — admin name — business code 621399 date received 2026-06-09 filing status FILING_RECEIVED filing year 2025 form type 5500 pension benefit code 2T2G2K2J2E3D plan effective date 2018-01-01 plan name ULTRA HEALTH LLC 401(K) PLAN plan number 001 plan year begin date 2025-01-01 sponsor address1 36 PEMBERTON COVE sponsor address2 — sponsor city JACKSON sponsor dba name — sponsor ein 811665429 sponsor name ULTRA HEALTH LLC sponsor phone 7312348120 sponsor state TN sponsor zip 38305 tax period 2025-12-31 total participants boy 118 welfare benefit code — Source: DOL form 5500 · document dol-5500/
ULTRA HEALTH LLC 401(K) PLAN	—	—	—
ack id 20231009151505NAL0017963923002 active participants 61 admin ein — admin name — business code 621399 date received 2023-10-09 filing status FILING_RECEIVED filing year 2022 form type 5500 pension benefit code 2T2G2K2J2E3D plan effective date 2018-01-01 plan name ULTRA HEALTH LLC 401(K) PLAN plan number 001 plan year begin date 2022-01-01 sponsor address1 36 PEMBERTON COVE sponsor address2 — sponsor city JACKSON sponsor dba name — sponsor ein 811665429 sponsor name ULTRA HEALTH LLC sponsor phone 7312348120 sponsor state TN sponsor zip 38305 tax period 2022-12-31 total participants boy 54 welfare benefit code — Source: DOL form 5500 · document dol-5500/
ULTRA HEALTH PROVIDERS 401(K) PLAN	—	—	—
ack id 20190628130759P040351558817001 admin ein — admin name — business code 621399 date received 2019-06-28 filing status FILING_RECEIVED filing year 2018 form type 5500_SF is 401k plan — pension benefit code 2A2E2J2K plan effective date 2018-01-01 plan name ULTRA HEALTH PROVIDERS 401(K) PLAN plan number 001 plan year begin date 2018-01-01 sponsor address1 36 PEMBERTON COVE sponsor address2 — sponsor city JACKSON sponsor dba name — sponsor ein 811665429 sponsor name ULTRA HEALTH LLC sponsor phone 7132348120 sponsor state TN sponsor zip 38305 tax period 2018-12-31 total assets boy — total assets eoy 17194 total participants boy 4 welfare benefit code — Source: DOL form 5500 · document dol-5500/
ULTRA HEALTH LLC 401(K) PLAN	—	—	—
ack id 20240711084506NAL0032428066001 active participants 84 admin ein — admin name — business code 621399 date received 2024-07-11 filing status FILING_RECEIVED filing year 2023 form type 5500 pension benefit code 2T2G2K2J2E3D plan effective date 2018-01-01 plan name ULTRA HEALTH LLC 401(K) PLAN plan number 001 plan year begin date 2023-01-01 sponsor address1 36 PEMBERTON COVE sponsor address2 — sponsor city JACKSON sponsor dba name — sponsor ein 811665429 sponsor name ULTRA HEALTH LLC sponsor phone 7312348120 sponsor state TN sponsor zip 38305 tax period 2023-12-31 total participants boy 77 welfare benefit code — Source: DOL form 5500 · document dol-5500/
ULTRA HEALTH LLC 401(K) PLAN	—	—	—
ack id 20250923125949NAL0008042451001 active participants 60 admin ein — admin name — business code 621399 date received 2025-09-23 filing status FILING_RECEIVED filing year 2024 form type 5500 pension benefit code 2T2G2K2J2E3D plan effective date 2018-01-01 plan name ULTRA HEALTH LLC 401(K) PLAN plan number 001 plan year begin date 2024-01-01 sponsor address1 36 PEMBERTON COVE sponsor address2 — sponsor city JACKSON sponsor dba name — sponsor ein 811665429 sponsor name ULTRA HEALTH LLC sponsor phone 7312348120 sponsor state TN sponsor zip 38305 tax period 2024-12-31 total participants boy 102 welfare benefit code — Source: DOL form 5500 · document dol-5500/

Plan

Plan year

Participants

EIN

ULTRA HEALTH PROVIDERS 401(K) PLAN

—

ack id

20200515094817NAL0000607392001

admin ein

—

admin name

—

business code

621399

date received

2020-05-15

filing status

FILING_RECEIVED

filing year

2019

form type

5500_SF

is 401k plan

—

pension benefit code

2A2E2J2K2G2T3D

plan effective date

2018-01-01

plan name

ULTRA HEALTH PROVIDERS 401(K) PLAN

plan number

001

plan year begin date

2019-01-01

sponsor address1

36 PEMBERTON COVE

sponsor address2

—

sponsor city

JACKSON

sponsor dba name

—

sponsor ein

811665429

sponsor name

ULTRA HEALTH LLC

sponsor phone

7132348120

sponsor state

sponsor zip

38305

tax period

2019-12-31

total assets boy

17194

total assets eoy

88983

total participants boy

welfare benefit code

—

Source: DOL form 5500 · document dol-5500/

ULTRA HEALTH PROVIDERS 401(K) PLAN

—

ack id

20210416140442NAL0009446113001

admin ein

—

admin name

—

business code

621399

date received

2021-04-16

filing status

FILING_RECEIVED

filing year

2020

form type

5500_SF

is 401k plan

—

pension benefit code

3D2E2J2K2G2T

plan effective date

2018-01-01

plan name

ULTRA HEALTH PROVIDERS 401(K) PLAN

plan number

001

plan year begin date

2020-01-01

sponsor address1

36 PEMBERTON COVE

sponsor address2

—

sponsor city

JACKSON

sponsor dba name

—

sponsor ein

811665429

sponsor name

ULTRA HEALTH LLC

sponsor phone

7132348120

sponsor state

sponsor zip

38305

tax period

2020-12-31

total assets boy

88983

total assets eoy

479342

total participants boy

welfare benefit code

—

Source: DOL form 5500 · document dol-5500/

ULTRA HEALTH PROVIDERS 401(K) PLAN

—

ack id

20220622131016NAL0001266850001

admin ein

—

admin name

—

business code

621399

date received

2022-06-22

filing status

FILING_RECEIVED

filing year

2021

form type

5500_SF

is 401k plan

—

pension benefit code

3D2E2J2K2G2T

plan effective date

2018-01-01

plan name

ULTRA HEALTH PROVIDERS 401(K) PLAN

plan number

001

plan year begin date

2021-01-01

sponsor address1

36 PEMBERTON COVE

sponsor address2

—

sponsor city

JACKSON

sponsor dba name

—

sponsor ein

811665429

sponsor name

ULTRA HEALTH LLC

sponsor phone

7132348120

sponsor state

sponsor zip

38305

tax period

2021-12-31

total assets boy

479342

total assets eoy

668904

total participants boy

welfare benefit code

—

Source: DOL form 5500 · document dol-5500/

ULTRA HEALTH LLC 401(K) PLAN

—

ack id

20260609144912NAL0004488403001

active participants

126

admin ein

—

admin name

—

business code

621399

date received

2026-06-09

filing status

FILING_RECEIVED

filing year

2025

form type

5500

pension benefit code

2T2G2K2J2E3D

plan effective date

2018-01-01

plan name

ULTRA HEALTH LLC 401(K) PLAN

plan number

001

plan year begin date

2025-01-01

sponsor address1

36 PEMBERTON COVE

sponsor address2

—

sponsor city

JACKSON

sponsor dba name

—

sponsor ein

811665429

sponsor name

ULTRA HEALTH LLC

sponsor phone

7312348120

sponsor state

sponsor zip

38305

tax period

2025-12-31

total participants boy

118

welfare benefit code

—

Source: DOL form 5500 · document dol-5500/

ULTRA HEALTH LLC 401(K) PLAN

—

ack id

20231009151505NAL0017963923002

active participants

admin ein

—

admin name

—

business code

621399

date received

2023-10-09

filing status

FILING_RECEIVED

filing year

2022

form type

5500

pension benefit code

2T2G2K2J2E3D

plan effective date

2018-01-01

plan name

ULTRA HEALTH LLC 401(K) PLAN

plan number

001

plan year begin date

2022-01-01

sponsor address1

36 PEMBERTON COVE

sponsor address2

—

sponsor city

JACKSON

sponsor dba name

—

sponsor ein

811665429

sponsor name

ULTRA HEALTH LLC

sponsor phone

7312348120

sponsor state

sponsor zip

38305

tax period

2022-12-31

total participants boy

welfare benefit code

—

Source: DOL form 5500 · document dol-5500/

ULTRA HEALTH PROVIDERS 401(K) PLAN

—

ack id

20190628130759P040351558817001

admin ein

—

admin name

—

business code

621399

date received

2019-06-28

filing status

FILING_RECEIVED

filing year

2018

form type

5500_SF

is 401k plan

—

pension benefit code

2A2E2J2K

plan effective date

2018-01-01

plan name

ULTRA HEALTH PROVIDERS 401(K) PLAN

plan number

001

plan year begin date

2018-01-01

sponsor address1

36 PEMBERTON COVE

sponsor address2

—

sponsor city

JACKSON

sponsor dba name

—

sponsor ein

811665429

sponsor name

ULTRA HEALTH LLC

sponsor phone

7132348120

sponsor state

sponsor zip

38305

tax period

2018-12-31

total assets boy

—

total assets eoy

17194

total participants boy

welfare benefit code

—

Source: DOL form 5500 · document dol-5500/

ULTRA HEALTH LLC 401(K) PLAN

—

ack id

20240711084506NAL0032428066001

active participants

admin ein

—

admin name

—

business code

621399

date received

2024-07-11

filing status

FILING_RECEIVED

filing year

2023

form type

5500

pension benefit code

2T2G2K2J2E3D

plan effective date

2018-01-01

plan name

ULTRA HEALTH LLC 401(K) PLAN

plan number

001

plan year begin date

2023-01-01

sponsor address1

36 PEMBERTON COVE

sponsor address2

—

sponsor city

JACKSON

sponsor dba name

—

sponsor ein

811665429

sponsor name

ULTRA HEALTH LLC

sponsor phone

7312348120

sponsor state

sponsor zip

38305

tax period

2023-12-31

total participants boy

welfare benefit code

—

Source: DOL form 5500 · document dol-5500/

ULTRA HEALTH LLC 401(K) PLAN

—

ack id

20250923125949NAL0008042451001

active participants

admin ein

—

admin name

—

business code

621399

date received

2025-09-23

filing status

FILING_RECEIVED

filing year

2024

form type

5500

pension benefit code

2T2G2K2J2E3D

plan effective date

2018-01-01

plan name

ULTRA HEALTH LLC 401(K) PLAN

plan number

001

plan year begin date

2024-01-01

sponsor address1

36 PEMBERTON COVE

sponsor address2

—

sponsor city

JACKSON

sponsor dba name

—

sponsor ein

811665429

sponsor name

ULTRA HEALTH LLC

sponsor phone

7312348120

sponsor state

sponsor zip

38305

tax period

2024-12-31

total participants boy

102

welfare benefit code

—

Source: DOL form 5500 · document dol-5500/

ULTRA HEALTH LLC

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