401k Plan data: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN plan

SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 401k Plan overview

Plan Name	SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN
Plan identification number	001

SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Participant-directed brokerage accounts provided as an investment option under the plan.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

SURGICAL SERVICES OF ATHENS, LLC has sponsored the creation of one or more 401k plans.

Company Name: SURGICAL SERVICES OF ATHENS, LLC

Employer identification number (EIN): 271634997

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01
001 2022-01-01
001 2021-01-01
001 2020-01-01 SETH D. RAYBURN, M.D. 2021-07-22
001 2019-01-01 SETH D. RAYBURN, M.D. 2020-07-15
001 2018-01-01
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01 SETH D. RAYBURN, M.D.
001 2013-01-01 SETH D. RAYBURN, M.D.
001 2012-01-01 SETH D. RAYBURN, M.D.
001 2011-01-01 SETH D. RAYBURN, M.D.

Plan Statistics for SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN

401k plan membership statisitcs for SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN

Measure Date Value
2020: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 10
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 1
Total of all active and inactive participants 2020-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 11
Number of participants with account balances 2020-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 11
Number of retired or separated participants receiving benefits 2019-01-01 2
Number of other retired or separated participants entitled to future benefits 2019-01-01 1
Total of all active and inactive participants 2019-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 14
Number of participants with account balances 2019-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 10
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 3
Total of all active and inactive participants 2018-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 13
Number of participants with account balances 2018-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 9
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 3
Total of all active and inactive participants 2017-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 12
Number of participants with account balances 2017-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 10
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 1
Total of all active and inactive participants 2016-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 11
Number of participants with account balances 2016-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 9
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 1
Total of all active and inactive participants 2015-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 10
Number of participants with account balances 2015-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 1
2014: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 9
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 9
Number of participants with account balances 2014-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 9
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 9
Number of participants with account balances 2013-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 7
Number of retired or separated participants receiving benefits 2012-01-01 1
Number of other retired or separated participants entitled to future benefits 2012-01-01 1
Total of all active and inactive participants 2012-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 9
Number of participants with account balances 2012-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 7
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 2
Total of all active and inactive participants 2011-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 9
Number of participants with account balances 2011-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2020: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	10
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	1
Total of all active and inactive participants	2020-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	11
Number of participants with account balances	2020-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	11
Number of retired or separated participants receiving benefits	2019-01-01	2
Number of other retired or separated participants entitled to future benefits	2019-01-01	1
Total of all active and inactive participants	2019-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	14
Number of participants with account balances	2019-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	10
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	3
Total of all active and inactive participants	2018-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	13
Number of participants with account balances	2018-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	9
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	3
Total of all active and inactive participants	2017-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	12
Number of participants with account balances	2017-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	10
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	1
Total of all active and inactive participants	2016-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	11
Number of participants with account balances	2016-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	9
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	1
Total of all active and inactive participants	2015-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	10
Number of participants with account balances	2015-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	1
2014: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	9
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	9
Number of participants with account balances	2014-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	9
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	9
Number of participants with account balances	2013-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	7
Number of retired or separated participants receiving benefits	2012-01-01	1
Number of other retired or separated participants entitled to future benefits	2012-01-01	1
Total of all active and inactive participants	2012-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	9
Number of participants with account balances	2012-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	7
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	2
Total of all active and inactive participants	2011-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	9
Number of participants with account balances	2011-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN

Measure	Date	Value
2020 : SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$680,322
Expenses. Total of all expenses incurred	2020-12-31	$35,385
Benefits paid (including direct rollovers)	2020-12-31	$23,418
Total plan assets at end of year	2020-12-31	$2,680,112
Total plan assets at beginning of year	2020-12-31	$2,035,175
Value of fidelity bond covering the plan	2020-12-31	$150,000
Total contributions received or receivable from participants	2020-12-31	$106,377
Other income received	2020-12-31	$437,773
Net income (gross income less expenses)	2020-12-31	$644,937
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$2,680,112
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$2,035,175
Total contributions received or receivable from employer(s)	2020-12-31	$136,172
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$11,967
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
2019 : SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$907,791
Expenses. Total of all expenses incurred	2019-12-31	$12,071
Benefits paid (including direct rollovers)	2019-12-31	$3,683
Total plan assets at end of year	2019-12-31	$2,035,175
Total plan assets at beginning of year	2019-12-31	$1,139,455
Value of fidelity bond covering the plan	2019-12-31	$150,000
Total contributions received or receivable from participants	2019-12-31	$106,079
Contributions received from other sources (not participants or employers)	2019-12-31	$420,361
Other income received	2019-12-31	$243,065
Net income (gross income less expenses)	2019-12-31	$895,720
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$2,035,175
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$1,139,455
Total contributions received or receivable from employer(s)	2019-12-31	$138,286
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$8,388
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$173,463
Expenses. Total of all expenses incurred	2018-12-31	$7,087
Total plan assets at end of year	2018-12-31	$1,139,455
Total plan assets at beginning of year	2018-12-31	$973,079
Value of fidelity bond covering the plan	2018-12-31	$25,000
Total contributions received or receivable from participants	2018-12-31	$99,509
Other income received	2018-12-31	$-59,330
Net income (gross income less expenses)	2018-12-31	$166,376
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$1,139,455
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$973,079
Total contributions received or receivable from employer(s)	2018-12-31	$133,284
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$7,087
2017 : SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$217,509
Expenses. Total of all expenses incurred	2017-12-31	$3,764
Total plan assets at end of year	2017-12-31	$973,079
Total plan assets at beginning of year	2017-12-31	$759,334
Total contributions received or receivable from participants	2017-12-31	$73,944
Other income received	2017-12-31	$73,190
Net income (gross income less expenses)	2017-12-31	$213,745
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$973,079
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$759,334
Total contributions received or receivable from employer(s)	2017-12-31	$70,375
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$3,764
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$137,627
Expenses. Total of all expenses incurred	2016-12-31	$6,766
Benefits paid (including direct rollovers)	2016-12-31	$3,207
Total plan assets at end of year	2016-12-31	$759,334
Total plan assets at beginning of year	2016-12-31	$628,473
Total contributions received or receivable from participants	2016-12-31	$55,950
Other income received	2016-12-31	$31,553
Net income (gross income less expenses)	2016-12-31	$130,861
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$759,334
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$628,473
Total contributions received or receivable from employer(s)	2016-12-31	$50,124
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$3,559
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$106,166
Expenses. Total of all expenses incurred	2015-12-31	$3,254
Total plan assets at end of year	2015-12-31	$628,473
Total plan assets at beginning of year	2015-12-31	$525,561
Total contributions received or receivable from participants	2015-12-31	$55,612
Other income received	2015-12-31	$2,068
Net income (gross income less expenses)	2015-12-31	$102,912
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$628,473
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$525,561
Total contributions received or receivable from employer(s)	2015-12-31	$48,486
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$3,254
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$142,735
Expenses. Total of all expenses incurred	2014-12-31	$4,337
Total plan assets at end of year	2014-12-31	$525,561
Total plan assets at beginning of year	2014-12-31	$387,163
Total contributions received or receivable from participants	2014-12-31	$54,122
Contributions received from other sources (not participants or employers)	2014-12-31	$12,779
Other income received	2014-12-31	$17,502
Net income (gross income less expenses)	2014-12-31	$138,398
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$525,561
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$387,163
Total contributions received or receivable from employer(s)	2014-12-31	$58,332
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$4,337
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$129,120
Expenses. Total of all expenses incurred	2013-12-31	$7,387
Benefits paid (including direct rollovers)	2013-12-31	$4,900
Total plan assets at end of year	2013-12-31	$387,163
Total plan assets at beginning of year	2013-12-31	$265,430
Total contributions received or receivable from participants	2013-12-31	$54,150
Other income received	2013-12-31	$26,747
Net income (gross income less expenses)	2013-12-31	$121,733
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$387,163
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$265,430
Total contributions received or receivable from employer(s)	2013-12-31	$48,223
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$2,487
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$111,716
Expenses. Total of all expenses incurred	2012-12-31	$1,644
Total plan assets at end of year	2012-12-31	$265,430
Total plan assets at beginning of year	2012-12-31	$155,358
Total contributions received or receivable from participants	2012-12-31	$52,653
Other income received	2012-12-31	$10,655
Net income (gross income less expenses)	2012-12-31	$110,072
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$265,430
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$155,358
Total contributions received or receivable from employer(s)	2012-12-31	$48,408
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$1,644
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total income from all sources	2011-12-31	$78,834
Expenses. Total of all expenses incurred	2011-12-31	$2,961
Benefits paid (including direct rollovers)	2011-12-31	$2,361
Total plan assets at end of year	2011-12-31	$155,358
Total plan assets at beginning of year	2011-12-31	$79,485
Total contributions received or receivable from participants	2011-12-31	$52,459
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-2,538
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$75,873
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$155,358
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$79,485
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2011-12-31	$17,485
Total contributions received or receivable from employer(s)	2011-12-31	$28,913
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$600
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total income from all sources	2010-12-31	$98,817
Expenses. Total of all expenses incurred	2010-12-31	$0
Benefits paid (including direct rollovers)	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$98,817
Total plan assets at beginning of year	2010-12-31	$0
Total contributions received or receivable from participants	2010-12-31	$49,500
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$0
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$98,817
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$98,817
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$0
Total contributions received or receivable from employer(s)	2010-12-31	$49,317
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0

Form 5500 Responses for SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN

2020: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SURGICAL SERVICES OF ATHENS, LLC RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	SURGICAL SERVICES OF ATHENS, LLC
Employer identification number (EIN):	271634997
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2023-01-01
001	2022-01-01
001	2021-01-01
001	2020-01-01	SETH D. RAYBURN, M.D.	2021-07-22
001	2019-01-01	SETH D. RAYBURN, M.D.	2020-07-15
001	2018-01-01
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01	SETH D. RAYBURN, M.D.
001	2013-01-01	SETH D. RAYBURN, M.D.
001	2012-01-01	SETH D. RAYBURN, M.D.
001	2011-01-01	SETH D. RAYBURN, M.D.