401k Plan data: SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN plan

SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN
Plan identification number	505

SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

SILVER CROSS HEALTH SYSTEM, INC. has sponsored the creation of one or more 401k plans.

Company Name: SILVER CROSS HEALTH SYSTEM, INC.

Employer identification number (EIN): 363185353

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2015-01-01
505 2014-01-01
505 2013-01-01
505 2012-01-01 DENNIS MINICH
505 2011-01-01 DENNIS MINICH
505 2009-01-01 MARK JEPSON
505 2009-01-01

Plan Statistics for SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN

Measure Date Value
2015: SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,789
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
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 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
2014: SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,599
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,781
Number of retired or separated participants receiving benefits 2014-01-01 8
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 1,789
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 1,789
2013: SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,445
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,543
Number of retired or separated participants receiving benefits 2013-01-01 16
Total of all active and inactive participants 2013-01-01 1,559
Total participants 2013-01-01 1,559
2012: SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 449
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 471
Number of retired or separated participants receiving benefits 2012-01-01 4
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 475
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 475
2011: SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 437
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 441
Number of retired or separated participants receiving benefits 2011-01-01 8
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 449
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 449
2009: SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 445
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 416
Number of retired or separated participants receiving benefits 2009-01-01 5
Total of all active and inactive participants 2009-01-01 421
Total participants 2009-01-01 421

Measure	Date	Value
2015: SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,789
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
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	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
2014: SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,599
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,781
Number of retired or separated participants receiving benefits	2014-01-01	8
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	1,789
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	1,789
2013: SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,445
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,543
Number of retired or separated participants receiving benefits	2013-01-01	16
Total of all active and inactive participants	2013-01-01	1,559
Total participants	2013-01-01	1,559
2012: SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	449
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	471
Number of retired or separated participants receiving benefits	2012-01-01	4
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	475
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	475
2011: SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	437
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	441
Number of retired or separated participants receiving benefits	2011-01-01	8
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	449
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	449
2009: SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	445
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	416
Number of retired or separated participants receiving benefits	2009-01-01	5
Total of all active and inactive participants	2009-01-01	421
Total participants	2009-01-01	421

Financial Data on SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN

Measure	Date	Value
2014 : SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$2,002,484
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$3,787,037
Total income from all sources (including contributions)	2014-12-31	$22,857,989
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$21,990,404
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$21,398,489
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$21,073,384
Value of total assets at end of year	2014-12-31	$1,480,202
Value of total assets at beginning of year	2014-12-31	$2,397,170
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$591,915
Total interest from all sources	2014-12-31	$52
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$4,198,760
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$1,361,011
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$2,086,387
Other income not declared elsewhere	2014-12-31	$1,784,553
Administrative expenses (other) incurred	2014-12-31	$591,915
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$867,585
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$-522,282
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$-1,389,867
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$119,191
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$310,783
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$310,783
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$52
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$6,293,174
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$16,874,624
Employer contributions (assets) at end of year	2014-12-31	$1,361,011
Employer contributions (assets) at beginning of year	2014-12-31	$2,086,387
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$15,105,315
Liabilities. Value of benefit claims payable at end of year	2014-12-31	$641,473
Liabilities. Value of benefit claims payable at beginning of year	2014-12-31	$1,700,650
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	PAUL J SMIT & ASSOCIATES
Accountancy firm EIN	2014-12-31	010672939
2013 : SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$3,787,037
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$1,411,764
Total income from all sources (including contributions)	2013-12-31	$20,090,956
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$22,520,470
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$22,520,470
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$20,090,908
Value of total assets at end of year	2013-12-31	$310,783
Value of total assets at beginning of year	2013-12-31	$365,024
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$0
Total interest from all sources	2013-12-31	$48
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$3,500,908
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2013-12-31	$2,375,273
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$2,086,387
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$134,206
Administrative expenses (other) incurred	2013-12-31	$617,072
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$-2,429,514
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$-3,476,254
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$-1,046,740
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$310,783
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$365,024
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$365,024
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$48
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$5,559,123
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$16,590,000
Employer contributions (assets) at end of year	2013-12-31	$2,086,387
Employer contributions (assets) at beginning of year	2013-12-31	$134,206
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$16,961,347
Liabilities. Value of benefit claims payable at end of year	2013-12-31	$1,700,650
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$1,277,558
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	PAUL J SMIT & ASSOCIATES
Accountancy firm EIN	2013-12-31	010672939
2012 : SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$1,411,764
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$1,006,341
Total income from all sources (including contributions)	2012-12-31	$19,464,176
Total of all expenses incurred	2012-12-31	$19,872,712
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$19,872,712
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$19,464,112
Value of total assets at end of year	2012-12-31	$365,024
Value of total assets at beginning of year	2012-12-31	$368,137
Total interest from all sources	2012-12-31	$64
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$3,243,250
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2012-12-31	$405,423
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$1,277,558
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$896,390
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$-408,536
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$-1,046,740
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$-638,204
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$365,024
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$368,137
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$368,137
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$64
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$5,118,605
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$16,220,862
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$14,348,684
Liabilities. Value of benefit claims payable at end of year	2012-12-31	$134,206
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$109,951
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	PAUL J. SMIT & ASSOCIATES
Accountancy firm EIN	2012-12-31	010672939
2011 : SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$1,006,341
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$1,134,394
Total income from all sources (including contributions)	2011-12-31	$18,169,064
Total of all expenses incurred	2011-12-31	$17,922,856
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$17,922,856
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$18,040,831
Value of total assets at end of year	2011-12-31	$368,137
Value of total assets at beginning of year	2011-12-31	$249,982
Total interest from all sources	2011-12-31	$180
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$3,065,831
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$896,390
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$677,036
Other income not declared elsewhere	2011-12-31	$128,053
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$246,208
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$-638,204
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$-884,412
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$368,137
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$249,982
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$249,982
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$180
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$5,099,013
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$14,975,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$12,823,843
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$109,951
Liabilities. Value of benefit claims payable at beginning of year	2011-12-31	$457,358
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	PAUL J. SMIT & ASSOCIATES
Accountancy firm EIN	2011-12-31	010672939
2010 : SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$1,134,394
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$1,120,291
Total income from all sources (including contributions)	2010-12-31	$16,573,014
Total of all expenses incurred	2010-12-31	$16,622,587
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$16,622,587
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$16,572,806
Value of total assets at end of year	2010-12-31	$249,982
Value of total assets at beginning of year	2010-12-31	$285,452
Total interest from all sources	2010-12-31	$208
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$2,772,806
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2010-12-31	$14,103
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$677,036
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$869,787
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$-49,573
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$-884,412
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$-834,839
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$249,982
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$285,452
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$285,452
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$208
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$4,775,022
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$13,800,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$11,833,462
Liabilities. Value of benefit claims payable at end of year	2010-12-31	$457,358
Liabilities. Value of benefit claims payable at beginning of year	2010-12-31	$250,504
Did the plan have assets held for investment	2010-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	PAUL J. SMIT & ASSOCIATES
Accountancy firm EIN	2010-12-31	010672939

Form 5500 Responses for SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN

2015: SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT 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	Yes
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 – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT 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 – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
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 – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT 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 – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT 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 – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: SILVER CROSS HEALTH SYSTEM, INC. EMPLOYEE BENEFIT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	SILVER CROSS HEALTH SYSTEM, INC.
Employer identification number (EIN):	363185353
NAIC Classification:	622000
NAIC Description:	Hospitals