401k Plan data: AFFILIATED SURGERY CENTERS RETIREMENT PLAN plan

AFFILIATED SURGERY CENTERS RETIREMENT PLAN 401k Plan overview

Plan Name	AFFILIATED SURGERY CENTERS RETIREMENT PLAN
Plan identification number	001

AFFILIATED SURGERY CENTERS 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.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

WAVERLEY SURGERY CENTER, L.P. has sponsored the creation of one or more 401k plans.

Company Name: WAVERLEY SURGERY CENTER, L.P.

Employer identification number (EIN): 020554398

NAIC Classification: 621493
NAIC Description: Freestanding Ambulatory Surgical and Emergency Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AFFILIATED SURGERY CENTERS RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01 ROZANNE SCHIRO ROZANNE SCHIRO 2014-10-15
001 2012-01-01 KIMBERLY SEITZ KIMBERLY SEITZ 2013-10-14
001 2011-01-01 KIMBERLY SEITZ KIMBERLY SEITZ 2012-10-15
001 2010-01-01 KIMBERLY SEITZ KIMBERLY SEITZ 2011-10-10

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2013-01-01	ROZANNE SCHIRO	ROZANNE SCHIRO	2014-10-15
001	2012-01-01	KIMBERLY SEITZ	KIMBERLY SEITZ	2013-10-14
001	2011-01-01	KIMBERLY SEITZ	KIMBERLY SEITZ	2012-10-15
001	2010-01-01	KIMBERLY SEITZ	KIMBERLY SEITZ	2011-10-10

Plan Statistics for AFFILIATED SURGERY CENTERS RETIREMENT PLAN

401k plan membership statisitcs for AFFILIATED SURGERY CENTERS RETIREMENT PLAN

Measure Date Value
2013: AFFILIATED SURGERY CENTERS RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 220
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 272
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 42
Total of all active and inactive participants 2013-01-01 314
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 314
Number of participants with account balances 2013-01-01 247
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 8
2012: AFFILIATED SURGERY CENTERS RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 200
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 181
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 32
Total of all active and inactive participants 2012-01-01 213
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 213
Number of participants with account balances 2012-01-01 198
2011: AFFILIATED SURGERY CENTERS RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 210
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 156
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 37
Total of all active and inactive participants 2011-01-01 193
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 193
Number of participants with account balances 2011-01-01 178
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 5
2010: AFFILIATED SURGERY CENTERS RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 206
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 151
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 51
Total of all active and inactive participants 2010-01-01 202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 202
Number of participants with account balances 2010-01-01 189
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 5

Measure	Date	Value
2013: AFFILIATED SURGERY CENTERS RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	220
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	272
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	42
Total of all active and inactive participants	2013-01-01	314
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	314
Number of participants with account balances	2013-01-01	247
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	8
2012: AFFILIATED SURGERY CENTERS RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	200
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	181
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	32
Total of all active and inactive participants	2012-01-01	213
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	213
Number of participants with account balances	2012-01-01	198
2011: AFFILIATED SURGERY CENTERS RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	210
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	156
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	37
Total of all active and inactive participants	2011-01-01	193
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	193
Number of participants with account balances	2011-01-01	178
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	5
2010: AFFILIATED SURGERY CENTERS RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	206
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	151
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	51
Total of all active and inactive participants	2010-01-01	202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	202
Number of participants with account balances	2010-01-01	189
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	5

Financial Data on AFFILIATED SURGERY CENTERS RETIREMENT PLAN

Measure	Date	Value
2013 : AFFILIATED SURGERY CENTERS RETIREMENT PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$7,317,188
Total of all expenses incurred	2013-12-31	$505,648
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$408,838
Value of total corrective distributions	2013-12-31	$82,010
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$4,812,395
Value of total assets at end of year	2013-12-31	$20,813,208
Value of total assets at beginning of year	2013-12-31	$14,001,668
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$14,800
Total interest from all sources	2013-12-31	$30,710
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$408,319
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,523,534
Participant contributions at end of year	2013-12-31	$570,925
Participant contributions at beginning of year	2013-12-31	$581,733
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$2,555,848
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	$6,811,540
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$20,813,208
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$14,001,668
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 in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$19,498,095
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$12,785,567
Interest on participant loans	2013-12-31	$30,710
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$13,609
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$13,609
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$2,065,764
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	$733,013
Employer contributions (assets) at end of year	2013-12-31	$744,188
Employer contributions (assets) at beginning of year	2013-12-31	$620,759
Income. Dividends from common stock	2013-12-31	$408,319
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$408,838
Contract administrator fees	2013-12-31	$14,800
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	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	JOHANSON & YAU ACCOUNTANCY CORP
Accountancy firm EIN	2013-12-31	942702860
2012 : AFFILIATED SURGERY CENTERS RETIREMENT PLAN 2012 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$13,535
Total income from all sources (including contributions)	2012-12-31	$3,366,541
Total of all expenses incurred	2012-12-31	$339,200
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$313,447
Value of total corrective distributions	2012-12-31	$10,418
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,978,967
Value of total assets at end of year	2012-12-31	$14,001,668
Value of total assets at beginning of year	2012-12-31	$10,987,862
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$15,335
Total interest from all sources	2012-12-31	$25,033
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$286,496
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$286,496
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$1,200,599
Participant contributions at end of year	2012-12-31	$581,733
Participant contributions at beginning of year	2012-12-31	$410,688
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$157,609
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	$3,027,341
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$14,001,668
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$10,974,327
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 in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$12,785,567
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$10,048,888
Interest on participant loans	2012-12-31	$25,033
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$13,609
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$13,535
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$13,535
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$1,076,045
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	$620,759
Employer contributions (assets) at end of year	2012-12-31	$620,759
Employer contributions (assets) at beginning of year	2012-12-31	$514,751
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$313,447
Contract administrator fees	2012-12-31	$15,335
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$13,535
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	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	JOHANSON & YAU ACCOUNTANCY CORP
Accountancy firm EIN	2012-12-31	942702860
2011 : AFFILIATED SURGERY CENTERS RETIREMENT PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$13,535
Total income from all sources (including contributions)	2011-12-31	$1,526,464
Total of all expenses incurred	2011-12-31	$672,828
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$657,187
Value of total corrective distributions	2011-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,583,131
Value of total assets at end of year	2011-12-31	$10,987,862
Value of total assets at beginning of year	2011-12-31	$10,120,691
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$15,641
Total interest from all sources	2011-12-31	$22,389
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$224,274
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$224,274
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$996,046
Participant contributions at end of year	2011-12-31	$410,688
Participant contributions at beginning of year	2011-12-31	$423,646
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$72,334
Other income not declared elsewhere	2011-12-31	$-420
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	$853,636
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$10,974,327
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$10,120,691
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 in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$10,048,888
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$8,521,203
Interest on participant loans	2011-12-31	$22,389
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$13,535
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$666,279
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$666,279
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-302,910
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	$514,751
Employer contributions (assets) at end of year	2011-12-31	$514,751
Employer contributions (assets) at beginning of year	2011-12-31	$509,563
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$657,187
Contract administrator fees	2011-12-31	$15,641
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$13,535
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	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	JOHANSON & YAU ACCOUNTANCY CORP
Accountancy firm EIN	2011-12-31	942702860
2010 : AFFILIATED SURGERY CENTERS RETIREMENT PLAN 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$2,691,870
Total of all expenses incurred	2010-12-31	$773,642
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$756,147
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,589,925
Value of total assets at end of year	2010-12-31	$10,120,691
Value of total assets at beginning of year	2010-12-31	$8,202,463
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$17,495
Total interest from all sources	2010-12-31	$19,329
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$191,136
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$191,136
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$1,016,242
Participant contributions at end of year	2010-12-31	$423,646
Participant contributions at beginning of year	2010-12-31	$253,210
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$64,120
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	$1,918,228
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$10,120,691
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$8,202,463
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 in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$8,521,203
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$6,622,769
Interest on participant loans	2010-12-31	$19,324
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$666,279
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$774,114
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$774,114
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$5
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$891,480
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	$509,563
Employer contributions (assets) at end of year	2010-12-31	$509,563
Employer contributions (assets) at beginning of year	2010-12-31	$552,370
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$756,147
Contract administrator fees	2010-12-31	$17,495
Did the plan have assets held for investment	2010-12-31	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	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	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	JOHANSON & YAU ACCOUNTANCY CORP
Accountancy firm EIN	2010-12-31	942702860

Form 5500 Responses for AFFILIATED SURGERY CENTERS RETIREMENT PLAN

2013: AFFILIATED SURGERY CENTERS 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: AFFILIATED SURGERY CENTERS 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: AFFILIATED SURGERY CENTERS 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
2010: AFFILIATED SURGERY CENTERS RETIREMENT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	WAVERLEY SURGERY CENTER, L.P.
Employer identification number (EIN):	020554398
NAIC Classification:	621493
NAIC Description:	Freestanding Ambulatory Surgical and Emergency Centers