401k Plan data: EAST OREGON SURGERY CENTER LLC 401K PSP & T plan

EAST OREGON SURGERY CENTER LLC 401K PSP & T 401k Plan overview

Plan Name	EAST OREGON SURGERY CENTER LLC 401K PSP & T
Plan identification number	001

EAST OREGON SURGERY CENTER LLC 401K PSP & T 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.
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

EAST OREGON SUREGERY CENTER LLC has sponsored the creation of one or more 401k plans.

Company Name: EAST OREGON SUREGERY CENTER LLC

Employer identification number (EIN): 200209992

NAIC Classification: 621498
NAIC Description: All Other Outpatient Care Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EAST OREGON SURGERY CENTER LLC 401K PSP & T

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01 BART ADAMS MD TRUSTEE 2022-03-20
001 2020-01-01 BART ADAMS MD TRUSTEE 2021-02-22
001 2019-01-01 BART ADAMS MD TRUSTEE 2020-04-01
001 2018-01-01
001 2017-01-01
001 2016-01-01 BART ADAMS MD TRUSTEE
001 2015-01-01 BART ADAMS MD TRUSTEE
001 2014-01-01 BART ADAMS MD TRUSTEE
001 2013-01-01 BART ADAMS MD TRUSTEE BART ADAMS PLAN SPONSOR 2014-07-11
001 2012-01-01 BART ADAMS MD TRUSTEE BART ADAMS PLAN SPONSOR 2013-07-24
001 2011-01-01 BART ADAMS MD TRUSTEE BART ADAMS PLAN SPONSOR 2012-07-25
001 2010-01-01 BART ADAMS MD TRUSTEE BART ADAMS PLAN SPONSOR 2011-07-15
001 2009-01-01 BART ADAMS MD TRUSTEE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2021-01-01	BART ADAMS MD TRUSTEE	2022-03-20
001	2020-01-01	BART ADAMS MD TRUSTEE	2021-02-22
001	2019-01-01	BART ADAMS MD TRUSTEE	2020-04-01
001	2018-01-01
001	2017-01-01
001	2016-01-01	BART ADAMS MD TRUSTEE
001	2015-01-01	BART ADAMS MD TRUSTEE
001	2014-01-01	BART ADAMS MD TRUSTEE
001	2013-01-01	BART ADAMS MD TRUSTEE		BART ADAMS PLAN SPONSOR	2014-07-11
001	2012-01-01	BART ADAMS MD TRUSTEE		BART ADAMS PLAN SPONSOR	2013-07-24
001	2011-01-01	BART ADAMS MD TRUSTEE		BART ADAMS PLAN SPONSOR	2012-07-25
001	2010-01-01	BART ADAMS MD TRUSTEE		BART ADAMS PLAN SPONSOR	2011-07-15
001	2009-01-01	BART ADAMS MD TRUSTEE

Plan Statistics for EAST OREGON SURGERY CENTER LLC 401K PSP & T

401k plan membership statisitcs for EAST OREGON SURGERY CENTER LLC 401K PSP & T

Measure Date Value
2021: EAST OREGON SURGERY CENTER LLC 401K PSP & T 2021 401k membership
Total participants, beginning-of-year 2021-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 1
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 1
Number of participants with account balances 2021-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: EAST OREGON SURGERY CENTER LLC 401K PSP & T 2020 401k membership
Total participants, beginning-of-year 2020-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 4
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 3
Total of all active and inactive participants 2020-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 7
Number of participants with account balances 2020-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: EAST OREGON SURGERY CENTER LLC 401K PSP & T 2019 401k membership
Total participants, beginning-of-year 2019-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 4
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 3
Total of all active and inactive participants 2019-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 7
Number of participants with account balances 2019-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: EAST OREGON SURGERY CENTER LLC 401K PSP & T 2018 401k membership
Total participants, beginning-of-year 2018-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 6
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 5
Total of all active and inactive participants 2018-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 11
Number of participants with account balances 2018-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: EAST OREGON SURGERY CENTER LLC 401K PSP & T 2017 401k membership
Total participants, beginning-of-year 2017-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 6
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 4
Total of all active and inactive participants 2017-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 10
Number of participants with account balances 2017-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: EAST OREGON SURGERY CENTER LLC 401K PSP & T 2016 401k membership
Total participants, beginning-of-year 2016-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 7
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 2
Total of all active and inactive participants 2016-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 9
Number of participants with account balances 2016-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: EAST OREGON SURGERY CENTER LLC 401K PSP & T 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 6
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 2
Total of all active and inactive participants 2015-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 8
Number of participants with account balances 2015-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 1
2014: EAST OREGON SURGERY CENTER LLC 401K PSP & T 2014 401k membership
Total participants, beginning-of-year 2014-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 6
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 1
Total of all active and inactive participants 2014-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 7
Number of participants with account balances 2014-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: EAST OREGON SURGERY CENTER LLC 401K PSP & T 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 6
Number of retired or separated participants receiving benefits 2013-01-01 2
Number of other retired or separated participants entitled to future benefits 2013-01-01 3
Total of all active and inactive participants 2013-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 11
Number of participants with account balances 2013-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 2
2012: EAST OREGON SURGERY CENTER LLC 401K PSP & T 2012 401k membership
Total participants, beginning-of-year 2012-01-01 10
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 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 3
Total of all active and inactive participants 2012-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 10
Number of participants with account balances 2012-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: EAST OREGON SURGERY CENTER LLC 401K PSP & T 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 8
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 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 10
Number of participants with account balances 2011-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: EAST OREGON SURGERY CENTER LLC 401K PSP & T 2010 401k membership
Total participants, beginning-of-year 2010-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 7
Number of retired or separated participants receiving benefits 2010-01-01 1
Number of other retired or separated participants entitled to future benefits 2010-01-01 1
Total of all active and inactive participants 2010-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 9
Number of participants with account balances 2010-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: EAST OREGON SURGERY CENTER LLC 401K PSP & T 2009 401k membership
Total participants, beginning-of-year 2009-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 7
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 2
Total of all active and inactive participants 2009-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 9
Number of participants with account balances 2009-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 2

Measure	Date	Value
2021: EAST OREGON SURGERY CENTER LLC 401K PSP & T 2021 401k membership
Total participants, beginning-of-year	2021-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	1
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	1
Number of participants with account balances	2021-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: EAST OREGON SURGERY CENTER LLC 401K PSP & T 2020 401k membership
Total participants, beginning-of-year	2020-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	4
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	3
Total of all active and inactive participants	2020-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	7
Number of participants with account balances	2020-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: EAST OREGON SURGERY CENTER LLC 401K PSP & T 2019 401k membership
Total participants, beginning-of-year	2019-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	4
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	3
Total of all active and inactive participants	2019-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	7
Number of participants with account balances	2019-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: EAST OREGON SURGERY CENTER LLC 401K PSP & T 2018 401k membership
Total participants, beginning-of-year	2018-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	6
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	5
Total of all active and inactive participants	2018-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	11
Number of participants with account balances	2018-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: EAST OREGON SURGERY CENTER LLC 401K PSP & T 2017 401k membership
Total participants, beginning-of-year	2017-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	6
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	4
Total of all active and inactive participants	2017-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	10
Number of participants with account balances	2017-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: EAST OREGON SURGERY CENTER LLC 401K PSP & T 2016 401k membership
Total participants, beginning-of-year	2016-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	7
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	2
Total of all active and inactive participants	2016-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	9
Number of participants with account balances	2016-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: EAST OREGON SURGERY CENTER LLC 401K PSP & T 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	6
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	2
Total of all active and inactive participants	2015-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	8
Number of participants with account balances	2015-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	1
2014: EAST OREGON SURGERY CENTER LLC 401K PSP & T 2014 401k membership
Total participants, beginning-of-year	2014-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	6
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	1
Total of all active and inactive participants	2014-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	7
Number of participants with account balances	2014-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: EAST OREGON SURGERY CENTER LLC 401K PSP & T 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	6
Number of retired or separated participants receiving benefits	2013-01-01	2
Number of other retired or separated participants entitled to future benefits	2013-01-01	3
Total of all active and inactive participants	2013-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	11
Number of participants with account balances	2013-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	2
2012: EAST OREGON SURGERY CENTER LLC 401K PSP & T 2012 401k membership
Total participants, beginning-of-year	2012-01-01	10
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	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	3
Total of all active and inactive participants	2012-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	10
Number of participants with account balances	2012-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: EAST OREGON SURGERY CENTER LLC 401K PSP & T 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	8
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	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	10
Number of participants with account balances	2011-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: EAST OREGON SURGERY CENTER LLC 401K PSP & T 2010 401k membership
Total participants, beginning-of-year	2010-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	7
Number of retired or separated participants receiving benefits	2010-01-01	1
Number of other retired or separated participants entitled to future benefits	2010-01-01	1
Total of all active and inactive participants	2010-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	9
Number of participants with account balances	2010-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: EAST OREGON SURGERY CENTER LLC 401K PSP & T 2009 401k membership
Total participants, beginning-of-year	2009-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	7
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	2
Total of all active and inactive participants	2009-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	9
Number of participants with account balances	2009-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	2

Financial Data on EAST OREGON SURGERY CENTER LLC 401K PSP & T

Measure	Date	Value
2021 : EAST OREGON SURGERY CENTER LLC 401K PSP & T 2021 401k financial data
Total income from all sources	2021-12-31	$34,056
Expenses. Total of all expenses incurred	2021-12-31	$352,009
Benefits paid (including direct rollovers)	2021-12-31	$351,469
Total plan assets at end of year	2021-12-31	$0
Total plan assets at beginning of year	2021-12-31	$317,953
Total contributions received or receivable from participants	2021-12-31	$2,695
Other income received	2021-12-31	$29,108
Net income (gross income less expenses)	2021-12-31	$-317,953
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$317,953
Total contributions received or receivable from employer(s)	2021-12-31	$2,253
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$540
2020 : EAST OREGON SURGERY CENTER LLC 401K PSP & T 2020 401k financial data
Total income from all sources	2020-12-31	$49,723
Expenses. Total of all expenses incurred	2020-12-31	$0
Total plan assets at end of year	2020-12-31	$317,953
Total plan assets at beginning of year	2020-12-31	$268,230
Value of fidelity bond covering the plan	2020-12-31	$32,000
Total contributions received or receivable from participants	2020-12-31	$9,136
Other income received	2020-12-31	$34,124
Net income (gross income less expenses)	2020-12-31	$49,723
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$317,953
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$268,230
Total contributions received or receivable from employer(s)	2020-12-31	$6,463
2019 : EAST OREGON SURGERY CENTER LLC 401K PSP & T 2019 401k financial data
Total income from all sources	2019-12-31	$66,039
Expenses. Total of all expenses incurred	2019-12-31	$30,266
Benefits paid (including direct rollovers)	2019-12-31	$29,966
Total plan assets at end of year	2019-12-31	$268,230
Total plan assets at beginning of year	2019-12-31	$232,457
Value of fidelity bond covering the plan	2019-12-31	$28,000
Total contributions received or receivable from participants	2019-12-31	$7,181
Other income received	2019-12-31	$54,038
Net income (gross income less expenses)	2019-12-31	$35,773
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$268,230
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$232,457
Total contributions received or receivable from employer(s)	2019-12-31	$4,820
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$300
2018 : EAST OREGON SURGERY CENTER LLC 401K PSP & T 2018 401k financial data
Total income from all sources	2018-12-31	$-9,894
Expenses. Total of all expenses incurred	2018-12-31	$0
Total plan assets at end of year	2018-12-31	$232,457
Total plan assets at beginning of year	2018-12-31	$242,351
Value of fidelity bond covering the plan	2018-12-31	$24,000
Total contributions received or receivable from participants	2018-12-31	$10,129
Other income received	2018-12-31	$-26,949
Net income (gross income less expenses)	2018-12-31	$-9,894
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$232,457
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$242,351
Total contributions received or receivable from employer(s)	2018-12-31	$6,926
2017 : EAST OREGON SURGERY CENTER LLC 401K PSP & T 2017 401k financial data
Total income from all sources	2017-12-31	$56,348
Expenses. Total of all expenses incurred	2017-12-31	$0
Total plan assets at end of year	2017-12-31	$242,351
Total plan assets at beginning of year	2017-12-31	$186,003
Value of fidelity bond covering the plan	2017-12-31	$25,000
Total contributions received or receivable from participants	2017-12-31	$9,425
Other income received	2017-12-31	$40,899
Net income (gross income less expenses)	2017-12-31	$56,348
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$242,351
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$186,003
Total contributions received or receivable from employer(s)	2017-12-31	$6,024
2016 : EAST OREGON SURGERY CENTER LLC 401K PSP & T 2016 401k financial data
Total income from all sources	2016-12-31	$29,277
Expenses. Total of all expenses incurred	2016-12-31	$7,280
Benefits paid (including direct rollovers)	2016-12-31	$7,205
Total plan assets at end of year	2016-12-31	$186,003
Total plan assets at beginning of year	2016-12-31	$164,006
Value of fidelity bond covering the plan	2016-12-31	$17,000
Total contributions received or receivable from participants	2016-12-31	$9,787
Other income received	2016-12-31	$13,104
Net income (gross income less expenses)	2016-12-31	$21,997
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$186,003
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$164,006
Total contributions received or receivable from employer(s)	2016-12-31	$6,386
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$75
2015 : EAST OREGON SURGERY CENTER LLC 401K PSP & T 2015 401k financial data
Total income from all sources	2015-12-31	$21,442
Expenses. Total of all expenses incurred	2015-12-31	$17,996
Benefits paid (including direct rollovers)	2015-12-31	$17,921
Total plan assets at end of year	2015-12-31	$164,006
Total plan assets at beginning of year	2015-12-31	$160,560
Value of fidelity bond covering the plan	2015-12-31	$18,000
Total contributions received or receivable from participants	2015-12-31	$11,435
Other income received	2015-12-31	$2,608
Net income (gross income less expenses)	2015-12-31	$3,446
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$164,006
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$160,560
Total contributions received or receivable from employer(s)	2015-12-31	$7,399
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$75
2014 : EAST OREGON SURGERY CENTER LLC 401K PSP & T 2014 401k financial data
Total income from all sources	2014-12-31	$22,334
Expenses. Total of all expenses incurred	2014-12-31	$15,644
Benefits paid (including direct rollovers)	2014-12-31	$15,444
Total plan assets at end of year	2014-12-31	$160,560
Total plan assets at beginning of year	2014-12-31	$153,870
Value of fidelity bond covering the plan	2014-12-31	$18,000
Total contributions received or receivable from participants	2014-12-31	$11,865
Other income received	2014-12-31	$3,084
Net income (gross income less expenses)	2014-12-31	$6,690
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$160,560
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$153,870
Total contributions received or receivable from employer(s)	2014-12-31	$7,385
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$200
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : EAST OREGON SURGERY CENTER LLC 401K PSP & T 2013 401k financial data
Total income from all sources	2013-12-31	$52,615
Expenses. Total of all expenses incurred	2013-12-31	$59,718
Benefits paid (including direct rollovers)	2013-12-31	$59,493
Total plan assets at end of year	2013-12-31	$153,870
Total plan assets at beginning of year	2013-12-31	$160,973
Value of fidelity bond covering the plan	2013-12-31	$18,000
Total contributions received or receivable from participants	2013-12-31	$13,133
Other income received	2013-12-31	$29,561
Net income (gross income less expenses)	2013-12-31	$-7,103
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$153,870
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$160,973
Total contributions received or receivable from employer(s)	2013-12-31	$9,921
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$225
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : EAST OREGON SURGERY CENTER LLC 401K PSP & T 2012 401k financial data
Total income from all sources	2012-12-31	$39,532
Expenses. Total of all expenses incurred	2012-12-31	$16,529
Benefits paid (including direct rollovers)	2012-12-31	$16,454
Total plan assets at end of year	2012-12-31	$160,973
Total plan assets at beginning of year	2012-12-31	$137,970
Value of fidelity bond covering the plan	2012-12-31	$14,000
Total contributions received or receivable from participants	2012-12-31	$11,732
Other income received	2012-12-31	$14,089
Net income (gross income less expenses)	2012-12-31	$23,003
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$160,973
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$137,970
Total contributions received or receivable from employer(s)	2012-12-31	$13,711
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$75
2011 : EAST OREGON SURGERY CENTER LLC 401K PSP & T 2011 401k financial data
Total income from all sources	2011-12-31	$19,295
Expenses. Total of all expenses incurred	2011-12-31	$1,281
Benefits paid (including direct rollovers)	2011-12-31	$1,281
Total plan assets at end of year	2011-12-31	$137,970
Total plan assets at beginning of year	2011-12-31	$119,956
Total contributions received or receivable from participants	2011-12-31	$12,358
Other income received	2011-12-31	$-7,326
Net income (gross income less expenses)	2011-12-31	$18,014
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$137,970
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$119,956
Total contributions received or receivable from employer(s)	2011-12-31	$14,263
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : EAST OREGON SURGERY CENTER LLC 401K PSP & T 2010 401k financial data
Total income from all sources	2010-12-31	$63,859
Expenses. Total of all expenses incurred	2010-12-31	$135,300
Benefits paid (including direct rollovers)	2010-12-31	$135,150
Total plan assets at end of year	2010-12-31	$119,956
Total plan assets at beginning of year	2010-12-31	$191,397
Total contributions received or receivable from participants	2010-12-31	$15,807
Contributions received from other sources (not participants or employers)	2010-12-31	$22,349
Other income received	2010-12-31	$15,277
Net income (gross income less expenses)	2010-12-31	$-71,441
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$119,956
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$191,397
Total contributions received or receivable from employer(s)	2010-12-31	$10,426
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$150
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0

Form 5500 Responses for EAST OREGON SURGERY CENTER LLC 401K PSP & T

2021: EAST OREGON SURGERY CENTER LLC 401K PSP & T 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	Yes
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: EAST OREGON SURGERY CENTER LLC 401K PSP & T 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: EAST OREGON SURGERY CENTER LLC 401K PSP & T 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: EAST OREGON SURGERY CENTER LLC 401K PSP & T 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: EAST OREGON SURGERY CENTER LLC 401K PSP & T 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: EAST OREGON SURGERY CENTER LLC 401K PSP & T 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: EAST OREGON SURGERY CENTER LLC 401K PSP & T 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: EAST OREGON SURGERY CENTER LLC 401K PSP & T 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: EAST OREGON SURGERY CENTER LLC 401K PSP & T 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: EAST OREGON SURGERY CENTER LLC 401K PSP & T 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: EAST OREGON SURGERY CENTER LLC 401K PSP & T 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: EAST OREGON SURGERY CENTER LLC 401K PSP & T 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
2009: EAST OREGON SURGERY CENTER LLC 401K PSP & T 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	EAST OREGON SUREGERY CENTER LLC
Employer identification number (EIN):	200209992
NAIC Classification:	621498
NAIC Description:	All Other Outpatient Care Centers