401k Plan data: SYMBION 401(K) RETIREMENT SAVINGS PLAN plan

SYMBION 401(K) RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	SYMBION 401(K) RETIREMENT SAVINGS PLAN
Plan identification number	001

SYMBION 401(K) RETIREMENT SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

SYMBION, INC. has sponsored the creation of one or more 401k plans.

Company Name: SYMBION, INC.

Employer identification number (EIN): 621615675

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SYMBION 401(K) RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 NITA HILL
001 2016-01-01
001 2015-01-01 NITA HILL
001 2014-01-01 NITA HILL
001 2013-01-01 NITA HILL
001 2012-01-01 SHARON TERRY
001 2011-01-01 SHARON TERRY
001 2010-01-01 SHARON TERRY
001 2009-01-01 SHARON TERRY SHARON TERRY 2010-10-08

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2016-01-01	NITA HILL
001	2016-01-01
001	2015-01-01	NITA HILL
001	2014-01-01	NITA HILL
001	2013-01-01	NITA HILL
001	2012-01-01	SHARON TERRY
001	2011-01-01	SHARON TERRY
001	2010-01-01	SHARON TERRY
001	2009-01-01	SHARON TERRY	SHARON TERRY	2010-10-08

Plan Statistics for SYMBION 401(K) RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for SYMBION 401(K) RETIREMENT SAVINGS PLAN

Measure Date Value
2016: SYMBION 401(K) RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 2,044
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
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 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 15
2015: SYMBION 401(K) RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 2,204
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1,607
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 437
Total of all active and inactive participants 2015-01-01 2,044
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 2,044
Number of participants with account balances 2015-01-01 1,570
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 9
2014: SYMBION 401(K) RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,773
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,725
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 348
Total of all active and inactive participants 2014-01-01 2,073
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 2,073
Number of participants with account balances 2014-01-01 1,511
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 12
2013: SYMBION 401(K) RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,943
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,213
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 417
Total of all active and inactive participants 2013-01-01 1,630
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 1,630
Number of participants with account balances 2013-01-01 1,630
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 13
2012: SYMBION 401(K) RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2,129
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,379
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 419
Total of all active and inactive participants 2012-01-01 1,798
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 1,798
Number of participants with account balances 2012-01-01 1,798
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 16
2011: SYMBION 401(K) RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2,184
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,575
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 344
Total of all active and inactive participants 2011-01-01 1,919
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1,919
Number of participants with account balances 2011-01-01 1,919
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 25
2010: SYMBION 401(K) RETIREMENT SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 2,331
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,847
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 337
Total of all active and inactive participants 2010-01-01 2,184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 2,184
Number of participants with account balances 2010-01-01 2,184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 21
2009: SYMBION 401(K) RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2,280
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,508
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 490
Total of all active and inactive participants 2009-01-01 1,998
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 1,998
Number of participants with account balances 2009-01-01 1,998
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 32

Measure	Date	Value
2016: SYMBION 401(K) RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	2,044
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
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	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	15
2015: SYMBION 401(K) RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	2,204
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1,607
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	437
Total of all active and inactive participants	2015-01-01	2,044
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	2,044
Number of participants with account balances	2015-01-01	1,570
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	9
2014: SYMBION 401(K) RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,773
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,725
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	348
Total of all active and inactive participants	2014-01-01	2,073
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	2,073
Number of participants with account balances	2014-01-01	1,511
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	12
2013: SYMBION 401(K) RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,943
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,213
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	417
Total of all active and inactive participants	2013-01-01	1,630
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	1,630
Number of participants with account balances	2013-01-01	1,630
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	13
2012: SYMBION 401(K) RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2,129
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,379
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	419
Total of all active and inactive participants	2012-01-01	1,798
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	1,798
Number of participants with account balances	2012-01-01	1,798
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	16
2011: SYMBION 401(K) RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2,184
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,575
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	344
Total of all active and inactive participants	2011-01-01	1,919
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1,919
Number of participants with account balances	2011-01-01	1,919
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	25
2010: SYMBION 401(K) RETIREMENT SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	2,331
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,847
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	337
Total of all active and inactive participants	2010-01-01	2,184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	2,184
Number of participants with account balances	2010-01-01	2,184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	21
2009: SYMBION 401(K) RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2,280
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,508
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	490
Total of all active and inactive participants	2009-01-01	1,998
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1,998
Number of participants with account balances	2009-01-01	1,998
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	32

Financial Data on SYMBION 401(K) RETIREMENT SAVINGS PLAN

Measure	Date	Value
2016 : SYMBION 401(K) RETIREMENT SAVINGS PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-11-30	$0
Total transfer of assets from this plan	2016-11-30	$57,277,564
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-11-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-11-30	$1,307
Total income from all sources (including contributions)	2016-11-30	$7,922,944
Total loss/gain on sale of assets	2016-11-30	$0
Total of all expenses incurred	2016-11-30	$7,204,946
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-11-30	$7,114,986
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-11-30	$4,510,666
Value of total assets at end of year	2016-11-30	$0
Value of total assets at beginning of year	2016-11-30	$56,560,873
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-11-30	$89,960
Total interest from all sources	2016-11-30	$62,313
Total dividends received (eg from common stock, registered investment company shares)	2016-11-30	$291,754
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-11-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-11-30	$291,754
Administrative expenses professional fees incurred	2016-11-30	$36,800
Was this plan covered by a fidelity bond	2016-11-30	Yes
Value of fidelity bond cover	2016-11-30	$1,000,000
If this is an individual account plan, was there a blackout period	2016-11-30	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-11-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-11-30	No
Contributions received from participants	2016-11-30	$3,794,165
Participant contributions at end of year	2016-11-30	$0
Participant contributions at beginning of year	2016-11-30	$3,115
Income. Received or receivable in cash from other sources (including rollovers)	2016-11-30	$716,501
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-11-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-11-30	$1,307
Other income not declared elsewhere	2016-11-30	$47,647
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-11-30	No
Value of net income/loss	2016-11-30	$717,998
Value of net assets at end of year (total assets less liabilities)	2016-11-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-11-30	$56,559,566
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-11-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-11-30	No
Were any leases to which the plan was party in default or uncollectible	2016-11-30	No
Investment advisory and management fees	2016-11-30	$53,160
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-11-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-11-30	$50,228,915
Interest earned on other investments	2016-11-30	$62,313
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-11-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-11-30	$5,521,042
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-11-30	$3,010,564
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-11-30	No
Was there a failure to transmit to the plan any participant contributions	2016-11-30	Yes
Has the plan failed to provide any benefit when due under the plan	2016-11-30	No
Employer contributions (assets) at end of year	2016-11-30	$0
Employer contributions (assets) at beginning of year	2016-11-30	$807,801
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-11-30	$7,114,986
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-11-30	Yes
Did the plan have assets held for investment	2016-11-30	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	2016-11-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-11-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-11-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-11-30	Disclaimer
Accountancy firm name	2016-11-30	FRASIER, DEAN & HOWARD PLLC
Accountancy firm EIN	2016-11-30	621073578
2015 : SYMBION 401(K) RETIREMENT SAVINGS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total transfer of assets from this plan	2015-12-31	$278
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$1,307
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$1,382
Total income from all sources (including contributions)	2015-12-31	$4,836,611
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$8,117,559
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$8,053,691
Expenses. Certain deemed distributions of participant loans	2015-12-31	$4,469
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$5,268,847
Value of total assets at end of year	2015-12-31	$56,560,873
Value of total assets at beginning of year	2015-12-31	$59,842,174
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$59,399
Total interest from all sources	2015-12-31	$63,197
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$2,367,243
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$2,367,243
Administrative expenses professional fees incurred	2015-12-31	$13,993
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$4,176,949
Participant contributions at end of year	2015-12-31	$0
Participant contributions at beginning of year	2015-12-31	$4,469
Participant contributions at end of year	2015-12-31	$3,115
Participant contributions at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$284,097
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$1,307
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$1,382
Other income not declared elsewhere	2015-12-31	$45,024
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-3,280,948
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$56,559,566
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$59,840,792
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$45,406
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$50,228,915
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$54,281,398
Interest earned on other investments	2015-12-31	$63,197
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$5,521,042
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$5,100,116
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-2,907,700
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$807,801
Employer contributions (assets) at end of year	2015-12-31	$807,801
Employer contributions (assets) at beginning of year	2015-12-31	$456,191
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$8,053,691
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	FRASIER, DEAN & HOWARD PLLC
Accountancy firm EIN	2015-12-31	621073578
2014 : SYMBION 401(K) RETIREMENT SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total transfer of assets from this plan	2014-12-31	$1,472,923
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$1,382
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$8,942,842
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$7,023,766
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$6,955,792
Value of total corrective distributions	2014-12-31	$1,140
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$5,428,254
Value of total assets at end of year	2014-12-31	$59,842,174
Value of total assets at beginning of year	2014-12-31	$59,394,639
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$66,834
Total interest from all sources	2014-12-31	$64,867
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$2,512,215
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$2,512,215
Administrative expenses professional fees incurred	2014-12-31	$25,534
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$4,069,563
Participant contributions at end of year	2014-12-31	$4,469
Participant contributions at beginning of year	2014-12-31	$4,468
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$33,355
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$902,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$1,382
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$0
Other income not declared elsewhere	2014-12-31	$45,049
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	$1,919,076
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$59,840,792
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$59,394,639
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
Investment advisory and management fees	2014-12-31	$41,300
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$54,281,398
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$53,845,181
Interest on participant loans	2014-12-31	$1
Interest earned on other investments	2014-12-31	$64,866
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$5,100,116
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$5,045,613
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$892,457
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	Yes
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	$456,191
Employer contributions (assets) at end of year	2014-12-31	$456,191
Employer contributions (assets) at beginning of year	2014-12-31	$466,022
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$6,955,792
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	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	FRASIER, DEAN & HOWARD PLLC
Accountancy firm EIN	2014-12-31	621073578
2013 : SYMBION 401(K) RETIREMENT SAVINGS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets to this plan	2013-12-31	$42,488
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	$15,310,227
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$8,214,336
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$8,106,718
Value of total corrective distributions	2013-12-31	$23,426
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$4,878,882
Value of total assets at end of year	2013-12-31	$59,394,639
Value of total assets at beginning of year	2013-12-31	$52,256,260
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$84,192
Total interest from all sources	2013-12-31	$57,918
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$1,867,754
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$1,867,754
Administrative expenses professional fees incurred	2013-12-31	$51,152
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$4,145,160
Participant contributions at end of year	2013-12-31	$4,468
Participant contributions at beginning of year	2013-12-31	$7,917
Participant contributions at end of year	2013-12-31	$33,355
Participant contributions at beginning of year	2013-12-31	$5,296
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$270,388
Other income not declared elsewhere	2013-12-31	$44,896
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	$7,095,891
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$59,394,639
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$52,256,260
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
Investment advisory and management fees	2013-12-31	$33,040
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$53,845,181
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$47,473,378
Interest on participant loans	2013-12-31	$52
Interest earned on other investments	2013-12-31	$57,861
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$5
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$5,045,613
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$4,265,341
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$8,460,777
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	Yes
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	$463,334
Employer contributions (assets) at end of year	2013-12-31	$466,022
Employer contributions (assets) at beginning of year	2013-12-31	$504,328
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$8,106,718
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	FRASIER, DEAN & HOWARD PLLC
Accountancy firm EIN	2013-12-31	621073578
2012 : SYMBION 401(K) RETIREMENT SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$11,211,650
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$5,977,173
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$5,903,824
Value of total corrective distributions	2012-12-31	$5,680
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$5,305,615
Value of total assets at end of year	2012-12-31	$52,256,260
Value of total assets at beginning of year	2012-12-31	$47,021,783
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$67,669
Total interest from all sources	2012-12-31	$81,360
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$1,630,674
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	$1,630,674
Administrative expenses professional fees incurred	2012-12-31	$35,900
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
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	$4,636,131
Participant contributions at end of year	2012-12-31	$7,917
Participant contributions at beginning of year	2012-12-31	$13,511
Participant contributions at end of year	2012-12-31	$5,296
Participant contributions at beginning of year	2012-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$165,156
Other income not declared elsewhere	2012-12-31	$47,430
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	$5,234,477
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$52,256,260
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$47,021,783
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
Investment advisory and management fees	2012-12-31	$31,769
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$47,473,378
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$0
Value of interest in pooled separate accounts at end of year	2012-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$40,265,304
Interest on participant loans	2012-12-31	$303
Interest earned on other investments	2012-12-31	$81,039
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$18
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$4,265,341
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$6,191,718
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$4,146,571
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	Yes
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	$504,328
Employer contributions (assets) at end of year	2012-12-31	$504,328
Employer contributions (assets) at beginning of year	2012-12-31	$551,250
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$5,903,824
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	FRASIER, DEAN & HOWARD PLLC
Accountancy firm EIN	2012-12-31	621073578
2011 : SYMBION 401(K) RETIREMENT SAVINGS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$4,793,521
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$4,122,610
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$4,088,170
Value of total corrective distributions	2011-12-31	$11,223
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$5,677,273
Value of total assets at end of year	2011-12-31	$47,021,783
Value of total assets at beginning of year	2011-12-31	$46,350,872
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$23,217
Total interest from all sources	2011-12-31	$1,756,168
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
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
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$4,869,255
Participant contributions at end of year	2011-12-31	$13,511
Participant contributions at beginning of year	2011-12-31	$25,840
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$249,907
Administrative expenses (other) incurred	2011-12-31	$23,217
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	$670,911
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$47,021,783
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$46,350,872
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 pooled separate accounts at end of year	2011-12-31	$40,265,304
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$40,586,187
Interest on participant loans	2011-12-31	$885
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$1,755,283
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$6,191,718
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$5,186,273
Net investment gain/loss from pooled separate accounts	2011-12-31	$-2,639,920
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	Yes
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	$558,111
Employer contributions (assets) at end of year	2011-12-31	$551,250
Employer contributions (assets) at beginning of year	2011-12-31	$552,572
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$4,088,170
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	FRASIER, DEAN & HOWARD, PLLC
Accountancy firm EIN	2011-12-31	621073578
2010 : SYMBION 401(K) RETIREMENT SAVINGS PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets to this plan	2010-12-31	$1,994,613
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$10,879,669
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$2,696,977
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$2,678,575
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$5,783,033
Value of total assets at end of year	2010-12-31	$46,350,872
Value of total assets at beginning of year	2010-12-31	$36,173,567
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$18,402
Total interest from all sources	2010-12-31	$1,073,661
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
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
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$4,857,906
Participant contributions at end of year	2010-12-31	$25,840
Participant contributions at beginning of year	2010-12-31	$26,532
Participant contributions at end of year	2010-12-31	$0
Participant contributions at beginning of year	2010-12-31	$156,882
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$342,885
Administrative expenses (other) incurred	2010-12-31	$18,402
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	$8,182,692
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$46,350,872
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$36,173,567
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 pooled separate accounts at end of year	2010-12-31	$40,586,187
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$31,089,620
Interest on participant loans	2010-12-31	$2,320
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$1,071,341
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$5,186,273
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$4,588,027
Net investment gain/loss from pooled separate accounts	2010-12-31	$4,022,975
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	Yes
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	$582,242
Employer contributions (assets) at end of year	2010-12-31	$552,572
Employer contributions (assets) at beginning of year	2010-12-31	$312,506
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$2,678,575
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	FRASIER, DEAN & HOWARD, PLLC
Accountancy firm EIN	2010-12-31	621073578

Form 5500 Responses for SYMBION 401(K) RETIREMENT SAVINGS PLAN

2016: SYMBION 401(K) RETIREMENT SAVINGS PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	Yes
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: SYMBION 401(K) RETIREMENT SAVINGS PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: SYMBION 401(K) RETIREMENT SAVINGS 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 benefit arrangement – Insurance	Yes
2013: SYMBION 401(K) RETIREMENT SAVINGS 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 – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: SYMBION 401(K) RETIREMENT SAVINGS 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 benefit arrangement – Insurance	Yes
2011: SYMBION 401(K) RETIREMENT SAVINGS 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 benefit arrangement – Insurance	Yes
2010: SYMBION 401(K) RETIREMENT SAVINGS 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 – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: SYMBION 401(K) RETIREMENT SAVINGS PLAN 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 – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

934646-01

Policy instance

Insurance contract or identification number	934646-01
Number of Individuals Covered	611
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $5,881
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,881
Insurance broker organization code?	3
Insurance broker name	WILLIAM FRENCH

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

934646-01

Policy instance

Insurance contract or identification number	934646-01
Number of Individuals Covered	537
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $10,012
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Other information about contract	GROUP ANNUITY CONTRACT
Commission paid to Insurance Broker	USD $8,093
Insurance broker organization code?	3
Insurance broker name	WILLIAM FRENCH

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

934646-01

Policy instance

Insurance contract or identification number	934646-01
Number of Individuals Covered	524
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $7,654
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Other information about contract	GROUP ANNUITY CONTRACT
Commission paid to Insurance Broker	USD $7,654
Insurance broker organization code?	3
Insurance broker name	WILLIAM FRENCH

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

934646-01

Policy instance

Insurance contract or identification number	934646-01
Number of Individuals Covered	451
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $6,234
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Other information about contract	GROUP ANNUITY CONTRACT
Commission paid to Insurance Broker	USD $4,126
Insurance broker organization code?	3
Insurance broker name	WILLIAM FRENCH

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

934646-01

Policy instance

Insurance contract or identification number	934646-01
Number of Individuals Covered	545
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $13,184
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Other information about contract	GROUP ANNUITY CONTRACT

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

934646-01

Policy instance

Insurance contract or identification number	934646-01
Number of Individuals Covered	545
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $13,521
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Other information about contract	GROUP ANNUITY CONTRACT
Commission paid to Insurance Broker	USD $13,521
Insurance broker organization code?	3
Insurance broker name	WILLIAM FRENCH

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Company Name:	SYMBION, INC.
Employer identification number (EIN):	621615675
NAIC Classification:	622000
NAIC Description:	Hospitals