South Shore Surgicenter, LLC

Form 5500

SOUTH SHORE SURGICENTER, LLC

2622 Marina Bay Dr., League City, Tx 77573 (281) 538-6600 EIN:76-0584375 Plan Admin:Charles Polsen

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2022	Plan NameSOUTH SHORE SURGICENTER LLC DEFINED BENEFIT PENSION PLAN Plan #002 Participants BOY/EOY17 / 17 Assets BOY/EOY$4,291,404 / $4,297,663	2022	SOUTH SHORE SURGICENTER LLC DEFINED BENEFIT PENSION PLAN - Plan #002	17 / 17	$4,291,404 / $4,297,663
2022	Plan NameSOUTH SHORE SURGICENTER, LLC 401(K) PLAN Plan #001 Participants BOY/EOY27 / 27 Assets BOY/EOY$2,132,447 / $2,191,042	2022	SOUTH SHORE SURGICENTER, LLC 401(K) PLAN - Plan #001	27 / 27	$2,132,447 / $2,191,042
2021	Plan NameSOUTH SHORE SURGICENTER LLC DEFINED BENEFIT PENSION PLAN Plan #002 Participants BOY/EOY16 / 16 Assets BOY/EOY$3,947,332 / $4,291,404	2021	SOUTH SHORE SURGICENTER LLC DEFINED BENEFIT PENSION PLAN - Plan #002	16 / 16	$3,947,332 / $4,291,404
2021	Plan NameSOUTH SHORE SURGICENTER, LLC 401(K) PLAN Plan #001 Participants BOY/EOY27 / 27 Assets BOY/EOY$2,196,733 / $2,132,447	2021	SOUTH SHORE SURGICENTER, LLC 401(K) PLAN - Plan #001	27 / 27	$2,196,733 / $2,132,447
2020	Plan NameSOUTH SHORE SURGICENTER LLC DEFINED BENEFIT PENSION PLAN Plan #002 Participants BOY/EOY16 / 16 Assets BOY/EOY$3,613,636 / $3,947,332	2020	SOUTH SHORE SURGICENTER LLC DEFINED BENEFIT PENSION PLAN - Plan #002	16 / 16	$3,613,636 / $3,947,332
2020	Plan NameSOUTH SHORE SURGICENTER, LLC 401(K) PLAN Plan #001 Participants BOY/EOY27 / 27 Assets BOY/EOY$1,836,524 / $2,196,733	2020	SOUTH SHORE SURGICENTER, LLC 401(K) PLAN - Plan #001	27 / 27	$1,836,524 / $2,196,733
2019	Plan NameSOUTH SHORE SURGICENTER LLC DEFINED BENEFIT PENSION PLAN Plan #002 Participants BOY/EOY17 / 17 Assets BOY/EOY$3,454,918 / $3,613,636	2019	SOUTH SHORE SURGICENTER LLC DEFINED BENEFIT PENSION PLAN - Plan #002	17 / 17	$3,454,918 / $3,613,636
2019	Plan NameSOUTH SHORE SURGICENTER, LLC 401(K) PLAN Plan #001 Participants BOY/EOY26 / 26 Assets BOY/EOY$1,615,298 / $1,836,524	2019	SOUTH SHORE SURGICENTER, LLC 401(K) PLAN - Plan #001	26 / 26	$1,615,298 / $1,836,524