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FORM 5500 DATA

Aurora Health Care, Inc. Incentive Savings Plan

Overview

Plan Information

  • Plan Year01/01/2008 — 12/31/2008
  • Date of Plan06/20/1987
  • Net Assets as of 12/31/2008 $607,114,720
  • Plan Number2
  • Plan Type Single Employer
  • Is the plan collectively bargained? No
  • Did the plan file for an extension of time or the DFVC Program? No
  • Plan Funding ArrangementInsurance Trust
  • Plan Benefit ArrangementInsurance Trust

Participant Information as of 12/31/2008

  • Active (Eligible) Participants27,803
  • Retired or separated participants receiving benefits244
  • Other retired or separated participants entitled to future benefits1,973
  • Subtotal30,020
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits18
  • Total30,038
  • Total number of participants as of 01/01/200824,727
  • Number of participants with account balances19,607
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested325
  • Number of participants required to be reported on Schedule SSA984

Expenses

  • Total Benefit Payments$0
  • Corrective Distributions$0
  • Administrative Service Providers$0
  • Other Expenses$0
  • Total Expenses$0
  • Total Transfers$0

Sponsor Information

  • Address3000 W Montana St
  • CityMilwaukee
  • StateWI
  • Zip53215-3628
  • Telephone(414) 647-3448
  • EIN39-1442285
  • Industry Code622000
  • Named AdministratorKatherine Klobuchar

Plan Administrator Information

  • Administrator NameAurora Health Care, Inc
  • Address3000 W Montana St
  • CityMilwaukee
  • StateWI
  • Zip53215-3628
  • Telephone(414) 647-3448
  • Administrator EIN39-1442285

Plan Preparer Information

  • Preparer NameChristine M. Brown Aurora Health Care, Inc
  • Address3305 W Forest Home P.O. Box 343910
  • City Milwaukee
  • StateWI
  • Zip53234-3910
  • Telephone(414) 647-3198
  • Preparer EIN39-1442285

Audit Information

  • Audit StatusAudited
  • AuditorDeloitte & Touche
  • Auditor EIN13-3891517
  • Audit Opinion Disclaimer
  • Audit TypeLimited Scope Audit

Benefits Provided Under the Plan

Code Benefit Description
2G 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.
2L Code section 403(b)(1) arrangement A 403(b) plan, also known as a tax-sheltered annuity (TSA) plan, is a retirement plan for certain employees of public schools, employees of certain tax-exempt organizations, and certain ministers.
2M Code section 403(b)(7) accounts A 403(b)(7) plan is a tax-deferred retirement plan often available to employees of public schools or non-profit organizations.
2R Brokerage Window Participant-directed brokerage accounts provided as an investment option under the plan.

Questions and Answers

Question Answer Amount
During the plan year did the employer fail to transmit to the plan any participant contributions within the time period described in 29 CFT 2510.3-102? No
Were any loans by the plan or fixed income obligations due the plan in default as of the close of plan year or classified during the year as uncollectible? Disregard participant loans secured by participant's account balance. No
Were any leases to which the plan was a party in default or classified during the year as uncollectible? No
Were there any nonexempt transactions with any party-in-interest? No
Was this plan covered by a fidelity bond? Yes $5,000,000
Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty? No
Did the plan hold any assets whose current value was neither readily determinable on an established market nor set by an independent third party appraiser? No
Did the plan receive any noncash contributions whose value was neither readily determinable on an established market nor set by an independent third party appraiser? No
Did the plan have assets held for investment? Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of plan assets? No
Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? No

Financials

Income and Expense Statement

Income $-139,268,850
Contributions $96,201,440
Cash Contributions $96,201,440
Cash from Employers $17,931,072
Cash from Participants $78,270,368
Others (including rollovers) $0
Noncash Contributions $0
Total Earnings on Investments $-235,470,290
Total Interest $14,969,196
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $744,453
Interest from Other Investments $14,224,743
Total Dividends $0
Preferred Stock $0
Common Stock $0
Rents $0
Net gain (loss) on sale of assets $0
Aggregate Proceeds $0
Aggregate Carrying Amount $0
Total Unrealized Appreciation (depreciation) of assets $0
Real Estate $0
Other $0
Net investment gain (loss) from common/collective trusts $0
Net investment gain (loss) from pooled separate accounts $0
Net investment gain (loss) from master trust investment accounts $0
Net investment gain (loss) from 103-12 investment entities $0
Net investment gain (loss) from registered investment companies $-250,439,486
Other Income $0
Expenses $32,947,263
Total Benefit Payments $32,830,214
Directly to participants or beneficiaries, including direct rollovers $32,830,214
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $0
Certain deemed distributions of participant loans $0
Interest expense $0
Total Administrative Expenses $117,049
Professional Fees $0
Contract Administrator Fees $0
Investment Advisory and management fees $0
Other Administrative Fees $117,049
Net Income $-172,216,113
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2008 12/31/2007 Change YOY
Total Assets $607,114,720 $779,330,833 -22.10%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $0 $2,790,432 -100.00%
Employer Contributions $0 $529,457 -100.00%
Participant Contributions $0 $2,260,975 -100.00%
Other Contributions $0 $0 0.0%
General Investments $0 $0 0.0%
Interest-bearing cash $0 $0 0.0%
U.S. Government Securities $0 $0 0.0%
Corporate Debt Instruments $0 $0 0.0%
Preferred $0 $0 0.0%
All Other $0 $0 0.0%
Corporate Stocks $0 $0 0.0%
Preferred $0 $0 0.0%
Common $0 $0 0.0%
Partnership/joint venture interests $0 $0 0.0%
Real estate (other than employer real property) $0 $0 0.0%
Loans (other than to participants) $0 $0 0.0%
Participants Loans $8,393,662 $7,735,007 8.52%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $0 $0 0.0%
Value of interest in master trust investment accounts $0 $0 0.0%
Value of interest in 103-12 investment entities $0 $0 0.0%
Value of interest in registered investment companies $555,612,384 $712,627,528 -22.03%
Value of funds held in insurance co. general account $22,267,859 $23,280,232 -4.35%
Other Investments $20,840,815 $32,897,634 -36.65%
Employer-related Investments $0 $0 0.0%
Employer Securities $0 $0 0.0%
Employer Real Property $0 $0 0.0%
Buildings and other property used in plan operation $0 $0 0.0%
Total Liabilities $0 $0 0.0%
Benefit Claims Payable (1) $0 $0 0.0%
Operating Payables (1) $0 $0 0.0%
Acquisition Indebtedness (1) $0 $0 0.0%
Other liabilities (1) $0 $0 0.0%
Net Assets $607,114,720 $779,330,833 -22.10%

Service Providers

Service Providers

There are no service providers listed for this plan.

Investments

Investments

No investments information available for this plan.

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Axa Equitable Insurance Company 1,899
EIN 13-5570651
Industry Code 62944
Contract Number 716594
Contract Year 01/01/2008 — 12/31/2008
Value in General Account at Year End $0
Value in Separate Accounts at Year End $0
Insurance Fees and Commissions $0
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
N/A Insurance Agent or Broker $0 $0
Allocated Funds
Type of Contract Unspecified
Basis of premium rates See Attachment
Premiums paid to carrier $0
Premiums due but unpaid at the end of the year $0
If the carrier, service, or other organization incurred any specific costs in connection with the acquisition or retention of the contract or policy, enter amount $0
Specify the nature of the costs
Unallocated Funds
Type of Contract Guaranteed Investment
Balance at the end of the previous year $23,280,232
Additions $897,174
Contributions Deposited during the year $58,304
Dividends and credits $0
Interest credited during the year $737,877
Transferred from separate account $0
Other $100,993
Total of Balance and Additions $24,177,406
Deductions $1,909,547
Disbursed from fund to pay benefits or purchase annuities during the year $1,830,012
Administration charge made by carrier $22,449
Transferred to Separate Account $0
Other $57,086
Balance at the end of the current year $22,267,859