403(b) Plan Investment Performance

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PERFORMANCE UPDATE  
 
CEDARS-SINAI 403(B) PLAN  
 
Average Annual Total Returns as of 07/31/2017    (shown in percentages)  

 Mutual funds offered through a retirement plan are investments designed for retirement purposes.  Early withdrawals will reduce your account value and if taken prior to age 59 1/2, a 10% IRS penalty may apply. 

 The performance data quoted represents past performance.  Past performance does not guarantee future results.  For month-end performance which may be lower or higher than the performance data shown please call 800-584-6001.  Investment return and principal value of an investment will fluctuate so that, when sold, an investment may be worth more or less than the original cost.  

 The returns assume reinvestment of all dividends (ordinary income and capital gains) and are net of management fees and other fund operating expenses.  They do not reflect any plan level administrative fees, if applicable; if reflected, returns would be less favorable. 

 The returns do not reflect the asset-based annual fee, which is deducted from your account on a quarterly basis and used to pay for plan record keeping and administrative expenses. Plan record keeping and administrative expenses may be paid in whole or in part, from revenue sharing payments the plan receives from the plan investment options. After revenue sharing payments have been received, only those expenses not offset by these payments will be deducted pro-rata from all funds in your account. The asset-based fee will never be more than 0.10% annually. Had the asset-based fee been included, the performance data shown would be lower. 

 You should consider the investment objectives, risks and charges, and expenses of the funds carefully before investing.  The prospectus contains this and other information.  Anyone who wishes to obtain a free copy of the fund prospectuses may call their Voya representative or the number above.  Please read the prospectus carefully before investing. 

 Returns less than one year are not annualized.  Fund Inception Date is the date of inception for the underlying fund, and is the date used in calculating the periodic returns.  This date may also precede the portfolio's inclusion in the product. 


 Investment Options 1-Mo 3-Mo YTD 1-Yr 3-Yr 5-Yr10-Yr InceptFund Inception Date Gross Fund Exp %* Net Fund Exp %* 
Stability of Principal   
   Money Market 
BlackRock Liquidity Federal Trust Fund - Inst Shares - 2574 (1)(2)0.070.180.330.440.190.120.5212/03/19900.28 0.17  
The 7-day annualized yield as of 07/31/2017 is 0.87%, which more closely reflects current earnings.  (13) 
Vanguard® Treasury Money Market Fund - Investor Shares - 8408 (2)(3)0.080.200.370.490.220.140.4912/14/19920.09 0.09  
The 7-day annualized yield as of 07/31/2017 is 0.92%, which more closely reflects current earnings.  (13) 
   Stable Value 
Cedars-Sinai Stable Value Option - 9913 (4)(12)0.250.751.733.003.003.063.77   
Bonds   
   High Yield Bond 
T. Rowe Price Institutional High Yield Fund - 3364 1.232.125.9811.274.896.857.6105/31/20020.50 0.50  
   Intermediate-Term Bond 
Metropolitan West Total Return Bond Fund - Plan Class Shares - 3058 (5)0.280.952.62-0.072.493.195.8212/31/20020.38 0.38  
   World Bond 
AB Global Bond Fund - Class I - 3357 (6)0.190.642.411.143.763.305.2003/27/19920.58 0.57  
Asset Allocation   
   Lifecycle - Index 
Vanguard® Target Retirement 2015 Fund - Investor Shares - 791 (7)1.242.577.107.074.977.315.1610/27/20030.14 0.14  
Vanguard® Target Retirement 2020 Fund - Investor Shares - 1296 (7)1.523.198.639.075.798.505.4306/07/20060.14 0.14  
Vanguard® Target Retirement 2025 Fund - Investor Shares - 926 (7)1.703.589.6610.586.249.335.5010/27/20030.14 0.14  
Vanguard® Target Retirement 2030 Fund - Investor Shares - 1297 (7)1.893.9310.6211.956.5910.105.5506/07/20060.15 0.15  
Vanguard® Target Retirement 2035 Fund - Investor Shares - 793 (7)2.014.2111.5013.386.9310.865.7410/27/20030.15 0.15  
Vanguard® Target Retirement 2040 Fund - Investor Shares - 1298 (7)2.234.5912.4514.807.2311.386.0006/07/20060.16 0.16  
Vanguard® Target Retirement 2045 Fund - Investor Shares - 794 (7)2.304.7212.8115.307.4011.496.0310/27/20030.16 0.16  
Vanguard® Target Retirement 2050 Fund - Investor Shares - 1299 (7)2.274.6712.7715.267.3811.486.0306/07/20060.16 0.16  
Vanguard® Target Retirement 2055 Fund - Investor Shares - 2473 (7)2.294.7112.7615.297.3311.4511.7308/18/20100.16 0.16  
Vanguard® Target Retirement 2060 Fund - Investor Shares - 3447 (7)2.284.7012.7815.297.3311.4510.9901/19/20120.16 0.16  
Vanguard® Target Retirement Income Fund - Investor Shares - 795 (7)0.981.915.294.564.004.855.0810/27/20030.13 0.13  
Balanced   
   Allocation--50% to 70% Equity 
Pax Balanced Fund - Institutional Class - 1454 (8)1.303.027.758.425.888.574.6408/10/19710.68 0.68  
   Tactical Allocation 
PIMCO All Asset Fund - Institutional Class - 7642 (9)2.033.499.2210.572.354.185.4207/31/20021.08 0.88  
Large Cap Value   
   Large Blend 
Vanguard® Institutional Index Fund - Institutional Shares - 566 2.054.1311.5616.0110.8514.757.7407/31/19900.04 0.04  
   Large Value 
Dodge & Cox Stock Fund - 466 1.813.178.7424.329.4616.336.4701/04/19650.52 0.52  
Large Cap Growth   
   Large Growth 
American Funds The Growth Fund of America® - Class R-6 - 1724 3.345.3716.2720.6712.0116.518.0612/01/19730.33 0.33  
T. Rowe Price Institutional Large-Cap Growth Fund - 2467 4.408.5624.9028.4614.5018.6310.7110/31/20010.56 0.56  
Vanguard® Growth Index Fund - Institutional Shares - 7593 2.544.9317.6617.5711.6815.159.2705/14/19980.05 0.05  
Small/Mid/Specialty   
   Mid-Cap Blend 
Vanguard® Mid-Cap Index Fund - Institutional Shares - 1197 1.743.3511.0514.009.6315.198.1505/21/19980.05 0.05  
   Mid-Cap Growth 
Wells Fargo Discovery Fund - Institutional Class - 9388 (10)1.663.8917.5419.989.7913.789.1712/31/19870.87 0.87  
   Mid-Cap Value 
AB Discovery Value Fund - Class I - 8446 1.010.782.3415.578.2915.148.3103/01/20050.88 0.88  
   Small Blend 
Vanguard® Small-Cap Index Fund - Institutional Shares - 1198 1.112.206.9214.649.0014.588.6207/07/19970.05 0.05  
Global / International   
   Diversified Emerging Mkts 
Wells Fargo Emerging Markets Equity Fund - Inst Class - 3166 (11)5.138.7926.6622.393.655.193.3009/06/19941.27 1.19  
   Foreign Large Blend 
Vanguard® Total International Stock Index Fund - Inst Shares - 9772 3.447.1118.7318.943.078.345.6111/29/20100.09 0.09  
   Foreign Large Growth 
American Funds EuroPacific Growth Fund® - Class R-6 - 1723 4.308.8722.8420.725.9110.123.9204/16/19840.50 0.50  
MFS® Institutional International Equity Fund - 1118 2.517.6920.9320.835.039.674.1701/30/19960.71 0.71  
 The risks of investing in small company stocks may include relatively low trading volumes, a greater degree of change in earnings and greater short-term volatility. 
 Foreign investing involves special risks such as currency fluctuation and public disclosure, as well as economic and political risks. 
 Some of the Funds invest in securities guaranteed by the U.S. Government as to the timely payment of principal and interest; however, shares of the Funds are not insured nor guaranteed. 
 High yielding fixed-income securities generally are subject to greater market fluctuations and risks of loss of income and principal than are investments in lower yielding fixed-income securities. 
 Sector funds may involve greater-than average risk and are often more volatile than funds holding a diversified portfolio of stocks in many industries. Examples include: banking, biotechnology, chemicals, energy, environmental services, natural resources, precious metals, technology, telecommunications, and utilities. 
 *The Gross Expense Ratios shown do not reflect any temporary fee or expense waivers that may be in effect for a fund. The performance of a fund with a temporary fee or expense waiver would have been lower if the gross fund fees / expenses listed had been reflected. 



PERFORMANCE UPDATE  
 
CEDARS-SINAI 403(B) PLAN  
 
Average Annual Total Returns as of 06/30/2017    (shown in percentages)  

 Mutual funds offered through a retirement plan are investments designed for retirement purposes.  Early withdrawals will reduce your account value and if taken prior to age 59 1/2, a 10% IRS penalty may apply. 

 The performance data quoted represents past performance.  Past performance does not guarantee future results.  For month-end performance which may be lower or higher than the performance data shown please call 800-584-6001.  Investment return and principal value of an investment will fluctuate so that, when sold, an investment may be worth more or less than the original cost.  

 The returns assume reinvestment of all dividends (ordinary income and capital gains) and are net of management fees and other fund operating expenses.  They do not reflect any plan level administrative fees, if applicable; if reflected, returns would be less favorable. 

 The returns do not reflect the asset-based annual fee, which is deducted from your account on a quarterly basis and used to pay for plan record keeping and administrative expenses. Plan record keeping and administrative expenses may be paid in whole or in part, from revenue sharing payments the plan receives from the plan investment options. After revenue sharing payments have been received, only those expenses not offset by these payments will be deducted pro-rata from all funds in your account. The asset-based fee will never be more than 0.10% annually. Had the asset-based fee been included, the performance data shown would be lower. 

 Returns less than one year are not annualized.  Fund Inception Date is the date of inception for the underlying fund, and is the date used in calculating the periodic returns.  This date may also precede the portfolio's inclusion in the product. 


 Investment Options 1-Mo 3-Mo YTD 1-Yr 3-Yr 5-Yr10-Yr InceptFund Inception Date Gross Fund Exp %* Net Fund Exp %* 
Stability of Principal   
   Money Market 
BlackRock Liquidity Federal Trust Fund - Inst Shares - 2574 (1)(2)0.060.160.260.390.160.100.5512/03/19900.28 0.17  
The 7-day annualized yield as of 06/30/2017 is 0.75%, which more closely reflects current earnings.  (13) 
Vanguard® Treasury Money Market Fund - Investor Shares - 8408 (2)(3)0.070.180.290.430.190.120.5212/14/19920.09 0.09  
The 7-day annualized yield as of 06/30/2017 is 0.86%, which more closely reflects current earnings.  (13) 
   Stable Value 
Cedars-Sinai Stable Value Option - 9913 (4)(12)0.240.741.483.003.003.073.7907/11/2007   
Bonds   
   High Yield Bond 
T. Rowe Price Institutional High Yield Fund - 3364 0.072.004.6912.684.026.947.1305/31/20020.50 0.50  
   Intermediate-Term Bond 
Metropolitan West Total Return Bond Fund - Plan Class Shares - 3058 (5)-0.021.362.330.412.373.535.9112/31/20020.38 0.38  
   World Bond 
AB Global Bond Fund - Class I - 3357 (6)-0.131.372.221.993.763.665.2903/27/19920.58 0.57  
Asset Allocation   
   Lifecycle - Index 
Vanguard® Target Retirement 2015 Fund - Investor Shares - 791 (7)0.262.335.798.134.207.274.8610/27/20030.14 0.14  
Vanguard® Target Retirement 2020 Fund - Investor Shares - 1296 (7)0.372.797.0110.304.858.405.0706/07/20060.14 0.14  
Vanguard® Target Retirement 2025 Fund - Investor Shares - 926 (7)0.463.107.8311.955.189.175.1010/27/20030.14 0.14  
Vanguard® Target Retirement 2030 Fund - Investor Shares - 1297 (7)0.513.298.5613.405.429.905.1006/07/20060.15 0.15  
Vanguard® Target Retirement 2035 Fund - Investor Shares - 793 (7)0.623.589.3014.995.6610.635.2510/27/20030.15 0.15  
Vanguard® Target Retirement 2040 Fund - Investor Shares - 1298 (7)0.643.7510.0016.495.8511.105.5006/07/20060.16 0.16  
Vanguard® Target Retirement 2045 Fund - Investor Shares - 794 (7)0.683.8410.2717.025.9811.185.5210/27/20030.16 0.16  
Vanguard® Target Retirement 2050 Fund - Investor Shares - 1299 (7)0.663.8410.2716.995.9911.185.5206/07/20060.16 0.16  
Vanguard® Target Retirement 2055 Fund - Investor Shares - 2473 (7)0.673.8410.2416.995.9311.1511.5108/18/20100.16 0.16  
Vanguard® Target Retirement 2060 Fund - Investor Shares - 3447 (7)0.693.8610.2617.005.9211.1710.7101/19/20120.16 0.16  
Vanguard® Target Retirement Income Fund - Investor Shares - 795 (7)0.091.774.275.233.474.914.9710/27/20030.13 0.13  
Balanced   
   Allocation--50% to 70% Equity 
Pax Balanced Fund - Institutional Class - 1454 (8)0.432.706.379.825.058.604.2308/10/19710.68 0.68  
   Tactical Allocation 
PIMCO All Asset Fund - Institutional Class - 7642 (9)0.151.867.0410.821.454.245.2207/31/20021.08 0.88  
Large Cap Value   
   Large Blend 
Vanguard® Institutional Index Fund - Institutional Shares - 566 0.623.089.3217.869.5914.607.1807/31/19900.04 0.04  
   Large Value 
Dodge & Cox Stock Fund - 466 1.431.766.8128.658.4816.365.8901/04/19650.52 0.52  
Large Cap Growth   
   Large Growth 
American Funds The Growth Fund of America® - Class R-6 - 1724 -0.154.0012.5121.9310.1715.957.5412/01/19730.33 0.33  
T. Rowe Price Institutional Large-Cap Growth Fund - 2467 0.298.0619.6331.5112.5317.5310.1410/31/20010.56 0.56  
Vanguard® Growth Index Fund - Institutional Shares - 7593 -0.484.6914.7520.1410.1514.878.8205/14/19980.05 0.05  
Small/Mid/Specialty   
   Mid-Cap Blend 
Vanguard® Mid-Cap Index Fund - Institutional Shares - 1197 0.642.789.1417.258.0914.797.5105/21/19980.05 0.05  
   Mid-Cap Growth 
Wells Fargo Discovery Fund - Institutional Class - 9388 (10)1.275.1515.6223.397.7913.138.9212/31/19870.87 0.87  
   Mid-Cap Value 
AB Discovery Value Fund - Class I - 8446 1.88-0.321.3120.356.2614.727.5703/01/20050.88 0.88  
   Small Blend 
Vanguard® Small-Cap Index Fund - Institutional Shares - 1198 2.241.945.7519.136.7814.147.8607/07/19970.05 0.05  
Global / International   
   Diversified Emerging Mkts 
Wells Fargo Emerging Markets Equity Fund - Inst Class - 3166 (11)0.176.2620.4822.162.354.173.1609/06/19941.27 1.19  
   Foreign Large Blend 
Vanguard® Total International Stock Index Fund - Inst Shares - 9772 0.525.8314.7820.081.377.705.1411/29/20100.09 0.09  
   Foreign Large Growth 
American Funds EuroPacific Growth Fund® - Class R-6 - 1723 0.977.6917.7822.183.729.613.4404/16/19840.50 0.50  
MFS® Institutional International Equity Fund - 1118 0.048.9817.9722.683.219.163.6601/30/19960.71 0.71  
 The risks of investing in small company stocks may include relatively low trading volumes, a greater degree of change in earnings and greater short-term volatility. 
 Foreign investing involves special risks such as currency fluctuation and public disclosure, as well as economic and political risks. 
 Some of the Funds invest in securities guaranteed by the U.S. Government as to the timely payment of principal and interest; however, shares of the Funds are not insured nor guaranteed. 
 High yielding fixed-income securities generally are subject to greater market fluctuations and risks of loss of income and principal than are investments in lower yielding fixed-income securities. 
 Sector funds may involve greater-than average risk and are often more volatile than funds holding a diversified portfolio of stocks in many industries. Examples include: banking, biotechnology, chemicals, energy, environmental services, natural resources, precious metals, technology, telecommunications, and utilities. 
 *The Gross Expense Ratios shown do not reflect any temporary fee or expense waivers that may be in effect for a fund. The performance of a fund with a temporary fee or expense waiver would have been lower if the gross fund fees / expenses listed had been reflected. 


ADDITIONAL NOTES 
(1) BlackRock Liquidity Federal Trust Fund - Institutional Shares: As described in the "Management of the Funds" section of the Fund's prospectus beginning on page 63, BlackRock Advisors, LLC ("BlackRock"), the Fund's investment manager, has contractually agreed to waive fees and/or reimburse ordinary operating expenses in order to keep combined Management Fees and Miscellaneous/Other Expenses from exceeding 0.17% of average daily net assets through February 28, 2018. The agreement may be terminated upon 90 days' notice by a majority of the non-interested trustees of the Trust or by a vote of a majority of the outstanding voting securities of the Fund. 

(2) YOU COULD LOSE MONEY BY INVESTING IN THE FUND. ALTHOUGH THE FUND SEEKS TO PRESERVE THE VALUE OF YOUR INVESTMENT AT $1.00 PER SHARE, IT CANNOT GUARANTEE IT WILL DO SO. AN INVESTMENT IN THE FUND IS NOT INSURED OR GUARANTEED BY THE FEDERAL DEPOSIT INSURANCE CORPORATION OR ANY OTHER GOVERNMENT AGENCY. THE FUND'S SPONSOR HAS NO LEGAL OBLIGATION TO PROVIDE FINANCIAL SUPPORT TO THE FUND, AND YOU SHOULD NOT EXPECT THAT THE SPONSOR WILL PROVIDE FINANCIAL SUPPORT TO THE FUND AT ANY TIME. 
(3) Vanguard Treasury Money Market Fund - Investor Shares: Vanguard and the Fund's board have voluntarily agreed to temporarily limit certain net operating expenses in excess of the Fund's daily yield so as to maintain a zero or positive yield for the Fund. Vanguard and the Fund's board may terminate the temporary expense limitation at any time.
 

(4) Stable Value Options invests in Voya's Stabilizer managed separate account annuity contract, issued by Voya Retirement Insurance and Annuity Company.  The contract provides for declared credited interest rates that are set in advance. The declared rates are net of all expenses. Guarantees of principal and interest are based on the claims paying ability of Voya Retirement Insurance and Annuity Company. Stable Value Option is not a registered investment company and is not registered with the Securities and Exchange Commission. The CURRENT rate for the Stable Value Option - is 3.00%, expressed as an annual effective yield, and is guaranteed not to drop below 3.00% through 09/30/2017. 

(5) Metropolitan West Total Return Bond Fund - Plan Class: Metropolitan West Asset Management, LLC (the "Adviser") has contractually agreed to reduce advisory fees and/or reimburse expenses, including distribution expenses, to limit the Fund's total annual operating expenses (excluding interest, taxes, brokerage commissions, short sale dividend expenses, acquired fund fees and expenses, and any expenses incurred in connection with any merger or reorganization or extraordinary expenses such as litigation) to 0.39%. The Adviser may recoup reduced fees and expenses within three years, subject to any applicable expense limit at the time of recoupment. This contract will remain in place until July 31, 2016. Although it does not expect to do so, the Board of Trustees is permitted to terminate that contract sooner in its discretion with written notice to the Adviser. The expense information in the table has been updated to reflect the amended operating expense limit (effective July 29, 2014) as if it had been in effect during the full fiscal year ending March 31, 2015.
 
(6) AB Global Bond Fund - Class I: In connection with the Fund's investments in AB Government Money Market Portfolio (the "Money Market Portfolio"), the Adviser has contractually agreed to waive its management fee from the Fund and/or reimburse other expenses of the Fund in an amount equal to the Fund's pro rata share of the Money Market Portfolio's effective management fee, as included in "Acquired Fund Fees and Expenses".
 


(7) Investments in Target Retirement Funds are subject to the risks of their underlying funds. The year in the fund name refers to the approximate year (the target date) when an investor in the fund would retire and leave the work force. The fund will gradually shift its emphasis from more aggressive investments to more conservative ones based on its target date. An investment in the Target Retirement Fund is not guaranteed at any time, including on or after the target date. 
(8) Pax World Balanced Fund - Institutional Class: The Adviser has contractually agreed to waive 0.01% of its advisory fee. This arrangement will continue in effect until at least December 31, 2017 unless modified or terminated by the Fund's Trustees. 

(9) PIMCO All Asset Fund - Institutional Class: Acquired Fund Fees and Expenses include interest expense of the Underlying PIMCO Funds of 0.04%. Interest expense is based on the amounts incurred during an Underlying PIMCO Fund's most recent fiscal year as a result of entering into certain investments, such as reverse repurchase agreements. This interest expense is required to be treated as an expense of such Underlying PIMCO Fund for accounting purposes, but the amount of interest expense (if any) will vary with the Underlying PIMCO Fund's use of those investments (like reverse repurchase agreements) as an investment strategy. Total Annual Fund Operating Expenses excluding interest expense of the Underlying PIMCO Funds is 1.035%. Total Annual Fund Operating Expenses do not match the Ratio of Expenses to Average Net Assets Excluding Waivers of the Fund, as set forth in the Financial Highlights table of the Fund's prospectus, because the Ratio of Expenses to Average Net Assets Excluding Waivers reflects the operating expenses of the Fund and does not include Acquired Fund Fees and Expenses. PIMCO has contractually agreed, through July 31, 2017, to reduce its advisory fee to the extent that the Underlying PIMCO Fund Expenses attributable to advisory and supervisory and administrative fees exceed 0.64% of the total assets invested in Underlying PIMCO Funds. PIMCO may recoup these waivers in future periods, not exceeding three years, provided total expenses, including such recoupment, do not exceed the annual expense limit. The fee reduction is implemented based on a calculation of Underlying PIMCO Fund Expenses attributable to advisory and supervisory and administrative fees that is different from the calculation of Acquired Fund Fees and Expenses listed in the table above. Total Annual Fund Operating Expenses After Fee Waiver and/or Expense Reimbursement excluding interest expense of the Underlying PIMCO Funds is 0.875%. 

(10) Wells Fargo Discovery Fund - Institutional Class: The Manager has contractually committed through January 31, 2017, to waive fees and/or reimburse expenses to the extent necessary to cap the Fund's Total Annual Fund Operating Expenses After Fee Waiver at 0.89%. Brokerage commissions, stamp duty fees, interest, taxes, acquired fund fees and expenses, and extraordinary expenses are excluded from the cap. After this time, the cap may be increased or the commitment to maintain the cap may be terminated only with the approval of the Board of Trustees.
 

(11) Wells Fargo Emerging Markets Equity Fund - Institutional Class: The Manager has contractually committed through February 28, 2017 to waive fees and/or reimburse expenses to the extent necessary to cap the Fund's Total Annual Fund Operating Expenses After Fee Waiver at the amounts shown in the fund's prospectus. Brokerage commissions, stamp duty fees, interest, taxes, acquired fund fees and expenses and extraordinary expenses are excluded from the cap. After this time, the cap may be increased or the commitment to maintain the cap may be terminated only with the approval of the Board of Trustees.
 

(12) The Investment Option is neither a mutual fund nor part of a Separate Account.  The returns listed do not include the impact of contract charges.  Please refer to the contract or disclosure book to determine which Fixed Interest Options are available for your specific plan.  The Investment Option is offered through Voya Retirement Insurance and Annuity Company. 

(13) The current yield reflects the deduction of all charges that are deducted from the total return quotations shown.   
 Insurance products, annuities and funding agreements issued by Voya Retirement Insurance and Annuity Company, One Orange Way Windsor, CT 06095, (VRIAC), which is solely responsible for meeting its obligations. Plan administrative services provided by VRIAC or Voya Institutional Plan Services, LLC. All companies are members of the Voya family of companies. Securities are distributed by or offered through Voya Financial Partners, LLC (member SIPC) or other broker-dealers with which it has a selling agreement. 

 The chart shows the performance for each investment option for the time periods shown. 



Creation Date: Thursday, August 24, 2017