401k Plan data: AMERICAN HEALTHCARE RETIREMENT SAVINGS PLAN plan

AMERICAN HEALTHCARE RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	AMERICAN HEALTHCARE RETIREMENT SAVINGS PLAN
Plan identification number	001

AMERICAN HEALTHCARE RETIREMENT SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Life insurance

401k Sponsoring company profile

AMERICAN HEALTHCARE LLC has sponsored the creation of one or more 401k plans.

Company Name: AMERICAN HEALTHCARE LLC

Employer identification number (EIN): 541904577

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about AMERICAN HEALTHCARE LLC

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2008-12-05

Company Identification Number: 0801059458

Legal Registered Office Address: 2821 TEALRIDGE DR

MESQUITE
United States of America (USA)
75181

More information about AMERICAN HEALTHCARE LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN HEALTHCARE RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 SYLVIA MOORE SYLVIA MOORE 2015-10-02
001 2013-01-01 SYLVIA MOORE SYLVIA MOORE 2014-07-21
001 2012-01-01 SYLVIA MOORE SYLVIA MOORE 2013-10-14
001 2011-01-01 LISA TOTI LISA TOTI 2012-10-15
001 2009-01-01 LISA TOTI LISA TOTI 2010-10-15
001 2009-01-01 LISA TOTI LISA TOTI 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01	SYLVIA MOORE	SYLVIA MOORE	2015-10-02
001	2013-01-01	SYLVIA MOORE	SYLVIA MOORE	2014-07-21
001	2012-01-01	SYLVIA MOORE	SYLVIA MOORE	2013-10-14
001	2011-01-01	LISA TOTI	LISA TOTI	2012-10-15
001	2009-01-01	LISA TOTI	LISA TOTI	2010-10-15
001	2009-01-01	LISA TOTI	LISA TOTI	2010-10-15

Plan Statistics for AMERICAN HEALTHCARE RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for AMERICAN HEALTHCARE RETIREMENT SAVINGS PLAN

Measure Date Value
2014: AMERICAN HEALTHCARE RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,685
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,799
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 24
Total of all active and inactive participants 2014-01-01 1,823
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 1,823
Number of participants with account balances 2014-01-01 923
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: AMERICAN HEALTHCARE RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,579
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,602
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 82
Total of all active and inactive participants 2013-01-01 1,684
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 1
Total participants 2013-01-01 1,685
Number of participants with account balances 2013-01-01 965
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: AMERICAN HEALTHCARE RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,661
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,492
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 86
Total of all active and inactive participants 2012-01-01 1,578
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 1,579
Number of participants with account balances 2012-01-01 514
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: AMERICAN HEALTHCARE RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,445
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,578
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 83
Total of all active and inactive participants 2011-01-01 1,661
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1,661
Number of participants with account balances 2011-01-01 980
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: AMERICAN HEALTHCARE RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,541
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,660
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 106
Total of all active and inactive participants 2009-01-01 1,766
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 1,766
Number of participants with account balances 2009-01-01 1,064
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2014: AMERICAN HEALTHCARE RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,685
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,799
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	24
Total of all active and inactive participants	2014-01-01	1,823
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	1,823
Number of participants with account balances	2014-01-01	923
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: AMERICAN HEALTHCARE RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,579
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,602
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	82
Total of all active and inactive participants	2013-01-01	1,684
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	1
Total participants	2013-01-01	1,685
Number of participants with account balances	2013-01-01	965
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: AMERICAN HEALTHCARE RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,661
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,492
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	86
Total of all active and inactive participants	2012-01-01	1,578
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	1,579
Number of participants with account balances	2012-01-01	514
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: AMERICAN HEALTHCARE RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,445
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,578
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	83
Total of all active and inactive participants	2011-01-01	1,661
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1,661
Number of participants with account balances	2011-01-01	980
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: AMERICAN HEALTHCARE RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,541
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,660
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	106
Total of all active and inactive participants	2009-01-01	1,766
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1,766
Number of participants with account balances	2009-01-01	1,064
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on AMERICAN HEALTHCARE RETIREMENT SAVINGS PLAN

Measure	Date	Value
2014 : AMERICAN HEALTHCARE RETIREMENT SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$45,510
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$45,784
Total income from all sources (including contributions)	2014-12-31	$1,024,024
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$800,644
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$726,458
Expenses. Certain deemed distributions of participant loans	2014-12-31	$8,023
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$608,806
Value of total assets at end of year	2014-12-31	$8,110,193
Value of total assets at beginning of year	2014-12-31	$7,887,087
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$66,163
Total interest from all sources	2014-12-31	$11,921
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$282,450
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	$282,450
Administrative expenses professional fees incurred	2014-12-31	$66,163
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	Yes
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	$497,177
Participant contributions at end of year	2014-12-31	$220,494
Participant contributions at beginning of year	2014-12-31	$212,471
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$3,800
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$45,510
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$45,784
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	$223,380
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$8,064,683
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$7,841,303
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$6,950,815
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$6,873,143
Interest on participant loans	2014-12-31	$8,717
Interest earned on other investments	2014-12-31	$3,204
Value of interest in common/collective trusts at end of year	2014-12-31	$724,256
Value of interest in common/collective trusts at beginning of year	2014-12-31	$565,946
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$106,799
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$133,009
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$115,691
Net investment gain or loss from common/collective trusts	2014-12-31	$5,156
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	No
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	$107,829
Employer contributions (assets) at end of year	2014-12-31	$107,829
Employer contributions (assets) at beginning of year	2014-12-31	$102,518
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$726,458
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	2014-12-31	Yes
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	WALKER HEALTHCARE SERVICES GROUP
Accountancy firm EIN	2014-12-31	541643141
2013 : AMERICAN HEALTHCARE RETIREMENT SAVINGS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$45,784
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$38,716
Total income from all sources (including contributions)	2013-12-31	$1,848,177
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$650,853
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$559,776
Expenses. Certain deemed distributions of participant loans	2013-12-31	$511
Value of total corrective distributions	2013-12-31	$38,716
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$579,014
Value of total assets at end of year	2013-12-31	$7,887,087
Value of total assets at beginning of year	2013-12-31	$6,682,695
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$51,850
Total interest from all sources	2013-12-31	$12,578
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$203,756
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	$203,756
Administrative expenses professional fees incurred	2013-12-31	$51,850
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$466,990
Participant contributions at end of year	2013-12-31	$212,471
Participant contributions at beginning of year	2013-12-31	$227,801
Participant contributions at beginning of year	2013-12-31	$54
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$9,506
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$45,784
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$38,716
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	$1,197,324
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$7,841,303
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$6,643,979
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$6,873,143
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$5,711,944
Interest on participant loans	2013-12-31	$8,511
Interest earned on other investments	2013-12-31	$4,067
Value of interest in common/collective trusts at end of year	2013-12-31	$565,946
Value of interest in common/collective trusts at beginning of year	2013-12-31	$477,011
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$133,009
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$166,861
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$1,044,199
Net investment gain or loss from common/collective trusts	2013-12-31	$8,630
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	No
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	$102,518
Employer contributions (assets) at end of year	2013-12-31	$102,518
Employer contributions (assets) at beginning of year	2013-12-31	$99,024
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$559,776
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	KING SHORES AND PRESTON CPA
Accountancy firm EIN	2013-12-31	541643141
2012 : AMERICAN HEALTHCARE 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	$38,716
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$26,250
Total income from all sources (including contributions)	2012-12-31	$1,268,703
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$515,861
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$444,506
Expenses. Certain deemed distributions of participant loans	2012-12-31	$6,039
Value of total corrective distributions	2012-12-31	$26,250
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$540,966
Value of total assets at end of year	2012-12-31	$6,682,695
Value of total assets at beginning of year	2012-12-31	$5,917,387
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$39,066
Total interest from all sources	2012-12-31	$14,495
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$125,433
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	$125,433
Administrative expenses professional fees incurred	2012-12-31	$24,357
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$441,942
Participant contributions at end of year	2012-12-31	$227,801
Participant contributions at beginning of year	2012-12-31	$235,758
Participant contributions at end of year	2012-12-31	$54
Participant contributions at beginning of year	2012-12-31	$15,079
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$38,716
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$26,250
Other income not declared elsewhere	2012-12-31	$0
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	$752,842
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$6,643,979
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$5,891,137
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	$14,709
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$5,711,944
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$4,906,499
Interest on participant loans	2012-12-31	$9,303
Interest earned on other investments	2012-12-31	$5,192
Value of interest in common/collective trusts at end of year	2012-12-31	$477,011
Value of interest in common/collective trusts at beginning of year	2012-12-31	$450,010
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$166,861
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$219,352
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$586,775
Net investment gain or loss from common/collective trusts	2012-12-31	$1,034
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	No
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	$99,024
Employer contributions (assets) at end of year	2012-12-31	$99,024
Employer contributions (assets) at beginning of year	2012-12-31	$90,689
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$444,506
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$0
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	WALKER HEALTHCARE SERVICE GROUP
Accountancy firm EIN	2012-12-31	541643141
2011 : AMERICAN HEALTHCARE 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	$26,250
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$101,585
Total income from all sources (including contributions)	2011-12-31	$393,831
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$403,829
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$313,462
Expenses. Certain deemed distributions of participant loans	2011-12-31	$10,913
Value of total corrective distributions	2011-12-31	$41,863
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$476,517
Value of total assets at end of year	2011-12-31	$5,917,387
Value of total assets at beginning of year	2011-12-31	$6,002,720
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$37,591
Total interest from all sources	2011-12-31	$11,978
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$104,740
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$104,740
Administrative expenses professional fees incurred	2011-12-31	$37,591
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$385,649
Participant contributions at end of year	2011-12-31	$235,758
Participant contributions at beginning of year	2011-12-31	$248,347
Participant contributions at end of year	2011-12-31	$15,079
Participant contributions at beginning of year	2011-12-31	$14,537
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$26,250
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$41,863
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	$-9,998
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$5,891,137
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$5,901,135
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 registered invesment companies (eg mutual funds) at end of year	2011-12-31	$4,906,499
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$5,014,484
Interest on participant loans	2011-12-31	$11,978
Value of interest in common/collective trusts at end of year	2011-12-31	$450,010
Value of interest in common/collective trusts at beginning of year	2011-12-31	$368,593
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$219,352
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$267,220
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-208,305
Net investment gain/loss from pooled separate accounts	2011-12-31	$7,577
Net investment gain or loss from common/collective trusts	2011-12-31	$1,324
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	No
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	$90,868
Employer contributions (assets) at end of year	2011-12-31	$90,689
Employer contributions (assets) at beginning of year	2011-12-31	$89,539
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$313,462
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2011-12-31	$59,722
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	WALKER HEALTHCARE SERVICES GROUP
Accountancy firm EIN	2011-12-31	541643141
2010 : AMERICAN HEALTHCARE RETIREMENT SAVINGS PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$101,585
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$31,252
Total income from all sources (including contributions)	2010-12-31	$1,129,819
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$795,284
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$712,914
Expenses. Certain deemed distributions of participant loans	2010-12-31	$18,657
Value of total corrective distributions	2010-12-31	$31,252
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$490,269
Value of total assets at end of year	2010-12-31	$6,002,720
Value of total assets at beginning of year	2010-12-31	$5,597,852
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$32,461
Total interest from all sources	2010-12-31	$11,866
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$80,888
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$80,888
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
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	$400,730
Participant contributions at end of year	2010-12-31	$248,347
Participant contributions at beginning of year	2010-12-31	$287,684
Participant contributions at end of year	2010-12-31	$14,537
Participant contributions at beginning of year	2010-12-31	$14,350
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$41,863
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$31,252
Other income not declared elsewhere	2010-12-31	$9,408
Administrative expenses (other) incurred	2010-12-31	$19,112
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	$334,535
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$5,901,135
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$5,566,600
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
Investment advisory and management fees	2010-12-31	$13,349
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$5,014,484
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$4,631,100
Interest on participant loans	2010-12-31	$11,866
Value of interest in common/collective trusts at end of year	2010-12-31	$368,593
Value of interest in common/collective trusts at beginning of year	2010-12-31	$319,472
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$267,220
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$345,246
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$535,100
Net investment gain or loss from common/collective trusts	2010-12-31	$2,288
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	No
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	$89,539
Employer contributions (assets) at end of year	2010-12-31	$89,539
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$712,914
Liabilities. Value of benefit claims payable at end of year	2010-12-31	$59,722
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	COLE & KING LLC
Accountancy firm EIN	2010-12-31	541643141
2009 : AMERICAN HEALTHCARE RETIREMENT SAVINGS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for AMERICAN HEALTHCARE RETIREMENT SAVINGS PLAN

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

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Company Name:	AMERICAN HEALTHCARE LLC
Employer identification number (EIN):	541904577
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2008-12-05
Company Identification Number:	0801059458
Legal Registered Office Address:	2821 TEALRIDGE DR MESQUITE United States of America (USA) 75181