401k Plan data: SOUTHERNCARE, INC. 401(K) PLAN plan

SOUTHERNCARE, INC. 401(K) PLAN 401k Plan overview

Plan Name	SOUTHERNCARE, INC. 401(K) PLAN
Plan identification number	001

SOUTHERNCARE, INC. 401(K) 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.

401k Sponsoring company profile

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

Company Name: SOUTHERNCARE, INC.

Employer identification number (EIN): 161645414

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

Additional information about SOUTHERNCARE, INC.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2003-01-13

Company Identification Number: 0800163039

Legal Registered Office Address: 3350 RIVERWOOD PKWY SE STE 1200

ATLANTA
United States of America (USA)
30339

More information about SOUTHERNCARE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTHERNCARE, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 RON MARINO 2015-07-24
001 2014-01-01 RON MARINO
001 2013-01-01 RON MARINO
001 2012-01-01 RICHARD DUREN
001 2011-01-01 RICHARD DUREN
001 2010-01-01 RICHARD DUREN

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2015-01-01	RON MARINO	2015-07-24
001	2014-01-01	RON MARINO
001	2013-01-01	RON MARINO
001	2012-01-01	RICHARD DUREN
001	2011-01-01	RICHARD DUREN
001	2010-01-01	RICHARD DUREN

Plan Statistics for SOUTHERNCARE, INC. 401(K) PLAN

401k plan membership statisitcs for SOUTHERNCARE, INC. 401(K) PLAN

Measure Date Value
2014: SOUTHERNCARE, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,251
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
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 0
Total of all active and inactive participants 2014-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 3
2013: SOUTHERNCARE, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,435
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,190
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 61
Total of all active and inactive participants 2013-01-01 1,251
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 1,251
Number of participants with account balances 2013-01-01 275
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 16
2012: SOUTHERNCARE, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,321
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,317
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 61
Total of all active and inactive participants 2012-01-01 1,378
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 1,378
Number of participants with account balances 2012-01-01 297
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 12
2011: SOUTHERNCARE, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,332
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,096
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 71
Total of all active and inactive participants 2011-01-01 1,167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1,167
Number of participants with account balances 2011-01-01 311
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 34
2010: SOUTHERNCARE, INC. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,440
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,168
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 62
Total of all active and inactive participants 2010-01-01 1,230
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 1,230
Number of participants with account balances 2010-01-01 363
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 40

Measure	Date	Value
2014: SOUTHERNCARE, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,251
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
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	0
Total of all active and inactive participants	2014-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	3
2013: SOUTHERNCARE, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,435
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,190
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	61
Total of all active and inactive participants	2013-01-01	1,251
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	1,251
Number of participants with account balances	2013-01-01	275
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	16
2012: SOUTHERNCARE, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,321
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,317
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	61
Total of all active and inactive participants	2012-01-01	1,378
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	1,378
Number of participants with account balances	2012-01-01	297
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	12
2011: SOUTHERNCARE, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,332
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,096
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	71
Total of all active and inactive participants	2011-01-01	1,167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1,167
Number of participants with account balances	2011-01-01	311
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	34
2010: SOUTHERNCARE, INC. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,440
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,168
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	62
Total of all active and inactive participants	2010-01-01	1,230
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	1,230
Number of participants with account balances	2010-01-01	363
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	40

Financial Data on SOUTHERNCARE, INC. 401(K) PLAN

Measure	Date	Value
2014 : SOUTHERNCARE, INC. 401(K) 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	$0
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	$503,281
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$5,477,305
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$5,390,267
Value of total corrective distributions	2014-12-31	$23,341
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$271,928
Value of total assets at end of year	2014-12-31	$0
Value of total assets at beginning of year	2014-12-31	$4,974,024
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$63,697
Total interest from all sources	2014-12-31	$2,471
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$38,805
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2014-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$38,805
Administrative expenses professional fees incurred	2014-12-31	$30,169
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	$251,718
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$147,347
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$20,210
Other income not declared elsewhere	2014-12-31	$1,639
Total non interest bearing cash at end of year	2014-12-31	$0
Total non interest bearing cash at beginning of year	2014-12-31	$77
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	$-4,974,024
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$4,974,024
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	$33,528
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$4,616,921
Interest on participant loans	2014-12-31	$2,471
Value of interest in common/collective trusts at end of year	2014-12-31	$0
Value of interest in common/collective trusts at beginning of year	2014-12-31	$209,679
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$186,788
Net investment gain or loss from common/collective trusts	2014-12-31	$1,650
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
Employer contributions (assets) at end of year	2014-12-31	$0
Employer contributions (assets) at beginning of year	2014-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$5,390,267
Did the plan have assets held for investment	2014-12-31	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	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	Yes
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	BLACK & PINCKARD, LLC
Accountancy firm EIN	2014-12-31	260079381
2013 : SOUTHERNCARE, INC. 401(K) 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	$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	$1,314,318
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$630,322
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$561,580
Value of total corrective distributions	2013-12-31	$17,319
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$618,823
Value of total assets at end of year	2013-12-31	$4,974,024
Value of total assets at beginning of year	2013-12-31	$4,290,028
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$51,423
Total interest from all sources	2013-12-31	$5,793
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$83,019
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	$83,019
Administrative expenses professional fees incurred	2013-12-31	$7,704
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	$600,382
Participant contributions at end of year	2013-12-31	$147,347
Participant contributions at beginning of year	2013-12-31	$151,129
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$18,441
Other income not declared elsewhere	2013-12-31	$4,559
Administrative expenses (other) incurred	2013-12-31	$25
Total non interest bearing cash at end of year	2013-12-31	$77
Total non interest bearing cash at beginning of year	2013-12-31	$7,897
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	$683,996
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$4,974,024
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$4,290,028
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	$43,694
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$4,616,921
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$3,906,088
Value of interest in pooled separate accounts at end of year	2013-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$0
Interest on participant loans	2013-12-31	$5,793
Value of interest in common/collective trusts at end of year	2013-12-31	$209,679
Value of interest in common/collective trusts at beginning of year	2013-12-31	$191,687
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$600,023
Net investment gain or loss from common/collective trusts	2013-12-31	$2,101
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
Employer contributions (assets) at end of year	2013-12-31	$0
Employer contributions (assets) at beginning of year	2013-12-31	$33,227
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$561,580
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	BLACK & PINCKARD, LLC
Accountancy firm EIN	2013-12-31	260079381
2012 : SOUTHERNCARE, INC. 401(K) 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	$1,129,455
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$304,286
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$260,566
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$695,750
Value of total assets at end of year	2012-12-31	$4,290,028
Value of total assets at beginning of year	2012-12-31	$3,464,859
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$43,720
Total interest from all sources	2012-12-31	$6,083
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$83,478
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	$83,478
Administrative expenses professional fees incurred	2012-12-31	$3,650
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
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	$632,349
Participant contributions at end of year	2012-12-31	$151,129
Participant contributions at beginning of year	2012-12-31	$107,354
Administrative expenses (other) incurred	2012-12-31	$123
Total non interest bearing cash at end of year	2012-12-31	$7,897
Total non interest bearing cash at beginning of year	2012-12-31	$24
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	$825,169
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$4,290,028
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$3,464,859
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	$39,947
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$3,906,088
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$3,177,739
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	$0
Interest on participant loans	2012-12-31	$6,052
Value of interest in common/collective trusts at end of year	2012-12-31	$191,687
Value of interest in common/collective trusts at beginning of year	2012-12-31	$179,742
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$31
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$341,879
Net investment gain or loss from common/collective trusts	2012-12-31	$2,265
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	$63,401
Employer contributions (assets) at end of year	2012-12-31	$33,227
Employer contributions (assets) at beginning of year	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$260,566
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	BLACK & PINCKARD, LLC
Accountancy firm EIN	2012-12-31	260079381
2011 : SOUTHERNCARE, INC. 401(K) 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
Expenses. Interest paid	2011-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$660,734
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$349,930
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$299,222
Expenses. Certain deemed distributions of participant loans	2011-12-31	$0
Value of total corrective distributions	2011-12-31	$1,944
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$667,114
Value of total assets at end of year	2011-12-31	$3,464,859
Value of total assets at beginning of year	2011-12-31	$3,154,055
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$48,764
Total interest from all sources	2011-12-31	$3,263
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$75,290
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	$75,290
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	Yes
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$595,452
Participant contributions at end of year	2011-12-31	$107,354
Participant contributions at beginning of year	2011-12-31	$94,587
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$33,429
Administrative expenses (other) incurred	2011-12-31	$51
Total non interest bearing cash at end of year	2011-12-31	$24
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	$310,804
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$3,464,859
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$3,154,055
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
Investment advisory and management fees	2011-12-31	$48,713
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$3,177,739
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$2,750,121
Value of interest in pooled separate accounts at end of year	2011-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$0
Interest on participant loans	2011-12-31	$3,263
Value of interest in common/collective trusts at end of year	2011-12-31	$179,742
Value of interest in common/collective trusts at beginning of year	2011-12-31	$178,506
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$130,841
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-87,859
Net investment gain/loss from pooled separate accounts	2011-12-31	$0
Net investment gain or loss from common/collective trusts	2011-12-31	$2,926
Net gain/loss from 103.12 investment entities	2011-12-31	$0
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	$38,233
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$299,222
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	2011-12-31	Yes
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	BLACK & PINCKARD, LCC
Accountancy firm EIN	2011-12-31	260079381
2010 : SOUTHERNCARE, INC. 401(K) 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	$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	$947,718
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$542,053
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$515,097
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$647,929
Value of total assets at end of year	2010-12-31	$3,154,055
Value of total assets at beginning of year	2010-12-31	$2,748,390
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$26,956
Total interest from all sources	2010-12-31	$4,325
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$36,917
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	$36,917
Administrative expenses professional fees incurred	2010-12-31	$14,454
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	Yes
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$592,084
Participant contributions at end of year	2010-12-31	$94,587
Participant contributions at beginning of year	2010-12-31	$103,228
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$12,409
Administrative expenses (other) incurred	2010-12-31	$38
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	$405,665
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$3,154,055
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$2,748,390
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	$12,464
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$2,750,121
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$0
Value of interest in pooled separate accounts at end of year	2010-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$2,215,297
Interest on participant loans	2010-12-31	$4,325
Value of interest in common/collective trusts at end of year	2010-12-31	$178,506
Value of interest in common/collective trusts at beginning of year	2010-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$130,841
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$429,865
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$294,255
Net investment gain/loss from pooled separate accounts	2010-12-31	$-37,468
Net investment gain or loss from common/collective trusts	2010-12-31	$1,760
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	$43,436
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$515,097
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	2010-12-31	Yes
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	BLACK & PINCKARD, LLC
Accountancy firm EIN	2010-12-31	260079381

Form 5500 Responses for SOUTHERNCARE, INC. 401(K) PLAN

2014: SOUTHERNCARE, INC. 401(K) 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 funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: SOUTHERNCARE, INC. 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Mulitple 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 funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: SOUTHERNCARE, INC. 401(K) 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 funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SOUTHERNCARE, INC. 401(K) 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 funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: SOUTHERNCARE, INC. 401(K) 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 funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes

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SOUTHERNCARE, INC. 401(K) PLAN [EIN = 593552239]

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Company Name:	SOUTHERNCARE, INC.
Employer identification number (EIN):	161645414
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2003-01-13
Company Identification Number:	0800163039
Legal Registered Office Address:	3350 RIVERWOOD PKWY SE STE 1200 ATLANTA United States of America (USA) 30339