401k Plan data: CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING PLAN plan

CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING PLAN
Plan identification number	001

CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING 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

CONCORD HEALTH CARE INC. has sponsored the creation of one or more 401k plans.

Company Name: CONCORD HEALTH CARE INC.

Employer identification number (EIN): 341893523

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 DEBRA IFFT 2016-10-29 DEBRA IFFT 2016-10-29
001 2015-01-01 DEBRA A. IFFT
001 2014-01-01 DEBRA A. IFFT
001 2013-01-01 DEBRA A. IFFT
001 2012-01-01 DEBRA A. IFFT
001 2011-01-01 DEBRA A. IFFT
001 2009-01-01 DEBRA A. IFFT
001 2009-01-01 DEBRA A. IFFT
001 2009-01-01 DEBRA A. IFFT

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2016-01-01	DEBRA IFFT	2016-10-29	DEBRA IFFT	2016-10-29
001	2015-01-01	DEBRA A. IFFT
001	2014-01-01	DEBRA A. IFFT
001	2013-01-01	DEBRA A. IFFT
001	2012-01-01	DEBRA A. IFFT
001	2011-01-01	DEBRA A. IFFT
001	2009-01-01	DEBRA A. IFFT
001	2009-01-01	DEBRA A. IFFT
001	2009-01-01	DEBRA A. IFFT

Plan Statistics for CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING PLAN

Measure Date Value
2015: CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 238
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 28
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 54
Total of all active and inactive participants 2015-01-01 82
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 82
Number of participants with account balances 2015-01-01 81
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 316
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 174
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 42
Total of all active and inactive participants 2014-01-01 216
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 216
Number of participants with account balances 2014-01-01 123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 3
2013: CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 320
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 249
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 46
Total of all active and inactive participants 2013-01-01 295
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 295
Number of participants with account balances 2013-01-01 144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 5
2012: CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 318
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 263
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 41
Total of all active and inactive participants 2012-01-01 304
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 304
Number of participants with account balances 2012-01-01 147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 10
2011: CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 321
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 249
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 34
Total of all active and inactive participants 2011-01-01 283
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 283
Number of participants with account balances 2011-01-01 153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 9
2009: CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 284
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 242
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 28
Total of all active and inactive participants 2009-01-01 270
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 270
Number of participants with account balances 2009-01-01 143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 6

Measure	Date	Value
2015: CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	238
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	28
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	54
Total of all active and inactive participants	2015-01-01	82
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	82
Number of participants with account balances	2015-01-01	81
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	316
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	174
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	42
Total of all active and inactive participants	2014-01-01	216
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	216
Number of participants with account balances	2014-01-01	123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	3
2013: CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	320
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	249
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	46
Total of all active and inactive participants	2013-01-01	295
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	295
Number of participants with account balances	2013-01-01	144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	5
2012: CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	318
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	263
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	41
Total of all active and inactive participants	2012-01-01	304
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	304
Number of participants with account balances	2012-01-01	147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	10
2011: CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	321
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	249
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	34
Total of all active and inactive participants	2011-01-01	283
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	283
Number of participants with account balances	2011-01-01	153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	9
2009: CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	284
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	242
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	28
Total of all active and inactive participants	2009-01-01	270
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	270
Number of participants with account balances	2009-01-01	143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	6

Financial Data on CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2015 : CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$61,506
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$868,999
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$846,715
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$64,937
Value of total assets at end of year	2015-12-31	$1,274,647
Value of total assets at beginning of year	2015-12-31	$2,082,140
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$22,284
Total interest from all sources	2015-12-31	$9,993
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$18,816
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$18,816
Administrative expenses professional fees incurred	2015-12-31	$15,000
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$250,000
If this is an individual account plan, was there a blackout period	2015-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$64,937
Participant contributions at end of year	2015-12-31	$0
Participant contributions at beginning of year	2015-12-31	$197,628
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-807,493
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$1,274,647
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$2,082,140
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$1,124,135
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$1,747,151
Interest on participant loans	2015-12-31	$9,993
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$150,512
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$137,361
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$137,361
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-32,240
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$846,715
Contract administrator fees	2015-12-31	$7,284
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	2015-12-31	Yes
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	REALI, GIAMPETRO & SCOTT
Accountancy firm EIN	2015-12-31	341218697
2014 : CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING 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	$279,996
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$395,641
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$393,579
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$135,685
Value of total assets at end of year	2014-12-31	$2,082,140
Value of total assets at beginning of year	2014-12-31	$2,197,785
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$2,062
Total interest from all sources	2014-12-31	$14,552
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$25,575
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	$25,575
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$250,000
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	$124,846
Participant contributions at end of year	2014-12-31	$197,628
Participant contributions at beginning of year	2014-12-31	$211,071
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$10,839
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	$-115,645
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$2,082,140
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$2,197,785
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	$1,747,151
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$1,840,300
Interest on participant loans	2014-12-31	$14,552
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$137,361
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$146,414
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$146,414
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$104,184
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$393,579
Contract administrator fees	2014-12-31	$2,062
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	REALI, GIAMPETRO & SCOTT
Accountancy firm EIN	2014-12-31	341218697
2013 : CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING 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	$577,797
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$626,458
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$618,733
Value of total corrective distributions	2013-12-31	$7,725
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$169,722
Value of total assets at end of year	2013-12-31	$2,197,785
Value of total assets at beginning of year	2013-12-31	$2,246,446
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$0
Total interest from all sources	2013-12-31	$11,657
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$25,705
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	$25,705
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$250,000
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	$127,816
Participant contributions at end of year	2013-12-31	$211,071
Participant contributions at beginning of year	2013-12-31	$168,038
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	$-48,661
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$2,197,785
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$2,246,446
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	$1,840,300
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$1,933,701
Interest on participant loans	2013-12-31	$11,657
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$146,414
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$144,707
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$144,707
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$370,713
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	$41,906
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$618,733
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	REALI, GIAMPETRO & SCOTT
Accountancy firm EIN	2013-12-31	341218697
2012 : CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING 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	$432,964
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$194,617
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$180,694
Value of total corrective distributions	2012-12-31	$13,923
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$174,311
Value of total assets at end of year	2012-12-31	$2,246,446
Value of total assets at beginning of year	2012-12-31	$2,008,099
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$0
Total interest from all sources	2012-12-31	$10,533
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$32,187
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	$32,187
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$250,000
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	$161,443
Participant contributions at end of year	2012-12-31	$168,038
Participant contributions at beginning of year	2012-12-31	$143,591
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	$238,347
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$2,246,446
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,008,099
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$1,933,701
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,693,117
Interest on participant loans	2012-12-31	$10,533
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$144,707
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$171,391
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$171,391
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$215,933
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	$12,868
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$180,694
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	REALI, GIAMPETRO AND SCOTT
Accountancy firm EIN	2012-12-31	341218697
2011 : CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING 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
Total income from all sources (including contributions)	2011-12-31	$305,011
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$264,444
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$257,380
Value of total corrective distributions	2011-12-31	$7,064
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$327,801
Value of total assets at end of year	2011-12-31	$2,008,099
Value of total assets at beginning of year	2011-12-31	$1,967,532
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$0
Total interest from all sources	2011-12-31	$8,778
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$29,875
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	$29,875
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$200,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$192,852
Participant contributions at end of year	2011-12-31	$143,591
Participant contributions at beginning of year	2011-12-31	$134,875
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	$40,567
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,008,099
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,967,532
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	$1,693,117
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$1,639,120
Interest on participant loans	2011-12-31	$8,778
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$171,391
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$193,537
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$193,537
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-61,443
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	$134,949
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$257,380
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	REALI, GIAMPETRO AND SCOTT
Accountancy firm EIN	2011-12-31	341218697
2010 : CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING 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	$541,413
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$63,380
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$57,042
Value of total corrective distributions	2010-12-31	$6,338
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$361,270
Value of total assets at end of year	2010-12-31	$1,967,532
Value of total assets at beginning of year	2010-12-31	$1,489,499
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$0
Total interest from all sources	2010-12-31	$6,754
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$30,117
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	$30,117
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$200,000
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	$205,644
Participant contributions at end of year	2010-12-31	$134,875
Participant contributions at beginning of year	2010-12-31	$70,161
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$1,223
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	$478,033
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,967,532
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,489,499
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$1,639,120
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$1,399,790
Interest on participant loans	2010-12-31	$6,754
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$193,537
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$19,548
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$19,548
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$143,272
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	$154,403
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$57,042
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	REALI, GIAMPETRO & SCOTT
Accountancy firm EIN	2010-12-31	341218697
2009 : CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING 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 CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING PLAN

2015: CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING 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 - Trust	Yes
2013: CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING 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 - Trust	Yes
2012: CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING 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 - Trust	Yes
2011: CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING 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 - Trust	Yes
2009: CONCORD HEALTH CARE, INC 401(K) PROFIT SHARING 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 - Trust	Yes

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Company Name:	CONCORD HEALTH CARE INC.
Employer identification number (EIN):	341893523
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities