401k Plan data: OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2 plan

OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2 401k Plan overview

Plan Name	OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2
Plan identification number	002

OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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

OLYMPIA HEALTH CARE, LLC has sponsored the creation of one or more 401k plans.

Company Name: OLYMPIA HEALTH CARE, LLC

Employer identification number (EIN): 421643090

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about OLYMPIA HEALTH CARE, LLC

Jurisdiction of Incorporation: California Secretary of State

Incorporation Date: 2004-08-23

Company Identification Number: 200424010292

Legal Registered Office Address: 5900 W OLYMPIC BLVD

LOS ANGELES
United States of America (USA)
90036

More information about OLYMPIA HEALTH CARE, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2014-01-01 MATT WILLIAMS MATT WILLIAMS 2015-10-15
002 2013-01-01 MATT WILLIAMS MATT WILLIAMS 2014-10-15
002 2012-01-01 BABUR OZKAN BABUR OZKAN 2013-10-09
002 2011-01-01 BABUR OZKAN BABUR OZKAN 2013-02-13
002 2009-01-01 BABUR OZKAN

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2014-01-01	MATT WILLIAMS	MATT WILLIAMS	2015-10-15
002	2013-01-01	MATT WILLIAMS	MATT WILLIAMS	2014-10-15
002	2012-01-01	BABUR OZKAN	BABUR OZKAN	2013-10-09
002	2011-01-01	BABUR OZKAN	BABUR OZKAN	2013-02-13
002	2009-01-01	BABUR OZKAN

Plan Statistics for OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2

401k plan membership statisitcs for OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2

Measure Date Value
2014: OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2 2014 401k membership
Total participants, beginning-of-year 2014-01-01 217
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 180
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 56
Total of all active and inactive participants 2014-01-01 236
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 236
Number of participants with account balances 2014-01-01 173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2 2013 401k membership
Total participants, beginning-of-year 2013-01-01 285
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 150
Number of other retired or separated participants entitled to future benefits 2013-01-01 32
Total of all active and inactive participants 2013-01-01 182
Total participants 2013-01-01 182
Number of participants with account balances 2013-01-01 159
2012: OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2 2012 401k membership
Total participants, beginning-of-year 2012-01-01 229
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 247
Number of retired or separated participants receiving benefits 2012-01-01 36
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 283
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 284
Number of participants with account balances 2012-01-01 156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2 2011 401k membership
Total participants, beginning-of-year 2011-01-01 253
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 194
Number of other retired or separated participants entitled to future benefits 2011-01-01 35
Total of all active and inactive participants 2011-01-01 229
Total participants 2011-01-01 229
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 1
2009: OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2 2009 401k membership
Total participants, beginning-of-year 2009-01-01 207
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 170
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 42
Total of all active and inactive participants 2009-01-01 212
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 212
Number of participants with account balances 2009-01-01 170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 4

Measure	Date	Value
2014: OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2 2014 401k membership
Total participants, beginning-of-year	2014-01-01	217
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	180
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	56
Total of all active and inactive participants	2014-01-01	236
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	236
Number of participants with account balances	2014-01-01	173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2 2013 401k membership
Total participants, beginning-of-year	2013-01-01	285
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	150
Number of other retired or separated participants entitled to future benefits	2013-01-01	32
Total of all active and inactive participants	2013-01-01	182
Total participants	2013-01-01	182
Number of participants with account balances	2013-01-01	159
2012: OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2 2012 401k membership
Total participants, beginning-of-year	2012-01-01	229
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	247
Number of retired or separated participants receiving benefits	2012-01-01	36
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	283
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	284
Number of participants with account balances	2012-01-01	156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2 2011 401k membership
Total participants, beginning-of-year	2011-01-01	253
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	194
Number of other retired or separated participants entitled to future benefits	2011-01-01	35
Total of all active and inactive participants	2011-01-01	229
Total participants	2011-01-01	229
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	1
2009: OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2 2009 401k membership
Total participants, beginning-of-year	2009-01-01	207
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	170
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	42
Total of all active and inactive participants	2009-01-01	212
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	212
Number of participants with account balances	2009-01-01	170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	4

Financial Data on OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2

Measure	Date	Value
2014 : OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2 2014 401k financial data
Total transfer of assets to this plan	2014-12-31	$154,881
Total transfer of assets from this plan	2014-12-31	$65,829
Total income from all sources (including contributions)	2014-12-31	$1,768,751
Total of all expenses incurred	2014-12-31	$2,395,110
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$2,380,872
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,016,922
Value of total assets at end of year	2014-12-31	$10,943,724
Value of total assets at beginning of year	2014-12-31	$11,481,031
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$14,238
Total interest from all sources	2014-12-31	$21,377
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$333,645
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	$333,645
Administrative expenses professional fees incurred	2014-12-31	$14,238
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$2,000,000
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	$609,720
Participant contributions at end of year	2014-12-31	$375,322
Participant contributions at beginning of year	2014-12-31	$488,579
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$97,377
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	$-626,359
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$10,943,724
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$11,481,031
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	$10,258,535
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$10,619,206
Interest on participant loans	2014-12-31	$21,377
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$42
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$396,807
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	Yes
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	$309,825
Employer contributions (assets) at end of year	2014-12-31	$309,825
Employer contributions (assets) at beginning of year	2014-12-31	$373,246
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$2,380,872
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	MILLER KAPLAN ARASE LLP
Accountancy firm EIN	2014-12-31	952036255
2013 : OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2 2013 401k financial data
Total transfer of assets to this plan	2013-12-31	$304,249
Total transfer of assets from this plan	2013-12-31	$3,603
Total income from all sources (including contributions)	2013-12-31	$2,506,913
Total of all expenses incurred	2013-12-31	$1,123,872
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,107,193
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,186,806
Value of total assets at end of year	2013-12-31	$11,481,031
Value of total assets at beginning of year	2013-12-31	$9,797,344
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$16,679
Total interest from all sources	2013-12-31	$23,057
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$258,414
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	$258,414
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$2,000,000
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	$813,560
Participant contributions at end of year	2013-12-31	$488,579
Participant contributions at beginning of year	2013-12-31	$390,678
Participant contributions at beginning of year	2013-12-31	$28,226
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	$1,383,041
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$11,481,031
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$9,797,344
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	$10,619,206
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$8,958,997
Interest on participant loans	2013-12-31	$23,057
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$350
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$350
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$1,038,636
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	$373,246
Employer contributions (assets) at end of year	2013-12-31	$373,246
Employer contributions (assets) at beginning of year	2013-12-31	$419,093
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,107,193
Contract administrator fees	2013-12-31	$16,679
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	MILLER KAPLAN ARASE LLP
Accountancy firm EIN	2013-12-31	952036255
2012 : OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2 2012 401k financial data
Total transfer of assets to this plan	2012-12-31	$55,334
Total transfer of assets from this plan	2012-12-31	$2,132
Total income from all sources (including contributions)	2012-12-31	$2,128,655
Total of all expenses incurred	2012-12-31	$904,391
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$890,393
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,317,391
Value of total assets at end of year	2012-12-31	$9,797,344
Value of total assets at beginning of year	2012-12-31	$8,519,878
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$13,998
Total interest from all sources	2012-12-31	$20,288
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$162,345
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	$162,345
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$2,000,000
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	$865,181
Participant contributions at end of year	2012-12-31	$390,678
Participant contributions at beginning of year	2012-12-31	$397,897
Participant contributions at end of year	2012-12-31	$28,226
Participant contributions at beginning of year	2012-12-31	$26,088
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$33,117
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	$1,224,264
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$9,797,344
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$8,519,878
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	$8,958,997
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$7,672,829
Interest on participant loans	2012-12-31	$20,288
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$350
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$628,631
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	$419,093
Employer contributions (assets) at end of year	2012-12-31	$419,093
Employer contributions (assets) at beginning of year	2012-12-31	$423,064
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$890,393
Contract administrator fees	2012-12-31	$13,998
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	MILLER, KAPLAN, ARASE & CO. LLP.
Accountancy firm EIN	2012-12-31	952036255
2011 : OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2 2011 401k financial data
Total transfer of assets to this plan	2011-12-31	$87,498
Total transfer of assets from this plan	2011-12-31	$28,593
Total income from all sources (including contributions)	2011-12-31	$1,357,983
Total of all expenses incurred	2011-12-31	$1,423,586
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,394,449
Expenses. Certain deemed distributions of participant loans	2011-12-31	$10,852
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,315,591
Value of total assets at end of year	2011-12-31	$8,519,878
Value of total assets at beginning of year	2011-12-31	$8,526,576
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$18,285
Total interest from all sources	2011-12-31	$23,084
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$141,053
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	$141,053
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$2,000,000
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	$892,527
Participant contributions at end of year	2011-12-31	$397,897
Participant contributions at beginning of year	2011-12-31	$440,986
Participant contributions at end of year	2011-12-31	$26,088
Participant contributions at beginning of year	2011-12-31	$21,742
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	$-65,603
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$8,519,878
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$8,526,576
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	$7,672,829
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$7,689,155
Interest on participant loans	2011-12-31	$21,535
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$1,549
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$6,305,309
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-121,745
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	$423,064
Employer contributions (assets) at end of year	2011-12-31	$423,064
Employer contributions (assets) at beginning of year	2011-12-31	$374,693
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,394,449
Contract administrator fees	2011-12-31	$18,285
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	MILLER, KAPLAN, ARASE & CO. LLP.
Accountancy firm EIN	2011-12-31	952036255
2010 : OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2 2010 401k financial data
Total transfer of assets to this plan	2010-12-31	$286,812
Total transfer of assets from this plan	2010-12-31	$337,527
Total income from all sources (including contributions)	2010-12-31	$2,073,735
Total of all expenses incurred	2010-12-31	$502,068
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$477,519
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,284,188
Value of total assets at end of year	2010-12-31	$8,526,576
Value of total assets at beginning of year	2010-12-31	$7,005,624
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$24,549
Total interest from all sources	2010-12-31	$22,998
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$109,910
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	$109,910
Administrative expenses professional fees incurred	2010-12-31	$24,549
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	$818,914
Participant contributions at end of year	2010-12-31	$440,986
Participant contributions at beginning of year	2010-12-31	$323,222
Participant contributions at end of year	2010-12-31	$21,742
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$90,581
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	$1,571,667
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$8,526,576
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$7,005,624
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	$7,689,155
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$5,978,908
Interest on participant loans	2010-12-31	$22,998
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$896
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$896
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$6,305,309
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$323,050
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$656,639
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	$374,693
Employer contributions (assets) at end of year	2010-12-31	$374,693
Employer contributions (assets) at beginning of year	2010-12-31	$379,548
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$477,519
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	MILLER, KAPLAN, ARASE & CO. LLP.
Accountancy firm EIN	2010-12-31	952036255
2009 : OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2 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 OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2

2014: OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2 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: OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2 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: OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2 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: OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
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: OLYMPIA HEALTH CARE, LLC RETIREMENT SAVINGS PLAN #2 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
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 – Insurance	Yes
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:	OLYMPIA HEALTH CARE, LLC
Employer identification number (EIN):	421643090
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	California Secretary of State
Incorporation Date:	2004-08-23
Company Identification Number:	200424010292
Legal Registered Office Address:	5900 W OLYMPIC BLVD LOS ANGELES United States of America (USA) 90036