401k Plan data: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN plan

ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 401k Plan overview

Plan Name	ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN
Plan identification number	001

ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT 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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

ADCARE HEALTH SYSTEMS, INC. has sponsored the creation of one or more 401k plans.

Company Name: ADCARE HEALTH SYSTEMS, INC.

Employer identification number (EIN): 311311043

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

Additional information about ADCARE HEALTH SYSTEMS, INC.

Jurisdiction of Incorporation: Nevada Department of State

Incorporation Date: 1994-07-13

Company Identification Number: 19941081756

Legal Registered Office Address: 4475 S PECOS ROAD

LAS VEGAS
United States of America (USA)
89121

More information about ADCARE HEALTH SYSTEMS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01
001 2020-01-01
001 2019-01-01 BEN WAITES 2020-10-15
001 2018-01-01 CLINTON CAIN 2019-10-14
001 2017-01-01
001 2016-01-01 CLINTON CAIN CLINTON CAIN 2018-01-30
001 2015-01-01 ALLAN RIMLAND
001 2014-01-01 ALLAN RIMLAND
001 2013-01-01 SHERYL WOLF
001 2012-01-01 SYLATHA TAYLOR
001 2011-01-01 MARTIN D. BREW
001 2010-01-01 CAROL GROEBER
001 2009-01-01 CAROL GROEBER CAROL GROEBER 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2021-01-01
001	2020-01-01
001	2019-01-01	BEN WAITES	2020-10-15
001	2018-01-01	CLINTON CAIN	2019-10-14
001	2017-01-01
001	2016-01-01	CLINTON CAIN		CLINTON CAIN	2018-01-30
001	2015-01-01	ALLAN RIMLAND
001	2014-01-01	ALLAN RIMLAND
001	2013-01-01	SHERYL WOLF
001	2012-01-01	SYLATHA TAYLOR
001	2011-01-01	MARTIN D. BREW
001	2010-01-01	CAROL GROEBER
001	2009-01-01	CAROL GROEBER		CAROL GROEBER	2010-10-15

Plan Statistics for ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN

401k plan membership statisitcs for ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN

Measure Date Value
2019: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 299
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 6
Total of all active and inactive participants 2019-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 6
Number of participants with account balances 2019-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 329
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 230
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 69
Total of all active and inactive participants 2018-01-01 299
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 299
Number of participants with account balances 2018-01-01 124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 6
2017: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 694
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 229
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 83
Total of all active and inactive participants 2017-01-01 312
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 312
Number of participants with account balances 2017-01-01 138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 5
2016: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 363
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 237
Number of other retired or separated participants entitled to future benefits 2016-01-01 437
Total of all active and inactive participants 2016-01-01 674
Total participants 2016-01-01 674
Number of participants with account balances 2016-01-01 497
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 8
2015: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 2,937
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 350
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 515
Total of all active and inactive participants 2015-01-01 865
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 1
Total participants 2015-01-01 866
Number of participants with account balances 2015-01-01 572
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 4,403
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 3,381
Number of retired or separated participants receiving benefits 2014-01-01 420
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 3,801
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 3,801
Number of participants with account balances 2014-01-01 791
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 46
2013: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 4,894
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 4,025
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 378
Total of all active and inactive participants 2013-01-01 4,403
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 4,403
Number of participants with account balances 2013-01-01 868
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 212
2012: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 6,041
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 4,532
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 362
Total of all active and inactive participants 2012-01-01 4,894
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 4,894
Number of participants with account balances 2012-01-01 876
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 149
2011: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,641
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,128
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 142
Total of all active and inactive participants 2011-01-01 1,270
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1,270
Number of participants with account balances 2011-01-01 336
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 26
2010: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,342
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 828
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 186
Total of all active and inactive participants 2010-01-01 1,014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 1,014
Number of participants with account balances 2010-01-01 359
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 4
2009: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,347
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 795
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 173
Total of all active and inactive participants 2009-01-01 968
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 968
Number of participants with account balances 2009-01-01 362
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 7

Measure	Date	Value
2019: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	299
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	6
Total of all active and inactive participants	2019-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	6
Number of participants with account balances	2019-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	329
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	230
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	69
Total of all active and inactive participants	2018-01-01	299
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	299
Number of participants with account balances	2018-01-01	124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	6
2017: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	694
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	229
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	83
Total of all active and inactive participants	2017-01-01	312
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	312
Number of participants with account balances	2017-01-01	138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	5
2016: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	363
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	237
Number of other retired or separated participants entitled to future benefits	2016-01-01	437
Total of all active and inactive participants	2016-01-01	674
Total participants	2016-01-01	674
Number of participants with account balances	2016-01-01	497
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	8
2015: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	2,937
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	350
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	515
Total of all active and inactive participants	2015-01-01	865
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	1
Total participants	2015-01-01	866
Number of participants with account balances	2015-01-01	572
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	4,403
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	3,381
Number of retired or separated participants receiving benefits	2014-01-01	420
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	3,801
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	3,801
Number of participants with account balances	2014-01-01	791
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	46
2013: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	4,894
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	4,025
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	378
Total of all active and inactive participants	2013-01-01	4,403
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	4,403
Number of participants with account balances	2013-01-01	868
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	212
2012: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	6,041
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	4,532
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	362
Total of all active and inactive participants	2012-01-01	4,894
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	4,894
Number of participants with account balances	2012-01-01	876
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	149
2011: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,641
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,128
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	142
Total of all active and inactive participants	2011-01-01	1,270
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1,270
Number of participants with account balances	2011-01-01	336
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	26
2010: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,342
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	828
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	186
Total of all active and inactive participants	2010-01-01	1,014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	1,014
Number of participants with account balances	2010-01-01	359
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	4
2009: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,347
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	795
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	173
Total of all active and inactive participants	2009-01-01	968
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	968
Number of participants with account balances	2009-01-01	362
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	7

Financial Data on ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN

Measure	Date	Value
2019 : ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$10,976
Total income from all sources (including contributions)	2019-12-31	$203,617
Total income from all sources (including contributions)	2019-12-31	$203,617
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$1,490,421
Total of all expenses incurred	2019-12-31	$1,490,421
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,427,835
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,427,835
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$27,337
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$27,337
Value of total assets at end of year	2019-12-31	$25,934
Value of total assets at end of year	2019-12-31	$25,934
Value of total assets at beginning of year	2019-12-31	$1,323,714
Value of total assets at beginning of year	2019-12-31	$1,323,714
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$62,586
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$62,586
Total interest from all sources	2019-12-31	$18,037
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	Yes
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2019-12-31	$0
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2019-12-31	$0
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$127,000
Value of fidelity bond cover	2019-12-31	$127,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$24,074
Contributions received from participants	2019-12-31	$24,074
Participant contributions at end of year	2019-12-31	$0
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$18,299
Participant contributions at beginning of year	2019-12-31	$18,299
Participant contributions at end of year	2019-12-31	$0
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$3,595
Participant contributions at beginning of year	2019-12-31	$3,595
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$10,976
Administrative expenses (other) incurred	2019-12-31	$62,586
Administrative expenses (other) incurred	2019-12-31	$62,586
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$-1,286,804
Value of net income/loss	2019-12-31	$-1,286,804
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$25,934
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$25,934
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,312,738
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,312,738
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$5,697
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$5,697
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,193,847
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,193,847
Interest on participant loans	2019-12-31	$359
Interest on participant loans	2019-12-31	$359
Interest earned on other investments	2019-12-31	$17,678
Interest earned on other investments	2019-12-31	$17,678
Value of interest in common/collective trusts at end of year	2019-12-31	$0
Value of interest in common/collective trusts at end of year	2019-12-31	$0
Value of interest in common/collective trusts at beginning of year	2019-12-31	$52,276
Value of interest in common/collective trusts at beginning of year	2019-12-31	$52,276
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$20,237
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$20,237
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$55,309
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$55,309
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$158,243
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$158,243
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$3,263
Employer contributions (assets) at end of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$388
Employer contributions (assets) at beginning of year	2019-12-31	$388
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,427,835
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,427,835
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	WARREN AVERETT LLC
Accountancy firm name	2019-12-31	WARREN AVERETT LLC
Accountancy firm EIN	2019-12-31	454084437
Accountancy firm EIN	2019-12-31	454084437
2018 : ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2018-12-31	$-173,861
Total unrealized appreciation/depreciation of assets	2018-12-31	$-173,861
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$10,976
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$38,181
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$220,876
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$201,050
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$117,979
Value of total assets at end of year	2018-12-31	$1,323,714
Value of total assets at beginning of year	2018-12-31	$1,495,433
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$19,826
Total interest from all sources	2018-12-31	$94,063
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$254,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$104,865
Participant contributions at end of year	2018-12-31	$18,299
Participant contributions at beginning of year	2018-12-31	$17,978
Participant contributions at end of year	2018-12-31	$3,595
Participant contributions at beginning of year	2018-12-31	$4,316
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$10,976
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$0
Administrative expenses (other) incurred	2018-12-31	$19,826
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-182,695
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$1,312,738
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,495,433
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$1,193,847
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$1,312,853
Interest on participant loans	2018-12-31	$926
Interest earned on other investments	2018-12-31	$93,137
Value of interest in common/collective trusts at end of year	2018-12-31	$52,276
Value of interest in common/collective trusts at beginning of year	2018-12-31	$41,427
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$55,309
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$118,193
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$13,114
Employer contributions (assets) at end of year	2018-12-31	$388
Employer contributions (assets) at beginning of year	2018-12-31	$666
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$201,050
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	2018-12-31	No
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	WARREN AVERETT LLC
Accountancy firm EIN	2018-12-31	454084437
2017 : ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2017-12-31	$173,366
Total unrealized appreciation/depreciation of assets	2017-12-31	$173,366
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$389,067
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$609,032
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$540,441
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$162,906
Value of total assets at end of year	2017-12-31	$1,495,433
Value of total assets at beginning of year	2017-12-31	$1,715,398
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$68,591
Total interest from all sources	2017-12-31	$52,795
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$254,000
If this is an individual account plan, was there a blackout period	2017-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$139,261
Participant contributions at end of year	2017-12-31	$17,978
Participant contributions at beginning of year	2017-12-31	$3,392
Participant contributions at end of year	2017-12-31	$4,316
Participant contributions at beginning of year	2017-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$3,339
Administrative expenses (other) incurred	2017-12-31	$68,591
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$-219,965
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,495,433
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,715,398
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$1,312,853
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$1,528,355
Interest on participant loans	2017-12-31	$323
Interest earned on other investments	2017-12-31	$52,472
Value of interest in common/collective trusts at end of year	2017-12-31	$41,427
Value of interest in common/collective trusts at beginning of year	2017-12-31	$19,481
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$118,193
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$164,170
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$20,306
Employer contributions (assets) at end of year	2017-12-31	$666
Employer contributions (assets) at beginning of year	2017-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$540,441
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	2017-12-31	Yes
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	WARREN AVERETT LLC
Accountancy firm EIN	2017-12-31	454084437
2016 : ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2016-12-31	$36,708
Total unrealized appreciation/depreciation of assets	2016-12-31	$36,708
Total income from all sources (including contributions)	2016-12-31	$194,575
Total of all expenses incurred	2016-12-31	$1,014,831
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$956,799
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$78,196
Value of total assets at end of year	2016-12-31	$1,715,398
Value of total assets at beginning of year	2016-12-31	$2,535,654
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$58,032
Total interest from all sources	2016-12-31	$79,671
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$254,000
If this is an individual account plan, was there a blackout period	2016-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$69,251
Participant contributions at end of year	2016-12-31	$3,392
Participant contributions at beginning of year	2016-12-31	$4,743
Administrative expenses (other) incurred	2016-12-31	$58,032
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$-820,256
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,715,398
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$2,535,654
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$1,528,355
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$1,814,159
Interest on participant loans	2016-12-31	$62
Interest earned on other investments	2016-12-31	$79,609
Value of interest in common/collective trusts at end of year	2016-12-31	$19,481
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$164,170
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$716,752
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$8,945
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$956,799
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	2016-12-31	Yes
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	WARREN AVERETT LLC
Accountancy firm EIN	2016-12-31	454084437
2015 : ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT 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	$17,858
Total income from all sources (including contributions)	2015-12-31	$322,662
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$1,816,188
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,767,511
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$294,447
Value of total assets at end of year	2015-12-31	$2,535,654
Value of total assets at beginning of year	2015-12-31	$4,047,038
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$48,677
Total interest from all sources	2015-12-31	$348
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$83,344
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$83,344
Administrative expenses professional fees incurred	2015-12-31	$31,422
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
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	$256,958
Participant contributions at end of year	2015-12-31	$4,743
Participant contributions at beginning of year	2015-12-31	$23,469
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$17,858
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	$-1,493,526
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$2,535,654
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$4,029,180
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
Investment advisory and management fees	2015-12-31	$17,255
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$1,814,159
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$3,303,709
Interest on participant loans	2015-12-31	$348
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$716,752
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$719,860
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-55,477
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	Yes
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$37,489
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,767,511
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	WARREN AVERETT
Accountancy firm EIN	2015-12-31	454084437
2014 : ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT 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	$17,858
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	$1,052,162
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$1,401,799
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,310,815
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$826,279
Value of total assets at end of year	2014-12-31	$4,047,038
Value of total assets at beginning of year	2014-12-31	$4,378,817
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$90,984
Total interest from all sources	2014-12-31	$31,387
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$122,759
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	$122,759
Administrative expenses professional fees incurred	2014-12-31	$55,009
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$605,004
Participant contributions at end of year	2014-12-31	$23,469
Participant contributions at beginning of year	2014-12-31	$92,277
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$131,549
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$17,858
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-349,637
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$4,029,180
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$4,378,817
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	$34,182
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$3,303,709
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$2,483,199
Interest on participant loans	2014-12-31	$318
Interest earned on other investments	2014-12-31	$31,069
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$719,860
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$1,803,341
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$71,737
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	$89,726
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,310,815
Contract administrator fees	2014-12-31	$1,793
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-12-31	Yes
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	METCALF DAVIS
Accountancy firm EIN	2014-12-31	581729751
2013 : ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT 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	$1,524,302
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$3,415,954
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$3,366,765
Expenses. Certain deemed distributions of participant loans	2013-12-31	$22,554
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$867,156
Value of total assets at end of year	2013-12-31	$4,378,817
Value of total assets at beginning of year	2013-12-31	$6,270,469
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$26,635
Total interest from all sources	2013-12-31	$102,871
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$379
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	$379
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$712,142
Participant contributions at end of year	2013-12-31	$92,277
Participant contributions at beginning of year	2013-12-31	$77,952
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$20,000
Administrative expenses (other) incurred	2013-12-31	$-84
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	$-1,891,652
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$4,378,817
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$6,270,469
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	$2,483,199
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$2,897,951
Interest on participant loans	2013-12-31	$3,387
Interest earned on other investments	2013-12-31	$99,484
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$1,803,341
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$3,294,566
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$553,896
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	$135,014
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$3,366,765
Contract administrator fees	2013-12-31	$26,719
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	2013-12-31	No
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	METCALF DAVIS
Accountancy firm EIN	2013-12-31	581729751
2012 : ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT 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	$1,984,484
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$521,714
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$511,494
Expenses. Certain deemed distributions of participant loans	2012-12-31	$5,285
Value of total corrective distributions	2012-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,579,459
Value of total assets at end of year	2012-12-31	$6,270,469
Value of total assets at beginning of year	2012-12-31	$4,807,699
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$4,935
Total interest from all sources	2012-12-31	$99,343
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$447
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
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	$828,438
Participant contributions at end of year	2012-12-31	$77,952
Participant contributions at beginning of year	2012-12-31	$68,306
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$608,505
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	$1,462,770
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$6,270,469
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$4,807,699
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	$2,897,951
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,991,074
Interest on participant loans	2012-12-31	$2,436
Interest earned on other investments	2012-12-31	$96,907
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$3,294,566
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$2,748,319
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$305,235
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	Yes
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	$142,516
Income. Dividends from common stock	2012-12-31	$447
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$511,494
Contract administrator fees	2012-12-31	$4,935
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	2012-12-31	No
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	METCALF DAVIS CPA
Accountancy firm EIN	2012-12-31	581729751
2011 : ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT 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	$489,421
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$410,589
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$386,266
Expenses. Certain deemed distributions of participant loans	2011-12-31	$17,220
Value of total corrective distributions	2011-12-31	$11,440
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$468,914
Value of total assets at end of year	2011-12-31	$4,807,699
Value of total assets at beginning of year	2011-12-31	$4,728,867
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$7,103
Total interest from all sources	2011-12-31	$89,913
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$353,249
Participant contributions at end of year	2011-12-31	$68,306
Participant contributions at beginning of year	2011-12-31	$55,578
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$46,052
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	$78,832
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$4,807,699
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$4,728,867
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	$1,991,074
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$2,240,851
Interest on participant loans	2011-12-31	$2,712
Interest earned on other investments	2011-12-31	$87,201
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$2,748,319
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$2,432,438
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-69,406
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	$69,613
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$386,266
Contract administrator fees	2011-12-31	$7,103
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	No
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	BATTELLE & BATTELLE LLP
Accountancy firm EIN	2011-12-31	310210560
2010 : ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT 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	$885,230
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$403,627
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$376,181
Expenses. Certain deemed distributions of participant loans	2010-12-31	$11,712
Value of total corrective distributions	2010-12-31	$9,670
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$507,747
Value of total assets at end of year	2010-12-31	$4,728,867
Value of total assets at beginning of year	2010-12-31	$4,247,264
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$6,064
Total interest from all sources	2010-12-31	$85,518
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$313,633
Participant contributions at end of year	2010-12-31	$55,578
Participant contributions at beginning of year	2010-12-31	$89,523
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$133,113
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	$481,603
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$4,728,867
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$4,247,264
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	$2,240,851
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$1,979,907
Interest on participant loans	2010-12-31	$2,836
Interest earned on other investments	2010-12-31	$82,682
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$2,432,438
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$2,177,834
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$291,965
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	$61,001
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$376,181
Contract administrator fees	2010-12-31	$6,064
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	No
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	GBQ PARTNERS
Accountancy firm EIN	2010-12-31	202122306

Form 5500 Responses for ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN

2019: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT 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 – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT 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: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT 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 – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
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 benefit arrangement – Insurance	Yes
2011: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 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 – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT 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 benefit arrangement – Insurance	Yes
2009: ADCARE HEALTH SYSTEMS, INC. 401(K) RETIREMENT PLAN 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 benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

23000

Policy instance

Insurance contract or identification number	23000
Number of Individuals Covered	6
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

23000

Policy instance

Insurance contract or identification number	23000
Number of Individuals Covered	6
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

23000

Policy instance

Insurance contract or identification number	23000
Number of Individuals Covered	104
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

23000

Policy instance

Insurance contract or identification number	23000
Number of Individuals Covered	149
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

23000

Policy instance

Insurance contract or identification number	23000
Number of Individuals Covered	182
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

23000

Policy instance

Insurance contract or identification number	23000
Number of Individuals Covered	874
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $16,032
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $4,601
Insurance broker organization code?	3
Insurance broker name	HUGHES, JEFFREY M

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

23000

Policy instance

Insurance contract or identification number	23000
Number of Individuals Covered	881
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $44,882
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $17,759
Insurance broker organization code?	3
Insurance broker name	CENTRAL, VALIC

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

23000

Policy instance

Insurance contract or identification number	23000
Number of Individuals Covered	393
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $6,860
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

23000

Policy instance

Insurance contract or identification number	23000
Number of Individuals Covered	362
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $8,336
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $7,510
Insurance broker organization code?	3
Insurance broker name	KLEINE-KRACHT, II, JOSEPH M

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Company Name:	ADCARE HEALTH SYSTEMS, INC.
Employer identification number (EIN):	311311043
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	Nevada Department of State
Incorporation Date:	1994-07-13
Company Identification Number:	19941081756
Legal Registered Office Address:	4475 S PECOS ROAD LAS VEGAS United States of America (USA) 89121