401k Plan data: RETIREMENT PLAN FOR EMPLOYEES OF PRESBYTERIAN HOMES plan

RETIREMENT PLAN FOR EMPLOYEES OF PRESBYTERIAN HOMES 401k Plan overview

Plan Name	RETIREMENT PLAN FOR EMPLOYEES OF PRESBYTERIAN HOMES
Plan identification number	001

RETIREMENT PLAN FOR EMPLOYEES OF PRESBYTERIAN HOMES Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Plan covered by PBGC that was terminated and closed out for PBGC purposes - Before the end of the plan year (or a prior plan year), (1) the plan terminated in a standard (or distress) termination and completed the distribution of plan assets in satisfaction of all benefit liabilities (or all ERISA Title IV benefits for distress termination); or (2) a trustee was appointed for a terminated plan pursuant to ERISA section 4042.
Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

PRESBYTERIAN HOMES has sponsored the creation of one or more 401k plans.

Company Name: PRESBYTERIAN HOMES

Employer identification number (EIN): 471545753

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RETIREMENT PLAN FOR EMPLOYEES OF PRESBYTERIAN HOMES

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01 ANDREW WISSEL ANDREW WISSEL 2019-03-12
001 2017-01-01 ANDREW WISSEL ANDREW WISSEL 2018-10-11
001 2016-01-01 ANDREW WISSEL ANDREW WISSEL 2017-10-12

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2018-01-01	ANDREW WISSEL	ANDREW WISSEL	2019-03-12
001	2017-01-01	ANDREW WISSEL	ANDREW WISSEL	2018-10-11
001	2016-01-01	ANDREW WISSEL	ANDREW WISSEL	2017-10-12

Plan Statistics for RETIREMENT PLAN FOR EMPLOYEES OF PRESBYTERIAN HOMES

401k plan membership statisitcs for RETIREMENT PLAN FOR EMPLOYEES OF PRESBYTERIAN HOMES

Measure Date Value
2018: RETIREMENT PLAN FOR EMPLOYEES OF PRESBYTERIAN HOMES 2018 401k membership
Total participants, beginning-of-year 2018-01-01 701
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
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 0
Total of all active and inactive participants 2018-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: RETIREMENT PLAN FOR EMPLOYEES OF PRESBYTERIAN HOMES 2017 401k membership
Market value of plan assets 2017-12-31 24,806,186
Acturial value of plan assets 2017-12-31 25,092,831
Funding target for retired participants and beneficiaries receiving payment 2017-12-31 4,755,390
Number of terminated vested participants 2017-12-31 232
Fundng target for terminated vested participants 2017-12-31 4,016,058
Active participant vested funding target 2017-12-31 11,193,299
Number of active participants 2017-12-31 366
Total funding liabilities for active participants 2017-12-31 11,193,299
Total participant count 2017-12-31 671
Total funding target for all participants 2017-12-31 19,964,747
Balance at beginning of prior year after applicable adjustments 2017-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2017-12-31 9,324,942
Carryover balanced portion elected for use to offset prior years funding requirement 2017-12-31 0
Prefunding balanced used to offset prior years funding requirement 2017-12-31 4,100,000
Amount remaining of carryover balance 2017-12-31 0
Amount remaining of prefunding balance 2017-12-31 5,224,942
Present value of excess contributions 2017-12-31 2,060,807
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2017-12-31 2,190,020
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2017-12-31 2,190,020
Reductions in caryover balances due to elections or deemed elections 2017-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2017-12-31 3,840,643
Balance of carryovers at beginning of current year 2017-12-31 0
Balance of prefunding at beginning of current year 2017-12-31 3,941,632
Total employer contributions 2017-12-31 6,281,378
Total employee contributions 2017-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2017-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2017-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2017-12-31 5,886,498
Unpaid minimum required contributions for all prior years 2017-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2017-12-31 0
Remaining amount of unpaid minimum required contributions 2017-12-31 0
Minimum required contributions for current year target normal cost 2017-12-31 47,000
Net shortfall amortization installment of oustanding balance 2017-12-31 0
Waiver amortization installment 2017-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2017-12-31 0
Carryover balance elected to use to offset funding requirement 2017-12-31 0
Prefunding balance elected to use to offset funding requirement 2017-12-31 0
Additional cash requirement 2017-12-31 0
Contributions allocatedtoward minimum required contributions for current year 2017-12-31 5,886,498
Unpaid minimum required contributions for current year 2017-12-31 0
Unpaid minimum required contributions for all years 2017-12-31 0
Total participants, beginning-of-year 2017-01-01 671
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 347
Number of retired or separated participants receiving benefits 2017-01-01 66
Number of other retired or separated participants entitled to future benefits 2017-01-01 283
Total of all active and inactive participants 2017-01-01 696
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 5
Total participants 2017-01-01 701
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 2
2016: RETIREMENT PLAN FOR EMPLOYEES OF PRESBYTERIAN HOMES 2016 401k membership
Market value of plan assets 2016-12-31 21,967,275
Acturial value of plan assets 2016-12-31 22,808,496
Funding target for retired participants and beneficiaries receiving payment 2016-12-31 2,280,390
Number of terminated vested participants 2016-12-31 214
Fundng target for terminated vested participants 2016-12-31 3,354,792
Active participant vested funding target 2016-12-31 11,862,152
Number of active participants 2016-12-31 417
Total funding liabilities for active participants 2016-12-31 11,862,152
Total participant count 2016-12-31 680
Total funding target for all participants 2016-12-31 17,497,334
Balance at beginning of prior year after applicable adjustments 2016-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2016-12-31 7,228,836
Carryover balanced portion elected for use to offset prior years funding requirement 2016-12-31 0
Prefunding balanced used to offset prior years funding requirement 2016-12-31 850,319
Amount remaining of carryover balance 2016-12-31 0
Amount remaining of prefunding balance 2016-12-31 6,378,517
Present value of excess contributions 2016-12-31 2,754,369
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2016-12-31 2,885,829
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2016-12-31 2,885,829
Reductions in caryover balances due to elections or deemed elections 2016-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2016-12-31 4,100,000
Balance of carryovers at beginning of current year 2016-12-31 0
Balance of prefunding at beginning of current year 2016-12-31 5,224,942
Total employer contributions 2016-12-31 2,232,222
Total employee contributions 2016-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2016-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2016-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2016-12-31 2,060,807
Liquidity shortfalls end of Q1 2016-12-31 0
Liquidity shortfalls end of Q2 2016-12-31 0
Liquidity shortfalls end of Q3 2016-12-31 0
Liquidity shortfalls end of Q4 2016-12-31 0
Unpaid minimum required contributions for all prior years 2016-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2016-12-31 0
Remaining amount of unpaid minimum required contributions 2016-12-31 0
Minimum required contributions for current year target normal cost 2016-12-31 48,000
Net shortfall amortization installment of oustanding balance 2016-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2016-12-31 0
Carryover balance elected to use to offset funding requirement 2016-12-31 0
Prefunding balance elected to use to offset funding requirement 2016-12-31 0
Additional cash requirement 2016-12-31 0
Contributions allocatedtoward minimum required contributions for current year 2016-12-31 2,060,807
Unpaid minimum required contributions for current year 2016-12-31 0
Unpaid minimum required contributions for all years 2016-12-31 0
Total participants, beginning-of-year 2016-01-01 680
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 366
Number of retired or separated participants receiving benefits 2016-01-01 71
Number of other retired or separated participants entitled to future benefits 2016-01-01 225
Total of all active and inactive participants 2016-01-01 662
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 9
Total participants 2016-01-01 671
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 1

Measure	Date	Value
2018: RETIREMENT PLAN FOR EMPLOYEES OF PRESBYTERIAN HOMES 2018 401k membership
Total participants, beginning-of-year	2018-01-01	701
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
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	0
Total of all active and inactive participants	2018-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: RETIREMENT PLAN FOR EMPLOYEES OF PRESBYTERIAN HOMES 2017 401k membership
Market value of plan assets	2017-12-31	24,806,186
Acturial value of plan assets	2017-12-31	25,092,831
Funding target for retired participants and beneficiaries receiving payment	2017-12-31	4,755,390
Number of terminated vested participants	2017-12-31	232
Fundng target for terminated vested participants	2017-12-31	4,016,058
Active participant vested funding target	2017-12-31	11,193,299
Number of active participants	2017-12-31	366
Total funding liabilities for active participants	2017-12-31	11,193,299
Total participant count	2017-12-31	671
Total funding target for all participants	2017-12-31	19,964,747
Balance at beginning of prior year after applicable adjustments	2017-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2017-12-31	9,324,942
Carryover balanced portion elected for use to offset prior years funding requirement	2017-12-31	0
Prefunding balanced used to offset prior years funding requirement	2017-12-31	4,100,000
Amount remaining of carryover balance	2017-12-31	0
Amount remaining of prefunding balance	2017-12-31	5,224,942
Present value of excess contributions	2017-12-31	2,060,807
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2017-12-31	2,190,020
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2017-12-31	2,190,020
Reductions in caryover balances due to elections or deemed elections	2017-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2017-12-31	3,840,643
Balance of carryovers at beginning of current year	2017-12-31	0
Balance of prefunding at beginning of current year	2017-12-31	3,941,632
Total employer contributions	2017-12-31	6,281,378
Total employee contributions	2017-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2017-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2017-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2017-12-31	5,886,498
Unpaid minimum required contributions for all prior years	2017-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2017-12-31	0
Remaining amount of unpaid minimum required contributions	2017-12-31	0
Minimum required contributions for current year target normal cost	2017-12-31	47,000
Net shortfall amortization installment of oustanding balance	2017-12-31	0
Waiver amortization installment	2017-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2017-12-31	0
Carryover balance elected to use to offset funding requirement	2017-12-31	0
Prefunding balance elected to use to offset funding requirement	2017-12-31	0
Additional cash requirement	2017-12-31	0
Contributions allocatedtoward minimum required contributions for current year	2017-12-31	5,886,498
Unpaid minimum required contributions for current year	2017-12-31	0
Unpaid minimum required contributions for all years	2017-12-31	0
Total participants, beginning-of-year	2017-01-01	671
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	347
Number of retired or separated participants receiving benefits	2017-01-01	66
Number of other retired or separated participants entitled to future benefits	2017-01-01	283
Total of all active and inactive participants	2017-01-01	696
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	5
Total participants	2017-01-01	701
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	2
2016: RETIREMENT PLAN FOR EMPLOYEES OF PRESBYTERIAN HOMES 2016 401k membership
Market value of plan assets	2016-12-31	21,967,275
Acturial value of plan assets	2016-12-31	22,808,496
Funding target for retired participants and beneficiaries receiving payment	2016-12-31	2,280,390
Number of terminated vested participants	2016-12-31	214
Fundng target for terminated vested participants	2016-12-31	3,354,792
Active participant vested funding target	2016-12-31	11,862,152
Number of active participants	2016-12-31	417
Total funding liabilities for active participants	2016-12-31	11,862,152
Total participant count	2016-12-31	680
Total funding target for all participants	2016-12-31	17,497,334
Balance at beginning of prior year after applicable adjustments	2016-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2016-12-31	7,228,836
Carryover balanced portion elected for use to offset prior years funding requirement	2016-12-31	0
Prefunding balanced used to offset prior years funding requirement	2016-12-31	850,319
Amount remaining of carryover balance	2016-12-31	0
Amount remaining of prefunding balance	2016-12-31	6,378,517
Present value of excess contributions	2016-12-31	2,754,369
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2016-12-31	2,885,829
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2016-12-31	2,885,829
Reductions in caryover balances due to elections or deemed elections	2016-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2016-12-31	4,100,000
Balance of carryovers at beginning of current year	2016-12-31	0
Balance of prefunding at beginning of current year	2016-12-31	5,224,942
Total employer contributions	2016-12-31	2,232,222
Total employee contributions	2016-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2016-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2016-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2016-12-31	2,060,807
Liquidity shortfalls end of Q1	2016-12-31	0
Liquidity shortfalls end of Q2	2016-12-31	0
Liquidity shortfalls end of Q3	2016-12-31	0
Liquidity shortfalls end of Q4	2016-12-31	0
Unpaid minimum required contributions for all prior years	2016-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2016-12-31	0
Remaining amount of unpaid minimum required contributions	2016-12-31	0
Minimum required contributions for current year target normal cost	2016-12-31	48,000
Net shortfall amortization installment of oustanding balance	2016-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2016-12-31	0
Carryover balance elected to use to offset funding requirement	2016-12-31	0
Prefunding balance elected to use to offset funding requirement	2016-12-31	0
Additional cash requirement	2016-12-31	0
Contributions allocatedtoward minimum required contributions for current year	2016-12-31	2,060,807
Unpaid minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for all years	2016-12-31	0
Total participants, beginning-of-year	2016-01-01	680
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	366
Number of retired or separated participants receiving benefits	2016-01-01	71
Number of other retired or separated participants entitled to future benefits	2016-01-01	225
Total of all active and inactive participants	2016-01-01	662
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	9
Total participants	2016-01-01	671
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	1

Financial Data on RETIREMENT PLAN FOR EMPLOYEES OF PRESBYTERIAN HOMES

Measure	Date	Value
2018 : RETIREMENT PLAN FOR EMPLOYEES OF PRESBYTERIAN HOMES 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-08-29	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-08-29	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-08-29	$245,975
Total income from all sources (including contributions)	2018-08-29	$1,003
Total loss/gain on sale of assets	2018-08-29	$0
Total of all expenses incurred	2018-08-29	$30,655,382
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-08-29	$30,648,453
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-08-29	$0
Value of total assets at end of year	2018-08-29	$0
Value of total assets at beginning of year	2018-08-29	$30,900,354
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-08-29	$6,929
Total interest from all sources	2018-08-29	$1,313
Total dividends received (eg from common stock, registered investment company shares)	2018-08-29	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-08-29	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2018-08-29	$0
Was this plan covered by a fidelity bond	2018-08-29	Yes
Value of fidelity bond cover	2018-08-29	$1,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-08-29	$0
Were there any nonexempt tranactions with any party-in-interest	2018-08-29	No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-08-29	$39,830
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-08-29	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-08-29	$35,290
Administrative expenses (other) incurred	2018-08-29	$6,929
Liabilities. Value of operating payables at end of year	2018-08-29	$0
Liabilities. Value of operating payables at beginning of year	2018-08-29	$116,778
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-08-29	No
Value of net income/loss	2018-08-29	$-30,654,379
Value of net assets at end of year (total assets less liabilities)	2018-08-29	$0
Value of net assets at beginning of year (total assets less liabilities)	2018-08-29	$30,654,379
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-08-29	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-08-29	No
Were any leases to which the plan was party in default or uncollectible	2018-08-29	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-08-29	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-08-29	$21,944,218
Value of interest in pooled separate accounts at end of year	2018-08-29	$0
Value of interest in pooled separate accounts at beginning of year	2018-08-29	$1,162,870
Interest earned on other investments	2018-08-29	$1,313
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-08-29	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-08-29	$1,494,376
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-08-29	$1,494,376
Expenses. Payments to insurance carriers foe the provision of benefits	2018-08-29	$12,048,961
Net investment gain/loss from pooled separate accounts	2018-08-29	$-310
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-08-29	Yes
Was there a failure to transmit to the plan any participant contributions	2018-08-29	No
Has the plan failed to provide any benefit when due under the plan	2018-08-29	No
Employer contributions (assets) at end of year	2018-08-29	$0
Employer contributions (assets) at beginning of year	2018-08-29	$6,263,600
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-08-29	$18,559,662
Liabilities. Value of benefit claims payable at end of year	2018-08-29	$0
Liabilities. Value of benefit claims payable at beginning of year	2018-08-29	$129,197
Did the plan have assets held for investment	2018-08-29	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	2018-08-29	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-08-29	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-08-29	Yes
Opinion of an independent qualified public accountant for this plan	2018-08-29	Disclaimer
Accountancy firm name	2018-08-29	CLIFTON LARSON ALLEN LLP
Accountancy firm EIN	2018-08-29	410746749
2017 : RETIREMENT PLAN FOR EMPLOYEES OF PRESBYTERIAN HOMES 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$245,975
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$496,977
Total income from all sources (including contributions)	2017-12-31	$6,767,529
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$961,538
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$788,689
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$6,281,378
Value of total assets at end of year	2017-12-31	$30,900,354
Value of total assets at beginning of year	2017-12-31	$25,345,365
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$172,849
Total interest from all sources	2017-12-31	$168,071
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$353,524
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2017-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$353,524
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$1,000,000
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
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$35,290
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$194
Administrative expenses (other) incurred	2017-12-31	$51,874
Liabilities. Value of operating payables at end of year	2017-12-31	$116,778
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	$5,805,991
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$30,654,379
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$24,848,388
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	$21,944,218
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$18,561,987
Value of interest in pooled separate accounts at end of year	2017-12-31	$1,162,870
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$81,544
Interest earned on other investments	2017-12-31	$168,071
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$1,494,376
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$1,251,885
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$1,251,885
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$1,281,699
Expenses. Payments to insurance carriers foe the provision of benefits	2017-12-31	$190,243
Net investment gain/loss from pooled separate accounts	2017-12-31	$-35,444
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	Yes
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	Yes
Contributions received in cash from employer	2017-12-31	$6,281,378
Employer contributions (assets) at end of year	2017-12-31	$6,263,600
Employer contributions (assets) at beginning of year	2017-12-31	$2,232,222
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$598,446
Contract administrator fees	2017-12-31	$120,975
Assets. Corporate common stocks other than exployer securities at beginning of year	2017-12-31	$1,935,834
Liabilities. Value of benefit claims payable at end of year	2017-12-31	$129,197
Liabilities. Value of benefit claims payable at beginning of year	2017-12-31	$496,977
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	CLIFTON LARSON ALLEN LLP
Accountancy firm EIN	2017-12-31	410746749
2016 : RETIREMENT PLAN FOR EMPLOYEES OF PRESBYTERIAN HOMES 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$496,977
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$631,912
Total income from all sources (including contributions)	2016-12-31	$3,696,569
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$882,604
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$841,014
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$2,232,222
Value of total assets at end of year	2016-12-31	$25,345,365
Value of total assets at beginning of year	2016-12-31	$22,666,335
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$41,590
Total interest from all sources	2016-12-31	$59,970
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$1,403,851
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$1,403,851
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$1,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$194
Other income not declared elsewhere	2016-12-31	$187
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	$2,813,965
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$24,848,388
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$22,034,423
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	$18,561,987
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$16,320,492
Value of interest in pooled separate accounts at end of year	2016-12-31	$81,544
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$40,571
Interest earned on other investments	2016-12-31	$59,970
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$1,251,885
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$1,281,699
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$1,282,611
Net investment gain/loss from pooled separate accounts	2016-12-31	$339
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	Yes
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	Yes
Contributions received in cash from employer	2016-12-31	$2,232,222
Employer contributions (assets) at end of year	2016-12-31	$2,232,222
Employer contributions (assets) at beginning of year	2016-12-31	$3,000,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$841,014
Contract administrator fees	2016-12-31	$41,590
Assets. Corporate common stocks other than exployer securities at end of year	2016-12-31	$1,935,834
Assets. Corporate common stocks other than exployer securities at beginning of year	2016-12-31	$2,022,661
Liabilities. Value of benefit claims payable at end of year	2016-12-31	$496,977
Liabilities. Value of benefit claims payable at beginning of year	2016-12-31	$631,912
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	CLIFTON LARSON ALLEN LLP
Accountancy firm EIN	2016-12-31	410746749

Form 5500 Responses for RETIREMENT PLAN FOR EMPLOYEES OF PRESBYTERIAN HOMES

2018: RETIREMENT PLAN FOR EMPLOYEES OF PRESBYTERIAN HOMES 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	Yes
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: RETIREMENT PLAN FOR EMPLOYEES OF PRESBYTERIAN HOMES 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: RETIREMENT PLAN FOR EMPLOYEES OF PRESBYTERIAN HOMES 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
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

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

GA-3147

Policy instance

Insurance contract or identification number	GA-3147
Number of Individuals Covered	0
Insurance policy start date	2018-01-01
Insurance policy end date	2018-08-29
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	Yes
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

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

GA-3147

Policy instance

Insurance contract or identification number	GA-3147
Number of Individuals Covered	701
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	Yes
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

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Company Name:	PRESBYTERIAN HOMES
Employer identification number (EIN):	471545753
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities