401k Plan data: SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN plan

SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN 401k Plan overview

Plan Name	SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN
Plan identification number	001

SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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

SKILLED HEALTHCARE, LLC has sponsored the creation of one or more 401k plans.

Company Name: SKILLED HEALTHCARE, LLC

Employer identification number (EIN): 954644784

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

Additional information about SKILLED HEALTHCARE, LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 3675398

More information about SKILLED HEALTHCARE, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 KAREN HALSTED
001 2014-01-01 KAREN HALSTED
001 2013-01-01 SHERYL CORREA
001 2012-01-01 SHERYL CORREA
001 2011-01-01 SHERYL CORREA DIONNE MOTAL 2012-10-15
001 2009-01-01 JEANETTE HASKINS KRISTIINA HINTGEN 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2015-01-01	KAREN HALSTED
001	2014-01-01	KAREN HALSTED
001	2013-01-01	SHERYL CORREA
001	2012-01-01	SHERYL CORREA
001	2011-01-01	SHERYL CORREA	DIONNE MOTAL	2012-10-15
001	2009-01-01	JEANETTE HASKINS	KRISTIINA HINTGEN	2010-10-15

Plan Statistics for SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN

401k plan membership statisitcs for SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN

Measure Date Value
2015: SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 12,272
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
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 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 13,684
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 11,706
Number of retired or separated participants receiving benefits 2014-01-01 7
Number of other retired or separated participants entitled to future benefits 2014-01-01 558
Total of all active and inactive participants 2014-01-01 12,271
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 1
Total participants 2014-01-01 12,272
Number of participants with account balances 2014-01-01 2,281
2013: SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 11,506
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 13,158
Number of retired or separated participants receiving benefits 2013-01-01 4
Number of other retired or separated participants entitled to future benefits 2013-01-01 522
Total of all active and inactive participants 2013-01-01 13,684
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 13,684
Number of participants with account balances 2013-01-01 2,347
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 40
2012: SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 12,765
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 11,126
Number of retired or separated participants receiving benefits 2012-01-01 8
Number of other retired or separated participants entitled to future benefits 2012-01-01 370
Total of all active and inactive participants 2012-01-01 11,504
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 2
Total participants 2012-01-01 11,506
Number of participants with account balances 2012-01-01 1,696
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 65
2011: SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 12,627
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 12,383
Number of retired or separated participants receiving benefits 2011-01-01 6
Number of other retired or separated participants entitled to future benefits 2011-01-01 375
Total of all active and inactive participants 2011-01-01 12,764
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 12,765
Number of participants with account balances 2011-01-01 1,755
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 68
2009: SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 14,032
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 13,066
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 276
Total of all active and inactive participants 2009-01-01 13,342
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 13,342
Number of participants with account balances 2009-01-01 1,504
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 81

Measure	Date	Value
2015: SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	12,272
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
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	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	13,684
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	11,706
Number of retired or separated participants receiving benefits	2014-01-01	7
Number of other retired or separated participants entitled to future benefits	2014-01-01	558
Total of all active and inactive participants	2014-01-01	12,271
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	1
Total participants	2014-01-01	12,272
Number of participants with account balances	2014-01-01	2,281
2013: SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	11,506
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	13,158
Number of retired or separated participants receiving benefits	2013-01-01	4
Number of other retired or separated participants entitled to future benefits	2013-01-01	522
Total of all active and inactive participants	2013-01-01	13,684
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	13,684
Number of participants with account balances	2013-01-01	2,347
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	40
2012: SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	12,765
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	11,126
Number of retired or separated participants receiving benefits	2012-01-01	8
Number of other retired or separated participants entitled to future benefits	2012-01-01	370
Total of all active and inactive participants	2012-01-01	11,504
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	2
Total participants	2012-01-01	11,506
Number of participants with account balances	2012-01-01	1,696
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	65
2011: SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	12,627
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	12,383
Number of retired or separated participants receiving benefits	2011-01-01	6
Number of other retired or separated participants entitled to future benefits	2011-01-01	375
Total of all active and inactive participants	2011-01-01	12,764
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	12,765
Number of participants with account balances	2011-01-01	1,755
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	68
2009: SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	14,032
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	13,066
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	276
Total of all active and inactive participants	2009-01-01	13,342
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	13,342
Number of participants with account balances	2009-01-01	1,504
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	81

Financial Data on SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN

Measure	Date	Value
2015 : SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-06-30	$0
Total transfer of assets from this plan	2015-06-30	$52,293,913
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total income from all sources (including contributions)	2015-06-30	$3,250,428
Total loss/gain on sale of assets	2015-06-30	$0
Total of all expenses incurred	2015-06-30	$8,514,066
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$8,224,798
Expenses. Certain deemed distributions of participant loans	2015-06-30	$10,992
Value of total corrective distributions	2015-06-30	$253,630
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$1,284,471
Value of total assets at end of year	2015-06-30	$0
Value of total assets at beginning of year	2015-06-30	$57,557,551
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$24,646
Total interest from all sources	2015-06-30	$36,760
Total dividends received (eg from common stock, registered investment company shares)	2015-06-30	$787,644
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-06-30	$0
Total dividends received from registered investment company shares (eg mutual funds)	2015-06-30	$787,644
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Contributions received from participants	2015-06-30	$1,226,731
Participant contributions at end of year	2015-06-30	$0
Participant contributions at beginning of year	2015-06-30	$1,553,153
Income. Received or receivable in cash from other sources (including rollovers)	2015-06-30	$57,740
Administrative expenses (other) incurred	2015-06-30	$24,646
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$-5,263,638
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$57,557,551
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-06-30	$52,539,796
Interest on participant loans	2015-06-30	$36,760
Value of interest in common/collective trusts at end of year	2015-06-30	$0
Value of interest in common/collective trusts at beginning of year	2015-06-30	$3,464,602
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-06-30	$1,173,939
Net investment gain or loss from common/collective trusts	2015-06-30	$-32,386
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	No
Was there a failure to transmit to the plan any participant contributions	2015-06-30	No
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$8,224,798
Did the plan have assets held for investment	2015-06-30	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	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-06-30	Disclaimer
Accountancy firm name	2015-06-30	LTSP, INC.
Accountancy firm EIN	2015-06-30	953864890
2014 : SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$11,091,916
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$4,673,996
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$4,359,744
Expenses. Certain deemed distributions of participant loans	2014-12-31	$18,790
Value of total corrective distributions	2014-12-31	$234,029
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$8,034,630
Value of total assets at end of year	2014-12-31	$57,557,551
Value of total assets at beginning of year	2014-12-31	$51,139,631
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$61,433
Total interest from all sources	2014-12-31	$72,214
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$3,437,957
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	$3,437,957
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$7,637,578
Participant contributions at end of year	2014-12-31	$1,553,153
Participant contributions at beginning of year	2014-12-31	$1,341,729
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$397,052
Administrative expenses (other) incurred	2014-12-31	$61,433
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	$6,417,920
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$57,557,551
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$51,139,631
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$52,539,796
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$46,295,422
Interest on participant loans	2014-12-31	$72,214
Value of interest in common/collective trusts at end of year	2014-12-31	$3,464,602
Value of interest in common/collective trusts at beginning of year	2014-12-31	$3,502,480
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$-483,944
Net investment gain or loss from common/collective trusts	2014-12-31	$31,059
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$4,359,744
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	LESLEY, THOMAS, SCHWARZ & POSTMA
Accountancy firm EIN	2014-12-31	953864890
2013 : SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets	2013-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2013-12-31	$0
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
Expenses. Interest paid	2013-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$15,998,291
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$4,393,122
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$4,063,779
Expenses. Certain deemed distributions of participant loans	2013-12-31	$58,160
Value of total corrective distributions	2013-12-31	$215,735
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$8,331,702
Value of total assets at end of year	2013-12-31	$51,139,631
Value of total assets at beginning of year	2013-12-31	$39,534,462
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$55,448
Total income from rents	2013-12-31	$0
Total interest from all sources	2013-12-31	$54,990
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$2,155,136
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	$2,155,136
Administrative expenses professional fees incurred	2013-12-31	$0
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$7,760,286
Participant contributions at end of year	2013-12-31	$1,341,729
Participant contributions at beginning of year	2013-12-31	$1,041,726
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$566,666
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2013-12-31	$0
Other income not declared elsewhere	2013-12-31	$0
Administrative expenses (other) incurred	2013-12-31	$55,448
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
Income. Non cash contributions	2013-12-31	$0
Value of net income/loss	2013-12-31	$11,605,169
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$51,139,631
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$39,534,462
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$46,295,422
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$34,990,827
Interest on participant loans	2013-12-31	$54,990
Income. Interest from loans (other than to participants)	2013-12-31	$0
Interest earned on other investments	2013-12-31	$0
Income. Interest from US Government securities	2013-12-31	$0
Income. Interest from corporate debt instruments	2013-12-31	$0
Value of interest in common/collective trusts at end of year	2013-12-31	$3,502,480
Value of interest in common/collective trusts at beginning of year	2013-12-31	$3,501,909
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$5,471,520
Net investment gain/loss from pooled separate accounts	2013-12-31	$0
Net investment gain or loss from common/collective trusts	2013-12-31	$-15,057
Net gain/loss from 103.12 investment entities	2013-12-31	$0
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	$4,750
Income. Dividends from preferred stock	2013-12-31	$0
Income. Dividends from common stock	2013-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$4,063,779
Contract administrator fees	2013-12-31	$0
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
Aggregate proceeds on sale of assets	2013-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2013-12-31	$0
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	LESLEY, THOMAS, SCHWARZ & POSTMA
Accountancy firm EIN	2013-12-31	953864890
2012 : SKILLED HEALTHCARE, LLC 401(K) SAVINGS 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	$11,334,557
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$3,077,563
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$2,838,787
Expenses. Certain deemed distributions of participant loans	2012-12-31	$20,555
Value of total corrective distributions	2012-12-31	$173,758
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$7,184,794
Value of total assets at end of year	2012-12-31	$39,534,462
Value of total assets at beginning of year	2012-12-31	$31,277,468
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$44,463
Total interest from all sources	2012-12-31	$52,436
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$926,492
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$926,492
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$6,477,350
Participant contributions at end of year	2012-12-31	$1,041,726
Participant contributions at beginning of year	2012-12-31	$928,518
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$671,101
Administrative expenses (other) incurred	2012-12-31	$44,463
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	$8,256,994
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$39,534,462
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$31,277,468
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	$34,990,827
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$27,173,953
Interest on participant loans	2012-12-31	$52,436
Value of interest in common/collective trusts at end of year	2012-12-31	$3,501,909
Value of interest in common/collective trusts at beginning of year	2012-12-31	$3,174,997
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$3,109,426
Net investment gain or loss from common/collective trusts	2012-12-31	$61,409
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$36,343
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$2,838,787
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	LESLEY, THOMAS, SCHWARZ & POSTMA
Accountancy firm EIN	2012-12-31	953864890
2011 : SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets	2011-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$0
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets to this plan	2011-12-31	$0
Total transfer of assets from this plan	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Expenses. Interest paid	2011-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$6,732,292
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$3,101,615
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$2,813,169
Expenses. Certain deemed distributions of participant loans	2011-12-31	$6,020
Value of total corrective distributions	2011-12-31	$232,700
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$7,520,972
Value of total assets at end of year	2011-12-31	$31,277,468
Value of total assets at beginning of year	2011-12-31	$27,646,791
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$49,726
Total income from rents	2011-12-31	$0
Total interest from all sources	2011-12-31	$48,212
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$787,447
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$787,447
Assets. Real estate other than employer real property at end of year	2011-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2011-12-31	$0
Administrative expenses professional fees incurred	2011-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2011-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2011-12-31	$0
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$5,933,536
Participant contributions at end of year	2011-12-31	$928,518
Participant contributions at beginning of year	2011-12-31	$951,509
Participant contributions at end of year	2011-12-31	$0
Participant contributions at beginning of year	2011-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$897,956
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2011-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$0
Assets. Loans (other than to participants) at end of year	2011-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2011-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$0
Other income not declared elsewhere	2011-12-31	$0
Administrative expenses (other) incurred	2011-12-31	$49,726
Liabilities. Value of operating payables at end of year	2011-12-31	$0
Liabilities. Value of operating payables at beginning of year	2011-12-31	$0
Total non interest bearing cash at end of year	2011-12-31	$0
Total non interest bearing cash at beginning of year	2011-12-31	$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	2011-12-31	No
Income. Non cash contributions	2011-12-31	$0
Value of net income/loss	2011-12-31	$3,630,677
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$31,277,468
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$27,646,791
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
Assets. partnership/joint venture interests at end of year	2011-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2011-12-31	$0
Investment advisory and management fees	2011-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$27,173,953
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$24,189,673
Value of interest in pooled separate accounts at end of year	2011-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$0
Interest on participant loans	2011-12-31	$48,212
Income. Interest from loans (other than to participants)	2011-12-31	$0
Interest earned on other investments	2011-12-31	$0
Income. Interest from US Government securities	2011-12-31	$0
Income. Interest from corporate debt instruments	2011-12-31	$0
Value of interest in master investment trust accounts at end of year	2011-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2011-12-31	$0
Value of interest in common/collective trusts at end of year	2011-12-31	$3,174,997
Value of interest in common/collective trusts at beginning of year	2011-12-31	$2,505,609
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2011-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2011-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$0
Asset value of US Government securities at end of year	2011-12-31	$0
Asset value of US Government securities at beginning of year	2011-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-1,718,857
Net investment gain/loss from pooled separate accounts	2011-12-31	$0
Net investment gain or loss from common/collective trusts	2011-12-31	$94,518
Net gain/loss from 103.12 investment entities	2011-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Assets. Invements in employer securities at end of year	2011-12-31	$0
Assets. Invements in employer securities at beginning of year	2011-12-31	$0
Assets. Value of employer real property at end of year	2011-12-31	$0
Assets. Value of employer real property at beginning of year	2011-12-31	$0
Contributions received in cash from employer	2011-12-31	$689,480
Employer contributions (assets) at end of year	2011-12-31	$0
Employer contributions (assets) at beginning of year	2011-12-31	$0
Income. Dividends from preferred stock	2011-12-31	$0
Income. Dividends from common stock	2011-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$2,813,169
Asset. Corporate debt instrument preferred debt at end of year	2011-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2011-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2011-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2011-12-31	$0
Contract administrator fees	2011-12-31	$0
Assets. Corporate common stocks other than exployer securities at end of year	2011-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2011-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2011-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2011-12-31	$0
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
Aggregate proceeds on sale of assets	2011-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2011-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2011-12-31	$0
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	LESLEY, THOMAS, SCHWARZ & POSTMA
Accountancy firm EIN	2011-12-31	953864890
2010 : SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets from this plan	2010-12-31	$378,713
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	$9,195,527
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$2,433,076
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$2,109,304
Expenses. Certain deemed distributions of participant loans	2010-12-31	$-1,785
Value of total corrective distributions	2010-12-31	$292,911
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$6,171,757
Value of total assets at end of year	2010-12-31	$27,646,791
Value of total assets at beginning of year	2010-12-31	$21,263,053
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$32,646
Total interest from all sources	2010-12-31	$39,213
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$495,184
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$495,184
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$5,003,864
Participant contributions at end of year	2010-12-31	$951,509
Participant contributions at beginning of year	2010-12-31	$522,338
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$1,167,893
Administrative expenses (other) incurred	2010-12-31	$32,646
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	$6,762,451
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$27,646,791
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$21,263,053
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	$24,189,673
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$18,742,887
Interest on participant loans	2010-12-31	$39,213
Value of interest in common/collective trusts at end of year	2010-12-31	$2,505,609
Value of interest in common/collective trusts at beginning of year	2010-12-31	$1,997,828
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$2,402,780
Net investment gain or loss from common/collective trusts	2010-12-31	$86,593
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$2,109,304
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	LESLEY, THOMAS, SCHWARZ & POSTMA
Accountancy firm EIN	2010-12-31	953864890
2009 : SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for SKILLED HEALTHCARE, LLC 401(K) SAVINGS PLAN

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

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SKILLED HEALTHCARE, LLC HEALTH AND WELFARE BENEFITS PLAN [EIN = 200084014]

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Company Name:	SKILLED HEALTHCARE, LLC
Employer identification number (EIN):	954644784
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	3675398