401k Plan data: RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN plan

RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 401k Plan overview

Plan Name	RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN
Plan identification number	001

RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan covering Self-Employed individuals.
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

RAFAEL CONVALESCENT HOSPITAL, INC. has sponsored the creation of one or more 401k plans.

Company Name: RAFAEL CONVALESCENT HOSPITAL, INC.

Employer identification number (EIN): 942670852

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01 MICHAEL EGAN
001 2013-01-01 MICHAEL EGAN
001 2012-01-01 MICHAEL EGAN
001 2011-01-01 DENISE REDER
001 2009-01-01 DENISE REDER

Plan Statistics for RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN

401k plan membership statisitcs for RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN

Measure Date Value
2017: RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 174
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 175
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 132
Number of retired or separated participants receiving benefits 2016-01-01 4
Number of other retired or separated participants entitled to future benefits 2016-01-01 31
Total of all active and inactive participants 2016-01-01 167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 167
Number of participants with account balances 2016-01-01 107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 171
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 151
Number of retired or separated participants receiving benefits 2015-01-01 6
Number of other retired or separated participants entitled to future benefits 2015-01-01 31
Total of all active and inactive participants 2015-01-01 188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 188
Number of participants with account balances 2015-01-01 110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 179
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 134
Number of retired or separated participants receiving benefits 2014-01-01 4
Number of other retired or separated participants entitled to future benefits 2014-01-01 34
Total of all active and inactive participants 2014-01-01 172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 172
Number of participants with account balances 2014-01-01 108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 196
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 146
Number of retired or separated participants receiving benefits 2013-01-01 3
Number of other retired or separated participants entitled to future benefits 2013-01-01 38
Total of all active and inactive participants 2013-01-01 187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 187
Number of participants with account balances 2013-01-01 111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 189
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 165
Number of retired or separated participants receiving benefits 2012-01-01 4
Number of other retired or separated participants entitled to future benefits 2012-01-01 18
Total of all active and inactive participants 2012-01-01 187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 187
Number of participants with account balances 2012-01-01 119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 196
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 169
Number of retired or separated participants receiving benefits 2011-01-01 4
Number of other retired or separated participants entitled to future benefits 2011-01-01 16
Total of all active and inactive participants 2011-01-01 189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 189
Number of participants with account balances 2011-01-01 119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 166
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 117
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 52
Total of all active and inactive participants 2009-01-01 169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 1
Total participants 2009-01-01 170
Number of participants with account balances 2009-01-01 137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2017: RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	174
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	175
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	132
Number of retired or separated participants receiving benefits	2016-01-01	4
Number of other retired or separated participants entitled to future benefits	2016-01-01	31
Total of all active and inactive participants	2016-01-01	167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	167
Number of participants with account balances	2016-01-01	107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	171
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	151
Number of retired or separated participants receiving benefits	2015-01-01	6
Number of other retired or separated participants entitled to future benefits	2015-01-01	31
Total of all active and inactive participants	2015-01-01	188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	188
Number of participants with account balances	2015-01-01	110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	179
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	134
Number of retired or separated participants receiving benefits	2014-01-01	4
Number of other retired or separated participants entitled to future benefits	2014-01-01	34
Total of all active and inactive participants	2014-01-01	172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	172
Number of participants with account balances	2014-01-01	108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	196
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	146
Number of retired or separated participants receiving benefits	2013-01-01	3
Number of other retired or separated participants entitled to future benefits	2013-01-01	38
Total of all active and inactive participants	2013-01-01	187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	187
Number of participants with account balances	2013-01-01	111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	189
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	165
Number of retired or separated participants receiving benefits	2012-01-01	4
Number of other retired or separated participants entitled to future benefits	2012-01-01	18
Total of all active and inactive participants	2012-01-01	187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	187
Number of participants with account balances	2012-01-01	119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	196
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	169
Number of retired or separated participants receiving benefits	2011-01-01	4
Number of other retired or separated participants entitled to future benefits	2011-01-01	16
Total of all active and inactive participants	2011-01-01	189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	189
Number of participants with account balances	2011-01-01	119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	166
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	117
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	52
Total of all active and inactive participants	2009-01-01	169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	1
Total participants	2009-01-01	170
Number of participants with account balances	2009-01-01	137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN

Measure	Date	Value
2017 : RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-09-30	$0
Total income from all sources (including contributions)	2017-09-30	$247,966
Total loss/gain on sale of assets	2017-09-30	$0
Total of all expenses incurred	2017-09-30	$3,744,034
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-09-30	$3,734,261
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-09-30	$73,719
Value of total assets at end of year	2017-09-30	$0
Value of total assets at beginning of year	2017-09-30	$3,496,068
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-09-30	$9,773
Total interest from all sources	2017-09-30	$4,169
Total dividends received (eg from common stock, registered investment company shares)	2017-09-30	$461
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-09-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2017-09-30	$0
Total dividends received from registered investment company shares (eg mutual funds)	2017-09-30	$461
Was this plan covered by a fidelity bond	2017-09-30	Yes
Value of fidelity bond cover	2017-09-30	$500,000
If this is an individual account plan, was there a blackout period	2017-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2017-09-30	No
Contributions received from participants	2017-09-30	$47,567
Participant contributions at end of year	2017-09-30	$0
Participant contributions at beginning of year	2017-09-30	$179,089
Participant contributions at end of year	2017-09-30	$0
Participant contributions at beginning of year	2017-09-30	$0
Other income not declared elsewhere	2017-09-30	$953
Administrative expenses (other) incurred	2017-09-30	$7,273
Total non interest bearing cash at end of year	2017-09-30	$0
Total non interest bearing cash at beginning of year	2017-09-30	$10
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-09-30	No
Value of net income/loss	2017-09-30	$-3,496,068
Value of net assets at end of year (total assets less liabilities)	2017-09-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2017-09-30	$3,496,068
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-09-30	No
Were any leases to which the plan was party in default or uncollectible	2017-09-30	No
Investment advisory and management fees	2017-09-30	$2,500
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-09-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-09-30	$761,235
Interest on participant loans	2017-09-30	$1,890
Value of interest in common/collective trusts at end of year	2017-09-30	$0
Value of interest in common/collective trusts at beginning of year	2017-09-30	$1,550,617
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-09-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-09-30	$1,001,850
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-09-30	$1,001,850
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-09-30	$2,279
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-09-30	$630,007
Net investment gain or loss from common/collective trusts	2017-09-30	$-461,343
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-09-30	No
Was there a failure to transmit to the plan any participant contributions	2017-09-30	Yes
Has the plan failed to provide any benefit when due under the plan	2017-09-30	No
Contributions received in cash from employer	2017-09-30	$26,152
Employer contributions (assets) at end of year	2017-09-30	$0
Employer contributions (assets) at beginning of year	2017-09-30	$3,267
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-09-30	$3,734,261
Did the plan have assets held for investment	2017-09-30	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	2017-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-09-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-09-30	Disclaimer
Accountancy firm name	2017-09-30	ARTHUR C. SEIDEMAN ACCOUNTANCY CORP
Accountancy firm EIN	2017-09-30	942230522
2016 : RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$720,418
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$11,750,113
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$11,736,616
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$230,545
Value of total assets at end of year	2016-12-31	$3,496,068
Value of total assets at beginning of year	2016-12-31	$14,525,763
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$13,497
Total interest from all sources	2016-12-31	$8,036
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$25,143
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$25,143
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
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
Contributions received from participants	2016-12-31	$129,700
Participant contributions at end of year	2016-12-31	$179,089
Participant contributions at beginning of year	2016-12-31	$100,481
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$606
Other income not declared elsewhere	2016-12-31	$-407
Administrative expenses (other) incurred	2016-12-31	$1,902
Total non interest bearing cash at end of year	2016-12-31	$10
Total non interest bearing cash at beginning of year	2016-12-31	$2,343
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	$-11,029,695
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$3,496,068
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$14,525,763
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
Investment advisory and management fees	2016-12-31	$11,595
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$761,235
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$700,298
Interest on participant loans	2016-12-31	$6,729
Value of interest in common/collective trusts at end of year	2016-12-31	$1,550,617
Value of interest in common/collective trusts at beginning of year	2016-12-31	$12,742,437
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$1,001,850
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$978,015
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$978,015
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$1,307
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$4,648,841
Net investment gain or loss from common/collective trusts	2016-12-31	$-4,191,740
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$100,845
Employer contributions (assets) at end of year	2016-12-31	$3,267
Employer contributions (assets) at beginning of year	2016-12-31	$1,583
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$11,736,616
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	ARTHUR C. SEIDEMAN ACCOUNTANCY CORP
Accountancy firm EIN	2016-12-31	942230522
2015 : RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$179,869
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$675,973
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$660,611
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$206,973
Value of total assets at end of year	2015-12-31	$14,525,763
Value of total assets at beginning of year	2015-12-31	$15,021,867
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$15,362
Total interest from all sources	2015-12-31	$6,188
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$45,671
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$45,671
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$118,996
Participant contributions at end of year	2015-12-31	$100,481
Participant contributions at beginning of year	2015-12-31	$109,680
Participant contributions at end of year	2015-12-31	$606
Participant contributions at beginning of year	2015-12-31	$4,952
Other income not declared elsewhere	2015-12-31	$283
Administrative expenses (other) incurred	2015-12-31	$3,733
Total non interest bearing cash at end of year	2015-12-31	$2,343
Total non interest bearing cash at beginning of year	2015-12-31	$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	2015-12-31	No
Value of net income/loss	2015-12-31	$-496,104
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$14,525,763
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$15,021,867
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$11,629
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$700,298
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$652,272
Interest on participant loans	2015-12-31	$6,094
Value of interest in common/collective trusts at end of year	2015-12-31	$12,742,437
Value of interest in common/collective trusts at beginning of year	2015-12-31	$13,325,176
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$978,015
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$924,889
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$924,889
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$94
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$214,464
Net investment gain or loss from common/collective trusts	2015-12-31	$-293,710
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$87,977
Employer contributions (assets) at end of year	2015-12-31	$1,583
Employer contributions (assets) at beginning of year	2015-12-31	$4,898
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$660,611
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	ARTHUR C. SEIDEMAN ACCOUNTANCY CORP
Accountancy firm EIN	2015-12-31	942230522
2014 : RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$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	$957,207
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$1,035,181
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,018,960
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$179,253
Value of total assets at end of year	2014-12-31	$15,021,867
Value of total assets at beginning of year	2014-12-31	$15,099,841
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$16,221
Total interest from all sources	2014-12-31	$4,546
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$27,488
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	$27,488
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	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	$98,233
Participant contributions at end of year	2014-12-31	$109,680
Participant contributions at beginning of year	2014-12-31	$135,502
Participant contributions at end of year	2014-12-31	$4,952
Participant contributions at beginning of year	2014-12-31	$0
Other income not declared elsewhere	2014-12-31	$8
Administrative expenses (other) incurred	2014-12-31	$1,200
Total non interest bearing cash at end of year	2014-12-31	$0
Total non interest bearing cash at beginning of year	2014-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-77,974
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$15,021,867
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$15,099,841
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$15,021
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$652,272
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$561,729
Interest on participant loans	2014-12-31	$4,451
Value of interest in common/collective trusts at end of year	2014-12-31	$13,325,176
Value of interest in common/collective trusts at beginning of year	2014-12-31	$13,439,938
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$924,889
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$961,742
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$961,742
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$95
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$311,907
Net investment gain or loss from common/collective trusts	2014-12-31	$434,005
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$81,020
Employer contributions (assets) at end of year	2014-12-31	$4,898
Employer contributions (assets) at beginning of year	2014-12-31	$930
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,018,960
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	ARTHUR C. SEIDEMAN ACCOUNTANCY CORP
Accountancy firm EIN	2014-12-31	942230522
2013 : RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$2,049,564
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$606,620
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$591,995
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$184,420
Value of total assets at end of year	2013-12-31	$15,099,841
Value of total assets at beginning of year	2013-12-31	$13,656,897
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$14,625
Total interest from all sources	2013-12-31	$6,155
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$15,394
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	$15,394
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
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	$101,520
Participant contributions at end of year	2013-12-31	$135,502
Participant contributions at beginning of year	2013-12-31	$150,571
Participant contributions at end of year	2013-12-31	$0
Participant contributions at beginning of year	2013-12-31	$0
Administrative expenses (other) incurred	2013-12-31	$14,625
Total non interest bearing cash at end of year	2013-12-31	$0
Total non interest bearing cash at beginning of year	2013-12-31	$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	2013-12-31	No
Value of net income/loss	2013-12-31	$1,442,944
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$15,099,841
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$13,656,897
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$561,729
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$356,438
Interest on participant loans	2013-12-31	$6,060
Value of interest in common/collective trusts at end of year	2013-12-31	$13,439,938
Value of interest in common/collective trusts at beginning of year	2013-12-31	$12,135,365
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$961,742
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$1,013,198
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$1,013,198
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$95
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$83,106
Net investment gain or loss from common/collective trusts	2013-12-31	$1,760,489
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	$82,900
Employer contributions (assets) at end of year	2013-12-31	$930
Employer contributions (assets) at beginning of year	2013-12-31	$1,325
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$591,995
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	ARTHUR C. SEIDEMAN ACCOUNTANCY CORP
Accountancy firm EIN	2013-12-31	942230522
2012 : RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$1,639,393
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$296,052
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$282,272
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$189,870
Value of total assets at end of year	2012-12-31	$13,656,897
Value of total assets at beginning of year	2012-12-31	$12,313,556
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$13,780
Total interest from all sources	2012-12-31	$8,294
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$7,415
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	$7,415
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$105,383
Participant contributions at end of year	2012-12-31	$150,571
Participant contributions at beginning of year	2012-12-31	$113,607
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$4,319
Administrative expenses (other) incurred	2012-12-31	$900
Total non interest bearing cash at end of year	2012-12-31	$0
Total non interest bearing cash at beginning of year	2012-12-31	$769
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$1,343,341
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$13,656,897
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$12,313,556
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
Investment advisory and management fees	2012-12-31	$12,880
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$356,438
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$266,447
Interest on participant loans	2012-12-31	$8,199
Value of interest in common/collective trusts at end of year	2012-12-31	$12,135,365
Value of interest in common/collective trusts at beginning of year	2012-12-31	$10,951,997
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$1,013,198
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$972,096
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$972,096
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$95
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$34,253
Net investment gain or loss from common/collective trusts	2012-12-31	$1,399,561
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	$84,487
Employer contributions (assets) at end of year	2012-12-31	$1,325
Employer contributions (assets) at beginning of year	2012-12-31	$4,321
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$282,272
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	ARTHUR C. SEIDEMAN ACCOUNTANCY CORP
Accountancy firm EIN	2012-12-31	942230522
2011 : RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 2011 401k financial data
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
Total income from all sources (including contributions)	2011-12-31	$3,873,186
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$4,648,921
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$4,638,418
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$4,125,525
Value of total assets at end of year	2011-12-31	$12,313,556
Value of total assets at beginning of year	2011-12-31	$13,089,291
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$10,503
Total interest from all sources	2011-12-31	$7,456
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$3,847
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	$3,847
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	Yes
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	$113,333
Participant contributions at end of year	2011-12-31	$113,607
Participant contributions at beginning of year	2011-12-31	$146,691
Participant contributions at end of year	2011-12-31	$4,319
Participant contributions at beginning of year	2011-12-31	$4,444
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$3,926,100
Other income not declared elsewhere	2011-12-31	$919
Administrative expenses (other) incurred	2011-12-31	$1,000
Total non interest bearing cash at end of year	2011-12-31	$769
Total non interest bearing cash at beginning of year	2011-12-31	$678
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-775,735
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$12,313,556
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$13,089,291
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
Investment advisory and management fees	2011-12-31	$9,503
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$266,447
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$318,981
Interest on participant loans	2011-12-31	$7,368
Value of interest in common/collective trusts at end of year	2011-12-31	$10,951,997
Value of interest in common/collective trusts at beginning of year	2011-12-31	$11,782,994
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$972,096
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$829,984
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$829,984
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$88
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-264,561
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	Yes
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$86,092
Employer contributions (assets) at end of year	2011-12-31	$4,321
Employer contributions (assets) at beginning of year	2011-12-31	$5,519
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$4,638,418
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	Yes
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	ARTHUR C. SEIDEMAN ACCOUNTANCY CORP
Accountancy firm EIN	2011-12-31	942230522
2010 : RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$1,689,678
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$223,469
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$210,424
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$219,994
Value of total assets at end of year	2010-12-31	$13,089,291
Value of total assets at beginning of year	2010-12-31	$11,623,082
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$13,045
Total interest from all sources	2010-12-31	$9,559
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$3,793
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	$3,793
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	Yes
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	$118,702
Participant contributions at end of year	2010-12-31	$146,691
Participant contributions at beginning of year	2010-12-31	$173,635
Participant contributions at end of year	2010-12-31	$4,444
Participant contributions at beginning of year	2010-12-31	$7,955
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$10,525
Administrative expenses (other) incurred	2010-12-31	$13,045
Total non interest bearing cash at end of year	2010-12-31	$678
Total non interest bearing cash at beginning of year	2010-12-31	$1,240
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$1,466,209
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$13,089,291
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$11,623,082
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	$318,981
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$242,871
Interest on participant loans	2010-12-31	$9,480
Value of interest in common/collective trusts at end of year	2010-12-31	$11,782,994
Value of interest in common/collective trusts at beginning of year	2010-12-31	$10,435,170
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$829,984
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$757,840
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$757,840
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$79
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$45,553
Net investment gain or loss from common/collective trusts	2010-12-31	$1,410,779
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	Yes
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$90,767
Employer contributions (assets) at end of year	2010-12-31	$5,519
Employer contributions (assets) at beginning of year	2010-12-31	$4,371
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$210,424
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	Yes
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	ARTHUR C. SEIDEMAN ACCOUNTANCY CORP
Accountancy firm EIN	2010-12-31	942230522
2009 : RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT 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 RAFAEL CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING RETIREMENT PLAN

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

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Company Name:	RAFAEL CONVALESCENT HOSPITAL, INC.
Employer identification number (EIN):	942670852
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities