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FORM 5500 DATA

HCR ManorCare Retirement Savings 401k Plan

Overview

Plan Information

  • Plan Year01/01/2015 — 12/31/2015
  • Date of Plan01/01/1986
  • Net Assets as of 12/31/2015 $654,362,861
  • Plan Number4
  • Plan Type Single Employer
  • Is the plan collectively bargained?Yes
  • Did the plan file for an extension of time or the DFVC Program?Yes
  • Plan Funding Arrangement Trust
  • Plan Benefit Arrangement Trust

Participant Information as of 12/31/2015

  • Active (Eligible) Participants39,734
  • Retired or separated participants receiving benefits132
  • Other retired or separated participants entitled to future benefits4,562
  • Subtotal44,428
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits82
  • Total44,510
  • Total number of participants as of 01/01/201548,735
  • Number of participants with account balances18,606
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested1,074

Expenses

  • Total Benefit Payments$0
  • Corrective Distributions$0
  • Administrative Service Providers$0
  • Other Expenses$0
  • Total Expenses$0
  • Total Transfers$0

Sponsor Information

  • Address333 N. Summit Street
  • CityToledo
  • StateOH
  • Zip43604-2617
  • Telephone(419) 252-5500
  • EIN34-1903270
  • Industry Code623000
  • Named AdministratorAnn Otley

Plan Administrator Information

  • Administrator NameHcr Manorcare Employee Benefits Committee
  • Address333 N Summit Street
  • CityToledo
  • StateOH
  • Zip43699-0086
  • Telephone(419) 252-5500
  • Administrator EIN34-1903270

Audit Information

  • Audit StatusAudited
  • AuditorPlante & Moran, PLLC
  • Auditor EIN38-1357951
  • Audit Opinion Disclaimer
  • Audit TypeLimited Scope Audit

Benefits Provided Under the Plan

Code Benefit Description
2E Profit-sharing A defined contribution plan that allows employer discretionary contributions. These plans often contain a 401(k) feature.
2F ERISA section 404(c) Plan This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
2G 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.
2J 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.
2K 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 contributions 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.
2T Participant-directed Account Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
3F Leased Employees Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.
3H Controlled Group Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

Questions and Answers

Question Answer Amount
During the plan year did the employer fail to transmit to the plan any participant contributions within the time period described in 29 CFT 2510.3-102? No
Were any loans by the plan or fixed income obligations due the plan in default as of the close of plan year or classified during the year as uncollectible? Disregard participant loans secured by participant's account balance. No
Were any leases to which the plan was a party in default or classified during the year as uncollectible? No
Were there any nonexempt transactions with any party-in-interest? No
Was this plan covered by a fidelity bond? Yes $10,000,000
Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty? No
Did the plan hold any assets whose current value was neither readily determinable on an established market nor set by an independent third party appraiser? No
Did the plan receive any noncash contributions whose value was neither readily determinable on an established market nor set by an independent third party appraiser? No
Did the plan have assets held for investment? Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of plan assets? No
Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? No
Has the plan failed to provide any benefit when due under the plan? No
If this is an individual account plan, was there a blackout period? No
If there was a blackout period, have you either provided the required notice or one of the exceptions to providing the notice applied under 29 CFR 2520.101-3? No

Financials

Income and Expense Statement

Income $55,702,884
Contributions $53,092,035
Cash Contributions $53,092,035
Cash from Employers $1,895,513
Cash from Participants $48,450,912
Others (including rollovers) $2,745,610
Noncash Contributions $0
Total Earnings on Investments $2,465,140
Total Interest $699,517
Interest-Bearing Cash $9,694
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $689,823
Interest from Other Investments $0
Total Dividends $18,297,815
Preferred Stock $0
Common Stock $0
Rents $0
Net gain (loss) on sale of assets $0
Aggregate Proceeds $0
Aggregate Carrying Amount $0
Total Unrealized Appreciation (depreciation) of assets $0
Real Estate $0
Other $0
Net investment gain (loss) from common/collective trusts $-43,610
Net investment gain (loss) from pooled separate accounts $0
Net investment gain (loss) from master trust investment accounts $0
Net investment gain (loss) from 103-12 investment entities $0
Net investment gain (loss) from registered investment companies $-16,488,582
Other Income $145,709
Expenses $78,199,270
Total Benefit Payments $77,830,005
Directly to participants or beneficiaries, including direct rollovers $77,830,005
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $0
Certain deemed distributions of participant loans $104,459
Interest expense $0
Total Administrative Expenses $264,806
Professional Fees $11,000
Contract Administrator Fees $0
Investment Advisory and management fees $49,080
Other Administrative Fees $204,726
Net Income $-22,496,386
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2015 12/31/2014 Change YOY
Total Assets $654,402,765 $676,900,723 -3.32%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $1,932,921 $6,147,156 -68.56%
Employer Contributions $1,895,513 $4,964,265 -61.82%
Participant Contributions $1,298 $1,143,547 -99.89%
Other Contributions $36,110 $39,344 -8.22%
General Investments $61,219,398 $67,208,342 -8.91%
Interest-bearing cash $61,219,398 $67,208,342 -8.91%
U.S. Government Securities $0 $0 0.0%
Corporate Debt Instruments $0 $0 0.0%
Preferred $0 $0 0.0%
All Other $0 $0 0.0%
Corporate Stocks $0 $0 0.0%
Preferred $0 $0 0.0%
Common $0 $0 0.0%
Partnership/joint venture interests $0 $0 0.0%
Real estate (other than employer real property) $0 $0 0.0%
Loans (other than to participants) $0 $0 0.0%
Participants Loans $15,888,214 $15,951,026 -0.39%
Value of interest in common/collective trusts $338,465,472 $337,803,220 0.20%
Value of interest in pooled separate accounts $0 $0 0.0%
Value of interest in master trust investment accounts $0 $0 0.0%
Value of interest in 103-12 investment entities $0 $0 0.0%
Value of interest in registered investment companies $236,896,760 $249,790,979 -5.16%
Value of funds held in insurance co. general account $0 $0 0.0%
Other Investments $0 $0 0.0%
Employer-related Investments $0 $0 0.0%
Employer Securities $0 $0 0.0%
Employer Real Property $0 $0 0.0%
Buildings and other property used in plan operation $0 $0 0.0%
Total Liabilities $39,904 $41,476 -3.79%
Benefit Claims Payable (1) $0 $0 0.0%
Operating Payables (1) $39,904 $41,476 -3.79%
Acquisition Indebtedness (1) $0 $0 0.0%
Other liabilities (1) $0 $0 0.0%
Net Assets $654,362,861 $676,859,247 -3.32%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

  • Fidelity Investments Institutional

Other Service Providers Receiving Direct or Indirect Compensation

Name Nature of Service Relationship to Plan Sponsor Direct Compensation Paid by Plan Indirect Compensation Paid by Plan Total Compensation
Callan Associates Inc Investment advisory (plan) Investment Advisor $49,080 $0 $49,080
Fidelity Investments Institutional Participant loan processing, Sub-transfer agency fees, Recordkeeping fees, Account maintenance fees Recordkeeper $29,587 $0 $29,587
Mail It Corporation Participant communication Other Services $25,869 $0 $25,869
Plante Moran, PLLC Accounting (including auditing) Accountant/Auditor $11,000 $0 $11,000
Total $115,536 $0 $115,536

Indirect Compensation

Name Source of Indirect Compensation* Nature of Service Description of Indirect Compensation Indirect Compensation Paid by Plan
Fidelity Investments Institutional Blkrk Equity Div I - Bny Mellon In Sub-transfer agency fees 0.25% $0
Fidelity Investments Institutional Harbor Intl Inst - Harbor Services Sub-transfer agency fees 0.10% $0
Fidelity Investments Institutional Jpmcb Sr Income C20 Sub-transfer agency fees 0.20% $0
Fidelity Investments Institutional Jpmcb Sr 2015 C20 Sub-transfer agency fees 0.20% $0
Fidelity Investments Institutional Jpmcb Sr 2020 C20 Sub-transfer agency fees 0.20% $0
Fidelity Investments Institutional Jpmcb Sr 2025 C20 Sub-transfer agency fees 0.20% $0
Fidelity Investments Institutional Jpmcb Sr 2030 C20 Sub-transfer agency fees 0.20% $0
Fidelity Investments Institutional Jpmcb Sr 2035 C20 Sub-transfer agency fees 0.20% $0
Fidelity Investments Institutional Jpmcb Sr 2040 C20 Sub-transfer agency fees 0.20% $0
Fidelity Investments Institutional Jpmcb Sr 2045 C20 Sub-transfer agency fees 0.20% $0
Fidelity Investments Institutional Jpmcb Sr 2050 C20 Sub-transfer agency fees 0.20% $0
Fidelity Investments Institutional Jpmcb Sr 2055 C20 Sub-transfer agency fees 0.20% $0
Fidelity Investments Institutional Royce Tot Ret Inst - Boston Financ Sub-transfer agency fees 0.05% $0
*As outlined by the Form 5500 Instructions for service providers with indirect compensation.

Service Providers Who Fail or Refuse to Provide Information

Name Nature of Service Description of Information

Service Providers Who Fail or Refuse to Provide Information

Termination Information on Accountants and Enrolled Actuaries

Name Position Explanation

Investments

Investments

Name of Investment Investment Manager Type of Investment Dollar Value
Jpmcb St 2025 C20 Jpmorgan Chase Bank, Na DFE: Common/Collective Trust $63,430,555
Jpmcb St 2020 C20 Jpmorgan Chase Bank, Na DFE: Common/Collective Trust $58,382,267
Jpmcb St 2030 C20 Jpmorgan Chase Bank, Na DFE: Common/Collective Trust $54,048,463
Jpmcb St 2035 C20 Jpmorgan Chase Bank, Na DFE: Common/Collective Trust $46,916,256
Jpmcb St 2015 C20 Jpmorgan Chase Bank, Na DFE: Common/Collective Trust $34,106,613
Jpmcb St 2040 C20 Jpmorgan Chase Bank, Na DFE: Common/Collective Trust $31,189,963
Jpmcb St 2045 C20 Jpmorgan Chase Bank, Na DFE: Common/Collective Trust $19,527,561
Jpmcb Sr Income C20 Jpmorgan Chase Bank, Na DFE: Common/Collective Trust $17,002,138
Jpmcb St 2050 C20 Jpmorgan Chase Bank, Na DFE: Common/Collective Trust $11,774,366
Jpmcb St 2055 C20 Jpmorgan Chase Bank, Na DFE: Common/Collective Trust $2,087,290
Total $338,465,472

Insurance Information

Insurance Information

There are no insurance carriers listed for this plan.