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FORM 5500 DATA

Lifecare Alliance 403(b) Retirement Plan

Overview

Plan Information

  • Plan Year01/01/2017 — 12/31/2017
  • Date of Plan10/01/2002
  • Net Assets as of 12/31/2017 $3,130,572
  • Plan Number3
  • Plan Type Single Employer
  • Is the plan collectively bargained? No
  • Did the plan file for an extension of time or the DFVC Program?Yes
  • Plan Funding ArrangementInsurance Trust
  • Plan Benefit ArrangementInsurance Trust

Participant Information as of 12/31/2017

  • Active (Eligible) Participants235
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits41
  • Subtotal276
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits1
  • Total277
  • Total number of participants as of 01/01/2017237
  • Number of participants with account balances161
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested5

Expenses

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

Sponsor Information

  • Address1699 West Mound Street
  • CityColumbus
  • StateOH
  • Zip43223
  • Telephone(614) 278-3130
  • EIN31-4379494
  • Industry Code621610
  • Named AdministratorCharles W. Gehring

Audit Information

  • Audit StatusAudited
  • AuditorGbq Partners LLC
  • Auditor EIN20-2122306
  • Audit Opinion Disclaimer
  • Audit TypeLimited Scope Audit

Benefits Provided Under the Plan

Code Benefit Description
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.
2M Code section 403(b)(7) accounts A 403(b)(7) plan is a tax-deferred retirement plan often available to employees of public schools or non-profit organizations.

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 $1,000,000
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 $1,018,137
Contributions $622,337
Cash Contributions $622,337
Cash from Employers $99,675
Cash from Participants $250,492
Others (including rollovers) $272,170
Noncash Contributions $0
Total Earnings on Investments $395,800
Total Interest $1,575
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $0
Interest from Other Investments $1,575
Total Dividends $104,640
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 $3,702
Real Estate $0
Other $3,702
Net investment gain (loss) from common/collective trusts $0
Net investment gain (loss) from pooled separate accounts $432
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 $285,451
Other Income $0
Expenses $90,948
Total Benefit Payments $79,524
Directly to participants or beneficiaries, including direct rollovers $79,524
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $0
Certain deemed distributions of participant loans $0
Interest expense $0
Total Administrative Expenses $11,424
Professional Fees $1,300
Contract Administrator Fees $0
Investment Advisory and management fees $10,124
Other Administrative Fees $0
Net Income $927,189
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2017 12/31/2016 Change YOY
Total Assets $3,130,572 $2,203,383 42.08%
Total noninterest-bearing cash $12,511 $7,884 58.69%
Receivables $99,675 $85,975 15.93%
Employer Contributions $99,675 $85,975 15.93%
Participant Contributions $0 $0 0.0%
Other Contributions $0 $0 0.0%
General Investments $0 $0 0.0%
Interest-bearing cash $0 $0 0.0%
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 $0 $0 0.0%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $4,624 $4,192 10.31%
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 $2,776,789 $1,900,277 46.13%
Value of funds held in insurance co. general account $236,973 $205,055 15.57%
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 $0 $0 0.0%
Benefit Claims Payable (1) $0 $0 0.0%
Operating Payables (1) $0 $0 0.0%
Acquisition Indebtedness (1) $0 $0 0.0%
Other liabilities (1) $0 $0 0.0%
Net Assets $3,130,572 $2,203,383 42.08%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

  • Matrix Trust Company
  • Mscs Financial Svcs.Div.Broadridge
  • Variable Annuity Life Ins Co

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
Everhart Financial Group Investment advisory (plan), Direct payment from the plan NONE $10,124 $0 $10,124
Total $10,124 $0 $10,124

Indirect Compensation

There are no service providers with indirect compensation listed for this plan.

Service Providers Who Fail or Refuse to Provide Information

There are no service providers who failed or refused to provide information.

Termination Information on Accountants and Enrolled Actuaries

There is no termination information for this plan.

Investments

Investments

Name of Investment Investment Manager Type of Investment Dollar Value
Valic Company I,Ii,Iii Variable Annuity Life Insurance Co DFE: Pooled Separate Account $3,162
Vanguard Wellington Fund Variable Annuity Life Insurance Co DFE: Pooled Separate Account $756
Vanguard Windsor II Variable Annuity Life Insurance Co DFE: Pooled Separate Account $707
Total $4,625

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Variable Annuity Life Insurance Co 11
EIN 74-1625348
Industry Code 70238
Contract Number 64774
Contract Year 01/01/2017 — 12/31/2017
Value in General Account at Year End $49,908
Value in Separate Accounts at Year End $4,624
Insurance Fees and Commissions $11
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Martin J. Roesch 2929 Allen Parkway Houston, TX 77019 Insurance Agent or Broker $11 $0
Allocated Funds
Type of Contract Unspecified
Basis of premium rates
Premiums paid to carrier $0
Premiums due but unpaid at the end of the year $0
If the carrier, service, or other organization incurred any specific costs in connection with the acquisition or retention of the contract or policy, enter amount $0
Specify the nature of the costs
Unallocated Funds
Type of Contract Deposit Administration
Balance at the end of the previous year $55,045
Additions $1,575
Contributions Deposited during the year $0
Dividends and credits $0
Interest credited during the year $1,575
Transferred from separate account $0
Other $0
Total of Balance and Additions $56,620
Deductions $6,712
Disbursed from fund to pay benefits or purchase annuities during the year $6,712
Administration charge made by carrier $0
Transferred to Separate Account $0
Other $0
Balance at the end of the current year $49,908