2025-09-15T11:54:23-05:00 2024-12-31 621199757 LBMC PC PO BOX 1869 BRENTWOOD TN 370241869 990 2024-01-01 581403006 LIFE CARE CENTERS OF AMERICA INC WELFARE BENEFITS PLAN LIFE 4234729585 PO BOX 3480 3001 KEITH STREET NW CLEVELAND TN 37320 J STEPHEN ZIEGLER TRUSTEE 4234729585 2025-09-15 1 1 ABIGAIL CAMPBELL P01296738 6153774600 2025-09-09 2024 2025-03-06 01:10:19Z J STEPHEN ZIEGLER 3570 KEITH STREET NW CLEVELAND TN 37312 163404856 0 X N/A X 2005 TN VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2 0 0 0 615377 614377 0 0 152760992 162789479 383739 615377 0 0 153144731 163404856 0 0 117270145 135971831 593117 605693 0 0 0 35116648 25280260 152979910 161857784 164821 1547072 23813624 26219493 10873483 13591280 12940141 12628213 THE PLAN WAS ESTABLISHED TO PROVIDE HEALTH , PRESCRIPTION DRUG, LIFE, DENTAL, VISION, TEMPORARY DISABILITY, AND LONG-TERM DISABILITY INSURANCE TO SUBSTANTIALLY ALL REGULAR FULL-TIME EMPLOYEES OF LIFE CARE CENTERS OF AMERICA, INC. 0 0 LIFE CARE CENTERS OF AMERICA HAS FORMED A VEBA UNDER IRC SECTION 501(C)(9) TO PROVIDE MEDICAL, DENTAL, VISION, DISABILITY AND LIFE BENEFITS. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 2 0 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X LIFE CARE CENTERS OF AMERICA INC 4234729585 3570 KEITH STREET CLEVELAND TN 37312 X FORREST L PRESTON TRUSTEE 4.00 X 0 0 0 J STEPHEN ZIEGLER TRUSTEE 4.00 X 0 0 0 0 0 0 0 0 0 0 0 EMPLOYEE/R CONTRIBUTION 525100 99301582 99301582 PARTICIPANT CONTRIBUTION 525100 63487897 63487897 162789479 615377 615377 163404856 162789479 615377 0 135971831 503409 66556 35728 48117 77860 1303270 22067 17077736 SERVICE FEES 4042918 HMO CONTRIBUTIONS 2514743 INCOME TAX PAID 142672 ADMINISTRATIVE & MANAGE 50877 161857784 968563 937850 11432284 18727675 11273174 6476828 139603 77140 23813624 26219493 151121 145264 10722362 13446016 10873483 13591280 X 12940141 12628213 12940141 12628213 23813624 26219493 X 1547072 -1859000 X 0 1 X 0 0 0 PLAN BENEFIT OBLIGATIONS 13446016 13446016 X 163404856 0 163404856 0 163404856 161857784 0 161857784 0 161857784 PART X, LINE 2: THE VEBA TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S ASSETS OBTAINED AN EXEMPTION LETTER EFFECTIVE SEPTEMBER 29, 2006, IN WHICH THE INTERNAL REVENUE SERVICE STATED THAT THE TRUST, AS THEN DESIGNED, WAS TAX-EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)(9) OF THE IRC. HOWEVER, AS A RESULT OF THE PLAN'S FUNDING POLICY, FROM TIME TO TIME, THE TRUST MAY BE SUBJECT TO INCOME TAXES. THE PLAN HAD UNRELATED BUSINESS INCOME FROM INTEREST INCOME RECEIVED ON THE INVESTMENTS OF THE TRUST IN 2024. NO SIGNIFICANT TAX AMOUNTS WERE ASSOCIATED WITH THE INCOME. IN ADDITION, THE PLAN AND THE TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVES THAT THE RELATED TRUST IS TAX-EXEMPT. GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY OR ASSET IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2024, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR ASSET OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. FORM 990, PART VI, SECTION A, LINE 2 LIFE CARE CENTERS OF AMERICA, INC. (LCCA) IS THE PLAN SPONSOR OF THE LCCA WELFARE BENEFITS PLAN. THE LCCA WELFARE BENEFITS PLAN (FORMERLY KNOWN AS THE LCCA ASSOCIATE BENEFIT PLAN) CONSTITUTES UNDER SECTION 501 (C)(9) OF THE CODE A VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION. FORREST PRESTON, TRUSTEE, IS THE CHAIRMAN OF LCCA. J. STEPHEN ZIEGLER, TRUSTEE, IS THE CHIEF FINANCIAL OFFICER OF LCCA. ANY QUESTIONS AS TO THEIR COMPENSATION PAID BY LCCA WILL BE ADDRESSED UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS, WHO PERFORM THE FINANCIAL STATEMENT AUDIT. A COPY OF FORM 990 IS PROVIDED TO THE TRUSTEES, ALLOWING SUFFICIENT TIME FOR THEIR REVIEW BEFORE THE DUE DATE. ANY SIGNIFICANT ITEMS OF INTEREST OR QUESTIONS RAISED BY THE TRUSTEES RESULTING FROM THEIR REVIEW OF FORM 990 ARE RESOLVED PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL ASSOCIATES, INCLUDING OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO TRAIN AND SUCCESSFULLY PASS THE CODE OF CONDUCT TRAINING AND TESTING. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, AS PART OF THE FORM 5500, ARE POSTED BY DOL., ALL OTHER DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN BENEFIT OBLIGATION -1,859,000. LIFE CARE CENTERS OF AMERICA INC 3570 KEITH STREET CLEVELAND TN 37312 620963862 RESIDENTIAL CARE FACILITIES OPERATION AND MANAGEMENT TN N/A S 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 LIFE CARE CENTERS OF AMERICA INC O 605693 CASH LIFE CARE CENTERS OF AMERICA INC P 1502191 CASH