401k Plan data: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) plan

OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 401k Plan overview

Plan Name	OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN)
Plan identification number	002

OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) 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.
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

OK4 HH/H MASTER HOLDCO, LLC has sponsored the creation of one or more 401k plans.

Company Name: OK4 HH/H MASTER HOLDCO, LLC

Employer identification number (EIN): 811901893

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN)

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2023-01-01 JOSHUA BATES 2024-10-13
002 2022-01-01 JOSHUA BATES 2023-10-12
002 2022-01-01 JOSHUA BATES 2024-04-18
002 2021-01-01 SUSAN FITZGERALD 2022-10-14
002 2021-01-01 JOSHUA BATES 2023-11-13
002 2020-01-01 JOSHUA BATES 2021-10-15
002 2020-01-01 JOSHUA BATES 2022-03-17
002 2019-01-01 JOSHUA BATES 2020-11-30
002 2019-01-01 JOSHUA BATES 2020-10-15
002 2018-01-01 SUSAN FITZGERALD 2020-10-22
002 2017-01-01 SUSAN FITZGERALD 2020-10-22
002 2016-01-01 JOSHUA A. BATES
002 2016-01-01 JOSHUA A. BATES

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2023-01-01	JOSHUA BATES	2024-10-13
002	2022-01-01	JOSHUA BATES	2023-10-12
002	2022-01-01	JOSHUA BATES	2024-04-18
002	2021-01-01	SUSAN FITZGERALD	2022-10-14
002	2021-01-01	JOSHUA BATES	2023-11-13
002	2020-01-01	JOSHUA BATES	2021-10-15
002	2020-01-01	JOSHUA BATES	2022-03-17
002	2019-01-01	JOSHUA BATES	2020-11-30
002	2019-01-01	JOSHUA BATES	2020-10-15
002	2018-01-01	SUSAN FITZGERALD	2020-10-22
002	2017-01-01	SUSAN FITZGERALD	2020-10-22
002	2016-01-01	JOSHUA A. BATES
002	2016-01-01	JOSHUA A. BATES

Plan Statistics for OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN)

401k plan membership statisitcs for OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN)

Measure Date Value
2023: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2023 401k membership
Total participants, beginning-of-year 2023-01-01 385
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 202
Number of retired or separated participants receiving benefits 2023-01-01 2
Number of other retired or separated participants entitled to future benefits 2023-01-01 101
Total of all active and inactive participants 2023-01-01 305
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2023-01-01 0
Total participants 2023-01-01 305
Number of participants with account balances 2023-01-01 163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2023-01-01 0
2022: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2022 401k membership
Total participants, beginning-of-year 2022-01-01 333
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 188
Number of retired or separated participants receiving benefits 2022-01-01 6
Number of other retired or separated participants entitled to future benefits 2022-01-01 103
Total of all active and inactive participants 2022-01-01 297
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 297
Number of participants with account balances 2022-01-01 168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 2
2021: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2021 401k membership
Total participants, beginning-of-year 2021-01-01 362
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 221
Number of retired or separated participants receiving benefits 2021-01-01 1
Number of other retired or separated participants entitled to future benefits 2021-01-01 97
Total of all active and inactive participants 2021-01-01 319
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 319
Number of participants with account balances 2021-01-01 162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 6
2020: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2020 401k membership
Total participants, beginning-of-year 2020-01-01 379
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 205
Number of retired or separated participants receiving benefits 2020-01-01 1
Number of other retired or separated participants entitled to future benefits 2020-01-01 86
Total of all active and inactive participants 2020-01-01 292
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 292
Number of participants with account balances 2020-01-01 164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 6
2019: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2019 401k membership
Total participants, beginning-of-year 2019-01-01 365
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 202
Number of retired or separated participants receiving benefits 2019-01-01 1
Number of other retired or separated participants entitled to future benefits 2019-01-01 69
Total of all active and inactive participants 2019-01-01 272
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 272
Number of participants with account balances 2019-01-01 153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 9
2018: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2018 401k membership
Total participants, beginning-of-year 2018-01-01 378
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 234
Number of retired or separated participants receiving benefits 2018-01-01 1
Number of other retired or separated participants entitled to future benefits 2018-01-01 68
Total of all active and inactive participants 2018-01-01 303
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 303
Number of participants with account balances 2018-01-01 160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 13
2017: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2017 401k membership
Total participants, beginning-of-year 2017-01-01 241
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 184
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 51
Total of all active and inactive participants 2017-01-01 235
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 235
Number of participants with account balances 2017-01-01 165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 18
2016: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2016 401k membership
Total participants, beginning-of-year 2016-01-01 365
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 181
Number of retired or separated participants receiving benefits 2016-01-01 2
Number of other retired or separated participants entitled to future benefits 2016-01-01 146
Total of all active and inactive participants 2016-01-01 329
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 329
Number of participants with account balances 2016-01-01 259
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 16

Measure	Date	Value
2023: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2023 401k membership
Total participants, beginning-of-year	2023-01-01	385
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	202
Number of retired or separated participants receiving benefits	2023-01-01	2
Number of other retired or separated participants entitled to future benefits	2023-01-01	101
Total of all active and inactive participants	2023-01-01	305
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2023-01-01	0
Total participants	2023-01-01	305
Number of participants with account balances	2023-01-01	163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2023-01-01	0
2022: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2022 401k membership
Total participants, beginning-of-year	2022-01-01	333
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	188
Number of retired or separated participants receiving benefits	2022-01-01	6
Number of other retired or separated participants entitled to future benefits	2022-01-01	103
Total of all active and inactive participants	2022-01-01	297
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	297
Number of participants with account balances	2022-01-01	168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	2
2021: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2021 401k membership
Total participants, beginning-of-year	2021-01-01	362
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	221
Number of retired or separated participants receiving benefits	2021-01-01	1
Number of other retired or separated participants entitled to future benefits	2021-01-01	97
Total of all active and inactive participants	2021-01-01	319
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	319
Number of participants with account balances	2021-01-01	162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	6
2020: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2020 401k membership
Total participants, beginning-of-year	2020-01-01	379
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	205
Number of retired or separated participants receiving benefits	2020-01-01	1
Number of other retired or separated participants entitled to future benefits	2020-01-01	86
Total of all active and inactive participants	2020-01-01	292
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	292
Number of participants with account balances	2020-01-01	164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	6
2019: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2019 401k membership
Total participants, beginning-of-year	2019-01-01	365
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	202
Number of retired or separated participants receiving benefits	2019-01-01	1
Number of other retired or separated participants entitled to future benefits	2019-01-01	69
Total of all active and inactive participants	2019-01-01	272
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	272
Number of participants with account balances	2019-01-01	153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	9
2018: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2018 401k membership
Total participants, beginning-of-year	2018-01-01	378
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	234
Number of retired or separated participants receiving benefits	2018-01-01	1
Number of other retired or separated participants entitled to future benefits	2018-01-01	68
Total of all active and inactive participants	2018-01-01	303
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	303
Number of participants with account balances	2018-01-01	160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	13
2017: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2017 401k membership
Total participants, beginning-of-year	2017-01-01	241
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	184
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	51
Total of all active and inactive participants	2017-01-01	235
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	235
Number of participants with account balances	2017-01-01	165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	18
2016: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2016 401k membership
Total participants, beginning-of-year	2016-01-01	365
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	181
Number of retired or separated participants receiving benefits	2016-01-01	2
Number of other retired or separated participants entitled to future benefits	2016-01-01	146
Total of all active and inactive participants	2016-01-01	329
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	329
Number of participants with account balances	2016-01-01	259
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	16

Financial Data on OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN)

Measure	Date	Value
2023 : OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2023 401k financial data
Total unrealized appreciation/depreciation of assets	2023-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-12-31	$0
Total income from all sources (including contributions)	2023-12-31	$109,674
Total loss/gain on sale of assets	2023-12-31	$0
Total of all expenses incurred	2023-12-31	$48,532
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2023-12-31	$48,082
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2023-12-31	$32,088
Value of total assets at end of year	2023-12-31	$1,049,093
Value of total assets at beginning of year	2023-12-31	$987,951
Total of administrative expenses incurred including professional, contract, advisory and management fees	2023-12-31	$450
Total interest from all sources	2023-12-31	$36,775
Total dividends received (eg from common stock, registered investment company shares)	2023-12-31	$13,424
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2023-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2023-12-31	$13,424
Was this plan covered by a fidelity bond	2023-12-31	Yes
Value of fidelity bond cover	2023-12-31	$125,000
If this is an individual account plan, was there a blackout period	2023-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2023-12-31	No
Contributions received from participants	2023-12-31	$32,088
Participant contributions at end of year	2023-12-31	$1,287
Participant contributions at beginning of year	2023-12-31	$3,577
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2023-12-31	No
Value of net income/loss	2023-12-31	$61,142
Value of net assets at end of year (total assets less liabilities)	2023-12-31	$1,049,093
Value of net assets at beginning of year (total assets less liabilities)	2023-12-31	$987,951
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2023-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2023-12-31	No
Were any leases to which the plan was party in default or uncollectible	2023-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2023-12-31	$286,474
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2023-12-31	$245,522
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2023-12-31	$761,332
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2023-12-31	$738,852
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2023-12-31	$738,852
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2023-12-31	$36,775
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2023-12-31	$27,387
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2023-12-31	No
Was there a failure to transmit to the plan any participant contributions	2023-12-31	No
Has the plan failed to provide any benefit when due under the plan	2023-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2023-12-31	$48,082
Contract administrator fees	2023-12-31	$450
Did the plan have assets held for investment	2023-12-31	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	2023-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2023-12-31	No
Opinion of an independent qualified public accountant for this plan	2023-12-31	Unqualified
Accountancy firm name	2023-12-31	WATKINS UIBERALL, PLLC
Accountancy firm EIN	2023-12-31	621804252
2022 : OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$5,259
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$59,349
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$58,649
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$39,497
Value of total assets at end of year	2022-12-31	$985,991
Value of total assets at beginning of year	2022-12-31	$1,040,081
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$700
Total interest from all sources	2022-12-31	$9,369
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$6,949
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$6,949
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$125,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$39,497
Participant contributions at end of year	2022-12-31	$1,617
Participant contributions at beginning of year	2022-12-31	$9,795
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-54,090
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$985,991
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$1,040,081
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$245,522
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$271,499
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$738,852
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$758,787
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$758,787
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$9,369
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-50,556
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$58,649
Contract administrator fees	2022-12-31	$700
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	WATKINS UIBERALL, PLLC
Accountancy firm EIN	2022-12-31	621804252
2021 : OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$89,714
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$8,336
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$8,186
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$65,013
Value of total assets at end of year	2021-12-31	$1,040,081
Value of total assets at beginning of year	2021-12-31	$958,703
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$150
Total interest from all sources	2021-12-31	$144
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$36,538
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$36,538
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$125,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$65,013
Participant contributions at end of year	2021-12-31	$9,795
Participant contributions at beginning of year	2021-12-31	$2,559
Administrative expenses (other) incurred	2021-12-31	$150
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$81,378
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$1,040,081
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$958,703
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$271,499
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$241,580
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$758,787
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$714,564
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$714,564
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$144
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$-11,981
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$8,186
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Disclaimer
Accountancy firm name	2021-12-31	WATKINS UIBERALL, PLLC
Accountancy firm EIN	2021-12-31	621804252
2020 : OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$106,530
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$104,165
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$98,130
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$78,282
Value of total assets at end of year	2020-12-31	$958,703
Value of total assets at beginning of year	2020-12-31	$956,338
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$6,035
Total interest from all sources	2020-12-31	$4,648
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$9,738
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$9,738
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$125,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$78,282
Participant contributions at end of year	2020-12-31	$2,559
Participant contributions at beginning of year	2020-12-31	$3,868
Administrative expenses (other) incurred	2020-12-31	$6,035
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$2,365
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$958,703
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$956,338
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$241,580
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$268,388
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$714,564
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$684,082
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$684,082
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$4,648
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$13,862
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$98,130
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	WATKINS UIBERALL, PLLC
Accountancy firm EIN	2020-12-31	621804252
2019 : OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$111,010
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$148,265
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$147,515
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$49,352
Value of total assets at end of year	2019-12-31	$956,338
Value of total assets at beginning of year	2019-12-31	$993,593
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$750
Total interest from all sources	2019-12-31	$16,270
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$6,434
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$6,434
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$55,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$49,352
Participant contributions at end of year	2019-12-31	$3,868
Participant contributions at beginning of year	2019-12-31	$1,970
Administrative expenses (other) incurred	2019-12-31	$750
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$-37,255
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$956,338
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$993,593
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$268,388
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$215,089
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$684,082
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$776,534
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$776,534
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$16,270
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$38,954
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$147,515
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	WATKINS UIBERALL, PLLC
Accountancy firm EIN	2019-12-31	621804252
2018 : OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$76,758
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$184,690
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$183,525
Value of total corrective distributions	2018-12-31	$215
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$74,706
Value of total assets at end of year	2018-12-31	$993,593
Value of total assets at beginning of year	2018-12-31	$1,101,525
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$950
Total interest from all sources	2018-12-31	$15,004
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$6,175
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$6,175
Was this plan covered by a fidelity bond	2018-12-31	No
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$74,706
Participant contributions at end of year	2018-12-31	$1,970
Participant contributions at beginning of year	2018-12-31	$2,303
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$0
Administrative expenses (other) incurred	2018-12-31	$950
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-107,932
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$993,593
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,101,525
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$215,089
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$225,850
Value of interest in common/collective trusts at end of year	2018-12-31	$0
Value of interest in common/collective trusts at beginning of year	2018-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$776,534
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$873,372
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$873,372
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$15,004
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-19,127
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$183,525
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	2018-12-31	No
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	WATKINS UIBERALL, PLLC
Accountancy firm EIN	2018-12-31	621804252
2017 : OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$2,403
Total income from all sources (including contributions)	2017-12-31	$180,876
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$321,681
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$318,858
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$94,616
Value of total assets at end of year	2017-12-31	$1,101,525
Value of total assets at beginning of year	2017-12-31	$1,244,733
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$2,823
Total interest from all sources	2017-12-31	$4,241
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$76,654
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$76,654
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$55,000
If this is an individual account plan, was there a blackout period	2017-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$94,616
Participant contributions at end of year	2017-12-31	$2,303
Participant contributions at beginning of year	2017-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$2,403
Administrative expenses (other) incurred	2017-12-31	$2,823
Total non interest bearing cash at end of year	2017-12-31	$0
Total non interest bearing cash at beginning of year	2017-12-31	$2,403
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$-140,805
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,101,525
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,242,330
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$225,850
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$1,241,120
Value of interest in common/collective trusts at end of year	2017-12-31	$0
Value of interest in common/collective trusts at beginning of year	2017-12-31	$1,210
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$873,372
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$4,241
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$5,365
Net investment gain or loss from common/collective trusts	2017-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$318,858
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	2017-12-31	Yes
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	WATKINS UIBERALL, PLLC
Accountancy firm EIN	2017-12-31	621804252
2016 : OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) 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	$2,403
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$1,262
Total income from all sources (including contributions)	2016-12-31	$239,684
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$294,505
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$290,582
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$148,543
Value of total assets at end of year	2016-12-31	$1,244,733
Value of total assets at beginning of year	2016-12-31	$1,298,413
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$3,923
Total interest from all sources	2016-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$91,141
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	$91,141
Administrative expenses professional fees incurred	2016-12-31	$3,923
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$20,000
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	$148,543
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$3,614
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2016-12-31	$1,141
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$2,403
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$1,262
Total non interest bearing cash at end of year	2016-12-31	$2,403
Total non interest bearing cash at beginning of year	2016-12-31	$1,262
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	$-54,821
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,242,330
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,297,151
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$1,241,120
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$1,292,219
Value of interest in pooled separate accounts at end of year	2016-12-31	$1,234,545
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$1,292,219
Value of interest in common/collective trusts at end of year	2016-12-31	$1,210
Value of interest in common/collective trusts at beginning of year	2016-12-31	$1,318
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$91,027
Net investment gain or loss from common/collective trusts	2016-12-31	$18
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	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$290,582
Contract administrator fees	2016-12-31	$3,923
Liabilities. Value of benefit claims payable at end of year	2016-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2016-12-31	$0
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	FINLEY & COOK, PLLC
Accountancy firm EIN	2016-12-31	730604334

Form 5500 Responses for OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN)

2023: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	No
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – Trust	Yes
2023-01-01	Plan benefit arrangement - Trust	Yes
2022: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	Yes
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) PLAN) 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) 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	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
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: OK4 HH/H MASTER HOLDCO, LLC RETIREMENT SAVINGS PLAN (FORMERLY EASTGATE VILLAGE NURSING CENTER 401(K) 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

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

112141

Policy instance

Insurance contract or identification number	112141
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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Company Name:	OK4 HH/H MASTER HOLDCO, LLC
Employer identification number (EIN):	811901893
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities