401k Plan data: EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN plan

EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 401k Plan overview

Plan Name	EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN
Plan identification number	001

EMBASSY HEALTHCARE, INC. SAVINGS AND 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.
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.

401k Sponsoring company profile

EMBASSY HEALTHCARE, INC. has sponsored the creation of one or more 401k plans.

Company Name: EMBASSY HEALTHCARE, INC.

Employer identification number (EIN): 311164624

NAIC Classification: 621610
NAIC Description: Home Health Care Services

Additional information about EMBASSY HEALTHCARE, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division

Incorporation Date: 2008-11-13

Company Identification Number: 1818536

Legal Registered Office Address: 200 PUBLIC SQUARE, SUITE 3500
-
CLEVELAND
United States of America (USA)
44114

More information about EMBASSY HEALTHCARE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01 AARON HANDLER 2022-10-16
001 2020-01-01 AARON HANDLER 2021-10-14
001 2019-01-01 AARON HANDLER 2020-10-12 AARON HANDLER 2020-10-12
001 2018-01-01
001 2018-01-01 AARON HANDLER 2020-09-29 AARON HANDLER 2020-09-29
001 2017-01-01
001 2017-01-01 AARON HANDLER 2020-09-29 AARON HANDLER 2020-09-29
001 2016-01-01
001 2016-01-01 AARON HANDLER 2020-09-29
001 2015-01-01
001 2015-01-01 AARON HANDLER 2020-09-29 AARON HANDLER 2020-09-29
001 2014-01-01 AARON HANDLER 2015-09-22 AARON HANDLER 2015-09-22
001 2014-01-01 AARON HANDLER 2020-09-29 AARON HANDLER 2020-09-29
001 2013-01-01 AARON HANDLER 2014-10-07 AARON HANDLER 2014-10-07
001 2012-01-01 AARON HANDLER 2013-10-12 AARON HANDLER 2013-10-12
001 2011-01-01 AARON HANDLER 2012-10-10 AARON HANDLER 2012-10-10
001 2010-01-01 AARON HANDLER 2011-10-14 AARON HANDLER 2011-10-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2021-01-01	AARON HANDLER	2022-10-16
001	2020-01-01	AARON HANDLER	2021-10-14
001	2019-01-01	AARON HANDLER	2020-10-12	AARON HANDLER	2020-10-12
001	2018-01-01
001	2018-01-01	AARON HANDLER	2020-09-29	AARON HANDLER	2020-09-29
001	2017-01-01
001	2017-01-01	AARON HANDLER	2020-09-29	AARON HANDLER	2020-09-29
001	2016-01-01
001	2016-01-01	AARON HANDLER	2020-09-29
001	2015-01-01
001	2015-01-01	AARON HANDLER	2020-09-29	AARON HANDLER	2020-09-29
001	2014-01-01	AARON HANDLER	2015-09-22	AARON HANDLER	2015-09-22
001	2014-01-01	AARON HANDLER	2020-09-29	AARON HANDLER	2020-09-29
001	2013-01-01	AARON HANDLER	2014-10-07	AARON HANDLER	2014-10-07
001	2012-01-01	AARON HANDLER	2013-10-12	AARON HANDLER	2013-10-12
001	2011-01-01	AARON HANDLER	2012-10-10	AARON HANDLER	2012-10-10
001	2010-01-01	AARON HANDLER	2011-10-14	AARON HANDLER	2011-10-14

Plan Statistics for EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN

401k plan membership statisitcs for EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN

Measure Date Value
2021: EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 1,923
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 404
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 1,583
Total of all active and inactive participants 2021-01-01 1,987
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 1,987
Number of participants with account balances 2021-01-01 1,987
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 819
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 390
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 1,533
Total of all active and inactive participants 2020-01-01 1,923
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 1,923
Number of participants with account balances 2020-01-01 1,923
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,033
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 772
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 47
Total of all active and inactive participants 2019-01-01 819
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 819
Number of participants with account balances 2019-01-01 95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,172
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 805
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 40
Total of all active and inactive participants 2018-01-01 845
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 845
Number of participants with account balances 2018-01-01 93
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1,453
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 1,076
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 38
Total of all active and inactive participants 2017-01-01 1,114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 1,114
Number of participants with account balances 2017-01-01 93
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1,109
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 884
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 32
Total of all active and inactive participants 2016-01-01 916
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 916
Number of participants with account balances 2016-01-01 84
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,229
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 979
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 28
Total of all active and inactive participants 2015-01-01 1,007
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 1,007
Number of participants with account balances 2015-01-01 91
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 1
2014: EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 840
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 926
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 24
Total of all active and inactive participants 2014-01-01 950
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 950
Number of participants with account balances 2014-01-01 86
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 1

Measure	Date	Value
2021: EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	1,923
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	404
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	1,583
Total of all active and inactive participants	2021-01-01	1,987
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	1,987
Number of participants with account balances	2021-01-01	1,987
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	819
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	390
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	1,533
Total of all active and inactive participants	2020-01-01	1,923
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	1,923
Number of participants with account balances	2020-01-01	1,923
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,033
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	772
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	47
Total of all active and inactive participants	2019-01-01	819
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	819
Number of participants with account balances	2019-01-01	95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,172
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	805
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	40
Total of all active and inactive participants	2018-01-01	845
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	845
Number of participants with account balances	2018-01-01	93
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,453
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	1,076
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	38
Total of all active and inactive participants	2017-01-01	1,114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	1,114
Number of participants with account balances	2017-01-01	93
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1,109
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	884
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	32
Total of all active and inactive participants	2016-01-01	916
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	916
Number of participants with account balances	2016-01-01	84
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,229
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	979
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	28
Total of all active and inactive participants	2015-01-01	1,007
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	1,007
Number of participants with account balances	2015-01-01	91
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	1
2014: EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	840
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	926
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	24
Total of all active and inactive participants	2014-01-01	950
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	950
Number of participants with account balances	2014-01-01	86
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	1

Financial Data on EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN

Measure	Date	Value
2021 : EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT 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	$2,848
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	$1,828,775
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$82,468
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$73,213
Expenses. Certain deemed distributions of participant loans	2021-12-31	$1,383
Value of total corrective distributions	2021-12-31	$6,973
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$1,604,660
Value of total assets at end of year	2021-12-31	$3,471,632
Value of total assets at beginning of year	2021-12-31	$1,722,477
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$899
Total interest from all sources	2021-12-31	$579
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Assets. Real estate other than employer real property at end of year	2021-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2021-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2021-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2021-12-31	$0
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
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	$621,260
Participant contributions at end of year	2021-12-31	$16,121
Participant contributions at beginning of year	2021-12-31	$13,324
Participant contributions at end of year	2021-12-31	$19,751
Participant contributions at beginning of year	2021-12-31	$307
Assets. Other investments not covered elsewhere at end of year	2021-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2021-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$983,400
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-12-31	$0
Assets. Loans (other than to participants) at end of year	2021-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2021-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$2,848
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$0
Liabilities. Value of operating payables at end of year	2021-12-31	$0
Liabilities. Value of operating payables at beginning of year	2021-12-31	$0
Total non interest bearing cash at end of year	2021-12-31	$338
Total non interest bearing cash at beginning of year	2021-12-31	$338
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
Income. Non cash contributions	2021-12-31	$0
Value of net income/loss	2021-12-31	$1,746,307
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$3,468,784
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$1,722,477
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
Assets. partnership/joint venture interests at end of year	2021-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2021-12-31	$0
Investment advisory and management fees	2021-12-31	$899
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$0
Value of interest in pooled separate accounts at end of year	2021-12-31	$3,435,422
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$1,708,508
Interest on participant loans	2021-12-31	$579
Value of interest in master investment trust accounts at end of year	2021-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2021-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2021-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2021-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$0
Asset value of US Government securities at end of year	2021-12-31	$0
Asset value of US Government securities at beginning of year	2021-12-31	$0
Net investment gain/loss from pooled separate accounts	2021-12-31	$223,536
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	Yes
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Assets. Invements in employer securities at end of year	2021-12-31	$0
Assets. Invements in employer securities at beginning of year	2021-12-31	$0
Assets. Value of employer real property at end of year	2021-12-31	$0
Assets. Value of employer real property at beginning of year	2021-12-31	$0
Contributions received in cash from employer	2021-12-31	$0
Employer contributions (assets) at end of year	2021-12-31	$0
Employer contributions (assets) at beginning of year	2021-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$73,213
Asset. Corporate debt instrument preferred debt at end of year	2021-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2021-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2021-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2021-12-31	$0
Assets. Corporate common stocks other than exployer securities at end of year	2021-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2021-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2021-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2021-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2021-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2021-12-31	$0
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
Liabilities. Value of acquisition indebtedness at end of year	2021-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2021-12-31	$0
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	HW&CO.
Accountancy firm EIN	2021-12-31	341663157
2020 : EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT 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	$622,329
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$610,481
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$608,699
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$376,843
Value of total assets at end of year	2020-12-31	$1,722,477
Value of total assets at beginning of year	2020-12-31	$1,710,629
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$1,782
Total interest from all sources	2020-12-31	$717
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Assets. Real estate other than employer real property at end of year	2020-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2020-12-31	$0
Administrative expenses professional fees incurred	2020-12-31	$1,100
Assets. Corporate prefeered stocks other than exployer securities at end of year	2020-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2020-12-31	$0
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
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	$154,636
Participant contributions at end of year	2020-12-31	$13,324
Participant contributions at beginning of year	2020-12-31	$15,320
Participant contributions at end of year	2020-12-31	$307
Participant contributions at beginning of year	2020-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2020-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2020-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$134,804
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$0
Assets. Loans (other than to participants) at end of year	2020-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2020-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$0
Other income not declared elsewhere	2020-12-31	$2,298
Liabilities. Value of operating payables at end of year	2020-12-31	$0
Liabilities. Value of operating payables at beginning of year	2020-12-31	$0
Total non interest bearing cash at end of year	2020-12-31	$338
Total non interest bearing cash at beginning of year	2020-12-31	$340
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	$11,848
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$1,722,477
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$1,710,629
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
Assets. partnership/joint venture interests at end of year	2020-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2020-12-31	$0
Investment advisory and management fees	2020-12-31	$682
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$0
Value of interest in pooled separate accounts at end of year	2020-12-31	$1,708,508
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$1,694,969
Interest on participant loans	2020-12-31	$717
Value of interest in master investment trust accounts at end of year	2020-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2020-12-31	$0
Value of interest in common/collective trusts at end of year	2020-12-31	$0
Value of interest in common/collective trusts at beginning of year	2020-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2020-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2020-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$0
Asset value of US Government securities at end of year	2020-12-31	$0
Asset value of US Government securities at beginning of year	2020-12-31	$0
Net investment gain/loss from pooled separate accounts	2020-12-31	$242,471
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	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Assets. Invements in employer securities at end of year	2020-12-31	$0
Assets. Invements in employer securities at beginning of year	2020-12-31	$0
Assets. Value of employer real property at end of year	2020-12-31	$0
Assets. Value of employer real property at beginning of year	2020-12-31	$0
Contributions received in cash from employer	2020-12-31	$87,403
Employer contributions (assets) at end of year	2020-12-31	$0
Employer contributions (assets) at beginning of year	2020-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$608,699
Asset. Corporate debt instrument preferred debt at end of year	2020-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2020-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2020-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2020-12-31	$0
Assets. Corporate common stocks other than exployer securities at end of year	2020-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2020-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2020-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2020-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2020-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2020-12-31	$0
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
Liabilities. Value of acquisition indebtedness at end of year	2020-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2020-12-31	$0
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	RW CORWIN & COMPANY
Accountancy firm EIN	2020-12-31	341630230
2019 : EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$350,845
Total income from all sources (including contributions)	2019-12-31	$350,845
Total of all expenses incurred	2019-12-31	$43,720
Total of all expenses incurred	2019-12-31	$43,720
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$40,169
Expenses. Certain deemed distributions of participant loans	2019-12-31	$1,091
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$95,564
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$95,564
Value of total assets at end of year	2019-12-31	$1,710,629
Value of total assets at end of year	2019-12-31	$1,710,629
Value of total assets at beginning of year	2019-12-31	$1,403,504
Value of total assets at beginning of year	2019-12-31	$1,403,504
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$2,460
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$2,460
Total interest from all sources	2019-12-31	$923
Total interest from all sources	2019-12-31	$923
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Administrative expenses professional fees incurred	2019-12-31	$1,650
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
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
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$95,564
Contributions received from participants	2019-12-31	$95,564
Participant contributions at end of year	2019-12-31	$15,320
Participant contributions at end of year	2019-12-31	$15,320
Participant contributions at beginning of year	2019-12-31	$18,665
Participant contributions at beginning of year	2019-12-31	$18,665
Other income not declared elsewhere	2019-12-31	$2,046
Other income not declared elsewhere	2019-12-31	$2,046
Total non interest bearing cash at end of year	2019-12-31	$340
Total non interest bearing cash at beginning of year	2019-12-31	$338
Total non interest bearing cash at beginning of year	2019-12-31	$338
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
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	$307,125
Value of net income/loss	2019-12-31	$307,125
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$1,710,629
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,403,504
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,403,504
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 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
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$810
Investment advisory and management fees	2019-12-31	$810
Value of interest in pooled separate accounts at end of year	2019-12-31	$1,694,969
Value of interest in pooled separate accounts at end of year	2019-12-31	$1,694,969
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$1,384,501
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$1,384,501
Interest on participant loans	2019-12-31	$923
Interest on participant loans	2019-12-31	$923
Net investment gain/loss from pooled separate accounts	2019-12-31	$252,312
Net investment gain/loss from pooled separate accounts	2019-12-31	$252,312
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
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
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
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	$40,169
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$40,169
Did the plan have assets held for investment	2019-12-31	Yes
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
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
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
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
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	R.W. CORWIN & COMPANY, INC.
Accountancy firm name	2019-12-31	R.W. CORWIN & COMPANY, INC.
Accountancy firm EIN	2019-12-31	341630230
Accountancy firm EIN	2019-12-31	341630230
2018 : EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$110,666
Total of all expenses incurred	2018-12-31	$198,243
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$186,931
Expenses. Certain deemed distributions of participant loans	2018-12-31	$9,163
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$219,402
Value of total assets at end of year	2018-12-31	$1,403,504
Value of total assets at beginning of year	2018-12-31	$1,491,081
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$2,149
Total interest from all sources	2018-12-31	$1,591
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Administrative expenses professional fees incurred	2018-12-31	$1,450
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
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	$126,973
Participant contributions at end of year	2018-12-31	$18,665
Participant contributions at beginning of year	2018-12-31	$75,012
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$92,429
Other income not declared elsewhere	2018-12-31	$1,917
Total non interest bearing cash at end of year	2018-12-31	$338
Total non interest bearing cash at beginning of year	2018-12-31	$338
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	$-87,577
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$1,403,504
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,491,081
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 pooled separate accounts at end of year	2018-12-31	$1,384,501
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$1,415,731
Interest on participant loans	2018-12-31	$1,591
Net investment gain/loss from pooled separate accounts	2018-12-31	$-112,244
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	Yes
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	$186,931
Contract administrator fees	2018-12-31	$699
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	R.W. CORWIN & COMPANY, INC.
Accountancy firm EIN	2018-12-31	341630230
2017 : EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$416,413
Total of all expenses incurred	2017-12-31	$124,657
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$124,657
Expenses. Certain deemed distributions of participant loans	2017-12-31	$8,533
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$251,311
Value of total assets at end of year	2017-12-31	$1,491,081
Value of total assets at beginning of year	2017-12-31	$1,199,325
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$1,943
Total interest from all sources	2017-12-31	$2,006
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Administrative expenses professional fees incurred	2017-12-31	$1,450
Was this plan covered by a fidelity bond	2017-12-31	No
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
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	$146,311
Participant contributions at end of year	2017-12-31	$75,012
Participant contributions at beginning of year	2017-12-31	$18,856
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$105,000
Other income not declared elsewhere	2017-12-31	$1,691
Total non interest bearing cash at end of year	2017-12-31	$338
Total non interest bearing cash at beginning of year	2017-12-31	$237
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	$291,756
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,491,081
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,199,325
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 pooled separate accounts at end of year	2017-12-31	$1,416,069
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$1,180,469
Interest on participant loans	2017-12-31	$2,006
Net investment gain/loss from pooled separate accounts	2017-12-31	$163,096
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	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$124,657
Contract administrator fees	2017-12-31	$493
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	R.W. CORWIN & COMPANY, INC.
Accountancy firm EIN	2017-12-31	341630230
2016 : EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$232,591
Total of all expenses incurred	2016-12-31	$485,708
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$478,052
Expenses. Certain deemed distributions of participant loans	2016-12-31	$6,755
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$140,116
Value of total assets at end of year	2016-12-31	$1,199,325
Value of total assets at beginning of year	2016-12-31	$1,452,442
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$901
Total interest from all sources	2016-12-31	$1,304
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Administrative expenses professional fees incurred	2016-12-31	$625
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
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$140,116
Participant contributions at end of year	2016-12-31	$24,226
Participant contributions at beginning of year	2016-12-31	$37,056
Participant contributions at beginning of year	2016-12-31	$2,257
Other income not declared elsewhere	2016-12-31	$6,527
Total non interest bearing cash at end of year	2016-12-31	$237
Total non interest bearing cash at beginning of year	2016-12-31	$237
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	$-253,117
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,199,325
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,452,442
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 pooled separate accounts at end of year	2016-12-31	$1,174,862
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$1,412,892
Interest on participant loans	2016-12-31	$1,304
Value of interest in common/collective trusts at beginning of year	2016-12-31	$0
Net investment gain/loss from pooled separate accounts	2016-12-31	$84,644
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$478,052
Contract administrator fees	2016-12-31	$276
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	R.W. CORWIN & COMPANY, INC.
Accountancy firm EIN	2016-12-31	341630230
2015 : EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$166,129
Total of all expenses incurred	2015-12-31	$6,782
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$5,455
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$193,530
Value of total assets at end of year	2015-12-31	$1,452,442
Value of total assets at beginning of year	2015-12-31	$1,293,095
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$1,327
Total interest from all sources	2015-12-31	$989
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Administrative expenses professional fees incurred	2015-12-31	$1,125
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	$116,436
Participant contributions at end of year	2015-12-31	$37,056
Participant contributions at beginning of year	2015-12-31	$18,368
Participant contributions at end of year	2015-12-31	$2,257
Participant contributions at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$77,094
Other income not declared elsewhere	2015-12-31	$7,174
Total non interest bearing cash at end of year	2015-12-31	$237
Total non interest bearing cash at beginning of year	2015-12-31	$237
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	$159,347
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$1,452,442
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$1,293,095
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
Value of interest in pooled separate accounts at end of year	2015-12-31	$1,412,892
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$1,274,490
Interest on participant loans	2015-12-31	$989
Net investment gain/loss from pooled separate accounts	2015-12-31	$-35,564
Net investment gain or loss from common/collective trusts	2015-12-31	$0
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$5,455
Contract administrator fees	2015-12-31	$202
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	R.W. CORWIN & COMPANY, INC
Accountancy firm EIN	2015-12-31	341630230
2014 : EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$156,517
Total of all expenses incurred	2014-12-31	$218,850
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$215,848
Expenses. Certain deemed distributions of participant loans	2014-12-31	$2,402
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$113,719
Value of total assets at end of year	2014-12-31	$1,293,095
Value of total assets at beginning of year	2014-12-31	$1,355,428
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$600
Total interest from all sources	2014-12-31	$553
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Administrative expenses professional fees incurred	2014-12-31	$500
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	$106,415
Participant contributions at end of year	2014-12-31	$18,368
Participant contributions at beginning of year	2014-12-31	$11,274
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$391
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$7,304
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$0
Other income not declared elsewhere	2014-12-31	$4,728
Total non interest bearing cash at end of year	2014-12-31	$237
Total non interest bearing cash at beginning of year	2014-12-31	$220
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	$-62,333
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$1,293,095
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$1,355,428
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
Value of interest in pooled separate accounts at end of year	2014-12-31	$1,274,490
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$1,343,543
Interest on participant loans	2014-12-31	$553
Net investment gain/loss from pooled separate accounts	2014-12-31	$37,517
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
Employer contributions (assets) at end of year	2014-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$215,848
Contract administrator fees	2014-12-31	$100
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	R. W. CORWIN & COMPANY, INC.
Accountancy firm EIN	2014-12-31	341630230

Form 5500 Responses for EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN

2021: EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT 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 – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT 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 – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
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 – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	Yes
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 – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: EMBASSY HEALTHCARE, INC. SAVINGS AND 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	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 – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	Yes
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 – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	Yes
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 – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: EMBASSY HEALTHCARE, INC. SAVINGS AND RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
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 – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	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

113520

Policy instance

Insurance contract or identification number	113520
Number of Individuals Covered	2059
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $9,171
Total amount of fees paid to insurance company	USD $0
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?	No
Commission paid to Insurance Broker	USD $6,878
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	3

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

Policy contract number

113520

Policy instance

Insurance contract or identification number	113520
Number of Individuals Covered	1975
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $7,073
Total amount of fees paid to insurance company	USD $7,584
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?	No
Commission paid to Insurance Broker	USD $5,305
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	3

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

Policy contract number

113520

Policy instance

Insurance contract or identification number	113520
Number of Individuals Covered	108
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $6,185
Total amount of fees paid to insurance company	USD $8,291
Commission paid to Insurance Broker	USD $4,639
Insurance broker organization code?	3
Amount paid for insurance broker fees	1650
Additional information about fees paid to insurance broker	TPA FEES

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

Policy contract number

113520

Policy instance

Insurance contract or identification number	113520
Number of Individuals Covered	92
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $5,908
Total amount of fees paid to insurance company	USD $7,346
Commission paid to Insurance Broker	USD $4,431
Insurance broker organization code?	3
Amount paid for insurance broker fees	7346
Additional information about fees paid to insurance broker	FEES

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

Policy contract number

113520

Policy instance

Insurance contract or identification number	113520
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $5,111
Total amount of fees paid to insurance company	USD $5,516
Commission paid to Insurance Broker	USD $3,833
Insurance broker organization code?	3
Amount paid for insurance broker fees	5516
Additional information about fees paid to insurance broker	TPA FEES
Insurance broker name	THE PENSION DESIGN GROUP

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

Policy contract number

113520

Policy instance

Insurance contract or identification number	113520
Number of Individuals Covered	99
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $4,033
Total amount of fees paid to insurance company	USD $2,162
Commission paid to Insurance Broker	USD $3,025
Insurance broker organization code?	3
Amount paid for insurance broker fees	1125
Additional information about fees paid to insurance broker	TPA FEES

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

Policy contract number

113520

Policy instance

Insurance contract or identification number	113520
Number of Individuals Covered	90
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Commission paid to Insurance Broker	USD $9,352
Insurance broker organization code?	3
Amount paid for insurance broker fees	5473
Additional information about fees paid to insurance broker	TPA FEES

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Company Name:	EMBASSY HEALTHCARE, INC.
Employer identification number (EIN):	311164624
NAIC Classification:	621610
NAIC Description:	Home Health Care Services

Jurisdiction of Incorporation:	Ohio Secretary of State Business Services Division
Incorporation Date:	2008-11-13
Company Identification Number:	1818536
Legal Registered Office Address:	200 PUBLIC SQUARE, SUITE 3500 - CLEVELAND United States of America (USA) 44114