401k Plan data: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN plan

MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 401k Plan overview

Plan Name	MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN
Plan identification number	001

MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR 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.
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) received services of leased employees, as defined in Code section 414(n), during the plan year.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MIRACLE HILL NURSING AND REHABILITATION CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name: MIRACLE HILL NURSING AND REHABILITATION CENTER, INC.

Employer identification number (EIN): 591275598

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01
001 2021-01-01 SPENCER INGRAM
001 2020-01-01
001 2017-10-01 SPENCER INGRAM SPENCER INGRAM 2018-07-16
001 2016-10-01 SPENCER INGRAM SPENCER INGRAM 2018-07-16
001 2015-10-01 TOMMY DAYMOND TOMMY DAYMOND 2017-07-17
001 2015-10-01 SPENCER INGRAM SPENCER INGRAM 2018-03-26
001 2014-10-01 TOMMY DAYMOND TOMMY DAYMOND 2016-07-15
001 2013-10-01 TOMMY DAYMOND TOMMY DAYMOND 2015-11-23
001 2012-10-01 NANCY HALL NANCY HALL 2014-07-09
001 2011-10-01 FREDDIE FRANKLIN FREDDIE FRANKLIN 2013-05-02
001 2010-10-01 FREDDIE FRANKLIN FREDDIE FRANKLIN 2012-04-30
001 2009-10-01 FREDDIE FRANKLIN FREDDIE FRANKLIN 2011-03-29
001 2009-10-01 FREDDIE FRANKLIN FREDDIE FRANKLIN 2011-03-29

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2021-01-01
001	2021-01-01	SPENCER INGRAM
001	2020-01-01
001	2017-10-01	SPENCER INGRAM	SPENCER INGRAM	2018-07-16
001	2016-10-01	SPENCER INGRAM	SPENCER INGRAM	2018-07-16
001	2015-10-01	TOMMY DAYMOND	TOMMY DAYMOND	2017-07-17
001	2015-10-01	SPENCER INGRAM	SPENCER INGRAM	2018-03-26
001	2014-10-01	TOMMY DAYMOND	TOMMY DAYMOND	2016-07-15
001	2013-10-01	TOMMY DAYMOND	TOMMY DAYMOND	2015-11-23
001	2012-10-01	NANCY HALL	NANCY HALL	2014-07-09
001	2011-10-01	FREDDIE FRANKLIN	FREDDIE FRANKLIN	2013-05-02
001	2010-10-01	FREDDIE FRANKLIN	FREDDIE FRANKLIN	2012-04-30
001	2009-10-01	FREDDIE FRANKLIN	FREDDIE FRANKLIN	2011-03-29
001	2009-10-01	FREDDIE FRANKLIN	FREDDIE FRANKLIN	2011-03-29

Plan Statistics for MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN

401k plan membership statisitcs for MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN

Measure Date Value
2025: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2025 401k membership
Total number of particpants at beginning of year 2025-06-16 105
Total number of particpants at end of year 2025-06-16 105
Number of Participants With Account Balances 2025-06-16 36
Total number of particpants at beginning of year 2025-04-22 110
Total number of particpants at end of year 2025-04-22 104
Number of Participants With Account Balances 2025-04-22 32
2021: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 114
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 86
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 8
Total of all active and inactive participants 2021-01-01 94
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 94
Number of participants with account balances 2021-01-01 41
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 133
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 102
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 6
Total of all active and inactive participants 2020-01-01 108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 108
Number of participants with account balances 2020-01-01 34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2017: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2017 401k membership
Total participants, beginning-of-year 2017-10-01 122
Total number of active participants reported on line 7a of the Form 5500 2017-10-01 116
Number of retired or separated participants receiving benefits 2017-10-01 1
Number of other retired or separated participants entitled to future benefits 2017-10-01 4
Total of all active and inactive participants 2017-10-01 121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-10-01 0
Total participants 2017-10-01 121
Number of participants with account balances 2017-10-01 37
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-10-01 0
2016: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2016 401k membership
Total participants, beginning-of-year 2016-10-01 168
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 116
Number of retired or separated participants receiving benefits 2016-10-01 1
Number of other retired or separated participants entitled to future benefits 2016-10-01 5
Total of all active and inactive participants 2016-10-01 122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-10-01 0
Total participants 2016-10-01 122
Number of participants with account balances 2016-10-01 38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-10-01 0
2015: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 155
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 234
Number of retired or separated participants receiving benefits 2015-10-01 1
Number of other retired or separated participants entitled to future benefits 2015-10-01 5
Total of all active and inactive participants 2015-10-01 240
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-10-01 0
Total participants 2015-10-01 240
Number of participants with account balances 2015-10-01 38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-10-01 0
2014: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 174
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 194
Number of retired or separated participants receiving benefits 2014-10-01 0
Number of other retired or separated participants entitled to future benefits 2014-10-01 5
Total of all active and inactive participants 2014-10-01 199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-10-01 0
Total participants 2014-10-01 199
Number of participants with account balances 2014-10-01 38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-10-01 0
2013: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 127
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 144
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 5
Total of all active and inactive participants 2013-10-01 149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-10-01 0
Total participants 2013-10-01 149
Number of participants with account balances 2013-10-01 49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-10-01 0
2012: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 161
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 195
Number of retired or separated participants receiving benefits 2012-10-01 0
Number of other retired or separated participants entitled to future benefits 2012-10-01 4
Total of all active and inactive participants 2012-10-01 199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-10-01 0
Total participants 2012-10-01 199
Number of participants with account balances 2012-10-01 54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-10-01 0
2011: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 127
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 146
Number of retired or separated participants receiving benefits 2011-10-01 0
Number of other retired or separated participants entitled to future benefits 2011-10-01 4
Total of all active and inactive participants 2011-10-01 150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-10-01 0
Total participants 2011-10-01 150
Number of participants with account balances 2011-10-01 49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-10-01 0
2010: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2010 401k membership
Total participants, beginning-of-year 2010-10-01 171
Total number of active participants reported on line 7a of the Form 5500 2010-10-01 115
Number of retired or separated participants receiving benefits 2010-10-01 0
Number of other retired or separated participants entitled to future benefits 2010-10-01 5
Total of all active and inactive participants 2010-10-01 120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-10-01 0
Total participants 2010-10-01 120
Number of participants with account balances 2010-10-01 47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-10-01 0
2009: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 156
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 171
Number of retired or separated participants receiving benefits 2009-10-01 0
Number of other retired or separated participants entitled to future benefits 2009-10-01 4
Total of all active and inactive participants 2009-10-01 175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-10-01 0
Total participants 2009-10-01 175
Number of participants with account balances 2009-10-01 45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-10-01 0

Measure	Date	Value
2025: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2025 401k membership
Total number of particpants at beginning of year	2025-06-16	105
Total number of particpants at end of year	2025-06-16	105
Number of Participants With Account Balances	2025-06-16	36
Total number of particpants at beginning of year	2025-04-22	110
Total number of particpants at end of year	2025-04-22	104
Number of Participants With Account Balances	2025-04-22	32
2021: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	114
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	86
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	8
Total of all active and inactive participants	2021-01-01	94
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	94
Number of participants with account balances	2021-01-01	41
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	133
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	102
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	6
Total of all active and inactive participants	2020-01-01	108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	108
Number of participants with account balances	2020-01-01	34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2017: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2017 401k membership
Total participants, beginning-of-year	2017-10-01	122
Total number of active participants reported on line 7a of the Form 5500	2017-10-01	116
Number of retired or separated participants receiving benefits	2017-10-01	1
Number of other retired or separated participants entitled to future benefits	2017-10-01	4
Total of all active and inactive participants	2017-10-01	121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-10-01	0
Total participants	2017-10-01	121
Number of participants with account balances	2017-10-01	37
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-10-01	0
2016: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2016 401k membership
Total participants, beginning-of-year	2016-10-01	168
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	116
Number of retired or separated participants receiving benefits	2016-10-01	1
Number of other retired or separated participants entitled to future benefits	2016-10-01	5
Total of all active and inactive participants	2016-10-01	122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-10-01	0
Total participants	2016-10-01	122
Number of participants with account balances	2016-10-01	38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-10-01	0
2015: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	155
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	234
Number of retired or separated participants receiving benefits	2015-10-01	1
Number of other retired or separated participants entitled to future benefits	2015-10-01	5
Total of all active and inactive participants	2015-10-01	240
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-10-01	0
Total participants	2015-10-01	240
Number of participants with account balances	2015-10-01	38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-10-01	0
2014: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	174
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	194
Number of retired or separated participants receiving benefits	2014-10-01	0
Number of other retired or separated participants entitled to future benefits	2014-10-01	5
Total of all active and inactive participants	2014-10-01	199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-10-01	0
Total participants	2014-10-01	199
Number of participants with account balances	2014-10-01	38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-10-01	0
2013: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	127
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	144
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	5
Total of all active and inactive participants	2013-10-01	149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-10-01	0
Total participants	2013-10-01	149
Number of participants with account balances	2013-10-01	49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-10-01	0
2012: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	161
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	195
Number of retired or separated participants receiving benefits	2012-10-01	0
Number of other retired or separated participants entitled to future benefits	2012-10-01	4
Total of all active and inactive participants	2012-10-01	199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-10-01	0
Total participants	2012-10-01	199
Number of participants with account balances	2012-10-01	54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-10-01	0
2011: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	127
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	146
Number of retired or separated participants receiving benefits	2011-10-01	0
Number of other retired or separated participants entitled to future benefits	2011-10-01	4
Total of all active and inactive participants	2011-10-01	150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-10-01	0
Total participants	2011-10-01	150
Number of participants with account balances	2011-10-01	49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-10-01	0
2010: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2010 401k membership
Total participants, beginning-of-year	2010-10-01	171
Total number of active participants reported on line 7a of the Form 5500	2010-10-01	115
Number of retired or separated participants receiving benefits	2010-10-01	0
Number of other retired or separated participants entitled to future benefits	2010-10-01	5
Total of all active and inactive participants	2010-10-01	120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-10-01	0
Total participants	2010-10-01	120
Number of participants with account balances	2010-10-01	47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-10-01	0
2009: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	156
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	171
Number of retired or separated participants receiving benefits	2009-10-01	0
Number of other retired or separated participants entitled to future benefits	2009-10-01	4
Total of all active and inactive participants	2009-10-01	175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-10-01	0
Total participants	2009-10-01	175
Number of participants with account balances	2009-10-01	45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-10-01	0

Financial Data on MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN

Measure	Date	Value
2025 : MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2025 401k financial data
Total transfers to/from plan in this plan year	2025-06-16	0
Total liabilities as of the end of the plan year	2025-06-16	0
Total liabilities as of the beginning of the plan year	2025-06-16	0
Total expenses incurred by plan in this plan year	2025-06-16	350766
Net assets as of the end of the plan year	2025-06-16	850410
Total assets as of the beginning of the plan year	2025-06-16	977450
Value of plan covered by a fidelity bond	2025-06-16	1000000
Participant contributions to plan in this plan year	2025-06-16	74845
Value of participant loans at end of plan year	2025-06-16	95438
Other expenses paid from plan in this plan year	2025-06-16	0
Other contributions to plan in this plan year	2025-06-16	0
Other income to plan in this plan year	2025-06-16	96726
Plan net income in this plan year	2025-06-16	-127040
Net assets as of the end of the plan year	2025-06-16	850410
Net assets as of the beginning of the plan year	2025-06-16	977450
Employer contributions to plan in this plan year	2025-06-16	52155
Expensese paid to adminstrative service provicers from plan in this plan year	2025-06-16	9254
Total transfers to/from plan in this plan year	2025-04-22	0
Total liabilities as of the end of the plan year	2025-04-22	0
Total liabilities as of the beginning of the plan year	2025-04-22	0
Total expenses incurred by plan in this plan year	2025-04-22	340833
Net assets as of the end of the plan year	2025-04-22	977450
Total assets as of the beginning of the plan year	2025-04-22	1073278
Value of plan covered by a fidelity bond	2025-04-22	1000000
Participant contributions to plan in this plan year	2025-04-22	62129
Value of participant loans at end of plan year	2025-04-22	111083
Other expenses paid from plan in this plan year	2025-04-22	0
Other contributions to plan in this plan year	2025-04-22	0
Other income to plan in this plan year	2025-04-22	135474
Plan net income in this plan year	2025-04-22	-95828
Net assets as of the end of the plan year	2025-04-22	977450
Net assets as of the beginning of the plan year	2025-04-22	1073278
Value of contributions failed to transmitted timely	2025-04-22	35715
Employer contributions to plan in this plan year	2025-04-22	47402
Expensese paid to adminstrative service provicers from plan in this plan year	2025-04-22	10257
2021 : MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR 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	$329,131
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$297,423
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$284,015
Expenses. Certain deemed distributions of participant loans	2021-12-31	$919
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$136,950
Value of total assets at end of year	2021-12-31	$1,441,230
Value of total assets at beginning of year	2021-12-31	$1,409,522
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$12,489
Total interest from all sources	2021-12-31	$8,306
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
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$1,000,000
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	$80,476
Participant contributions at end of year	2021-12-31	$174,609
Participant contributions at beginning of year	2021-12-31	$163,291
Participant contributions at end of year	2021-12-31	$2,935
Participant contributions at beginning of year	2021-12-31	$2,924
Other income not declared elsewhere	2021-12-31	$-1,049
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	$31,708
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$1,441,230
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$1,409,522
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 pooled separate accounts at end of year	2021-12-31	$1,199,926
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$1,168,679
Interest on participant loans	2021-12-31	$7,613
Interest earned on other investments	2021-12-31	$693
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$61,668
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$72,576
Net investment gain/loss from pooled separate accounts	2021-12-31	$184,924
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
Contributions received in cash from employer	2021-12-31	$56,474
Employer contributions (assets) at end of year	2021-12-31	$2,092
Employer contributions (assets) at beginning of year	2021-12-31	$2,052
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$284,015
Contract administrator fees	2021-12-31	$12,489
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	Unqualified
Accountancy firm name	2021-12-31	CARON & BLETZER, PLLC
Accountancy firm EIN	2021-12-31	043499945
2020 : MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets	2020-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2020-12-31	$0
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total transfer of assets to this plan	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	$305,115
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$180,253
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$169,275
Expenses. Certain deemed distributions of participant loans	2020-12-31	$0
Value of total corrective distributions	2020-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$125,357
Value of total assets at end of year	2020-12-31	$1,409,522
Value of total assets at beginning of year	2020-12-31	$1,284,660
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$10,978
Total income from rents	2020-12-31	$0
Total interest from all sources	2020-12-31	$8,918
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
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$0
Administrative expenses professional fees incurred	2020-12-31	$0
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$1,000,000
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
Amount of non-exempt transactions with any party-in-interest	2020-12-31	$0
Contributions received from participants	2020-12-31	$69,934
Participant contributions at end of year	2020-12-31	$163,291
Participant contributions at beginning of year	2020-12-31	$177,691
Participant contributions at end of year	2020-12-31	$2,924
Participant contributions at beginning of year	2020-12-31	$2,676
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2020-12-31	$0
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
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	$1,435
Administrative expenses (other) incurred	2020-12-31	$0
Liabilities. Value of operating payables at beginning of year	2020-12-31	$0
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	$124,862
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$1,409,522
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$1,284,660
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2020-12-31	$0
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2020-12-31	$0
Investment advisory and management fees	2020-12-31	$0
Value of interest in pooled separate accounts at end of year	2020-12-31	$1,168,679
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$1,029,146
Interest on participant loans	2020-12-31	$8,019
Income. Interest from loans (other than to participants)	2020-12-31	$0
Interest earned on other investments	2020-12-31	$899
Income. Interest from US Government securities	2020-12-31	$0
Income. Interest from corporate debt instruments	2020-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$72,576
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$73,023
Expenses. Payments to insurance carriers foe the provision of benefits	2020-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$0
Net investment gain/loss from pooled separate accounts	2020-12-31	$169,405
Net investment gain or loss from common/collective trusts	2020-12-31	$0
Net gain/loss from 103.12 investment entities	2020-12-31	$0
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
Contributions received in cash from employer	2020-12-31	$55,423
Employer contributions (assets) at end of year	2020-12-31	$2,052
Employer contributions (assets) at beginning of year	2020-12-31	$2,124
Income. Dividends from preferred stock	2020-12-31	$0
Income. Dividends from common stock	2020-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$169,275
Contract administrator fees	2020-12-31	$10,978
Liabilities. Value of benefit claims payable 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
Aggregate proceeds on sale of assets	2020-12-31	$0
Aggregate carrying amount (costs) on sale of assets	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	Unqualified
Accountancy firm name	2020-12-31	CARON & BLETZER, PLLC
Accountancy firm EIN	2020-12-31	043499945
2018 : MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2018 401k financial data
Unrealized appreciation/depreciation of real estate assets	2018-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2018-12-31	$0
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total transfer of assets to this plan	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	$64,531
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$92,436
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$82,323
Expenses. Certain deemed distributions of participant loans	2018-12-31	$0
Value of total corrective distributions	2018-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$133,094
Value of total assets at end of year	2018-12-31	$1,082,003
Value of total assets at beginning of year	2018-12-31	$1,109,908
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$10,113
Total income from rents	2018-12-31	$0
Total interest from all sources	2018-12-31	$7,237
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
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	$0
Administrative expenses professional fees incurred	2018-12-31	$0
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$1,000,000
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
Amount of non-exempt transactions with any party-in-interest	2018-12-31	$0
Contributions received from participants	2018-12-31	$73,439
Participant contributions at end of year	2018-12-31	$148,103
Participant contributions at beginning of year	2018-12-31	$146,691
Participant contributions at end of year	2018-12-31	$3,836
Participant contributions at beginning of year	2018-12-31	$3,648
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$0
Other income not declared elsewhere	2018-12-31	$150
Administrative expenses (other) incurred	2018-12-31	$0
Liabilities. Value of operating payables at beginning of year	2018-12-31	$0
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	$-27,905
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$1,082,003
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,109,908
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2018-12-31	$0
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2018-12-31	$0
Investment advisory and management fees	2018-12-31	$0
Value of interest in pooled separate accounts at end of year	2018-12-31	$823,759
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$851,112
Interest on participant loans	2018-12-31	$6,172
Income. Interest from loans (other than to participants)	2018-12-31	$0
Interest earned on other investments	2018-12-31	$1,065
Income. Interest from US Government securities	2018-12-31	$0
Income. Interest from corporate debt instruments	2018-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$103,194
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$105,479
Expenses. Payments to insurance carriers foe the provision of benefits	2018-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$0
Net investment gain/loss from pooled separate accounts	2018-12-31	$-75,950
Net investment gain or loss from common/collective trusts	2018-12-31	$0
Net gain/loss from 103.12 investment entities	2018-12-31	$0
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
Contributions received in cash from employer	2018-12-31	$59,655
Employer contributions (assets) at end of year	2018-12-31	$3,111
Employer contributions (assets) at beginning of year	2018-12-31	$2,978
Income. Dividends from preferred stock	2018-12-31	$0
Income. Dividends from common stock	2018-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$82,323
Contract administrator fees	2018-12-31	$10,113
Liabilities. Value of benefit claims payable at beginning of year	2018-12-31	$0
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
Aggregate proceeds on sale of assets	2018-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2018-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2018-12-31	$0
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	CARON & BLETZER, PLLC
Accountancy firm EIN	2018-12-31	043499945
2017 : MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets	2017-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2017-12-31	$0
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total transfer of assets to this plan	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	$0
Total income from all sources (including contributions)	2017-12-31	$68,683
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$7,723
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$5,504
Expenses. Certain deemed distributions of participant loans	2017-12-31	$0
Value of total corrective distributions	2017-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$32,519
Value of total assets at end of year	2017-12-31	$1,109,908
Value of total assets at beginning of year	2017-12-31	$1,048,948
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$2,219
Total income from rents	2017-12-31	$0
Total interest from all sources	2017-12-31	$1,706
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
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	$0
Administrative expenses professional fees incurred	2017-12-31	$0
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$1,000,000
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
Amount of non-exempt transactions with any party-in-interest	2017-12-31	$0
Contributions received from participants	2017-12-31	$18,085
Participant contributions at end of year	2017-12-31	$146,691
Participant contributions at beginning of year	2017-12-31	$142,554
Participant contributions at end of year	2017-12-31	$3,648
Participant contributions at beginning of year	2017-12-31	$3,929
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2017-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$0
Other income not declared elsewhere	2017-12-31	$-1,481
Administrative expenses (other) incurred	2017-12-31	$0
Liabilities. Value of operating payables at beginning of year	2017-12-31	$0
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	$60,960
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,109,908
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,048,948
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2017-12-31	$0
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2017-12-31	$0
Investment advisory and management fees	2017-12-31	$0
Value of interest in pooled separate accounts at end of year	2017-12-31	$851,112
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$793,921
Interest on participant loans	2017-12-31	$1,481
Income. Interest from loans (other than to participants)	2017-12-31	$0
Interest earned on other investments	2017-12-31	$225
Income. Interest from US Government securities	2017-12-31	$0
Income. Interest from corporate debt instruments	2017-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$105,479
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$105,451
Expenses. Payments to insurance carriers foe the provision of benefits	2017-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$0
Net investment gain/loss from pooled separate accounts	2017-12-31	$35,939
Net investment gain or loss from common/collective trusts	2017-12-31	$0
Net gain/loss from 103.12 investment entities	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	$14,434
Employer contributions (assets) at end of year	2017-12-31	$2,978
Employer contributions (assets) at beginning of year	2017-12-31	$3,093
Income. Dividends from preferred stock	2017-12-31	$0
Income. Dividends from common stock	2017-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$5,504
Contract administrator fees	2017-12-31	$2,219
Liabilities. Value of benefit claims payable at beginning of year	2017-12-31	$0
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
Aggregate proceeds on sale of assets	2017-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2017-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2017-12-31	$0
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	CARON & BLETZER, PLLC
Accountancy firm EIN	2017-12-31	043499945
Unrealized appreciation/depreciation of real estate assets	2017-09-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2017-09-30	$0
Total unrealized appreciation/depreciation of assets	2017-09-30	$0
Total transfer of assets to this plan	2017-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-09-30	$0
Total income from all sources (including contributions)	2017-09-30	$224,124
Total loss/gain on sale of assets	2017-09-30	$0
Total of all expenses incurred	2017-09-30	$115,555
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-09-30	$107,505
Expenses. Certain deemed distributions of participant loans	2017-09-30	$0
Value of total corrective distributions	2017-09-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-09-30	$121,317
Value of total assets at end of year	2017-09-30	$1,048,948
Value of total assets at beginning of year	2017-09-30	$940,379
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-09-30	$8,050
Total income from rents	2017-09-30	$0
Total interest from all sources	2017-09-30	$6,269
Total dividends received (eg from common stock, registered investment company shares)	2017-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-09-30	$0
Administrative expenses professional fees incurred	2017-09-30	$0
Was this plan covered by a fidelity bond	2017-09-30	Yes
Value of fidelity bond cover	2017-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2017-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-09-30	No
Amount of non-exempt transactions with any party-in-interest	2017-09-30	$0
Contributions received from participants	2017-09-30	$66,774
Participant contributions at end of year	2017-09-30	$142,554
Participant contributions at beginning of year	2017-09-30	$149,053
Participant contributions at end of year	2017-09-30	$3,929
Participant contributions at beginning of year	2017-09-30	$3,087
Income. Received or receivable in cash from other sources (including rollovers)	2017-09-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2017-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-09-30	$0
Other income not declared elsewhere	2017-09-30	$-1,076
Administrative expenses (other) incurred	2017-09-30	$0
Liabilities. Value of operating payables at beginning of year	2017-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-09-30	No
Value of net income/loss	2017-09-30	$108,569
Value of net assets at end of year (total assets less liabilities)	2017-09-30	$1,048,948
Value of net assets at beginning of year (total assets less liabilities)	2017-09-30	$940,379
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-09-30	No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2017-09-30	$0
Were any leases to which the plan was party in default or uncollectible	2017-09-30	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2017-09-30	$0
Investment advisory and management fees	2017-09-30	$0
Value of interest in pooled separate accounts at end of year	2017-09-30	$793,921
Value of interest in pooled separate accounts at beginning of year	2017-09-30	$672,553
Interest on participant loans	2017-09-30	$5,513
Income. Interest from loans (other than to participants)	2017-09-30	$0
Interest earned on other investments	2017-09-30	$756
Income. Interest from US Government securities	2017-09-30	$0
Income. Interest from corporate debt instruments	2017-09-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-09-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-09-30	$105,451
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-09-30	$113,135
Expenses. Payments to insurance carriers foe the provision of benefits	2017-09-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-09-30	$0
Net investment gain/loss from pooled separate accounts	2017-09-30	$97,614
Net investment gain or loss from common/collective trusts	2017-09-30	$0
Net gain/loss from 103.12 investment entities	2017-09-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-09-30	No
Was there a failure to transmit to the plan any participant contributions	2017-09-30	Yes
Has the plan failed to provide any benefit when due under the plan	2017-09-30	No
Contributions received in cash from employer	2017-09-30	$54,543
Employer contributions (assets) at end of year	2017-09-30	$3,093
Employer contributions (assets) at beginning of year	2017-09-30	$2,551
Income. Dividends from preferred stock	2017-09-30	$0
Income. Dividends from common stock	2017-09-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-09-30	$107,505
Contract administrator fees	2017-09-30	$8,050
Liabilities. Value of benefit claims payable at beginning of year	2017-09-30	$0
Did the plan have assets held for investment	2017-09-30	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	2017-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-09-30	No
Aggregate proceeds on sale of assets	2017-09-30	$0
Aggregate carrying amount (costs) on sale of assets	2017-09-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2017-09-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-09-30	No
Opinion of an independent qualified public accountant for this plan	2017-09-30	Disclaimer
Accountancy firm name	2017-09-30	CARON & BLETZER, PLLC
Accountancy firm EIN	2017-09-30	043499945
2016 : MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets	2016-09-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2016-09-30	$0
Total unrealized appreciation/depreciation of assets	2016-09-30	$0
Total transfer of assets to this plan	2016-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-09-30	$0
Total income from all sources (including contributions)	2016-09-30	$168,094
Total loss/gain on sale of assets	2016-09-30	$0
Total of all expenses incurred	2016-09-30	$69,828
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-09-30	$62,122
Expenses. Certain deemed distributions of participant loans	2016-09-30	$0
Value of total corrective distributions	2016-09-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-09-30	$109,986
Value of total assets at end of year	2016-09-30	$940,379
Value of total assets at beginning of year	2016-09-30	$842,113
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-09-30	$7,706
Total income from rents	2016-09-30	$0
Total interest from all sources	2016-09-30	$5,749
Total dividends received (eg from common stock, registered investment company shares)	2016-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-09-30	$0
Administrative expenses professional fees incurred	2016-09-30	$0
Was this plan covered by a fidelity bond	2016-09-30	Yes
Value of fidelity bond cover	2016-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2016-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-09-30	No
Amount of non-exempt transactions with any party-in-interest	2016-09-30	$0
Contributions received from participants	2016-09-30	$63,742
Participant contributions at end of year	2016-09-30	$149,053
Participant contributions at beginning of year	2016-09-30	$142,137
Participant contributions at end of year	2016-09-30	$3,087
Participant contributions at beginning of year	2016-09-30	$2,321
Income. Received or receivable in cash from other sources (including rollovers)	2016-09-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2016-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-09-30	$0
Other income not declared elsewhere	2016-09-30	$-5,201
Administrative expenses (other) incurred	2016-09-30	$0
Liabilities. Value of operating payables at beginning of year	2016-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-09-30	No
Value of net income/loss	2016-09-30	$98,266
Value of net assets at end of year (total assets less liabilities)	2016-09-30	$940,379
Value of net assets at beginning of year (total assets less liabilities)	2016-09-30	$842,113
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-09-30	No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2016-09-30	$0
Were any leases to which the plan was party in default or uncollectible	2016-09-30	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2016-09-30	$0
Investment advisory and management fees	2016-09-30	$0
Value of interest in pooled separate accounts at end of year	2016-09-30	$672,553
Value of interest in pooled separate accounts at beginning of year	2016-09-30	$579,333
Interest on participant loans	2016-09-30	$4,867
Income. Interest from loans (other than to participants)	2016-09-30	$0
Interest earned on other investments	2016-09-30	$882
Income. Interest from US Government securities	2016-09-30	$0
Income. Interest from corporate debt instruments	2016-09-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-09-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-09-30	$113,135
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-09-30	$116,511
Expenses. Payments to insurance carriers foe the provision of benefits	2016-09-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-09-30	$0
Net investment gain/loss from pooled separate accounts	2016-09-30	$57,560
Net investment gain or loss from common/collective trusts	2016-09-30	$0
Net gain/loss from 103.12 investment entities	2016-09-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-09-30	No
Was there a failure to transmit to the plan any participant contributions	2016-09-30	Yes
Has the plan failed to provide any benefit when due under the plan	2016-09-30	No
Contributions received in cash from employer	2016-09-30	$46,244
Employer contributions (assets) at end of year	2016-09-30	$2,551
Employer contributions (assets) at beginning of year	2016-09-30	$1,811
Income. Dividends from preferred stock	2016-09-30	$0
Income. Dividends from common stock	2016-09-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-09-30	$62,122
Contract administrator fees	2016-09-30	$7,706
Liabilities. Value of benefit claims payable at beginning of year	2016-09-30	$0
Did the plan have assets held for investment	2016-09-30	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	2016-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-09-30	No
Aggregate proceeds on sale of assets	2016-09-30	$0
Aggregate carrying amount (costs) on sale of assets	2016-09-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2016-09-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-09-30	Disclaimer
Accountancy firm name	2016-09-30	CARON & BLETZER, PLLC
Accountancy firm EIN	2016-09-30	043499945
2015 : MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets	2015-09-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2015-09-30	$0
Total unrealized appreciation/depreciation of assets	2015-09-30	$0
Total transfer of assets to this plan	2015-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-30	$0
Total income from all sources (including contributions)	2015-09-30	$141,304
Total loss/gain on sale of assets	2015-09-30	$0
Total of all expenses incurred	2015-09-30	$240,189
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-09-30	$231,428
Expenses. Certain deemed distributions of participant loans	2015-09-30	$0
Value of total corrective distributions	2015-09-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-09-30	$123,751
Value of total assets at end of year	2015-09-30	$842,113
Value of total assets at beginning of year	2015-09-30	$940,998
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-09-30	$8,761
Total income from rents	2015-09-30	$0
Total interest from all sources	2015-09-30	$6,135
Total dividends received (eg from common stock, registered investment company shares)	2015-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-09-30	$0
Administrative expenses professional fees incurred	2015-09-30	$0
Was this plan covered by a fidelity bond	2015-09-30	Yes
Value of fidelity bond cover	2015-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2015-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-09-30	No
Amount of non-exempt transactions with any party-in-interest	2015-09-30	$0
Contributions received from participants	2015-09-30	$59,340
Participant contributions at end of year	2015-09-30	$142,137
Participant contributions at beginning of year	2015-09-30	$125,967
Participant contributions at end of year	2015-09-30	$2,321
Participant contributions at beginning of year	2015-09-30	$8,618
Income. Received or receivable in cash from other sources (including rollovers)	2015-09-30	$19,005
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2015-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-09-30	$0
Other income not declared elsewhere	2015-09-30	$6,782
Administrative expenses (other) incurred	2015-09-30	$0
Liabilities. Value of operating payables at beginning of year	2015-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-09-30	No
Value of net income/loss	2015-09-30	$-98,885
Value of net assets at end of year (total assets less liabilities)	2015-09-30	$842,113
Value of net assets at beginning of year (total assets less liabilities)	2015-09-30	$940,998
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-09-30	No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2015-09-30	$0
Were any leases to which the plan was party in default or uncollectible	2015-09-30	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2015-09-30	$0
Investment advisory and management fees	2015-09-30	$0
Value of interest in pooled separate accounts at end of year	2015-09-30	$579,333
Value of interest in pooled separate accounts at beginning of year	2015-09-30	$664,964
Interest on participant loans	2015-09-30	$5,220
Income. Interest from loans (other than to participants)	2015-09-30	$0
Interest earned on other investments	2015-09-30	$915
Income. Interest from US Government securities	2015-09-30	$0
Income. Interest from corporate debt instruments	2015-09-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-09-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-09-30	$116,511
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-09-30	$135,178
Expenses. Payments to insurance carriers foe the provision of benefits	2015-09-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-09-30	$0
Net investment gain/loss from pooled separate accounts	2015-09-30	$4,636
Net investment gain or loss from common/collective trusts	2015-09-30	$0
Net gain/loss from 103.12 investment entities	2015-09-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-09-30	No
Was there a failure to transmit to the plan any participant contributions	2015-09-30	Yes
Has the plan failed to provide any benefit when due under the plan	2015-09-30	No
Contributions received in cash from employer	2015-09-30	$45,406
Employer contributions (assets) at end of year	2015-09-30	$1,811
Employer contributions (assets) at beginning of year	2015-09-30	$6,271
Income. Dividends from preferred stock	2015-09-30	$0
Income. Dividends from common stock	2015-09-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-09-30	$231,428
Contract administrator fees	2015-09-30	$8,761
Liabilities. Value of benefit claims payable at beginning of year	2015-09-30	$0
Did the plan have assets held for investment	2015-09-30	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	2015-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-09-30	No
Aggregate proceeds on sale of assets	2015-09-30	$0
Aggregate carrying amount (costs) on sale of assets	2015-09-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2015-09-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-09-30	Disclaimer
Accountancy firm name	2015-09-30	CARON & BLETZER, PLLC
Accountancy firm EIN	2015-09-30	043499945
2014 : MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets	2014-09-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2014-09-30	$0
Total unrealized appreciation/depreciation of assets	2014-09-30	$0
Total transfer of assets to this plan	2014-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$0
Total income from all sources (including contributions)	2014-09-30	$196,448
Total loss/gain on sale of assets	2014-09-30	$0
Total of all expenses incurred	2014-09-30	$153,713
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-09-30	$138,432
Expenses. Certain deemed distributions of participant loans	2014-09-30	$5,358
Value of total corrective distributions	2014-09-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-09-30	$131,530
Value of total assets at end of year	2014-09-30	$940,998
Value of total assets at beginning of year	2014-09-30	$898,263
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-09-30	$9,923
Total income from rents	2014-09-30	$0
Total interest from all sources	2014-09-30	$5,812
Total dividends received (eg from common stock, registered investment company shares)	2014-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-09-30	$0
Administrative expenses professional fees incurred	2014-09-30	$0
Was this plan covered by a fidelity bond	2014-09-30	Yes
Value of fidelity bond cover	2014-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2014-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2014-09-30	No
Amount of non-exempt transactions with any party-in-interest	2014-09-30	$0
Contributions received from participants	2014-09-30	$75,134
Participant contributions at end of year	2014-09-30	$125,967
Participant contributions at beginning of year	2014-09-30	$95,337
Participant contributions at end of year	2014-09-30	$8,618
Participant contributions at beginning of year	2014-09-30	$24,837
Income. Received or receivable in cash from other sources (including rollovers)	2014-09-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2014-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-09-30	$0
Other income not declared elsewhere	2014-09-30	$-1,542
Administrative expenses (other) incurred	2014-09-30	$0
Liabilities. Value of operating payables at beginning of year	2014-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-09-30	No
Value of net income/loss	2014-09-30	$42,735
Value of net assets at end of year (total assets less liabilities)	2014-09-30	$940,998
Value of net assets at beginning of year (total assets less liabilities)	2014-09-30	$898,263
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-09-30	No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2014-09-30	$0
Were any leases to which the plan was party in default or uncollectible	2014-09-30	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2014-09-30	$0
Investment advisory and management fees	2014-09-30	$0
Value of interest in pooled separate accounts at end of year	2014-09-30	$664,964
Value of interest in pooled separate accounts at beginning of year	2014-09-30	$629,645
Interest on participant loans	2014-09-30	$4,667
Income. Interest from loans (other than to participants)	2014-09-30	$0
Interest earned on other investments	2014-09-30	$1,145
Income. Interest from US Government securities	2014-09-30	$0
Income. Interest from corporate debt instruments	2014-09-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-09-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-09-30	$135,178
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-09-30	$129,209
Expenses. Payments to insurance carriers foe the provision of benefits	2014-09-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-09-30	$0
Net investment gain/loss from pooled separate accounts	2014-09-30	$60,648
Net investment gain or loss from common/collective trusts	2014-09-30	$0
Net gain/loss from 103.12 investment entities	2014-09-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-09-30	No
Was there a failure to transmit to the plan any participant contributions	2014-09-30	Yes
Has the plan failed to provide any benefit when due under the plan	2014-09-30	No
Contributions received in cash from employer	2014-09-30	$56,396
Employer contributions (assets) at end of year	2014-09-30	$6,271
Employer contributions (assets) at beginning of year	2014-09-30	$19,235
Income. Dividends from preferred stock	2014-09-30	$0
Income. Dividends from common stock	2014-09-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-09-30	$138,432
Contract administrator fees	2014-09-30	$9,923
Liabilities. Value of benefit claims payable at beginning of year	2014-09-30	$0
Did the plan have assets held for investment	2014-09-30	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	2014-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-09-30	No
Aggregate proceeds on sale of assets	2014-09-30	$0
Aggregate carrying amount (costs) on sale of assets	2014-09-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2014-09-30	$0
Opinion of an independent qualified public accountant for this plan	2014-09-30	Disclaimer
Accountancy firm name	2014-09-30	JAMES MOORE AND COMPANY
Accountancy firm EIN	2014-09-30	593204548
2013 : MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets	2013-09-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2013-09-30	$0
Total unrealized appreciation/depreciation of assets	2013-09-30	$0
Total transfer of assets to this plan	2013-09-30	$0
Total transfer of assets from this plan	2013-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$0
Total income from all sources (including contributions)	2013-09-30	$291,977
Total loss/gain on sale of assets	2013-09-30	$0
Total of all expenses incurred	2013-09-30	$312,959
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-09-30	$303,601
Expenses. Certain deemed distributions of participant loans	2013-09-30	$372
Value of total corrective distributions	2013-09-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-09-30	$162,152
Value of total assets at end of year	2013-09-30	$898,263
Value of total assets at beginning of year	2013-09-30	$919,245
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-09-30	$8,986
Total income from rents	2013-09-30	$0
Total interest from all sources	2013-09-30	$5,202
Total dividends received (eg from common stock, registered investment company shares)	2013-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-09-30	$0
Administrative expenses professional fees incurred	2013-09-30	$0
Was this plan covered by a fidelity bond	2013-09-30	Yes
Value of fidelity bond cover	2013-09-30	$100,000
If this is an individual account plan, was there a blackout period	2013-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-09-30	No
Amount of non-exempt transactions with any party-in-interest	2013-09-30	$0
Contributions received from participants	2013-09-30	$90,705
Participant contributions at end of year	2013-09-30	$95,337
Participant contributions at beginning of year	2013-09-30	$86,972
Participant contributions at end of year	2013-09-30	$24,837
Participant contributions at beginning of year	2013-09-30	$6,320
Income. Received or receivable in cash from other sources (including rollovers)	2013-09-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2013-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-09-30	$0
Other income not declared elsewhere	2013-09-30	$-1,029
Administrative expenses (other) incurred	2013-09-30	$0
Liabilities. Value of operating payables at beginning of year	2013-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-09-30	No
Value of net income/loss	2013-09-30	$-20,982
Value of net assets at end of year (total assets less liabilities)	2013-09-30	$898,263
Value of net assets at beginning of year (total assets less liabilities)	2013-09-30	$919,245
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-09-30	No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2013-09-30	$0
Were any leases to which the plan was party in default or uncollectible	2013-09-30	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2013-09-30	$0
Investment advisory and management fees	2013-09-30	$0
Value of interest in pooled separate accounts at end of year	2013-09-30	$629,645
Value of interest in pooled separate accounts at beginning of year	2013-09-30	$695,370
Interest on participant loans	2013-09-30	$3,269
Income. Interest from loans (other than to participants)	2013-09-30	$0
Interest earned on other investments	2013-09-30	$1,933
Income. Interest from US Government securities	2013-09-30	$0
Income. Interest from corporate debt instruments	2013-09-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-09-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-09-30	$129,209
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-09-30	$125,278
Expenses. Payments to insurance carriers foe the provision of benefits	2013-09-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-09-30	$0
Net investment gain/loss from pooled separate accounts	2013-09-30	$125,652
Net investment gain or loss from common/collective trusts	2013-09-30	$0
Net gain/loss from 103.12 investment entities	2013-09-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-09-30	No
Was there a failure to transmit to the plan any participant contributions	2013-09-30	Yes
Has the plan failed to provide any benefit when due under the plan	2013-09-30	No
Contributions received in cash from employer	2013-09-30	$71,447
Employer contributions (assets) at end of year	2013-09-30	$19,235
Employer contributions (assets) at beginning of year	2013-09-30	$5,305
Income. Dividends from preferred stock	2013-09-30	$0
Income. Dividends from common stock	2013-09-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-09-30	$303,601
Contract administrator fees	2013-09-30	$8,986
Liabilities. Value of benefit claims payable at beginning of year	2013-09-30	$0
Did the plan have assets held for investment	2013-09-30	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	2013-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-09-30	No
Aggregate proceeds on sale of assets	2013-09-30	$0
Aggregate carrying amount (costs) on sale of assets	2013-09-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2013-09-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-09-30	Disclaimer
Accountancy firm name	2013-09-30	JAMES MOORE & CO., PL
Accountancy firm EIN	2013-09-30	593204548
2012 : MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2012 401k financial data
Unrealized appreciation/depreciation of real estate assets	2012-09-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2012-09-30	$0
Total unrealized appreciation/depreciation of assets	2012-09-30	$0
Total transfer of assets to this plan	2012-09-30	$0
Total transfer of assets from this plan	2012-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-09-30	$0
Total income from all sources (including contributions)	2012-09-30	$285,637
Total loss/gain on sale of assets	2012-09-30	$0
Total of all expenses incurred	2012-09-30	$371,287
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-09-30	$371,512
Expenses. Certain deemed distributions of participant loans	2012-09-30	$-8,387
Value of total corrective distributions	2012-09-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-09-30	$168,571
Value of total assets at end of year	2012-09-30	$919,245
Value of total assets at beginning of year	2012-09-30	$1,004,895
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-09-30	$8,162
Total income from rents	2012-09-30	$0
Total interest from all sources	2012-09-30	$6,348
Total dividends received (eg from common stock, registered investment company shares)	2012-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-09-30	$0
Administrative expenses professional fees incurred	2012-09-30	$0
Was this plan covered by a fidelity bond	2012-09-30	Yes
Value of fidelity bond cover	2012-09-30	$100,000
If this is an individual account plan, was there a blackout period	2012-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-09-30	No
Amount of non-exempt transactions with any party-in-interest	2012-09-30	$0
Contributions received from participants	2012-09-30	$81,556
Participant contributions at end of year	2012-09-30	$86,972
Participant contributions at beginning of year	2012-09-30	$59,702
Participant contributions at end of year	2012-09-30	$6,320
Participant contributions at beginning of year	2012-09-30	$2,810
Income. Received or receivable in cash from other sources (including rollovers)	2012-09-30	$18,727
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2012-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-09-30	$0
Other income not declared elsewhere	2012-09-30	$285
Administrative expenses (other) incurred	2012-09-30	$0
Liabilities. Value of operating payables at beginning of year	2012-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-09-30	No
Value of net income/loss	2012-09-30	$-85,650
Value of net assets at end of year (total assets less liabilities)	2012-09-30	$919,245
Value of net assets at beginning of year (total assets less liabilities)	2012-09-30	$1,004,895
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-09-30	No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2012-09-30	$0
Were any leases to which the plan was party in default or uncollectible	2012-09-30	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2012-09-30	$0
Investment advisory and management fees	2012-09-30	$0
Value of interest in pooled separate accounts at end of year	2012-09-30	$695,370
Value of interest in pooled separate accounts at beginning of year	2012-09-30	$706,101
Interest on participant loans	2012-09-30	$3,138
Income. Interest from loans (other than to participants)	2012-09-30	$0
Interest earned on other investments	2012-09-30	$3,210
Income. Interest from US Government securities	2012-09-30	$0
Income. Interest from corporate debt instruments	2012-09-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-09-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-09-30	$125,278
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-09-30	$233,907
Expenses. Payments to insurance carriers foe the provision of benefits	2012-09-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-09-30	$0
Net investment gain/loss from pooled separate accounts	2012-09-30	$110,433
Net investment gain or loss from common/collective trusts	2012-09-30	$0
Net gain/loss from 103.12 investment entities	2012-09-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-09-30	No
Was there a failure to transmit to the plan any participant contributions	2012-09-30	Yes
Has the plan failed to provide any benefit when due under the plan	2012-09-30	No
Contributions received in cash from employer	2012-09-30	$68,288
Employer contributions (assets) at end of year	2012-09-30	$5,305
Employer contributions (assets) at beginning of year	2012-09-30	$2,375
Income. Dividends from preferred stock	2012-09-30	$0
Income. Dividends from common stock	2012-09-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-09-30	$371,512
Contract administrator fees	2012-09-30	$8,162
Liabilities. Value of benefit claims payable at beginning of year	2012-09-30	$0
Did the plan have assets held for investment	2012-09-30	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	2012-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-09-30	No
Aggregate proceeds on sale of assets	2012-09-30	$0
Aggregate carrying amount (costs) on sale of assets	2012-09-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2012-09-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-09-30	Disclaimer
Accountancy firm name	2012-09-30	JAMES MOORE & CO., P.L.
Accountancy firm EIN	2012-09-30	593204548
2011 : MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets	2011-09-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2011-09-30	$0
Total unrealized appreciation/depreciation of assets	2011-09-30	$0
Total transfer of assets to this plan	2011-09-30	$0
Total transfer of assets from this plan	2011-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-09-30	$0
Total income from all sources (including contributions)	2011-09-30	$135,892
Total loss/gain on sale of assets	2011-09-30	$0
Total of all expenses incurred	2011-09-30	$217,297
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-09-30	$103,948
Expenses. Certain deemed distributions of participant loans	2011-09-30	$104,604
Value of total corrective distributions	2011-09-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-09-30	$128,116
Value of total assets at end of year	2011-09-30	$1,004,895
Value of total assets at beginning of year	2011-09-30	$1,086,300
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-09-30	$8,745
Total income from rents	2011-09-30	$0
Total interest from all sources	2011-09-30	$9,154
Total dividends received (eg from common stock, registered investment company shares)	2011-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-09-30	$0
Administrative expenses professional fees incurred	2011-09-30	$0
Was this plan covered by a fidelity bond	2011-09-30	Yes
Value of fidelity bond cover	2011-09-30	$100,000
If this is an individual account plan, was there a blackout period	2011-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2011-09-30	No
Amount of non-exempt transactions with any party-in-interest	2011-09-30	$0
Contributions received from participants	2011-09-30	$69,514
Participant contributions at end of year	2011-09-30	$59,702
Participant contributions at beginning of year	2011-09-30	$185,169
Participant contributions at end of year	2011-09-30	$2,810
Participant contributions at beginning of year	2011-09-30	$2,549
Income. Received or receivable in cash from other sources (including rollovers)	2011-09-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2011-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-09-30	$0
Other income not declared elsewhere	2011-09-30	$-481
Administrative expenses (other) incurred	2011-09-30	$0
Liabilities. Value of operating payables at beginning of year	2011-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-09-30	No
Value of net income/loss	2011-09-30	$-81,405
Value of net assets at end of year (total assets less liabilities)	2011-09-30	$1,004,895
Value of net assets at beginning of year (total assets less liabilities)	2011-09-30	$1,086,300
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-09-30	No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2011-09-30	$0
Were any leases to which the plan was party in default or uncollectible	2011-09-30	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2011-09-30	$0
Investment advisory and management fees	2011-09-30	$0
Value of interest in pooled separate accounts at end of year	2011-09-30	$706,101
Value of interest in pooled separate accounts at beginning of year	2011-09-30	$661,403
Interest on participant loans	2011-09-30	$3,198
Income. Interest from loans (other than to participants)	2011-09-30	$0
Interest earned on other investments	2011-09-30	$5,956
Income. Interest from US Government securities	2011-09-30	$0
Income. Interest from corporate debt instruments	2011-09-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-09-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-09-30	$233,907
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-09-30	$235,136
Expenses. Payments to insurance carriers foe the provision of benefits	2011-09-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-09-30	$0
Net investment gain/loss from pooled separate accounts	2011-09-30	$-897
Net investment gain or loss from common/collective trusts	2011-09-30	$0
Net gain/loss from 103.12 investment entities	2011-09-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-09-30	No
Was there a failure to transmit to the plan any participant contributions	2011-09-30	Yes
Has the plan failed to provide any benefit when due under the plan	2011-09-30	No
Contributions received in cash from employer	2011-09-30	$58,602
Employer contributions (assets) at end of year	2011-09-30	$2,375
Employer contributions (assets) at beginning of year	2011-09-30	$2,043
Income. Dividends from preferred stock	2011-09-30	$0
Income. Dividends from common stock	2011-09-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-09-30	$103,948
Contract administrator fees	2011-09-30	$8,745
Liabilities. Value of benefit claims payable at beginning of year	2011-09-30	$0
Did the plan have assets held for investment	2011-09-30	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	2011-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-09-30	No
Aggregate proceeds on sale of assets	2011-09-30	$0
Aggregate carrying amount (costs) on sale of assets	2011-09-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2011-09-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-09-30	Disclaimer
Accountancy firm name	2011-09-30	JAMES MOORE & CO., P.L.
Accountancy firm EIN	2011-09-30	593204548
2010 : MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-09-30	$0

Form 5500 Responses for MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN

2021: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
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 funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
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 funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2017: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2017 form 5500 responses
2017-10-01	Type of plan entity	Single employer plan
2017-10-01	This submission is the final filing	No
2017-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-10-01	Plan is a collectively bargained plan	No
2017-10-01	Plan funding arrangement – Insurance	Yes
2017-10-01	Plan funding arrangement – Trust	Yes
2017-10-01	Plan benefit arrangement – Insurance	Yes
2017-10-01	Plan benefit arrangement - Trust	Yes
2016: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	This submission is the final filing	No
2016-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-10-01	Plan is a collectively bargained plan	No
2016-10-01	Plan funding arrangement – Insurance	Yes
2016-10-01	Plan funding arrangement – Trust	Yes
2016-10-01	Plan benefit arrangement – Insurance	Yes
2016-10-01	Plan benefit arrangement - Trust	Yes
2015: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Submission has been amended	Yes
2015-10-01	This submission is the final filing	No
2015-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-10-01	Plan is a collectively bargained plan	No
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan funding arrangement – Trust	Yes
2015-10-01	Plan benefit arrangement – Insurance	Yes
2015-10-01	Plan benefit arrangement - Trust	Yes
2014: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan funding arrangement – Trust	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement - Trust	Yes
2013: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan funding arrangement – Trust	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement - Trust	Yes
2012: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	No
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan funding arrangement – Trust	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement - Trust	Yes
2011: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	No
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan funding arrangement – Trust	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement - Trust	Yes
2010: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2010 form 5500 responses
2010-10-01	Type of plan entity	Single employer plan
2010-10-01	This submission is the final filing	No
2010-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-10-01	Plan is a collectively bargained plan	No
2010-10-01	Plan funding arrangement – Insurance	Yes
2010-10-01	Plan funding arrangement – Trust	Yes
2010-10-01	Plan benefit arrangement – Insurance	Yes
2010-10-01	Plan benefit arrangement - Trust	Yes
2009: MIRACLE HILL NURSING AND CONVALESCENT CENTER, INC. SAFE HARBOR PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	Yes
2009-10-01	This submission is the final filing	No
2009-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-10-01	Plan is a collectively bargained plan	No
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan funding arrangement – Trust	Yes
2009-10-01	Plan benefit arrangement – Insurance	Yes
2009-10-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	535957
Policy instance	1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	535957
Policy instance	1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	364623
Policy instance	2
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	364623
Policy instance	1

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Company Name:	MIRACLE HILL NURSING AND REHABILITATION CENTER, INC.
Employer identification number (EIN):	591275598
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities