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KALESTA HEALTHCARE GROUP, LLC RETIREMENT PLAN 401k Plan overview

Plan NameKALESTA HEALTHCARE GROUP, LLC RETIREMENT PLAN
Plan identification number 001

KALESTA HEALTHCARE GROUP, LLC RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

KALESTA HEALTHCARE GROUP, LLC has sponsored the creation of one or more 401k plans.

Company Name:KALESTA HEALTHCARE GROUP, LLC
Employer identification number (EIN):824438703
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KALESTA HEALTHCARE GROUP, LLC RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-01-01
0012020-01-01
0012020-01-01
0012019-01-01
0012019-01-01
0012019-01-01

Plan Statistics for KALESTA HEALTHCARE GROUP, LLC RETIREMENT PLAN

401k plan membership statisitcs for KALESTA HEALTHCARE GROUP, LLC RETIREMENT PLAN

Measure Date Value
2021: KALESTA HEALTHCARE GROUP, LLC RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01667
Total number of active participants reported on line 7a of the Form 55002021-01-01994
Number of retired or separated participants receiving benefits2021-01-018
Number of other retired or separated participants entitled to future benefits2021-01-018
Total of all active and inactive participants2021-01-011,010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-011,010
Number of participants with account balances2021-01-01129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0113
2020: KALESTA HEALTHCARE GROUP, LLC RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01619
Total number of active participants reported on line 7a of the Form 55002020-01-01661
Number of other retired or separated participants entitled to future benefits2020-01-016
Total of all active and inactive participants2020-01-01667
Total participants2020-01-01667
Number of participants with account balances2020-01-0165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-014
2019: KALESTA HEALTHCARE GROUP, LLC RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01141
Total number of active participants reported on line 7a of the Form 55002019-01-01602
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-011
Total of all active and inactive participants2019-01-01603
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01603
Number of participants with account balances2019-01-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-011

Financial Data on KALESTA HEALTHCARE GROUP, LLC RETIREMENT PLAN

Measure Date Value
2021 : KALESTA HEALTHCARE GROUP, LLC RETIREMENT PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,162
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$4,195
Total income from all sources (including contributions)2021-12-31$1,710,340
Total of all expenses incurred2021-12-31$338,698
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$313,109
Expenses. Certain deemed distributions of participant loans2021-12-31$1,162
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,439,276
Value of total assets at end of year2021-12-31$2,604,049
Value of total assets at beginning of year2021-12-31$1,235,440
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$24,427
Total interest from all sources2021-12-31$219
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$120,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$540,379
Participant contributions at end of year2021-12-31$32,864
Participant contributions at beginning of year2021-12-31$2,478
Participant contributions at beginning of year2021-12-31$42,031
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$819,886
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$1,743
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$1,162
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$4,195
Administrative expenses (other) incurred2021-12-31$555
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,371,642
Value of net assets at end of year (total assets less liabilities)2021-12-31$2,602,887
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$1,231,245
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$270,333
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$16,083
Value of interest in pooled separate accounts at end of year2021-12-31$31,800
Value of interest in pooled separate accounts at beginning of year2021-12-31$5,431
Interest on participant loans2021-12-31$202
Value of interest in common/collective trusts at end of year2021-12-31$2,265,451
Value of interest in common/collective trusts at beginning of year2021-12-31$1,165,174
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$17
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$3,601
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$270,845
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$79,011
Employer contributions (assets) at beginning of year2021-12-31$2,500
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$313,109
Contract administrator fees2021-12-31$23,872
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
2020 : KALESTA HEALTHCARE GROUP, LLC RETIREMENT PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$4,195
Total income from all sources (including contributions)2020-12-31$591,150
Total of all expenses incurred2020-12-31$66,761
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$58,039
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$453,658
Value of total assets at end of year2020-12-31$1,193,531
Value of total assets at beginning of year2020-12-31$669,142
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$8,722
Total interest from all sources2020-12-31$52
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$111
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$111
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$120,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$179,513
Participant contributions at end of year2020-12-31$2,478
Participant contributions at end of year2020-12-31$3,832
Participant contributions at beginning of year2020-12-31$25,853
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$250,025
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$1,743
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$874
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$4,195
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$524,389
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,193,531
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$669,142
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$16,083
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$3,047
Value of interest in pooled separate accounts at end of year2020-12-31$5,431
Value of interest in pooled separate accounts at beginning of year2020-12-31$3,234
Interest on participant loans2020-12-31$52
Interest earned on other investments2020-12-31$1,743
Value of interest in common/collective trusts at end of year2020-12-31$1,165,174
Value of interest in common/collective trusts at beginning of year2020-12-31$629,335
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$2,648
Net investment gain/loss from pooled separate accounts2020-12-31$874
Net investment gain or loss from common/collective trusts2020-12-31$133,807
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$24,120
Employer contributions (assets) at end of year2020-12-31$533
Employer contributions (assets) at beginning of year2020-12-31$6,799
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$58,039
Contract administrator fees2020-12-31$8,722
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31EIDE BAILLY LLP
Accountancy firm EIN2020-12-31450250958
2019 : KALESTA HEALTHCARE GROUP, LLC RETIREMENT PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$676,038
Total of all expenses incurred2019-12-31$40,422
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$36,769
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$632,048
Value of total assets at end of year2019-12-31$635,616
Value of total assets at beginning of year2019-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$3,653
Total interest from all sources2019-12-31$874
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$22
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$22
Was this plan covered by a fidelity bond2019-12-31No
Value of fidelity bond cover2019-12-31$120,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$61,769
Participant contributions at end of year2019-12-31$25,853
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$561,881
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$874
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$635,616
Value of net assets at end of year (total assets less liabilities)2019-12-31$635,616
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$3,047
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$0
Value of interest in pooled separate accounts at end of year2019-12-31$3,234
Value of interest in pooled separate accounts at beginning of year2019-12-31$0
Interest earned on other investments2019-12-31$874
Value of interest in common/collective trusts at end of year2019-12-31$629,335
Value of interest in common/collective trusts at beginning of year2019-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$7
Net investment gain/loss from pooled separate accounts2019-12-31$216
Net investment gain or loss from common/collective trusts2019-12-31$43,745
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$8,398
Employer contributions (assets) at end of year2019-12-31$6,799
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$36,769
Contract administrator fees2019-12-31$3,653
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31EIDE BAILLLY LLP
Accountancy firm EIN2019-12-31450250958

Form 5500 Responses for KALESTA HEALTHCARE GROUP, LLC RETIREMENT PLAN

2021: KALESTA HEALTHCARE GROUP, LLC RETIREMENT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: KALESTA HEALTHCARE GROUP, LLC RETIREMENT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: KALESTA HEALTHCARE GROUP, LLC RETIREMENT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01First time form 5500 has been submittedYes
2019-01-01Submission has been amendedYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number
Policy instance 1
Number of Individuals Covered1170
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $3
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number722944
Policy instance 1
Insurance contract or identification number722944
Number of Individuals Covered637
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $18
Total amount of fees paid to insurance companyUSD $2
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18
Insurance broker organization code?3
Amount paid for insurance broker fees2
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number722944
Policy instance 1
Insurance contract or identification number722944
Number of Individuals Covered335
Insurance policy start date2019-04-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $2
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2
Insurance broker organization code?3

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