Solve the following math problem efficiently and clearly:

- For simple problems (2 steps or fewer):
Provide a concise solution with minimal explanation.

- For complex problems (3 steps or more):
Use this step-by-step format:

## Step 1: [Concise description]
[Brief explanation and calculations]

## Step 2: [Concise description]
[Brief explanation and calculations]

...

Regardless of the approach, always conclude with:

Therefore, the final answer is: $oxed{answer}$. I hope it is correct.

Where [answer] is just the final number or expression that solves the problem.

Problem: The equation of the ellipse shown below can be written as
\[\frac{(x - h)^2}{a^2} + \frac{(y - k)^2}{b^2} = 1.\]Find $h + k + a + b.$

[asy]
unitsize(0.3 cm);

int i, n = 10;

for (i = -n; i <= n; ++i) {
  draw((i,-n)--(i,n),gray(0.7));
  draw((-n,i)--(n,i),gray(0.7));
}

draw((0,-n)--(0,n));
draw((-n,0)--(n,0));

draw(shift((-4,2))*xscale(5)*yscale(3)*Circle((0,0),1),red);

dot((-4,2));
[/asy]
user