401k Plan data: HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN plan

HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 401k Plan overview

Plan Name	HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN
Plan identification number	001

HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

HOSPICE OF MEDINA COUNTY has sponsored the creation of one or more 401k plans.

Company Name: HOSPICE OF MEDINA COUNTY

Employer identification number (EIN): 341363926

NAIC Classification: 621498
NAIC Description: All Other Outpatient Care Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 WILLIAM E FINN
001 2015-01-01 WILLIAM E. FINN
001 2014-01-01 MITZI KERR
001 2013-01-01 MITZI KERR
001 2012-01-01 PATRICIA STROPKO O'LEARY
001 2011-01-01 PATRICIA STROPKO O'LEARY
001 2010-01-01 PATRICIA STROPKO O'LEARY

Plan id#	Filing Submission Date	Name of Administrator
001	2016-01-01	WILLIAM E FINN
001	2015-01-01	WILLIAM E. FINN
001	2014-01-01	MITZI KERR
001	2013-01-01	MITZI KERR
001	2012-01-01	PATRICIA STROPKO O'LEARY
001	2011-01-01	PATRICIA STROPKO O'LEARY
001	2010-01-01	PATRICIA STROPKO O'LEARY

Plan Statistics for HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN

401k plan membership statisitcs for HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN

Measure Date Value
2016: HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 83
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 170
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 118
Number of retired or separated participants receiving benefits 2015-01-01 1
Number of other retired or separated participants entitled to future benefits 2015-01-01 20
Total of all active and inactive participants 2015-01-01 139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 139
Number of participants with account balances 2015-01-01 81
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 161
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 149
Number of retired or separated participants receiving benefits 2014-01-01 2
Number of other retired or separated participants entitled to future benefits 2014-01-01 21
Total of all active and inactive participants 2014-01-01 172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 172
Number of participants with account balances 2014-01-01 93
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 3
2013: HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 123
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 85
Number of retired or separated participants receiving benefits 2013-01-01 1
Number of other retired or separated participants entitled to future benefits 2013-01-01 19
Total of all active and inactive participants 2013-01-01 105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 105
Number of participants with account balances 2013-01-01 100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 9
2012: HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 126
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 94
Number of retired or separated participants receiving benefits 2012-01-01 2
Number of other retired or separated participants entitled to future benefits 2012-01-01 19
Total of all active and inactive participants 2012-01-01 115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 115
Number of participants with account balances 2012-01-01 99
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 4
2011: HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 134
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 125
Number of retired or separated participants receiving benefits 2011-01-01 3
Number of other retired or separated participants entitled to future benefits 2011-01-01 8
Total of all active and inactive participants 2011-01-01 136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 136
Number of participants with account balances 2011-01-01 100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 2
2010: HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 132
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 106
Number of retired or separated participants receiving benefits 2010-01-01 3
Number of other retired or separated participants entitled to future benefits 2010-01-01 11
Total of all active and inactive participants 2010-01-01 120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 120
Number of participants with account balances 2010-01-01 92
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 1

Measure	Date	Value
2016: HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	83
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	170
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	118
Number of retired or separated participants receiving benefits	2015-01-01	1
Number of other retired or separated participants entitled to future benefits	2015-01-01	20
Total of all active and inactive participants	2015-01-01	139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	139
Number of participants with account balances	2015-01-01	81
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	161
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	149
Number of retired or separated participants receiving benefits	2014-01-01	2
Number of other retired or separated participants entitled to future benefits	2014-01-01	21
Total of all active and inactive participants	2014-01-01	172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	172
Number of participants with account balances	2014-01-01	93
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	3
2013: HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	123
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	85
Number of retired or separated participants receiving benefits	2013-01-01	1
Number of other retired or separated participants entitled to future benefits	2013-01-01	19
Total of all active and inactive participants	2013-01-01	105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	105
Number of participants with account balances	2013-01-01	100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	9
2012: HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	126
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	94
Number of retired or separated participants receiving benefits	2012-01-01	2
Number of other retired or separated participants entitled to future benefits	2012-01-01	19
Total of all active and inactive participants	2012-01-01	115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	115
Number of participants with account balances	2012-01-01	99
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	4
2011: HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	134
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	125
Number of retired or separated participants receiving benefits	2011-01-01	3
Number of other retired or separated participants entitled to future benefits	2011-01-01	8
Total of all active and inactive participants	2011-01-01	136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	136
Number of participants with account balances	2011-01-01	100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	2
2010: HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	132
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	106
Number of retired or separated participants receiving benefits	2010-01-01	3
Number of other retired or separated participants entitled to future benefits	2010-01-01	11
Total of all active and inactive participants	2010-01-01	120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	120
Number of participants with account balances	2010-01-01	92
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	1

Financial Data on HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN

Measure	Date	Value
2016 : HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-11-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-11-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-11-30	$1,155
Total income from all sources (including contributions)	2016-11-30	$-1,536
Total loss/gain on sale of assets	2016-11-30	$0
Total of all expenses incurred	2016-11-30	$2,090,450
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-11-30	$2,082,548
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-11-30	$0
Value of total assets at end of year	2016-11-30	$0
Value of total assets at beginning of year	2016-11-30	$2,093,141
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-11-30	$7,902
Total interest from all sources	2016-11-30	$315
Total dividends received (eg from common stock, registered investment company shares)	2016-11-30	$8,857
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-11-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-11-30	$0
Total dividends received from registered investment company shares (eg mutual funds)	2016-11-30	$8,857
Was this plan covered by a fidelity bond	2016-11-30	Yes
Value of fidelity bond cover	2016-11-30	$500,000
If this is an individual account plan, was there a blackout period	2016-11-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-11-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-11-30	No
Liabilities. Value of operating payables at end of year	2016-11-30	$0
Liabilities. Value of operating payables at beginning of year	2016-11-30	$1,155
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-11-30	No
Value of net income/loss	2016-11-30	$-2,091,986
Value of net assets at end of year (total assets less liabilities)	2016-11-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-11-30	$2,091,986
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-11-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-11-30	No
Were any leases to which the plan was party in default or uncollectible	2016-11-30	No
Investment advisory and management fees	2016-11-30	$7,902
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-11-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-11-30	$1,824,492
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-11-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-11-30	$268,649
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-11-30	$268,649
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-11-30	$315
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-11-30	$-10,708
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-11-30	No
Was there a failure to transmit to the plan any participant contributions	2016-11-30	No
Has the plan failed to provide any benefit when due under the plan	2016-11-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-11-30	$2,082,548
Did the plan have assets held for investment	2016-11-30	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	2016-11-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-11-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-11-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-11-30	Disclaimer
Accountancy firm name	2016-11-30	HW&CO.
Accountancy firm EIN	2016-11-30	341663157
2015 : HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$1,155
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$117,923
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$310,671
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$305,599
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$126,998
Value of total assets at end of year	2015-12-31	$2,093,141
Value of total assets at beginning of year	2015-12-31	$2,284,734
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$5,072
Total interest from all sources	2015-12-31	$248
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$136,672
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$136,672
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$126,978
Participant contributions at end of year	2015-12-31	$0
Participant contributions at beginning of year	2015-12-31	$4,542
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$20
Liabilities. Value of operating payables at end of year	2015-12-31	$1,155
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-192,748
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$2,091,986
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$2,284,734
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$5,072
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$1,824,492
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$1,987,477
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$268,649
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$292,715
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$292,715
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$248
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-145,995
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$305,599
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Aggregate proceeds on sale of assets	2015-12-31	$343,446
Aggregate carrying amount (costs) on sale of assets	2015-12-31	$343,446
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	HW&CO.
Accountancy firm EIN	2015-12-31	341663157
2014 : HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$285,390
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$183,421
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$180,035
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$157,514
Value of total assets at end of year	2014-12-31	$2,284,734
Value of total assets at beginning of year	2014-12-31	$2,182,765
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$3,386
Total interest from all sources	2014-12-31	$67
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$137,844
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$137,844
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$600,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$148,281
Participant contributions at end of year	2014-12-31	$4,542
Participant contributions at beginning of year	2014-12-31	$3,880
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$9,233
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$101,969
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$2,284,734
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$2,182,765
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$3,386
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$1,987,477
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$1,868,691
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$292,715
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$310,194
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$310,194
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$67
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$-10,035
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$180,035
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Aggregate proceeds on sale of assets	2014-12-31	$213,645
Aggregate carrying amount (costs) on sale of assets	2014-12-31	$213,645
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	LAURA J. MACDONALD CPA, INC.
Accountancy firm EIN	2014-12-31	341840478
2013 : HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$495,167
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$284,366
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$277,816
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$159,954
Value of total assets at end of year	2013-12-31	$2,182,765
Value of total assets at beginning of year	2013-12-31	$1,971,964
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$6,550
Total interest from all sources	2013-12-31	$159
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$103,749
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$103,749
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$200,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$158,178
Participant contributions at end of year	2013-12-31	$3,880
Participant contributions at beginning of year	2013-12-31	$3,603
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$210,801
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$2,182,765
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$1,971,964
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$6,550
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$1,868,691
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$1,548,331
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$310,194
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$301,528
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$301,528
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$159
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$231,305
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$1,776
Employer contributions (assets) at beginning of year	2013-12-31	$118,502
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$277,816
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	LAURA J. MACDONALD CPA, INC.
Accountancy firm EIN	2013-12-31	341840478
2012 : HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$586,616
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$377,465
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$370,839
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$390,066
Value of total assets at end of year	2012-12-31	$1,971,964
Value of total assets at beginning of year	2012-12-31	$1,762,813
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$6,626
Total interest from all sources	2012-12-31	$446
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$58,854
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$58,854
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$200,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$154,307
Participant contributions at end of year	2012-12-31	$3,603
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$9,443
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$209,151
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$1,971,964
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,762,813
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$6,626
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$1,548,331
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,511,906
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$301,528
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$250,907
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$250,907
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$446
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$137,250
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$226,316
Employer contributions (assets) at end of year	2012-12-31	$118,502
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$370,839
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	LAURA J. MACDONALD CPA, INC.
Accountancy firm EIN	2012-12-31	341840478
2011 : HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$221,596
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$134,670
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$129,708
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$242,967
Value of total assets at end of year	2011-12-31	$1,762,813
Value of total assets at beginning of year	2011-12-31	$1,675,887
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$4,962
Total interest from all sources	2011-12-31	$308
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$40,928
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$40,928
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$200,000
If this is an individual account plan, was there a blackout period	2011-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$137,515
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$1,797
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$86,926
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,762,813
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,675,887
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$4,962
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$1,511,906
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$1,388,803
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$250,907
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$214,981
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$214,981
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$308
Asset value of US Government securities at beginning of year	2011-12-31	$72,103
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-62,607
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$103,655
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$129,708
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	Yes
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	DYER, HUGHES, ROCHE & WILSON, INC.
Accountancy firm EIN	2011-12-31	201954047
2010 : HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$424,346
Total loss/gain on sale of assets	2010-12-31	$250
Total of all expenses incurred	2010-12-31	$63,091
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$57,655
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$232,730
Value of total assets at end of year	2010-12-31	$1,675,887
Value of total assets at beginning of year	2010-12-31	$1,314,632
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$5,436
Total interest from all sources	2010-12-31	$1,586
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$15,664
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$15,664
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$200,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$142,812
Total non interest bearing cash at end of year	2010-12-31	$0
Total non interest bearing cash at beginning of year	2010-12-31	$5,401
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$361,255
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,675,887
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,314,632
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$5,436
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$1,388,803
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$1,036,758
Income. Interest from US Government securities	2010-12-31	$1,229
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$214,981
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$204,288
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$204,288
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$357
Asset value of US Government securities at end of year	2010-12-31	$72,103
Asset value of US Government securities at beginning of year	2010-12-31	$68,185
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$174,116
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$89,918
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$57,655
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Aggregate proceeds on sale of assets	2010-12-31	$10,849
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$10,599
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	DYER, HUGHES, ROCHE & WILSON, INC.
Accountancy firm EIN	2010-12-31	201954047

Form 5500 Responses for HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN

2016: HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: HOSPICE OF MEDINA COUNTY 403(B) AND PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	HOSPICE OF MEDINA COUNTY
Employer identification number (EIN):	341363926
NAIC Classification:	621498
NAIC Description:	All Other Outpatient Care Centers