401k Plan data: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN plan

COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 401k Plan overview

Plan Name	COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN
Plan identification number	001

COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
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) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. has sponsored the creation of one or more 401k plans.

Company Name: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC.

Employer identification number (EIN): 591940256

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Additional information about COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 1978-11-27

Company Identification Number: 745062

Legal Registered Office Address: 4266 SUNBEAM ROAD

JACKSONVILLE

32257

More information about COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01
001 2018-01-01
001 2017-01-01 CARLOS BOSQUE
001 2017-01-01 CARLOS BOSQUE
001 2017-01-01 CARLOS BOSQUE
001 2016-01-01
001 2015-01-01
001 2015-01-01
001 2014-01-01
001 2014-01-01
001 2013-01-01 CARLOS BOSQUE
001 2012-01-01 CARLOS BOSQUE
001 2011-01-01 CARLOS BOSQUE
001 2010-01-01 CARLOS BOSQUE CARLOS BOOSQUE 2011-10-11
001 2009-01-01 CARLOS BOSQUE CARLOS BOSQUE 2010-10-07
001 2009-01-01 CARLOS BOSQUE CARLOS BOSQUE 2010-10-07
001 2009-01-01 CARLOS BOSQUE
001 2009-01-01 CARLOS BOSQUE 2010-10-07
001 2009-01-01 CARLOS BOSQUE 2010-10-07

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2019-01-01
001	2018-01-01
001	2017-01-01	CARLOS BOSQUE
001	2017-01-01	CARLOS BOSQUE
001	2017-01-01	CARLOS BOSQUE
001	2016-01-01
001	2015-01-01
001	2015-01-01
001	2014-01-01
001	2014-01-01
001	2013-01-01	CARLOS BOSQUE
001	2012-01-01	CARLOS BOSQUE
001	2011-01-01	CARLOS BOSQUE
001	2010-01-01	CARLOS BOSQUE	CARLOS BOOSQUE	2011-10-11
001	2009-01-01	CARLOS BOSQUE	CARLOS BOSQUE	2010-10-07
001	2009-01-01	CARLOS BOSQUE	CARLOS BOSQUE	2010-10-07
001	2009-01-01	CARLOS BOSQUE
001	2009-01-01		CARLOS BOSQUE	2010-10-07
001	2009-01-01		CARLOS BOSQUE	2010-10-07

Plan Statistics for COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN

401k plan membership statisitcs for COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN

Measure Date Value
2019: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,155
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 951
Number of retired or separated participants receiving benefits 2019-01-01 10
Number of other retired or separated participants entitled to future benefits 2019-01-01 272
Total of all active and inactive participants 2019-01-01 1,233
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 2
Total participants 2019-01-01 1,235
Number of participants with account balances 2019-01-01 1,104
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 65
2018: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,103
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 919
Number of retired or separated participants receiving benefits 2018-01-01 9
Number of other retired or separated participants entitled to future benefits 2018-01-01 226
Total of all active and inactive participants 2018-01-01 1,154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 1
Total participants 2018-01-01 1,155
Number of participants with account balances 2018-01-01 1,046
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 74
2017: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1,120
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 949
Number of retired or separated participants receiving benefits 2017-01-01 2
Number of other retired or separated participants entitled to future benefits 2017-01-01 149
Total of all active and inactive participants 2017-01-01 1,100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 1,100
Number of participants with account balances 2017-01-01 987
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 34
2016: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1,047
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 943
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 157
Total of all active and inactive participants 2016-01-01 1,100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 1,100
Number of participants with account balances 2016-01-01 1,018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 36
2015: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 943
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 887
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 160
Total of all active and inactive participants 2015-01-01 1,047
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 1,047
Number of participants with account balances 2015-01-01 970
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 48
2014: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 969
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 828
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 115
Total of all active and inactive participants 2014-01-01 943
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 943
Number of participants with account balances 2014-01-01 877
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 91
2013: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,118
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 860
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 109
Total of all active and inactive participants 2013-01-01 969
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 969
Number of participants with account balances 2013-01-01 911
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 73
2012: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,020
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 886
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 229
Total of all active and inactive participants 2012-01-01 1,115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 3
Total participants 2012-01-01 1,118
Number of participants with account balances 2012-01-01 1,037
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 61
2011: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 679
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 872
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 148
Total of all active and inactive participants 2011-01-01 1,020
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1,020
Number of participants with account balances 2011-01-01 910
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 42
2010: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 933
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 573
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 106
Total of all active and inactive participants 2010-01-01 679
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 679
Number of participants with account balances 2010-01-01 613
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 22
2009: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 887
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 696
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 103
Total of all active and inactive participants 2009-01-01 799
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 799
Number of participants with account balances 2009-01-01 632
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 29

Measure	Date	Value
2019: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,155
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	951
Number of retired or separated participants receiving benefits	2019-01-01	10
Number of other retired or separated participants entitled to future benefits	2019-01-01	272
Total of all active and inactive participants	2019-01-01	1,233
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	2
Total participants	2019-01-01	1,235
Number of participants with account balances	2019-01-01	1,104
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	65
2018: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,103
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	919
Number of retired or separated participants receiving benefits	2018-01-01	9
Number of other retired or separated participants entitled to future benefits	2018-01-01	226
Total of all active and inactive participants	2018-01-01	1,154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	1
Total participants	2018-01-01	1,155
Number of participants with account balances	2018-01-01	1,046
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	74
2017: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,120
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	949
Number of retired or separated participants receiving benefits	2017-01-01	2
Number of other retired or separated participants entitled to future benefits	2017-01-01	149
Total of all active and inactive participants	2017-01-01	1,100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	1,100
Number of participants with account balances	2017-01-01	987
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	34
2016: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1,047
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	943
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	157
Total of all active and inactive participants	2016-01-01	1,100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	1,100
Number of participants with account balances	2016-01-01	1,018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	36
2015: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	943
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	887
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	160
Total of all active and inactive participants	2015-01-01	1,047
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	1,047
Number of participants with account balances	2015-01-01	970
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	48
2014: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	969
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	828
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	115
Total of all active and inactive participants	2014-01-01	943
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	943
Number of participants with account balances	2014-01-01	877
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	91
2013: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,118
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	860
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	109
Total of all active and inactive participants	2013-01-01	969
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	969
Number of participants with account balances	2013-01-01	911
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	73
2012: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,020
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	886
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	229
Total of all active and inactive participants	2012-01-01	1,115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	3
Total participants	2012-01-01	1,118
Number of participants with account balances	2012-01-01	1,037
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	61
2011: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	679
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	872
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	148
Total of all active and inactive participants	2011-01-01	1,020
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1,020
Number of participants with account balances	2011-01-01	910
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	42
2010: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	933
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	573
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	106
Total of all active and inactive participants	2010-01-01	679
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	679
Number of participants with account balances	2010-01-01	613
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	22
2009: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	887
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	696
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	103
Total of all active and inactive participants	2009-01-01	799
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	799
Number of participants with account balances	2009-01-01	632
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	29

Financial Data on COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN

Measure	Date	Value
2019 : COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$9,714,316
Total of all expenses incurred	2019-12-31	$4,207,491
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$4,045,925
Expenses. Certain deemed distributions of participant loans	2019-12-31	$20,660
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$3,573,642
Value of total assets at end of year	2019-12-31	$34,378,097
Value of total assets at beginning of year	2019-12-31	$28,871,272
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$140,906
Total interest from all sources	2019-12-31	$67,969
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$567,343
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$567,343
Administrative expenses professional fees incurred	2019-12-31	$24,800
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$2,061,266
Participant contributions at end of year	2019-12-31	$482,096
Participant contributions at beginning of year	2019-12-31	$360,649
Participant contributions at end of year	2019-12-31	$75,232
Participant contributions at beginning of year	2019-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$165,034
Administrative expenses (other) incurred	2019-12-31	$96,106
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$5,506,825
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$34,378,097
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$28,871,272
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$20,000
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$30,677,185
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$25,312,556
Value of interest in pooled separate accounts at end of year	2019-12-31	$2,485,707
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$2,524,138
Interest on participant loans	2019-12-31	$55,447
Interest earned on other investments	2019-12-31	$12,522
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$608,310
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$673,929
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$5,461,870
Net investment gain/loss from pooled separate accounts	2019-12-31	$43,492
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$1,347,342
Employer contributions (assets) at end of year	2019-12-31	$49,567
Employer contributions (assets) at beginning of year	2019-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$4,045,925
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	2019-12-31	No
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	DIXON HUGHES GOODMAN LLP
Accountancy firm EIN	2019-12-31	560747981
2018 : COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$2,206,297
Total of all expenses incurred	2018-12-31	$3,893,594
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$3,754,888
Expenses. Certain deemed distributions of participant loans	2018-12-31	$8,060
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$3,598,246
Value of total assets at end of year	2018-12-31	$28,871,272
Value of total assets at beginning of year	2018-12-31	$30,558,569
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$130,646
Total interest from all sources	2018-12-31	$43,879
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$529,673
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	$529,673
Administrative expenses professional fees incurred	2018-12-31	$8,000
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$2,050,530
Participant contributions at end of year	2018-12-31	$360,649
Participant contributions at beginning of year	2018-12-31	$221,712
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$284,097
Administrative expenses (other) incurred	2018-12-31	$97,646
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	$-1,687,297
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$28,871,272
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$30,558,569
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$25,000
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$25,312,556
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$26,529,124
Value of interest in pooled separate accounts at end of year	2018-12-31	$2,524,138
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$889,994
Interest on participant loans	2018-12-31	$19,820
Interest earned on other investments	2018-12-31	$24,059
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$673,929
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$2,917,739
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-1,986,148
Net investment gain/loss from pooled separate accounts	2018-12-31	$20,647
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	No
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	$1,263,619
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$3,754,888
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	2018-12-31	No
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	DIXON HUGHES GOODMAN LLP
Accountancy firm EIN	2018-12-31	560747981
2017 : COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$7,579,654
Total of all expenses incurred	2017-12-31	$2,734,559
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$2,718,244
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$3,557,488
Value of total assets at end of year	2017-12-31	$30,558,569
Value of total assets at beginning of year	2017-12-31	$25,713,474
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$16,315
Total interest from all sources	2017-12-31	$281,203
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$247,059
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	$247,059
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$1,998,615
Participant contributions at end of year	2017-12-31	$221,712
Participant contributions at beginning of year	2017-12-31	$204,714
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$396,877
Administrative expenses (other) incurred	2017-12-31	$16,315
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	$4,845,095
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$30,558,569
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$25,713,474
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$26,529,124
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$21,929,578
Value of interest in pooled separate accounts at end of year	2017-12-31	$889,994
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$0
Interest on participant loans	2017-12-31	$9,689
Interest earned on other investments	2017-12-31	$271,514
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$2,917,739
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$3,579,182
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$3,492,273
Net investment gain/loss from pooled separate accounts	2017-12-31	$1,631
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	$1,161,996
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$2,718,244
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	2017-12-31	Yes
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	DIXON HUGHES GOODMAN LLP
Accountancy firm EIN	2017-12-31	560747981
2016 : COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$5,001,674
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$2,572,931
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$2,554,205
Value of total corrective distributions	2016-12-31	$2,401
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$3,686,481
Value of total assets at end of year	2016-12-31	$25,713,474
Value of total assets at beginning of year	2016-12-31	$23,284,731
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$16,325
Total interest from all sources	2016-12-31	$59,538
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$302,994
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$302,994
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$2,079,765
Participant contributions at end of year	2016-12-31	$204,714
Participant contributions at beginning of year	2016-12-31	$211,360
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$442,806
Total non interest bearing cash at end of year	2016-12-31	$0
Total non interest bearing cash at beginning of year	2016-12-31	$17,789
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$2,428,743
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$25,713,474
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$23,284,731
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$21,929,578
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$19,374,387
Interest on participant loans	2016-12-31	$9,010
Interest earned on other investments	2016-12-31	$50,528
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$3,579,182
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$3,681,195
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$952,661
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$1,163,910
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$2,554,205
Contract administrator fees	2016-12-31	$16,325
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	DIXON HUGHES GOODMAN LLP
Accountancy firm EIN	2016-12-31	560747981
2015 : COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$3,219,134
Total of all expenses incurred	2015-12-31	$1,194,761
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,130,090
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$3,163,011
Value of total assets at end of year	2015-12-31	$23,284,731
Value of total assets at beginning of year	2015-12-31	$21,260,358
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$64,671
Total interest from all sources	2015-12-31	$61,142
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$1,554,202
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$1,554,202
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	$1,857,548
Participant contributions at end of year	2015-12-31	$211,360
Participant contributions at beginning of year	2015-12-31	$218,609
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$244,067
Other income not declared elsewhere	2015-12-31	$0
Total non interest bearing cash at end of year	2015-12-31	$17,789
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	$2,024,373
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$23,284,731
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$21,260,358
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$19,374,387
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$17,666,271
Interest on participant loans	2015-12-31	$10,275
Interest earned on other investments	2015-12-31	$50,867
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$3,681,195
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$3,375,478
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-1,559,221
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$1,061,396
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,130,090
Contract administrator fees	2015-12-31	$64,671
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	DIXON HUGHES GOODMAN LLP
Accountancy firm EIN	2015-12-31	560747981
2014 : COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$3,720,793
Total of all expenses incurred	2014-12-31	$2,780,826
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$2,683,580
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$2,895,989
Value of total assets at end of year	2014-12-31	$21,260,358
Value of total assets at beginning of year	2014-12-31	$20,320,391
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$97,246
Total interest from all sources	2014-12-31	$62,922
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$924,417
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	$924,417
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$1,706,221
Participant contributions at end of year	2014-12-31	$218,609
Participant contributions at beginning of year	2014-12-31	$152,181
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$185,955
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	$939,967
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$21,260,358
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$20,320,391
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$17,666,271
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$16,274,663
Interest on participant loans	2014-12-31	$6,228
Interest earned on other investments	2014-12-31	$56,694
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$3,375,478
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$3,893,547
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$-162,535
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$1,003,813
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$2,683,580
Contract administrator fees	2014-12-31	$97,246
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	DIXON HUGHES GOODMAN LLP
Accountancy firm EIN	2014-12-31	560747981
2013 : COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT 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	$5,262,129
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$1,666,129
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,591,831
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$2,949,450
Value of total assets at end of year	2013-12-31	$20,320,391
Value of total assets at beginning of year	2013-12-31	$16,724,391
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$74,298
Total interest from all sources	2013-12-31	$71,938
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$525,968
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	$525,968
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
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	$1,746,716
Participant contributions at end of year	2013-12-31	$152,181
Participant contributions at beginning of year	2013-12-31	$111,580
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$184,459
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	$3,596,000
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$20,320,391
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$16,724,391
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$16,274,663
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$12,558,217
Interest on participant loans	2013-12-31	$5,550
Interest earned on other investments	2013-12-31	$66,388
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$105
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$105
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$3,893,547
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$4,054,489
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$1,714,773
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	$1,018,275
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,591,831
Contract administrator fees	2013-12-31	$74,298
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	DIXON HUGHES GOODMAN LLP
Accountancy firm EIN	2013-12-31	560747981
2012 : COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT 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	$4,092,581
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$1,329,150
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,272,342
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$2,745,749
Value of total assets at end of year	2012-12-31	$16,724,391
Value of total assets at beginning of year	2012-12-31	$13,960,960
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$56,808
Total interest from all sources	2012-12-31	$112,179
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$132,771
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	$132,771
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
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	$1,617,746
Participant contributions at end of year	2012-12-31	$111,580
Participant contributions at beginning of year	2012-12-31	$101,009
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$159,051
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	$2,763,431
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$16,724,391
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$13,960,960
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$12,558,217
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$9,119,537
Interest on participant loans	2012-12-31	$14,990
Interest earned on other investments	2012-12-31	$97,178
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$105
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$11
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$4,054,489
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$4,740,414
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$1,101,882
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	$968,952
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,272,342
Contract administrator fees	2012-12-31	$56,808
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	DIXON HUGHES GOODMAN LLP
Accountancy firm EIN	2012-12-31	560747981
2011 : COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT 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	$2,882,557
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$1,020,852
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$926,686
Expenses. Certain deemed distributions of participant loans	2011-12-31	$41,271
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$2,931,439
Value of total assets at end of year	2011-12-31	$13,960,960
Value of total assets at beginning of year	2011-12-31	$12,099,255
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$52,895
Total interest from all sources	2011-12-31	$145,897
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$200,714
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	$200,714
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
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	$1,526,826
Participant contributions at end of year	2011-12-31	$101,009
Participant contributions at beginning of year	2011-12-31	$167,289
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$559,369
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	$1,861,705
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$13,960,960
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$12,099,255
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$9,119,537
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$7,339,320
Interest on participant loans	2011-12-31	$10,105
Interest earned on other investments	2011-12-31	$135,749
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$43
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$4,740,414
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$4,592,646
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-395,493
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	$845,244
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$926,686
Contract administrator fees	2011-12-31	$52,895
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	DIXON HUGHES GOODMAN LLP
Accountancy firm EIN	2011-12-31	560747981
2010 : COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT 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	$2,908,223
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$551,002
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$512,611
Expenses. Certain deemed distributions of participant loans	2010-12-31	$25,914
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,905,340
Value of total assets at end of year	2010-12-31	$12,099,255
Value of total assets at beginning of year	2010-12-31	$9,742,034
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$12,477
Total interest from all sources	2010-12-31	$149,411
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Was this plan covered by a fidelity bond	2010-12-31	No
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$1,080,499
Participant contributions at end of year	2010-12-31	$167,289
Participant contributions at beginning of year	2010-12-31	$129,619
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$28,425
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	$2,357,221
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$12,099,255
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$9,742,034
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$7,339,320
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$5,521,262
Interest on participant loans	2010-12-31	$4,989
Interest earned on other investments	2010-12-31	$144,422
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$4,592,646
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$4,091,153
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$853,472
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	$796,416
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$512,611
Contract administrator fees	2010-12-31	$12,477
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	2010-12-31	No
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
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	DIXON HUGHES PLLC
Accountancy firm EIN	2010-12-31	560747981

Form 5500 Responses for COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN

2019: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT 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	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT 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 – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT 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 – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT 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 – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT 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 – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
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 – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 403(B) RETIREMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TA069876

Policy instance

Insurance contract or identification number	TA069876
Number of Individuals Covered	1076
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

65485

Policy instance

Insurance contract or identification number	65485
Number of Individuals Covered	64
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $409
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $368
Insurance broker organization code?	3

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

65485

Policy instance

Insurance contract or identification number	65485
Number of Individuals Covered	72
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $512
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $464
Insurance broker organization code?	3

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TA069876

Policy instance

Insurance contract or identification number	TA069876
Number of Individuals Covered	1019
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

TA069876

Policy instance

Insurance contract or identification number	TA069876
Number of Individuals Covered	1019
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

TA069876

Policy instance

Insurance contract or identification number	TA069876
Number of Individuals Covered	987
Insurance policy start date	2017-09-27
Insurance policy end date	2017-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-09-26
Total amount of commissions paid to insurance broker	USD $6,712
Total amount of fees paid to insurance company	USD $2,505
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 Broker	USD $6,712
Insurance broker organization code?	3
Amount paid for insurance broker fees	2505
Insurance broker name	NEWPORT GROUP

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TA069876

Policy instance

Insurance contract or identification number	TA069876
Number of Individuals Covered	987
Insurance policy start date	2017-09-27
Insurance policy end date	2017-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	1000
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $5,552
Total amount of fees paid to insurance company	USD $2,575
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 Broker	USD $5,552
Insurance broker organization code?	3
Amount paid for insurance broker fees	2575
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker name	VERISIGHT

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

65485

Policy instance

Insurance contract or identification number	65485
Number of Individuals Covered	100
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $502
Total amount of fees paid to insurance company	USD $0
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $441
Insurance broker organization code?	3
Insurance broker name	MICHAEL CAIRA

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

65485

Policy instance

Insurance contract or identification number	65485
Number of Individuals Covered	258
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $1,253
Total amount of fees paid to insurance company	USD $0
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $885
Insurance broker organization code?	3
Insurance broker name	DIANE CRAFTS

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	905
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $4,883
Total amount of fees paid to insurance company	USD $2,238
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 Broker	USD $4,883
Insurance broker organization code?	3
Amount paid for insurance broker fees	2238
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker name	VERISIGHT

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

65485

Policy instance

Insurance contract or identification number	65485
Number of Individuals Covered	280
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $1,993
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,229
Insurance broker organization code?	3
Insurance broker name	DIANE CRAFTS

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	952
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $31,292
Total amount of fees paid to insurance company	USD $20,726
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $31,292
Amount paid for insurance broker fees	4190
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker organization code?	3
Insurance broker name	VERISIGHT

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	943
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $18,788
Total amount of fees paid to insurance company	USD $14,458
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $18,788
Amount paid for insurance broker fees	2214
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker organization code?	3
Insurance broker name	VERISIGHT

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

65485

Policy instance

Insurance contract or identification number	65485
Number of Individuals Covered	308
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $1,568
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $989
Insurance broker organization code?	3
Insurance broker name	GERALD TYSON

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

65485

Policy instance

Insurance contract or identification number	65485
Number of Individuals Covered	354
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $1,081
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	775
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $15,845
Total amount of fees paid to insurance company	USD $12,150
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

65485

Policy instance

Insurance contract or identification number	65485
Number of Individuals Covered	659
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $25,844
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC.
Employer identification number (EIN):	591940256
NAIC Classification:	624100
NAIC Description:	Individual and Family Services

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	1978-11-27
Company Identification Number:	745062
Legal Registered Office Address:	4266 SUNBEAM ROAD JACKSONVILLE 32257