401k Plan data: COVENANT HOSPICE RETIREMENT SAVINGS PLAN plan

COVENANT HOSPICE RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	COVENANT HOSPICE RETIREMENT SAVINGS PLAN
Plan identification number	001

COVENANT HOSPICE RETIREMENT SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

COVENANT HOSPICE, INC. has sponsored the creation of one or more 401k plans.

Company Name: COVENANT HOSPICE, INC.

Employer identification number (EIN): 592208300

NAIC Classification: 621610
NAIC Description: Home Health Care Services

Additional information about COVENANT HOSPICE, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 1981-08-04

Company Identification Number: 759452

Legal Registered Office Address: 501 COMMENDENCIA ST

PENSACOLA

32502

More information about COVENANT HOSPICE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COVENANT HOSPICE RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01
001 2015-01-01
001 2014-01-01 JEFF MISLEVY
001 2013-01-01 AMY BAJJALY
001 2012-01-01 AMY BAJJALY
001 2011-01-01 AMY BAJJALY
001 2010-01-01 AMY A. BAJJALY
001 2009-01-01 AMY A BAJJALY

Plan Statistics for COVENANT HOSPICE RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for COVENANT HOSPICE RETIREMENT SAVINGS PLAN

Measure Date Value
2016: COVENANT HOSPICE RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 751
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 666
Number of retired or separated participants receiving benefits 2016-01-01 12
Number of other retired or separated participants entitled to future benefits 2016-01-01 149
Total of all active and inactive participants 2016-01-01 827
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 827
Number of participants with account balances 2016-01-01 720
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 14
2015: COVENANT HOSPICE RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 778
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 634
Number of retired or separated participants receiving benefits 2015-01-01 13
Number of other retired or separated participants entitled to future benefits 2015-01-01 139
Total of all active and inactive participants 2015-01-01 786
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 786
Number of participants with account balances 2015-01-01 570
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 30
2014: COVENANT HOSPICE RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 838
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 685
Number of retired or separated participants receiving benefits 2014-01-01 8
Number of other retired or separated participants entitled to future benefits 2014-01-01 110
Total of all active and inactive participants 2014-01-01 803
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 803
Number of participants with account balances 2014-01-01 562
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 12
2013: COVENANT HOSPICE RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 937
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 698
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 146
Total of all active and inactive participants 2013-01-01 844
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 844
Number of participants with account balances 2013-01-01 576
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 6
2012: COVENANT HOSPICE RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 922
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 855
Number of retired or separated participants receiving benefits 2012-01-01 10
Number of other retired or separated participants entitled to future benefits 2012-01-01 93
Total of all active and inactive participants 2012-01-01 958
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 958
Number of participants with account balances 2012-01-01 582
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 8
2011: COVENANT HOSPICE RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 940
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 885
Number of retired or separated participants receiving benefits 2011-01-01 8
Number of other retired or separated participants entitled to future benefits 2011-01-01 67
Total of all active and inactive participants 2011-01-01 960
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 960
Number of participants with account balances 2011-01-01 461
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 4
2010: COVENANT HOSPICE RETIREMENT SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 953
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 865
Number of retired or separated participants receiving benefits 2010-01-01 5
Number of other retired or separated participants entitled to future benefits 2010-01-01 70
Total of all active and inactive participants 2010-01-01 940
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 940
Number of participants with account balances 2010-01-01 457
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 6
2009: COVENANT HOSPICE RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,026
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 848
Number of retired or separated participants receiving benefits 2009-01-01 5
Number of other retired or separated participants entitled to future benefits 2009-01-01 100
Total of all active and inactive participants 2009-01-01 953
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 953
Number of participants with account balances 2009-01-01 489
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 11

Measure	Date	Value
2016: COVENANT HOSPICE RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	751
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	666
Number of retired or separated participants receiving benefits	2016-01-01	12
Number of other retired or separated participants entitled to future benefits	2016-01-01	149
Total of all active and inactive participants	2016-01-01	827
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	827
Number of participants with account balances	2016-01-01	720
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	14
2015: COVENANT HOSPICE RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	778
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	634
Number of retired or separated participants receiving benefits	2015-01-01	13
Number of other retired or separated participants entitled to future benefits	2015-01-01	139
Total of all active and inactive participants	2015-01-01	786
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	786
Number of participants with account balances	2015-01-01	570
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	30
2014: COVENANT HOSPICE RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	838
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	685
Number of retired or separated participants receiving benefits	2014-01-01	8
Number of other retired or separated participants entitled to future benefits	2014-01-01	110
Total of all active and inactive participants	2014-01-01	803
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	803
Number of participants with account balances	2014-01-01	562
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	12
2013: COVENANT HOSPICE RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	937
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	698
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	146
Total of all active and inactive participants	2013-01-01	844
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	844
Number of participants with account balances	2013-01-01	576
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	6
2012: COVENANT HOSPICE RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	922
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	855
Number of retired or separated participants receiving benefits	2012-01-01	10
Number of other retired or separated participants entitled to future benefits	2012-01-01	93
Total of all active and inactive participants	2012-01-01	958
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	958
Number of participants with account balances	2012-01-01	582
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	8
2011: COVENANT HOSPICE RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	940
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	885
Number of retired or separated participants receiving benefits	2011-01-01	8
Number of other retired or separated participants entitled to future benefits	2011-01-01	67
Total of all active and inactive participants	2011-01-01	960
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	960
Number of participants with account balances	2011-01-01	461
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	4
2010: COVENANT HOSPICE RETIREMENT SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	953
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	865
Number of retired or separated participants receiving benefits	2010-01-01	5
Number of other retired or separated participants entitled to future benefits	2010-01-01	70
Total of all active and inactive participants	2010-01-01	940
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	940
Number of participants with account balances	2010-01-01	457
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	6
2009: COVENANT HOSPICE RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,026
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	848
Number of retired or separated participants receiving benefits	2009-01-01	5
Number of other retired or separated participants entitled to future benefits	2009-01-01	100
Total of all active and inactive participants	2009-01-01	953
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	953
Number of participants with account balances	2009-01-01	489
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	11

Financial Data on COVENANT HOSPICE RETIREMENT SAVINGS PLAN

Measure	Date	Value
2016 : COVENANT HOSPICE RETIREMENT SAVINGS 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	$-106
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$-106
Total income from all sources (including contributions)	2016-12-31	$2,009,515
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$2,488,757
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$2,414,042
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,202,522
Value of total assets at end of year	2016-12-31	$11,021,413
Value of total assets at beginning of year	2016-12-31	$11,500,655
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$74,715
Total interest from all sources	2016-12-31	$10,050
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$314,454
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	$314,454
Administrative expenses professional fees incurred	2016-12-31	$8,656
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$1,037,242
Participant contributions at end of year	2016-12-31	$233,787
Participant contributions at beginning of year	2016-12-31	$292,471
Participant contributions at end of year	2016-12-31	$31,298
Participant contributions at beginning of year	2016-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$60,318
Liabilities. Value of operating payables at end of year	2016-12-31	$-106
Liabilities. Value of operating payables at beginning of year	2016-12-31	$-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	2016-12-31	No
Value of net income/loss	2016-12-31	$-479,242
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$11,021,519
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$11,500,761
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
Investment advisory and management fees	2016-12-31	$8,662
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$10,538,071
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$11,101,548
Interest on participant loans	2016-12-31	$9,993
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$113,295
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$7,123
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$7,123
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$57
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$482,489
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	$104,962
Employer contributions (assets) at end of year	2016-12-31	$104,962
Employer contributions (assets) at beginning of year	2016-12-31	$99,513
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$2,414,042
Contract administrator fees	2016-12-31	$57,397
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	CARR, RIGGS & INGRAM, LLC
Accountancy firm EIN	2016-12-31	721396621
2015 : COVENANT HOSPICE RETIREMENT SAVINGS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$-106
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$-106
Total income from all sources (including contributions)	2015-12-31	$1,122,024
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$2,517,130
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$2,443,159
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,177,406
Value of total assets at end of year	2015-12-31	$11,500,655
Value of total assets at beginning of year	2015-12-31	$12,895,761
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$73,971
Total interest from all sources	2015-12-31	$14,422
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$486,569
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	$486,569
Administrative expenses professional fees incurred	2015-12-31	$9,037
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	$971,331
Participant contributions at end of year	2015-12-31	$292,471
Participant contributions at beginning of year	2015-12-31	$377,901
Participant contributions at end of year	2015-12-31	$0
Participant contributions at beginning of year	2015-12-31	$33,741
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$106,562
Liabilities. Value of operating payables at end of year	2015-12-31	$-106
Liabilities. Value of operating payables at beginning of year	2015-12-31	$-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	2015-12-31	No
Value of net income/loss	2015-12-31	$-1,395,106
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$11,500,761
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$12,895,867
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$9,049
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$11,101,548
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$12,352,894
Interest on participant loans	2015-12-31	$14,417
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$7,123
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$4,676
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$4,676
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$5
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-556,373
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$99,513
Employer contributions (assets) at end of year	2015-12-31	$99,513
Employer contributions (assets) at beginning of year	2015-12-31	$126,549
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$2,443,159
Contract administrator fees	2015-12-31	$55,885
Liabilities. Value of benefit claims payable at end of year	2015-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2015-12-31	$0
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	CARR, RIGGS & INGRAM, LLC
Accountancy firm EIN	2015-12-31	721396621
2014 : COVENANT HOSPICE RETIREMENT SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$-106
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$9,840
Total income from all sources (including contributions)	2014-12-31	$1,917,874
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$2,321,570
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$2,245,041
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,103,595
Value of total assets at end of year	2014-12-31	$12,895,761
Value of total assets at beginning of year	2014-12-31	$13,309,403
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$76,529
Total interest from all sources	2014-12-31	$12,936
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$403,444
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	$403,444
Administrative expenses professional fees incurred	2014-12-31	$9,440
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	$966,200
Participant contributions at end of year	2014-12-31	$377,901
Participant contributions at beginning of year	2014-12-31	$296,560
Participant contributions at end of year	2014-12-31	$33,741
Participant contributions at beginning of year	2014-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$10,846
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$0
Liabilities. Value of operating payables at end of year	2014-12-31	$-106
Liabilities. Value of operating payables at beginning of year	2014-12-31	$3,840
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	$-403,696
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$12,895,867
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$13,299,563
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$9,451
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$12,352,894
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$12,827,990
Interest on participant loans	2014-12-31	$12,934
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$4,676
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$51,329
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$51,329
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$2
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$397,899
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$126,549
Employer contributions (assets) at end of year	2014-12-31	$126,549
Employer contributions (assets) at beginning of year	2014-12-31	$133,524
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$2,245,041
Contract administrator fees	2014-12-31	$57,638
Liabilities. Value of benefit claims payable at end of year	2014-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2014-12-31	$6,000
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	CARR, RIGGS & INGRAM, LLC
Accountancy firm EIN	2014-12-31	721396621
2013 : COVENANT HOSPICE RETIREMENT SAVINGS 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	$9,840
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$834
Total income from all sources (including contributions)	2013-12-31	$3,277,615
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$1,210,069
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,137,467
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,352,533
Value of total assets at end of year	2013-12-31	$13,309,403
Value of total assets at beginning of year	2013-12-31	$11,232,851
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$72,602
Total interest from all sources	2013-12-31	$12,449
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$352,808
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	$352,808
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	$1,166,607
Participant contributions at end of year	2013-12-31	$296,560
Participant contributions at beginning of year	2013-12-31	$305,840
Participant contributions at end of year	2013-12-31	$0
Participant contributions at beginning of year	2013-12-31	$44,275
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$52,402
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$106
Administrative expenses (other) incurred	2013-12-31	$6,897
Liabilities. Value of operating payables at end of year	2013-12-31	$3,840
Liabilities. Value of operating payables at beginning of year	2013-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$2,067,546
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$13,299,563
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$11,232,017
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$17,744
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$12,827,990
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$10,404,000
Interest on participant loans	2013-12-31	$12,448
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$51,329
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$202,948
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$202,948
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$1
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$1,559,825
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	$133,524
Employer contributions (assets) at end of year	2013-12-31	$133,524
Employer contributions (assets) at beginning of year	2013-12-31	$275,682
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,137,467
Contract administrator fees	2013-12-31	$47,961
Liabilities. Value of benefit claims payable at end of year	2013-12-31	$6,000
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$834
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	CARR, RIGGS & INGRAM, LLC
Accountancy firm EIN	2013-12-31	721396621
2012 : COVENANT HOSPICE RETIREMENT SAVINGS 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	$834
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$462
Total income from all sources (including contributions)	2012-12-31	$2,658,370
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$897,061
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$825,794
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,510,221
Value of total assets at end of year	2012-12-31	$11,232,851
Value of total assets at beginning of year	2012-12-31	$9,471,170
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$71,267
Total interest from all sources	2012-12-31	$10,768
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$256,299
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	$256,299
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	$1,154,131
Participant contributions at end of year	2012-12-31	$305,840
Participant contributions at beginning of year	2012-12-31	$222,741
Participant contributions at end of year	2012-12-31	$44,275
Participant contributions at beginning of year	2012-12-31	$43,325
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$80,408
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$106
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$106
Liabilities. Value of operating payables at end of year	2012-12-31	$0
Liabilities. Value of operating payables at beginning of year	2012-12-31	$462
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	$1,761,309
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$11,232,017
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$9,470,708
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$22,751
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$10,404,000
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$8,587,389
Interest on participant loans	2012-12-31	$10,768
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$202,948
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$325,708
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$325,708
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$881,082
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	$275,682
Employer contributions (assets) at end of year	2012-12-31	$275,682
Employer contributions (assets) at beginning of year	2012-12-31	$291,901
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$825,794
Contract administrator fees	2012-12-31	$48,516
Liabilities. Value of benefit claims payable at end of year	2012-12-31	$834
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$0
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	CARR, RIGGS & INGRAM, LLC
Accountancy firm EIN	2012-12-31	721396621
2011 : COVENANT HOSPICE RETIREMENT SAVINGS 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	$462
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$710
Total income from all sources (including contributions)	2011-12-31	$1,549,951
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$778,193
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$720,386
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,556,814
Value of total assets at end of year	2011-12-31	$9,471,170
Value of total assets at beginning of year	2011-12-31	$8,699,660
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$57,807
Total interest from all sources	2011-12-31	$8,411
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$213,232
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	$213,232
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	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$1,152,685
Participant contributions at end of year	2011-12-31	$222,741
Participant contributions at beginning of year	2011-12-31	$167,328
Participant contributions at end of year	2011-12-31	$43,325
Participant contributions at beginning of year	2011-12-31	$40,536
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$112,228
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$106
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$106
Liabilities. Value of operating payables at end of year	2011-12-31	$462
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	$771,758
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$9,470,708
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$8,698,950
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$9,179
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$8,587,389
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$8,201,311
Interest on participant loans	2011-12-31	$8,411
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$325,708
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$5,271
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$5,271
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-228,506
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	$291,901
Employer contributions (assets) at end of year	2011-12-31	$291,901
Employer contributions (assets) at beginning of year	2011-12-31	$285,108
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$720,386
Contract administrator fees	2011-12-31	$48,628
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	No
Liabilities. Value of benefit claims payable at beginning of year	2011-12-31	$710
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	CARR, RIGGS & INGRAM, LLC
Accountancy firm EIN	2011-12-31	721396621
2010 : COVENANT HOSPICE RETIREMENT SAVINGS 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	$710
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$4,260
Total income from all sources (including contributions)	2010-12-31	$2,915,345
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$691,568
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$635,833
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$2,007,524
Value of total assets at end of year	2010-12-31	$8,699,660
Value of total assets at beginning of year	2010-12-31	$6,479,433
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$55,735
Total interest from all sources	2010-12-31	$4,624
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$180,402
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$180,402
Administrative expenses professional fees incurred	2010-12-31	$7,447
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
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	$1,113,815
Participant contributions at end of year	2010-12-31	$167,328
Participant contributions at beginning of year	2010-12-31	$55,606
Participant contributions at end of year	2010-12-31	$40,536
Participant contributions at beginning of year	2010-12-31	$49,634
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$608,601
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$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	2010-12-31	No
Value of net income/loss	2010-12-31	$2,223,777
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$8,698,950
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$6,475,173
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$6,491
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$8,201,311
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$6,106,259
Interest on participant loans	2010-12-31	$4,622
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$5,271
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$1,700
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$1,700
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$2
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$722,795
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	$285,108
Employer contributions (assets) at end of year	2010-12-31	$285,108
Employer contributions (assets) at beginning of year	2010-12-31	$266,234
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$635,833
Contract administrator fees	2010-12-31	$41,797
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
Liabilities. Value of benefit claims payable at end of year	2010-12-31	$710
Liabilities. Value of benefit claims payable at beginning of year	2010-12-31	$4,260
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	CARR, RIGGS & INGRAM, LLC
Accountancy firm EIN	2010-12-31	721396621

Form 5500 Responses for COVENANT HOSPICE RETIREMENT SAVINGS PLAN

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

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Company Name:	COVENANT HOSPICE, INC.
Employer identification number (EIN):	592208300
NAIC Classification:	621610
NAIC Description:	Home Health Care Services

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	1981-08-04
Company Identification Number:	759452
Legal Registered Office Address:	501 COMMENDENCIA ST PENSACOLA 32502