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| Plan Name | HOME CARE PROVIDERS, INC. EMPLYEE BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | NIGHTINGALE HOME HEALTHCARE, INC. |
| Employer identification number (EIN): | 351985793 |
| NAIC Classification: | 621610 |
| NAIC Description: | Home Health Care Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2009-09-01 | JOSEPH SAFFA | JOSEPH SAFFA | 2011-03-30 |
| Measure | Date | Value |
|---|---|---|
| 2009: HOME CARE PROVIDERS, INC. EMPLYEE BENEFIT PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-09-01 | 85 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-09-01 | 96 |
| Number of retired or separated participants receiving benefits | 2009-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-09-01 | 0 |
| Total of all active and inactive participants | 2009-09-01 | 96 |
| Measure | Date | Value |
|---|---|---|
| 2011 : HOME CARE PROVIDERS, INC. EMPLYEE BENEFIT PLAN 2011 401k financial data | ||
| Total plan liabilities at end of year | 2011-08-31 | $2,808 |
| Total plan liabilities at beginning of year | 2011-08-31 | $26,432 |
| Total income from all sources | 2011-08-31 | $892,157 |
| Expenses. Total of all expenses incurred | 2011-08-31 | $900,592 |
| Benefits paid (including direct rollovers) | 2011-08-31 | $832,137 |
| Total plan assets at end of year | 2011-08-31 | $36,945 |
| Total plan assets at beginning of year | 2011-08-31 | $69,004 |
| Total contributions received or receivable from participants | 2011-08-31 | $362,138 |
| Net income (gross income less expenses) | 2011-08-31 | $-8,435 |
| Net plan assets at end of year (total assets less liabilities) | 2011-08-31 | $34,137 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-08-31 | $42,572 |
| Total contributions received or receivable from employer(s) | 2011-08-31 | $530,019 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2011-08-31 | $68,455 |
| 2009: HOME CARE PROVIDERS, INC. EMPLYEE BENEFIT PLAN 2009 form 5500 responses | ||
|---|---|---|
| 2009-09-01 | Type of plan entity | Single employer plan |
| 2009-09-01 | First time form 5500 has been submitted | Yes |
| 2009-09-01 | Submission has been amended | No |
| 2009-09-01 | This submission is the final filing | No |
| 2009-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-09-01 | Plan is a collectively bargained plan | No |
| 2009-09-01 | Plan funding arrangement – Insurance | Yes |
| 2009-09-01 | Plan funding arrangement – Trust | Yes |
| 2009-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-09-01 | Plan benefit arrangement - Trust | Yes |
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