401k Plan data: KINDRED AT HOME 401(K) PLAN plan

KINDRED AT HOME 401(K) PLAN 401k Plan overview

Plan Name	KINDRED AT HOME 401(K) PLAN
Plan identification number	001

KINDRED AT HOME 401(K) 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 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
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.
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

GENTIVA HEALTH SERVICES (USA) LLC has sponsored the creation of one or more 401k plans.

Company Name: GENTIVA HEALTH SERVICES (USA) LLC

Employer identification number (EIN): 113414024

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about GENTIVA HEALTH SERVICES (USA) LLC

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1998-09-22

Company Identification Number: 0012302606

Legal Registered Office Address: 6330 SPRINT PKWY STE 300

OVERLAND PARK
United States of America (USA)
66211

More information about GENTIVA HEALTH SERVICES (USA) LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KINDRED AT HOME 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01
001 2020-01-01
001 2019-01-01

Plan Statistics for KINDRED AT HOME 401(K) PLAN

401k plan membership statisitcs for KINDRED AT HOME 401(K) PLAN

Measure Date Value
2021: KINDRED AT HOME 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 45,290
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 41,849
Number of retired or separated participants receiving benefits 2021-01-01 8
Number of other retired or separated participants entitled to future benefits 2021-01-01 2,762
Total of all active and inactive participants 2021-01-01 44,619
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 6
Total participants 2021-01-01 44,625
Number of participants with account balances 2021-01-01 12,550
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 765
2020: KINDRED AT HOME 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 47,004
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 42,637
Number of retired or separated participants receiving benefits 2020-01-01 7
Number of other retired or separated participants entitled to future benefits 2020-01-01 2,665
Total of all active and inactive participants 2020-01-01 45,309
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 2
Total participants 2020-01-01 45,311
Number of participants with account balances 2020-01-01 11,971
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 771
2019: KINDRED AT HOME 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 49,210
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 45,318
Number of retired or separated participants receiving benefits 2019-01-01 3
Number of other retired or separated participants entitled to future benefits 2019-01-01 1,688
Total of all active and inactive participants 2019-01-01 47,009
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 1
Total participants 2019-01-01 47,010
Number of participants with account balances 2019-01-01 11,526
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 1,178
Number of employers contributing to the scheme 2019-01-01 3

Measure	Date	Value
2021: KINDRED AT HOME 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	45,290
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	41,849
Number of retired or separated participants receiving benefits	2021-01-01	8
Number of other retired or separated participants entitled to future benefits	2021-01-01	2,762
Total of all active and inactive participants	2021-01-01	44,619
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	6
Total participants	2021-01-01	44,625
Number of participants with account balances	2021-01-01	12,550
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	765
2020: KINDRED AT HOME 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	47,004
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	42,637
Number of retired or separated participants receiving benefits	2020-01-01	7
Number of other retired or separated participants entitled to future benefits	2020-01-01	2,665
Total of all active and inactive participants	2020-01-01	45,309
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	2
Total participants	2020-01-01	45,311
Number of participants with account balances	2020-01-01	11,971
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	771
2019: KINDRED AT HOME 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	49,210
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	45,318
Number of retired or separated participants receiving benefits	2019-01-01	3
Number of other retired or separated participants entitled to future benefits	2019-01-01	1,688
Total of all active and inactive participants	2019-01-01	47,009
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	1
Total participants	2019-01-01	47,010
Number of participants with account balances	2019-01-01	11,526
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	1,178
Number of employers contributing to the scheme	2019-01-01	3

Financial Data on KINDRED AT HOME 401(K) PLAN

Measure	Date	Value
2021 : KINDRED AT HOME 401(K) PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$102,243
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$572,887
Total income from all sources (including contributions)	2021-12-31	$142,623,094
Total of all expenses incurred	2021-12-31	$53,020,849
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$52,300,041
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$63,553,515
Value of total assets at end of year	2021-12-31	$599,684,540
Value of total assets at beginning of year	2021-12-31	$510,552,939
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$720,808
Total interest from all sources	2021-12-31	$393,084
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$14,766,357
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$14,766,357
Administrative expenses professional fees incurred	2021-12-31	$16,328
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$51,773,228
Participant contributions at end of year	2021-12-31	$8,153,797
Participant contributions at beginning of year	2021-12-31	$7,200,705
Participant contributions at end of year	2021-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$6,784,691
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2021-12-31	$138,619
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-12-31	$11,520
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-12-31	$25,604
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$102,243
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$572,887
Administrative expenses (other) incurred	2021-12-31	$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	2021-12-31	No
Value of net income/loss	2021-12-31	$89,602,245
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$599,582,297
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$509,980,052
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$196,317,180
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$167,871,799
Value of interest in pooled separate accounts at end of year	2021-12-31	$34,306,468
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$33,774,606
Interest on participant loans	2021-12-31	$393,084
Value of interest in common/collective trusts at end of year	2021-12-31	$360,454,799
Value of interest in common/collective trusts at beginning of year	2021-12-31	$301,339,972
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$440,776
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$340,253
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$340,253
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$63,910,138
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$4,995,596
Employer contributions (assets) at end of year	2021-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$52,161,422
Contract administrator fees	2021-12-31	$704,480
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Liabilities. Value of acquisition indebtedness at beginning of year	2021-12-31	$0
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	FORVIS, LLP
Accountancy firm EIN	2021-12-31	440160260
2020 : KINDRED AT HOME 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$572,887
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$125,937,490
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$54,604,255
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$54,035,358
Expenses. Certain deemed distributions of participant loans	2020-12-31	$20,043
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$57,591,056
Value of total assets at end of year	2020-12-31	$510,552,939
Value of total assets at beginning of year	2020-12-31	$438,646,817
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$548,854
Total interest from all sources	2020-12-31	$407,716
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$4,424,572
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$4,424,572
Administrative expenses professional fees incurred	2020-12-31	$71,496
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$47,894,047
Participant contributions at end of year	2020-12-31	$7,200,705
Participant contributions at beginning of year	2020-12-31	$7,030,825
Participant contributions at end of year	2020-12-31	$0
Participant contributions at beginning of year	2020-12-31	$643,344
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$4,249,288
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2020-12-31	$291,060
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$25,604
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$15,607
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$572,887
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$0
Administrative expenses (other) incurred	2020-12-31	$477,358
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$71,333,235
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$509,980,052
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$438,646,817
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$167,871,799
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$155,651,454
Value of interest in pooled separate accounts at end of year	2020-12-31	$33,774,606
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$5,428,476
Interest on participant loans	2020-12-31	$405,693
Value of interest in common/collective trusts at end of year	2020-12-31	$301,339,972
Value of interest in common/collective trusts at beginning of year	2020-12-31	$269,518,652
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$340,253
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$265,766
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$265,766
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$2,023
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$12,387,807
Net investment gain or loss from common/collective trusts	2020-12-31	$51,126,339
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$5,447,721
Employer contributions (assets) at end of year	2020-12-31	$0
Employer contributions (assets) at beginning of year	2020-12-31	$92,693
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$53,744,298
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	BKD
Accountancy firm EIN	2020-12-31	440160260
2019 : KINDRED AT HOME 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total transfer of assets to this plan	2019-12-31	$355,255,402
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$127,603,139
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$44,211,724
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$43,832,785
Expenses. Certain deemed distributions of participant loans	2019-12-31	$52,540
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$66,574,029
Value of total assets at end of year	2019-12-31	$438,646,817
Value of total assets at beginning of year	2019-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$326,399
Total interest from all sources	2019-12-31	$267,225
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$4,890,344
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	$4,890,344
Administrative expenses professional fees incurred	2019-12-31	$300
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	Yes
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	$52,165,627
Participant contributions at end of year	2019-12-31	$7,030,825
Participant contributions at beginning of year	2019-12-31	$0
Participant contributions at end of year	2019-12-31	$643,344
Participant contributions at beginning of year	2019-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$7,950,293
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2019-12-31	$610,955
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$15,607
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$0
Administrative expenses (other) incurred	2019-12-31	$326,099
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	$83,391,415
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$438,646,817
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$0
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$155,651,454
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$0
Value of interest in pooled separate accounts at end of year	2019-12-31	$5,428,476
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$0
Interest on participant loans	2019-12-31	$260,155
Value of interest in common/collective trusts at end of year	2019-12-31	$269,518,652
Value of interest in common/collective trusts at beginning of year	2019-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$265,766
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$7,070
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$19,322,931
Net investment gain/loss from pooled separate accounts	2019-12-31	$123,234
Net investment gain or loss from common/collective trusts	2019-12-31	$36,425,376
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	$6,458,109
Employer contributions (assets) at end of year	2019-12-31	$92,693
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	$43,221,830
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	Yes
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	BKD
Accountancy firm EIN	2019-12-31	440160260

Form 5500 Responses for KINDRED AT HOME 401(K) PLAN

2021: KINDRED AT HOME 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Mulitple employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: KINDRED AT HOME 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: KINDRED AT HOME 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Multi-employer plan
2019-01-01	First time form 5500 has been submitted	Yes
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	Yes
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

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

21097

Policy instance

Insurance contract or identification number	21097
Number of Individuals Covered	44625
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

SGIC 21097

Policy instance

Insurance contract or identification number	SGIC 21097
Number of Individuals Covered	45311
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Are there contracts with allocated funds for individual policies?	0
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

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

SGIC 21097

Policy instance

Insurance contract or identification number	SGIC 21097
Number of Individuals Covered	47010
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
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

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Company Name:	GENTIVA HEALTH SERVICES (USA) LLC
Employer identification number (EIN):	113414024
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1998-09-22
Company Identification Number:	0012302606
Legal Registered Office Address:	6330 SPRINT PKWY STE 300 OVERLAND PARK United States of America (USA) 66211