401k Plan data: RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER

RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 401k Plan overview

Plan Name	RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC.
Plan identification number	001

RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements 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.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE has sponsored the creation of one or more 401k plans.

Company Name: MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE

Employer identification number (EIN): 621280261

NAIC Classification: 621900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 ALBERT NEAL GRAHAM 2022-11-16
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 MELISSA HARLOW
001 2016-01-01 MELISSA HARLOW
001 2015-01-01 MELISSA HARLOW
001 2014-01-01 MELISSA HARLOW 2015-07-22
001 2013-01-01 MELISSA HARLOW 2014-07-16
001 2012-01-01 JANE G. VAN DEREN 2013-09-19
001 2011-01-01 JANE G. VAN DEREN 2012-07-16
001 2010-01-01 JANE G. VAN DEREN 2012-04-30

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2022-01-01	ALBERT NEAL GRAHAM	2022-11-16
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	MELISSA HARLOW
001	2016-01-01	MELISSA HARLOW
001	2015-01-01	MELISSA HARLOW
001	2014-01-01	MELISSA HARLOW	2015-07-22
001	2013-01-01	MELISSA HARLOW	2014-07-16
001	2012-01-01	JANE G. VAN DEREN	2013-09-19
001	2011-01-01	JANE G. VAN DEREN	2012-07-16
001	2010-01-01	JANE G. VAN DEREN	2012-04-30

Plan Statistics for RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC.

401k plan membership statisitcs for RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC.

Measure Date Value
2021: RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2021 401k membership
Total participants, beginning-of-year 2021-01-01 142
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 3
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 79
Total of all active and inactive participants 2021-01-01 82
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 82
Number of participants with account balances 2021-01-01 82
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2020 401k membership
Total participants, beginning-of-year 2020-01-01 143
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 98
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 44
Total of all active and inactive participants 2020-01-01 142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 142
Number of participants with account balances 2020-01-01 139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2019 401k membership
Total participants, beginning-of-year 2019-01-01 147
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 96
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 47
Total of all active and inactive participants 2019-01-01 143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 143
Number of participants with account balances 2019-01-01 135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2018 401k membership
Total participants, beginning-of-year 2018-01-01 154
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 100
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 47
Total of all active and inactive participants 2018-01-01 147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 147
Number of participants with account balances 2018-01-01 141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2017 401k membership
Total participants, beginning-of-year 2017-01-01 146
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 98
Number of other retired or separated participants entitled to future benefits 2017-01-01 37
Total of all active and inactive participants 2017-01-01 135
Total participants 2017-01-01 135
Number of participants with account balances 2017-01-01 135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2016 401k membership
Total participants, beginning-of-year 2016-01-01 138
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 98
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 48
Total of all active and inactive participants 2016-01-01 146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 146
Number of participants with account balances 2016-01-01 146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2015 401k membership
Total participants, beginning-of-year 2015-01-01 121
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 98
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 40
Total of all active and inactive participants 2015-01-01 138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 138
Number of participants with account balances 2015-01-01 138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0

Measure	Date	Value
2021: RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2021 401k membership
Total participants, beginning-of-year	2021-01-01	142
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	3
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	79
Total of all active and inactive participants	2021-01-01	82
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	82
Number of participants with account balances	2021-01-01	82
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2020 401k membership
Total participants, beginning-of-year	2020-01-01	143
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	98
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	44
Total of all active and inactive participants	2020-01-01	142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	142
Number of participants with account balances	2020-01-01	139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2019 401k membership
Total participants, beginning-of-year	2019-01-01	147
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	96
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	47
Total of all active and inactive participants	2019-01-01	143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	143
Number of participants with account balances	2019-01-01	135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2018 401k membership
Total participants, beginning-of-year	2018-01-01	154
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	100
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	47
Total of all active and inactive participants	2018-01-01	147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	147
Number of participants with account balances	2018-01-01	141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2017 401k membership
Total participants, beginning-of-year	2017-01-01	146
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	98
Number of other retired or separated participants entitled to future benefits	2017-01-01	37
Total of all active and inactive participants	2017-01-01	135
Total participants	2017-01-01	135
Number of participants with account balances	2017-01-01	135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2016 401k membership
Total participants, beginning-of-year	2016-01-01	138
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	98
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	48
Total of all active and inactive participants	2016-01-01	146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	146
Number of participants with account balances	2016-01-01	146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2015 401k membership
Total participants, beginning-of-year	2015-01-01	121
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	98
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	40
Total of all active and inactive participants	2015-01-01	138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	138
Number of participants with account balances	2015-01-01	138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0

Financial Data on RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC.

Measure	Date	Value
2021 : RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2021 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$2,196,685
Total of all expenses incurred	2021-12-31	$7,540,446
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$7,485,357
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$824,304
Value of total assets at end of year	2021-12-31	$4,982,787
Value of total assets at beginning of year	2021-12-31	$10,326,548
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$55,089
Total interest from all sources	2021-12-31	$7,757
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$258,781
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	$258,781
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	$541,585
Participant contributions at end of year	2021-12-31	$76,952
Participant contributions at beginning of year	2021-12-31	$150,501
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$19,769
Administrative expenses (other) incurred	2021-12-31	$55,089
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	$-5,343,761
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$4,982,787
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$10,326,548
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	$4,717,742
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$10,000,958
Interest on participant loans	2021-12-31	$5,473
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$2,284
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$188,093
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$175,089
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$1,105,843
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	$262,950
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$7,485,357
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
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	FOUTS & MORGAN CPA PC
Accountancy firm EIN	2021-12-31	620963442
2020 : RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 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	$0
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	$2,279,011
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$675,137
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$633,517
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$857,785
Value of total assets at end of year	2020-12-31	$10,326,548
Value of total assets at beginning of year	2020-12-31	$8,722,674
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$41,620
Total interest from all sources	2020-12-31	$9,303
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$364,161
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	$364,161
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
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$578,674
Participant contributions at end of year	2020-12-31	$150,501
Participant contributions at beginning of year	2020-12-31	$145,653
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$6,725
Administrative expenses (other) incurred	2020-12-31	$41,620
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	$1,603,874
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$10,326,548
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$8,722,674
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	$10,000,958
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$8,398,651
Interest on participant loans	2020-12-31	$6,776
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$2,527
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$175,089
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$178,370
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$1,047,762
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	$272,386
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$633,517
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	Disclaimer
Accountancy firm name	2020-12-31	FOUTS & MORGAN CPA PC
Accountancy firm EIN	2020-12-31	620963442
2019 : RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$2,441,674
Total of all expenses incurred	2019-12-31	$1,960,513
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,921,138
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$961,588
Value of total assets at end of year	2019-12-31	$8,722,674
Value of total assets at beginning of year	2019-12-31	$8,241,513
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$39,375
Total interest from all sources	2019-12-31	$8,387
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$348,979
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	$348,979
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$539,719
Participant contributions at end of year	2019-12-31	$145,653
Participant contributions at beginning of year	2019-12-31	$178,426
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$163,313
Other income not declared elsewhere	2019-12-31	$103
Administrative expenses (other) incurred	2019-12-31	$39,375
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	$481,161
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$8,722,674
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$8,241,513
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	$8,398,651
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$7,895,545
Interest on participant loans	2019-12-31	$8,387
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$178,370
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$167,542
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$1,122,617
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	$258,556
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,921,138
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	FOUTS & MORGAN CPA PC
Accountancy firm EIN	2019-12-31	620963442
2018 : RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2018 401k financial data
Total transfer of assets to this plan	2018-12-31	$101,384
Total transfer of assets from this plan	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$284,179
Total of all expenses incurred	2018-12-31	$1,131,918
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$1,101,705
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$870,277
Value of total assets at end of year	2018-12-31	$8,241,513
Value of total assets at beginning of year	2018-12-31	$8,987,868
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$30,213
Total interest from all sources	2018-12-31	$17,471
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$357,991
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$357,991
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$593,614
Participant contributions at end of year	2018-12-31	$178,426
Participant contributions at beginning of year	2018-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2018-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2018-12-31	$5,401,204
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$15,845
Other income not declared elsewhere	2018-12-31	$3,127
Administrative expenses (other) incurred	2018-12-31	$30,213
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Income. Non cash contributions	2018-12-31	$0
Value of net income/loss	2018-12-31	$-847,739
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$8,241,513
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$8,987,868
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$7,895,545
Interest on participant loans	2018-12-31	$15,591
Interest earned on other investments	2018-12-31	$1,880
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$167,542
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$3,586,664
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-964,687
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$260,818
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$1,101,705
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	FOUTS & MORGAN CPA PC
Accountancy firm EIN	2018-12-31	620963442
2017 : RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$1,485,301
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$675,784
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$672,938
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$657,968
Value of total assets at end of year	2017-12-31	$8,987,868
Value of total assets at beginning of year	2017-12-31	$8,178,351
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$2,846
Total interest from all sources	2017-12-31	$125,650
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Administrative expenses professional fees incurred	2017-12-31	$2,846
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$437,511
Participant contributions at end of year	2017-12-31	$0
Participant contributions at beginning of year	2017-12-31	$99,591
Assets. Other investments not covered elsewhere at end of year	2017-12-31	$5,401,204
Assets. Other investments not covered elsewhere at beginning of year	2017-12-31	$4,614,798
Other income not declared elsewhere	2017-12-31	$701,683
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$809,517
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$8,987,868
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$8,178,351
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Interest on participant loans	2017-12-31	$3,523
Interest earned on other investments	2017-12-31	$122,127
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$3,586,664
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$3,463,962
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$220,457
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$672,938
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	No
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	FOUTS & MORGAN CPA PC
Accountancy firm EIN	2017-12-31	620963442
2016 : RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$1,129,596
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$139,465
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$136,557
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$782,368
Value of total assets at end of year	2016-12-31	$8,178,351
Value of total assets at beginning of year	2016-12-31	$7,188,220
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$2,908
Total interest from all sources	2016-12-31	$116,840
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Was this plan covered by a fidelity bond	2016-12-31	No
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	$544,096
Participant contributions at end of year	2016-12-31	$99,591
Participant contributions at beginning of year	2016-12-31	$99,773
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$4,614,798
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$3,981,392
Other income not declared elsewhere	2016-12-31	$230,388
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	$990,131
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$8,178,351
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$7,188,220
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
Interest on participant loans	2016-12-31	$3,589
Interest earned on other investments	2016-12-31	$113,251
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$3,463,962
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$3,107,055
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	$238,272
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$136,557
Contract administrator fees	2016-12-31	$2,908
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	2016-12-31	No
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	FOUTS & MORGAN CPA PC
Accountancy firm EIN	2016-12-31	620963442
2015 : RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$672,678
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$449,060
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$439,640
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$622,519
Value of total assets at end of year	2015-12-31	$7,188,220
Value of total assets at beginning of year	2015-12-31	$6,964,602
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$9,420
Total interest from all sources	2015-12-31	$108,136
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Was this plan covered by a fidelity bond	2015-12-31	No
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	$433,724
Participant contributions at end of year	2015-12-31	$99,773
Participant contributions at beginning of year	2015-12-31	$105,764
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$3,981,392
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$3,840,793
Other income not declared elsewhere	2015-12-31	$-57,977
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	$223,618
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$7,188,220
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$6,964,602
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
Interest on participant loans	2015-12-31	$3,420
Interest earned on other investments	2015-12-31	$104,716
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$3,107,055
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$3,018,045
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	$188,795
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$439,640
Contract administrator fees	2015-12-31	$9,420
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	2015-12-31	No
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	FOUTS & MORGAN CPA PC
Accountancy firm EIN	2015-12-31	620963442

Form 5500 Responses for RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC.

2021: RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2021 form 5500 responses
2021-01-01	Type of plan entity	Single 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: RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 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: RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
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	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: RETIREMENT PLAN OF MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE, INC. 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

50320901

Policy instance

Insurance contract or identification number	50320901
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

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

50320901

Policy instance

Insurance contract or identification number	50320901
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
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

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

50320901

Policy instance

Insurance contract or identification number	50320901
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 unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

50320901

Policy instance

Insurance contract or identification number	50320901
Number of Individuals Covered	2
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
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

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )

Policy contract number

873442

Policy instance

Insurance contract or identification number	873442
Number of Individuals Covered	135
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $40,934
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
Commission paid to Insurance Broker	USD $40,934
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	0
Insurance broker organization code?	3
Insurance broker name	METLIFE SECURITIES INC

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

873442

Policy instance

Insurance contract or identification number	873442
Number of Individuals Covered	138
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $37,609
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $37,609
Insurance broker organization code?	3
Insurance broker name	METLIFE SECURITIES INC

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Company Name:	MEMPHIS MEDICAL CENTER - AIR AMBULANCE SERVICE
Employer identification number (EIN):	621280261
NAIC Classification:	621900