401k Plan data: REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST plan

REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 401k Plan overview

Plan Name	REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST
Plan identification number	001

REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 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(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.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

REGIONAL HEALTH MANAGEMENT CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: REGIONAL HEALTH MANAGEMENT CORPORATION

Employer identification number (EIN): 630819576

NAIC Classification: 621399
NAIC Description: Offices of All Other Miscellaneous Health Practitioners

Additional information about REGIONAL HEALTH MANAGEMENT CORPORATION

Jurisdiction of Incorporation: Alabama Secretary of State

Incorporation Date: 1981-12-01

Company Identification Number: 085-059

Legal Registered Office Address: 400 E TENTH ST ANNISTON,

United States of America (USA)
36202

More information about REGIONAL HEALTH MANAGEMENT CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 LOUIS BASS
001 2016-01-01 LOUIS BASS 2017-10-03
001 2015-01-01 LOUIS BASS 2016-09-12
001 2014-01-01 LOUIS BASS 2015-07-29
001 2013-01-01 LOUIS BASS 2015-09-10
001 2012-01-01 JAMES LIPSCOMB 2013-06-28

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	LOUIS BASS
001	2016-01-01	LOUIS BASS	2017-10-03
001	2015-01-01	LOUIS BASS	2016-09-12
001	2014-01-01	LOUIS BASS	2015-07-29
001	2013-01-01	LOUIS BASS	2015-09-10
001	2012-01-01	JAMES LIPSCOMB	2013-06-28

Plan Statistics for REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST

401k plan membership statisitcs for REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST

Measure Date Value
2022: REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 2022 401k membership
Total participants, beginning-of-year 2022-01-01 112
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 80
Number of retired or separated participants receiving benefits 2022-01-01 7
Number of other retired or separated participants entitled to future benefits 2022-01-01 16
Total of all active and inactive participants 2022-01-01 103
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 103
Number of participants with account balances 2022-01-01 65
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 2021 401k membership
Total participants, beginning-of-year 2021-01-01 106
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 95
Number of retired or separated participants receiving benefits 2021-01-01 2
Number of other retired or separated participants entitled to future benefits 2021-01-01 14
Total of all active and inactive participants 2021-01-01 111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 1
Total participants 2021-01-01 112
Number of participants with account balances 2021-01-01 65
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 2020 401k membership
Total participants, beginning-of-year 2020-01-01 108
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 87
Number of retired or separated participants receiving benefits 2020-01-01 2
Number of other retired or separated participants entitled to future benefits 2020-01-01 14
Total of all active and inactive participants 2020-01-01 103
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 1
Total participants 2020-01-01 104
Number of participants with account balances 2020-01-01 54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 2019 401k membership
Total participants, beginning-of-year 2019-01-01 136
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 90
Number of retired or separated participants receiving benefits 2019-01-01 4
Number of other retired or separated participants entitled to future benefits 2019-01-01 12
Total of all active and inactive participants 2019-01-01 106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 106
Number of participants with account balances 2019-01-01 56
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 2018 401k membership
Total participants, beginning-of-year 2018-01-01 131
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 127
Number of retired or separated participants receiving benefits 2018-01-01 4
Number of other retired or separated participants entitled to future benefits 2018-01-01 5
Total of all active and inactive participants 2018-01-01 136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 136
Number of participants with account balances 2018-01-01 59
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 2017 401k membership
Total participants, beginning-of-year 2017-01-01 121
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 118
Number of retired or separated participants receiving benefits 2017-01-01 1
Number of other retired or separated participants entitled to future benefits 2017-01-01 9
Total of all active and inactive participants 2017-01-01 128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 128
Number of participants with account balances 2017-01-01 64
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0

Measure	Date	Value
2022: REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 2022 401k membership
Total participants, beginning-of-year	2022-01-01	112
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	80
Number of retired or separated participants receiving benefits	2022-01-01	7
Number of other retired or separated participants entitled to future benefits	2022-01-01	16
Total of all active and inactive participants	2022-01-01	103
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	103
Number of participants with account balances	2022-01-01	65
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 2021 401k membership
Total participants, beginning-of-year	2021-01-01	106
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	95
Number of retired or separated participants receiving benefits	2021-01-01	2
Number of other retired or separated participants entitled to future benefits	2021-01-01	14
Total of all active and inactive participants	2021-01-01	111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	1
Total participants	2021-01-01	112
Number of participants with account balances	2021-01-01	65
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 2020 401k membership
Total participants, beginning-of-year	2020-01-01	108
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	87
Number of retired or separated participants receiving benefits	2020-01-01	2
Number of other retired or separated participants entitled to future benefits	2020-01-01	14
Total of all active and inactive participants	2020-01-01	103
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	1
Total participants	2020-01-01	104
Number of participants with account balances	2020-01-01	54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 2019 401k membership
Total participants, beginning-of-year	2019-01-01	136
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	90
Number of retired or separated participants receiving benefits	2019-01-01	4
Number of other retired or separated participants entitled to future benefits	2019-01-01	12
Total of all active and inactive participants	2019-01-01	106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	106
Number of participants with account balances	2019-01-01	56
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 2018 401k membership
Total participants, beginning-of-year	2018-01-01	131
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	127
Number of retired or separated participants receiving benefits	2018-01-01	4
Number of other retired or separated participants entitled to future benefits	2018-01-01	5
Total of all active and inactive participants	2018-01-01	136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	136
Number of participants with account balances	2018-01-01	59
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	121
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	118
Number of retired or separated participants receiving benefits	2017-01-01	1
Number of other retired or separated participants entitled to future benefits	2017-01-01	9
Total of all active and inactive participants	2017-01-01	128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	128
Number of participants with account balances	2017-01-01	64
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0

Financial Data on REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST

Measure	Date	Value
2022 : REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$9,029
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$527,776
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$522,686
Value of total corrective distributions	2022-12-31	$4,705
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$406,662
Value of total assets at end of year	2022-12-31	$2,539,405
Value of total assets at beginning of year	2022-12-31	$3,058,152
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$385
Total interest from all sources	2022-12-31	$9,564
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$133,641
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$133,641
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$400,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$233,777
Participant contributions at end of year	2022-12-31	$7,536
Participant contributions at beginning of year	2022-12-31	$10,748
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$27,066
Other income not declared elsewhere	2022-12-31	$3,488
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-518,747
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$2,539,405
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$3,058,152
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$1,661,017
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$2,271,096
Interest earned on other investments	2022-12-31	$9,564
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$839,523
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$742,622
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-544,326
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$145,819
Employer contributions (assets) at end of year	2022-12-31	$31,329
Employer contributions (assets) at beginning of year	2022-12-31	$33,686
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$522,686
Contract administrator fees	2022-12-31	$385
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	BLACK & PINCKARD, LLC
Accountancy firm EIN	2022-12-31	260079381
2021 : REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
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	$711,501
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$215,460
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$215,380
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$411,809
Value of total assets at end of year	2021-12-31	$3,058,152
Value of total assets at beginning of year	2021-12-31	$2,562,111
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$80
Total interest from all sources	2021-12-31	$9,056
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$184,948
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	$184,948
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$400,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$237,316
Participant contributions at end of year	2021-12-31	$10,748
Participant contributions at beginning of year	2021-12-31	$12,817
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$36,942
Other income not declared elsewhere	2021-12-31	$2,313
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	$496,041
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$3,058,152
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$2,562,111
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	$2,271,096
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$1,876,472
Interest earned on other investments	2021-12-31	$9,056
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$742,622
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$646,666
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$103,375
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	Yes
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	$137,551
Employer contributions (assets) at end of year	2021-12-31	$33,686
Employer contributions (assets) at beginning of year	2021-12-31	$26,156
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$215,380
Contract administrator fees	2021-12-31	$80
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	BLACK & PINCKARD, LLC
Accountancy firm EIN	2021-12-31	260079381
2020 : REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 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	$739,097
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$142,210
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$141,890
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$461,818
Value of total assets at end of year	2020-12-31	$2,562,111
Value of total assets at beginning of year	2020-12-31	$1,965,224
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$320
Total interest from all sources	2020-12-31	$14,221
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$93,570
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	$93,570
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$100,000
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	$234,640
Participant contributions at end of year	2020-12-31	$12,817
Participant contributions at beginning of year	2020-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$88,636
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	$596,887
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$2,562,111
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$1,965,224
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	$1,876,472
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$1,366,490
Interest earned on other investments	2020-12-31	$14,221
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$646,666
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$572,533
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$169,488
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	Yes
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	$138,542
Employer contributions (assets) at end of year	2020-12-31	$26,156
Employer contributions (assets) at beginning of year	2020-12-31	$26,201
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$141,890
Contract administrator fees	2020-12-31	$320
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	BLACK & PINCKARD, LLC
Accountancy firm EIN	2020-12-31	260079381
2019 : REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
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	$629,570
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$65,602
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$65,562
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$386,301
Value of total assets at end of year	2019-12-31	$1,965,224
Value of total assets at beginning of year	2019-12-31	$1,401,256
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$40
Total interest from all sources	2019-12-31	$12,259
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$72,746
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	$72,746
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$100,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$232,640
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$7,486
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	$563,968
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$1,965,224
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,401,256
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	$1,366,490
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$909,579
Interest earned on other investments	2019-12-31	$12,259
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$572,533
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$467,017
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$158,264
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	$146,175
Employer contributions (assets) at end of year	2019-12-31	$26,201
Employer contributions (assets) at beginning of year	2019-12-31	$24,660
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$65,562
Contract administrator fees	2019-12-31	$40
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	BLACK & PINCKARD, LLC
Accountancy firm EIN	2019-12-31	260079381
2018 : REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$406,696
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$257,222
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$256,248
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$454,884
Value of total assets at end of year	2018-12-31	$1,401,256
Value of total assets at beginning of year	2018-12-31	$1,251,782
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$974
Total interest from all sources	2018-12-31	$7,930
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$72,407
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	$72,407
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$100,000
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	$268,823
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$17,332
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$149,474
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$1,401,256
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,251,782
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	$909,579
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$902,876
Interest earned on other investments	2018-12-31	$7,930
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$467,017
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$306,888
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-128,525
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$168,729
Employer contributions (assets) at end of year	2018-12-31	$24,660
Employer contributions (assets) at beginning of year	2018-12-31	$42,018
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$256,248
Contract administrator fees	2018-12-31	$974
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	BLACK & PINCKARD, LLC
Accountancy firm EIN	2018-12-31	260079381
2017 : REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 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	$799,369
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$88,837
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$88,837
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$702,839
Value of total assets at end of year	2017-12-31	$1,251,782
Value of total assets at beginning of year	2017-12-31	$541,250
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$0
Total interest from all sources	2017-12-31	$3,613
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$41,690
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$41,690
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$100,000
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	$263,570
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$237,894
Other income not declared elsewhere	2017-12-31	$144
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	$710,532
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,251,782
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$541,250
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$902,876
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$401,188
Interest earned on other investments	2017-12-31	$3,613
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$306,888
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$140,062
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$51,083
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$201,375
Employer contributions (assets) at end of year	2017-12-31	$42,018
Employer contributions (assets) at beginning of year	2017-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$88,837
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	BLACK & PINCKARD, LLC
Accountancy firm EIN	2017-12-31	260079381

Form 5500 Responses for REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST

2022: REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	Yes
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 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: REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 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: REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 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: REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 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: REGIONAL HEALTH MANAGEMENT CORPORATION EMPLOYEES SAVINGS TRUST 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 funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

894303+087

Policy instance

Insurance contract or identification number	894303+087
Number of Individuals Covered	19
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $1,329
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 $1,329
Insurance broker organization code?	6

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

894303+087

Policy instance

Insurance contract or identification number	894303+087
Number of Individuals Covered	19
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $1,191
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 $1,191
Insurance broker organization code?	6

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

894303+087

Policy instance

Insurance contract or identification number	894303+087
Number of Individuals Covered	17
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $1,220
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 $1,220
Insurance broker organization code?	6

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

894303+087

Policy instance

Insurance contract or identification number	894303+087
Number of Individuals Covered	18
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $1,060
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 $1,060
Insurance broker organization code?	6

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

894303+087

Policy instance

Insurance contract or identification number	894303+087
Number of Individuals Covered	21
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $19,891
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 $19,891
Insurance broker organization code?	6

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

894303+087

Policy instance

Insurance contract or identification number	894303+087
Number of Individuals Covered	28
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $418
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 $418
Insurance broker organization code?	6
Insurance broker name	VOYA FINANCIAL

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See full terms and conditions

Company Name:	REGIONAL HEALTH MANAGEMENT CORPORATION
Employer identification number (EIN):	630819576
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners

Jurisdiction of Incorporation:	Alabama Secretary of State
Incorporation Date:	1981-12-01
Company Identification Number:	085-059
Legal Registered Office Address:	400 E TENTH ST ANNISTON, United States of America (USA) 36202