401k Plan data: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN plan

MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 401k Plan overview

Plan Name	MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN
Plan identification number	001

MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(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.
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

MID-AMERICA TRANSPLANT SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name: MID-AMERICA TRANSPLANT SERVICES, INC.

Employer identification number (EIN): 237426306

NAIC Classification: 621900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN

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 KELLIE RESEK
001 2016-01-01 ANTHONY LLOYD
001 2015-01-01 ANTHONY LLOYD
001 2014-01-01 ANTHONY LLOYD
001 2013-01-01 ANTHONY LLOYD
001 2012-01-01 MOLLY MAHER
001 2011-01-01 MOLLY MAHER
001 2010-01-01 MOLLY CULP
001 2009-01-01 MOLLY CULP MOLLY CULP 2010-10-21
001 2009-01-01 MOLLY CULP MOLLY CULP 2010-10-10
001 2009-01-01 MOLLY CULP MOLLY CULP 2010-10-13

Plan id#	Filing Submission Date	Name of Administrator	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	KELLIE RESEK
001	2016-01-01	ANTHONY LLOYD
001	2015-01-01	ANTHONY LLOYD
001	2014-01-01	ANTHONY LLOYD
001	2013-01-01	ANTHONY LLOYD
001	2012-01-01	MOLLY MAHER
001	2011-01-01	MOLLY MAHER
001	2010-01-01	MOLLY CULP
001	2009-01-01	MOLLY CULP	MOLLY CULP	2010-10-21
001	2009-01-01	MOLLY CULP	MOLLY CULP	2010-10-10
001	2009-01-01	MOLLY CULP	MOLLY CULP	2010-10-13

Plan Statistics for MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN

401k plan membership statisitcs for MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN

Measure Date Value
2022: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 278
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 273
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 72
Total of all active and inactive participants 2022-01-01 345
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 345
Number of participants with account balances 2022-01-01 310
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 19
2021: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 282
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 213
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 61
Total of all active and inactive participants 2021-01-01 274
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 1
Total participants 2021-01-01 275
Number of participants with account balances 2021-01-01 265
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 18
2020: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 268
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 191
Number of retired or separated participants receiving benefits 2020-01-01 1
Number of other retired or separated participants entitled to future benefits 2020-01-01 88
Total of all active and inactive participants 2020-01-01 280
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 280
Number of participants with account balances 2020-01-01 280
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 11
2019: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 258
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 187
Number of retired or separated participants receiving benefits 2019-01-01 1
Number of other retired or separated participants entitled to future benefits 2019-01-01 76
Total of all active and inactive participants 2019-01-01 264
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 264
Number of participants with account balances 2019-01-01 264
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 8
2018: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 246
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 167
Number of retired or separated participants receiving benefits 2018-01-01 1
Number of other retired or separated participants entitled to future benefits 2018-01-01 86
Total of all active and inactive participants 2018-01-01 254
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 254
Number of participants with account balances 2018-01-01 254
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 9
2017: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 237
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 153
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 91
Total of all active and inactive participants 2017-01-01 245
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 245
Number of participants with account balances 2017-01-01 245
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 18
2016: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 240
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 164
Number of retired or separated participants receiving benefits 2016-01-01 1
Number of other retired or separated participants entitled to future benefits 2016-01-01 70
Total of all active and inactive participants 2016-01-01 235
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 235
Number of participants with account balances 2016-01-01 235
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 15
2015: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 223
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 188
Number of retired or separated participants receiving benefits 2015-01-01 1
Number of other retired or separated participants entitled to future benefits 2015-01-01 45
Total of all active and inactive participants 2015-01-01 234
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 234
Number of participants with account balances 2015-01-01 224
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 13
2014: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 192
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 180
Number of retired or separated participants receiving benefits 2014-01-01 1
Number of other retired or separated participants entitled to future benefits 2014-01-01 28
Total of all active and inactive participants 2014-01-01 209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 209
Number of participants with account balances 2014-01-01 175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 4
2013: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 166
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 163
Number of retired or separated participants receiving benefits 2013-01-01 1
Number of other retired or separated participants entitled to future benefits 2013-01-01 28
Total of all active and inactive participants 2013-01-01 192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 192
Number of participants with account balances 2013-01-01 146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 4
2012: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 136
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 133
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 30
Total of all active and inactive participants 2012-01-01 163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 163
Number of participants with account balances 2012-01-01 141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 5
2011: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 121
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 111
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 25
Total of all active and inactive participants 2011-01-01 136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 136
Number of participants with account balances 2011-01-01 128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 5
2010: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 143
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 105
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 16
Total of all active and inactive participants 2010-01-01 121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 121
Number of participants with account balances 2010-01-01 112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 127
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 100
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 43
Total of all active and inactive participants 2009-01-01 143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 143
Number of participants with account balances 2009-01-01 123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 11

Measure	Date	Value
2022: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	278
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	273
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	72
Total of all active and inactive participants	2022-01-01	345
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	345
Number of participants with account balances	2022-01-01	310
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	19
2021: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	282
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	213
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	61
Total of all active and inactive participants	2021-01-01	274
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	1
Total participants	2021-01-01	275
Number of participants with account balances	2021-01-01	265
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	18
2020: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	268
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	191
Number of retired or separated participants receiving benefits	2020-01-01	1
Number of other retired or separated participants entitled to future benefits	2020-01-01	88
Total of all active and inactive participants	2020-01-01	280
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	280
Number of participants with account balances	2020-01-01	280
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	11
2019: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	258
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	187
Number of retired or separated participants receiving benefits	2019-01-01	1
Number of other retired or separated participants entitled to future benefits	2019-01-01	76
Total of all active and inactive participants	2019-01-01	264
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	264
Number of participants with account balances	2019-01-01	264
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	8
2018: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	246
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	167
Number of retired or separated participants receiving benefits	2018-01-01	1
Number of other retired or separated participants entitled to future benefits	2018-01-01	86
Total of all active and inactive participants	2018-01-01	254
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	254
Number of participants with account balances	2018-01-01	254
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	9
2017: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	237
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	153
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	91
Total of all active and inactive participants	2017-01-01	245
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	245
Number of participants with account balances	2017-01-01	245
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	18
2016: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	240
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	164
Number of retired or separated participants receiving benefits	2016-01-01	1
Number of other retired or separated participants entitled to future benefits	2016-01-01	70
Total of all active and inactive participants	2016-01-01	235
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	235
Number of participants with account balances	2016-01-01	235
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	15
2015: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	223
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	188
Number of retired or separated participants receiving benefits	2015-01-01	1
Number of other retired or separated participants entitled to future benefits	2015-01-01	45
Total of all active and inactive participants	2015-01-01	234
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	234
Number of participants with account balances	2015-01-01	224
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	13
2014: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	192
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	180
Number of retired or separated participants receiving benefits	2014-01-01	1
Number of other retired or separated participants entitled to future benefits	2014-01-01	28
Total of all active and inactive participants	2014-01-01	209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	209
Number of participants with account balances	2014-01-01	175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	4
2013: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	166
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	163
Number of retired or separated participants receiving benefits	2013-01-01	1
Number of other retired or separated participants entitled to future benefits	2013-01-01	28
Total of all active and inactive participants	2013-01-01	192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	192
Number of participants with account balances	2013-01-01	146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	4
2012: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	136
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	133
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	30
Total of all active and inactive participants	2012-01-01	163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	163
Number of participants with account balances	2012-01-01	141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	5
2011: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	121
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	111
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	25
Total of all active and inactive participants	2011-01-01	136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	136
Number of participants with account balances	2011-01-01	128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	5
2010: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	143
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	105
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	16
Total of all active and inactive participants	2010-01-01	121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	121
Number of participants with account balances	2010-01-01	112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	127
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	100
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	43
Total of all active and inactive participants	2009-01-01	143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	143
Number of participants with account balances	2009-01-01	123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	11

Financial Data on MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN

Measure	Date	Value
2022 : MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2022 401k financial data
Total income from all sources (including contributions)	2022-12-31	$-2,590,591
Total of all expenses incurred	2022-12-31	$2,700,873
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$2,504,045
Expenses. Certain deemed distributions of participant loans	2022-12-31	$2,496
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$3,214,948
Value of total assets at end of year	2022-12-31	$32,185,268
Value of total assets at beginning of year	2022-12-31	$37,476,732
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$194,332
Total interest from all sources	2022-12-31	$11,526
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$636,815
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	$636,815
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$1,000,000
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	$1,609,295
Participant contributions at end of year	2022-12-31	$272,157
Participant contributions at beginning of year	2022-12-31	$238,417
Participant contributions at end of year	2022-12-31	$413,073
Participant contributions at beginning of year	2022-12-31	$382,425
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$90,393
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-12-31	$370
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-12-31	$224
Administrative expenses (other) incurred	2022-12-31	$129,592
Total non interest bearing cash at end of year	2022-12-31	$17,326
Total non interest bearing cash at beginning of year	2022-12-31	$18,077
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	$-5,291,464
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$32,185,268
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$37,476,732
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
Investment advisory and management fees	2022-12-31	$64,740
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$29,673,673
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$35,660,189
Interest on participant loans	2022-12-31	$11,404
Value of interest in common/collective trusts at end of year	2022-12-31	$931,095
Value of interest in common/collective trusts at beginning of year	2022-12-31	$418,968
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$35,500
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$37,157
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$37,157
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$122
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-6,467,358
Net investment gain or loss from common/collective trusts	2022-12-31	$13,478
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	Yes
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	$1,515,260
Employer contributions (assets) at end of year	2022-12-31	$842,074
Employer contributions (assets) at beginning of year	2022-12-31	$721,275
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$2,504,045
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	2022-12-31	No
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	RSM US LLP
Accountancy firm EIN	2022-12-31	420714325
2021 : MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2021 401k financial data
Total income from all sources (including contributions)	2021-12-31	$8,140,670
Total of all expenses incurred	2021-12-31	$1,196,328
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$986,445
Expenses. Certain deemed distributions of participant loans	2021-12-31	$9,607
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$2,817,497
Value of total assets at end of year	2021-12-31	$37,476,732
Value of total assets at beginning of year	2021-12-31	$30,532,390
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$200,276
Total interest from all sources	2021-12-31	$9,445
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$682,564
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	$682,564
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$1,000,000
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	$1,430,157
Participant contributions at end of year	2021-12-31	$238,417
Participant contributions at beginning of year	2021-12-31	$237,416
Participant contributions at end of year	2021-12-31	$382,425
Participant contributions at beginning of year	2021-12-31	$347,028
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$124,831
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-12-31	$224
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-12-31	$371
Administrative expenses (other) incurred	2021-12-31	$136,265
Total non interest bearing cash at end of year	2021-12-31	$18,077
Total non interest bearing cash at beginning of year	2021-12-31	$14,780
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	$6,944,342
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$37,476,732
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$30,532,390
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
Investment advisory and management fees	2021-12-31	$64,011
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$35,660,189
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$28,882,320
Interest on participant loans	2021-12-31	$9,445
Value of interest in common/collective trusts at end of year	2021-12-31	$418,968
Value of interest in common/collective trusts at beginning of year	2021-12-31	$365,447
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$37,157
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$12,040
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$12,040
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$4,624,715
Net investment gain or loss from common/collective trusts	2021-12-31	$6,449
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	$1,262,509
Employer contributions (assets) at end of year	2021-12-31	$721,275
Employer contributions (assets) at beginning of year	2021-12-31	$672,988
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$986,445
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	2021-12-31	No
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	RSM US LLP
Accountancy firm EIN	2021-12-31	420714325
2020 : MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2020 401k financial data
Total income from all sources (including contributions)	2020-12-31	$6,283,592
Total of all expenses incurred	2020-12-31	$1,226,168
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$1,065,374
Expenses. Certain deemed distributions of participant loans	2020-12-31	$1,880
Value of total corrective distributions	2020-12-31	$5,033
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$2,515,570
Value of total assets at end of year	2020-12-31	$30,532,390
Value of total assets at beginning of year	2020-12-31	$25,474,966
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$153,881
Total interest from all sources	2020-12-31	$10,573
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$536,402
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	$536,402
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$1,000,000
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	$1,275,479
Participant contributions at end of year	2020-12-31	$237,416
Participant contributions at beginning of year	2020-12-31	$222,030
Participant contributions at end of year	2020-12-31	$347,028
Participant contributions at beginning of year	2020-12-31	$309,490
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$92,964
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$371
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$91
Administrative expenses (other) incurred	2020-12-31	$105,735
Total non interest bearing cash at end of year	2020-12-31	$14,780
Total non interest bearing cash at beginning of year	2020-12-31	$12,486
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$5,057,424
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$30,532,390
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$25,474,966
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
Investment advisory and management fees	2020-12-31	$48,146
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$28,882,320
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$24,072,446
Interest on participant loans	2020-12-31	$10,552
Value of interest in common/collective trusts at end of year	2020-12-31	$365,447
Value of interest in common/collective trusts at beginning of year	2020-12-31	$239,571
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$12,040
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$14,776
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$14,776
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$21
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$3,215,197
Net investment gain or loss from common/collective trusts	2020-12-31	$5,850
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	$1,147,127
Employer contributions (assets) at end of year	2020-12-31	$672,988
Employer contributions (assets) at beginning of year	2020-12-31	$604,076
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$1,065,374
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	2020-12-31	No
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	RSM US LLP
Accountancy firm EIN	2020-12-31	420714325
2019 : MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$6,974,871
Total of all expenses incurred	2019-12-31	$3,103,872
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$2,963,454
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$2,267,801
Value of total assets at end of year	2019-12-31	$25,474,966
Value of total assets at beginning of year	2019-12-31	$21,603,967
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$140,418
Total interest from all sources	2019-12-31	$11,091
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$494,272
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	$494,272
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$1,000,000
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	$1,183,323
Participant contributions at end of year	2019-12-31	$222,030
Participant contributions at beginning of year	2019-12-31	$257,670
Participant contributions at end of year	2019-12-31	$309,490
Participant contributions at beginning of year	2019-12-31	$258,905
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$29,455
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$91
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$83
Administrative expenses (other) incurred	2019-12-31	$96,199
Total non interest bearing cash at end of year	2019-12-31	$12,486
Total non interest bearing cash at beginning of year	2019-12-31	$11,363
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	$3,870,999
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$25,474,966
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$21,603,967
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
Investment advisory and management fees	2019-12-31	$44,219
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$24,072,446
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$20,252,943
Interest on participant loans	2019-12-31	$11,011
Value of interest in common/collective trusts at end of year	2019-12-31	$239,571
Value of interest in common/collective trusts at beginning of year	2019-12-31	$262,218
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$14,776
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$18,272
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$18,272
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$80
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$4,196,783
Net investment gain or loss from common/collective trusts	2019-12-31	$4,924
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	$1,055,023
Employer contributions (assets) at end of year	2019-12-31	$604,076
Employer contributions (assets) at beginning of year	2019-12-31	$542,513
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$2,963,454
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-12-31	No
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	RSM US LLP
Accountancy firm EIN	2019-12-31	420714325
2018 : MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$945,342
Total of all expenses incurred	2018-12-31	$963,635
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$822,096
Value of total corrective distributions	2018-12-31	$4,413
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,986,943
Value of total assets at end of year	2018-12-31	$21,603,967
Value of total assets at beginning of year	2018-12-31	$21,622,260
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$137,126
Total interest from all sources	2018-12-31	$11,288
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$461,933
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	$461,933
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$1,000,000
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	$1,028,604
Participant contributions at end of year	2018-12-31	$257,670
Participant contributions at beginning of year	2018-12-31	$358,688
Participant contributions at end of year	2018-12-31	$258,905
Participant contributions at beginning of year	2018-12-31	$235,894
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$7,222
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$83
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$149
Administrative expenses (other) incurred	2018-12-31	$94,194
Total non interest bearing cash at end of year	2018-12-31	$11,363
Total non interest bearing cash at beginning of year	2018-12-31	$10,930
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	$-18,293
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$21,603,967
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$21,622,260
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
Investment advisory and management fees	2018-12-31	$42,932
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$20,252,943
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$20,213,849
Interest on participant loans	2018-12-31	$11,235
Value of interest in common/collective trusts at end of year	2018-12-31	$262,218
Value of interest in common/collective trusts at beginning of year	2018-12-31	$305,242
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$18,272
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$978
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$978
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$53
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-1,519,863
Net investment gain or loss from common/collective trusts	2018-12-31	$5,041
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	$951,117
Employer contributions (assets) at end of year	2018-12-31	$542,513
Employer contributions (assets) at beginning of year	2018-12-31	$496,530
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$822,096
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	2018-12-31	No
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	RSM US LLP
Accountancy firm EIN	2018-12-31	420714325
2017 : MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$5,040,079
Total of all expenses incurred	2017-12-31	$2,706,886
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$2,579,565
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,937,389
Value of total assets at end of year	2017-12-31	$21,622,260
Value of total assets at beginning of year	2017-12-31	$19,289,067
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$127,321
Total interest from all sources	2017-12-31	$14,521
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$438,374
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	$438,374
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$1,000,000
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	$1,019,312
Participant contributions at end of year	2017-12-31	$358,688
Participant contributions at beginning of year	2017-12-31	$465,880
Participant contributions at end of year	2017-12-31	$235,894
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$84,986
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$149
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$445
Administrative expenses (other) incurred	2017-12-31	$87,496
Total non interest bearing cash at end of year	2017-12-31	$10,930
Total non interest bearing cash at beginning of year	2017-12-31	$9,835
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	$2,333,193
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$21,622,260
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$19,289,067
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
Investment advisory and management fees	2017-12-31	$39,825
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$20,213,849
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$17,514,448
Interest on participant loans	2017-12-31	$14,514
Value of interest in common/collective trusts at end of year	2017-12-31	$305,242
Value of interest in common/collective trusts at beginning of year	2017-12-31	$568,532
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$978
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$6,693
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$6,693
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$7
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$2,641,783
Net investment gain or loss from common/collective trusts	2017-12-31	$8,012
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	$833,091
Employer contributions (assets) at end of year	2017-12-31	$496,530
Employer contributions (assets) at beginning of year	2017-12-31	$723,234
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$2,579,565
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	RSM US LLP
Accountancy firm EIN	2017-12-31	420714325
2016 : MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$3,567,089
Total of all expenses incurred	2016-12-31	$2,618,890
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$2,505,670
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,898,371
Value of total assets at end of year	2016-12-31	$19,289,067
Value of total assets at beginning of year	2016-12-31	$18,340,868
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$113,220
Total interest from all sources	2016-12-31	$13,694
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$370,521
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$370,521
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$708,999
Participant contributions at end of year	2016-12-31	$465,880
Participant contributions at beginning of year	2016-12-31	$426,159
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$125,792
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$445
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$68
Administrative expenses (other) incurred	2016-12-31	$77,252
Total non interest bearing cash at end of year	2016-12-31	$9,835
Total non interest bearing cash at beginning of year	2016-12-31	$10,240
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	$948,199
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$19,289,067
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$18,340,868
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$35,968
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$17,514,448
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$16,467,797
Interest on participant loans	2016-12-31	$13,694
Value of interest in common/collective trusts at end of year	2016-12-31	$568,532
Value of interest in common/collective trusts at beginning of year	2016-12-31	$648,593
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$6,693
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$4,768
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$4,768
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$1,279,168
Net investment gain or loss from common/collective trusts	2016-12-31	$5,335
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	$1,063,580
Employer contributions (assets) at end of year	2016-12-31	$723,234
Employer contributions (assets) at beginning of year	2016-12-31	$783,243
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$2,505,670
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	RSM US LLP
Accountancy firm EIN	2016-12-31	420714325
2015 : MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$1,784,723
Total of all expenses incurred	2015-12-31	$582,011
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$467,178
Expenses. Certain deemed distributions of participant loans	2015-12-31	$9,342
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,846,366
Value of total assets at end of year	2015-12-31	$18,340,868
Value of total assets at beginning of year	2015-12-31	$17,138,156
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$105,491
Total interest from all sources	2015-12-31	$11,999
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$332,085
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$332,085
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$697,671
Participant contributions at end of year	2015-12-31	$426,159
Participant contributions at beginning of year	2015-12-31	$348,089
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$8,434
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$68
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$158
Administrative expenses (other) incurred	2015-12-31	$72,631
Total non interest bearing cash at end of year	2015-12-31	$10,240
Total non interest bearing cash at beginning of year	2015-12-31	$8,944
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$1,202,712
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$18,340,868
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$17,138,156
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$32,860
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$16,467,797
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$14,718,482
Interest on participant loans	2015-12-31	$11,999
Value of interest in common/collective trusts at end of year	2015-12-31	$648,593
Value of interest in common/collective trusts at beginning of year	2015-12-31	$1,411,675
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$4,768
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$1,908
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$1,908
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-397,696
Net investment gain or loss from common/collective trusts	2015-12-31	$-8,031
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	$1,140,261
Employer contributions (assets) at end of year	2015-12-31	$783,243
Employer contributions (assets) at beginning of year	2015-12-31	$648,900
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$467,178
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	RSM US LLP
Accountancy firm EIN	2015-12-31	420714325
2014 : MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$2,884,442
Total of all expenses incurred	2014-12-31	$1,028,534
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$934,522
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,644,335
Value of total assets at end of year	2014-12-31	$17,138,156
Value of total assets at beginning of year	2014-12-31	$15,282,248
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$94,012
Total interest from all sources	2014-12-31	$8,623
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$334,862
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$334,862
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$609,940
Participant contributions at end of year	2014-12-31	$348,089
Participant contributions at beginning of year	2014-12-31	$257,015
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$73,772
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$158
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$15
Administrative expenses (other) incurred	2014-12-31	$64,815
Total non interest bearing cash at end of year	2014-12-31	$8,944
Total non interest bearing cash at beginning of year	2014-12-31	$7,201
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$1,855,908
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$17,138,156
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$15,282,248
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$29,197
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$14,718,482
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$13,779,493
Interest on participant loans	2014-12-31	$8,623
Value of interest in common/collective trusts at end of year	2014-12-31	$1,411,675
Value of interest in common/collective trusts at beginning of year	2014-12-31	$624,739
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$1,908
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$5
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$5
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$863,601
Net investment gain or loss from common/collective trusts	2014-12-31	$33,021
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$960,623
Employer contributions (assets) at end of year	2014-12-31	$648,900
Employer contributions (assets) at beginning of year	2014-12-31	$613,780
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$934,522
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	2014-12-31	No
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	MCGLADREY LLP
Accountancy firm EIN	2014-12-31	420714325
2013 : MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$3,988,847
Total of all expenses incurred	2013-12-31	$635,116
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$554,757
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,665,652
Value of total assets at end of year	2013-12-31	$15,282,248
Value of total assets at beginning of year	2013-12-31	$11,928,517
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$80,359
Total interest from all sources	2013-12-31	$7,684
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$270,852
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$270,852
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$546,558
Participant contributions at end of year	2013-12-31	$257,015
Participant contributions at beginning of year	2013-12-31	$222,996
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$212,210
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$15
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$30
Administrative expenses (other) incurred	2013-12-31	$56,838
Total non interest bearing cash at end of year	2013-12-31	$7,201
Total non interest bearing cash at beginning of year	2013-12-31	$4,270
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$3,353,731
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$15,282,248
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$11,928,517
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$23,521
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$13,779,493
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$11,387,508
Interest on participant loans	2013-12-31	$7,684
Value of interest in common/collective trusts at end of year	2013-12-31	$624,739
Value of interest in common/collective trusts at beginning of year	2013-12-31	$313,708
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$5
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$5
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$5
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$2,035,584
Net investment gain or loss from common/collective trusts	2013-12-31	$9,075
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$906,884
Employer contributions (assets) at end of year	2013-12-31	$613,780
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$554,757
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	2013-12-31	No
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	MCGLADREY LLP
Accountancy firm EIN	2013-12-31	420714325
2012 : MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$2,680,576
Total of all expenses incurred	2012-12-31	$457,864
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$412,946
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,334,824
Value of total assets at end of year	2012-12-31	$11,928,517
Value of total assets at beginning of year	2012-12-31	$9,705,805
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$44,918
Total interest from all sources	2012-12-31	$6,992
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$260,386
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$260,386
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$466,890
Participant contributions at end of year	2012-12-31	$222,996
Participant contributions at beginning of year	2012-12-31	$218,505
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$1,932
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$30
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$373
Administrative expenses (other) incurred	2012-12-31	$24,499
Total non interest bearing cash at end of year	2012-12-31	$4,270
Total non interest bearing cash at beginning of year	2012-12-31	$3,827
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$2,222,712
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$11,928,517
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$9,705,805
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$20,419
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$11,387,508
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$9,174,234
Interest on participant loans	2012-12-31	$6,992
Value of interest in common/collective trusts at end of year	2012-12-31	$313,708
Value of interest in common/collective trusts at beginning of year	2012-12-31	$294,539
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$5
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$14,327
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$14,327
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$1,073,748
Net investment gain or loss from common/collective trusts	2012-12-31	$4,626
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$866,002
Employer contributions (assets) at beginning of year	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$412,946
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	2012-12-31	No
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	KERBER ECK & BRAECKEL,LLP
Accountancy firm EIN	2012-12-31	430352985
2011 : MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$1,301,211
Total of all expenses incurred	2011-12-31	$710,687
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$657,604
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,264,010
Value of total assets at end of year	2011-12-31	$9,705,805
Value of total assets at beginning of year	2011-12-31	$9,115,281
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$53,083
Total interest from all sources	2011-12-31	$6,860
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$208,159
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$208,159
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$406,943
Participant contributions at end of year	2011-12-31	$218,505
Participant contributions at beginning of year	2011-12-31	$189,975
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$19,060
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$373
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$115
Administrative expenses (other) incurred	2011-12-31	$38,465
Total non interest bearing cash at end of year	2011-12-31	$3,827
Total non interest bearing cash at beginning of year	2011-12-31	$1,133
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$590,524
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$9,705,805
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$9,115,281
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$14,618
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$9,174,234
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$8,281,892
Interest on participant loans	2011-12-31	$6,859
Value of interest in common/collective trusts at end of year	2011-12-31	$294,539
Value of interest in common/collective trusts at beginning of year	2011-12-31	$96,532
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$14,327
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$1
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$1
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$1
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-186,419
Net investment gain or loss from common/collective trusts	2011-12-31	$8,601
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$838,007
Employer contributions (assets) at end of year	2011-12-31	$0
Employer contributions (assets) at beginning of year	2011-12-31	$545,633
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$657,604
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	KERBER ECK & BRAECKEL,LLP
Accountancy firm EIN	2011-12-31	430352985
2010 : MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$2,062,306
Total of all expenses incurred	2010-12-31	$2,105,067
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$2,100,318
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,205,558
Value of total assets at end of year	2010-12-31	$9,115,281
Value of total assets at beginning of year	2010-12-31	$9,158,042
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$4,749
Total interest from all sources	2010-12-31	$17,514
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$120,316
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$120,316
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$402,499
Participant contributions at end of year	2010-12-31	$189,975
Participant contributions at beginning of year	2010-12-31	$183,009
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$43,720
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$115
Administrative expenses (other) incurred	2010-12-31	$4,749
Total non interest bearing cash at end of year	2010-12-31	$1,133
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$-42,761
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$9,115,281
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$9,158,042
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$8,281,892
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$2,327,845
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$6,303,110
Interest on participant loans	2010-12-31	$4,981
Interest earned on other investments	2010-12-31	$12,533
Value of interest in common/collective trusts at end of year	2010-12-31	$96,532
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$1
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$323,544
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$320,733
Net investment gain/loss from pooled separate accounts	2010-12-31	$397,963
Net investment gain or loss from common/collective trusts	2010-12-31	$222
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$759,339
Employer contributions (assets) at end of year	2010-12-31	$545,633
Employer contributions (assets) at beginning of year	2010-12-31	$20,534
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$2,100,318
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	Yes
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	KERBER ECK & BRAECKEL, LLP
Accountancy firm EIN	2010-12-31	430352985

Form 5500 Responses for MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN

2022: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: MID-AMERICA TRANSPLANT SERVICES SAVINGS AND INVESTMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	MID-AMERICA TRANSPLANT SERVICES, INC.
Employer identification number (EIN):	237426306
NAIC Classification:	621900