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ROCKFORD HEALTH SYSTEM CODE 403(B) PLAN 401k Plan overview

Plan NameROCKFORD HEALTH SYSTEM CODE 403(B) PLAN
Plan identification number 011

ROCKFORD HEALTH SYSTEM CODE 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • 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.

401k Sponsoring company profile

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

Company Name:MERCY HEALTH CORPORATION
Employer identification number (EIN):472158680
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROCKFORD HEALTH SYSTEM CODE 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0112016-01-01KATHY HARRIS

Plan Statistics for ROCKFORD HEALTH SYSTEM CODE 403(B) PLAN

401k plan membership statisitcs for ROCKFORD HEALTH SYSTEM CODE 403(B) PLAN

Measure Date Value
2016: ROCKFORD HEALTH SYSTEM CODE 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-014,612
Total number of active participants reported on line 7a of the Form 55002016-01-013,271
Number of retired or separated participants receiving benefits2016-01-0110
Number of other retired or separated participants entitled to future benefits2016-01-011,784
Total of all active and inactive participants2016-01-015,065
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-0112
Total participants2016-01-015,077
Number of participants with account balances2016-01-014,677
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010

Financial Data on ROCKFORD HEALTH SYSTEM CODE 403(B) PLAN

Measure Date Value
2016 : ROCKFORD HEALTH SYSTEM CODE 403(B) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$24,389,217
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$24,484,445
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$24,461,330
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$13,459,361
Value of total assets at end of year2016-12-31$169,898,993
Value of total assets at beginning of year2016-12-31$169,994,221
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$23,115
Total interest from all sources2016-12-31$182,156
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$6,343,283
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$6,343,283
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$10,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$11,668,805
Participant contributions at end of year2016-12-31$2,603,712
Participant contributions at beginning of year2016-12-31$2,673,134
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$1,790,556
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-95,228
Value of net assets at end of year (total assets less liabilities)2016-12-31$169,898,993
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$169,994,221
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$157,615,244
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$156,337,887
Value of interest in pooled separate accounts at end of year2016-12-31$1,758,137
Value of interest in pooled separate accounts at beginning of year2016-12-31$1,968,737
Interest on participant loans2016-12-31$114,185
Interest earned on other investments2016-12-31$65,327
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$4,211,397
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$5,291,193
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$5,291,193
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$2,644
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$3,710,503
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$3,723,270
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$4,404,417
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$24,461,330
Contract administrator fees2016-12-31$23,115
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31WIPFLI LLP
Accountancy firm EIN2016-12-31390758449

Form 5500 Responses for ROCKFORD HEALTH SYSTEM CODE 403(B) PLAN

2016: ROCKFORD HEALTH SYSTEM CODE 403(B) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes

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