401k Plan data: ROCKFORD HEALTH SYSTEM RETIREMENT PLAN plan

ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 401k Plan overview

Plan Name	ROCKFORD HEALTH SYSTEM RETIREMENT PLAN
Plan identification number	010

ROCKFORD HEALTH SYSTEM RETIREMENT 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

ROCKFORD HEALTH SYSTEM has sponsored the creation of one or more 401k plans.

Company Name: ROCKFORD HEALTH SYSTEM

Employer identification number (EIN): 363197915

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROCKFORD HEALTH SYSTEM RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
010 2015-01-01 HEIDI ELSBREE
010 2014-01-01 HEIDI ELSBREE, VP PEOPLE & CULTURE
010 2013-01-01 HEIDI ELSBREE, VP PEOPLE & CULTURE
010 2012-01-01 DAN PAROD, SR VP HOSPITAL & ADMIN
010 2011-01-01 DAN PAROD, VP OF HUMAN RESOURCES &
010 2010-01-01 DAN PAROD, VP OF HUMAN RESOURCES
010 2009-01-01 DAN PAROD, VP HUMAN RESOURCES
010 2009-01-01 DAN PAROD, VP HUMAN RESOURCES

Plan id#	Filing Submission Date	Name of Administrator
010	2015-01-01	HEIDI ELSBREE
010	2014-01-01	HEIDI ELSBREE, VP PEOPLE & CULTURE
010	2013-01-01	HEIDI ELSBREE, VP PEOPLE & CULTURE
010	2012-01-01	DAN PAROD, SR VP HOSPITAL & ADMIN
010	2011-01-01	DAN PAROD, VP OF HUMAN RESOURCES &
010	2010-01-01	DAN PAROD, VP OF HUMAN RESOURCES
010	2009-01-01	DAN PAROD, VP HUMAN RESOURCES
010	2009-01-01	DAN PAROD, VP HUMAN RESOURCES

Plan Statistics for ROCKFORD HEALTH SYSTEM RETIREMENT PLAN

401k plan membership statisitcs for ROCKFORD HEALTH SYSTEM RETIREMENT PLAN

Measure Date Value
2015: ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 4,498
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 2,587
Number of retired or separated participants receiving benefits 2015-01-01 10
Number of other retired or separated participants entitled to future benefits 2015-01-01 1,988
Total of all active and inactive participants 2015-01-01 4,585
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 6
Total participants 2015-01-01 4,591
Number of participants with account balances 2015-01-01 4,591
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 72
2014: ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 4,405
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2,750
Number of retired or separated participants receiving benefits 2014-01-01 6
Number of other retired or separated participants entitled to future benefits 2014-01-01 1,738
Total of all active and inactive participants 2014-01-01 4,494
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 4
Total participants 2014-01-01 4,498
Number of participants with account balances 2014-01-01 4,498
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 70
2013: ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 4,354
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2,529
Number of retired or separated participants receiving benefits 2013-01-01 6
Number of other retired or separated participants entitled to future benefits 2013-01-01 1,863
Total of all active and inactive participants 2013-01-01 4,398
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 7
Total participants 2013-01-01 4,405
Number of participants with account balances 2013-01-01 4,405
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 36
2012: ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 4,206
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2,735
Number of retired or separated participants receiving benefits 2012-01-01 1,604
Number of other retired or separated participants entitled to future benefits 2012-01-01 6
Total of all active and inactive participants 2012-01-01 4,345
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 9
Total participants 2012-01-01 4,354
Number of participants with account balances 2012-01-01 4,354
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 106
2011: ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 4,123
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2,649
Number of retired or separated participants receiving benefits 2011-01-01 1,543
Number of other retired or separated participants entitled to future benefits 2011-01-01 7
Total of all active and inactive participants 2011-01-01 4,199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 7
Total participants 2011-01-01 4,206
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 35
2010: ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 4,037
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 2,652
Number of retired or separated participants receiving benefits 2010-01-01 1,460
Number of other retired or separated participants entitled to future benefits 2010-01-01 5
Total of all active and inactive participants 2010-01-01 4,117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 6
Total participants 2010-01-01 4,123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 17
2009: ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 3,869
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2,556
Number of retired or separated participants receiving benefits 2009-01-01 1,471
Number of other retired or separated participants entitled to future benefits 2009-01-01 5
Total of all active and inactive participants 2009-01-01 4,032
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 5
Total participants 2009-01-01 4,037
Number of participants with account balances 2009-01-01 4,037
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 48

Measure	Date	Value
2015: ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	4,498
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	2,587
Number of retired or separated participants receiving benefits	2015-01-01	10
Number of other retired or separated participants entitled to future benefits	2015-01-01	1,988
Total of all active and inactive participants	2015-01-01	4,585
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	6
Total participants	2015-01-01	4,591
Number of participants with account balances	2015-01-01	4,591
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	72
2014: ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	4,405
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2,750
Number of retired or separated participants receiving benefits	2014-01-01	6
Number of other retired or separated participants entitled to future benefits	2014-01-01	1,738
Total of all active and inactive participants	2014-01-01	4,494
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	4
Total participants	2014-01-01	4,498
Number of participants with account balances	2014-01-01	4,498
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	70
2013: ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	4,354
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2,529
Number of retired or separated participants receiving benefits	2013-01-01	6
Number of other retired or separated participants entitled to future benefits	2013-01-01	1,863
Total of all active and inactive participants	2013-01-01	4,398
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	7
Total participants	2013-01-01	4,405
Number of participants with account balances	2013-01-01	4,405
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	36
2012: ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	4,206
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2,735
Number of retired or separated participants receiving benefits	2012-01-01	1,604
Number of other retired or separated participants entitled to future benefits	2012-01-01	6
Total of all active and inactive participants	2012-01-01	4,345
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	9
Total participants	2012-01-01	4,354
Number of participants with account balances	2012-01-01	4,354
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	106
2011: ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	4,123
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2,649
Number of retired or separated participants receiving benefits	2011-01-01	1,543
Number of other retired or separated participants entitled to future benefits	2011-01-01	7
Total of all active and inactive participants	2011-01-01	4,199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	7
Total participants	2011-01-01	4,206
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	35
2010: ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	4,037
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	2,652
Number of retired or separated participants receiving benefits	2010-01-01	1,460
Number of other retired or separated participants entitled to future benefits	2010-01-01	5
Total of all active and inactive participants	2010-01-01	4,117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	6
Total participants	2010-01-01	4,123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	17
2009: ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	3,869
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2,556
Number of retired or separated participants receiving benefits	2009-01-01	1,471
Number of other retired or separated participants entitled to future benefits	2009-01-01	5
Total of all active and inactive participants	2009-01-01	4,032
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	5
Total participants	2009-01-01	4,037
Number of participants with account balances	2009-01-01	4,037
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	48

Financial Data on ROCKFORD HEALTH SYSTEM RETIREMENT PLAN

Measure	Date	Value
2015 : ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$7,648,549
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$4,919,103
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$4,918,378
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$6,034,417
Value of total assets at end of year	2015-12-31	$116,890,208
Value of total assets at beginning of year	2015-12-31	$114,160,762
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$725
Total interest from all sources	2015-12-31	$28,663
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$5,122,853
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	$5,122,853
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$10,000,000
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
Participant contributions at end of year	2015-12-31	$2,580
Participant contributions at beginning of year	2015-12-31	$4,210
Administrative expenses (other) incurred	2015-12-31	$725
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	$2,729,446
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$116,890,208
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$114,160,762
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$106,626,810
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$104,452,956
Interest on participant loans	2015-12-31	$146
Interest earned on other investments	2015-12-31	$27,791
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$4,864,464
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$4,825,199
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$4,825,199
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$726
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$2,743,049
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$2,355,172
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-3,537,384
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	$6,034,417
Employer contributions (assets) at end of year	2015-12-31	$2,653,305
Employer contributions (assets) at beginning of year	2015-12-31	$2,523,225
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$4,918,378
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	WIPFLI LLP
Accountancy firm EIN	2015-12-31	390758449
2014 : ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$13,186,351
Total of all expenses incurred	2014-12-31	$5,330,145
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$5,329,452
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$5,895,877
Value of total assets at end of year	2014-12-31	$114,160,762
Value of total assets at beginning of year	2014-12-31	$106,304,556
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$693
Total interest from all sources	2014-12-31	$27,266
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$6,653,585
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	$6,653,585
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Participant contributions at end of year	2014-12-31	$4,210
Participant contributions at beginning of year	2014-12-31	$575
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$32,706
Administrative expenses (other) incurred	2014-12-31	$693
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	$7,856,206
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$114,160,762
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$106,304,556
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$104,452,956
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$97,623,254
Interest on participant loans	2014-12-31	$103
Interest earned on other investments	2014-12-31	$26,673
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$4,825,199
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$4,439,878
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$4,439,878
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$490
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$2,355,172
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$1,816,267
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$609,623
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	$5,863,171
Employer contributions (assets) at end of year	2014-12-31	$2,523,225
Employer contributions (assets) at beginning of year	2014-12-31	$2,424,582
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$5,329,452
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	BENNING GROUP, LLC
Accountancy firm EIN	2014-12-31	300003878
2013 : ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$24,177,335
Total of all expenses incurred	2013-12-31	$4,372,877
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$4,371,391
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$5,823,283
Value of total assets at end of year	2013-12-31	$106,304,556
Value of total assets at beginning of year	2013-12-31	$86,500,098
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$1,486
Total interest from all sources	2013-12-31	$29,806
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$3,809,823
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	$3,809,823
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Participant contributions at end of year	2013-12-31	$575
Participant contributions at beginning of year	2013-12-31	$9,408
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$57,486
Administrative expenses (other) incurred	2013-12-31	$1,486
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$19,804,458
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$106,304,556
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$86,500,098
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$97,623,254
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$78,044,587
Interest on participant loans	2013-12-31	$213
Interest earned on other investments	2013-12-31	$29,115
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$4,439,878
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$4,361,669
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$4,361,669
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$478
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$1,816,267
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$1,721,987
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$14,514,423
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	$5,765,797
Employer contributions (assets) at end of year	2013-12-31	$2,424,582
Employer contributions (assets) at beginning of year	2013-12-31	$2,362,447
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$4,371,391
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	BENNING GROUP, LLC
Accountancy firm EIN	2013-12-31	300003878
2012 : ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$15,025,310
Total of all expenses incurred	2012-12-31	$4,987,831
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$4,987,261
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$5,198,838
Value of total assets at end of year	2012-12-31	$86,500,098
Value of total assets at beginning of year	2012-12-31	$76,462,619
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$570
Total interest from all sources	2012-12-31	$46,435
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$2,062,200
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	$2,062,200
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Participant contributions at end of year	2012-12-31	$9,408
Participant contributions at beginning of year	2012-12-31	$13,404
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$754,172
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$660,105
Administrative expenses (other) incurred	2012-12-31	$570
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	$10,037,479
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$86,500,098
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$76,462,619
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$81,652,084
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$71,821,738
Interest on participant loans	2012-12-31	$501
Interest earned on other investments	2012-12-31	$45,482
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$452
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$1,721,987
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$1,544,633
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$7,717,837
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	$5,198,838
Employer contributions (assets) at end of year	2012-12-31	$2,362,447
Employer contributions (assets) at beginning of year	2012-12-31	$2,422,739
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$4,987,261
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	BENNING GROUP, LLC
Accountancy firm EIN	2012-12-31	300003878
2011 : ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$3,346,387
Total of all expenses incurred	2011-12-31	$4,391,451
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$4,390,852
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$5,534,987
Value of total assets at end of year	2011-12-31	$76,462,619
Value of total assets at beginning of year	2011-12-31	$77,507,683
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$599
Total interest from all sources	2011-12-31	$425
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$1,812,262
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	$1,812,262
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$9,206
Participant contributions at end of year	2011-12-31	$13,404
Participant contributions at beginning of year	2011-12-31	$6,745
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$660,105
Other income not declared elsewhere	2011-12-31	$-98,677
Administrative expenses (other) incurred	2011-12-31	$599
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	$-1,045,064
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$76,462,619
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$77,507,683
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$71,821,738
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$73,835,407
Interest on participant loans	2011-12-31	$425
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$1,544,633
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$1,237,427
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-3,902,610
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	$5,525,781
Employer contributions (assets) at end of year	2011-12-31	$2,422,739
Employer contributions (assets) at beginning of year	2011-12-31	$2,428,104
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$4,390,852
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	SIKICH LLP
Accountancy firm EIN	2011-12-31	363168081
2010 : ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$13,995,349
Total loss/gain on sale of assets	2010-12-31	$362,869
Total of all expenses incurred	2010-12-31	$2,517,498
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$2,515,913
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$5,354,074
Value of total assets at end of year	2010-12-31	$77,507,683
Value of total assets at beginning of year	2010-12-31	$66,029,832
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$1,585
Total interest from all sources	2010-12-31	$50,245
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$1,331,646
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	$1,331,646
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Participant contributions at end of year	2010-12-31	$6,745
Participant contributions at beginning of year	2010-12-31	$14,346
Administrative expenses (other) incurred	2010-12-31	$1,585
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	$11,477,851
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$77,507,683
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$66,029,832
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	$69,809,436
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$58,694,932
Interest on participant loans	2010-12-31	$998
Interest earned on other investments	2010-12-31	$46,698
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$4,025,971
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$3,893,322
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$3,893,322
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$2,549
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$1,237,427
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$1,070,906
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$6,896,515
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	$5,354,074
Employer contributions (assets) at end of year	2010-12-31	$2,428,104
Employer contributions (assets) at beginning of year	2010-12-31	$2,356,326
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$2,515,913
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
Aggregate proceeds on sale of assets	2010-12-31	$362,869
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	SIKICH LLP
Accountancy firm EIN	2010-12-31	363168081

Form 5500 Responses for ROCKFORD HEALTH SYSTEM RETIREMENT PLAN

2015: ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: ROCKFORD HEALTH SYSTEM RETIREMENT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
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: ROCKFORD HEALTH SYSTEM RETIREMENT 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	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

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

450829/806623

Policy instance

Insurance contract or identification number	450829/806623
Number of Individuals Covered	4591
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $6,247
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	6247
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker organization code?	3
Insurance broker name	FIDELITY INVESTMENTS TAX-EXEMPT SVC

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

450829/806623

Policy instance

Insurance contract or identification number	450829/806623
Number of Individuals Covered	77
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of fees paid to insurance company	USD $5,146
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	5146
Additional information about fees paid to insurance broker	REFERRAL / SERVICE FEE
Insurance broker organization code?	3
Insurance broker name	FIDELITY INVESTMENTS TAX-EXEMPT SVC

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

450829/806623

Policy instance

Insurance contract or identification number	450829/806623
Number of Individuals Covered	74
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of fees paid to insurance company	USD $5,578
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	5578
Additional information about fees paid to insurance broker	REFERRAL / SERVICE FEE
Insurance broker organization code?	3
Insurance broker name	FIDELITY INVESTMENTS TAX-EXEMPT SVC

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

450829/806623

Policy instance

Insurance contract or identification number	450829/806623
Number of Individuals Covered	80
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of fees paid to insurance company	USD $3,032
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	3032
Additional information about fees paid to insurance broker	REFERRAL / SERVICE FEE
Insurance broker organization code?	3
Insurance broker name	FIDELITY INVESTMENTS TAX-EXEMPT SVC

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

4-50829

Policy instance

Insurance contract or identification number	4-50829
Number of Individuals Covered	79
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of fees paid to insurance company	USD $3,247
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

4-50829

Policy instance

Insurance contract or identification number	4-50829
Number of Individuals Covered	68
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of fees paid to insurance company	USD $2,925
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
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Company Name:	ROCKFORD HEALTH SYSTEM
Employer identification number (EIN):	363197915
NAIC Classification:	622000
NAIC Description:	Hospitals