401k Plan data: ROCKFORD HEALTH SYSTEM CODE 403(B) PLAN plan

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

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

ROCKFORD HEALTH SYSTEM CODE 403(B) PLAN Benefits

401k Plan Type

Defined 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.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock 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

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 CODE 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
011 2015-01-01 HEIDI ELSBREE
011 2014-01-01 HEIDI ELSBREE, VP PEOPLE & CULTURE
011 2013-01-01 HEIDI ELSBREE, VP PEOPLE & CULTURE
011 2012-01-01 DAN PAROD, SR VP HOSPITAL & ADMIN
011 2011-01-01 DAN PAROD, SR VP HOSPITAL AND ADMIN
011 2009-01-01 DAN PAROD, VP HUMAN RESOURCES
011 2009-01-01 DAN PAROD, VP HUMAN RESOURCES
011 2009-01-01 DAN PAROD, VP HUMAN RESOURCES
011 2009-01-01 DAN PAROD, VP HUMAN RESOURCES
011 2009-01-01 DAN PAROD, VP HUMAN RESOURCES
011 2009-01-01 DAN PAROD, VP HUMAN RESOURCES
011 2009-01-01 DAN PAROD, VP HUMAN RESOURCES
011 2009-01-01 DAN PAROD, VP HUMAN RESOURCES
011 2009-01-01 DAN PAROD, VP HUMAN RESOURCES

Plan id#	Filing Submission Date	Name of Administrator
011	2015-01-01	HEIDI ELSBREE
011	2014-01-01	HEIDI ELSBREE, VP PEOPLE & CULTURE
011	2013-01-01	HEIDI ELSBREE, VP PEOPLE & CULTURE
011	2012-01-01	DAN PAROD, SR VP HOSPITAL & ADMIN
011	2011-01-01	DAN PAROD, SR VP HOSPITAL AND ADMIN
011	2009-01-01	DAN PAROD, VP HUMAN RESOURCES
011	2009-01-01	DAN PAROD, VP HUMAN RESOURCES
011	2009-01-01	DAN PAROD, VP HUMAN RESOURCES
011	2009-01-01	DAN PAROD, VP HUMAN RESOURCES
011	2009-01-01	DAN PAROD, VP HUMAN RESOURCES
011	2009-01-01	DAN PAROD, VP HUMAN RESOURCES
011	2009-01-01	DAN PAROD, VP HUMAN RESOURCES
011	2009-01-01	DAN PAROD, VP HUMAN RESOURCES
011	2009-01-01	DAN PAROD, VP HUMAN RESOURCES

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
2015: ROCKFORD HEALTH SYSTEM CODE 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 4,447
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 2,880
Number of retired or separated participants receiving benefits 2015-01-01 11
Number of other retired or separated participants entitled to future benefits 2015-01-01 1,711
Total of all active and inactive participants 2015-01-01 4,602
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 10
Total participants 2015-01-01 4,612
Number of participants with account balances 2015-01-01 4,612
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: ROCKFORD HEALTH SYSTEM CODE 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 4,374
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2,858
Number of retired or separated participants receiving benefits 2014-01-01 8
Number of other retired or separated participants entitled to future benefits 2014-01-01 1,571
Total of all active and inactive participants 2014-01-01 4,437
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 10
Total participants 2014-01-01 4,447
Number of participants with account balances 2014-01-01 4,447
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: ROCKFORD HEALTH SYSTEM CODE 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 4,118
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2,615
Number of retired or separated participants receiving benefits 2013-01-01 25
Number of other retired or separated participants entitled to future benefits 2013-01-01 1,722
Total of all active and inactive participants 2013-01-01 4,362
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 12
Total participants 2013-01-01 4,374
Number of participants with account balances 2013-01-01 4,374
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: ROCKFORD HEALTH SYSTEM CODE 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 4,145
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2,760
Number of retired or separated participants receiving benefits 2012-01-01 1,344
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 4,104
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 14
Total participants 2012-01-01 4,118
Number of participants with account balances 2012-01-01 4,118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: ROCKFORD HEALTH SYSTEM CODE 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 3,895
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2,741
Number of retired or separated participants receiving benefits 2011-01-01 1,388
Number of other retired or separated participants entitled to future benefits 2011-01-01 10
Total of all active and inactive participants 2011-01-01 4,139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 6
Total participants 2011-01-01 4,145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: ROCKFORD HEALTH SYSTEM CODE 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 4,480
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 3,282
Number of retired or separated participants receiving benefits 2009-01-01 1,154
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 4,441
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 5
Total participants 2009-01-01 4,446
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2015: ROCKFORD HEALTH SYSTEM CODE 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	4,447
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	2,880
Number of retired or separated participants receiving benefits	2015-01-01	11
Number of other retired or separated participants entitled to future benefits	2015-01-01	1,711
Total of all active and inactive participants	2015-01-01	4,602
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	10
Total participants	2015-01-01	4,612
Number of participants with account balances	2015-01-01	4,612
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: ROCKFORD HEALTH SYSTEM CODE 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	4,374
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2,858
Number of retired or separated participants receiving benefits	2014-01-01	8
Number of other retired or separated participants entitled to future benefits	2014-01-01	1,571
Total of all active and inactive participants	2014-01-01	4,437
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	10
Total participants	2014-01-01	4,447
Number of participants with account balances	2014-01-01	4,447
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: ROCKFORD HEALTH SYSTEM CODE 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	4,118
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2,615
Number of retired or separated participants receiving benefits	2013-01-01	25
Number of other retired or separated participants entitled to future benefits	2013-01-01	1,722
Total of all active and inactive participants	2013-01-01	4,362
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	12
Total participants	2013-01-01	4,374
Number of participants with account balances	2013-01-01	4,374
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: ROCKFORD HEALTH SYSTEM CODE 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	4,145
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2,760
Number of retired or separated participants receiving benefits	2012-01-01	1,344
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	4,104
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	14
Total participants	2012-01-01	4,118
Number of participants with account balances	2012-01-01	4,118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: ROCKFORD HEALTH SYSTEM CODE 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	3,895
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2,741
Number of retired or separated participants receiving benefits	2011-01-01	1,388
Number of other retired or separated participants entitled to future benefits	2011-01-01	10
Total of all active and inactive participants	2011-01-01	4,139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	6
Total participants	2011-01-01	4,145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: ROCKFORD HEALTH SYSTEM CODE 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	4,480
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	3,282
Number of retired or separated participants receiving benefits	2009-01-01	1,154
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	4,441
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	5
Total participants	2009-01-01	4,446
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

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

Measure	Date	Value
2015 : ROCKFORD HEALTH SYSTEM CODE 403(B) 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	$14,527,421
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$12,214,212
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$12,180,124
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$12,083,270
Value of total assets at end of year	2015-12-31	$169,994,221
Value of total assets at beginning of year	2015-12-31	$167,681,012
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$34,088
Total interest from all sources	2015-12-31	$170,063
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$7,799,115
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	$7,799,115
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
Contributions received from participants	2015-12-31	$11,110,124
Participant contributions at end of year	2015-12-31	$2,673,134
Participant contributions at beginning of year	2015-12-31	$2,569,968
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$973,146
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	$2,313,209
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$169,994,221
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$167,681,012
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	$156,337,887
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$153,331,909
Value of interest in pooled separate accounts at end of year	2015-12-31	$1,968,737
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$2,442,577
Interest on participant loans	2015-12-31	$107,813
Interest earned on other investments	2015-12-31	$61,168
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$5,291,193
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$5,982,503
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$5,982,503
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$1,082
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$3,723,270
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$3,354,055
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-5,525,027
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$12,180,124
Contract administrator fees	2015-12-31	$34,088
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 CODE 403(B) PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$22,553,662
Total of all expenses incurred	2014-12-31	$12,718,007
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$12,686,919
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$11,655,371
Value of total assets at end of year	2014-12-31	$167,681,012
Value of total assets at beginning of year	2014-12-31	$157,845,357
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$31,088
Total interest from all sources	2014-12-31	$136,879
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$9,973,026
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	$9,973,026
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
Contributions received from participants	2014-12-31	$10,495,445
Participant contributions at end of year	2014-12-31	$2,569,968
Participant contributions at beginning of year	2014-12-31	$2,430,078
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$1,159,926
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	$9,835,655
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$167,681,012
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$157,845,357
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	$153,331,909
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$144,478,987
Value of interest in pooled separate accounts at end of year	2014-12-31	$2,442,577
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$2,403,100
Interest on participant loans	2014-12-31	$105,738
Interest earned on other investments	2014-12-31	$30,548
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$5,982,503
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$5,775,879
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$5,775,879
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$593
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$3,354,055
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$2,757,313
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$788,386
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$12,686,919
Contract administrator fees	2014-12-31	$31,088
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 CODE 403(B) PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$38,598,005
Total of all expenses incurred	2013-12-31	$9,273,241
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$9,241,537
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$10,985,721
Value of total assets at end of year	2013-12-31	$157,845,357
Value of total assets at beginning of year	2013-12-31	$128,520,593
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$31,704
Total interest from all sources	2013-12-31	$131,837
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$5,776,824
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	$5,776,824
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
Contributions received from participants	2013-12-31	$10,355,981
Participant contributions at end of year	2013-12-31	$2,430,078
Participant contributions at beginning of year	2013-12-31	$2,306,965
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$629,740
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	$29,324,764
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$157,845,357
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$128,520,593
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	$144,478,987
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$116,121,402
Value of interest in pooled separate accounts at end of year	2013-12-31	$2,403,100
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$2,256,115
Interest on participant loans	2013-12-31	$97,185
Interest earned on other investments	2013-12-31	$34,034
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$5,775,879
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$5,405,949
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$5,405,949
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$618
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$2,757,313
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$2,430,162
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$21,703,623
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$9,241,537
Contract administrator fees	2013-12-31	$31,704
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 CODE 403(B) PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$25,359,812
Total of all expenses incurred	2012-12-31	$8,475,221
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$8,445,326
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$10,493,165
Value of total assets at end of year	2012-12-31	$128,520,593
Value of total assets at beginning of year	2012-12-31	$111,636,002
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$29,895
Total interest from all sources	2012-12-31	$149,202
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$3,083,735
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
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
Contributions received from participants	2012-12-31	$9,878,426
Participant contributions at end of year	2012-12-31	$2,306,965
Participant contributions at beginning of year	2012-12-31	$1,975,406
Participant contributions at beginning of year	2012-12-31	$319,889
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$621,372
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$547,060
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$614,739
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	$16,884,591
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$128,520,593
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$111,636,002
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	$120,905,979
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$104,108,346
Value of interest in pooled separate accounts at end of year	2012-12-31	$2,256,115
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$2,115,832
Interest on participant loans	2012-12-31	$95,771
Interest earned on other investments	2012-12-31	$52,855
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$576
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$2,430,162
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$2,569,469
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$11,633,710
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
Income. Dividends from common stock	2012-12-31	$3,083,735
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$8,445,326
Contract administrator fees	2012-12-31	$29,895
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 CODE 403(B) PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$7,409,928
Total of all expenses incurred	2011-12-31	$7,740,402
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$7,711,547
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$10,143,213
Value of total assets at end of year	2011-12-31	$111,636,003
Value of total assets at beginning of year	2011-12-31	$111,966,476
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$28,855
Total interest from all sources	2011-12-31	$146,279
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$2,615,772
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
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	$9,852,138
Participant contributions at end of year	2011-12-31	$1,975,406
Participant contributions at beginning of year	2011-12-31	$1,828,762
Participant contributions at end of year	2011-12-31	$319,889
Participant contributions at beginning of year	2011-12-31	$315,641
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$547,060
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$539,296
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$291,075
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	$-330,474
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$111,636,003
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$111,966,476
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	$104,108,346
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$99,403,038
Value of interest in pooled separate accounts at end of year	2011-12-31	$2,115,832
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$2,689,546
Interest on participant loans	2011-12-31	$88,894
Interest earned on other investments	2011-12-31	$56,833
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$5,097,402
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$5,097,402
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$552
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$2,569,470
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$2,092,791
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-5,495,336
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
Income. Dividends from common stock	2011-12-31	$2,615,772
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$7,711,547
Contract administrator fees	2011-12-31	$28,855
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 CODE 403(B) PLAN 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$22,412,357
Total of all expenses incurred	2010-12-31	$4,662,250
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$4,636,293
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$9,758,232
Value of total assets at end of year	2010-12-31	$111,966,476
Value of total assets at beginning of year	2010-12-31	$94,216,369
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$25,957
Total interest from all sources	2010-12-31	$2,029,008
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$10,000,000
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
Contributions received from participants	2010-12-31	$9,362,205
Participant contributions at end of year	2010-12-31	$1,828,762
Participant contributions at beginning of year	2010-12-31	$1,794,885
Participant contributions at end of year	2010-12-31	$315,641
Participant contributions at beginning of year	2010-12-31	$299,215
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$539,296
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$396,027
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	$17,750,107
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$111,966,476
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$94,216,369
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	$99,403,038
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$82,743,771
Value of interest in pooled separate accounts at end of year	2010-12-31	$2,689,546
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$2,777,467
Interest on participant loans	2010-12-31	$101,839
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$5,097,402
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$4,870,751
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$4,870,751
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$1,927,169
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$2,092,791
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$1,730,280
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$10,625,117
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$4,636,293
Contract administrator fees	2010-12-31	$25,957
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	SIKICH LLP
Accountancy firm EIN	2010-12-31	363168081

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

2015: ROCKFORD HEALTH SYSTEM CODE 403(B) 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 CODE 403(B) 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 CODE 403(B) 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 CODE 403(B) 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 CODE 403(B) 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
2009: ROCKFORD HEALTH SYSTEM CODE 403(B) 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

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Company Name:	ROCKFORD HEALTH SYSTEM
Employer identification number (EIN):	363197915
NAIC Classification:	622000
NAIC Description:	Hospitals