401k Plan data: ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN plan

ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN 401k Plan overview

Plan Name	ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN
Plan identification number	001

ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily pay related Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021). 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 MEMORIAL HOSPITAL BASIC PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 HEIDI ELSBREE
001 2014-01-01 HEIDI ELSBREE, VP PEOPLE & CULTURE
001 2013-01-01 HEIDI ELSBREE, VP PEOPLE & CULTURE
001 2012-01-01 DAN PAROD, SR VP HOSPITAL & ADMIN
001 2011-01-01 DAN PAROD, VP OF ADMINISTRATION & C
001 2010-01-01 DAN PAROD, VP OF HUMAN RESOURCES
001 2009-01-01 DAN PAROD, VP HUMAN RESOURCES

Plan id#	Filing Submission Date	Name of Administrator
001	2015-01-01	HEIDI ELSBREE
001	2014-01-01	HEIDI ELSBREE, VP PEOPLE & CULTURE
001	2013-01-01	HEIDI ELSBREE, VP PEOPLE & CULTURE
001	2012-01-01	DAN PAROD, SR VP HOSPITAL & ADMIN
001	2011-01-01	DAN PAROD, VP OF ADMINISTRATION & C
001	2010-01-01	DAN PAROD, VP OF HUMAN RESOURCES
001	2009-01-01	DAN PAROD, VP HUMAN RESOURCES

Plan Statistics for ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN

401k plan membership statisitcs for ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN

Measure Date Value
2015: ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,974
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1,010
Number of retired or separated participants receiving benefits 2015-01-01 151
Number of other retired or separated participants entitled to future benefits 2015-01-01 727
Total of all active and inactive participants 2015-01-01 1,888
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 10
Total participants 2015-01-01 1,898
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2,084
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,101
Number of retired or separated participants receiving benefits 2014-01-01 137
Number of other retired or separated participants entitled to future benefits 2014-01-01 725
Total of all active and inactive participants 2014-01-01 1,963
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 11
Total participants 2014-01-01 1,974
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 2,223
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,178
Number of retired or separated participants receiving benefits 2013-01-01 126
Number of other retired or separated participants entitled to future benefits 2013-01-01 771
Total of all active and inactive participants 2013-01-01 2,075
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 9
Total participants 2013-01-01 2,084
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 1
2012: ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2,305
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,301
Number of retired or separated participants receiving benefits 2012-01-01 155
Number of other retired or separated participants entitled to future benefits 2012-01-01 756
Total of all active and inactive participants 2012-01-01 2,212
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 11
Total participants 2012-01-01 2,223
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 3
2011: ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2,454
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,409
Number of retired or separated participants receiving benefits 2011-01-01 146
Number of other retired or separated participants entitled to future benefits 2011-01-01 738
Total of all active and inactive participants 2011-01-01 2,293
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 12
Total participants 2011-01-01 2,305
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 2
2010: ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 2,603
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,500
Number of retired or separated participants receiving benefits 2010-01-01 164
Number of other retired or separated participants entitled to future benefits 2010-01-01 779
Total of all active and inactive participants 2010-01-01 2,443
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 11
Total participants 2010-01-01 2,454
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 1
2009: ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2,673
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,582
Number of retired or separated participants receiving benefits 2009-01-01 165
Number of other retired or separated participants entitled to future benefits 2009-01-01 846
Total of all active and inactive participants 2009-01-01 2,593
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 10
Total participants 2009-01-01 2,603
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 3

Measure	Date	Value
2015: ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,974
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1,010
Number of retired or separated participants receiving benefits	2015-01-01	151
Number of other retired or separated participants entitled to future benefits	2015-01-01	727
Total of all active and inactive participants	2015-01-01	1,888
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	10
Total participants	2015-01-01	1,898
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2,084
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,101
Number of retired or separated participants receiving benefits	2014-01-01	137
Number of other retired or separated participants entitled to future benefits	2014-01-01	725
Total of all active and inactive participants	2014-01-01	1,963
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	11
Total participants	2014-01-01	1,974
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2,223
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,178
Number of retired or separated participants receiving benefits	2013-01-01	126
Number of other retired or separated participants entitled to future benefits	2013-01-01	771
Total of all active and inactive participants	2013-01-01	2,075
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	9
Total participants	2013-01-01	2,084
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	1
2012: ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2,305
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,301
Number of retired or separated participants receiving benefits	2012-01-01	155
Number of other retired or separated participants entitled to future benefits	2012-01-01	756
Total of all active and inactive participants	2012-01-01	2,212
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	11
Total participants	2012-01-01	2,223
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	3
2011: ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2,454
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,409
Number of retired or separated participants receiving benefits	2011-01-01	146
Number of other retired or separated participants entitled to future benefits	2011-01-01	738
Total of all active and inactive participants	2011-01-01	2,293
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	12
Total participants	2011-01-01	2,305
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	2
2010: ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	2,603
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,500
Number of retired or separated participants receiving benefits	2010-01-01	164
Number of other retired or separated participants entitled to future benefits	2010-01-01	779
Total of all active and inactive participants	2010-01-01	2,443
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	11
Total participants	2010-01-01	2,454
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	1
2009: ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2,673
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,582
Number of retired or separated participants receiving benefits	2009-01-01	165
Number of other retired or separated participants entitled to future benefits	2009-01-01	846
Total of all active and inactive participants	2009-01-01	2,593
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	10
Total participants	2009-01-01	2,603
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	3

Financial Data on ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN

Measure	Date	Value
2015 : ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2015-12-31	$-678,485
Total unrealized appreciation/depreciation of assets	2015-12-31	$-678,485
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	$8,395,846
Total loss/gain on sale of assets	2015-12-31	$537,539
Total of all expenses incurred	2015-12-31	$6,133,414
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$5,599,947
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$8,000,000
Value of total assets at end of year	2015-12-31	$79,670,337
Value of total assets at beginning of year	2015-12-31	$77,407,905
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$533,467
Total interest from all sources	2015-12-31	$507,348
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$735,586
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	$540,127
Administrative expenses professional fees incurred	2015-12-31	$20,000
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
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$134,803
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$99,154
Other income not declared elsewhere	2015-12-31	$23,116
Administrative expenses (other) incurred	2015-12-31	$323,175
Total non interest bearing cash at end of year	2015-12-31	$3,093
Total non interest bearing cash at beginning of year	2015-12-31	$4,957
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	$2,262,432
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$79,670,337
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$77,407,905
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
Assets. partnership/joint venture interests at end of year	2015-12-31	$10,122,249
Assets. partnership/joint venture interests at beginning of year	2015-12-31	$10,022,028
Investment advisory and management fees	2015-12-31	$190,292
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$28,896,193
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$37,721,212
Income. Interest from US Government securities	2015-12-31	$178,893
Income. Interest from corporate debt instruments	2015-12-31	$328,455
Asset value of US Government securities at end of year	2015-12-31	$10,369,965
Asset value of US Government securities at beginning of year	2015-12-31	$7,832,057
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-729,258
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	Yes
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	$8,000,000
Employer contributions (assets) at end of year	2015-12-31	$8,000,000
Employer contributions (assets) at beginning of year	2015-12-31	$4,000,000
Income. Dividends from common stock	2015-12-31	$195,459
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$5,599,947
Asset. Corporate debt instrument debt (other) at end of year	2015-12-31	$11,261,415
Asset. Corporate debt instrument debt (other) at beginning of year	2015-12-31	$6,336,197
Assets. Corporate common stocks other than exployer securities at end of year	2015-12-31	$10,882,619
Assets. Corporate common stocks other than exployer securities at beginning of year	2015-12-31	$11,392,300
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
Aggregate proceeds on sale of assets	2015-12-31	$13,544,517
Aggregate carrying amount (costs) on sale of assets	2015-12-31	$13,006,978
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 MEMORIAL HOSPITAL BASIC PENSION PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2014-12-31	$-3,178,535
Total unrealized appreciation/depreciation of assets	2014-12-31	$-3,178,535
Total income from all sources (including contributions)	2014-12-31	$6,378,487
Total loss/gain on sale of assets	2014-12-31	$3,502,828
Total of all expenses incurred	2014-12-31	$6,631,044
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$6,261,653
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$4,000,000
Value of total assets at end of year	2014-12-31	$77,407,905
Value of total assets at beginning of year	2014-12-31	$77,660,462
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$369,391
Total interest from all sources	2014-12-31	$397,220
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$865,506
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	$614,780
Administrative expenses professional fees incurred	2014-12-31	$72,686
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
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$99,154
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$127,266
Other income not declared elsewhere	2014-12-31	$1,973
Administrative expenses (other) incurred	2014-12-31	$102,116
Total non interest bearing cash at end of year	2014-12-31	$4,957
Total non interest bearing cash at beginning of year	2014-12-31	$8,102
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	$-252,557
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$77,407,905
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$77,660,462
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
Assets. partnership/joint venture interests at end of year	2014-12-31	$10,022,028
Investment advisory and management fees	2014-12-31	$194,589
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$37,721,212
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$41,283,339
Income. Interest from US Government securities	2014-12-31	$146,407
Income. Interest from corporate debt instruments	2014-12-31	$250,813
Asset value of US Government securities at end of year	2014-12-31	$7,832,057
Asset value of US Government securities at beginning of year	2014-12-31	$5,301,727
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$789,495
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	Yes
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	$4,000,000
Employer contributions (assets) at end of year	2014-12-31	$4,000,000
Employer contributions (assets) at beginning of year	2014-12-31	$4,000,000
Income. Dividends from common stock	2014-12-31	$250,726
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$6,261,653
Asset. Corporate debt instrument debt (other) at end of year	2014-12-31	$6,336,197
Asset. Corporate debt instrument debt (other) at beginning of year	2014-12-31	$7,217,980
Assets. Corporate common stocks other than exployer securities at end of year	2014-12-31	$11,392,300
Assets. Corporate common stocks other than exployer securities at beginning of year	2014-12-31	$19,722,048
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
Aggregate proceeds on sale of assets	2014-12-31	$26,879,595
Aggregate carrying amount (costs) on sale of assets	2014-12-31	$23,376,767
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 MEMORIAL HOSPITAL BASIC PENSION PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2013-12-31	$1,788,077
Total unrealized appreciation/depreciation of assets	2013-12-31	$1,788,077
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$49,508
Total income from all sources (including contributions)	2013-12-31	$16,895,655
Total loss/gain on sale of assets	2013-12-31	$2,829,060
Total of all expenses incurred	2013-12-31	$6,997,729
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$6,588,556
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$4,000,000
Value of total assets at end of year	2013-12-31	$77,660,462
Value of total assets at beginning of year	2013-12-31	$67,812,044
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$409,173
Total interest from all sources	2013-12-31	$502,775
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$825,409
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	$530,750
Administrative expenses professional fees incurred	2013-12-31	$43,931
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
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$127,266
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$133,445
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$49,508
Other income not declared elsewhere	2013-12-31	$226
Administrative expenses (other) incurred	2013-12-31	$183,276
Total non interest bearing cash at end of year	2013-12-31	$8,102
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	$9,897,926
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$77,660,462
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$67,762,536
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$181,966
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$41,283,339
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$33,430,318
Income. Interest from US Government securities	2013-12-31	$143,424
Income. Interest from corporate debt instruments	2013-12-31	$359,351
Asset value of US Government securities at end of year	2013-12-31	$5,301,727
Asset value of US Government securities at beginning of year	2013-12-31	$6,708,512
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$6,950,108
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	Yes
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	$4,000,000
Employer contributions (assets) at end of year	2013-12-31	$4,000,000
Employer contributions (assets) at beginning of year	2013-12-31	$2,900,000
Income. Dividends from common stock	2013-12-31	$294,659
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$6,588,556
Asset. Corporate debt instrument debt (other) at end of year	2013-12-31	$7,217,980
Asset. Corporate debt instrument debt (other) at beginning of year	2013-12-31	$8,835,226
Assets. Corporate common stocks other than exployer securities at end of year	2013-12-31	$19,722,048
Assets. Corporate common stocks other than exployer securities at beginning of year	2013-12-31	$15,804,543
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
Aggregate proceeds on sale of assets	2013-12-31	$26,737,123
Aggregate carrying amount (costs) on sale of assets	2013-12-31	$23,908,063
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 MEMORIAL HOSPITAL BASIC PENSION PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$-34,216
Total unrealized appreciation/depreciation of assets	2012-12-31	$-34,216
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$49,508
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$223,464
Total income from all sources (including contributions)	2012-12-31	$10,008,740
Total loss/gain on sale of assets	2012-12-31	$2,796,651
Total of all expenses incurred	2012-12-31	$4,673,864
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$4,277,612
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$2,900,000
Value of total assets at end of year	2012-12-31	$67,812,044
Value of total assets at beginning of year	2012-12-31	$62,651,124
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$396,252
Total interest from all sources	2012-12-31	$563,890
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$849,911
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	$479,463
Administrative expenses professional fees incurred	2012-12-31	$40,919
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
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$133,445
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$172,581
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$49,508
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$186,417
Administrative expenses (other) incurred	2012-12-31	$148,877
Liabilities. Value of operating payables at beginning of year	2012-12-31	$37,047
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	$5,334,876
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$67,762,536
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$62,427,660
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$206,456
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$30,429,444
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$18,152,760
Income. Interest from US Government securities	2012-12-31	$174,431
Income. Interest from corporate debt instruments	2012-12-31	$389,264
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$3,000,874
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$2,442,070
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$2,442,070
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$195
Asset value of US Government securities at end of year	2012-12-31	$6,708,512
Asset value of US Government securities at beginning of year	2012-12-31	$6,609,866
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$2,932,504
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
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	$2,900,000
Employer contributions (assets) at end of year	2012-12-31	$2,900,000
Employer contributions (assets) at beginning of year	2012-12-31	$3,200,000
Income. Dividends from common stock	2012-12-31	$370,448
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$4,277,612
Asset. Corporate debt instrument preferred debt at end of year	2012-12-31	$8,835,226
Asset. Corporate debt instrument preferred debt at beginning of year	2012-12-31	$8,753,951
Assets. Corporate common stocks other than exployer securities at end of year	2012-12-31	$15,804,543
Assets. Corporate common stocks other than exployer securities at beginning of year	2012-12-31	$23,319,896
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
Aggregate proceeds on sale of assets	2012-12-31	$41,421,401
Aggregate carrying amount (costs) on sale of assets	2012-12-31	$38,624,750
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 MEMORIAL HOSPITAL BASIC PENSION PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$223,464
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$82,201
Total income from all sources (including contributions)	2011-12-31	$1,753,774
Total of all expenses incurred	2011-12-31	$6,373,824
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$5,850,185
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$3,200,000
Value of total assets at end of year	2011-12-31	$62,651,124
Value of total assets at beginning of year	2011-12-31	$67,129,911
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$523,639
Total interest from all sources	2011-12-31	$1,739,580
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2011-12-31	$181,005
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
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$172,581
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$196,793
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$186,417
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$17,547
Administrative expenses (other) incurred	2011-12-31	$106,275
Liabilities. Value of operating payables at end of year	2011-12-31	$37,047
Liabilities. Value of operating payables at beginning of year	2011-12-31	$64,654
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	$-4,620,050
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$62,427,660
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$67,047,710
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$417,364
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$18,152,760
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$11,732,232
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$2,442,070
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$4,896,557
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$4,896,557
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$1,739,580
Asset value of US Government securities at end of year	2011-12-31	$6,609,866
Asset value of US Government securities at beginning of year	2011-12-31	$6,838,353
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-3,185,806
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
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	$3,200,000
Employer contributions (assets) at end of year	2011-12-31	$3,200,000
Employer contributions (assets) at beginning of year	2011-12-31	$5,100,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$5,850,185
Asset. Corporate debt instrument preferred debt at end of year	2011-12-31	$8,753,951
Asset. Corporate debt instrument preferred debt at beginning of year	2011-12-31	$8,445,441
Assets. Corporate common stocks other than exployer securities at end of year	2011-12-31	$23,319,896
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-12-31	$29,739,530
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 MEMORIAL HOSPITAL BASIC PENSION PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$82,201
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$61,772
Total income from all sources (including contributions)	2010-12-31	$14,483,595
Total of all expenses incurred	2010-12-31	$3,414,402
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$2,950,689
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$8,300,000
Value of total assets at end of year	2010-12-31	$67,129,911
Value of total assets at beginning of year	2010-12-31	$56,040,289
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$463,713
Total interest from all sources	2010-12-31	$1,525,687
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Assets. Corporate prefeered stocks other than exployer securities at end of year	2010-12-31	$181,005
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2010-12-31	$115,702
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
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$196,793
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$191,632
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$17,547
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$24,159
Other income not declared elsewhere	2010-12-31	$88
Administrative expenses (other) incurred	2010-12-31	$27,843
Liabilities. Value of operating payables at end of year	2010-12-31	$64,654
Liabilities. Value of operating payables at beginning of year	2010-12-31	$37,613
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	$11,069,193
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$67,047,710
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$55,978,517
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
Investment advisory and management fees	2010-12-31	$435,870
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$11,732,232
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$6,583,523
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$4,896,557
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$5,457,051
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$5,457,051
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$1,525,687
Asset value of US Government securities at end of year	2010-12-31	$6,838,353
Asset value of US Government securities at beginning of year	2010-12-31	$6,613,033
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$4,657,820
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
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	$8,300,000
Employer contributions (assets) at end of year	2010-12-31	$5,100,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$2,950,689
Asset. Corporate debt instrument preferred debt at end of year	2010-12-31	$8,445,441
Asset. Corporate debt instrument preferred debt at beginning of year	2010-12-31	$10,436,658
Asset. Corporate debt instrument debt (other) at beginning of year	2010-12-31	$158,082
Assets. Corporate common stocks other than exployer securities at end of year	2010-12-31	$29,739,530
Assets. Corporate common stocks other than exployer securities at beginning of year	2010-12-31	$26,484,608
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	SKICH LLP
Accountancy firm EIN	2010-12-31	363168081

Form 5500 Responses for ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN

2015: ROCKFORD MEMORIAL HOSPITAL BASIC PENSION 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 – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: ROCKFORD MEMORIAL HOSPITAL BASIC PENSION PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	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