401k Plan data: ROCKFORD HEALTH SYSTEM FIXED CONTRIBUTION PLAN plan

ROCKFORD HEALTH SYSTEM FIXED CONTRIBUTION PLAN 401k Plan overview

Plan Name	ROCKFORD HEALTH SYSTEM FIXED CONTRIBUTION PLAN
Plan identification number	013

ROCKFORD HEALTH SYSTEM FIXED CONTRIBUTION PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

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

Company Name: ROCKFORD HEALTH SYSTEM

Employer identification number (EIN): 363197915

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

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

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
013 2015-01-01 HEIDI ELSBREE
013 2014-01-01 HEIDI ELSBREE, VP PEOPLE & CULTURE
013 2013-01-01 HEIDI ELSBREE, VP PEOPLE & CULTURE
013 2012-01-01 DAN PAROD, SR VP HOSPITAL & ADMIN
013 2011-01-01 DAN PAROD, VP OF HUMAN RESOURCES &
013 2009-01-01 DAN PAROD, VP HUMAN RESOURCES

Plan id#	Filing Submission Date	Name of Administrator
013	2015-01-01	HEIDI ELSBREE
013	2014-01-01	HEIDI ELSBREE, VP PEOPLE & CULTURE
013	2013-01-01	HEIDI ELSBREE, VP PEOPLE & CULTURE
013	2012-01-01	DAN PAROD, SR VP HOSPITAL & ADMIN
013	2011-01-01	DAN PAROD, VP OF HUMAN RESOURCES &
013	2009-01-01	DAN PAROD, VP HUMAN RESOURCES

Plan Statistics for ROCKFORD HEALTH SYSTEM FIXED CONTRIBUTION PLAN

401k plan membership statisitcs for ROCKFORD HEALTH SYSTEM FIXED CONTRIBUTION PLAN

Measure Date Value
2015: ROCKFORD HEALTH SYSTEM FIXED CONTRIBUTION PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 2,847
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1,941
Number of retired or separated participants receiving benefits 2015-01-01 2
Number of other retired or separated participants entitled to future benefits 2015-01-01 868
Total of all active and inactive participants 2015-01-01 2,811
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 10
Total participants 2015-01-01 2,821
Number of participants with account balances 2015-01-01 2,821
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 62
2014: ROCKFORD HEALTH SYSTEM FIXED CONTRIBUTION PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 3,183
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,951
Number of retired or separated participants receiving benefits 2014-01-01 1
Number of other retired or separated participants entitled to future benefits 2014-01-01 893
Total of all active and inactive participants 2014-01-01 2,845
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 2
Total participants 2014-01-01 2,847
Number of participants with account balances 2014-01-01 2,847
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 102
2013: ROCKFORD HEALTH SYSTEM FIXED CONTRIBUTION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 3,099
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2,385
Number of retired or separated participants receiving benefits 2013-01-01 1
Number of other retired or separated participants entitled to future benefits 2013-01-01 794
Total of all active and inactive participants 2013-01-01 3,180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 3
Total participants 2013-01-01 3,183
Number of participants with account balances 2013-01-01 3,183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 31
2012: ROCKFORD HEALTH SYSTEM FIXED CONTRIBUTION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2,011
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2,505
Number of retired or separated participants receiving benefits 2012-01-01 590
Number of other retired or separated participants entitled to future benefits 2012-01-01 1
Total of all active and inactive participants 2012-01-01 3,096
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 3
Total participants 2012-01-01 3,099
Number of participants with account balances 2012-01-01 3,099
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 71
2011: ROCKFORD HEALTH SYSTEM FIXED CONTRIBUTION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,476
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,298
Number of retired or separated participants receiving benefits 2011-01-01 706
Number of other retired or separated participants entitled to future benefits 2011-01-01 1
Total of all active and inactive participants 2011-01-01 2,005
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 6
Total participants 2011-01-01 2,011
Number of participants with account balances 2011-01-01 2,011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 20
2009: ROCKFORD HEALTH SYSTEM FIXED CONTRIBUTION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,089
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 945
Number of retired or separated participants receiving benefits 2009-01-01 330
Number of other retired or separated participants entitled to future benefits 2009-01-01 2
Total of all active and inactive participants 2009-01-01 1,277
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 1
Total participants 2009-01-01 1,278
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 23

Measure	Date	Value
2015: ROCKFORD HEALTH SYSTEM FIXED CONTRIBUTION PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	2,847
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1,941
Number of retired or separated participants receiving benefits	2015-01-01	2
Number of other retired or separated participants entitled to future benefits	2015-01-01	868
Total of all active and inactive participants	2015-01-01	2,811
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	10
Total participants	2015-01-01	2,821
Number of participants with account balances	2015-01-01	2,821
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	62
2014: ROCKFORD HEALTH SYSTEM FIXED CONTRIBUTION PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	3,183
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,951
Number of retired or separated participants receiving benefits	2014-01-01	1
Number of other retired or separated participants entitled to future benefits	2014-01-01	893
Total of all active and inactive participants	2014-01-01	2,845
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	2
Total participants	2014-01-01	2,847
Number of participants with account balances	2014-01-01	2,847
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	102
2013: ROCKFORD HEALTH SYSTEM FIXED CONTRIBUTION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	3,099
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2,385
Number of retired or separated participants receiving benefits	2013-01-01	1
Number of other retired or separated participants entitled to future benefits	2013-01-01	794
Total of all active and inactive participants	2013-01-01	3,180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	3
Total participants	2013-01-01	3,183
Number of participants with account balances	2013-01-01	3,183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	31
2012: ROCKFORD HEALTH SYSTEM FIXED CONTRIBUTION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2,011
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2,505
Number of retired or separated participants receiving benefits	2012-01-01	590
Number of other retired or separated participants entitled to future benefits	2012-01-01	1
Total of all active and inactive participants	2012-01-01	3,096
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	3
Total participants	2012-01-01	3,099
Number of participants with account balances	2012-01-01	3,099
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	71
2011: ROCKFORD HEALTH SYSTEM FIXED CONTRIBUTION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,476
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,298
Number of retired or separated participants receiving benefits	2011-01-01	706
Number of other retired or separated participants entitled to future benefits	2011-01-01	1
Total of all active and inactive participants	2011-01-01	2,005
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	6
Total participants	2011-01-01	2,011
Number of participants with account balances	2011-01-01	2,011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	20
2009: ROCKFORD HEALTH SYSTEM FIXED CONTRIBUTION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,089
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	945
Number of retired or separated participants receiving benefits	2009-01-01	330
Number of other retired or separated participants entitled to future benefits	2009-01-01	2
Total of all active and inactive participants	2009-01-01	1,277
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	1
Total participants	2009-01-01	1,278
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	23

Financial Data on ROCKFORD HEALTH SYSTEM FIXED CONTRIBUTION PLAN

Measure	Date	Value
2015 : ROCKFORD HEALTH SYSTEM FIXED CONTRIBUTION 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	$3,493,611
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$1,350,694
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,350,219
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$3,565,810
Value of total assets at end of year	2015-12-31	$27,419,567
Value of total assets at beginning of year	2015-12-31	$25,276,650
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$475
Total interest from all sources	2015-12-31	$1,762
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$1,301,598
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	$1,301,598
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
Administrative expenses (other) incurred	2015-12-31	$475
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	$2,142,917
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$27,419,567
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$25,276,650
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	$23,437,008
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$21,321,185
Interest earned on other investments	2015-12-31	$1,724
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$255,380
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$263,789
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$263,789
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$38
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$145,098
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$144,752
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-1,375,559
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$3,565,810
Employer contributions (assets) at end of year	2015-12-31	$3,582,081
Employer contributions (assets) at beginning of year	2015-12-31	$3,546,924
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,350,219
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 FIXED CONTRIBUTION PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$4,718,750
Total of all expenses incurred	2014-12-31	$961,199
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$960,863
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$3,488,217
Value of total assets at end of year	2014-12-31	$25,276,650
Value of total assets at beginning of year	2014-12-31	$21,519,099
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$336
Total interest from all sources	2014-12-31	$1,425
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$1,955,543
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	$1,955,543
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
Administrative expenses (other) incurred	2014-12-31	$336
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	$3,757,551
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$25,276,650
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$21,519,099
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	$21,321,185
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$17,523,213
Interest earned on other investments	2014-12-31	$1,395
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$263,789
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$287,391
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$287,391
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$30
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$144,752
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$82,619
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$-726,435
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$3,488,217
Employer contributions (assets) at end of year	2014-12-31	$3,546,924
Employer contributions (assets) at beginning of year	2014-12-31	$3,625,876
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$960,863
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 FIXED CONTRIBUTION PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$6,360,597
Total of all expenses incurred	2013-12-31	$676,305
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$675,888
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$3,625,876
Value of total assets at end of year	2013-12-31	$21,519,099
Value of total assets at beginning of year	2013-12-31	$15,834,807
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$417
Total interest from all sources	2013-12-31	$1,359
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$428,365
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	$428,365
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
Administrative expenses (other) incurred	2013-12-31	$417
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	$5,684,292
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$21,519,099
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$15,834,807
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	$17,523,213
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$12,004,839
Interest earned on other investments	2013-12-31	$1,329
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$287,391
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$224,362
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$224,362
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$30
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$82,619
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$78,132
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$2,304,997
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$3,625,876
Employer contributions (assets) at end of year	2013-12-31	$3,625,876
Employer contributions (assets) at beginning of year	2013-12-31	$3,527,474
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$675,888
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 FIXED CONTRIBUTION PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$4,879,207
Total of all expenses incurred	2012-12-31	$623,246
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$623,096
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$3,527,474
Value of total assets at end of year	2012-12-31	$15,834,807
Value of total assets at beginning of year	2012-12-31	$11,578,846
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$150
Total interest from all sources	2012-12-31	$1,925
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$269,523
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	$269,523
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
Administrative expenses (other) incurred	2012-12-31	$150
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	$4,255,961
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$15,834,807
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$11,578,846
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	$12,229,201
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$9,539,783
Interest earned on other investments	2012-12-31	$1,906
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$19
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$78,132
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$52,087
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$1,080,285
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$3,527,474
Employer contributions (assets) at end of year	2012-12-31	$3,527,474
Employer contributions (assets) at beginning of year	2012-12-31	$1,986,976
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$623,096
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 FIXED CONTRIBUTION PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$1,556,934
Total of all expenses incurred	2011-12-31	$252,874
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$252,719
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,986,976
Value of total assets at end of year	2011-12-31	$11,578,846
Value of total assets at beginning of year	2011-12-31	$10,274,786
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$155
Total interest from all sources	2011-12-31	$1,605
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$329,298
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$329,298
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Administrative expenses (other) incurred	2011-12-31	$155
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$1,304,060
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$11,578,846
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$10,274,786
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	$9,539,783
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$8,416,833
Interest earned on other investments	2011-12-31	$1,605
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$52,087
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$33,228
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-760,945
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$1,986,976
Employer contributions (assets) at end of year	2011-12-31	$1,986,976
Employer contributions (assets) at beginning of year	2011-12-31	$1,824,725
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$252,719
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 FIXED CONTRIBUTION PLAN 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$2,814,180
Total of all expenses incurred	2010-12-31	$204,957
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$204,809
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,824,725
Value of total assets at end of year	2010-12-31	$10,274,786
Value of total assets at beginning of year	2010-12-31	$7,665,563
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$148
Total interest from all sources	2010-12-31	$1,138
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$191,854
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$191,854
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Administrative expenses (other) incurred	2010-12-31	$148
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	$2,609,223
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$10,274,786
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$7,665,563
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$8,295,911
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$5,867,360
Interest earned on other investments	2010-12-31	$1,117
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$120,922
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$90,449
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$90,449
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$21
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$33,228
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$26,075
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$796,463
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$1,824,725
Employer contributions (assets) at end of year	2010-12-31	$1,824,725
Employer contributions (assets) at beginning of year	2010-12-31	$1,681,679
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$204,809
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 FIXED CONTRIBUTION PLAN

2015: ROCKFORD HEALTH SYSTEM FIXED CONTRIBUTION 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 FIXED CONTRIBUTION 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 FIXED CONTRIBUTION 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 FIXED CONTRIBUTION 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 FIXED CONTRIBUTION 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 FIXED CONTRIBUTION PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
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