401k Plan data: THE BLOOMSBURG HOSPITAL HOSPITALIZATION PLAN plan

THE BLOOMSBURG HOSPITAL HOSPITALIZATION PLAN 401k Plan overview

Plan Name	THE BLOOMSBURG HOSPITAL HOSPITALIZATION PLAN
Plan identification number	501

THE BLOOMSBURG HOSPITAL HOSPITALIZATION PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision Other welfare benefit cover

401k Sponsoring company profile

GEISINGER-BLOOMSBURG HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: GEISINGER-BLOOMSBURG HOSPITAL

Employer identification number (EIN): 232193572

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE BLOOMSBURG HOSPITAL HOSPITALIZATION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2011-01-01 MARY HOWE
501 2010-01-01 MARY HOWE
501 2009-01-01 MARY HOWE
501 2009-01-01 MARY HOWE
501 2008-01-01 MARY HOWE

Plan id#	Filing Submission Date	Name of Administrator
501	2011-01-01	MARY HOWE
501	2010-01-01	MARY HOWE
501	2009-01-01	MARY HOWE
501	2009-01-01	MARY HOWE
501	2008-01-01	MARY HOWE

Plan Statistics for THE BLOOMSBURG HOSPITAL HOSPITALIZATION PLAN

401k plan membership statisitcs for THE BLOOMSBURG HOSPITAL HOSPITALIZATION PLAN

Measure Date Value
2011: THE BLOOMSBURG HOSPITAL HOSPITALIZATION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 581
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 0
2010: THE BLOOMSBURG HOSPITAL HOSPITALIZATION PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 500
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 581
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 581
2009: THE BLOOMSBURG HOSPITAL HOSPITALIZATION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 431
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 500
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 500
2008: THE BLOOMSBURG HOSPITAL HOSPITALIZATION PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 431
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 431
Number of retired or separated participants receiving benefits 2008-01-01 0
Number of other retired or separated participants entitled to future benefits 2008-01-01 0
Total of all active and inactive participants 2008-01-01 431

Measure	Date	Value
2011: THE BLOOMSBURG HOSPITAL HOSPITALIZATION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	581
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	0
2010: THE BLOOMSBURG HOSPITAL HOSPITALIZATION PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	500
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	581
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	581
2009: THE BLOOMSBURG HOSPITAL HOSPITALIZATION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	431
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	500
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	500
2008: THE BLOOMSBURG HOSPITAL HOSPITALIZATION PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	431
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	431
Number of retired or separated participants receiving benefits	2008-01-01	0
Number of other retired or separated participants entitled to future benefits	2008-01-01	0
Total of all active and inactive participants	2008-01-01	431

Form 5500 Responses for THE BLOOMSBURG HOSPITAL HOSPITALIZATION PLAN

2011: THE BLOOMSBURG HOSPITAL HOSPITALIZATION PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	Yes
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: THE BLOOMSBURG HOSPITAL HOSPITALIZATION PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: THE BLOOMSBURG HOSPITAL HOSPITALIZATION 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	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2008: THE BLOOMSBURG HOSPITAL HOSPITALIZATION PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Insurance	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	GEISINGER-BLOOMSBURG HOSPITAL
Employer identification number (EIN):	232193572
NAIC Classification:	622000
NAIC Description:	Hospitals