401k Plan data: FREDERICK MEMORIAL HOSPITAL, INC INDEMITY PLAN plan

FREDERICK MEMORIAL HOSPITAL, INC INDEMITY PLAN 401k Plan overview

Plan Name	FREDERICK MEMORIAL HOSPITAL, INC INDEMITY PLAN
Plan identification number	506

FREDERICK MEMORIAL HOSPITAL, INC INDEMITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Temporary disability (accident and sickness)

401k Sponsoring company profile

FREDERICK HEALTH, INC. has sponsored the creation of one or more 401k plans.

Company Name: FREDERICK HEALTH, INC.

Employer identification number (EIN): 520591612

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FREDERICK MEMORIAL HOSPITAL, INC INDEMITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
506 2012-01-01 TERRY OMALLEY
506 2009-01-01 TERRY OMALLEY

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
506	2012-01-01	TERRY OMALLEY
506	2009-01-01	TERRY OMALLEY

Plan Statistics for FREDERICK MEMORIAL HOSPITAL, INC INDEMITY PLAN

401k plan membership statisitcs for FREDERICK MEMORIAL HOSPITAL, INC INDEMITY PLAN

Measure Date Value
2012: FREDERICK MEMORIAL HOSPITAL, INC INDEMITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2,396
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2,304
Total of all active and inactive participants 2012-01-01 2,304
Total participants 2012-01-01 2,304
2009: FREDERICK MEMORIAL HOSPITAL, INC INDEMITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,619
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,655
Total of all active and inactive participants 2009-01-01 1,655
Total participants 2009-01-01 1,655

Measure	Date	Value
2012: FREDERICK MEMORIAL HOSPITAL, INC INDEMITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2,396
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2,304
Total of all active and inactive participants	2012-01-01	2,304
Total participants	2012-01-01	2,304
2009: FREDERICK MEMORIAL HOSPITAL, INC INDEMITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,619
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,655
Total of all active and inactive participants	2009-01-01	1,655
Total participants	2009-01-01	1,655

Form 5500 Responses for FREDERICK MEMORIAL HOSPITAL, INC INDEMITY PLAN

2012: FREDERICK MEMORIAL HOSPITAL, INC INDEMITY PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	First time form 5500 has been submitted	Yes
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2009: FREDERICK MEMORIAL HOSPITAL, INC INDEMITY PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	First time form 5500 has been submitted	Yes
2009-01-01	Submission has been amended	No
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 funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	FREDERICK HEALTH, INC.
Employer identification number (EIN):	520591612
NAIC Classification:	622000
NAIC Description:	Hospitals