401k Plan data: CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN plan

CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 401k Plan overview

Plan Name	CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN
Plan identification number	019

CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI 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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan not intended to be qualified - A plan not intended to be qualified under Code sections 401, 403, or 408.

401k Sponsoring company profile

CORPORACION DE SERVICIOS MEDICO Y PRIMARIO Y PREVENCION DE HATILLO has sponsored the creation of one or more 401k plans.

Company Name: CORPORACION DE SERVICIOS MEDICO Y PRIMARIO Y PREVENCION DE HATILLO

Employer identification number (EIN): 660427194

NAIC Classification: 621112
NAIC Description: Offices of Physicians, Mental Health Specialists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
019 2022-01-01
019 2021-01-01
019 2020-01-01
019 2019-01-01
019 2018-01-01
019 2017-03-01 CARLOS RIOS PEREZ

Plan Statistics for CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN

401k plan membership statisitcs for CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN

Measure Date Value
2022: CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 305
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 217
Number of retired or separated participants receiving benefits 2022-01-01 52
Total of all active and inactive participants 2022-01-01 269
Total participants 2022-01-01 269
Number of participants with account balances 2022-01-01 269
2021: CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 291
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 297
Number of retired or separated participants receiving benefits 2021-01-01 7
Number of other retired or separated participants entitled to future benefits 2021-01-01 1
Total of all active and inactive participants 2021-01-01 305
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 305
Number of participants with account balances 2021-01-01 142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 8
2020: CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 211
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 264
Number of retired or separated participants receiving benefits 2020-01-01 2
Number of other retired or separated participants entitled to future benefits 2020-01-01 1
Total of all active and inactive participants 2020-01-01 267
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 267
Number of participants with account balances 2020-01-01 123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 2
2019: CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 207
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 211
Number of retired or separated participants receiving benefits 2019-01-01 1
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 212
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 212
Number of participants with account balances 2019-01-01 114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 4
2018: CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 207
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 211
Number of retired or separated participants receiving benefits 2018-01-01 1
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 212
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 212
Number of participants with account balances 2018-01-01 114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 4
2017: CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 2017 401k membership
Total participants, beginning-of-year 2017-03-01 174
Total number of active participants reported on line 7a of the Form 5500 2017-03-01 204
Number of retired or separated participants receiving benefits 2017-03-01 0
Number of other retired or separated participants entitled to future benefits 2017-03-01 0
Total of all active and inactive participants 2017-03-01 204
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-03-01 0
Total participants 2017-03-01 204
Number of participants with account balances 2017-03-01 103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-03-01 2

Measure	Date	Value
2022: CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	305
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	217
Number of retired or separated participants receiving benefits	2022-01-01	52
Total of all active and inactive participants	2022-01-01	269
Total participants	2022-01-01	269
Number of participants with account balances	2022-01-01	269
2021: CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	291
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	297
Number of retired or separated participants receiving benefits	2021-01-01	7
Number of other retired or separated participants entitled to future benefits	2021-01-01	1
Total of all active and inactive participants	2021-01-01	305
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	305
Number of participants with account balances	2021-01-01	142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	8
2020: CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	211
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	264
Number of retired or separated participants receiving benefits	2020-01-01	2
Number of other retired or separated participants entitled to future benefits	2020-01-01	1
Total of all active and inactive participants	2020-01-01	267
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	267
Number of participants with account balances	2020-01-01	123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	2
2019: CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	207
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	211
Number of retired or separated participants receiving benefits	2019-01-01	1
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	212
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	212
Number of participants with account balances	2019-01-01	114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	4
2018: CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	207
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	211
Number of retired or separated participants receiving benefits	2018-01-01	1
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	212
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	212
Number of participants with account balances	2018-01-01	114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	4
2017: CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 2017 401k membership
Total participants, beginning-of-year	2017-03-01	174
Total number of active participants reported on line 7a of the Form 5500	2017-03-01	204
Number of retired or separated participants receiving benefits	2017-03-01	0
Number of other retired or separated participants entitled to future benefits	2017-03-01	0
Total of all active and inactive participants	2017-03-01	204
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-03-01	0
Total participants	2017-03-01	204
Number of participants with account balances	2017-03-01	103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-03-01	2

Financial Data on CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN

Measure	Date	Value
2022 : CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2022-12-31	$-235,246
Total unrealized appreciation/depreciation of assets	2022-12-31	$-235,246
Total income from all sources (including contributions)	2022-12-31	$278,885
Total of all expenses incurred	2022-12-31	$130,744
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$92,842
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$480,747
Value of total assets at end of year	2022-12-31	$1,759,265
Value of total assets at beginning of year	2022-12-31	$1,611,124
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$37,902
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$33,384
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$33,384
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$315,066
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$44,342
Assets. Loans (other than to participants) at end of year	2022-12-31	$19,148
Assets. Loans (other than to participants) at beginning of year	2022-12-31	$4,975
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$148,141
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$1,759,265
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$1,611,124
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$1,722,151
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$1,583,985
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$17,966
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$22,164
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$22,164
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$121,339
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$92,842
Contract administrator fees	2022-12-31	$37,902
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2022-12-31	No
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Disclaimer
Accountancy firm name	2022-12-31	PKF PUERTO RICO LLC
Accountancy firm EIN	2022-12-31	660831816
2021 : CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$517,781
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$132,790
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$122,120
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$312,241
Value of total assets at end of year	2021-12-31	$1,611,124
Value of total assets at beginning of year	2021-12-31	$1,226,133
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$10,670
Total interest from all sources	2021-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$9,616
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$9,616
Was this plan covered by a fidelity bond	2021-12-31	No
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$222,123
Assets. Loans (other than to participants) at end of year	2021-12-31	$4,975
Assets. Loans (other than to participants) at beginning of year	2021-12-31	$7,810
Other income not declared elsewhere	2021-12-31	$13,841
Administrative expenses (other) incurred	2021-12-31	$10,670
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$384,991
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$1,611,124
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$1,226,133
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$1,583,985
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$1,206,930
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$22,164
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$11,393
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$11,393
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$182,083
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$90,118
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$122,120
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	PKF PUERTO RICO, LLC
Accountancy firm EIN	2021-12-31	660831816
2020 : CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$510,402
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$43,493
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$39,554
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$315,616
Value of total assets at end of year	2020-12-31	$1,226,133
Value of total assets at beginning of year	2020-12-31	$759,224
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$3,939
Total interest from all sources	2020-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$9,209
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$9,209
Was this plan covered by a fidelity bond	2020-12-31	No
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$227,903
Assets. Loans (other than to participants) at end of year	2020-12-31	$7,810
Assets. Loans (other than to participants) at beginning of year	2020-12-31	$4,189
Other income not declared elsewhere	2020-12-31	$7,797
Administrative expenses (other) incurred	2020-12-31	$3,939
Total non interest bearing cash at end of year	2020-12-31	$11,393
Total non interest bearing cash at beginning of year	2020-12-31	$7,557
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$466,909
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$1,226,133
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$759,224
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$1,206,930
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$747,478
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$177,780
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$87,713
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$39,554
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	PFK PUERTO RICO, LLC
Accountancy firm EIN	2020-12-31	660831816
2019 : CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$435,599
Total income from all sources (including contributions)	2019-12-31	$435,599
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$18,570
Total of all expenses incurred	2019-12-31	$18,570
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$18,320
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$18,320
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$326,835
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$326,835
Value of total assets at end of year	2019-12-31	$759,224
Value of total assets at end of year	2019-12-31	$759,224
Value of total assets at beginning of year	2019-12-31	$342,195
Value of total assets at beginning of year	2019-12-31	$342,195
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$250
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$250
Total interest from all sources	2019-12-31	$0
Total interest from all sources	2019-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$10,585
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$10,585
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$10,585
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$10,585
Was this plan covered by a fidelity bond	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$228,778
Contributions received from participants	2019-12-31	$228,778
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$5,920
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$5,920
Assets. Loans (other than to participants) at end of year	2019-12-31	$4,189
Assets. Loans (other than to participants) at end of year	2019-12-31	$4,189
Administrative expenses (other) incurred	2019-12-31	$250
Administrative expenses (other) incurred	2019-12-31	$250
Total non interest bearing cash at end of year	2019-12-31	$7,557
Total non interest bearing cash at end of year	2019-12-31	$7,557
Total non interest bearing cash at beginning of year	2019-12-31	$1,512
Total non interest bearing cash at beginning of year	2019-12-31	$1,512
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$417,029
Value of net income/loss	2019-12-31	$417,029
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$759,224
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$759,224
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$342,195
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$342,195
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$747,478
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$747,478
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$340,683
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$340,683
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$98,179
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$98,179
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$92,137
Contributions received in cash from employer	2019-12-31	$92,137
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$18,320
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$18,320
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	PFK PUERTO RICCO, LLC
Accountancy firm name	2019-12-31	PFK PUERTO RICCO, LLC
Accountancy firm EIN	2019-12-31	660831816
Accountancy firm EIN	2019-12-31	660831816
2018 : CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$243,162
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$82,216
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$81,499
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$269,077
Value of total assets at end of year	2018-12-31	$342,195
Value of total assets at beginning of year	2018-12-31	$181,249
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$717
Total interest from all sources	2018-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$4,631
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$4,631
Was this plan covered by a fidelity bond	2018-12-31	No
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$191,083
Administrative expenses (other) incurred	2018-12-31	$717
Total non interest bearing cash at end of year	2018-12-31	$1,512
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$160,946
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$342,195
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$181,249
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$340,683
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$181,249
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-30,546
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$77,994
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$81,499
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	PFK PUERTO RICO, LLC
Accountancy firm EIN	2018-12-31	660831816
2017 : CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$181,373
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$124
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$124
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$172,082
Value of total assets at end of year	2017-12-31	$181,249
Value of total assets at beginning of year	2017-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$0
Total interest from all sources	2017-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$1,854
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$1,854
Was this plan covered by a fidelity bond	2017-12-31	No
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$120,169
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$181,249
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$181,249
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$181,249
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$7,437
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$51,913
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$124
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	TCRA & ASSOCIATES, LLC
Accountancy firm EIN	2017-12-31	660831816

Form 5500 Responses for CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN

2022: CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: CORP DE SERVICIOS MEDICO PRIMARIO Y PREVENCION DE HATILLO SV AND RETI PLAN 2017 form 5500 responses
2017-03-01	Type of plan entity	Single employer plan
2017-03-01	First time form 5500 has been submitted	Yes
2017-03-01	Submission has been amended	No
2017-03-01	This submission is the final filing	No
2017-03-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-03-01	Plan is a collectively bargained plan	No
2017-03-01	Plan funding arrangement – Trust	Yes
2017-03-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

514931-P1

Policy instance

Insurance contract or identification number	514931-P1
Number of Individuals Covered	65
Total amount of commissions paid to insurance broker	USD $172
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $138
Insurance broker organization code?	3

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Company Name:	CORPORACION DE SERVICIOS MEDICO Y PRIMARIO Y PREVENCION DE HATILLO
Employer identification number (EIN):	660427194
NAIC Classification:	621112
NAIC Description:	Offices of Physicians, Mental Health Specialists