2023 Form 5500 filing — Hospital Buen Samaritano Retirement Plan
Plain-English filing summary
According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20250123113530NAL0010254608001) for Hospital Buen Samaritano Retirement Plan, reported by Hospital Comunitario Buen Samaritano, Inc. under EIN 66-0571457 and plan number 001. It reports 307 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250123113530NAL0010254608001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Hospital Comunitario Buen Samaritano, Inc.
- EIN
- 66-0571457
- Plan number
- 001
- Location
- Aguadilla, PR
- Participants
- 307
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $1,831,624
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $1,831,624
- Employer contributions
- $20,040
- Participant contributions
- $117,907
- Total income / additions
- $353,828
- Benefits paid
- $111,854
- Administrative expenses
- $2,190
- Total expenses
- $114,044
- Net increase / (decrease)
- $239,784
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Voya Retirement Insurance And Annui | OTHER FEES | $0 | $4,241 |