401k Plan data: BANYAN RETIREMENT PLAN plan

BANYAN RETIREMENT PLAN 401k Plan overview

Plan Name	BANYAN RETIREMENT PLAN
Plan identification number	002

BANYAN RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Code section 408 accounts and annuities - See Limited Pension Plan Reporting instructions for pension plan utilizing individual Code section 408 retirement accounts or annuities as the funding vehicle for providing benefits.

401k Sponsoring company profile

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

Company Name: BANYAN HEALTH SYSTEMS, INC.

Employer identification number (EIN): 650373584

NAIC Classification: 621420
NAIC Description: Outpatient Mental Health and Substance Abuse Centers

Additional information about BANYAN HEALTH SYSTEMS, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 1992-06-01

Company Identification Number: N49160

Legal Registered Office Address: 6100 Blue Lagoon Drive, Suite 400

MIAMI

33126

More information about BANYAN HEALTH SYSTEMS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BANYAN RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 MARK GUTHRIE 2023-10-16 MARK GUTHRIE 2023-10-16
002 2021-01-01 VINCENT CARRODEGUAS 2023-01-05
002 2020-01-01 VINCENT CARRODEGUAS 2021-10-14
002 2019-01-01 VINCENT CARRODEGUAS 2020-12-04
002 2019-01-01 VINCENT CARRODEGUAS 2020-10-15
002 2018-01-01 H. BRUCE HAYDEN 2019-10-17
002 2017-01-01
002 2017-01-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2022-01-01	MARK GUTHRIE	2023-10-16	MARK GUTHRIE	2023-10-16
002	2021-01-01	VINCENT CARRODEGUAS	2023-01-05
002	2020-01-01	VINCENT CARRODEGUAS	2021-10-14
002	2019-01-01	VINCENT CARRODEGUAS	2020-12-04
002	2019-01-01	VINCENT CARRODEGUAS	2020-10-15
002	2018-01-01	H. BRUCE HAYDEN	2019-10-17
002	2017-01-01
002	2017-01-01

Plan Statistics for BANYAN RETIREMENT PLAN

401k plan membership statisitcs for BANYAN RETIREMENT PLAN

Measure Date Value
2022: BANYAN RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 475
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 403
Number of retired or separated participants receiving benefits 2022-01-01 47
Number of other retired or separated participants entitled to future benefits 2022-01-01 67
Total of all active and inactive participants 2022-01-01 517
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 517
Number of participants with account balances 2022-01-01 139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 10
2021: BANYAN RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 427
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 378
Number of other retired or separated participants entitled to future benefits 2021-01-01 94
Total of all active and inactive participants 2021-01-01 472
Total participants 2021-01-01 472
Number of participants with account balances 2021-01-01 169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 4
2020: BANYAN RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 436
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 346
Number of other retired or separated participants entitled to future benefits 2020-01-01 70
Total of all active and inactive participants 2020-01-01 416
Total participants 2020-01-01 416
Number of participants with account balances 2020-01-01 95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: BANYAN RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 451
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 328
Number of retired or separated participants receiving benefits 2019-01-01 11
Number of other retired or separated participants entitled to future benefits 2019-01-01 85
Total of all active and inactive participants 2019-01-01 424
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 424
Number of participants with account balances 2019-01-01 124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: BANYAN RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 462
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 345
Number of retired or separated participants receiving benefits 2018-01-01 13
Number of other retired or separated participants entitled to future benefits 2018-01-01 93
Total of all active and inactive participants 2018-01-01 451
Total participants 2018-01-01 451
Number of participants with account balances 2018-01-01 136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: BANYAN RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 491
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 347
Number of retired or separated participants receiving benefits 2017-01-01 101
Total of all active and inactive participants 2017-01-01 448
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 448
Number of participants with account balances 2017-01-01 137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0

Measure	Date	Value
2022: BANYAN RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	475
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	403
Number of retired or separated participants receiving benefits	2022-01-01	47
Number of other retired or separated participants entitled to future benefits	2022-01-01	67
Total of all active and inactive participants	2022-01-01	517
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	517
Number of participants with account balances	2022-01-01	139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	10
2021: BANYAN RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	427
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	378
Number of other retired or separated participants entitled to future benefits	2021-01-01	94
Total of all active and inactive participants	2021-01-01	472
Total participants	2021-01-01	472
Number of participants with account balances	2021-01-01	169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	4
2020: BANYAN RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	436
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	346
Number of other retired or separated participants entitled to future benefits	2020-01-01	70
Total of all active and inactive participants	2020-01-01	416
Total participants	2020-01-01	416
Number of participants with account balances	2020-01-01	95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: BANYAN RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	451
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	328
Number of retired or separated participants receiving benefits	2019-01-01	11
Number of other retired or separated participants entitled to future benefits	2019-01-01	85
Total of all active and inactive participants	2019-01-01	424
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	424
Number of participants with account balances	2019-01-01	124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: BANYAN RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	462
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	345
Number of retired or separated participants receiving benefits	2018-01-01	13
Number of other retired or separated participants entitled to future benefits	2018-01-01	93
Total of all active and inactive participants	2018-01-01	451
Total participants	2018-01-01	451
Number of participants with account balances	2018-01-01	136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: BANYAN RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	491
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	347
Number of retired or separated participants receiving benefits	2017-01-01	101
Total of all active and inactive participants	2017-01-01	448
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	448
Number of participants with account balances	2017-01-01	137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0

Financial Data on BANYAN RETIREMENT PLAN

Measure	Date	Value
2022 : BANYAN RETIREMENT PLAN 2022 401k financial data
Total income from all sources (including contributions)	2022-12-31	$286,368
Total of all expenses incurred	2022-12-31	$228,312
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$212,480
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$566,774
Value of total assets at end of year	2022-12-31	$1,871,743
Value of total assets at beginning of year	2022-12-31	$1,813,687
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$15,832
Total interest from all sources	2022-12-31	$1,679
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$1,000,000
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	$380,350
Participant contributions at end of year	2022-12-31	$20,109
Participant contributions at beginning of year	2022-12-31	$2,438
Participant contributions at end of year	2022-12-31	$10,696
Participant contributions at beginning of year	2022-12-31	$14,492
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$78,598
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	$58,056
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$1,871,743
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$1,813,687
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	$1,793,402
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$1,748,004
Interest on participant loans	2022-12-31	$132
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$1,547
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$45,658
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$44,240
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-282,085
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	$107,826
Employer contributions (assets) at end of year	2022-12-31	$1,878
Employer contributions (assets) at beginning of year	2022-12-31	$4,513
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$212,480
Contract administrator fees	2022-12-31	$15,832
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	Unqualified
Accountancy firm name	2022-12-31	ZOMMA GROUP
Accountancy firm EIN	2022-12-31	650715836
2021 : BANYAN RETIREMENT PLAN 2021 401k financial data
Total income from all sources (including contributions)	2021-12-31	$806,317
Total of all expenses incurred	2021-12-31	$44,380
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$44,380
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$692,354
Value of total assets at end of year	2021-12-31	$1,813,687
Value of total assets at beginning of year	2021-12-31	$1,051,750
Total interest from all sources	2021-12-31	$2,691
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$1,000,000
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	$363,749
Participant contributions at end of year	2021-12-31	$2,438
Participant contributions at end of year	2021-12-31	$14,492
Participant contributions at beginning of year	2021-12-31	$4,734
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$214,890
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	$761,937
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$1,813,687
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$1,051,750
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	$1,748,004
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$1,004,137
Interest on participant loans	2021-12-31	$980
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$1,711
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$44,240
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$42,879
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	$113,715
Employer contributions (assets) at end of year	2021-12-31	$4,513
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$44,380
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	ZOMMA GROUP LLP
Accountancy firm EIN	2021-12-31	650715836
2020 : BANYAN RETIREMENT PLAN 2020 401k financial data
Total income from all sources (including contributions)	2020-12-31	$267,460
Total of all expenses incurred	2020-12-31	$74,987
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$74,987
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$175,009
Value of total assets at end of year	2020-12-31	$1,051,750
Value of total assets at beginning of year	2020-12-31	$859,277
Total interest from all sources	2020-12-31	$1,495
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$1,000,000
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	$175,009
Participant contributions at end of year	2020-12-31	$4,734
Participant contributions at beginning of year	2020-12-31	$5,604
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	$192,473
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$1,051,750
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$859,277
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	$1,004,137
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$812,154
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$1,495
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$42,879
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$41,519
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$74,987
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	ZOMMA GROUP LLP
Accountancy firm EIN	2020-12-31	650715836
2019 : BANYAN RETIREMENT PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$263,184
Total income from all sources (including contributions)	2019-12-31	$263,184
Total of all expenses incurred	2019-12-31	$225,035
Total of all expenses incurred	2019-12-31	$225,035
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$225,035
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$225,035
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$151,975
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$151,975
Value of total assets at end of year	2019-12-31	$853,473
Value of total assets at end of year	2019-12-31	$853,473
Value of total assets at beginning of year	2019-12-31	$815,324
Value of total assets at beginning of year	2019-12-31	$815,324
Total interest from all sources	2019-12-31	$1,512
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
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	$151,975
Contributions received from participants	2019-12-31	$151,975
Participant contributions at end of year	2019-12-31	$4,480
Participant contributions at end of year	2019-12-31	$4,480
Participant contributions at beginning of year	2019-12-31	$4,465
Participant contributions at beginning of year	2019-12-31	$4,465
Other income not declared elsewhere	2019-12-31	$-4,684
Other income not declared elsewhere	2019-12-31	$-4,684
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	$38,149
Value of net income/loss	2019-12-31	$38,149
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$853,473
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$853,473
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$815,324
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$815,324
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	$848,993
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$848,993
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$770,110
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$770,110
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$1,512
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$41,519
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$40,749
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$40,749
Net investment gain/loss from pooled separate accounts	2019-12-31	$115,893
Net investment gain/loss from pooled separate accounts	2019-12-31	$115,893
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	Yes
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$225,035
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$225,035
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
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	ZOMMA GROUP, LLP
Accountancy firm EIN	2019-12-31	650715836
2017 : BANYAN RETIREMENT PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$238,606
Total of all expenses incurred	2017-12-31	$68,671
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$66,768
Expenses. Certain deemed distributions of participant loans	2017-12-31	$1,903
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$157,796
Value of total assets at end of year	2017-12-31	$893,845
Value of total assets at beginning of year	2017-12-31	$723,910
Total interest from all sources	2017-12-31	$161
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	$157,796
Participant contributions at end of year	2017-12-31	$571
Participant contributions at beginning of year	2017-12-31	$4,634
Participant contributions at end of year	2017-12-31	$9,379
Participant contributions at beginning of year	2017-12-31	$1,679
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	$169,935
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$893,845
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$723,910
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	$844,334
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$618,465
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$60,787
Interest on participant loans	2017-12-31	$161
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$39,561
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$38,345
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$80,649
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	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$66,768
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	PRAGER METIS CPAS, LLC
Accountancy firm EIN	2017-12-31	061667465

Form 5500 Responses for BANYAN RETIREMENT PLAN

2022: BANYAN RETIREMENT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: BANYAN RETIREMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: BANYAN RETIREMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: BANYAN RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	Yes
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: BANYAN RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: BANYAN RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	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

95778-02

Policy instance

Insurance contract or identification number	95778-02
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

Policy instance

Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

95778-02

Policy instance

Insurance contract or identification number	95778-02
Number of Individuals Covered	33
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

Policy instance

Number of Individuals Covered

136

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

Policy contract number

95778-02

Policy instance

Insurance contract or identification number	95778-02
Number of Individuals Covered	33
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

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

Policy contract number

95778-02

Policy instance

Insurance contract or identification number	95778-02
Number of Individuals Covered	33
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

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

Policy contract number

95778-02

Policy instance

Insurance contract or identification number	95778-02
Number of Individuals Covered	35
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

BANYAN RETIREMENT PLAN [EIN = 262019697]

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Company Name:	BANYAN HEALTH SYSTEMS, INC.
Employer identification number (EIN):	650373584
NAIC Classification:	621420
NAIC Description:	Outpatient Mental Health and Substance Abuse Centers

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	1992-06-01
Company Identification Number:	N49160
Legal Registered Office Address:	6100 Blue Lagoon Drive, Suite 400 MIAMI 33126