1199 NATIONAL BENEFIT FUND FOR HOSPITAL & HUMAN SERVICE EMPLOYEES: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- 1199 NATIONAL BENEFIT FUND FOR HOSPITAL & HUMAN SERVICE EMPLOYEES (EIN 13-1628401)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202213199349329156
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T18:10:23-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 345 PARK AVENUE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10154 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 131628401 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1199SEIU NATIONAL BENEFIT FUND FOR | BusinessNameLine1Txt |
| Business Name Line2 | HEALTH AND HUMAN SERVICE EMPLOYEES | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | 1199 | BusinessNameControlTxt |
| Phone | 6464736336 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 842 | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10108 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MERCEDES MAMBRU | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 6464736336 | PhoneNum |
| Signature | 2022-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MERCEDES | PersonFirstNm |
| Person Last | MAMBRU | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | OMO-OSE JOSEPH-ERAMEH | PreparerPersonNm |
| PTIN | P02534927 | PTIN |
| Phone | 2127589700 | PhoneNum |
| Preparation | 2022-11-14 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MERCEDES MAMBRU | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 842 | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10108 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,058,625,412 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | HTTP://1199SEIUBENEFITS.ORG | WebsiteAddressTxt |
| Type Of Organization Trust | Yes (X) | TypeOfOrganizationTrustInd |
| Formation | 1949 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTH AND WELFARE BENEFITS TO MEMBERS AND THEIR ELIGIBLE DEPENDENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 34 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 34 | VotingMembersIndependentCnt |
| Total Employee | 1212 | TotalEmployeeCnt |
| Total Volunteers | 38 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,873,085,255 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,058,513,769 | CYProgramServiceRevenueAmt |
| PY Investment Income | $938,022 | PYInvestmentIncomeAmt |
| CY Investment Income | $111,643 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $1,874,023,277 | PYTotalRevenueAmt |
| CY Total Revenue | $2,058,625,412 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $1,727,212,140 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $1,882,148,174 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $71,578,092 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $71,325,490 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $60,340,613 | PYOtherExpensesAmt |
| CY Other Expenses | $45,222,032 | CYOtherExpensesAmt |
| PY Total Expenses | $1,859,130,845 | PYTotalExpensesAmt |
| CY Total Expenses | $1,998,695,696 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $14,892,432 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $59,929,716 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $592,440,350 | TotalAssetsBOYAmt |
| Total Assets EOY | $613,514,290 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $508,528,647 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $480,785,291 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $83,911,703 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $132,728,999 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS UNDER THE TERMS OF THE COLLECTIVE BARGAINING AGREEMENT AND TRUST DOCUMENT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $0 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | THOUGH THE FUND DOES NOT UNDERTAKE PROGRAM SERVICES AND DOES NOT REPORT ANY EXPENSES ON FORM 990, PART IX, COL (B), THE FUND PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS UNDER THE TERMS OF THE COLLECTIVE BARGAINING AGREEMENT AND TRUST DOCUMENT. IN 2021 152,249MEMBERS/PARTICIPANTS RECEIVED HEALTH AND WELFARE BENEFITS. | Desc |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 20264 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1212 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 34 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 34 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCEDES MAMBRU | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6464736336 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 842 | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10108 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (48 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DAVID BRODSKY | ||||||||
| EMPLOYER TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| JEFFREY COHEN | ||||||||
| EMPLOYER TRUSTEE | 1.00 | 6.00 | Yes (X) | $0 | $0 | $0 | ||
| REBECCA GORDON | ||||||||
| EMPLOYER TRUSTEE | 1.00 | 7.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL N ROSENBLUT | ||||||||
| EMPLOYER TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| AUDREY WATHEN | ||||||||
| EMPLOYER TRUSTEE (END 1/21) | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| STACIE WILLIAMS | ||||||||
| EMPLOYER TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| KEITH WOLF | ||||||||
| EMPLOYER TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES CAREY | ||||||||
| EMPLOYER TRUSTEE (END 2/21) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GUY MENNONNA | ||||||||
| EMPLOYER TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| SUSAN BORNSTEIN | ||||||||
| EMPLOYER TRUSTEE (END 12/21) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JORDY RABINOWITZ | ||||||||
| EMPLOYER TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY DIGANGI | ||||||||
| EMPLOYER TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BRIAN P MITCHELL | ||||||||
| EMPLOYER TRUSTEE (END 4/21) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PAUL STUART | ||||||||
| EMPLOYER TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| AUSTIN BENDER | ||||||||
| EMPLOYER TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| MARC KRAMER | ||||||||
| EMPLOYER TRUSTEE | 1.00 | 7.00 | Yes (X) | $0 | $0 | $0 | ||
| BARBARA LOGAN | ||||||||
| EMPLOYER TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT OLIVER JR | ||||||||
| EMPLOYER TRUSTEE | 1.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| NORA DONOHER | ||||||||
| EMPLOYER TRUSTEE (BEG. 4/21) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| NADINE FERGUSON | ||||||||
| EMPLOYER TRUSTEE (BEG. 12/21) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TANYA ISAACS | ||||||||
| EMPLOYER TRUSTEE (BEG. 4/21) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ANDREA THOMAS-RANDALL | ||||||||
| EMPLOYER TRUSTEE (BEG. 2/21) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JACQUELINE ALLEYNE | ||||||||
| UNION TRUSTEE | 1.00 | 6.00 | Yes (X) | $0 | $0 | $0 | ||
| YVONNE ARMSTRONG | ||||||||
| UNION TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LISA BROWN | ||||||||
| UNION TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MARIA CASTANEDA | ||||||||
| UNION TRUSTEE | 1.00 | 8.00 | Yes (X) | $0 | $0 | $0 | ||
| GEORGE GRESHAM | ||||||||
| UNION TRUSTEE | 1.00 | 6.00 | Yes (X) | $0 | $0 | $0 | ||
| STEVE KRAMER | ||||||||
| UNION TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| JOYCE NEIL | ||||||||
| UNION TRUSTEE | 1.00 | 6.00 | Yes (X) | $0 | $0 | $0 | ||
| HELEN SCHAUB | ||||||||
| UNION TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL ASHBY | ||||||||
| UNION TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| VERONICA TURNER | ||||||||
| UNION TRUSTEE | 1.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| VICTOR RIVERA | ||||||||
| UNION TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| NADINE WILLIAMSON | ||||||||
| UNION TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PATRICK FORDE | ||||||||
| UNION TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TRACEY HARRISON | ||||||||
| UNION TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| ANTONIO HOWELL | ||||||||
| UNION TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARIA KERCADO | ||||||||
| UNION TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| LORRAINE MONCHAK | ||||||||
| CHIEF INVESTMENTS OFFICER | 14.00 | 8.00 | $526,368 | $536,416 | $579,111 | Yes (X) | ||
| MITRA BEHROOZI | ||||||||
| EXECUTIVE OFFICER | 14.00 | 8.00 | $336,806 | $343,235 | $355,309 | Yes (X) | ||
| DONNA S REY | ||||||||
| EXECUTIVE OFFICER | 14.00 | 8.00 | $338,382 | $340,578 | $359,920 | Yes (X) | ||
| MERCEDES MAMBRU | ||||||||
| CHIEF FINANCIAL OFFICER | 14.00 | 8.00 | $117,185 | $117,945 | $145,901 | Yes (X) | ||
| VAN H DUNN | ||||||||
| CHIEF MEDICAL OFFICER | 14.00 | 4.00 | $231,137 | $235,550 | $253,000 | Yes (X) | ||
| BRANDY D SHILOH | ||||||||
| CHIEF OF ADMINISTRATION | 14.00 | 4.00 | $260,592 | $262,283 | $287,180 | Yes (X) | ||
| JEFFREY STEIN | ||||||||
| FUND COUNSEL | 14.00 | 8.00 | $286,916 | $292,393 | $304,805 | Yes (X) | ||
| STACEY MILLMAN | ||||||||
| CHIEF COMMUNICATION OFFICE | 14.00 | 8.00 | $211,483 | $215,521 | $225,309 | Yes (X) | ||
| DILAY ALTINER | ||||||||
| NBF - PORTFOLIO MANAGER | 1.00 | 4.00 | $11,376 | $288,084 | $144,351 | Yes (X) | ||
| ANGELA SCOTT | ||||||||
| CHIEF BENEFITS OFFICER | 14.00 | 8.00 | $168,131 | $169,222 | $182,614 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,488,376 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,801,227 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,837,500 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 36 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEDCO HEALTH SOLUTIONS INC | |||||
| 100 PARSONS POND DRIVE | FRANKLIN LAKES | NJ | 07047 | CLAIMS PROCESSING | $5,376,924 |
| EVERNORTH BEHAVIORAL HEALTH INC | |||||
| PO BOX 1450 | MINNEAPOLIS | MN | 55485 | CLAIMS PROCESSING | $2,642,605 |
| CHANGE HEALTHCARE OPERATIONS LLC | |||||
| 3055 LEBANON PIKE | NASHVILLE | TN | 37214 | CLAIMS PROCESSING | $2,227,203 |
| TAOS MOUNTAIN LLC | |||||
| 121 DAGGETT DRIVE | SAN JOSE | CA | 95134 | OTHER SERVICES | $2,043,304 |
| CHANGE HEALTHCARE LLC | |||||
| PO BOX 98347 | CHICAGO | IL | 60693 | CLAIMS PROCESSING | $1,909,387 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 42 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| EMPLOYER PLAN CONTRIBU | 900099 | $2,052,004,471 | $2,052,004,471 |
| COBRA CONTRIBUTIONS | 900099 | $5,917,376 | $5,917,376 |
| EMPLOYER DELINQUENCIES | 900099 | $591,922 | $591,922 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,058,513,769 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,206 | TotalRevenueColumnAmt |
| Exclusion | $28,206 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $83,437 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $83,437 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $83,437 | TotalRevenueColumnAmt |
| Exclusion | $83,437 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,058,625,412 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,058,513,769 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $111,643 | ExclusionAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,882,148,174 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,563,338 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,188,852 | TotalAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,405,583 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,589,756 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,577,961 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $753,675 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $432,607 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,279 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,080,670 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,467,282 | TotalAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,369,136 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,092,713 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $376,885 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,837,166 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,104,798 | TotalAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt |
|---|---|
| STRAIGHT-LINE LEASE | $14,979,565 |
| PRESCRIPTION ADMIN CHAR | $5,411,488 |
| MANAGED CARE - PRECERT | $2,878,008 |
| MVP ADMIN CHARGES | $1,189,848 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $223,912 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,998,695,696 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,807,515 | BOYAmt |
| EOY | $152,492,947 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $531,048 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $193,885,373 | BOYAmt |
| EOY | $218,212,592 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,725,797 | BOYAmt |
| EOY | $13,646,696 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $120,296,385 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $101,045,675 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,211,419 | BOYAmt |
| EOY | $19,250,710 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,814,741 | BOYAmt |
| EOY | $29,316,972 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $193,995,505 | BOYAmt |
| EOY | $180,063,325 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $592,440,350 | BOYAmt |
| EOY | $613,514,290 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,887,640 | BOYAmt |
| EOY | $30,307,039 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,000,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $469,641,007 | BOYAmt |
| EOY | $450,478,252 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $508,528,647 | BOYAmt |
| EOY | $480,785,291 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,911,703 | BOYAmt |
| EOY | $132,728,999 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,911,703 | BOYAmt |
| EOY | $132,728,999 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $592,440,350 | BOYAmt |
| EOY | $613,514,290 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $59,929,716 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$55,838 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$11,056,582 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $39,885 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,943 | DepreciationAmt |
| Book Value | $19,942 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $120,256,500 | OtherCostOrOtherBasisAmt |
| Depreciation | $101,025,732 | DepreciationAmt |
| Book Value | $19,230,768 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $19,250,710 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ACCRUED INVESTMENT INCOME | $170,589 |
| DUE FROM PHARMACY & OTHER | $64,535,340 |
| DUE FROM RELATED ENTITIES | $33,207,680 |
| ADVANCE TRAINING INITIATIVE | $439,445 |
| LEASE INCENTIVE RECEIVABLE | $8,303,529 |
| 3BF, NET | $73,406,742 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $180,063,325 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| LEASE INCENTIVE OBLIGATION | $37,319,704 |
| DUE TO RELATED ENTITIES | $56,482,272 |
| BENEFIT OBLIGATIONS | $318,366,358 |
| DUE TO EMPLOYER | $506,649 |
| STRAIGHT-LINE RENT LIABILITY | $37,803,269 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $450,478,252 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $2,058,545,295 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$55,838 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$55,838 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,058,601,133 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $24,279 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $24,279 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,058,625,412 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,998,671,417 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,998,671,417 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $24,279 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $24,279 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,998,695,696 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | FIN 48 FOOTNOTE U.S. GAAP REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF LIABILITY (OR ASSET) OR DISCLOSURE IN FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO FEDERAL INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2018. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LORRAINE MONCHAK | ||||||||||||||
| CHIEF INVESTMENTS OFFICER | $483,699 | $492,933 | $0 | $0 | $42,669 | $43,483 | $163,286 | $60,532 | $175,967 | $179,326 | $865,621 | $776,274 | $0 | $0 |
| DONNA S REY | ||||||||||||||
| EXECUTIVE OFFICER | $296,749 | $298,675 | $0 | $0 | $41,633 | $41,903 | $108,156 | $36,677 | $107,196 | $107,891 | $553,734 | $485,146 | $0 | $0 |
| MITRA BEHROOZI | ||||||||||||||
| EXECUTIVE OFFICER | $281,454 | $286,827 | $0 | $0 | $55,352 | $56,408 | $113,702 | $35,222 | $102,217 | $104,168 | $552,725 | $482,625 | $0 | $0 |
| JEFFREY STEIN | ||||||||||||||
| FUND COUNSEL | $247,833 | $252,564 | $0 | $0 | $39,083 | $39,829 | $85,322 | $31,015 | $93,343 | $95,125 | $465,581 | $418,533 | $0 | $0 |
| BRANDY D SHILOH | ||||||||||||||
| CHIEF OF ADMINISTRATION | $238,141 | $239,686 | $0 | $0 | $22,451 | $22,597 | $86,013 | $29,433 | $85,589 | $86,145 | $432,194 | $377,861 | $0 | $0 |
| VAN H DUNN | ||||||||||||||
| CHIEF MEDICAL OFFICER | $199,450 | $203,258 | $0 | $0 | $31,687 | $32,292 | $78,213 | $24,960 | $74,205 | $75,622 | $383,555 | $336,132 | $0 | $0 |
| STACEY MILLMAN | ||||||||||||||
| CHIEF COMMUNICATION OFFICE | $181,630 | $185,098 | $0 | $0 | $29,853 | $30,423 | $71,290 | $22,730 | $65,024 | $66,265 | $347,797 | $304,516 | $0 | $0 |
| ANGELA SCOTT | ||||||||||||||
| CHIEF BENEFITS OFFICER | $146,129 | $147,077 | $0 | $0 | $22,002 | $22,145 | $57,643 | $18,061 | $53,282 | $53,628 | $279,056 | $240,911 | $0 | $0 |
| DILAY ALTINER | ||||||||||||||
| NBF - PORTFOLIO MANAGER | $11,376 | $288,084 | $0 | $0 | $0 | $0 | $1,397 | $35,377 | $4,087 | $103,490 | $16,860 | $426,951 | $0 | $0 |
| MERCEDES MAMBRU | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $111,850 | $112,576 | $0 | $0 | $5,335 | $5,369 | $49,231 | $13,824 | $41,289 | $41,557 | $207,705 | $173,326 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | COMPENSATION ALLOCATION ALL OFFICERS AND KEY EMPLOYEES ARE PAID BY THE 1199SEIU NATIONAL SERVICES PERFORMED FOR ALL 1199SEIU FUNDS. THEIR SALARY IS THEN PAID BY THE FILING ORGANIZATION. THE AMOUNT REPORTED IN SCHEDULE J, AMOUNTS REPORTED ON LINE (II) REPRESENT THE TOTAL SALARY AND BENEFITS BENEFIT FUND FOR HEALTH AND HUMAN SERVICE EMPLOYEES (NBF) FOR THEIR ALLOCATED TO EACH FUND BASED AN ALLOCATION STUDY AND IS REPORTED AS IF PART II, LINE (I) REPRESENTS THE AMOUNT ALLOCATED TO NBF AND THE RECEIVED FOR SERVICES PROVIDED TO ALL RELATED 1199SEIU FUNDS. |
| PART I, LINE 4B | THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED DEFERRED CONTRIBUTIONS DURING 2021: MITRA BEHROOZI $79,139 LORRAINE MONCHAK $103,888 VAN H. DUNN $53,720 DONNA S. REY $71,715 JEFFREY STEIN $54,888 BRANDY D. SHILOH $56,769 STACEY MILLMAN $48,986 ANGELA SCOTT $39,699 MERCEDES MAMBRU $35,496 THE ABOVE AMOUNTS ARE INCLUDED ON SCHEDULE J, PART II, COL C. |
| SCHEDULE J, PART II | THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED DEFERRED CONTRIBUTIONS DURING 2021: MITRA BEHROOZI $79,139 LORRAINE MONCHAK $103,888 VAN H. DUNN $53,720 DONNA S. REY $71,715 JEFFREY STEIN $54,888 BRANDY D. SHILOH $56,769 STACEY MILLMAN $48,986 ANGELA SCOTT $39,699 MERCEDES MAMBRU $35,496 THE ABOVE AMOUNTS ARE INCLUDED ON SCHEDULE J, PART II, COL C. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 3B | UNRELATED BUSINESS INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 419A(F)(5)(A), COLLECTIVE BARGAINING AGREEMENTS ARE EXEMPT FROM ACCOUNT LIMIT REQUIREMENTS SET UNDER IRC SECTION 419A(C), AND ARE THEREFORE NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX UNDER IRC SECTION 512(A)(3) ON ITS EXEMPT FUNCTION INCOME. |
| FORM 990, PART VI, SECTION A, LINE 2 | BUSINESS RELATIONSHIP ALL OF THE UNION TRUSTEES ARE ALSO EMPLOYEES OF 1199SEIU (THE UNION) AND THEREFORE HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER. |
| FORM 990, PART VI, SECTION A, LINE 7A | POWER TO ELECT THE UNION TRUSTEES ARE APPOINTED BY 1199SEIU UNITED HEALTHCARE WORKERS EAST, AND THE EMPLOYER TRUSTEES ARE APPOINTED BY THE LEAGUE OF VOLUNTARY HOSPITALS AND HOMES OF NEW YORK. |
| FORM 990, PART VI, SECTION B, LINE 11B | REVIEW OF FORM 990 THE CHIEF FINANCIAL OFFICER AND FINANCE TEAM REVIEW THE DRAFT FORM 990 AND CONFER WITH THE ACCOUNTANTS AND LEGAL COUNSEL TO ENSURE THE ACCURACY OF THE RETURN. ANY CONCERNS ARE NOTED AND ADDRESSED AND MANAGEMENT ENSURES THAT THE CHANGES ARE INCORPORATED IN THE FORM 990. THE COMPLETED FORM 990 IS THEN SIGNED BY AN OFFICER BEFORE BEING SUBMITTED TO THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST POLICY TRUSTEES AND EMPLOYEES ARE REQUIRED TO ANNUALLY DISCLOSE OR UPDATE TO THE EXECUTIVE DIRECTOR, OR DESIGNEE, THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTERESTS. FOR EACH INTEREST DISCLOSED BY A TRUSTEE, THE EXECUTIVE DIRECTOR OR DESIGNEE WILL DETERMINE WHETHER TO (A) TAKE NO ACTION (B) ASSURE FULL DISCLOSURE TO THE TRUSTEES (C) ASK THE TRUSTEE TO BE RECUSED FROM PARTICIPATION IN RELATED DISCUSSIONS OR DECISIONS; AND/OR (D) ASK THE TRUSTEE TO RESIGN. REGARDING EMPLOYEES, COMPLETED CONFLICTS OF INTEREST DISCLOSURE FORMS WILL BE REVIEWED BY THE HUMAN RESOURCES DEPARTMENT AND DISCLOSED CONFLICTS WILL BE REVIEWED BY HUMAN RESOURCES MANAGEMENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION REVIEW COMPENSATION FOR ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES OF THE FUND IS DETERMINED BY THE CROSS FUNDS COMPENSATION COMMITTEE (THE "COMMITTEE"), COMPRISED OF INDEPENDENT MEMBERS. THE COMMITTEE UTILIZES APPROPRIATE DATA AS TO COMPARABILITY IN ITS DETERMINATIONS, INCLUDING INFORMATION PROVIDED BY INDEPENDENT COMPENSATION CONSULTANTS. THE COMMITTEE DOCUMENTS THE BASIS FOR ANY COMPENSATION DETERMINATIONS CONTEMPORANEOUSLY IN THE MINUTES OF THE COMMITTEE. THE COMMITTEE DETERMINES COMPENSATION PERIODICALLY AS IT DEEMS APPROPRIATE. |
| FORM 990, PART VI, SECTION C, LINE 19 | PUBLIC DISCLOSURE SUMMARY PLAN DESCRIPTIONS AND FINANCIAL REPORTS ARE MADE PUBLIC PURSUANT TO IRS REQUIREMENTS. WRITTEN REQUESTS FOR OTHER INFORMATION WILL BE FORWARDED TO GENERAL COUNSEL'S OFFICE FOR CONSIDERATION. |
| PART VII, SECTION A, LINE 1 | THE EMPLOYER TRUSTEES REPORTED ON PART VII MAY HAVE RECEIVED COMPENSATION FROM A RELATED TAX-EXEMPT ORGANIZATION REPORTED IN SCHEDULE R, PART II. WITH VERY LIMITED EXCEPTION, NO ONE RESPONDED TO THE REQUEST MADE FOR COMPENSATION INFORMATION. |
| FORM 990, PART XI, LINE 9: | CHANGE IN BENEFIT OBLIGATION -11,056,582. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (255 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Public Charity StatusPublicCharityStatusTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| 1199SEIU HEALTH CARE EMPL PENSION FUND | ||||||||||
| 330 WEST 42ND STREET | NEW YORK | NY | 10036 | 133604862 | PENSION FUND | NY | 401(A) | N/A | 0 | |
| 1199SEIU JOB SECURITY FUND | ||||||||||
| 330 WEST 42ND STREET | NEW YORK | NY | 10036 | 133712851 | BENEFIT FUND | NY | 501(C)(9) | N/A | 0 | |
| 1199SEIU LEAGUE RN TRAINING & JSF | ||||||||||
| 330 WEST 42ND STREET | NEW YORK | NY | 10036 | 133946135 | EDUC TRAINING | NY | 501(C)(9) | N/A | 0 | |
| 1199SEIU LABOR MANAGEMENT INITIATIVES | ||||||||||
| 330 WEST 42ND STREET | NEW YORK | NY | 10036 | 133800331 | LABOR MNGT | NY | 501(C)(5) | N/A | 0 | |
| 1199SEIU LOCAL EMPLOYER CHILD CARE FUND | ||||||||||
| 330 WEST 42ND STREET | NEW YORK | NY | 10036 | 133641466 | CHILDCARE | NY | 501(C)(9) | N/A | 0 | |
| 1199SEIU EMPLOYER CHILD CARE CORP | ||||||||||
| 330 WEST 42ND STREET | NEW YORK | NY | 10036 | 134063281 | DAY CARE CNTR | NY | 501(C)(3) | N/A | 0 | 7 |
| 1199SEIU UNITED HEALTHCARE WORKERS EAST | ||||||||||
| 330 WEST 42ND STREET | NEW YORK | NY | 10036 | 131510821 | LABOR UNION | NY | 501(C)(5) | N/A | 0 | |
| 1199SEIU HEALTHCARE INDUSTRY GRANT CORP | ||||||||||
| 330 WEST 42ND STREET | NEW YORK | NY | 10036 | 144197609 | HEALTHCARE | NY | 501(C)(3) | N/A | 0 | 9 |
| 1199SEIU LICENSED PRACTICAL NURSE WF | ||||||||||
| 330 WEST 42ND STREET | NEW YORK | NY | 10036 | 132623987 | BENEFIT FUND | NY | 501(C)(9) | N/A | 0 | |
| 1199SEIU CREDIT UNION | ||||||||||
| N/A | ||||||||||
| ACHCARE-FERNCLIFF NURSING HOME | ||||||||||
| N/A | ||||||||||
| ACHCARE-FERNCLIFF NURSING HOME(RN) | ||||||||||
| N/A | ||||||||||
| ACHECARE MARY MANNING WALSH | ||||||||||
| N/A | ||||||||||
| AMSTERDAM NURSING HOME CORP | ||||||||||
| N/A | ||||||||||
| ANDRUS ON HUDSON (WARD CLERKS) | ||||||||||
| N/A | ||||||||||
| ANDRUS PAVILION RIVERSIDE HEALTHCARE | ||||||||||
| N/A | ||||||||||
| ANDRUS-ON-HUDSON (LPN) | ||||||||||
| N/A | ||||||||||
| ANGELO J MELILLO CENTER | ||||||||||
| N/A | ||||||||||
| ANTHONY L JORDAN | ||||||||||
| N/A | ||||||||||
| ARCHCARE MARY MANNING WALSH (RN) | ||||||||||
| N/A | ||||||||||
| BAY PARK CENTER (SOCIAL WORKERS) | ||||||||||
| N/A | ||||||||||
| BAY PARK CENTER FOR NURSING AND REHABILI | ||||||||||
| N/A | ||||||||||
| BETHEL HOME - CROTON-ON-HUDSON | ||||||||||
| N/A | ||||||||||
| BETHEL HOME - OSSINING | ||||||||||
| N/A | ||||||||||
| BLOCK INSTITUTE | ||||||||||
| N/A | ||||||||||
| BLYTHEDALE CHILDREN'S HOSPITAL | ||||||||||
| N/A | ||||||||||
| BON SECOURS COMMUNITY | ||||||||||
| N/A | ||||||||||
| BON SECOURS COMMUNITY (RN) | ||||||||||
| N/A | ||||||||||
| BRIDGE INCORPORATED | ||||||||||
| N/A | ||||||||||
| BRONXCARE MLK JR HEALTH CENTER | ||||||||||
| N/A | ||||||||||
| BROOKDALE (MIDWIVES) | ||||||||||
| N/A | ||||||||||
| BROOKDALE HOSPITAL | ||||||||||
| N/A | ||||||||||
| BROOKDALE HOSPITAL (RN) | ||||||||||
| N/A | ||||||||||
| BROOKLYN HOSPITAL CENTER | ||||||||||
| N/A | ||||||||||
| BROOKLYN HOSPITAL CENTER (144) | ||||||||||
| N/A | ||||||||||
| BROOKLYN UNITED METHODIST HOME | ||||||||||
| N/A | ||||||||||
| BROWNSVILLE MULTISERVICE | ||||||||||
| N/A | ||||||||||
| BUENA VIDA CONTINUING CARE | ||||||||||
| N/A | ||||||||||
| CABRINI OF WESTCHESTER | ||||||||||
| N/A | ||||||||||
| CARMEL RICHMOND NURSING AND REHAB CTR | ||||||||||
| N/A | ||||||||||
| CATSKILL REGIONAL MEDICAL | ||||||||||
| N/A | ||||||||||
| CENTERLIGHT HEALTH SYSTEM FKA BETH ABRAH | ||||||||||
| N/A | ||||||||||
| CENTRAL NASSAU GUIDANCE | ||||||||||
| N/A | ||||||||||
| CEREBRAL PALSY ASSOCIATIONS | ||||||||||
| N/A | ||||||||||
| CHAPIN HOME FOR THE AGING | ||||||||||
| N/A | ||||||||||
| CHILDREN'S REHABILITATION CNTR | ||||||||||
| N/A | ||||||||||
| COLUMBIA UNIVERSITY CAFETERIA | ||||||||||
| N/A | ||||||||||
| COLUMBIA UNIVERSITY CLERICALS | ||||||||||
| N/A | ||||||||||
| COM AFFILIATIONINC | ||||||||||
| N/A | ||||||||||
| COMM RESOURCE CTR FOR DEV DISABLED | ||||||||||
| N/A | ||||||||||
| COMMUNITY AGENCY FOR SENIOR CITIZENS | ||||||||||
| N/A | ||||||||||
| COMMUNITY HEALTH CENTER OF RICHMOND | ||||||||||
| N/A | ||||||||||
| COMMUNITY SERVICE SOCIETY | ||||||||||
| N/A | ||||||||||
| DISTRICT 1199 ROCHESTER | ||||||||||
| N/A | ||||||||||
| DOBBS FERRY PAVILION FKA COMMUNITY HOSPITAL | ||||||||||
| N/A | ||||||||||
| DOOR THE | ||||||||||
| N/A | ||||||||||
| EAST HARLEM COUNCIL FOR HUMAN SVCS-SCHOOL | ||||||||||
| N/A | ||||||||||
| EGER HEALTH CARE (RN) | ||||||||||
| N/A | ||||||||||
| EGER HEALTH CARE CENTER | ||||||||||
| N/A | ||||||||||
| ELIZABETH SETON PEDIATRIC CENTER | ||||||||||
| N/A | ||||||||||
| FACULTY STUDENT ASSOCIATES AT STONY BROO | ||||||||||
| N/A | ||||||||||
| FEDERAL DEFENDERS OF NEW YORK | ||||||||||
| N/A | ||||||||||
| FINDLAY HOUSE | ||||||||||
| N/A | ||||||||||
| FLUSHING HOSPITAL MEDICAL CNTR | ||||||||||
| N/A | ||||||||||
| FLUSHING HOUSE | ||||||||||
| N/A | ||||||||||
| FORDHAM TREMONT COMMUNITY | ||||||||||
| N/A | ||||||||||
| GLEN ARDEN INC | ||||||||||
| N/A | ||||||||||
| GLEN COVE CENTER | ||||||||||
| N/A | ||||||||||
| GLEN ISLAND CARE CENTER | ||||||||||
| N/A | ||||||||||
| GOOD SAMARITAN HOSPITAL | ||||||||||
| N/A | ||||||||||
| GOOD SAMARITAN HOSPITAL (RN) | ||||||||||
| N/A | ||||||||||
| GRAHAM-WINDHAM SERVICES | ||||||||||
| N/A | ||||||||||
| GREATER HARLEM NURSING HOME | ||||||||||
| N/A | ||||||||||
| GREENWICH HOUSE INC | ||||||||||
| N/A | ||||||||||
| GUIDANCE CENTER OF BROOKLYN | ||||||||||
| N/A | ||||||||||
| HEBREW HOME-RIVERDALE | ||||||||||
| N/A | ||||||||||
| HEBREW HOME-RIVERDALE (144) | ||||||||||
| N/A | ||||||||||
| HEBREW HOME-RIVERDALE (RN) | ||||||||||
| N/A | ||||||||||
| HELEN KELLER NATIONAL CENTER FOR DEAF-BL | ||||||||||
| N/A | ||||||||||
| HEMPSTEAD PARK NURSING HOME | ||||||||||
| N/A | ||||||||||
| HOSPITAL LEAGUE1199 SEIU TRAINING AND UPGRADING FUND | ||||||||||
| N/A | ||||||||||
| HOSPITAL LEAGUELOCAL 1199 TUF UPSTATE | ||||||||||
| N/A | ||||||||||
| HUDSON RIVER HEALTHCARE | ||||||||||
| N/A | ||||||||||
| INCARNATION CHILDREN'S CENTER | ||||||||||
| N/A | ||||||||||
| INDEPENDENT LIVING ASSOCIATION | ||||||||||
| N/A | ||||||||||
| INSTITUTE FOR FAMILY HEALTH | ||||||||||
| N/A | ||||||||||
| INTERFAITH MEDICAL CENTER | ||||||||||
| N/A | ||||||||||
| ISABELLA GERIATRIC CENTER | ||||||||||
| N/A | ||||||||||
| ISABELLA GERIATRIC CENTER (RN) | ||||||||||
| N/A | ||||||||||
| ISSABELLA GERIATRIC CENTER - RESPIRATORY | ||||||||||
| N/A | ||||||||||
| JACK D WEILER HOSPITAL | ||||||||||
| N/A | ||||||||||
| JAMAICA HOS NURSING HOME (RN) | ||||||||||
| N/A | ||||||||||
| JAMAICA HOSPITAL | ||||||||||
| N/A | ||||||||||
| JAMAICA HOSPITAL (RN) | ||||||||||
| N/A | ||||||||||
| JAMAICA HOSPITAL NURSING HOME | ||||||||||
| N/A | ||||||||||
| JASA SENIOR HOUSING | ||||||||||
| N/A | ||||||||||
| JEWISH HOME LIFECARE MANHATTAN (AGED) | ||||||||||
| N/A | ||||||||||
| JEWISH HOME LIFECARE SARAH NEUMAN CTR | ||||||||||
| N/A | ||||||||||
| JEWISH HOME LIFECARESARAH NEUMAN CTR RN | ||||||||||
| N/A | ||||||||||
| JOHN A COLEMAN SCHOOL | ||||||||||
| N/A | ||||||||||
| JOSEPH P ADDABBO HEALTH CENTER | ||||||||||
| N/A | ||||||||||
| KINGSBROOK JEWISH | ||||||||||
| N/A | ||||||||||
| LAWRENCE HOSPITAL CENTER | ||||||||||
| N/A | ||||||||||
| LEGAL AID SOCIETY | ||||||||||
| N/A | ||||||||||
| LENOX HILL NEIGHBORHOOD HOUSE | ||||||||||
| N/A | ||||||||||
| LENOX HILL HEALTH NETWORK | ||||||||||
| N/A | ||||||||||
| LENOX HILL HEALTHPLEX EMERGENCY DEPARTMENT | ||||||||||
| N/A | ||||||||||
| LENOX HILL HOSPITAL | ||||||||||
| N/A | ||||||||||
| LIJ-VALLEY STREAM EVS | ||||||||||
| N/A | ||||||||||
| LONG ISLAND COMMUNITY HOSPITAL | ||||||||||
| N/A | ||||||||||
| LONG ISLAND JEWISH | ||||||||||
| N/A | ||||||||||
| LONG ISLAND JEWISH- FOREST HILL HOSPITAL | ||||||||||
| N/A | ||||||||||
| LUTHERAN CARE CENTER | ||||||||||
| N/A | ||||||||||
| LUTHERAN MEDICAL CENTER | ||||||||||
| N/A | ||||||||||
| MAIMONIDES MEDICAL CENTER | ||||||||||
| N/A | ||||||||||
| MARGARET TIETZ CENTER | ||||||||||
| N/A | ||||||||||
| MARIST COLLEGE | ||||||||||
| N/A | ||||||||||
| MATERNITY INFANT CARE | ||||||||||
| N/A | ||||||||||
| MEDICAL ARTS HOSPITAL | ||||||||||
| N/A | ||||||||||
| MEDISYS AMBULANCE SERVICE INC | ||||||||||
| N/A | ||||||||||
| MENORAH HOME-MANHATTAN BEACH | ||||||||||
| N/A | ||||||||||
| MERCY HOME FOR CHILDREN | ||||||||||
| N/A | ||||||||||
| MONTEFIORE - MOUNT VERNON | ||||||||||
| N/A | ||||||||||
| MONTEFIORE - NEW ROCHELLE | ||||||||||
| N/A | ||||||||||
| MONTEFIORE MEDICAL CENTER | ||||||||||
| N/A | ||||||||||
| MONTEFIORE MEDICAL CENTER-SCHOOL HLTH PR | ||||||||||
| N/A | ||||||||||
| MONTEFIORE NORTH | ||||||||||
| N/A | ||||||||||
| MONTEFIORE NORTH (RN) | ||||||||||
| N/A | ||||||||||
| MONTEFIORE SCHAFFER EXTENDED CARE CENTER | ||||||||||
| N/A | ||||||||||
| MONTEFIORE-NEW ROCHELLE (PRO) | ||||||||||
| N/A | ||||||||||
| MONTEFIORE-NYACK HOSPITAL | ||||||||||
| N/A | ||||||||||
| MORRISON SENIOR LIVING TERENCE CARDINAL | ||||||||||
| N/A | ||||||||||
| MOUNT SINAI BETH ISRAEL | ||||||||||
| N/A | ||||||||||
| MOUNT SINAI BETH ISRAEL (RN) | ||||||||||
| N/A | ||||||||||
| MOUNT SINAI BETH ISRAEL BROOKLYN | ||||||||||
| N/A | ||||||||||
| MOUNT SINAI BETH ISRAEL BROOKLYN (RN) | ||||||||||
| N/A | ||||||||||
| MOUNT SINAI BETH ISRAEL-DOCS | ||||||||||
| N/A | ||||||||||
| MOUNT SINAI HOSPITAL OF QUEENS | ||||||||||
| N/A | ||||||||||
| MOUNT SINAI HOSPITAL OF QUEENS (RN) | ||||||||||
| N/A | ||||||||||
| MOUNT SINAI MEDICAL CENTER | ||||||||||
| N/A | ||||||||||
| MOUNT SINAI MEDICAL CENTER (RESIDUALS) | ||||||||||
| N/A | ||||||||||
| MOUNT SINAI ROOSEVELT (LPN) | ||||||||||
| N/A | ||||||||||
| MOUNT SINAI ROOSEVELT HOSPITAL | ||||||||||
| N/A | ||||||||||
| MOUNT SINAI SAINT LUKE'S | ||||||||||
| N/A | ||||||||||
| NATHAN LITTAUER HOSPITAL | ||||||||||
| N/A | ||||||||||
| NATHAN LITTAUER NURSING HOME | ||||||||||
| N/A | ||||||||||
| NEW YORK BLOOD CENTER | ||||||||||
| N/A | ||||||||||
| NEW YORK CITY CRIMINAL JUSTICE | ||||||||||
| N/A | ||||||||||
| NEW YORK COMMUNITY HOSPITAL | ||||||||||
| N/A | ||||||||||
| NEW YORK COMMUNITY HOSPITAL RN | ||||||||||
| N/A | ||||||||||
| NEW YORK GRACIE SQUARE | ||||||||||
| N/A | ||||||||||
| NEW YORK MEDICAL COLLEGE | ||||||||||
| N/A | ||||||||||
| NEW YORK METHODIST HOSPITAL | ||||||||||
| N/A | ||||||||||
| NEW YORK METHODIST HOSPITAL - NURSING | ||||||||||
| N/A | ||||||||||
| NEW YORK PRESBYTERIAN - QUEENS | ||||||||||
| N/A | ||||||||||
| NEW YORK PRESBYTERIAN HOSPITAL | ||||||||||
| N/A | ||||||||||
| NEW YORK PRESBYTERIAN LOWER MANHATTAN | ||||||||||
| N/A | ||||||||||
| NEW YORK UNIVERSITYAFFILIATES | ||||||||||
| N/A | ||||||||||
| NEW YORK UNIVERSITYTISCH-RUSK | ||||||||||
| N/A | ||||||||||
| NORTH SHORE CHILD & FAMILY GUIDANCE CTR | ||||||||||
| N/A | ||||||||||
| NORTHERN MANOR | ||||||||||
| N/A | ||||||||||
| NORTHERN MANOR (RN) | ||||||||||
| N/A | ||||||||||
| NORTHERN WESTCHESTER HOSPITAL | ||||||||||
| N/A | ||||||||||
| NORTHSIDE CENTER FOR CHILD | ||||||||||
| N/A | ||||||||||
| NORTHWELL BETHPAGE ORSC | ||||||||||
| N/A | ||||||||||
| NYU - HOSPITAL FOR JOINT DISEASES (RN) | ||||||||||
| N/A | ||||||||||
| NYU RESIDUAL AND LAB RESEARCH UNIT | ||||||||||
| N/A | ||||||||||
| NYU-HOSPITAL FOR JOINT DISEASES | ||||||||||
| N/A | ||||||||||
| ORANGE REGIONAL MEDICAL CENTER | ||||||||||
| N/A | ||||||||||
| PAGNY LINCOLN HOSPITAL (TECHNICAL UNIT) | ||||||||||
| N/A | ||||||||||
| PAGNY HARLEM - PATHOLOGY TECHS | ||||||||||
| N/A | ||||||||||
| PAGNY HARLEM - RIKERS | ||||||||||
| N/A | ||||||||||
| PARK CARE PAVILION | ||||||||||
| N/A | ||||||||||
| PARK CARE PAVILION (RN) | ||||||||||
| N/A | ||||||||||
| PARKER JEWISH INSTITUTE FOR HEALTH CARE | ||||||||||
| N/A | ||||||||||
| PECONIC BAY MEDICAL CENTER | ||||||||||
| N/A | ||||||||||
| PHYSICIAN AFFILIATE GROUP OF NEW YORK | ||||||||||
| N/A | ||||||||||
| PHYSICIANS AFFILIATE GROUP OF NEW YORK-H | ||||||||||
| N/A | ||||||||||
| PHYSICIANS AFFILIATE GROUP OF NY - METRO | ||||||||||
| N/A | ||||||||||
| PROJECT CAREERSEBNC | ||||||||||
| N/A | ||||||||||
| PROVIDENCE CARE INC DBA BROOKLYN GARDENS | ||||||||||
| N/A | ||||||||||
| PROVIDENCE REST NURSING HOME | ||||||||||
| N/A | ||||||||||
| PUERTO RICAN FAMILY INSTITUTE | ||||||||||
| N/A | ||||||||||
| PUTNAM HOSPITAL CENTER | ||||||||||
| N/A | ||||||||||
| REBEKAH REHAB & EXTENDED CARE CENTER | ||||||||||
| N/A | ||||||||||
| RICHMOND CENTER FOR REHABILITATION | ||||||||||
| N/A | ||||||||||
| RICHMOND U MED CTR | ||||||||||
| N/A | ||||||||||
| RICHMOND U MED CTR (PRO) | ||||||||||
| N/A | ||||||||||
| RICHMOND U MED CTR (PT) | ||||||||||
| N/A | ||||||||||
| ROGOSIN INSTITUTE | ||||||||||
| N/A | ||||||||||
| RUTLAND NURSING HOME DBA DAVID MINKIN RE | ||||||||||
| N/A | ||||||||||
| RYANCHELSEA - CLINTON | ||||||||||
| N/A | ||||||||||
| RYAN-NENA COMMUNITY HEALTH CTR | ||||||||||
| N/A | ||||||||||
| SAINT BARNABAS HOSPITAL | ||||||||||
| N/A | ||||||||||
| SAINT BARNABAS HOSPITAL (RN) | ||||||||||
| N/A | ||||||||||
| SAINT JOHN'S EPISCOPAL | ||||||||||
| N/A | ||||||||||
| SAINT JOHN'S EPISCOPAL (RN) | ||||||||||
| N/A | ||||||||||
| SAINT JOSEPH HOSPITAL | ||||||||||
| N/A | ||||||||||
| SAINT JOSEPH'S MEDICAL CENTER | ||||||||||
| N/A | ||||||||||
| SAINT JOSEPH'S MEDICAL CENTER - YONKERS | ||||||||||
| N/A | ||||||||||
| SAINT JOSEPH'S MEDICAL CENTER (RN) | ||||||||||
| N/A | ||||||||||
| SAINT LUKE'S CORNWALL HOSPITAL | ||||||||||
| N/A | ||||||||||
| SAINT MARY'S EPISCOPAL CENTER | ||||||||||
| N/A | ||||||||||
| SAINT PATRICK'S HOME | ||||||||||
| N/A | ||||||||||
| SAINT VINCENT DE PAUL | ||||||||||
| N/A | ||||||||||
| SAINT VINCENT'S - USFHP HEALTH CENTERS | ||||||||||
| N/A | ||||||||||
| SAINT VINCENT'S-MANHATTAN | ||||||||||
| N/A | ||||||||||
| SAINTS JOACHIM AND ANNE | ||||||||||
| N/A | ||||||||||
| SAYVILLE NURSING AND REHABILITATION CENT | ||||||||||
| N/A | ||||||||||
| SCHULMAN INSTITUTE (RN) FOR | ||||||||||
| N/A | ||||||||||
| SCHULMAN INSTITUTE FOR NURSING & REHAB | ||||||||||
| N/A | ||||||||||
| SEAGATE NURSING AND REHAB CTR FKA SHOR | ||||||||||
| N/A | ||||||||||
| SERVICE EMPLOYEES PENSION FUND | ||||||||||
| N/A | ||||||||||
| SERVICES FOR THE UNDERSERVED | ||||||||||
| N/A | ||||||||||
| SHIELD INSTITUTE | ||||||||||
| N/A | ||||||||||
| SILVERCREST CENTER FOR NURSING AND REHAB | ||||||||||
| N/A | ||||||||||
| SOMERS MANOR NURSING HOME | ||||||||||
| N/A | ||||||||||
| SOUTH OAKS HOSPITAL | ||||||||||
| N/A | ||||||||||
| SOUTH OAKS HOSPITAL (RN) | ||||||||||
| N/A | ||||||||||
| SOUTH SHORE CHILD GUIDANCE | ||||||||||
| N/A | ||||||||||
| SOUTHEAST NASSAU GUIDANCE | ||||||||||
| N/A | ||||||||||
| SOUTHSIDE HOSPITAL | ||||||||||
| N/A | ||||||||||
| SOUTTH OAKS HOSPITAL (PROFESSIONALS) | ||||||||||
| N/A | ||||||||||
| STAFFCO | ||||||||||
| N/A | ||||||||||
| STONY BROOK SOUTHAMPTON HOSPITAL (RN) | ||||||||||
| N/A | ||||||||||
| STONY BROOK SOUTHAMPTON HOSPITAL PEO | ||||||||||
| N/A | ||||||||||
| STRONG MEMORIAL HOSPITAL | ||||||||||
| N/A | ||||||||||
| SUFFOLK CENTER FOR REHAB (FKA PATCHOGUE) | ||||||||||
| N/A | ||||||||||
| TERENCE CARDINAL COOKE | ||||||||||
| N/A | ||||||||||
| THE CHILD CENTER OF NY | ||||||||||
| N/A | ||||||||||
| THE GROVE AT VALHALLA REHAB & NURSING | ||||||||||
| N/A | ||||||||||
| UNION COMMUNITY HEALTH CENTER | ||||||||||
| N/A | ||||||||||
| UNITED CEREBRAL PALSY-SUFFOLK | ||||||||||
| N/A | ||||||||||
| UNITED HEBREW GERIATRIC CENTER | ||||||||||
| N/A | ||||||||||
| UNIVERSITY CONSULTATION CENTER | ||||||||||
| N/A | ||||||||||
| UNIVERSITY OF ROCHESTER | ||||||||||
| N/A | ||||||||||
| VASSAR BROTHERS MEDICAL CENTER | ||||||||||
| N/A | ||||||||||
| VASSAR COLLEGE | ||||||||||
| N/A | ||||||||||
| VASSAR DIAGNOSTICS LABORATORY HEALTH QUE | ||||||||||
| N/A | ||||||||||
| VILLAGE CENTER FOR CARE | ||||||||||
| N/A | ||||||||||
| VIP COMMUNITY SERVICES INC | ||||||||||
| N/A | ||||||||||
| VISITING NURSE SERVICE OF NY | ||||||||||
| N/A | ||||||||||
| WARTBURG ADULT CARE CENTER | ||||||||||
| N/A | ||||||||||
| WARTBURG LUTHERAN - MT VERNON | ||||||||||
| N/A | ||||||||||
| WHITE PLAINS HOSPITAL CENTER | ||||||||||
| N/A | ||||||||||
| WILLIAM F RYAN COMMUNITY | ||||||||||
| N/A | ||||||||||
| WILLOW TOWERS | ||||||||||
| N/A | ||||||||||
| WOODHULL MEDICAL GROUP PC | ||||||||||
| N/A | ||||||||||
| WORKSITE WELLNESS PROGRAM PC | ||||||||||
| N/A | ||||||||||
| WYCKOFF HEIGHTS HOSPITAL | ||||||||||
| N/A | ||||||||||
| WYCKOFF HEIGHTS HOSPITAL (144) | ||||||||||
| N/A | ||||||||||
| WYCKOFF HEIGHTS HOSPITAL (WIC) | ||||||||||
| N/A | ||||||||||
| YESHIVA UNIVERSITY | ||||||||||
| N/A | ||||||||||
| YONKERS GARDENS | ||||||||||
| N/A | ||||||||||
| YRNC OPERATING LLC DBA YORKTOWN REHABILITATION AND NURSING CENTER (ASSISTE | ||||||||||
| N/A | ||||||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (80 entries)
| Direct Controlling NADirectControllingNACd |
|---|
| FLUSHING HOSPITAL MEDICAL CENTER (PATIENT) |
| N/A |
| ADIRA AT RIVERSIDE REHAB |
| N/A |
| ADVANCE CENTER FOR PSYCHO-THERAPY |
| N/A |
| APEX REHABILITATION AND CARE CENTER |
| N/A |
| ARAMARK HEALTHCARE SERVICES |
| N/A |
| ARDEON REALTY CORPORATION |
| N/A |
| BELAIR CARE CENTER INC |
| N/A |
| BENSONHURST CENTER |
| N/A |
| BORO PARK CENTER FOR REHABILITATION |
| N/A |
| BROOKLYN-QUEENS NURSING HOME |
| N/A |
| BUSHWICK CENTER FOR NURSING AND REHABILI |
| N/A |
| CARDIFF BAY CENTER LLC |
| N/A |
| CIR-KORT PHARMACY INCORPORATED |
| N/A |
| COLD SPRING HILLS CENTER |
| N/A |
| COLD SPRING HILLS CENTER (RN) |
| N/A |
| CONCOURSE REHABILITATION AND |
| N/A |
| CONFIDENCE MANAGEMENT SYSTEMS |
| N/A |
| CONFIDENCE MANAGEMENT-GARDEN CARE CENTER |
| N/A |
| DITMAS PARK CARE CENTER |
| N/A |
| DRY HARBOR NURSING HOME |
| N/A |
| EXCEL AT WOODBURY |
| N/A |
| FLUSHING HOSPITAL MEDICAL CENTER (LPN) |
| N/A |
| FLUSHING HOSPITAL MEDICAL CENTER (PATIENT) |
| N/A |
| FRANHILL DRUGS INC |
| N/A |
| GALLERY DRUGS |
| N/A |
| GARDEN CARE CENTER |
| N/A |
| GRACE PLAZA OF GREAT NECK INC |
| N/A |
| HAMILTON PARK MULTICARE CENTER |
| N/A |
| HAVEN MANOR HEALTH CARE CENTER |
| N/A |
| HAYM SOLOMON HOME FOR THE AGED |
| N/A |
| HEALTH POINT DRUGS INC |
| N/A |
| HEALTHPORT TECHNOLOGIES LLC |
| N/A |
| HENDON GARDENS CENTER LLC |
| N/A |
| HIGHLAND CARE CENTER INC |
| N/A |
| HIGHLAND REHAB & NURSING |
| N/A |
| HILLAIRE FARM SKILLED LIVING AND REHAB |
| N/A |
| HOLLISWOOD CARE CENTER |
| N/A |
| HOPKINS CENTER FOR REHABILITATION |
| N/A |
| HUDSON POINTE AT RIVERDALE CENTER |
| N/A |
| KING DAVID CENTER FOR NURSING AND REHAB |
| N/A |
| KING DAVID CTR FOR NURSING & REHABI(RN) |
| N/A |
| KINGS HARBOR CARE CENTER |
| N/A |
| LINDEN GARDENS NURSING AND REHABILITATION CENTER |
| N/A |
| LYNBROOK REHABILITATION AND NURSING HOME |
| N/A |
| MARQUIS CARE CENTER |
| N/A |
| MID-HUDSON VALLEY STAFFCO LLC |
| N/A |
| MMC HOLDING INC |
| N/A |
| MMC PHARMACY INC |
| N/A |
| MOMENTUM AT SOUTH BAY |
| N/A |
| MORRISON SENIOR DINING SILVERCREST CTR |
| N/A |
| MOUNT SINAI SERVICES AT ELMHURST HOSPCT |
| N/A |
| MOUNT SINAI SERVICES AT QUEENS HOSPITAL (PA) |
| N/A |
| N&W AGENCY |
| N/A |
| NEIGHBORHOOD PHARMACY INC |
| N/A |
| NEPHRO CARE INC |
| N/A |
| NESCONSET CENTER FOR NURSING AND REHABIL |
| N/A |
| NEW LONDON PHARMACY |
| N/A |
| NEW YORK DIALYSIS MANAGEMENT |
| N/A |
| RAEES PHARMACY |
| N/A |
| RAMAPO MANOR NURSING HOME |
| N/A |
| REGAL HEIGHTS REHABILITATION & |
| N/A |
| ROSS HEALTH CARE CENTER INC |
| N/A |
| SAFETY BUILDING CLEANING CORP |
| N/A |
| SEIU COMMUNICATIONS CENTER LLC |
| N/A |
| SMITHTOWN HEALTH CARE FACILITY |
| N/A |
| SODEXHO-SUNY HEALTH SCIENCES |
| N/A |
| SQUARE PHARMACY |
| N/A |
| STAFFCO OF BROOKLYN LLC |
| N/A |
| SUNRISE MANOR NURSING HOME |
| N/A |
| TEMCO INDUSTRY SERVICES |
| N/A |
| TOTAL MAINTENANCE SOLUTIONS LLC |
| N/A |
| TRIBORO CENTER FOR REHAB & NURSING (RN) |
| N/A |
| TRIBORO CENTER FOR REHAB AND NURSING HOME |
| N/A |
| VARIETY MART INC |
| N/A |
| VERNON BOULEVARD PHARMACY |
| N/A |
| WEST LAWRENCE CARE CENTER |
| N/A |
| WHITE OAKS NURSING HOME |
| N/A |
| WOODHAVEN NURSING HOME |
| N/A |
| WYANDANCH DRUGS |
| N/A |
| YRNC OPERATING LLC DBA YORKTOWN REHABILITATION AND NURSING CENTER (NURSING |
| N/A |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |