DISTRICT 1199C BENEFIT FUND FOR HOSP EMPLOYEES-PHILA & VICINITY: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
DISTRICT 1199C BENEFIT FUND FOR HOSP EMPLOYEES-PHILA & VICINITY (EIN 23-2627429)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-10-31
IRS object ID
202233049349302313
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

FieldValueIRS element (for citing)
Return2022-10-31T15:56:04-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN611436956PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1NOVAK FRANCELLA LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line140 MONUMENT RD 5TH FLRAddressLine1Txt
CityBALA CYNWYDCityNm
State AbbreviationPAStateAbbreviationCd
ZIP19004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN232627429EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BENEFIT FUND FOR HOSPITAL ANDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBENEBusinessNameControlTxt
Phone2157355720PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11319 LOCUST STREETAddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19107ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonERIC BROOKSPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2157355720PhoneNum
Signature2022-10-31SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstERICPersonFirstNm
Person LastBROOKSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLOUIS VERZELLA CPAPreparerPersonNm
PTINP00360279PTIN
Phone6106689400PhoneNum
Preparation2022-10-31PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerERIC BROOKSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11319 LOCUST STREETAddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19107ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$53,467,015GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization AssocYes (X)TypeOfOrganizationAssocInd
Formation1991FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH AND WELFARE BENEFITS TO DISTRICT 1199C MEMBERS AND THEIR DEPENDENTS.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$44,029,015PYProgramServiceRevenueAmt
CY Program Service Revenue$35,876,383CYProgramServiceRevenueAmt
PY Investment Income$463,964PYInvestmentIncomeAmt
CY Investment Income$1,494,546CYInvestmentIncomeAmt
PY Other Revenue$119,677PYOtherRevenueAmt
CY Other Revenue$64,553CYOtherRevenueAmt
PY Total Revenue$44,612,656PYTotalRevenueAmt
CY Total Revenue$37,435,482CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$38,143,431PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$27,935,809CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$819,853PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$713,996CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,224,069PYOtherExpensesAmt
CY Other Expenses$2,117,747CYOtherExpensesAmt
PY Total Expenses$41,187,353PYTotalExpensesAmt
CY Total Expenses$30,767,552CYTotalExpensesAmt
PY Revenues Less Expenses$3,425,303PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,667,930CYRevenuesLessExpensesAmt
Total Assets BOY$37,670,303TotalAssetsBOYAmt
Total Assets EOY$43,932,526TotalAssetsEOYAmt
Total Liabilities BOY$1,005,176TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,529,778TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$36,665,127NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$42,402,748NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTH AND WELFARE BENEFITS TO DISTRICT 1199C MEMBERS AND THEIR DEPENDENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescTO PROVIDE HEALTH AND WELFARE BENEFITS TO DISTRICT 1199C MEMBERS AND THEIR DEPENDENTS. BENEFITS PAID INCLUDE CLAIMS FOR HEALTH, DISABILITY, PRESCRIPTIONS, VISION CARE AND DENTAL.Desc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document49IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LAVERNE DEVALIABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2157355720PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11319 LOCUST STREETAddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19107ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
HENRY NICHOLAS
UNION TRUSTEE2.0040.00Yes (X)$0$50,000$0
JOHN HUNDZYNSKI
UNION TRUSTEE2.0040.00Yes (X)$0$133,544$0
CHRIS WOODS
UNION TRUSTEE (P)2.0040.00Yes (X)$0$143,477$0
PAUL A CSIGI
EMPLOYER TRUSTEE2.00Yes (X)$0$0$0
ALFRED J D'ANGELO
EMPLOYER TRUSTEE2.00Yes (X)$0$0$0
PAUL RICKERSHAUSER
EMPLOYER TRUSTEE2.00Yes (X)$0$0$0
ELYSE FORD
UNION TRUSTEE2.0040.00Yes (X)$0$118,721$0
SALIMA PACE
UNION TRUSTEE (P)2.0040.00Yes (X)$0$98,344$0
CHRISTOPHER BATHE
EMPLOYER TRUSTEE2.00Yes (X)$0$0$0
JAMES GRIMES
EMPLOYER TRUSTEE2.00Yes (X)$0$0$0
DIONNE GARY
UNION TRUSTEE2.00Yes (X)$0$77,060$0
SUSAN CLEARY
UNION TRUSTEE2.00Yes (X)$0$144,511$0
LAVERNE DEVALIA
EXECUTIVE DIRECTOR (P)13.0027.00$8,553$17,106$14,101Yes (X)
ERIC BROOKS
EXECUTIVE DIRECTOR13.0027.00$45,951$91,901$79,885Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$54,504TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$874,664TotReportableCompRltdOrgAmt
Total Other Compensation$93,986TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
QCC INSURANCE
1901 MARKET STPHILADELPHIAPA19103CONTRACT ADMINISTRATOR/CLAIMS PROCESSING$1,223,613
PAYER MATRIX
407 ELMWOOD AVESHARON HILLPA19079CLAIMS PROCESSING$509,533
LABOR FIRST
3000 MIDLANTIC DR - STE 101MOUNT LAURELNJ08054BENEFITS CONSULTANT$177,099
GALLAGHER
2850 GOLF ROADROLLING MEADOWSIL60008BENEFITS CONSULTANT$175,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS525100$35,275,762$35,275,762
PARTICIPANTS CO-PAY525100$551,535$551,535
COBRA AND SELF-PAY525100$49,086$49,086
FieldValueIRS element (for citing)
Total Program Service Revenue$35,876,383TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$381,246TotalRevenueColumnAmt
Exclusion$381,246ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$17,144,833SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$16,031,533SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,113,300SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,113,300TotalRevenueColumnAmt
Related Or Exempt Func Income$1,113,300RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$64,553TotalRevenueColumnAmt
Exclusion$64,553ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$64,553OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$37,435,482TotalRevenueColumnAmt
Related Or Exempt Func Income$36,989,683RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$445,799ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$27,935,809TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$86,193TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$409,721TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$177,623TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,126TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$32,333TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$168,090TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$80,492TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$41,822TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,512,403TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$67,426TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$89,105TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$29,938TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$136TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,830TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,817TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$52,575TotalAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmt
BIOMETRIC SCREENING EXP$56,291
FESS MANDATED BY ACA$10,822

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$30,767,552TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$777,573BOYAmt
EOY$979,630EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,853,938BOYAmt
EOY$16,373,416EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,317,424BOYAmt
EOY$4,396,164EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,914BOYAmt
EOY$76,143EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$184,041LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$168,930LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$20,929BOYAmt
EOY$15,111EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$18,454,194BOYAmt
EOY$19,978,529EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,064,378BOYAmt
EOY$1,017,500EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$175,953BOYAmt
EOY$1,096,033EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$37,670,303BOYAmt
EOY$43,932,526EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$172,902BOYAmt
EOY$225,979EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$832,274BOYAmt
EOY$832,274EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$471,525EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,005,176BOYAmt
EOY$1,529,778EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$36,665,127BOYAmt
EOY$42,402,748EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$36,665,127BOYAmt
EOY$42,402,748EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$37,670,303BOYAmt
EOY$43,932,526EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$6,667,930ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$930,309NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$62,642OtherCostOrOtherBasisAmt
Depreciation$54,990DepreciationAmt
Book Value$7,652BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$121,399OtherCostOrOtherBasisAmt
Depreciation$113,940DepreciationAmt
Book Value$7,459BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$15,111TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO RELATED PENSION FUNDDesc
Amt$471,525Amt
FieldValueIRS element (for citing)
Total Liability$471,525TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$36,463,351TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$930,309NetUnrealizedGainsInvstAmt
Revenue Not Reported-$930,309RevenueNotReportedAmt
Revenue Subtotal$37,393,660RevenueSubtotalAmt
Investment Expenses Not Incld$41,822InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$41,822RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$37,435,482TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$30,725,730TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$30,725,730ExpensesSubtotalAmt
Investment Expenses Not Incld2$41,822InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$41,822ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$30,767,552TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT, MORE LIKELY THAN NOT, WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE U. S. FEDERAL, STATE, OR LOCAL TAXING AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. TYPICALLY, PLAN YEARS WILL REMAIN OPEN FOR THREE YEARS; HOWEVER, THIS MAY DIFFER DEPENDING UPON THE CIRCUMSTANCES OF THE PLAN.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonERIC BROOKSPersonNm
TitleEXECUTIVE DIRECTORTitleTxt
Base Compensation Filing Org$45,951BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$91,901CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$9,902DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$19,805DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$16,726NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$33,452NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$72,579TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$145,158TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BDISTRICT 1199C BENEFIT FUND'S FORM 990 IS PREPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT WHO THEN FORWARDS THE COMPLETED RETURN TO THE PLAN ADMINISTRATOR. THE PLAN ADMINISTRATOR PRESENTS THE 990 TO THE FUND'S GOVERNING BODY FOR REVIEW AND SIGNATURE.
FORM 990, PART VI, SECTION C, LINE 19DISTRICT 1199C BENEFIT FUND MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C:DISTRICT 1199C BENEFIT FUND'S GOVERNING BODY IS RESPONSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT THAT PERFORMS THE AUDIT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtControlled OrganizationControlledOrganizationInd
PENSION PLAN FOR HOSPITAL & HEALTH CARE EMPLOYEES PHILADELPHA & VICINITY
1319 LOCUST STREETPHILADELPHIAPA19107232627428PENSION FUNDPA401(A)/501(A)0
DISTRICT 1199C JOB SECURITY FUND
100 SOUTH BROAD STREETPHILADELPHIAPA19110232841131TRAINING AND EDUCATIONPA501(C)(3)0
PENSION FUND FOR NURSING HOME AND HEALTH CARE EMPLOYEES
C/O ONEILL CONSULTING 1560 OLD YORKABINGTONPA19001232774706PENSION FUNDPA401(A)/501(A)0
HEALTH AND TECHNOLOGY TRAINING INSTITUTE
1319 LOCUST STREETPHILADELPHIAPA19107232854079TRAINING AND EDUCATIONPA501(C)(3)0
DISTRICT 1199C LEGAL SERVICES PLAN
1319 LOCUST STREETPHILADELPHIAPA19107232188968LEGAL BENEFIT FUNDPA501(C)(9)0
DISTRICT 1199C TRAINING AND UPGRADING FUND
LAND TITLE BUILDING 10TH FLRPHILADELPHIAPA19110237418594TRAINING AND EDUCATIONPA501(C)(3)0
1199C NATIONAL UNION OF HOSPITAL AND HEALTH CARE EMPLOYEES AFSCME
1319 LOCUST STREETPHILADELPHIAPA19107231922766LABOR UNIONPA501(C)(5)0
NATIONAL UNION OF HOSPITAL AND HEALTH CARE EMPLOYEES
9-25 ALLING STREET FLOOR 4NEWARKNJ07102133521368LABOR UNIONNJ501(C)(5)0
TEMPLE UNIVERSITY
2450 WEST HUNTING PARK AVENUEPHILADELPHIAPA191291302231365971UNIVERSITYPA501(C)(3)0
TEMPLE UNIVERSITY HOSPITAL INC
2450 WEST HUNTING PARK AVENUEPHILADELPHIAPA191291302232825878HOSPITALPA501(C)(3)0
TEMPLE UNIVERSITY HEALTH SYSTEM INC
2450 WEST HUNTING PARK AVENUEPHILADELPHIAPA191291302232825881HOSPITALPA501(C)(3)0
THOMAS JEFFERSON UNIVERSITY
833 CHESTNUT STREETPHILADELPHIAPA191074418232829095HOSPITALPA501(C)(3)0
JFK COMMUNITY MHMR CENTER
112 NORTH BROAD STREETPHILADELPHIAPA191021577232095511HOSPITALPA501(C)(3)0
INGLIS HOUSE
2600 BELMONT AVENUEPHILADELPHIAPA191312713231352284CHARITYPA501(C)(3)0
CROZER CHESTER MEDICAL CENTER
ONE MEDICAL CENTER BLVDUPLANDPA190133902231637191MEDICAL CENTERPA501(C)(3)0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

ARAMARK CORPORATION
BURLINGTON WOODS CONVALESCENT CENTER
CROTHALL SERVICES GROUP
INGLIS HOUSE
JOHN F KENNEDY BEHAVIORAL HEALTH CENTER
KRESSON VIEW CENTER
TENETHAHNEMANN UNIVERSITY HOSPITAL
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PENSION FUND FOR HOSPITAL AND HEALTHCARE WORKERSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypePTransactionTypeTxt
Involved$113,297InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt

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