2022-10-31T15:56:04-05:00 2021-12-31 611436956 NOVAK FRANCELLA LLC 40 MONUMENT RD 5TH FLR BALA CYNWYD PA 19004 990 2021-01-01 232627429 BENEFIT FUND FOR HOSPITAL AND BENE 2157355720 1319 LOCUST STREET PHILADELPHIA PA 19107 ERIC BROOKS EXECUTIVE DIRECTOR 2157355720 2022-10-31 1 ERIC BROOKS 999009999 LOUIS VERZELLA CPA P00360279 6106689400 2022-10-31 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z ERIC BROOKS 1319 LOCUST STREET PHILADELPHIA PA 19107 53467015 0 X N/A X 1991 PA TO PROVIDE HEALTH AND WELFARE BENEFITS TO DISTRICT 1199C MEMBERS AND THEIR DEPENDENTS. 10 5 0 0 0 0 0 0 44029015 35876383 463964 1494546 119677 64553 44612656 37435482 0 0 38143431 27935809 819853 713996 0 0 0 2224069 2117747 41187353 30767552 3425303 6667930 37670303 43932526 1005176 1529778 36665127 42402748 TO PROVIDE HEALTH AND WELFARE BENEFITS TO DISTRICT 1199C MEMBERS AND THEIR DEPENDENTS. 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO DISTRICT 1199C MEMBERS AND THEIR DEPENDENTS. BENEFITS PAID INCLUDE CLAIMS FOR HEALTH, DISABILITY, PRESCRIPTIONS, VISION CARE AND DENTAL. 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 49 0 0 0 0 0 0 0 0 0 0 X 10 5 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 X LAVERNE DEVALIA 2157355720 1319 LOCUST STREET PHILADELPHIA PA 19107 HENRY NICHOLAS UNION TRUSTEE 2.00 40.00 X 0 50000 0 JOHN HUNDZYNSKI UNION TRUSTEE 2.00 40.00 X 0 133544 0 CHRIS WOODS UNION TRUSTEE (P) 2.00 40.00 X 0 143477 0 PAUL A CSIGI EMPLOYER TRUSTEE 2.00 X 0 0 0 ALFRED J D'ANGELO EMPLOYER TRUSTEE 2.00 X 0 0 0 PAUL RICKERSHAUSER EMPLOYER TRUSTEE 2.00 X 0 0 0 ELYSE FORD UNION TRUSTEE 2.00 40.00 X 0 118721 0 SALIMA PACE UNION TRUSTEE (P) 2.00 40.00 X 0 98344 0 CHRISTOPHER BATHE EMPLOYER TRUSTEE 2.00 X 0 0 0 JAMES GRIMES EMPLOYER TRUSTEE 2.00 X 0 0 0 DIONNE GARY UNION TRUSTEE 2.00 X 0 77060 0 SUSAN CLEARY UNION TRUSTEE 2.00 X 0 144511 0 LAVERNE DEVALIA EXECUTIVE DIRECTOR (P) 13.00 27.00 X 8553 17106 14101 ERIC BROOKS EXECUTIVE DIRECTOR 13.00 27.00 X 45951 91901 79885 54504 874664 93986 0 0 1 0 QCC INSURANCE 1901 MARKET ST PHILADELPHIA PA 19103 CONTRACT ADMINISTRATOR/CLAIMS PROCESSING 1223613 PAYER MATRIX 407 ELMWOOD AVE SHARON HILL PA 19079 CLAIMS PROCESSING 509533 LABOR FIRST 3000 MIDLANTIC DR - STE 101 MOUNT LAUREL NJ 08054 BENEFITS CONSULTANT 177099 GALLAGHER 2850 GOLF ROAD ROLLING MEADOWS IL 60008 BENEFITS CONSULTANT 175000 4 EMPLOYER CONTRIBUTIONS 525100 35275762 35275762 PARTICIPANTS CO-PAY 525100 551535 551535 COBRA AND SELF-PAY 525100 49086 49086 35876383 381246 381246 17144833 16031533 1113300 1113300 1113300 OTHER INCOME 900099 64553 64553 64553 37435482 36989683 0 445799 27935809 86193 409721 177623 8126 32333 168090 80492 41822 1512403 67426 89105 29938 136 2830 5817 52575 BIOMETRIC SCREENING EXP 56291 FESS MANDATED BY ACA 10822 30767552 777573 979630 9853938 16373416 6317424 4396164 5914 76143 184041 168930 20929 15111 18454194 19978529 2064378 1017500 175953 1096033 37670303 43932526 172902 225979 832274 832274 0 471525 1005176 1529778 X 36665127 42402748 36665127 42402748 37670303 43932526 6667930 -930309 0 X X 0 1 X 1 0 62642 54990 7652 121399 113940 7459 15111 DUE TO RELATED PENSION FUND 471525 471525 X 36463351 -930309 -930309 37393660 41822 41822 37435482 30725730 0 30725730 41822 41822 30767552 PART X, LINE 2: ACCOUNTING 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. X 0 0 0 ERIC BROOKS EXECUTIVE DIRECTOR 45951 91901 0 0 0 0 9902 19805 16726 33452 72579 145158 0 0 FORM 990, PART VI, SECTION B, LINE 11B DISTRICT 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 19 DISTRICT 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. PENSION PLAN FOR HOSPITAL & HEALTH CARE EMPLOYEES PHILADELPHA & VICINITY 1319 LOCUST STREET PHILADELPHIA PA 19107 232627428 PENSION FUND PA 401(A)/501(A) 0 DISTRICT 1199C JOB SECURITY FUND 100 SOUTH BROAD STREET PHILADELPHIA PA 19110 232841131 TRAINING AND EDUCATION PA 501(C)(3) 0 PENSION FUND FOR NURSING HOME AND HEALTH CARE EMPLOYEES C/O ONEILL CONSULTING 1560 OLD YORK ABINGTON PA 19001 232774706 PENSION FUND PA 401(A)/501(A) 0 HEALTH AND TECHNOLOGY TRAINING INSTITUTE 1319 LOCUST STREET PHILADELPHIA PA 19107 232854079 TRAINING AND EDUCATION PA 501(C)(3) 0 DISTRICT 1199C LEGAL SERVICES PLAN 1319 LOCUST STREET PHILADELPHIA PA 19107 232188968 LEGAL BENEFIT FUND PA 501(C)(9) 0 DISTRICT 1199C TRAINING AND UPGRADING FUND LAND TITLE BUILDING 10TH FLR PHILADELPHIA PA 19110 237418594 TRAINING AND EDUCATION PA 501(C)(3) 0 1199C NATIONAL UNION OF HOSPITAL AND HEALTH CARE EMPLOYEES AFSCME 1319 LOCUST STREET PHILADELPHIA PA 19107 231922766 LABOR UNION PA 501(C)(5) 0 NATIONAL UNION OF HOSPITAL AND HEALTH CARE EMPLOYEES 9-25 ALLING STREET FLOOR 4 NEWARK NJ 07102 133521368 LABOR UNION NJ 501(C)(5) 0 TEMPLE UNIVERSITY 2450 WEST HUNTING PARK AVENUE PHILADELPHIA PA 191291302 231365971 UNIVERSITY PA 501(C)(3) 0 TEMPLE UNIVERSITY HOSPITAL INC 2450 WEST HUNTING PARK AVENUE PHILADELPHIA PA 191291302 232825878 HOSPITAL PA 501(C)(3) 0 TEMPLE UNIVERSITY HEALTH SYSTEM INC 2450 WEST HUNTING PARK AVENUE PHILADELPHIA PA 191291302 232825881 HOSPITAL PA 501(C)(3) 0 THOMAS JEFFERSON UNIVERSITY 833 CHESTNUT STREET PHILADELPHIA PA 191074418 232829095 HOSPITAL PA 501(C)(3) 0 JFK COMMUNITY MHMR CENTER 112 NORTH BROAD STREET PHILADELPHIA PA 191021577 232095511 HOSPITAL PA 501(C)(3) 0 INGLIS HOUSE 2600 BELMONT AVENUE PHILADELPHIA PA 191312713 231352284 CHARITY PA 501(C)(3) 0 CROZER CHESTER MEDICAL CENTER ONE MEDICAL CENTER BLVD UPLAND PA 190133902 231637191 MEDICAL CENTER PA 501(C)(3) 0 ARAMARK CORPORATION BURLINGTON WOODS CONVALESCENT CENTER CROTHALL SERVICES GROUP INGLIS HOUSE JOHN F KENNEDY BEHAVIORAL HEALTH CENTER KRESSON VIEW CENTER TENETHAHNEMANN UNIVERSITY HOSPITAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 PENSION FUND FOR HOSPITAL AND HEALTHCARE WORKERS P 113297 FMV