2012-11-15T14:44:03-06:00 2011-12-31 470900880 CALIBRE CPA GROUP PLLC 7501 WISCONSIN AVENUE SUITE 1200 WE BETHESDA MD 20814 990 2011-01-01 520904354 SEIU HEALTH AND WELFARE FUND SEIU 2027307500 11 DUPONT CIRCLE NW NO 900 WASHINGTON DC 200361202 ELISEO MEDINA 2027307000 2012-11-15 1 JOANN WOODSON P01293745 2023319880 2011 2016-02-24 21:20:13Z ELISEO MEDINA 1800 MASSACHUSETTS AVENUE NW WASHINGTON DC 20036 116666919 0 X N/A X 1969 DC THE SERVICE EMPLOYEES INTERNATIONAL UNION HEALTH AND WELFARE FUND IS A JOINTLY MANAGED TAFT-HARLEY, MULTI-EMPLOYER, COLLECTIVELY BARGAINED, SELF INSURED, AND INSURED HEALTH AND WELFARE PLAN. 6 6 0 0 0 0 0 0 21301143 29614616 430777 349104 6058 843 21737978 29964563 0 0 18481141 23139640 0 0 0 0 0 2040854 3027441 20521995 26167081 1215983 3797482 19334396 23282434 1476335 1704185 17858061 21578249 SEE SCHEDULE O 0 0 THE PLAN PROVIDED HEALTH, DENTAL, VISION, PRESCRIPTION DRUG, AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE TO ELIGIBLE PARTICIPANTS. 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 1 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 X ERICA WILLIAMS 2027307545 11 DUPONT CIRCLE STE 900 WASHINGTON DC 200361202 X ELISEO MEDINA 1.00 X 0 0 0 LISA HETICK 1.00 X 0 0 0 ERICK IRELAND 1.00 X 0 0 0 ANN PFRIMMER 1.00 X 0 0 0 DAVE MONROE 1.00 X 0 0 0 CHRISTOPHER BOUVIER 1.00 X 0 0 0 0 0 0 0 0 0 0 CIGNA HEALTH CARE 5089 COLLECTIONS CENTER DR CHICAGO IL 60693 ADMIN & ACCESS FEES 1763798 SEGAL COMPANY PO BOX 4059 WASHINGTON DC 10261 ACTUARY FEES 406388 2 EMPLOYER CONTRIBUTIONS 900099 28979272 28979272 EMPLOYEE CONTRIBUTIONS 900099 354864 354864 STOP LOSS REIMBURSEMEN 900099 280480 280480 29614616 415444 415444 86636016 86702356 -66340 -66340 -66340 OTHER INCOME 900099 843 843 843 29964563 29615459 0 349104 23139640 26070 28000 41476 1618144 62529 5305 129558 29 2668 19116 ADMINISTRATIVE SERVICES 713680 BAD DEBT EXPENSE 337475 EQUIPMENT RENTAL AND MA 38874 TEMPORARY HELP 4517 26167081 1668259 1230767 1519031 785608 18401 20879 28644 24492 4508 4152 15898936 21176546 225261 64482 19334396 23282434 109836 68192 1242124 1309297 124375 326696 1476335 1704185 X 17858061 21578249 17858061 21578249 19334396 23282434 X 3797482 -77294 X X 0 1 1 X 0 28644 24492 4152 4152 DUE TO RELATED PARTIES 239426 HEALTH REIMBURSEMENT ACCOUNTS 84721 DEFERRED RENT 2549 326696 29964563 26167081 3797482 -77294 -77294 3720188 29845793 -77294 -77294 29923087 41476 41476 29964563 26125605 0 26125605 41476 41476 26167081 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS PREPARED BY THE FIRM'S INDEPENDENT ACCOUNTANT. PRIOR TO FILING, THE FORM 990 IS EMAILED TO ALL UNION AND EMPLOYER TRUSTEES IN PDF FORMAT FOR THEIR REVIEW AND COMMENT. THE FORM 990 IS THEN SIGNED AND FILED. FORM 990, PART VI, SECTION B, LINE 12 THE FUND DOES NOT HAVE THESE POLICIES. HOWEVER, ITS OFFICERS ARE COVERED UNDER SERVICE EMPLOYEES INTERNATIONAL UNION POLICIES, SUCH AS THE CODE OF ETHICS, CONFLICT OF INTEREST, AND WHISTLEBLOWER PROTECTION POLICIES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THESE DOCUMENTS AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -77,294. FORM 990, PART XII, LINE 2C THE BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. 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