2020-11-16T14:09:22-06:00 2019-12-31 KPMG LLP 345 Park Avenue New York NY 101540102 990 2019-01-01 134129368 1199SEIU NBF FOR HOME CARE EMPLOYEES % MERCEDES MAMBRU 1199 6464736336 PO BOX 842 NEW YORK NY 10108 MERCEDES MAMBRU CFO 6464736336 2020-11-16 true DAVID M HIGHFILL P01517891 2127589700 2020-11-16 127.0.0.1 13407320203215000094 2020-11-16 P F7E791049FCEE4943A341CCA4F642AE72B60D2A0 9A787ECE391EA6D2706409A91BA1BFFEBAFC1C1E 2019 2022-01-07 14:23:13Z MERCEDES MAMBRU PO BOX 842 NEW YORK NY 10108 203317566 false X HTTP://1199SEIUBENEFITS.ORG 1949 NY TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS UNDER ELIGIBLE PARTICIPANTS UNDER THE TERMS OF THE COLLECTIVE BARGAINING AGREEMENT AND TRUST DOCUMENT. 14 14 0 14 0 0 0 0 213086384 199253566 198515 4027862 30471 36138 213315370 203317566 0 0 203400933 224121245 8163239 8311277 0 0 0 6663492 6154382 218227664 238586904 -4912294 -35269338 255616232 241561521 27404576 27553650 228211656 214007871 X TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS UNDER THE TERMS OF THE COLLECTIVE BARGAINING AGREEMENT AND TRUST DOCUMENT. false false FORM 990, PART III, LINE 4 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 2019, 28,297 MEMBERS/PARTICIPANTS RECEIVED HEALTH AND WELFARE BENEFITS. false false false false false false false false false true false false true true true false false false false false false false false false false false false false false false false false false false false false false false false true false false true X 5405 0 true 0 false false false false false false false false X 14 14 true false false false false true false true true false false false true true true true true true true false X MERCEDES MAMBRU 6464736336 PO BOX 842 NEW YORK NY 10108 X X LORRAINE MONCHAK CHIEF INVESTMENTS OFFICER 2.0 0.0 X 56429 0 24650 MITRA BEHROOZI EXECUTIVE OFFICER 2.0 0.0 X 35664 0 15227 DONNA S REY CHIEF OPERATING OFFICER 2.0 0.0 X 29882 0 12679 BRANDY D SHILOH Chief of Staff Strategic Ops 2.0 0.0 X 25536 0 11285 JEFFREY STEIN Fund Counsel 2.0 0.0 X 25308 0 10541 STACEY MILLMAN Chief Communications Officer 2.0 0.0 X 22345 0 9263 VAN H DUNN CHIEF MEDICAL OFFICER 2.0 0.0 X 21421 0 9192 SAMUEL HELLER Chief Financial Officer 2.0 0.0 X 13569 0 6160 DILAY ALTINER NBF - Portfolio Manager 0.0 0.0 X 4663 0 2117 JOSHUA SORENSEN NBF - Investment Analyst 0.0 0.0 X 4566 0 2059 JAMES CAREY EMPLOYER TRUSTEE 1.0 0.0 X 0 0 0 GLADYS CONFIDENT EMPLOYER TRUSTEE 1.0 0.0 X 0 0 0 ADRIA POWELL EMPLOYER TRUSTEE 1.0 0.0 X 0 0 0 JESSICA CUMMINGS EMPLOYER TRUSTEE 1.0 0.0 X 0 0 0 LING MA EMPLOYER TRUSTEE 1.0 0.0 X 0 0 0 BRUCE MCIVER EMPLOYER TRUSTEE (END: 1/19) 1.0 0.0 X 0 0 0 ANDREA-THOMAS RANDALL EMPLOYER TRUSTEE 1.0 0.0 X 0 0 0 Guadalupe Astacio UNION TRUSTEE 1.0 0.0 X 0 0 0 Vladimir Fortunny UNION TRUSTEE 1.0 0.0 X 0 0 0 KWAIDAVIDHO UNION TRUSTEE 1.0 0.0 X 0 0 0 KEITH JOSEPH UNION TRUSTEE 1.0 0.0 X 0 0 0 RONA SHAPIRO UNION TRUSTEE 1.0 0.0 X 0 0 0 Yvonne Armstrong UNION TRUSTEE 1.0 0.0 X 0 0 0 HAROLD FONG-SAM UNION TRUSTEE 1.0 0.0 X 0 0 0 MARC KRAMER EMPLOYER TRUSTEE (BEGAN: 1/19) 1.0 0.0 X 0 0 0 239383 0 103173 0 false false false CARE ALLIES PRE-CERT 5144 COLLECTION CENTER DRIVE CHICAGO IL 60693 CONSULTING (GENERAL) 802534 MEDCO HEALTHADMIN FEE 100 PARSONS POND DRIVE FRANKLIN LAKES NJ 07417 CONSULTING (GENERAL) 797419 CHANGE HEALTHCARE SOLUTION LLC 3055 LEBANON PIKE 1000 NASHVILLE TN 37214 COPYING/DUPLICATING 418977 WESTERN ASSET MANAGEMENT COMPANY 620 8TH AVE 50 NEW YORK NY 10018 INVESTMENT MGMT 191730 KPMG LLP PO Box 120511 DALLAS TX 753120511 accounting 126323 7 0 EMPLOYER CONTRIBUTIONS 900099 191689839 191689839 COBRA PAYMENTS 900099 129216 129216 MEMBER PREMIUMS 900099 7320053 7320053 INTEREST & CHARGES - EMPLOYER DELINQUENCIES 900099 114458 114458 199253566 85882 85882 0 0 0 0 0 3941980 3941980 3941980 3941980 0 0 0 0 0 0 0 0 0 BANK EARNING CREDITS 900099 36138 36138 36138 203317566 199253566 4064000 X 0 0 0 224121245 224871 0 5227600 664599 1781479 412728 0 45377 136298 0 0 219941 479625 0 837218 281658 0 2752631 0 0 0 0 0 0 100328 MANAGED CARE PRECERT. 740489 THIRD PARTY ADMIN CHARGES 560817 238586904 0 0 10532129 9979183 0 0 39132146 54700237 0 0 0 0 0 0 0 0 0 0 0 0 0 0 196460340 165885194 0 0 0 0 9491617 10996907 255616232 241561521 1232543 1173770 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26172033 26379880 27404576 27553650 X 228211656 214007871 0 0 228211656 214007871 255616232 241561521 X -35269338 21560020 -494467 X false true X true false GOVERNMENT BONDS 20264118 COMMON COLLECTIVE TRUSTS 140270382 INVESTMENT IN 3BF 5350694 165885194 0 CURRENT BENEFIT OBLIGATIONS 26379880 26379880 X 224657645 21560020 21560020 203097625 219941 219941 203317566 238366963 238366963 219941 219941 238586904 FIN 48 FOOTNOTE FORM 990, SCHEDULE D, PART X, LINE 2 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, 2019, 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 2016. UNRELATED BUSINESS INCOME TAX FORM 990, PART V, LINE 3A 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). BUSINESS RELATIONSHIP FORM 990, PART VI, LINE 2 ALL OF THE UNION TRUSTEES ARE ALSO EMPLOYEES OF 1199SEIU (THE UNION) AND THEREFORE HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER. POWER TO ELECT FORM 990, PART VI, LINE 7A The Union trustees are appointed by 1199SEIU United Healthcare Workers East, and the employer trustees are appointed by the Contributing Employers. REVIEW OF FORM 990 FORM 990, PART VI, SECTION B, LINE 11B 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. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C 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. COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINE 15A AND 15B 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. PUBLIC DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 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. RELATED ORGANIZATION COMPENSATION FORM 990, 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. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 CHANGE IN BENEFITS REPORTED & PAID ($494,467) ALLIANCE HOME SERVICES INC Azor Home Care Best Choice Home Care Inc Bronx Jewish Community Council Bushwick Stuyvesant Heights CABS Home Attendant Services Inc Care at Home Diocese of Brooklyn Inc Chinese-American Planning-880 CIDNY - Independent Living Services Inc Family Home Care Svcs of Brooklyn & Quee Fedcap Rehabilitation Services Inc FEGS Home Attendant Services Inc First Chinese Pres Church Housekeeper Home Attendant Services of Hyde Park Home Care Services for Independent Livin Home Health Management Service NY Foundation For Sr Citizens Hm Att Svs Partners in Care Inc PSC Community Services Inc RAIN Home Attendant Services Inc Richmond Home Needs Services Inc Ridgewood-Bushwick Senior Citizens Rockaway Home Attendant Services Inc School Settlement Home Att Service Corp Sunnyside Home Care PROJECT INC United Jewish Council WART BURG RESIDENTIAL COMMUNITY INC ST NICKS ALLIANCE HOME CARE Elderserve - Licensed Home Care Services Bronx Community Home Care Inc Hudson River Healthcare-Suffolk Upper Manhattan Mental Health Institute For Family Health START Recovery and Treatment Centers BHRAGS HOME CARE CORP ABC Health Registry Inc BEST CARE INC DBA ALL CITY CARE All Metro Health Care Bestcare Inc ALLIANCE FOR HEALTH INC Personal Touch Home Care of NY Inc People Care Incorporated Premier Home Healthcare Services Inc Special Touch Home Care Services Inc Unlimited Care Inc Bronx comm hci areba casriel inc Stella Orton Home Care Agency Inc false false false false false false false false false false false false false false false false false true