2019-11-08T10:42:33-06:00 2018-12-31 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2018-01-01 232627429 BENEFIT FUND FOR HOSPITAL AND BENE 2157355720 1319 LOCUST STREET PHILADELPHIA PA 19107 CHRIS WOODS TRUSTEE 2157355720 2019-11-08 1 LOUIS VERZELLA CPA P00360279 6106689400 2019-10-29 162.211.205.39 2019-11-08 10:41:36 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 214E2DE4754F8F73DD572B34B07E6CCBC316F7C9 2018 2020-03-31 21:24:44Z CHRIS WOODS 1319 LOCUST STREET PHILADELPHIA PA 19107 92265672 0 X N/A X 1991 PA TO PROVIDE HEALTH AND WELFARE BENEFITS TO DISTRICT 1199C MEMBERS AND THEIR DEPENDENTS. 10 6 0 0 0 0 0 0 52929179 52517966 219811 689178 42706 28742 53191696 53235886 0 0 43421202 48185177 622082 703776 0 0 0 2760785 3009347 46804069 51898300 6387627 1337586 33748630 34072854 1746539 1521673 32002091 32551181 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 1 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 4 0 0 0 0 0 0 0 0 0 0 X 10 6 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 146316 0 PETER GOULD UNION TRUSTEE 2.00 0.00 X 0 0 0 MARGUERITE STANFORD UNION TRUSTEE 2.00 40.00 X 0 117753 0 JOHN HUNDZYNSKI UNION TRUSTEE 2.00 40.00 X 0 126190 0 CHRIS WOODS UNION TRUSTEE 2.00 40.00 X 0 140299 0 PAUL A CSIGI EMPLOYER TRUSTEE 2.00 0.00 X 0 0 0 KEVIN S KELLY EMPLOYER TRUSTEE 2.00 0.00 X 0 0 0 ELIZABETH BILOTTA EMPLOYER TRUSTEE (P) 2.00 0.00 X 0 0 0 ALFRED J D'ANGELO EMPLOYER TRUSTEE 2.00 0.00 X 0 0 0 RICHARD DODSWORTH EMPLOYER TRUSTEE (P) 2.00 0.00 X 0 0 0 MARIA SCENNA EMPLOYER TRUSTEE 2.00 0.00 X 0 0 0 PAUL RICKERSHAUSER EMPLOYER TRUSTEE 2.00 0.00 X 0 0 0 LAVERNE DEVALIA EXECUTIVE DIRECTOR 13.00 27.00 X 41376 82753 73174 41376 613311 73174 0 0 1 0 AETNA LIFE INSURANCE COMPANY 151 FARMINGTON AVENUE HARTFORD CT 06156 CONTRACT ADMINISTRATOR/CLAIMS PROCESSING 2123158 MORGAN LEWIS & BOCKIUS LLP 1701 MARKET ST PHILADELPHIA PA 19103 LEGAL 217523 EXPRESS SCRIPTS ONE EXPRESS WAY ST LOUIS MO 63121 CLAIMS PROCESSING 113023 3 EMPLOYER CONTRIBUTIONS 525100 52073086 52073086 PARTICIPANTS CO-PAY 525100 347732 347732 COBRA AND SELF-PAY 525100 97148 97148 52517966 524917 524917 39194047 39029786 164261 164261 164261 OTHER INCOME 900099 28742 28742 28742 53235886 52517966 0 717920 48185177 65767 389808 83536 126261 38404 272402 45000 30306 2325240 123758 73774 30654 632 37056 10128 30716 FESS MANDATED BY ACA 16892 BIOMETRIC SCREENING EXP 12789 51898300 1780128 2126665 3008612 2571851 9692703 11725456 30025 60502 445352 411037 41101 34315 17121303 15474679 1897555 1901168 177203 178218 33748630 34072854 398087 543577 832274 832274 516178 145822 1746539 1521673 X 32002091 32551181 32002091 32551181 33748630 34072854 1337586 -788496 0 X X 0 1 X 1 0 62642 48499 14143 382710 362538 20172 34315 COMMON TRUST 1901168 C 1901168 DUE TO RELATED PENSION FUND 145822 145822 X 52417084 -788496 -788496 53205580 30306 30306 53235886 51867994 0 51867994 30306 30306 51898300 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 LAVERNE DEVALIA EXECUTIVE DIRECTOR 41376 82753 0 0 0 0 9330 18661 15061 30122 65767 131536 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 COOPER RIVER WEST CONVALESCENT CENTER CROTHALL SERVICES GROUP INGLIS HOUSE JOHN F KENNEDY BEHAVIORAL HEALTH CENTER KRESSON VIEW CENTER SODEXHO INC 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 1180201 FMV