1199 NATIONAL BENEFIT FUND FOR HOSPITAL & HUMAN SERVICE EMPLOYEES: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- 1199 NATIONAL BENEFIT FUND FOR HOSPITAL & HUMAN SERVICE EMPLOYEES (EIN 13-1628401)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2013-01-07
- IRS object ID
- 201330079349301663
- Schema version
- 2011v1.3
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-01-07T15:40:01-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 345 Park Avenue | AddressLine1 |
| City | New York | City |
| State | NY | State |
| ZIP Code | 101540102 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 131628401 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1199SEIU NATIONAL BENEFIT FUND FOR | BusinessNameLine1 |
| Business Name Line2 | HEALTH AND HUMAN SERVICE EMPLOYEES | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % MARIA ACOSTA CFO | InCareOfName |
| Name Control | 1199 | NameControl |
| Phone | 6464736365 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 842 | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10108 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARIA ACOSTA | Name |
| Title | CFO | Title |
| Date Signed | 2012-12-07 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KPMG LLP | Name |
| Phone | 2127589700 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MITRA BEHROOZI | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 330 WEST 42ND STREET | AddressLine1 |
| City | ST FLOOR NEW YORK | City |
| State | NY | State |
| ZIP Code | 10036 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1358347924 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | HTTP://1199SEIUBENEFITS.ORG | WebSite |
| Type Of Organization Trust | X | TypeOfOrganizationTrust |
| Year Formation | 1949 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE HEALTH & WELFARE BENEFITS TO MEMBERS AND THEIR ELIGIBLE DEPENDENTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 38 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 38 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1370 | TotalNbrEmployees |
| Total Nbr Volunteers | 38 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1309893139 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1356219936 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1204324 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2127988 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1311097463 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1358347924 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 1153580477 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 1183155683 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 55982764 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 56585434 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 35045401 | OtherExpensePriorYear |
| Other Expenses Current Year | 36161828 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1244608642 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1275902945 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 66488821 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 82444979 | RevenuesLessExpensesCY |
| Total Assets BOY | 517780774 | TotalAssetsBOY |
| Total Assets EOY | 571324549 | TotalAssetsEOY |
| Total Liabilities BOY | 323396684 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 292067629 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 194384090 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 279256920 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE HEALTH & WELFARE BENEFITS TO MEMBERS AND THEIR ELIGIBLE DEPENDENTS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 0 | Expense |
| Description | TO PROVIDE HEALTH & WELFARE BENEFITS TO APPROXIMATELY 149,658 MEMBERS AND THEIR ELIGIBLE DEPENDENTS. | Description |
| Total Program Service Expense | 0 | TotalProgramServiceExpense |
| Described In501 C3 | false | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 23999 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1370 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 38 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 38 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MARIA ACOSTA CFO | NamePerson |
| Telephone Number | 6464736365 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 330 WEST 42ND STREET 28TH FLOOR | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10036 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (49 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| CHRISTOPHER BERNER ESQ | |||||||
| EMPLOYER TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| ELLIOT BROOKS | |||||||
| EMPLOYER TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| DENNIS BUCHANAN | |||||||
| EMPLOYER TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| TRACI BURCH | |||||||
| EMPLOYER TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| JAMES CAREY | |||||||
| EMPLOYER TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| JEFFREY COHEN | |||||||
| EMPLOYER TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| GLENN COUROUNIS | |||||||
| EMPLOYER TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| G THOMAS FERGUSON | |||||||
| EMPLOYER TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| SHEILA GARVEY | |||||||
| EMPLOYER TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| REBECCA GORDON | |||||||
| EMPLOYER TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| HOWARD GREEN | |||||||
| EMPLOYER TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| MARC LEFF | |||||||
| EMPLOYER TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| BRUCE MCIVER | |||||||
| EMPLOYER TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| MICHAEL ROSENBLUT | |||||||
| EMPLOYER TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| NANCY SANCHEZ | |||||||
| EMPLOYER TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| FRANK SCHEETS | |||||||
| EMPLOYER TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| ROSEANN SIMONELLI | |||||||
| EMPLOYER TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| CARMEN SUARDY | |||||||
| EMPLOYER TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| AUDREY WATHEN | |||||||
| EMPLOYER TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| KEITH WOLF | |||||||
| EMPLOYER TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| NORMA AMSTERDAM | |||||||
| UNION TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| YVONNE ARMSTRONG | |||||||
| UNION TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| LISA BROWN | |||||||
| UNION TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| MARIA CASTANEDA | |||||||
| UNION TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| ANGELA DOYLE | |||||||
| UNION TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| GEORGE GRESHAM | |||||||
| UNION TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| STEVE KRAMER | |||||||
| UNION TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| PATRICK LINDSAY | |||||||
| UNION TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| DALTON MAYFIELD | |||||||
| UNION TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| JOYCE NEIL | |||||||
| UNION TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| BRUCE POPPER | |||||||
| UNION TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| JOHN REID | |||||||
| UNION TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| BRUCE RICHARD | |||||||
| UNION TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| NEVA SHILLINGFORD | |||||||
| UNION TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| LAURIE VALLONE | |||||||
| UNION TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| ESTELA VASQUEZ | |||||||
| UNION TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| FERNANDO WILSON | |||||||
| UNION TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| GLADYS WRENICK | |||||||
| UNION TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| MITRA BEHROOZI | |||||||
| EXECUTIVE DIRECTOR | 11.0 | 143336 | 234443 | 133105 | X | ||
| FREDERICK HAGEN | |||||||
| CHIEF BENEFITS OFFICER | 11.0 | 104271 | 170546 | 92553 | X | ||
| LORRAINE MONCHAK | |||||||
| CHIEF INVESTMENTS OFFICER | 11.0 | 178510 | 291973 | 159877 | X | ||
| DONNA REY | |||||||
| CROSS FUNDS CHIEF ADMIN OFF. | 12.0 | 116063 | 142464 | 84898 | X | ||
| LOUISE BAYER | |||||||
| CROSS FUNDS-CFO (TO 11/2011) | 12.0 | 112193 | 137712 | 84843 | X | ||
| MARIA ACOSTA | |||||||
| CROSS FUNDS-CFO (FROM 11/2011) | 12.0 | 26490 | 32516 | 21489 | X | ||
| JEFFREY STEIN | |||||||
| GENERAL COUNSEL | 11.0 | 106002 | 173378 | 95773 | X | ||
| MICHAEL LEE-CHUN | |||||||
| DIRECTOR OF FINANCE | 11.0 | 109668 | 155375 | 89460 | X | ||
| FRANCISCO GOMEZ | |||||||
| AUDITOR III | 11.0 | 165315 | 154266 | 107476 | X | ||
| DANIEL SPINNER | |||||||
| INVESTMENT ANALYST | 0.4 | 2435 | 222027 | 76210 | X | ||
| STACEY MILLMAN | |||||||
| CHIEF COMMUNICATIONS OFFICER | 11.0 | 80420 | 131535 | 77194 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1144703 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1846235 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1022878 | TotalOtherCompensation |
| Number Individuals GT100 K | 8 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CUSHMAN WAKEFIELD INC | |||||
| 1290 AVENUE OF THE AMERICAS | NEW YORK | NY | 10104 | REAL ESTATE | 17882456 |
| PRINCIPAL LIFE INSURANCE CO | |||||
| PO BOX 30429 | RALEIGH | NC | 27622 | INSURANCE SERVICES | 3565832 |
| MEDCO HEALTH SOLUTIONS | |||||
| 100 PARSONS POND DRIVE | FRANKLIN LAKES | NJ | 07047 | PHARMACY BENEFITS | 3156379 |
| EBS MASTER LLC DBA EMDEON | |||||
| 3055 LEBANON PIKE SUITE 1000 | NASHVILLE | TN | 37214 | CLAIMN PROCESSING | 1588310 |
| FUSION STORM | |||||
| 124 GROVE STREET SUITE 311 | FRANKLIN | MA | 02038 | TELEPHONE SUPPORT | 1569552 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| EMPLOYER PLAN CONTRIBUTIONS | 900099 | 1345317947 | 1345317947 |
| COBRA CONTRIBUTIONS | 900099 | 5665861 | 5665861 |
| INTEREST AND CHARGES - EMPLOYER DELINQUENCIES | 900099 | 5236128 | 5236128 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1356219936 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2127988 | TotalRevenueColumn |
| Exclusion | $2,127,988 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1358347924 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1356219936 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,127,988 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1183155683 | Total |
| Program Services | 0 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 876854 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38508756 | Total |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13936264 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3263560 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 860183 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 296315 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 339511 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2118577 | Total |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5976651 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2831828 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2748746 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14399894 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 634156 | Total |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal |
|---|---|
| PRESCRIPTION ADMIN CHARGES | 2339622 |
| MANAGED CARE-PRECERTIFICATION | 2195632 |
| MEDICAL EVALUATIONS | 541155 |
| PREFERRED CARE | 731742 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 147816 | Total |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1275902945 | Total |
| Program Services | 0 | ProgramServices |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12890251 | BOY |
| EOY | 24749929 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 199060381 | BOY |
| EOY | 224054541 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4942993 | BOY |
| EOY | 6771059 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 165685418 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 107256924 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63929545 | BOY |
| EOY | 58428494 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 92649477 | BOY |
| EOY | 108060916 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62194905 | BOY |
| EOY | 74956942 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82113222 | BOY |
| EOY | 74302668 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 517780774 | BOY |
| EOY | 571324549 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23574642 | BOY |
| EOY | 26559145 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 299822042 | BOY |
| EOY | 265508484 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 323396684 | BOY |
| EOY | 292067629 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 194384090 | BOY |
| EOY | 279256920 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 194384090 | BOY |
| EOY | 279256920 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 517780774 | BOY |
| EOY | 571324549 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 82444979 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 2427851 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Land | Land | |
| Buildings | Buildings |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 81131262 | OtherCostOrOtherBasis |
| Depreciation | 53135831 | Depreciation |
| Book Value | 27995431 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 69367876 | OtherCostOrOtherBasis |
| Depreciation | 40459809 | Depreciation |
| Book Value | 28908067 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15186280 | OtherCostOrOtherBasis |
| Depreciation | 13661284 | Depreciation |
| Book Value | 1524996 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 58428494 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (4 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| LIMITED PARTNERSHIPS | 35027564 | F |
| LIMITED LIABILITY COMPANY | 20044967 | F |
| SHORT TERM INVESTMENTS | 16114251 | F |
| REINVESTED CASH COLLATERAL | 3770160 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 74956942 | TotalOfBookValueSecurities |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| ACCRUED INVESTMENT INCOME | 515031 |
| DUE FROM PHARMACY & OTHER | 27763025 |
| DUE FROM BROKERS | 31425411 |
| DUE FROM RELATED ENTITIES | 14599201 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 74302668 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SECURITY LENDING AGREEMENT | $3,770,160 |
| DUE TO BROKERS | $38,999,357 |
| DUE TO RELATED ENTITIES | $11,719,428 |
| CLAIMS INCURRED BUT NOT REPORTED | $208,001,062 |
| DERIVATIVE FINANCIAL INSTRUMENT | $595,289 |
| SHORT TERM SALE OF GOVERNMENT | $2,423,188 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 265508484 | TotalOfAmounts |
| Total Revenue | 1358347924 | TotalRevenue |
| Total Expenses | 1275902945 | TotalExpenses |
| Excess Or Deficit For Year | 82444979 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 2427851 | NetUnrealizedGLOnInvestments |
| Other | -$5,986,514 | OtherAmount |
| Total Adjustments | -3558663 | TotalAdjustments |
| Excess Or Deficit Per FS | 78886316 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 1360436264 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 2427851 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 2427851 | RevenueNotRptdF990 |
| Revenue Subtotal | 1358008413 | RevenueSubtotal |
| Investment Expenses Not Included | 339511 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 339511 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1358347924 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1281549948 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 1281549948 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 339511 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | -5986514 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | -5647003 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1275902945 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RECONCILIATION OF NET ASSETS | FORM 990, SCHEDULE D, PART XI, LINE 8 | CHANGE IN BENEFITS REPORTED AND PAID:.....................$-5,986,514 |
| RECONCILIATION OF EXPENSES | FORM 990, SCHEDULE D, PART XIII, LINE 4B | CHANGE IN BENEFITS REPORTED AND PAID:.....................$-5,986,514 |
| FIN 48 FOOTNOTE | FORM 990, SCHEDULE D, PART XIV | 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 (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, 2011, THERE ARE NO UNCERTAIN POSITION 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 INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2008. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MITRA BEHROOZI | |||||||||||||
| 138666 | 226804 | 0 | 0 | 4670 | 7639 | 12078 | 19755 | 38424 | 62848 | 193838 | 317046 | 0 | 0 |
| FREDERICK HAGEN | |||||||||||||
| 96421 | 157707 | 0 | 0 | 7850 | 12839 | 8398 | 13736 | 26718 | 43701 | 139387 | 227983 | 0 | 0 |
| LORRAINE MONCHAK | |||||||||||||
| 166559 | 272426 | 0 | 0 | 11951 | 19547 | 14507 | 23728 | 46153 | 75489 | 239170 | 391190 | 0 | 0 |
| DONNA REY | |||||||||||||
| 104652 | 128457 | 0 | 0 | 11411 | 14007 | 9115 | 11189 | 28999 | 35595 | 154177 | 189248 | 0 | 0 |
| LOUISE BAYER | |||||||||||||
| 104585 | 128374 | 0 | 0 | 7608 | 9338 | 9109 | 11181 | 28980 | 35573 | 150282 | 184466 | 0 | 0 |
| JEFFREY STEIN | |||||||||||||
| 99775 | 163193 | 0 | 0 | 6227 | 10185 | 8690 | 14214 | 27648 | 45221 | 142340 | 232813 | 0 | 0 |
| MICHAEL LEE-CHUN | |||||||||||||
| 101637 | 143996 | 0 | 0 | 8031 | 11379 | 8853 | 12542 | 28164 | 39901 | 146685 | 207818 | 0 | 0 |
| FRANCISCO GOMEZ | |||||||||||||
| 152652 | 142450 | 0 | 0 | 12663 | 11816 | 13296 | 12407 | 42300 | 39473 | 220911 | 206146 | 0 | 0 |
| DANIEL SPINNER | |||||||||||||
| 2270 | 206981 | 0 | 0 | 165 | 15046 | 198 | 18028 | 629 | 57355 | 3262 | 297410 | 0 | 0 |
| STACEY MILLMAN | |||||||||||||
| 80420 | 131535 | 0 | 0 | 0 | 0 | 7005 | 11457 | 22284 | 36448 | 109709 | 179440 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN | SCHEDULE J, PART 1, LINE 4B | THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN UNDER SECTION 457(F). AMOUNTS DEFERRED ARE NOT VESTED AND ARE SUBJECT TO A SUBSTANTIAL RISK OF FOREFEITURE BASED ON THE PERFORMANCE OF FUTURE SERVICES. MONCHAK, LORRAINE $ 36,039 HAGEN, FREDERICK $ 45,000 STEIN, JEFFREY $ 45,000 MILLMAN, STACEY $ 45,000 REY, DONNA $ 45,000 BAYER, LOUISE $ 10,000 |
| COMPENSATION ALLOCATION | FORM 990, SCHEDULE J, PART II | ALL OFFICERS AND KEY EMPLOYEES ARE PAID BY THE 1199SEIU NATIONAL BENEFIT FUND FOR HEALTH AND HUMAN SERVICE EMPLOYEES (NBF) FOR THEIR SERVICES PERFORMED FOR ALL 1199SEIU FUNDS. THEIR SALARY IS THEN ALLOCATED TO EACH FUND BASED AN ALLOCATION STUDY AND IS REPORTED AS IF PAID BY THE FILING ORGANIZATION. THE AMOUNT REPORTED IN SCHEDULE J, PART II, LINE (I) REPRESENTS THE AMOUNT ALLOCATED TO NBF AND THE AMOUNTS REPORTED ON LINE (II) REPRESENT THE TOTAL SALARY AND BENEFITS RECEIVED FOR SERVICES PROVIDED TO ALL 1199SEIU FUNDS. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (57 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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. |
| MEMBERS/STOCKHOLDERS | FORM 990, PART VI, LINES 6 & 7A | LINE 6: THE FUND HAS UNION TRUSTEES AND EMPLOYER TRUSTEES. LINE 7A: THE UNION TRUSTEES ARE APPOINTED BY 1199SEIU UNITED HEALTHCARE WORKERS EAST, AND THE EMPLOYER TRUSTEES ARE APPOINTED BY THE LEAGUE OF VOLUNTARY HOSPITALS AND HOMES OF NEW YORK. |
| REVIEW OF FORM 990 | FORM 990, PART VI, SECTION B, LINE 11A | 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 THE CHIEF FINANCIAL 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 CHIEF OF HUMAN RESOURCES. |
| 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. |
| UNRELATED BUSINESS INCOME TAX | 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) ON ITS EXEMPT FUNCTION INCOME. THE FUND DOES NOT HAVE UNRELATED BUSINESS INCOME. | |
| OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, LINE 5 | UNREALIZED GAIN ON INVESTMENTS.................................$2,427,851. |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:CHRISTOPHER BERNER, ESQ. TITLE:EMPLOYER TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ELLIOT BROOKS TITLE:EMPLOYER TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DENNIS BUCHANAN TITLE:EMPLOYER TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:TRACI BURCH TITLE:EMPLOYER TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JAMES CAREY TITLE:EMPLOYER TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JEFFREY COHEN TITLE:EMPLOYER TRUSTEE HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:GLENN COUROUNIS TITLE:EMPLOYER TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:G. THOMAS FERGUSON TITLE:EMPLOYER TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SHEILA GARVEY TITLE:EMPLOYER TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:REBECCA GORDON TITLE:EMPLOYER TRUSTEE HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:HOWARD GREEN TITLE:EMPLOYER TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARC LEFF TITLE:EMPLOYER TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:BRUCE MCIVER TITLE:EMPLOYER TRUSTEE HOURS:5 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHAEL ROSENBLUT TITLE:EMPLOYER TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:NANCY SANCHEZ TITLE:EMPLOYER TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:FRANK SCHEETS TITLE:EMPLOYER TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ROSEANN SIMONELLI TITLE:EMPLOYER TRUSTEE HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:CARMEN SUARDY TITLE:EMPLOYER TRUSTEE HOURS:4 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:AUDREY WATHEN TITLE:EMPLOYER TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:KEITH WOLF TITLE:EMPLOYER TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:NORMA AMSTERDAM TITLE:UNION TRUSTEE HOURS:4 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:YVONNE ARMSTRONG TITLE:UNION TRUSTEE HOURS:4 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LISA BROWN TITLE:UNION TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARIA CASTANEDA TITLE:UNION TRUSTEE HOURS:4 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ANGELA DOYLE TITLE:UNION TRUSTEE HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:GEORGE GRESHAM TITLE:UNION TRUSTEE HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:STEVE KRAMER TITLE:UNION TRUSTEE HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:PATRICK LINDSAY TITLE:UNION TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DALTON MAYFIELD TITLE:UNION TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOYCE NEIL TITLE:UNION TRUSTEE HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:BRUCE POPPER TITLE:UNION TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOHN REID TITLE:UNION TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:BRUCE RICHARD TITLE:UNION TRUSTEE HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:NEVA SHILLINGFORD TITLE:UNION TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LAURIE VALLONE TITLE:UNION TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ESTELA VASQUEZ TITLE:UNION TRUSTEE HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:FERNANDO WILSON TITLE:UNION TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:GLADYS WRENICK TITLE:UNION TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MITRA BEHROOZI TITLE:EXECUTIVE DIRECTOR HOURS:24 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:FREDERICK HAGEN TITLE:CHIEF BENEFITS OFFICER HOURS:24 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LORRAINE MONCHAK TITLE:CHIEF INVESTMENTS OFFICER HOURS:24 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DONNA REY TITLE:CROSS FUNDS CHIEF ADMIN OFF. HOURS:23 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LOUISE BAYER TITLE:CROSS FUNDS-CFO (TO 11/2011) HOURS:23 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARIA ACOSTA TITLE:CROSS FUNDS-CFO (FROM 11/2011) HOURS:23 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JEFFREY STEIN TITLE:GENERAL COUNSEL HOURS:24 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHAEL LEE-CHUN TITLE:DIRECTOR OF FINANCE HOURS:24 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:FRANCISCO GOMEZ TITLE:AUDITOR III HOURS:24 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DANIEL SPINNER TITLE:INVESTMENT ANALYST HOURS:35 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:STACEY MILLMAN TITLE:CHIEF COMMUNICATIONS OFFICER HOURS:24 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1199SEIU HEALTH CARE EMPL PENSION FUND | |||||||||||
| 330 WEST 42ND STREET | NEW YORK | NY | 10036 | 133604862 | PENSION FUND | NY | 401(A) | NA | false | ||
| 1199SEIU TRAINING AND UPGRADING FUND | |||||||||||
| 330 WEST 42ND STREET | NEW YORK | NY | 10036 | 132637580 | EDUC TRAINING | NY | 501(C)(3) | NA | false | 9 | |
| 1199SEIU JOB SECURITY FUND | |||||||||||
| 330 WEST 42ND STREET | NEW YORK | NY | 10036 | 133712851 | BENEFIT FUND | NY | 501(C)(9) | NA | false | ||
| 1199SEIU LEAGUE RN TRAINING & JSF | |||||||||||
| 330 WEST 42ND STREET | NEW YORK | NY | 10036 | 133946135 | EDUC TRAINING | NY | 501(C)(9) | NA | false | ||
| 1199SEIU LABOR MANAGEMENT INITIATIVES | |||||||||||
| 330 WEST 42ND STREET | NEW YORK | NY | 10036 | 133800331 | LABOR MNGT | NY | 501(C)(5) | NA | false | ||
| 1199SEIU LOCAL EMPLOYER CHILD CARE FUND | |||||||||||
| 330 WEST 42ND STREET 2 FL | NEW YORK | NY | 10036 | 133641466 | CHILDCARE | NY | 501(C)(9) | NA | false | ||
| 1199SEIU HEALTHCARE INDUSTRY GRANT CORP | |||||||||||
| 330 WEST 42ND STREET | NEW YORK | NY | 10036 | 144197609 | HEALTHCARE | NY | 501(C)(3 | NA | false | 9 | |
| 1199SEIU LICENSED PRACTICAL NURSE WF | |||||||||||
| 330 WEST 42ND STREET | NEW YORK | NY | 10036 | 132623987 | BENEFIT FUND | NY | 501(C)(9) | NA | false | ||
| 1199SEIU EMPLOYER CHILD CARE CORP | |||||||||||
| 330 WEST 42ND STREET | NEW YORK | NY | 10036 | 134063281 | DAY CARE CNTR | NY | 501(C)(3) | false | 7 | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |