. U.S. rt fL bo Of?ce Ofelfaaboan-magaggment FORM Sta EMPLOYER REPORT ?irting Expires 03-31-2019 This report is mandatory under P.L 36-257. as amended. Failure to comply may result in criminal prosecution, 41 Only ?nes, or civil penalties as provided by 29 U.S.C. 439 or 440. RECENED READ THE msrnucrions CAREFULLY BEFORE PREPARING THIS REPORT gm 1 1 1w Part Facile?" (gamma From: Through: li?_J2?17 3. Name and address of Reporting Employer (inc. trade name, if any). 4. Name and address of President or corresponding principal of?cer, if - different from address in Item 3. Employer iAlbert Einstein Heal thcare Network Name Bar Freedman Trade Name; i ry I Attention To ESarah ED lCartin 1 PO. Box, Building and Room Number, If any T'tle gDir, Employee and Labor Relations 1 1 Mailing Address Street? 1 PO. Box, Bldg, Room No., if any [Sheer]? Building Rm 102 1 City i I sweetie 501 Old York Road i State i Code 4 :3 City [Philadelphia State ZIP Code 4 5. Any other address where records necessary to verify this report will be 6. Indicate by checking the appropriate box or boxes where records available for examination. necessary to verify this report will be available for examination. Name I . i i Address in Item 3 Title a Address in Item 4 Organization[ 3 Address in Item 5 RD. Box, Building and Room Number, if any i . . Street! - City I I State 1 ZIP Code 4 :3 7. Type of organization. Corporation El Partnership El lndividuai Other (specify) [501 Non Profit Organization I Signatures Each of the undersigned, duly authorized Of?cers of the above employer declares, under penalty of perjury and other applicable penalties of law, that all of the information submitted in this report (including the i - - ation contained in any accompanying documents) has been examined by the signatory and is, to the best Of the undersigned's knowledge and belief, and complete. (See Section on penalties in the instructions.) 13 Signed A President 14. Signed M1 Treasurer tif other title, see _(it other'title. see 'I'ltleg Pres idem/I i Instructions) Title iTreasurer 1 INSUUCUOHS) Outfit/?ling [215456?7010 i On?E?D/E?itlgg? t2__15 455-6020 - Date Telephone Number Date Telephone Number Form - Part A (2003) Page 1 of 10 Part A. Continued Name of Reporting Employer Albert Einstein Healthcare Network File Number E- 64817 8. Type of Reportable Activity Engaged In By Employer Read the following questions and the accompanying instructions carefully, taking into consideration the exclusions listed in the instructions for these items, and check either "Yes" or "No" for each item. For each item that is answered "Yes", you must attach a Part which appears on Page 3. Complete a separate Part for each "Yes" answer to any of Items 8.a. through 8.f. Also, if the answer is "Yes" for more than one person or organization, complete a separate Part for each person or organization. If you answer "Yes", enter the number of Part Bs that are submitted for that item in the line indicated. DURING THE FISCAL YEAR COVERED BY THIS REPORT: 8.a. Did you make or promise or agree to make, directly or indirectly, any payment or loan of If "Yes". number of Part 85 attached YES NO money or other thing of value (including reimbursed expenses) to any labor organization or to any of?cer, agent, shop steward, or other representative or employee of any labor organization? 8.b. Did you make, directly or indirectly, any payment (including reimbursed expenses) to any YES N0 of your employees, or to any group or committee of your employees, for the purpose of causing them to persuade other employees to exercise or not to exercise, or as to the manner of exercising, the right to organize and bargain collectively through representatives of their own choosing without previously or at the same time disclosing such payment to all such other employees? 8.c. Did you make any expenditure where an object thereof, directly or indirectly, was to YES NO interfere with, restrain, or coerce employees in the right to organize and bargain collectively through representatives of their own choosing? 8.d. Did you make any expenditure where an object thereof, directly or indirectly, was to obtain YES NO information concerning the activities of employees or of a labor organization in connection with a labor dispute in which you were involved? 8.e. Did you make any agreement or arrangement with a labor relations consultant or other YES NO independent contractor or organization pursuant to which such person undertook activities where an object thereof, directly or indirectly, was to persuade employees to exercise or not to exercise, or as to the manner of exercising, the right to organize and bargain collectively through representatives of their own choosing; or did you make any payment (including reimbursed expenses) pursuant to such an agreement or arrangement? 8.f. Did you make any agreement or arrangement with a labor relations consultant or other YES ?0 independent contractor or organization pursuant to which such person undertook activities EI where an object thereof, directly or indirectly, was to furnish you with information concerning activities of employees or of a labor organization in connection with a labor dispute in which you were involved; or did you make any payment pursuant to such agreement or arrangement? TOTAL NUMBER OF PART 35 FOR THIS REPORT IS 5 Form LM-10 - Part A (2003), Continued Page 2 of10 Part Name of Reporting Employer: Albert Einstein Healthcare Network File Number E- 64817 Check Item Number (from Page 2) ITEM 8.b to which this Part applies ITEM 8.3 ITEM 8.c ITEM 8.d ITEM 8.e ITEM 8.f 93, Agreement Both Payment 9.c. Position In labor organization or with employer (if an independent labor consultant, so state). ilndependent Labor Consultant 9.b. Name and address of person with whom or through whom a separate agreement was made or to whom payments were made. Hi! i Name I PO. Box, Building and Room Number. if any I Street i City i ZIP Code 4] State i 9.d. Name and address of ?rm or labor organization with whom employed or af?liated. Organization HM) Consulting Services Inc PO. Box, Building and Room Number, if any ?Suice 253 Street {1 8 5 3 0 Mack Aveneue City {Grosse Pointe Farms I State i Immu- Michigan 10.a. Date of the promise. agreement. or arrangement pursuant to which payments or expenditures were agreed to or made. 32/25/16 3 10.b. The promise. agreement. or arrangement was: Oral Written' El Both (*Written agreements entered into during the ?scal year must be attached.) 11.a. Date of each payment or 11.b. Amount of each payment 11.c. Kind of each payment or expenditure (Specify whether expenditure or expenditure payment or loan. and whether in cash or property) [10/27/16 - Payment (cash) :3 :3 i i 12. Explain fully the circumstances of all payments, including the terms of any oral agreement or understanding pursuant to Which they were made. policies and procedures. Albert Einstein Healthcare Network requested the services of Consulting to engage with employees at its 5501 Old York Road, Philadelphia location for the purpose of training employees regarding their rights under the National LaborRelations Act. process, collective bargaining, the employer's position on union's; Topics diSCu'sse'd- included the ?eleCti'on and the employer's benefits, Form - Part (2003) Page 3 of 10 Part Name of Reporting Employer: Albert Einstein Healthcare Network File Number 64817 Check Item Number (from Page 2) ITEM 8.a to which this Part applies ITEM 8.b ITEM 8.c El ITEM 3.d ITEM 8.e ITEM er g,a_ Agreement Both Payment 9.c. Position In labor organization or with employer (if an independent labor consultant. so state). II ndependent Labor Consultant I 9.b. Name and address of person with whom or through whom a separate agreement was made or to whom payments were made. Name I ?:13 P0. Box. Building and Room Number. if any I City I I i i 9.d. Name and address of ?rm or labor organization with whom employed or af?liated. Organization IThe Labor Pros I PO. Box. Building and Room Number, if any ISuite 2300 I Street I390 N. Orange Avenue I City IOrlando I State IFlorida 10.a. Date of the promise. agreement. or arrangement pursuant to which payments or expenditures were agreed to or made. I 10.b. The promise. agreement. or arrangement was: Oral W?tten? El Both ('Written agreements entered into during the ?scal year must be attached.) 11.a. Date of each payment or 11.b. Amount of each payment 11.c. Kind of each payment or expenditure (Specify whether expenditure or expenditure payment or loan. and whether in cash or property) I12/2o/16. I IPayment ?.(cash) I I IPayment (cash) I I Ipayment (cash) I I IPayment (cash) I I IPayment (cash) I 12. Explain fully the circumstances of all payments. including the terms of any oral agreement or understanding pursuant to which they were made. policies and procedures. Albert Einstein Healthcare Network requested the services Of The .Labor Pros. to engage with employees at its 5501 Old York Road, Philadelphia location for the purpose-of training employees regarding their rights under the National Labor Relations Act. process. collective bargaining, the employer's position on unions, and the employer's benefits,? Topics discussed included the NRLB election Form LM-10 - Part (2003) Page 4 of 10 Part - Page 4 . Item 11, Continued . Name of Reporting Employer: Albert Einstein Healthcare Network File Number E- 648 17 11.a. Date of each payment orD 11.b. Amount of each paymentE 11.c. Kind of each payment or expenditure (Specify whetherEl expenditure or expenditure. payment or loan. and whether in cash or property). [3/9/17 i 43,224 ipayment (cash) 3 13/9/17 i 36,445[ {Payment (cash) 3 if/25/17 [Payment (cash) 3} [4/25/17 [Payment (cash) [4/25/17 iPayment (cash) 11/19/17 lPayment (Cash) [Payment (cash) i4/25/17 lPayment (cash) 15/10/17 {Payment (cash) {5/22/17 4,60 lPayment'tcash) Form LM-10 - Part (2003), Continued Page5 of10 Part Name of Reporting Employer: Albert Einstein Healthcare Network File Number 64817 Check Item Number (from Page 2) ITEM 8.a to which this Part applies ITEM 8.b ITEM 8.0 [1 ITEM 8.d ITEM 8.e ITEM er 93. Agreement Payment Both 9.0. Position In labor organization or with employer (if an independent labor consultant. so state). llndependent Labor Consultant 9.b. Name and address of person with whom or through whom a separate agreement was made or to whom payments were made. Name ll:ll P.O. Box. Building and Room Number. if any Street I i City State ZIP Code 4} 9.d. Name and address of ?rm or labor organization with whom employed or af?liated. Organization Kul ture Consulting LLC PO. Box. Building and Room Number. if any lpo Box 2877 Street I City {Pawleys Is land Immu- State [South Carol ina 10.a. Date of the promise. agreement. or arrangement pursuant to which payments or expenditures were agreed to or made. fan/16 10.b. The promise. agreement. or arrangement was: Oral Written' 30th ("Written agreements entered into during the ?scal year must be attached.) 11.a. Date of each payment or 11.b. Amount of each payment 11.c. Kind of each payment or expenditure (Specify whether expenditure or expenditure payment or loan. and whether in cash or property) %7/27/16 ipayment (cash) {8/12/16 3 i 33,247; {Payment (cash) l9/29/16 i 23.4053E Epayment (cash) 211/12/16 31,343: {Payment (cash) Ell/15/16 1 29.330; fpayment (Cash) 12. Explain fully the circumstances of all payments. including the terms of any oral agreement or understanding pursuant to which they were made. benefits, policies and procedures. Albert Einstein Healthcare Network requested the services of Kulture Consulting to engage with employees at its 5501 Old York Road, Philadelphia location for the purpose of training employees regarding their rights under the National Labor Relations Act. I election process, collective bargaining. the employer's position on unions,? and the employer's Topics discussed included the NRLB Form LM-10 - Part (2003) Page 6 of 10 Part - Page 6 item 11, Continued - Name of Reporting Employer: Albert Einstein Healthcare Network File Number E- 648 17 11.a. Date of each payment orD expenditure 11.b. Amount of each paymentE or expenditure. 11.c. Kind of each payment or expenditure (Specify whetherD payment or loan. and whether in cash or property). {11/15/16 {12/20/16 ?1/19/17 {1/19/17 12/27/17 ?2/27/17 i3/7/17 [3/7/17 13/7/17 {5/23/17 ?5/23/17 {6/8/17 {8/12/23,374 ??23,Sos 34,196 22,728 24,798 _21,876 18,209} 21,238 8,955 7 19.339_ 5,884 IPayment (cash) [Payment (cash) {Payment (cash) {Payment (cash) lPayment (cash) [Payment (cash)- [Payment (cash) {Payment (cash) iPayment (cash) lPay'ment: (cash) iPayment (c?ash?) IPayment (cash) IPayment (cash) [Payment (cash?) I 7 Form LM-10 - Part (2003). Continued Page 7 of 10 Part Name of Reporting Employer: Albert Einstein Healthcare Network File Number 64817 Check Item Number (from Page 2) ITEM 8.a CI to which this Part applies ITEM 8.b ITEM 8.c ITEM 8.d ITEM 8.e ITEM 8.f 93. Agreement El Both Payment 9.c. Position In labor organization or with employer (if an independent labor consultant, so state). gInd'ependent Labor Consultant: 9b. Name and address of person with whom or through whom a separate agreement was made or to whom payments were made. Name i la! P.O. Box, Building and Room Number. if any Street City ZIP Code 4% State 2 9.d. Name and address of ?rm or labor organization with whom employed or af?liated. Organization DES Services I PO. Box. Building and Room Number, if any Emit 1 Street {143 22nd Street City {Philadelphia State 10.3. Date of the promise, agreement, or arrangement pursuant to which payments or expenditures were agreed to or made. 10.b. The promise, agreement, or arrangement was: Oral Written? Both (?Wn'tten agreements entered into during the ?scal year must be attached.) 11.a. Date of each payment or expenditure 11.b. Amount of each payment or expenditure 1 1 Kind of each payment or expenditure (Specify whether payment or loan, and whether in cash or property) :3 I: iPayment (cash) i policies and procedures. Albert Einstein Healthcare Network requested the services of DES Services to engage with employees at its 5501 Old York Road, Philadelphia location for the purpose; of training 'emploYees regarding their rights under the National Labor Relations Act. process, collective bargaining, the employer's position on unions, and the employer's benefits, 12. Explain fully the circumstances of all payments. including the terms of any oral agreement or understanding pursuant to which they were made. Topics discussed included the NRLB election Form LM-10 - Part (2003) Page 8 of 10 Part Name of Reporting Employer: Albert Einstein Healthcare Network File Number 64817 Check Item Number (from Page 2) ITEM 8.a to which this Part 8 applies ITEM 8.b ITEM so ITEM 8.d ITEM 8.e El ITEM er 93. Agreement Payment Both 9.c. Position In labor organization or with employer (if an independent labor consultant. so state). l-Independent Labor Consultant 9.b. Name and address of person with whom or through whom a separate agreement was made or to whom payments were made. Name ll:ll PO. Box. Building and Room Number. 'rfany Street 5 3 City ZIP Code 4} State 1 9.d. Name and address of ?rm or labor organization with whom employed or af?liated. Organization Employer Labor Solutions PO. Box. Building and Room Number, if any ?Suite 251-151 Street 4.843 Colley?ville City ?Colleyville State gTexas Code+4- 10.a. Date of the promise, agreement. or arrangement pursuant to which payments or expenditures were agreed to or made. fen/15 10.b. The promise, agreement. or an'angement was: Oral Written' Both ('Written agreements entered into dun'ng the ?scal year must be attached.) 11.a. Date of each payment or expenditure 11.b. Amount of each payment or expenditure 11 Kind of each payment or expenditure (Specify whether payment or loan, and whether in cash or property) Isms I [8/3/16 I Imus I l9/8/16 Imus I {Payment (cash) I [Payment (cash) I IPayment (cash) [Payment (cash) I EPay-ment (cash) - I 12. Explain fully the circumstances of all payments. including the terms of any oral agreement or understanding pursuant to which they were made. benefits, policies and procedures. Albert Einstein Healthcare Network requested the services of Employer Labor Solutions to engage with employees at its 5501 Old York Road, Philadelphia location forrthe purpose of. training employees regarding their rights under the National Labor Relations Act. election process, collective bargaining, the unions, and the employer's Topics discussed included the NRLB Form LM-10 - Part (2003) Page 9 of 10 Part - Page 9 . Item 11, Continued Name of Reporting Employer: Albert Einstein Healthcare Network File Number E- 648 17 11.a. Date of each payment orD 11.b. Amount of each paymentE 11.c. Kind of each payment or expenditure (Specify whetherD expenditure payment or loan, and whether in cash or property). i9/30/16 [Payment (cash) I 19/30/16 lpayment (cash) 1 [1/2/17_ [Payment (cash) [10/27/16 [Payment (cash) i11/15/16 [Payment (cash) i {10/27/16 [Payment (cash) i {10/27/16 lPayment (cash) I f10/27/16 lpayment (cash) I [ll/l7/16_ lPayment (cash) 3 ill/lS/IG lPayment (cash) 112/16/16 iPayment (cash) 3 i1/2/17 iPayment (cash) a i1/19/17 i3/1/17 [Payment'ioash) 3 23/7/17 [Payment'icaeh) a i3/7/17 gPayment (cash) a lPayment (cash) I i3/27/17 [Payment (cash) 3 {Payment (cash) 1 33/27/17 IPayment'tcash) i3/27/17 iPayment (cash) i ?3/27/17 EPayment (cash)' 1 [Payment (cash)' i 23/27/17 iPayment (cash) i i3/27/17 iPayment (cash) I ?/27/17 [Payment (cash) {4/28/17 {Payment (cash)_ 1 {5/24/17 gPayment (caeh) i6/23/17 ?payment (cash) i ?3/31/l7 iPayment (cash) I i3/10/17 gPayment (cashForm LM-10 - Part (2003). Continued Page100f10