2023-08-28T14:39:43-05:00 2022-12-31 135565207 KPMG LLP 200 EAST RANDOLPH DRIVE SUITE 5500 CHICAGO IL 606016436 990 2022-01-01 363031209 CHICAGO HOSPITAL COUNCIL EMPLOYEE BENEFIT PLAN TRUST CHIC 6302765400 1151 E WARRENVILLE RD PO BOX 3015 NAPERVILLE IL 60563 TERRI L ALLEN TRUSTEE 6302765400 2023-08-28 1 TERRI ALLEN XXX-XX-XXXX 0 ZELJKO POPOVIC P01795951 3126651000 2023-08-21 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ARTHUR J WILHELMI 1151 E WARRENVILLE RD PO BOX 3015 NAPERVILLE IL 60563 49991 0 X N/A X 1982 IL SEE SCHEDULE OTHE TRUST EXISTS TO PROVIDE EACH PARTICIPATING EMPLOYER WITH A MECHANISM THROUGH WHICH IT CAN PROVIDE THE WELFARE BENEFITS AS SET FORTH IN SUCH EMPLOYER'S PLAN. IT IS INTENDED THAT THE BENEFITS FOR PARTICIPANTS BE LIFE, SICK, ACCIDENT, OR OTHER BENEFITS. THE TRUST IS IN WIND-DOWN MODE. 3 0 0 0 0 0 0 0 0 0 70 15582 0 34409 70 49991 0 0 0 0 0 0 0 0 0 20531 18335 20531 18335 -20461 31656 1168576 1213567 95142 108477 1073434 1105090 X SEE SCHEDULE OTHE TRUST EXISTS TO PROVIDE EACH PARTICIPATING EMPLOYER WITH AMECHANISM THROUGH WHICH IT CAN PROVIDE THE WELFARE BENEFITS AS SETFORTH IN SUCH EMPLOYER'S PLAN. IT IS INTENDED THAT THE BENEFITS FORPARTICIPANTS BE LIFE, SICK, ACCIDENT, OR OTHER BENEFITS. IT IS INWIND-DOWN MODE. 0 0 0 0 0 VOLUNTARY EMPLOYEE BENEFIT PLAN OPERATING IN WIND-DOWN MODE. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 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 0 0 1 0 0 0 0 0 0 0 0 0 X 3 0 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X TERRI L ALLEN 6302765400 1151 E WARRENVILLE RD PO BOX 3015 NAPERVILLE IL 60563 X ARTHUR J WILHELMI CHAIRMAN AND PRESIDENT 1.00 39.00 X X 0 1305773 211165 EDWARD HOLZHAUER TRUSTEE 1.00 39.00 X X 0 467268 48482 TERRI L ALLEN TRUSTEE 1.00 39.00 X X 0 386373 41148 KAREN HARRIS TRUST COMMITTEE 1.00 39.00 X 0 433734 39430 TIMOTHY NUDING TRUST COMMITTEE 1.00 39.00 X 0 394740 36610 0 2987888 376835 0 0 1 0 0 15582 15582 LOST EARNING ADJUSTMEN 34409 34409 34409 49991 0 0 49991 6195 5000 7140 18335 1168576 1213567 0 0 1168576 1213567 66200 66200 28942 42277 95142 108477 X 1073434 1105090 1073434 1105090 1168576 1213567 31656 0 X 0 0 0 0 0 DUE TO IHA 42277 42277 0 1 0 ARTHUR J WILHELMI CHAIRMAN AND PRESIDENT 0 975413 0 307165 0 23195 0 174209 0 36956 0 1516938 0 242521 EDWARD HOLZHAUER TRUSTEE 0 370262 0 72604 0 24402 0 25925 0 22557 0 515750 0 0 KAREN HARRIS TRUST COMMITTEE 0 342998 0 68166 0 22570 0 24965 0 14465 0 473164 0 0 TIMOTHY NUDING TRUST COMMITTEE 0 307923 0 62001 0 24816 0 15244 0 21366 0 431350 0 0 TERRI L ALLEN TRUSTEE 0 320639 0 41670 0 24064 0 25925 0 15223 0 427521 0 0 PART I, LINE 3 COMPENSATION REVIEW PROCEDURES ARE PERFORMED BY A RELATED ORGANIZATION. COMPENSATION FOR ALL OFFICERS, EXECUTIVES, AS WELL AS SENIOR MANAGEMENT IS REVIEWED BY AN EXTERNAL CONSULTANT AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THIS PROCESS IS PERFORMED ANNUALLY. PART I, LINE 4B THE FOLLOWING AMOUNT WAS CONTRIBUTED TO A NONQUALIFIED RETIREMENT PLAN: ARTHUR J. WILHELMI - $148,284 THE FOLLOWING AMOUNTS WERE DISTRIBUTED DURING THE YEAR FROM THE NONQUALIFIED RETIREMENT PLAN (CODA): ARTHUR J. WILHELMI - $242,521 FORM 990, PART IV, LINE 12A: SINCE THE TRUST IS IN WIND-DOWN MODE, HAS LESS THAN 100 PARTICIPANTS, AND PAID NO CLAIMS, THE TRUST HAS ELECTED NOT TO UNDERGO AN AUDIT IN 2022. FORM 990, PART VI, SECTION A, LINE 2 THE ENTITY'S BOARD IS COMPRISED OF THE FOLLOWING INDIVIDUALS WHO ARE ALSO ON THE BOARD(S) OR AN OFFICER OF ONE OR MORE RELATED ORGANIZATIONS: ARTHUR J. WILHELMI, TERRI L. ALLEN, AND EDWARD HOLZHAUER THE ENTITY'S FOLLOWING OFFICERS ARE INDIVIDUALS WHO ARE ALSO ON THE BOARD(S) OR AN OFFICER OF ONE OR MORE RELATED ORGANIZATIONS: KAREN HARRIS AND TIMOTHY NUDING FORM 990, PART VI, SECTION B, LINE 11B WITH ASSISTANCE FROM THE LEGAL DEPARTMENT OF IHA, THE INFORMATION NEEDED TO PREPARE THE CHICAGO HOSPITAL COUNCIL EMPLOYEE BENEFIT'S (MCHC EBT) FORM 990 IS PREPARED BY THE FINANCE STAFF OF MCHC EBT'S PARENT, IHA. THE FORM IS THEN PREPARED AND REVIEWED BY THE ASSOCIATION'S OUTSIDE TAX ADVISORS, KPMG. AFTER KPMG'S REVIEW, THE FORM IS FURTHER REVIEWED BY THE ASSOCIATION'S CHIEF ACCOUNTING OFFICER. EACH BOARD MEMBER RECEIVES A COPY OF THE FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST DISCLOSURE FORMS ARE REVIEWED, COMPLETED AND SIGNED BY BOARD MEMBERS AND OFFICERS OF THE ENTITY. THESE ARE REVIEWED BY HUMAN RESOURCES STAFF AND SENIOR MANAGEMENT. WHEN A DIRECTOR OR OFFICER IS AWARE OF A CONFLICT OR POTENTIAL CONFLICT OF INTEREST FOR HIMSELF/HERSELF OR A FAMILY MEMBER, THE DIRECTOR OR OFFICER MUST DISCLOSE IT TO THE BOARD OR THE COMPLIANCE OFFICER OF ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. AFTER DISCLOSURE OF A POTENTIAL CONFLICT OF INTEREST, THE REMAINING BOARD MEMBERS OR OFFICERS, AS THE CASE MAY BE, WOULD DECIDE IF A CONFLICT EXISTS. IF A CONFLICT IS DEEMED TO EXIST, THAT BOARD MEMBER OR OFFICER, AS THE CASE MAY BE, IS NOT ALLOWED TO VOTE ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 A COMPENSATION COMMITTEE, COMPRISED OF THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES, IS RESPONSIBLE FOR REVIEWING AND APPROVING THE COMPENSATION OF THE CEO AND OTHER OFFICERS. AN INDEPENDENT COMPENSATION CONSULTANT, AS WELL AS COMPENSATION STUDIES AND OTHER SIMILAR ORGANIZATIONS ARE UTILIZED IN THE PROCESS. THE COMPENSATION COMMITTEE DOCUMENTS ALL COMPENSATION DECISIONS ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, LINE 1: HOURS PER WEEK DETERMINED BY AN AVERAGE OVER THE YEAR, BALANCE OF THE OFFICER'S REMAINING 40 HOUR WORK WEEK IS DISTRIBUTED TO OTHER RELATED ORGANIZATIONS. BOARD MEMBERS HAVE 1.0 HOURS ALLOCATED FOR A MINIMUM REPORTING REQUIREMENT. ILLINOIS HEALTH AND HOSPITAL ASSOCIATION 1151 EAST WARRENVILLE ROAD NAPERVILLE IL 60563 362352486 TRADE ASSOC. IL 501(C)(6) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0