Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| 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 2020. |
| 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. |
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