2024-05-30T12:29:38-05:00 2022-12-31 621199757 LBMC PC PO BOX 1869 BRENTWOOD TN 370241869 990 2022-08-01 921854391 HCA SHORT TERM DISABILITY BENEFITS PLAN TRUST HCAS 6153449551 ONE PARK PLAZA PO BOX 550 NASHVILLE TN 37202 ROBERT BAILEY VP TREASURY SERVICES, HCA, INC. 6153449551 2023-11-15 1 ROBERT BAILEY 999009999 0 MAYUMI STELLA P00970938 6153774600 2024-05-30 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z X X ROBERT BAILEY ONE PARK PLAZA PO BOX 550 NASHVILLE TN 37202 31863651 0 X N/A X 2022 TN TO PROVIDE SICKNESS, ACCIDENT, LIFE, DISABILITY, AND OTHER WELFARE BENEFITS TO ELIGIBLE ACTIVE AND RETIRED EMPLOYEES AND THEIR FAMILIES, AS APPLICABLE, OF HCA, INC., THE SPONSORING EMPLOYER, UNDER THE TERMS OF THE HCA SHORT TERM DISABILITY BENEFITS PLAN. 1 0 0 0 0 0 0 31852931 10720 0 31863651 0 30572340 0 0 0 3513 30575853 1287798 1287798 0 1287798 TO PROVIDE SICKNESS, ACCIDENT, LIFE, DISABILITY, AND OTHER WELFARE BENEFITS TO ELIGIBLE ACTIVE AND RETIRED EMPLOYEES AND THEIR FAMILIES, AS APPLICABLE, OF HCA, INC., THE SPONSORING EMPLOYER, UNDER THE TERMS OF THE HCA SHORT TERM DISABILITY BENEFITS PLAN. 0 0 PAYMENT OF SHORT TERM DISABILITY BENEFITS FOR HCA, INC. EMPLOYEES, RETIREES AND THEIR DEPENDENTS AS PERMITTED UNDER IRC 501(C)(9). 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 X HCA INC 6153449551 ONE PARK PLAZA PO BOX 550 NASHVILLE TN 37202 X X BANK OF AMERICA NA TRUSTEE 0.00 0.00 X 3513 0 0 3513 0 0 0 0 0 0 0 EMPLOYER CONTRIBUTIONS 525100 31852931 31852931 31852931 10720 10720 31863651 31852931 0 10720 30572340 3513 30575853 1282964 0 4834 0 1287798 0 0 X 0 1287798 0 0 0 0 0 1287798 0 1287798 1287798 0 X 0 0 0 FORM 990, PART VI, SECTION A, LINE 8A THESE QUESTIONS ARE NOT APPLICABLE TO THE VEBA TRUST. FORM 990, PART VI, SECTION A, LINE 8B THESE QUESTIONS ARE NOT APPLICABLE TO THE VEBA TRUST. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN OUTSIDE FIRM BASED ON THE INFORMATION PROVIDED BY HCA, INC. AND IS REVIEWED BY THE TAX DEPARTMENT OF HCA, INC. BEFORE FILING. FORM 990, PART VI, SECTION C, LINE 19 THIS IS AN IRC SECTION 501(C)(9) VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION WHICH COVERS ONLY ELIGIBLE EMPLOYEES OF HCA, INC. THERE IS NO SOLICITATION OF CONTRIBUTIONS OR INVOLVEMENT OF THE GENERAL PUBLIC. THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO MEMBERS OF THE VEBA. FORM 990, PART VI, SECTION A, LINES 1A & 1B BANK OF AMERICA, N.A. SERVES AS THE SOLE DIRECTED TRUSTEE OF HCA SHORT TERM DISABILITY BENEFITS PLAN TRUST. THE PLAN SPONSOR IS HCA, INC. THE HCA SHORT TERM DISABILITY BENEFITS PLAN TRUST IS ADMINISTERED BY THE PLAN SPONSOR IN ACCORDANCE WITH THE TERMS OF THE TRUST AGREEMENT AS SUCH THE VEBA DOES NOT HAVE A GOVERNING BODY THAT EXERCISES DISCRETION. FORM 990, PART VI, SECTIONS A & B, LINES 8, 12-15 THESE QUESTIONS ARE NOT APPLICABLE TO THE VEBA PLAN. ADDITIONALLY, THE TRUST DOES NOT HAVE ANY EMPLOYEES; THEREFORE, NO PROCESSES RELATED TO EMPLOYEE COMPENSATION ARE IN PLACE. FORM 990, PART VII FORM 990, PART VII, COLUMN (B) AVERAGE HOURS PER WEEK DEVOTED TO POSITION: AS TRUSTEE, BANK OF AMERICA N.A. PROVIDED ADMINISTRATIVE SERVICES SUCH AS ACTING AS CUSTODIAN OF ASSETS FOR THE HCA SHORT TERM DISABILITY BENEDITS PLAN TRUST. THEIR SERVICES REQUIRE NUMEROUS INDIVIDUAL BANK EMPLOYEES' INVOLVEMENT IN THE ACTIVITIES OF THE ORGANIZATION AND THUS CANNOT BE QUANTIFIED ON AN HOURLY BASIS. HCA INC PO BOX 550 NASHVILLE TN 37202 752497104 HEALTHCARE DE N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 HCA INC S 31852931 SCHEDULE R, PART IV HCA INC. IS THE SPONSORING ORGANIZATION AND A CONTRIBUTING EMPLOYER OF THE FILING ORGANIZATION. THERE ARE OTHER AFFILIATED LEGAL ENTITIES THAT EMPLOY EMPLOYEES WHO ARE COVERED UNDER THE FILING ORGANIZATION'S PLAN. HOWEVER, THOSE ENTITIES ARE ALL PART OF THE HCA, INC. CONTROLLED GROUP AND ARE TREATED AS A SINGLE EMPLOYER FOR PURPOSES OF ERISA, THUS NOT REQUIRED TO BE SEPARATELY LISTED ON SCHEDULE R PART IV AS RELATED ENTITIES OF THE FILING ORGANIZATION.