2021-08-27T10:12:10-05:00 2020-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2020-01-01 550809159 THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK ILLI 8158752999 1945 VANS WAY PRINCETON IL 61356 PATRICIA SCHOU EXECUITVE DIRECTOR 8158752999 2021-08-18 1 PATRICIA SCHOU 999009999 MICHAEL J PETERSON CPA P01833529 2187224705 2021-08-18 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z PATRICIA SCHOU 1945 VANS WAY PRINCETON IL 61356 13041198 0 X WWW.ICAHN.ORG X 2003 IL THE MISSION OF ICAHN IS TO STRENGTHEN CRITICAL ACCESS AND SMALL, RURAL HOSPITALS THROUGH COLLABORATION. BETTER TOGETHER, ICAHN AND ITS 57 MEMBER HOSPITALS MAKE IT THEIR OVERARCHING GOAL TO PRESERVE ACCESS TO RURAL HEALTHCARE WHILE IMPROVING THE VIBRANCY AND VIABILITY OF THE COMMUNITIES SERVED. 9 9 21 62 0 0 2471371 8498500 2582631 4475555 34279 67143 4490 0 5092771 13041198 1581872 8621276 0 0 1755983 1773703 0 0 0 1746915 1966358 5084770 12361337 8001 679861 3931481 7655501 1317084 4321441 2614397 3334060 X ICAHN IS A NOT-FOR-PROFIT 501(C)(3) CORPORATION ESTABLISHED IN 2003 FOR THE PURPOSES OF SHARING RESOURCES, EDUCATION, PROMOTING EFFICIENCY AND BEST PRACTICE AND IMPROVING HEALTH CARE SERVICES FOR MEMBER CRITICAL ACCESS HOSPITALS AND THEIR RURAL COMMUNITIES. ICAHN, WITH 57 MEMBER HOSPITALS, IS AN INDEPENDENT NETWORK GOVERNED BY A NINE-MEMBER BOARD OF DIRECTORS. 0 0 10714408 8621276 3927593 ICAHN PROVIDES TECHNICAL ASSISTANCE TO SMALL RURAL HOSPITALS:1) TO HELP THEM WITH ADMINISTRATIVE PROCESSES FOR CRITICAL ACCESS HOSPITALS2) TO SHARE RESOURCES WITH MEMBERS3) TO IMPLEMENT PROGRAMS TO IMPROVE QUALITY AND EFFICIENCIES OF MEDICAL SERVICES PROVIDED BY RURAL HEALTH CARE FACILITIES.4) TO PROVIDE CODING SUPPORT WHEN HOSPITALS NEED COVERAGE FOR UNANTICIPATED CERTIFIED CODE ABSENCES, VACANCIES, OR BACKLOG SERVES APPROXIMATELY 57 HOSPITALS. 331378 0 438384 ICAHN PROVIDES INFORMATION TECHNOLOGY ASSISTANCE TO SMALL RURAL HOSPITALS ACROSS THE STATE, SERVING APPROXIMATELY 57 HOSPITALS. SERVICES ARE AVAILABLE TO ALL 57 HOSPITALS IF THEY CHOOSE TO UTILIZE THEM. 160036 0 109578 ICAHN PROVIDES QUALITY EDUCATIONAL OPPORTUNITIES TO MEMBER HOSPITALS FOCUSING ON RURAL HEALTH ISSUES AND STRATEGIES FOR SUCCESS THROUGH ONSITE MEETINGS, VIDEOCONFERENCING, AND WEB-BASED TRAINING. 11205822 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 13 0 21 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 IL X DIANE GARLAND 8158752999 1945 VANS WAY PRINCETON IL 61356 CURTIS ZIMMERMAN DIRECTOR OF BUSINESS SERVICES 40.00 X 120115 0 30757 RYAN MORGAN CHIEF INFORMATION SECURITY OFFICER 40.00 X 122654 0 21315 RYAN SIERMAN IT CONSULTANT/CIO 40.00 X 102339 0 7747 PATRICIA SCHOU EXECUTIVE DIRECTOR 40.00 X 254130 0 22942 DIANE GARLAND DIRECTOR OF FINANCE 40.00 X 96319 0 13070 JOANNE EMGE PRESIDENT 1.00 X X 0 0 0 ALISA COLEMAN PRESIDENT - ELECT 1.00 X X 0 0 0 DOUG FLORKOWSKI PAST PRESIDENT 1.00 X X 0 0 0 PAUL SKOWRON SECRETARY/TREASURER 1.00 X X 0 0 0 REX BROWN DIRECTOR 1.00 X 0 0 0 KATHLEEN HULL DIRECTOR 1.00 X 0 0 0 TED ROGALSKI DIRECTOR 1.00 X 0 0 0 KARISSA TURNER DIRECTOR 1.00 X 0 0 0 OLLIE SMITH DIRECTOR 1.00 X 0 0 0 695557 0 95831 4 0 1 0 GREG DAVIS MD LTD 204 PARK AVENUE EAST PRINCETON IL 61356 MEDICAL CONSULTING 150000 1 473100 7525400 500000 8498500 IL RURAL COMMUNITY CARE 900099 2926739 2926739 IT SERVICES 541519 438384 438384 CONSULTING REVENUE 541610 251804 251804 PROFESSIONAL EDUCATION 611710 92780 92780 WORKSHOP/MEETING FEES 900099 13963 13963 751885 751885 4475555 56142 56142 11001 0 11001 11001 11001 13041198 4475555 0 67143 8621276 8621276 386461 270523 115938 1072522 750765 321757 36360 25452 10908 161549 113084 48465 116811 81768 35043 150000 121639 28361 33366 33366 17131 17131 724467 587490 136977 821100 492660 328440 13318 9323 3995 16233 13164 3069 84126 50476 33650 31793 22256 9537 72191 43313 28878 BAD DEBT EXPENSE 2633 2633 12361337 11205822 1155515 0 905571 2348154 411924 249118 247466 30164 268872 2941345 173219 140896 1485069 274324 1282936 1210745 641493 735079 3931481 7655501 129975 1925187 283327 1529975 903782 866279 1317084 4321441 X 2588275 3304573 26122 29487 2614397 3334060 3931481 7655501 679861 39802 0 X 0 1 X 1 1 1 X 1893972 1915004 1971791 2471371 8170000 16422138 1893972 1915004 1971791 2471371 8170000 16422138 16422138 6632 16495 32656 34279 56142 146204 16568342 15735679 0.99120 0.99010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 25501 25501 1099024 84409 1014615 360544 189915 170629 1210745 13081000 39802 39802 13041198 0 13041198 12361337 0 12361337 0 12361337 1 ABRAHAM LINCOLN MEMORIAL HOSPITAL 200 STAHLHUT DRIVE LINCOLN IL 62656 370723793 501(C)(3) 84090 CORONAVIRUS SHIP ADVOCATE EUREKA HOSPITAL 108 S MAJOR ST EUREKA IL 61530 376031894 501(C)(3) 94923 CORONAVIRUS SHIP; 2021 SHIP CARLE HOOPESTON REGIONAL HEALTH CENTER 701 E ORANGE ST HOOPESTON IL 60942 261503640 501(C)(3) 84090 CORONAVIRUS SHIP CARLINVILLE AREA HOSPITAL 20733 N BROAD STREET CARLINVILLE IL 62626 370645239 501(C)(3) 107423 CORONAVIRUS SHIP; 2021 SHIP; FLEX OUTPATIENT; FLEX POPULATION HEALTH CLAY COUNTY HOSPITAL 911 STACY BURKE DRIVE FLORA IL 62839 010686913 501(C)(3) 112923 CORONAVIRUS SHIP; 2021 SHIP; FLEX FINANCIAL; FLEX POPULATION HEALTH; FLEX EMS EDUCATION COMMUNITY HOSPITAL OF STAUNTON 400 NORTH CALDWELL STREET STAUNTON IL 62088 370624255 501(C)(3) 84090 CORONAVIRUS SHIP CRAWFORD MEMORIAL HOSPITAL 1000 NORTH ALLEN STREET ROBINSON IL 62454 371241849 501(C)(3) 94956 CORONAVIRUS SHIP; 2020 SHIP CROSSROADS COMMUNITY HOSPITAL 8 DOCTORS PARK RD MT VERNON IL 62864 581622971 501(C)(3) 94923 CORONAVIRUS SHIP; 2021 SHIP FAIRFIELD MEMORIAL HOSPITAL 303 NW 11TH ST FAIRFIELD IL 62837 370661202 501(C)(3) 122289 CORONAVIRUS SHIP; 2021 SHIP; 2020 SHIP; FLEX OPERATIONAL/IT; FLEX POPULATION HEALTH; FLEX EMS EDUCATION FAYETTE COUNTY HOSPITAL AND LONG TERM CARE 650 WEST TAYLOR ST VANDALIA IL 62471 371255150 501(C)(3) 84090 CORONAVIRUS SHIP FERRELL HOSPITAL 1201 PINE ST ELDORADO IL 62930 201244058 501(C)(3) 94956 CORONAVIRUS SHIP; 2020 SHIP FRANKLIN HOSPITAL 201 BAILEY LANE BENTON IL 62812 376058530 501(C)(3) 103923 CORONAVIRUS SHIP; 2021 SHIP; FLEX OPERATIONAL/IT; FLEX EMS EDUCATION GENESIS MEDICAL CENTER 409 NW 9TH AVENUE ALEDO IL 61231 454475683 501(C)(3) 110423 CORONAVIRUS SHIP; 2021 SHIP; FLEX POPULATION HEALTH; FLEX MENTAL HEALTH GIBSON AREA HOSPITAL & HEALTH SERVICES 1120 N MELVIN ST GIBSON CITY IL 60936 364311943 501(C)(3) 110173 CORONAVIRUS SHIP; 2021 SHIP; FLEX FINANCIAL; FLEX OPERATIONAL/IT; FLEX EMS EDUCATION GRAHAM HOSPITAL 210 WEST WALNUT STREET CANTON IL 61520 370673506 501(C)(3) 94923 CORONAVIRUS SHIP; 2021 SHIP HSHS GOOD SHEPHERD HOSPITAL 200 SOUTH CEDAR STREET SHELBYVILLE IL 62565 376006672 501(C)(3) 94923 CORONAVIRUS SHIP; 2021 SHIP HSHS HOLY FAMILY HOSPITAL 200 HEALTHCARE DR GREENVILLE IL 62246 371139987 501(C)(3) 84090 CORONAVIRUS SHIP HAMILTON MEMORIAL HOSPITAL DISTRICT 611 S MARSHALL AVE MCLEANSBORO IL 62859 473192014 501(C)(3) 91590 CORONAVIRUS SHIP; FLEX POPULATION HEALTH HAMMOND HENRY HOSPITAL 600 NORTH COLLEGE AVENUE GENESEO IL 61254 366008003 501(C)(3) 102423 CORONAVIRUS SHIP; 2021 SHIP; FLEX FINANCIAL HARDIN COUNTY GENERAL HOSPITAL 6 FERRELL ROAD ROSICLARE IL 62982 370702309 501(C)(3) 109933 CORONAVIRUS SHIP; 2021 SHIP; FLEX FINANCIAL; FLEX MENTAL HEALTH HARRISBURG MEDICAL CENTER 100 DR WARRANT TUTTLE DRIVE HARRISBURG IL 62946 237426289 501(C)(3) 84090 CORONAVIRUS SHIP HILLSBORO AREA HOSPITAL 1200 EAST TREMONT ST HILLSBORO IL 62049 370661208 501(C)(3) 102423 CORONAVIRUS SHIP; 2021 SHIP; FLEX FINANCIAL HOPEDALE MEDICAL CENTER 107 TREMONT ST HOPEDALE IL 61747 370808925 501(C)(3) 94923 CORONAVIRUS SHIP; 2021 SHIP HORIZON HEALTH 721 EAST COURT ST PARIS IL 61944 370860281 501(C)(3) 114789 CORONAVIRUS SHIP; 2021 SHIP; 2020 SHIP; FLEX OPERATIONAL/IT; FLEX EMS EDUCATION ILLINI COMMUNITY HOSPITAL 640 WEST WASHINGTON ST PITTSFIELD IL 62363 371396010 501(C)(3) 108423 CORONAVIRUS SHIP; 2021 SHIP; FLEX OPERATIONAL/IT; FLEX POPULATION HEALTH ILLINOIS VALLEY COMMUNITY HOSPITAL 925 WEST STREET PERU IL 61354 362852553 501(C)(3) 84090 CORONAVIRUS SHIP IROQUOIS MEMORIAL HOSPITAL 200 FAIRMAN WATSEKA IL 60970 370673512 501(C)(3) 97901 CORONAVIRUS SHIP; 2021 SHIP; FLEX EMS EDUCATION JERSEY COMMUNITY HOSPITAL 400 MAPLE SUMMIT JERSEYVILLE IL 62052 376013958 501(C)(3) 87090 CORONAVIRUS SHIP; FLEX EMS EDUCATION KIRBY MEDICAL CENTER 1000 MEDICAL CENTER DRIVE MONTICELLO IL 61856 370661215 501(C)(3) 84090 CORONAVIRUS SHIP LAWRENCE COUNTY MEMORIAL HOSPITAL 2200 WEST STATE ST LAWRENCEVILLE IL 62439 800618988 501(C)(3) 121289 CORONAVIRUS SHIP; 2021 SHIP; 2020 SHIP; FLEX POPULATION HEALTH; FLEX MENTAL HEALTH MARSHALL BROWNING HOSPITAL 900 N WASHINGTON ST DUQUOIN IL 62832 370661218 501(C)(3) 84090 CORONAVIRUS SHIP MASON DISTRICT HOSPITAL 615 N PROMENADE ST HAVANA IL 62644 376017857 501(C)(3) 96681 CORONAVIRUS SHIP; 2021 SHIP; FLEX EMS EDUCATION MASSAC MEMOIRAL HOSPITAL 28 CHICK ST METROPOLIS IL 62960 370857853 501(C)(3) 97923 CORONAVIRUS SHIP; 2021 SHIP; FLEX EMS EDUCATION MCDONOUGH DISTRICT HOSPITAL 525 E GRANT ST MACOMB IL 61455 465143822 501(C)(3) 84090 CORONAVIRUS SHIP MEMORIAL HOSPITAL - CARTHAGE 1454 N COUNTY ROAD 2050 CARTHAGE IL 62321 370662570 501(C)(3) 116423 CORONAVIRUS SHIP; 2021 SHIP; FLEX OPERATIONAL/IT; FLEX POPULATION HEALTH; FLEX MENTAL HEALTH MEMORIAL HOSPITAL - CHESTER 1900 STATE STREET CHESTER IL 62233 376020801 501(C)(3) 105789 CORONAVIRUS SHIP MERCY HARVARD HOSPITAL 901 GRANT STREET HARVARD IL 60033 311551871 501(C)(3) 102923 CORONAVIRUS SHIP; 2021 SHIP; FLEX MENTAL HEALTH MIDWEST MEDICAL CENTER 1 MEDICAL CENTER DRIVE GALENA IL 61036 204560540 501(C)(3) 99923 CORONAVIRUS SHIP; 2021 SHIP; FLEX OUTPATIENT MORRISON COMMUNITY HOSPITAL 303 N JACKSON ST MORRISON IL 61270 366008167 501(C)(3) 111423 CORONAVIRUS SHIP; 2021 SHIP; FLEX FINANCIAL; FLEX OPERATIONAL/IT; FLEX EMS EDUCATION NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL 1302 NORTH MAIN STREET SANDWICH IL 60548 364244337 501(C)(3) 94956 CORONAVIRUS SHIP; 2020 SHIP OSF HOLY FAMILY MEDICAL CENTER 1000 W HARLEM AVE MONMOUTH IL 61462 370813229 501(C)(3) 99923 CORONAVIRUS SHIP; 2021 SHIP; FLEX POPULATION HEALTH OSF ST JAMES W ALBRECHT MEDICAL CENTER 2500 W REYNOLD ST PONTIAC IL 61764 370662570 501(C)(3) 94923 CORONAVIRUS SHIP; 2021 SHIP OSF ST LUKE MEDICAL CENTER 1051 WEST SOUTH ST KEWANEE IL 61443 362167767 501(C)(3) 94923 CORONAVIRUS SHIP; 2021 SHIP OSF ST PAUL MEDICAL CENTER 1401 EAST 12TH STREET MENDOTA IL 61342 362167785 501(C)(3) 94923 CORONAVIRUS SHIP; 2021 SHIP PANA COMMUNITY HOSPITAL 101 EAST NINTH ST PANA IL 62557 376062326 501(C)(3) 94923 CORONAVIRUS SHIP; 2021 SHIP PERRY MEMORIAL HOSPITAL 530 PARK AVENUE EAST PRINCETON IL 61356 366006955 501(C)(3) 97590 CORONAVIRUS SHIP; FLEX FINANCIAL; FLEX OPERATIONAL/IT PINCKNEYVILLE COMMUNITY HOSPITAL 101 NORTH WALNUT STREET PINCKNEYVILLE IL 62274 376006955 501(C)(3) 105923 CORONAVIRUS SHIP; 2021 SHIP; FLEX OUTPATIENT; FLEX OPERATIONAL/IT RED BUD REGIONAL HOSPITAL 325 SPRING ST RED BUD IL 62278 364443919 501(C)(3) 107289 CORONAVIRUS SHIP; 2021 SHIP; 2020 SHIP; FLEX OPERATIONAL/IT RICHLAND MEMORIAL HOSPITAL 800 EAST LOCUST OLNEY IL 62450 371363001 501(C)(3) 97956 CORONAVIRUS SHIP; 2020 SHIP; FLEX EMS EDUCATION ROCHELLE COMMUNITY HOSPITAL 900 NORTH 2ND STREET ROCHELLE IL 61068 362548549 501(C)(3) 89090 CORONAVIRUS SHIP; FLEX POPULATION HEALTH SALEM TOWNSHIP HOSPITAL 1201 RICKER DRIVE SALEM IL 62881 370925318 501(C)(3) 120789 CORONAVIRUS SHIP; 2021 SHIP; 2020 SHIP; FLEX FINANCIAL; FLEX POPULATION HEALTH SARAH D CULBERTSON MEMORIAL HOSPITAL 238 SOUTH CONGRESS AVE RUSHVILLE IL 62681 376006672 501(C)(3) 94956 CORONAVIRUS SHIP; 2020 SHIP SPARTA COMMUNITY HOSPITAL DISTRICT 818 EAST BROADWAY SPARTA IL 62286 376014817 501(C)(3) 100923 CORONAVIRUS SHIP; 2021 SHIP; FLEX OPERATIONAL/IT SSM HEALTH ST MARY'S HOSPITAL 420 NORTH PLEASANT CENTRALIA IL 62801 370662580 501(C)(3) 84090 CORONAVIRUS SHIP ST FRANCIS HOSPITAL 1215 FRANCISCAN DRIVE LITCHFIELD IL 62056 370661236 501(C)(3) 90090 CORONAVIRUS SHIP; FLEX OPERATIONAL/IT ST JOSEPH'S HOSPITAL 12866 TROXLER AVE HIGHLAND IL 62249 370663568 501(C)(3) 110189 CORONAVIRUS SHIP; 2021 SHIP; 2020 SHIP; FLEX OUTPATIENT ST JOSEPH'S HOSPITAL 9515 HOLY CROSS LANE BRESSES IL 62230 371208459 501(C)(3) 84090 CORONAVIRUS SHIP ST JOSEPH MEMORIAL HOSPITAL 2 SOUTH HOSPITAL DRIVE MURPHYSBORO IL 62966 370618939 501(C)(3) 87090 CORONAVIRUS SHIP; FLEX EMS EDUCATION TAYLORVILLE MEMORIAL HOSPITAL 201 EAST PLEASANT ST TAYLORVILLE IL 62568 370661250 501(C)(3) 84090 CORONAVIRUS SHIP THOMAS H BOYD MEMORIAL HOSPITAL 800 SCHOOL ST CARROLTON IL 62016 370673461 501(C)(3) 111423 CORONAVIRUS SHIP; 2021 SHIP; FLEX FINANCIAL; FLEX OPERATIONAL/IT; FLEX EMS EDUCATION UNION COUNTY HOSPITAL DISTRICT 517 NORTH MAIN ST ANNA IL 62906 586025393 501(C)(3) 105789 CORONAVIRUS SHIP; 2021 SHIP; 2020 SHIP WABASH GENERAL HOSPITAL 1418 COLLEGE DR MT CARMEL IL 62863 376013625 501(C)(3) 114789 CORONAVIRUS SHIP; 2021 SHIP; 2020 SHIP; FLEX OPERATIONAL/IT; FLEX EMS EDUCATION WARNER HOSPITAL & HEALTH SERVICES 422 WEST WHITE ST CLINTON IL 61727 371380376 501(C)(3) 100590 CORONAVIRUS SHIP; FLEX OPERATIONAL/IT; FLEX OPERATION HEALTH; FLEX EMS EDUCATION WASHINGTON COUNTY HOSPITAL 705 S GRAND NASHVILLE IL 62263 376020408 501(C)(3) 105090 CORONAVIRUS SHIP; FLEX FINANCIAL; FLEX OPERATIONAL/IT; FLEX POPULATION HEALTH 65 0 PART I, LINE 2: ONCE IT IS DETERMINED THAT AN INDIVIDUAL OR ORGANIZATION WILL BE RECEIVING A GRANT AWARD, THEY ARE ISSUED A TRACKING NUMBER AND ENTERED INTO THE GRANT MONITORING DATABASE. THE DATABASE INCLUDES CONTACT INFORMATION FOR THE RECIPIENT, AS WELL AS PAYMENT TERMS, DATE, CHECK NUMBER, AND PAYMENT AMOUNT. AT THE END OF THE GRANT TERM OUTLINED IN THE GRANT AGREEMENT PROVIDED TO THE RECIPIENT A FINAL REPORT IS COMPLETED BY THE RECIPIENT AND SENT BACK TO ICAHN THROUGH THE MAIL OR ELECTRONICALLY WITH A SIGNATURE. ICAHN THEN REVIEWS THE REPORT AND COMPARES IT TO THE AGREEMENT TO ENSURE GRANT FUNDS WERE SPENT AS OUTLINED ON OCCASION. IF A RECIPIENT'S PROJECT IS NEEDED TO CHANGE DUE TO UNFORESEEN CIRCUMSTANCES, THE GRANTEE IS INSTRUCTED TO REQUEST WRITTEN PERMISSION FROM ICAHN AUTHORIZING THE CHANGE. A COPY OF THIS CORRESPONDENCE IS PLACED IN THE RECIPIENT'S GRANT FILE DOCUMENTING THE CHANGE TO THE GRANT PROJECT WHEN THE GRANT REPORT IS RECEIVED BY ICAHN. IT CAN THEN BE NOTED THAT THERE WAS AN AUTHORIZED CHANGE TO THE GRANT PROJECT. IN ADDITION TO THESE TRACKING PROCESSES, THE OPERATIONS COORDINATOR PERFORMS ONSITE VISITS TO GRANT RECIPIENTS OVER THE COURSE OF THE YEAR. DURING THESE VISITS, DOCUMENTATION SUCH AS INVOICES, RECEIPTS, AND FINANCIAL STATEMENTS ARE REVIEWED WITH COPIES OBTAINED, TO ENSURE GRANT FUNDS HAVE BEEN SPENT ON OUTLINED PROJECTS. THE OPERATIONS COORDINATOR PERFORMS ABOUT 12 ONSITE GRANT REVIEW VISITS PER YEAR. X X X X 0 0 0 1 0 0 0 0 0 CURTIS ZIMMERMAN DIRECTOR OF BUSINESS SERVICES 107451 0 11684 0 980 0 3834 0 26923 0 150872 0 0 0 PATRICIA SCHOU EXECUTIVE DIRECTOR 232898 0 20000 0 1232 0 7587 0 15355 0 277072 0 0 0 PART I, LINE 5 THE SENIOR DIRECTOR OF BUSINESS SERVICES IS PAID AN INCENTIVE ON A PERCENTAGE OF THE INSURANCE REVENUES PAID TO ICAHN DURING THE YEAR. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK ARE CRITICAL ACCESS HOSPITALS AND NECESSARY PROVIDER HOSPITALS RESIDING IN THE STATE OF ILLINOIS WHO HAVE PAID AN INITIAL MEMBERSHIP FEE OF FIVE THOUSAND DOLLARS ($5,000). EACH HOSPITAL MEMBER HAS ONE VOTE AND IS REPRESENTED BY ITS CHIEF EXECUTIVE OFFICER. MEMBERS HAVE THE RIGHT TO VOTE FOR THE BOARD OF DIRECTORS. AS OF 2020 THE MEMBERSHIP DUES FOR THE YEAR ARE $8,300. FORM 990, PART VI, SECTION A, LINE 7A EACH HOSPITAL MEMBER HAS ONE VOTE AND IS REPRESENTED BY ITS CHIEF EXECUTIVE OFFICER. MEMBERS HAVE THE RIGHT TO VOTE FOR THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE BYLAWS MAY BE AMENDED AT ANY MEETING OF THE MEMBERSHIP PROVIDED A NOTICE SETTING FORTH THE AMENDMENT OR A SUMMARY OF THE CHANGES TO BE AFFECTED THEREBY IS GIVEN TO EACH MEMBER ENTITLED TO VOTE THEREON IN THE MANNER AND WITHIN THE TIME PROVIDED IN THE BYLAWS FOR THE NOTICE OF THE MEETING. NO AMENDMENT INCONSISTENT WITH THE ARTICLES OF INCORPORATION SHALL BE EFFECTIVE PRIOR TO AMENDMENT OF THE ARTICLES OF INCORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE FORM 990 IS PROVIDED TO BOTH THE FINANCE COMMITTEE AND BOARD OF DIRECTORS VIA E-MAIL FOR REVIEW. THE GOAL IS TO PROVIDE THE REPORT TO BOTH PRIOR TO THE FILING, SO IF DISCREPANCIES ARE DISCOVERED, THERE IS TIME FOR CORRECTIONS IF DEEMED NECESSARY AFTER REVIEW, A MEETING WILL BE SCHEDULED FOR DISCUSSION AND FURTHER REVIEW OF THE 990. FORM 990, PART VI, SECTION B, LINE 12C THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK REQUIRES THEIR BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES TO COMPLETE A CONFLICT OF INTEREST ACTIVITY QUESTIONNAIRE ANNUALLY. ANY QUESTION OF WHETHER A CONFLICT EXISTS SHALL BE DECIDED UPON BY A MAJORITY VOTE OF THE DIRECTORS OR COMMITTEE MEMBERS, EXCLUDING THE DIRECTOR OR COMMITTEE MEMBER WITH A POSSIBLE CONFLICT IN THE CASE AN ACTUAL CONFLICT EXISTS, THE DIRECTOR OR MEMBER WITH THE CONFLICT MUST ABSTAIN FROM VOTING ON SUCH MATTER. FORM 990, PART VI, SECTION B, LINE 15A THE FINANCE COMMITTEE OF THE ORGANIZATION RECOMMENDS TO THE BOARD THE APPROVAL OF THE FISCAL YEAR BUDGET WHICH INCLUDES SALARY INCREASES. INCREASES ARE THEN MADE BY THE EXECUTIVE DIRECTOR PRIOR TO THE START OF THE NEXT FISCAL YEAR. THE EXECUTIVE DIRECTOR'S CONTRACT ALLOWS FOR A YEARLY INCREASE PER BUDGET. THE EXECUTIVE DIRECTOR'S CONTRACT IS NEGOTIATED EVERY THREE YEARS AND SALARY IS SET AT THAT TIME. THIS COMPENSATION IS SET BASED ON A COMPARISON REVIEW OF OTHER NETWORK DIRECTOR'S SALARIES AND COMPENSATION. OTHER ICAHN POSITIONS ARE BASED ON SIMILAR POSITIONS IN OTHER ORGANIZATIONS INCLUDED IN THE BUDGET PRESENTATION ARE BUDGET ASSUMPTIONS WHICH IDENTIFIES THE SALARY INCREASES. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. ILLINOIS RURAL COMMUNITY CARE ORGANIZATION LLC 1945 VANS WAY PRINCETON IL 61356 465654316 DEVELOP SYSTEMS OF CLINICAL INTEGRATION & EFFICIENCIES FOR MEMBER HOSPITALS IL 2906422 2805410 ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK