2020-08-27T07:49:49-05:00 2019-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2019-01-01 550809159 THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK ILLI 8158752999 1945 VANS WAY PRINCETON IL 61356 PATRICIA SCHOU EXECUITVE DIRECTOR 8158752999 2020-08-21 1 MICHAEL J PETERSON CPA P01833529 2187224705 2020-08-20 216.54.158.12 2020-08-21 11:40:34 CD P 05365E77D662BDC17E2AAA2C6021CC7EC3235B8D 9747BB8E0DC0E78824B7C9EDF76D609BB7F00C05 2019 2020-11-06 18:47:13Z PATRICIA SCHOU 1945 VANS WAY PRINCETON IL 61356 5092771 0 X WWW.ICAHN.ORG X 2002 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 24 56 0 0 1971791 2471371 3310679 2582631 32656 34279 0 4490 5315126 5092771 1050036 1581872 0 0 1803097 1755983 0 0 0 1489722 1746915 4342855 5084770 972271 8001 3815469 3931481 1250895 1317084 2564574 2614397 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 56 MEMBER HOSPITALS, IS AN INDEPENDENT NETWORK GOVERNED BY A NINE-MEMBER BOARD OF DIRECTORS. 0 0 3384153 1581872 1817575 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 BACKLOGSERVES APPROXIMATELY 57 HOSPITALS. 376192 529767 ICAHN PROVIDES INFORMATION TECHNOLOGY ASSISTANCE TO SMALL RURAL HOSPITALS ACROSS THE STATE, SERVING APPROXIMATELY 56 HOSPITAL. SERVICES ARE AVAILABLE TO ALL 56 HOSPITALS IF THE CHOOSE TO UTILIZE THEM. 255570 235289 ICAHN PROVIDES QUALITY EDUCATIONAL OPPORTUNITIES TO MEMBER HOSPITALS FOCUSING ON RURAL HEALTH ISSUES AND STRATEGIES FOR SUCCESS THROUGH ONSITE MEETINGS, VIDOECONFERENCING, AND WEB-BASED TRAINING. 4015915 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 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 22 0 24 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 KATHY HULL DIRECTOR 1.00 X 0 0 0 KEN REID DIRECTOR 1.00 X 0 0 0 TED ROGALSKI DIRECTOR 1.00 X 0 0 0 PAUL SKOWRON DIRECTOR 1.00 X 0 0 0 OLLIE SMITH DIRECTOR 1.00 X 0 0 0 DOUG FLORKOWSKI PRESIDENT 1.00 X X 0 0 0 JOANNE EMGE PRESIDENT - ELECT 1.00 X X 0 0 0 TRACY BAUER PAST PRESIDENT 1.00 X X 0 0 0 ALISA COLEMAN SECRETARY/TREASURER 1.00 X X 0 0 0 PATRICIA SCHOU EXECUTIVE DIRECTOR 40.00 X 245170 0 22673 DIANE GARLAND DIRECTOR OF FINANCE 40.00 X 91969 0 12944 CURTIS ZIMMERMAN DIRECTOR BUSINESS SERVICES 40.00 X 121034 0 32349 ANGELA CHARLET DIRECTOR QUALITY SERVICES 40.00 X 123523 0 14097 581696 0 82063 3 0 1 0 GREG DAVIS MD LTD 204 PARK AVENUE EAST PRINCETON IL 61356 MEDICAL CONSULTING 150000 1 456600 2014771 2471371 IL RURAL COMMUNITY CAR 900099 571497 571497 IT SERVICES 541519 529767 529767 CONSULTING REVENUE 541610 238992 238992 PROFESSIONAL EDUCATION 611710 116473 116473 WORKSHOP/MEETING FEES 900099 50107 50107 1075795 1075795 2582631 34279 34279 RECOVERY OF BAD DEBT 900099 4490 4490 4490 5092771 2587121 0 34279 X 1581872 1581872 372756 260929 111827 1073292 751305 321987 35299 24709 10590 158326 110828 47498 116310 81417 34893 151924 123199 28725 20732 20732 27208 1280 25928 666201 540241 125960 482762 289657 193105 18213 12749 5464 31204 25304 5900 234515 140709 93806 32231 22562 9669 81925 49154 32771 5084770 4015915 1068855 0 644585 905571 402763 411924 51028 247466 935491 268872 180604 173219 1485069 202133 1323066 1282936 277932 641493 3815469 3931481 137747 129975 113148 283327 1000000 903782 1250895 1317084 X 2513546 2588275 51028 26122 2564574 2614397 3815469 3931481 8001 41822 0 X 0 1 X 1 1 1 X 1804695 1893972 1915004 1971791 2471371 10056833 1804695 1893972 1915004 1971791 2471371 10056833 10056833 10284 6632 16495 32656 34279 100346 10157179 12389258 0.99010 0.99280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 25501 25501 1099024 47033 1051991 360544 155100 205444 1282936 5130103 41822 -4490 37332 5092771 0 5092771 5080280 -4490 -4490 5084770 0 5084770 PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -4,490. PART XII, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -4,490. 1 ABRAHAM LINCOLN MEMORIAL HOSPITAL 200 STAHLHUT DRIVE LINCOLN IL 62656 370723793 501(C)(3) 9296 SHIP GRANT ADVOCATE EUREKA HOSPITAL 108 S MAJOR ST EUREKA IL 61530 376031894 501(C)(3) 20162 SHIP GRANT CARLINVILLE AREA HOSPITAL 20733 N BROAD STREET CARLINVILLE IL 62626 370645239 501(C)(3) 31162 SHIP GRANT; CUSTOMER SERVICE IMPROVEMENT; OUTPATIENT SERVICES CLAY COUNTY HOSPITAL 911 STACY BURKE DRIVE FLORA IL 62839 010686913 501(C)(3) 41662 SHIP GRANT; CUSTOMER SERVICE IMPROVEMENT; FINANCIAL ASSESSMENT/REVENUE CYCLE COMMUNITY HOSPITAL OF STAUNTON 400 NORTH CALDWELL STREET STAUNTON IL 62088 370624255 501(C)(3) 14296 SHIP GRANT; FINANCIAL ASSESSMENT/REVENUE CYCLE CRAWFORD MEMORIAL HOSPITAL 1000 NORTH ALLEN STREET ROBINSON IL 62454 371241849 501(C)(3) 13796 SHIP GRANT; CHF/COPD CROSSROADS COMMUNITY HOSPITAL 8 DOCTORS PARK RD MT VERNON IL 62864 581622971 501(C)(3) 22662 SHIP GRANT; EMS EDUCATION FAIRFIELD MEMORIAL HOSPITAL 303 NW 11TH ST FAIRFIELD IL 62837 370661202 501(C)(3) 30296 SHIP GRANT; CUSTOMER SERVICE IMPROVEMENT; OUTPATIENT SERVICES; PATIENT CENTE FAYETTE COUNTY HOSPITAL AND LONG TERM CARE 650 WEST TAYLOR ST VANDALIA IL 62471 371255150 501(C)(3) 10866 SHIP GRANT FERRELL HOSPITAL 1201 PINE ST ELDORADO IL 62930 201244058 501(C)(3) 25296 SHIP GRANT; CUSTOMER SERVICE IMPROVEMENT; OUTPATIENT SERVICES FRANKLIN HOSPITAL 201 BAILEY LANE BENTON IL 62812 376058530 501(C)(3) 30162 SHIP GRANT; FINANCIAL ASSESSMENT/REVENUE CYCLE; CUSTOMER SERVICE IMPROVEMENT GENESIS MEDICAL CENTER 409 NW 9TH AVENUE ALEDO IL 61231 454475683 501(C)(3) 45162 SHIP GRANT; CUSTOMER SERVICE IMPROVEMENT; OUTPATIENT SERVICES; FINANCIAL ASSESSMENT/REVENUE CYCLE; DISEASE MANAGEMNET/POPULATION HEALTH; EMS EDUCATION GIBSON AREA HOSPITAL & HEALTH SERVICES 1120 N MELVIN ST GIBSON CITY IL 60936 364311943 501(C)(3) 25662 SHIP GRANT; EMS EDUCATION GRAHAM HOSPITAL 210 WEST WALNUT STREET CANTON IL 61520 370673506 501(C)(3) 20162 SHIP GRANT HAMILTON MEMORIAL HOSPITAL DISTRICT 611 S MARSHALL AVE MCLEANSBORO IL 62859 473192014 501(C)(3) 9296 SHIP GRANT HAMMOND HENRY HOSPITAL 600 NORTH COLLEGE AVENUE GENESEO IL 61254 366008003 HENRY HOSPITAL DIST 37162 SHIP GRANT HARDIN COUNTY GENERAL HOSPITAL 6 FERRELL ROAD ROSICLARE IL 62982 370702309 501(C)(3) 25162 SHIP GRANT; FINANCIAL ASSESSMENT/REVENUE CYCLE HILLSBORO AREA HOSPITAL 1200 EAST TREMONT ST HILLSBORO IL 62049 370661208 501(C)(3) 26162 SHIP GRANT; OUTPATIENT SERVICES HOPEDALE MEDICAL CENTER 107 TREMONT ST HOPEDALE IL 61747 370808925 501(C)(3) 20162 SHIP GRANT HORIZON HEALTH 721 EAST COURT ST PARIS IL 61944 370860281 501(C)(3) 27796 SHIP GRANT; CUSTOMER SERVICE IMPROVEMENT; OUTPATIENT SERVICES; CHF/COPD; EMS EDUCATION HSHS GOOD SHEPHERD HOSPITAL 200 SOUTH CEDAR STREET SHELBYVILLE IL 62565 376006672 501(C)(3) 20162 SHIP GRANT; CUSTOMER SERVICE IMPROVEMENT; OUTPATIENT SERVICES; CHF/COPD; EMS EDUCATION ILLINI COMMUNITY HOSPITAL 640 WEST WASHINGTON ST PITTSFIELD IL 62363 371396010 501(C)(3) 29937 SHIP GRANT; CUSTOMER SERVICE IMPROVEMENT; OUTPATIENT SERVICES; CHF/COPD; EMS EDUCATION IROQUOIS MEMORIAL HOSPITAL 200 FAIRMAN WATSEKA IL 60970 370673512 501(C)(3) 24662 SHIP GRANT; CHF/COPD JERSEY COMMUNITY HOSPITAL 400 MAPLE SUMMIT JERSEYVILLE IL 62052 376013958 501(C)(3) 20162 SHIP GRANT KIRBY MEDICAL CENTER 1000 MEDICAL CENTER DRIVE MONTICELLO IL 61856 370661215 501(C)(3) 23162 SHIP GRANT; EMS EDUCATION LAWRENCE COUNTY MEMORIAL HOSPITAL 2200 WEST STATE ST LAWRENCEVILLE IL 62439 800618988 501(C)(3) 30796 SHIP GRANT; CUSTOMER SERVICE IMPROVEMENT; OUTPATIENT SERVICES; DISEASE MANAGEMENT/POPULATION HEALTH; CHF/COPD MARSHALL BROWNING HOSPITAL 900 N WASHINGTON ST DUQUOIN IL 62832 370661218 501(C)(3) 14296 SHIP GRANT; FINANCIAL ASSESSMENT/REVENUE CYCLE MASON DISTRICT HOSPITAL 615 N PROMENADE ST HAVANA IL 62644 376017857 MASON DISTRICT 22377 SHIP GRANT; EMS EDUCATION MASSAC MEMOIRAL HOSPITAL 28 CHICK ST METROPOLIS IL 62960 370857853 MASSAC HOSPITAL DIST 12031 SHIP GRANT; EMS EDUCATION MEMORIAL HOSPITAL - CARTHAGE 1454 N COUNTY ROAD 2050 CARTHAGE IL 62321 370662570 501(C)(3) 41162 SHIP GRANT; OUTPATIENT SERVICES; FINANCIAL ASSESSMENT/REVENUE CYCLE; PATIENT CENTERED MEDICAL HOME; DISEASE MANAGEMENT/POPULATION HEALTH MEMORIAL HOSPITAL - CHESTER 1900 STATE STREET CHESTER IL 62233 020222156 501(C)(3) 9296 SHIP GRANT MERCY HARVARD HOSPITAL 901 GRANT STREET HARVARD IL 60033 311551871 501(C)(3) 37162 SHIP GRANT; CUSTOMER SERVICE IMPROVEMENT; OUTPATIENT SERVICES; DISEASE MANAGEMENT/POPULATION HEALTH MIDWEST MEDICAL CENTER 1 MEDICAL CENTER DRIVE GALENA IL 61036 204560540 501(C)(3) 25162 SHIP GRANT; FINANCIAL ASSESSMENT/REVENUE CYCLE MORRISON COMMUNITY HOSPITAL 303 N JACKSON ST MORRISON IL 61270 366008167 MORRISON, IL 32662 SHIP GRANT; FINANCIAL ASSESSMENT/REVENUE CYCLE; CHF/COPD; EMS EDUCATION NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL 1302 NORTH MAIN STREET SANDWICH IL 60548 364244337 501(C)(3) 9296 SHIP GRANT OSF HOLY FAMILY MEDICAL CENTER 1000 W HARLEM AVE MONMOUTH IL 61462 370813229 501(C)(3) 26162 SHIP GRANT; DISEASE MANAGEMENT/POPULATION HEALTH OSF ST JAMES W ALBRECHT MEDICAL CENTER 2500 W REYNOLD ST PONTIAC IL 61764 362167767 501(C)(3) 20162 SHIP GRANT OSF ST LUKE MEDICAL CENTER 1051 WEST SOUTH ST KEWANEE IL 61443 362167767 501(C)(3) 20162 SHIP GRANT OSF ST PAUL MEDICAL CENTER 1401 EAST 12TH STREET MENDOTA IL 61342 362167785 501(C)(3) 20162 SHIP GRANT PANA COMMUNITY HOSPITAL 101 EAST NINTH ST PANA IL 62557 376062326 501(C)(3) 24662 SHIP GRANT; CHF/COPD PERRY MEMORIAL HOSPITAL 530 PARK AVENUE EAST PRINCETON IL 61356 366006955 PRINCETON, IL 31296 SHIP GRANT; OUTPATIENT SERVICES; FINANCIAL ASSESSMENT/REVENUE CYCLE; PATIENT CENTERED MEDICAL HOME; EMS EDUCATION; CHF/COPD PINCKNEYVILLE COMMUNITY HOSPITAL 101 NORTH WALNUT STREET PINCKNEYVILLE IL 62274 376006955 PINCKNEYVILLE DISTR 33662 SHIP GRANT; CUSTOMER SERVICE IMPROVEMENT; OUTPATIENT SERVICES; EMS EDUCATION RED BUD REGIONAL HOSPITAL 325 SPRING ST RED BUD IL 62278 364443919 501(C)(3) 26296 SHIP GRANT; CUSTOMER SERVICE IMPROVEMENT; OUTPATIENT SERVICES; DISEASE MANAGEMENT/POPULATION HEALTH RICHLAND MEMORIAL HOSPITAL 800 EAST LOCUST OLNEY IL 62450 371363001 501(C)(3) 9296 SHIP GRANT SALEM TOWNSHIP HOSPITAL 1201 RICKER DRIVE SALEM IL 62881 370925318 SALEM, IL 9296 SHIP GRANT SARAH D CULBERTSON MEMORIAL HOSPITAL 238 SOUTH CONGRESS AVE RUSHVILLE IL 62681 376006672 SCHUYLER CO DISTR 9296 SHIP GRANT SPARTA COMMUNITY HOSPITAL DISTRICT 818 EAST BROADWAY SPARTA IL 62286 376014817 SPARTA HOSPITAL DIST 26497 SHIP GRANT; OUTPATIENT SERVICES; PATIENT CENTERED MEDICAL HOME ST FRANCIS HOSPITAL 1215 FRANCISCAN DRIVE LITCHFIELD IL 62056 370661236 501(C)(3) 29162 SHIP GRANT; OUTPATIENT SERVICES; DISEASE MANAGEMENT/POPULATION HEALTH ST JOSEPH MEMORIAL HOSPITAL 2 SOUTH HOSPITAL DRIVE MURPHYSBORO IL 62966 370618939 501(C)(3) 20162 SHIP GRANT ST JOSEPH'S HOSPITAL 12866 TROXLER AVE HIGHLAND IL 62249 370663568 501(C)(3) 9296 SHIP GRANT TAYLORVILLE MEMORIAL HOSPITAL 201 EAST PLEASANT ST TAYLORVILLE IL 62568 370661250 501(C)(3) 9296 SHIP GRANT THOMAS H BOYD MEMORIAL HOSPITAL 800 SCHOOL ST CARROLTON IL 62016 370673461 501(C)(3) 42662 SHIP GRANT; OUTPATIENT SERVICES; FINANCIAL ASSESSMENT/REVENUE CYCLE; DISEASE MANAGEMENT/POPULATION HEALTH; EMS EDUCATION UNION COUNTY HOSPITAL DISTRICT 517 NORTH MAIN ST ANNA IL 62906 586025393 501(C)(3) 14296 SHIP GRANT; FINANCIAL ASSESSMENT/REVENUE CYCLE WABASH GENERAL HOSPITAL 1418 COLLEGE DR MT CARMEL IL 62863 376013625 WABASH HOPSITAL DIST 12296 SHIP GRANT; EMS EDUCATION WARNER HOSPITAL & HEALTH SERVICES 422 WEST WHITE ST CLINTON IL 61727 371380376 501(C)(3) 22796 SHIP GRANT; CUSTOMER SERVICE IMPROVEMENT; DISEASE MANAGEMENT/POPULATION HEALTH; EMS EDUCATION WASHINGTON COUNTY HOSPITAL 705 S GRAND NASHVILLE IL 62263 376020408 501(C)(3) 14296 SHIP GRANT; FINANCIAL ASSESSMENT/REVENUE CYCLE 57 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 PATRICIA SCHOU EXECUTIVE DIRECTOR 245170 0 0 0 0 0 7318 0 15355 0 267843 0 0 0 CURTIS ZIMMERMAN DIRECTOR BUSINESS SERVICES 121034 0 0 0 0 0 3877 0 28472 0 153383 0 0 0 PART I, LINE 5 THE SENIOR DIRECTOR OF BUSINESS DEVELOPMENT 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 2019 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, LINE 1 THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE PRESIDENT, PRESIDENT-ELECT, SECRETARY/TREASURER, AND IMMEDIATE PAST PRESIDENT IF THE IMMEDIATE PAST PRESIDENT REMAINS ON THE BOARD OF DIRECTORS WHEN THE IMMEDIATE PAST PRESIDENT SERVES ON THE EXECUTIVE COMMITTEE, THE PRESIDENT SHALL NOT VOTE EXCEPT TO END A TIE VOTE THE PRESIDENT OF THE BOARD OF DIRECTORS SHALL SERVE AS THE CHAIR OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL HAVE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION DURING THE INTERIM BETWEEN MEETINGS OF THE BOARD OF DIRECTORS PROVIDED THAT ANY ACTION TAKEN SHALL NOT CONFLICT WITH ANY RULE AND REGULATION ESTABLISHED BY THE BOARD OF DIRECTORS OR EXPRESSED WISHES OF THE BOARD OF DIRECTORS. 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. FORM 990, PART IX, LINE 11G MANAGED CARE: PROGRAM SERVICE EXPENSES 433,116. MANAGEMENT AND GENERAL EXPENSES 100,983. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 534,099. OTHER FEES: PROGRAM SERVICE EXPENSES 103,939. MANAGEMENT AND GENERAL EXPENSES 24,234. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 128,173. EDUCATION: PROGRAM SERVICE EXPENSES 3,186. MANAGEMENT AND GENERAL EXPENSES 743. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,929. ILLINOIS RURAL COMMUNITY CARE ORGANIZATION LLC 1945 VANS WAY PRINCETON IL 61356 465654316 DEVELOP SYSTEMS OF CLINICAL INTEGRATION & EFFICIENCIES FOR MEMBER HOSPITALS IL 631142 814462 ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK